Stay Up To Date
Our website
 www.chmed.com
Facebook Page Like us on Facebook & Twitter accountFollow us on Twitter are all updated frequently. 
 
CALL US FIRST!
Many urgent situations are not really emergencies. "Urgent" means something you think shouldn't wait until morning or until our next office hours to be seen, or something you need advice about right away, but which does not seem immediately threatening to life or limb. Urgent situations are far more common than emergencies in childhood.
WHENEVER POSSIBLE IT IS BEST TO CALL THE OFFICE FIRST!

One of our providers is always available - 
24 hours a day, 
7 days a week 
(YES-EVEN SUNDAY) - 
to give advice or make arrangements for your child to be seen, either by us at the office or by an appropriate pediatric specialist at Children's Hospital OR MGHfC, if needed.
 
FLU VACCINE
We are sorry about the delay in flu vaccine availability (and just as frustrated as our patients). The delay is not unique to us and we are expecting our shipment to arrive within the next couple of weeks.  Follow us onFacebook to stay up to date with all of our announcements.
Stay tuned for information on flu clinics!

 

Our Blog
"The Script"
A group blog dispensed by your children's Medical Office Providers.  Take as needed!
Visit our blog
 
 
September 2014

Enterovirus Alert Fall 2014


 

As many of you are aware, there is a new strain of Enterovirus (EV-68) circulating in the United States this fall. It started in the midwest but as of this past week, there have now been documented cases in New York and Massachusetts. At baseline, Enterovirus can cause a wide variety of symptoms including common cold symptoms, trouble breathing, vomiting, diarrhea, and rash (among others). This particular strain appears to cause acute onset trouble breathing without much runny nose or fever, and without the other symptoms. It is particularly dangerous for children and adults with a known diagnosis of asthma.


 

Unfortunately, there is no antiviral medication currently available to treat enterovirus, and antibiotics have no effect on viral infections. MOST people will have a mild and short-lived viral infection with cough. However, children with asthma and other lung abnormalities are at risk for severe respiratory distress requiring hospitalization and even intensive supportive care.


 

Testing for this particular strain of enterovirus is not currently widely available, and is not helpful in the acute diagnosis and management of this disease. If needed, testing will be performed in the hospital setting, and is more helpful to track the spread of the disease, rather that changing what we do to treat an individual patient.


 

The real question is what can we do to prevent spread of the infection and to limit symptom severity. We know that Purel and other alcohol-based hand-cleansing solutions are NOT effective against EV-68! Good old soap and water is the best way to keep hands clean in this case. The CDC gives the following advice for patients, parents, and caretakers:


 

* Wash hands often with soap and water for 20 seconds, especially after changing diapers

* Avoid touching eyes, nose and mouth with unwashed hands

* Avoid kissing, hugging, and sharing cups or eating utensils with people who are sick

* Disinfect


 


 

For asthmatics, it is extremely important that you keep a very close eye on your symptoms and breathing. If you are typically prescribed a "controller" or "prevention" medication like Flovent, Qvar, Pulmicort, or Singulair in the fall and winter months, please START taking it NOW. If you are unsure of your fall Asthma Plan instructions, or controller medications, please contact your primary provider at CMO right away.
 


 

Questions or Concerns?  CONTACT US