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Patient Newsletter
Partnering with Families through Childhood Milestones
Summer 2010
In This Issue
AAP Annual Art Contest
Measles
Think: Kids
Swimming Safety
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AAP Annual Art Contest
art contest
The AAP invites children to enter its art contest with a chance to win a trip to San Francisco this year. The theme is "Protecting the World's Children from Tobacco and Secondhand Smoke."

In the U.S., the contest is open to boys and girls in three groups, grades 3 to 5, 6 to 8 and 9 to 12. Group winners and their parents/guardians will be invited to a presentation ceremony before several thousand pediatricians at the 2010 AAP National Conference & Exhibition in San Francisco on Sunday, Oct. 3. Each first-place winner will receive a $500 cash prize and up to $1,000 for travel-related expenses. The three second-place winners will each receive $250. The six winners' schools will be awarded matching cash amounts. Some artwork will be featured on the AAP website and in promotional materials.

For more information on how to participate, visit the AAP website.
Greetings!

I know that it can be frustrating when I am out of the office and not available for patients. Although I do have extensive office hours, there are times that I am not available. The main reason I am out of the office is for continuing medical education. Not only is it required that physicians participate in conferences and lectures, I believe that my attendance at these events make me a better pediatrician.

I purposely postpone commitments that take me out of the office for typically slower times in the office (summer mainly) and try to never take time away during the busy cold and flu season (Halloween through the end of February).

Here is a list of upcoming dates that I will be out of the office/office closings:

Wednesday, July 13: I have Jury Duty that I purposely postponed to the slower summer months. I plan on checking phone messages throughout the day and will see urgent patients late in the day. There is a possibility that my Jury Duty will spill over into Thursday and Friday.

Friday, July 16: We are closing the office at noon (administrative personnel as well) for training.

Monday, July 19: Medical Conference

Wednesday, August 4 - Friday, August 6: Medical Conference

Monday, September 6: The office will be closed for Labor Day

Wednesday, September 8 - Friday, September 10: Out-of-town business meeting

While I am away administrative personnel will be available to answer your calls weekdays from 9 am to 5 PM, although we close for lunch from noon - 1 PM. My staff is able to assist you with a number of administrative tasks. If you have a medical question, you will be referred to PMG located at 275 Sandwich Street in Plymouth. The PMG office number is (508) 746-5900.

PMG can address your medical questions or concerns and, if need be, see your child in their office. Please be aware that your insurance policy may not cover the visit to PMG. You should contact your insurance plan to see if the visit will be covered. If not, you will be responsible for the charges.

PMG will not be able to do routine medication refills or make referrals. Please check your prescriptions and let me know if you need a refill or a referral prior to my time away from the office.

Another option for urgent care while I am out of town is retail-based minute clinics. Some CVS stores (including the one in Plymouth on Pilgrim Hill Road) have these in-store clinics staffed by nurse practitioners. In my experience these clinics are good at providing simple, quick care (i.e. strep tests, ear infection exams) and they provide good documentation back to me for quality continuity of care. Keep in mind, however, that these clinics are staffed by individuals who work for companies trying to sell over-the-counter pharmaceuticals. Also, most families will have to pay cash for these services, although I do believe they accept some insurance plans. You must check with your insurance plan to see if a visit to a minute clinic is covered.

I will follow-up with all callers when I am back in the office.
Measles
measels
The Massachusetts Department of Health has confirmed one case of Measles in Canton, MA and there is another presumed case also in Canton.

Most children are vaccinated for Measles (a component of the MMR vaccine) at 1-year of age with a booster dose at 4-years.  If your child is over 1-year and has not had the MMR vaccines please consider contacting me to get him vaccinated as soon as possible.

Measles is an acute viral disease characterized by fever, cough, sore throat, conjunctivitis and rash (flat red spots all over the body).  Complications including ear infections, pneumonia, laryngotracheobronchitis (croup) and diarrhea; all symptoms are especially dangerous for young children. Acute encephalitis, which often results in permanent brain damage, occurs in approximately 1 of every 1,000 cases of Measles. Death, predominantly resulting from respiratory and neurologic complications, occurs in 1 to 3 of every 1,000 cases of Measles reported in the United States.
Think: Kids
Think: KidsThere are over 12 million kids with social, emotional and behavioral challenges in North America. Parents of troubled children need support in raising their children, as well as specific tools to use to correct these behaviors.

The Massachusetts General Hospital Psychiatry Department has created a program, Think: Kids, designed to assist these kids and their families.

Think: Kids teaches a revolutionary, evidence-based approach for helping children with behavioral challenges. Through training, support and clinical services, Think: Kids promote the understanding that challenging kids lack the skill, not the will, to behave well - specifically skills related to problem solving, flexibility and frustration tolerance.  More information can be found at their website: http://thinkkids.org.
Swimming Safety
Let's Move
The American Academy of Pediatrics (AAP) has changed its recommendations regarding swimming lessons. 

In the past the AAP did not recommend lessons for children less than 4 years old.  The concern was that parents might get a false sense of security around pools and other bodies of water and not properly supervise swimming children.

New evidence shows that children ages 1 to 4 years may be less likely to drown if they have had formal swimming instruction; however, this does not take the place of good supervision.

The new AAP guidance, which I agree with,  recommends that parents should decide whether to enroll an individual child in swim lessons based on the child's frequency of exposure to water, emotional development, physical abilities and certain health concerns related to chemicals (some children with asthma are very sensitive to chlorine in indoor pools).

Some other water safety advice includes:

1)    Never - even for a moment - leave small children alone or in the care of another young child while in bathtubs, pools, spas or wading pools or other open water sources.
2)    Closely supervise children in and around water. With infants, toddlers and weak swimmers, an adult should be within an arm's length.
3)    If you have a pool, install a four-sided fence that is at least 4 feet high to limit access to the pool. The fence should be hard to climb (not chain-link) and have a self-latching, self-closing gate.
4)    Parents, caregivers and pool owners should learn CPR.
5)    Do not use air-filled swimming aids (such as inflatable arm bands) in place of life jackets. They can deflate and are not designed to keep swimmers safe.
6)    All children should wear a life jacket when riding in a boat.
7)    Counsel teenagers about the increased risk of drowning when alcohol is involved.


Sincerely,
 
Dr. Terence McAllister
Terence McAllister, MD FAAP
Performance Pediatrics