Services provided in addition to general pediatric, adolescent, & young adult care:

• Attention deficit disorder consultation & management

• Consultation on behavorial and developmental issues

• Care of chronically ill children

• Comprehensive collegiate physicals

• Comprehensive asthma teaching; individual asthma plans; asthma educational material

• Sports physicals

• Safety pamphlets & educational materials

• Information about new vaccines (i.e., meningococcal, prevnar)

• Intravenous fluid in the office in cases of dehydration

• Liquid nitrogen removal of warts

• Ear piercing

• Repair of lacerations with dermabond

• Care of adopted infants and children (domestic and international)

Schedule of Monthly/Yearly Visits From Birth Through College
Each physician may vary from this schedule at individual visits.

*If you travel out of the country, make an appointment with your doctor to discuss what else you may need to protect yourself from disease.
**Tuberculosis test may need to be sooner if a child is in day care or if you travel to
countries where tuberculosis is prevalent

(·Children with ADHD and on Ritalin , other stimulant medication or Strattera need height/weight checks every six months and a yearly check-up.)

•Physical Exams should be scheduled yearly after the age of four.
•Sports/Camp Physicals will need to be renewed yearly.

Please be sure to book early for summer physical exams as this is a popular time.  Early Spring and Fall are less busy times.

Information about the newest vaccines available as of 2007

• RotaTeq is a live virus oral vaccine given in a three dose series between two and eight months of age to prevent rotavirus infection.  This schedule is very strict and cannot be continued if the dosage is interrupted.  It cannot be given to an infant who lives in a household with anyone whose immune system is compromised, i.e. chemotherapy, chronic steroid use, active HIV infection.  It also cannot be give if an infant has had a blood transfusion within the past 42 days.

• Hepatitis A vaccine protects against a virus of the same name that causes severe vomiting and diarrhea and is found in certain high risk areas of the U.S. and the world.  The vaccine is said to last nine years, but it is expected that it will provide lifelong immunity.  It is now recommended as part of the routine immunizations for all children after their one year birthday and for everyone beyond this age, especially if there is any high risk travel.

• Diabetes risk evaluation refers to an individual’s overall risk of diabetes because of their ethnicity,  BMI (body mass index) and family history of diabetes.  A blood or urine test can be done for those at increased risk.

• Tdap refers to the new tetanus vaccine that includes pertussis (whooping cough) coverage for those 11 years and older.  It also pertains to those who got the dT for high school prior to the introduction of Tdap in 2006 as well as parents with infants.  Pertussis is the most dangerous during the first year of life and immunizing new parents and eventually the whole population will protect the most vulnerable.  In order to receive the Tdap it must be at least two years since the last tetanus vaccine.  Overall tetanus should be received every ten years, or at five years with a bad laceration.

• Meningococcal vaccine is protection against a form of meningitis that affects young adults who reside in close living quarters, i.e. dorms, military.  It is recommended that it be given anytime after age 11 years as it lasts 10 years.

• Human Papilloma Virus (HPV) vaccine is recommended between ages 11 and 26 years in a strict schedule of a three shot series over a period of six months of time to protect against cervical cancer.

• Influenza is offered each Fall/Winter to infants, children and adolescents considered at increased risk of complications from influenza.  This in general includes all children between six months and five years and those who have chronic disease of the heart, asthma, diabetes, kidney disease or a weak immune system, i.e. chemotherapy induced, HIV or immune deficiency.  Healthy children may also receive the vaccine to protect themselves from influenza.

For more detailed information about all vaccines, please refer to www.cdc.org or www.aap.org