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| THE FLU SHOT |
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| H1N1 FACTS |
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Abbott Voluntarily Recalls Certain Similac® Brand Powder Infant Formulas That Did Not Meet Its Quality Standards
Abbott is recalling these products following an internal quality review, which detected the remote possibility of the presence of a small common beetle in the product produced in one production area in a single manufacturing facility. The United States Food and Drug Adminstration (FDA) has determined that while the formula containing these beetles poses no immediate health risk, there is a possibility that infants who consume formula containing the beetles or their larvae, could experience symptoms of gastrointestinal discomfort and refusal to eat as a result of small insect parts irritating the GI tract. If these symptoms persist for more than a few days, a physician should be consulted
The recall of these powder infant formulas includes:
- Certain Similac powder product lines offered in plastic containers.
- Certain Similac powder product lines offered in 8-ounce, 12.4-ounce and 12.9-ounce cans.
To immediately find out if the product in your possession is included in this recall, parents and caregivers should visit http://similac.com/recall/lookup.aspx and type in their lot number to determine if their product is affected, or call (800) 986-8850.
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Meet our new Nurse Practitioner, Catherine Williams! She previously worked at an Oncology office in Abingdon, Virginia. She did her clinical training at Duke in North Carolina. She will be at the office every Monday through Thursday, regular hours.
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Links Coming Soon!
VACCINE INFORMATION
Hepatitis B
Gardasil
Tetanus(Td)
DTaP
Polio(IPV)
Hib
Pneumococcal
ChickenPox
Measles, Mumps & Rubella(MMR)
Meningococcal
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| SIGN OUR GUESTBOOK & MAKE COMMENTS ABOUT YOUR CARE |
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PEDIATRIC ILLNESSES
RSV
More diagnoses Coming Soon!
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| NEED DIRECTIONS |
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Tylenol Recall Information - please contact us at (423)-968-2599 if you have any additional questions concerning the recent recall, we will try to assist you to the best of our knowledge, but this website link will have the necessary guidelines. You can also contact your pharmacist.
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Children's Tylenol® Dosing
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Tylenol Recall - please contact us at (423)-968-2599 if you have any questions concerning the administration of any tylenol or other recall products. You can also contact your pharmacist.
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This is the same information from the above link to Tylenol and Motrin Dosing, but if you can't access the word document then use this as a simple guide. Please call us if you have any questions or your pharmacist. Thank you
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Dose
Weight Age
6-11 lbs 0-3 months
12-17 lbs 4-11 months
18-23 lbs 12-23 months
24-35 lbs 2-3 years
36-47 lbs 4-5 years
48-59 lbs 6-8 years
60-71 lbs 9-10 years
72-95 lbs 11 years
≥96 lbs 12 years
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Infants Concentrated Drops
(80mg/0.8mL)
Dropperful
1/2 = (0.4mL)
1 = (0.8mL)
1 & 1/2 = (0.8 + 0.4mL)
2 = (0.8 + 0.8mL)
| Children's Suspension Liquid
(160mg/5mL)
Teaspoon (TSP)
12-17 lbs/4-11 mos 1/2 (TSP)
18-23 lbs/12-23 mos 3/4 (TSP)
" 1 (TSP)
" 1 & 1/2 (TSP)
" 2 (TSP)
" 2 & 1/2 (TSP)
72-95 lbs/11 yrs 3 (TSP)
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Children's Motrin® Dosing
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Ages 6 mos - 23 mos Ages 2 - 11 Ages 2 - 11
Infants Motrin Children's Motrin Children's Motrin
Concentrated Drops Suspension Chewable Tablets
50mg/1.25mL 100mg/5mL 50mg
Dose Dropperful Teaspoon (TSP) Tablet
WEIGHT AGE
Under 6 mos
12-17 lbs 6-11 mos 1 = (1.25mL)
18-23 lbs 12-23 mos 1 & 1/2 (1.875mL)
24-35 lbs 2-3 yrs 1 (TSP) 2 tablets
36-47 lbs 4-5 yrs 1 & 1/2(TSP) 3 tablets
48-59 lbs 6-8 yrs 2 (TSP) 4 tablets
60-71 lbs 9-10 yrs 2 & 1/2 (TSP) 5 tablets
72-95 lbs 11 yrs 3 (TSP) 6 tablets
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We would like to begin collecting pictures and statements from our patients about their care here at
Bristol Pediatrics. In order to do this we encourage any one who is interested to send us an email with a paragraph or so describing your experiences with us. As well as, attaching a picture from your files that you would like us to put next to your statement. Once, we receive enough emails we will put them on a new testimonials page that will contain an interactive section for you to comment in. You can email us at office@bristolpediatricassociates.com , thank you for your consideration. (the email link above will only work if you have outlook configured on your computer, if you don't just compose an email in your yahoo, gmail, etc. account)
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New Mothers
For new mothers we recomend scheduling a Prenatal Visit with Dr. Makres to discuss any concerns you may be feeling anxious about. After the birth of your child you will follow up with us 2-to-4 days after leaving the hospital for a bili check, Dr. Makres will let you know before leaving the hospital. Click Here for Newborn Information. At your first visit be prepared to fill out an initial history questionnaire, patient information form. Also, we will need insurance information, like address, who is the primary, etc., see the insurance section of the website. After your bili check stop by the check-out window and make your second appointment for the two week old date. We understand that if this is your first child you may have many questions, so don't hestitate to ask any of our staff or doctors. We have provided this information so that you can be better prepared and less anxious about things.
| Weight Loss Tips | WELL BABY SCHEDULE
1. 3-4 days old.......Exam
2. 2 week old.........Exam
3. 2 month old.......Exam
4. 4 month old.......Exam
5. 6 month old.......Exam
6. 9 month old.......Exam
7. 12 month old.....Exam
8. 15 month old.....Exam
9. 18 month old.....Exam
10. 2 year old.........Exam
Child is to return every year after the 2 year old exam until 18 years of age by recommendation of the Amercian Academy of Pediatrics.
Please make well child appointments early so we can work out any scheduling complications.
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IMMUNIZATION INFORMATION
Due to the concern over vaccine effectiveness and potential complications we are trying to keep you the patient informed about new studies, potential threats to your children, and up-to-date guidelines. We deal with numerous pharmaceutical companies and in combination with them we will bring you information. From the author of "What to Expect when your Expecting" in conjunction with GlascoSmithKline, here is a link to "What to Expect Guide to Immunizations".
(Murkoff, Heidi, Mazel, Sharon, GlascoSmithKline. "What to Expect Guide to Immunizations". The What to Expect Foundation. New York, NY. 2009.)
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IMMUNIZATION SCHEDULE
2 Month old - #1 DTaP, IPV, HIB, Hep B, & Pneumococcal
4 Month old - #2 DTaP, IPV, HIB, Hep B, & Pneumococcal
6 Month old - #3 DTaP, HIB, Hep B, & Pneumococcal
9 Month old - HCT(hemotocrit) blood count, Hep B
12 Month old - Varicella(chicken pox), Pneumococcal
15 Month old - MMR, HIB #4, DTaP #4, Hep B
18 Month old - IPV #3
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Immunization Importance |
MMR & Autism, what Dr. Makres thinks:
"Many parents ask me about the association of MMR and Autism. I did a research project on this in February 2009 and gave a Grand Rounds presentation at Bristol Regional Medical Center on the subject. While preparing for this topic I did a world literatrure search and can tell you there is not one single shread of legitimate evidence that links MMR and autism. I understand that some of you, emotionally feel different about this and I would be happy to talk to you about it anytime. But I am convinced beyond a shadow of a doubt there is no scientific evidence linking MMR and Autism." TDM
Read additional comments from Dr. Makres
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Yes! We are accepting new patients.
We accept most insurance types, but to be sure please contact us. If you have Virginia medicaid or Tenncare/Bluecare, there are a few administrative details that must be handled before being seen. It is our office policy that the Primary Care Provider on the card be Dr. Makres, if you call your insurance and let them know you want the PCP switched they will do so. Usually, it takes about two weeks for them to issue you a new card, at which time call our office @ 423-968-2599 and make the appointment. All other insurance types need to call the main office number to make appointments.
We will need the name and address of the insurance holder, the policy number and group number, to make the first appointment.
Currently, well child check-ups are being scheduled two-to-three weeks out due to the high number of sick patients. We are sorry if you need a sooner time. Because of this scheduling delay we are encouraging our patients to call us and make their child's yearly physicals well in advance.
NEW PATIENT FORMS:
Initial History Questionnaire
Patient Information Form
Privacy Acknowledgment Form
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ONE YEAR OLD DIET
1. Begin whole or 2% milk but only 8 -12 ounces each day
2. We now want your baby's nutrition to primarily come from solids not liquids
3. Nothing to drink one hour before meals because this will decrease appetite
4. Table foods instead of baby foods
5. Off bottle and pacifier by 15 - 18 months. This can cause speech problems or arch the palate & expensive orthodontic bracing of teeth later if pacifier used too much or too long
6. No diet restrictions unless allergic reaction
7. Remember fruits and vegetables most important & dairy product calcium; avoid simple sugars and junk food (this includes too much juice - no more than 8 ounces a day).
8. Start vitamins (such as Poly Vi Sol + cc QD)
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