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Performance Pediatrics Patient Newsletter
In This Issue
Wedding Bells!
Holiday Hours
Vaccination Corner
Adolescent Sexual Health
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Wedding Bells!
A big congratulations to our nurse practitioner Jen who GOT MARRIED in October  to Tom Byrne, a professor at Boston University School of Social Work.

A special note for patients: Jen's married name is now Jennifer Byrne and all new prescriptions will be sent as such. Please let us know if you run into any problems with referrals or prescriptions due to Jen's name change.  
Holiday Hours
When we are closed and your child needs medical help, you have options. Visit the "Symptoms" section of our web site to familiarize yourself with your options.

For the holidays we will be closed on:

Wednesday, Dec. 24
Thursday, December 25
Thursday, January 1

On New Year's Eve, Wednesday December 31 we will close at noon.

We will be OPEN 9 am - noon on Saturday December 27 and on Saturday January 3. 

Winter 2014/2015 
Vaccination Corner
Delaying Vaccines 

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We have families who believe that vaccines are dangerous and ask Dr. McAllister to delay administering the vaccine or use an alternative schedule. There is no science to support using alternate schedules; the recommended schedule has been proven to be safe and effective. Delaying vaccines put children at risk for contracting the diseases the vaccines are designed to prevent, and in fact delaying vaccines may increase the risk of side effects from the vaccines.  

 

A recent study published in Pediatrics has shown that alternate schedules can in fact increase the risk of side effects from vaccines. In a study of more than 300,000 children it was found that children who received the MMR vaccine after the age of 2 (it is recommended at the 1-year visit) were 3 times MORE likely to have a seizure after the vaccine than children who received it when it was recommended.

 

While we at Performance Pediatrics firmly believe in the safety and effectiveness of the CDC's recommended vaccine schedule, the American Academy of Pediatrics recommends pediatricians continue to treat non-immunized children in the medical home as it is important that they receive routine care. It is also important that they have a safe place to continue to discuss vaccinations.


If you have questions about vaccines, please read our  vaccine policyvaccine billing policy and  refusal to vaccinate release form. At your child's appointment Dr. McAllister or Nurse Practitioner Jen will review the policies and form with you.

Adolescent Sexual Health

Birth Control for Adolescents

One of a pediatrician's most important roles is to provide anticipatory guidance to patients and families; this includes everything from advising parents to put their infants on their back to sleep in their own bed to prevent SIDS to advising teenagers to practice safe sex to protect themselves from unwanted pregnancy and disease. Adolescent sexual health is a vital topic that Dr. McAllister and Nurse Practitioner Jen address with all teens in our practice.

 

According to national studies nearly half of US high school students report ever having had sexual intercourse, and a quarter of high school seniors have had 4 or more sexual partners. Adolescent pregnancy rates have been dropping since they peaked in 1990, but each year, approximately 750,000 adolescents become pregnant, with more than 80% of these pregnancies being unplanned.  

 

Adolescents are also at risk for sexually transmitted infections. Human Papillomavirus (HPV) is the most common sexually transmitted infection in the US, with as many as 20 million individuals currently infected and an estimated 6 million new infections every year.

 

The American Academy of Pediatrics (AAP) recently updated its recommendations for contraception. The AAP now recommends long acting reversible contraception (progestin implants, IUDs, and depoprovera injections) as the safest and most effective methods for contraception. We cannot offer these services at Performance Pediatrics but there are several caring and well qualified gynecologists in the Plymouth area that we refer to who do provide these services. It is important to remember that none of these methods protect against sexual transmitted infections. In addition to one of the AAP recommended birth control methods, we strongly recommend condom use every time a teen has sex and we recommend the HPV vaccine for all of our patients 11 years old and older.

Be well,


Terence R. McAllister, MD FAAP
Medical Director
&
Jennifer L. Byrne, CPNP
Medical Home Care Coordinator

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