Pediatrician Houston TX

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Infant Ibuprofen Recalls

More Infant Ibuprofen Recalls due to high concentrations of medication:

They are all generic ibuprofen. 
Motrin/Advil brand name infant ibuprofen is still safe for use.

https://www.fda.gov/Safety/Recalls/ucm630112.htm…

CVS Health: Infants’ Ibuprofen Concentrated Oral Suspension, USP, 50 mg per 1.25 mL, in 0.5 oz. bottle CVS Pharmacy
Lot# 4718 59779-925-23 12/19

Equate: Infants’ Ibuprofen Concentrated Oral Suspension, USP, 50 mg per 1.25 mL, in 1.0 oz. bottle Wal-Mart Stores Inc.
Lot# 00717005A 49035-125-24 02/19

CVS Health: Infants’ Ibuprofen Concentrated Oral Suspension, USP, 50 mg per 1.25 mL, in 1.0 oz. bottle CVS Pharmacy
Lot#00717006A 59779-925-24 02/19

Equate: Ibuprofen Oral Suspension Drops, USP, 50 mg per 1.25 ml, in 0.5 oz. bottle Wal-Mart Stores Inc
Lot#00717009A 49035-125-23 02/19

Equate: Ibuprofen Oral Suspension Drops, USP, 50 mg per 1.25 ml, in 0.5 oz. bottle Wal-Mart Stores Inc
Lot#00717015A 49035-125-23 04/19

Equate: Ibuprofen Oral Suspension Drops, USP, 50 mg per 1.25 ml, in 0.5 oz. bottle Wal-Mart Stores Inc
Lot#00717024A 49035-125-23 08/19

CVS Health: Ibuprofen Oral Suspension Drops,
USP, 50 mg per 1.25 ml, in 0.5 oz. bottle CVS Pharmacy
NDC9779-925-23

Family Wellness: Ibuprofen Oral Suspension Drops,
USP, 50 mg per 1.25 ml, in 0.5 oz. bottle Family Dollar Services Inc.
NDC55319-250-23

Product Image taken from the FDA’s website.

The Measles Questions

Measles Questions

1. Should we give the MMR vaccine early to our baby?
2. Should my child get the MMR booster early, before the 4 year birthday?

These 2 questions are hot topics this week.

1. For Babies 6-11 months of age:

– if you are traveling internationally, please do come for a pre-travel visit to assess all the travel medical needs for your child including early MMR vaccine.

– if you are not traveling overseas, the CDC and our local health dept. have not declared Harris Country a measles epidemic area and have not recommended routine early MMR vaccine (< 12 months of age).

– Babies who receive MMR vaccine early still need to complete 2 doses after the first birthday.

2. For children 1-4 years of age:

– Take the first dose of MMR as soon as possible after the first birthday. If your child did not receive the first dose at the 1 year well-check, please contact the doctor’s office as soon as possible to obtain that first dose.

– The second dose of MMR is usually given at 4 years old, but it can be safely given as early as one month following the first dose and replaces the 4 year old booster. If you would like to have the second dose of MMR given before the 4 year old birthday, contact your doctor’s office.

Measles symptoms:
The illness starts with a cough, runny nose, and watery eyes along with high fever and body aches.
A mouth rash follows consisting of white spots on a red surface inside the mouth (Koplik spots).
A body rash develops with raised red spots that begin on the head and face and march down the body.

If your child has high fever and rash, please contact your provider prior to showing up in the medical office.

Pictures courtesy of the CDC:
https://www.cdc.gov/measles/about/signs-symptoms.html 

 

Santa Baby Flu Clinic

Santa Baby Flu Clinic

Santa Baby Flu Clinic

Saturday, December 8
9 am-noon
Nurture Pediatrics
Calling all babies who need their flu booster…
and those children and parents who have been putting off their flu shot.
It’s not too late!
Free Santa pictures and free popcorn!
Please call 713-894-2751 to schedule your time for the flu shot.
Insured patients and parents, we file with your insurance.
If you do not have insurance and you are <19 years old, you may be eligible for VFC flu vaccine at $14.85.
For parents without insurance, the cost is $38.

Boo Bash & Flu Clinic

Have no fear, the flu shot is here!

Boo Bash and Flu Clinic

Saturday October 6, 9am- noon

Flu Clinic, call to reserve your shot: (713) 894-2751.

Popcorn, games and Twist It Up Balloon Artist creations!

Benefiting the MIMS 5th Grade Outdoor Education Program

Flu Clinic Details:

Insured Patients and parents, we submit to your insurance.

Uninsured Patients <19 years old, we have VFC vaccines.

Uninsured adults, $38 self pay rate.

Nurture Pediatrics Second Birthday Party!

 

Saturday 9am- noon
6900 S. Rice Ave, Belliare 77401
Flu Clinic- call (713)894-2751 to reserve your flu-shot*
Free Yeti Sunshine all natural snow cones
Free Twist It Up Balloon artist creations
*Flu vaccine payment:
Insured established patients – no cost, we submit to your insurance plan.
Uninsured patients and parents – $38 flu vaccine
We anticipate having VFC Flu vaccine in October.
We do not recommend FluMist nasal spray.

RSV has Arrived to Houston

We saw our first confirmed case of RSV in a young baby this week.

Here is what you need to know about this virus:

RSV (respiratory syncytial virus)

  • Respiratory virus that can severely affect infants and young children.
  • The illness begins with low grade fever and a rather severely congested nose.
  • By Day 5, the congestion moves into the chest causing wheezing and fast breathing, fatigue and sometimes low oxygen levels.
  • By Day 10-14, there is improvement in the breathing but cough and intermittent wheezing can last for a full month.
  • Treatments are supportive as there is no cure for RSV: plenty of fluids (breastfeed often for infants), rest, nasal saline with suctioning and sometimes breathing treatments.
  • Prevention: RSV illness is contagious for the first 5-7 days of illness. Good handwashing is key to preventing this illness from spreading. Avoid all second hand smoke exposure.
  • Warning signs to seek care: fever lasting longer than 3 days or reaching above 100.4 (< 3 months old) or 102 (> 3 months old), fever that resolved but has recurred a few days later, wheezing, breathing so fast that the baby cannot drink and urinate at least 3-4 times per day, lethargy (difficult to arouse), lips turning grey or blue (911 call).

First Foods Class

New Year Healthy Habits

At Nurture Pediatrics, we believe that raising an adventurous eater starts early.  We are introducing our First Foods Class on Saturday, January 27, 4-5 pm. In this hands-on class, we teach baby and toddler food preparation with yummy samples for you and your baby/toddler to try!

Here are 2 suggestions for creating healthy eating habits for your family:

Make it an adventure!

Studies show it can take up to 15 exposures of a new food before children will accept it, so expose children early (4-6 months of age) to the tastes and textures of nutritious foods. Experiment with herbs and spices.  Together, explore flavors from different cultures and cuisines. Research shows that adventuresome eaters have lower rates of obesity and food allergies and are more likely to enjoy cooking.

Make home cooked meals together!

Family meals at home help foster unity, decrease behavioral problems, enhance academic success and decrease risk for obesity. Cooking the meal together takes it one step further to provide a healthy yet memorable experience.  Children who are involved in the process, from buying ingredients to planning and preparation, are more likely to eat the food they cook.

Remember that even small changes can lead to a recipe for success!

-Dr. Tina K. Leung, MD & Dr. Janet Pate, MD

Nurture Pediatrics, 6900 S. Rice Ave, Bellaire, 713-894-2751

www.nurturepediatric.com

Hurricane Harvey Hit Hard…

Hurricane Harvey Hit Hard… But God Caught Us Gently!

Our friends, family and church swept us up with love, support, brooms and mops! Everything is superbly disinfected and ready to go!
After Hurricane Harvey - Dirty Office After Hurricane Harvey - Clean Office Team Image

Personally, I know how hard it is to make ends meet after your home has been flooded. If your child is ill and needs medical attention, please contact us. Especially for our patients who are flood victims, we are here for you and will help as much as we are able!

 

-Dr. Janet Pate

Dr. Janet Pate at Nurture Pediatrics, 6900 S. Rice Ave. in Bellaire, where we welcome patient questions! 713-894-2751, www.nurturepediatric.com

Meningitis – A Real Risk

Meningitis – A Real Risk

Life is fragile… I am reminded as I care for a baby whose life is threatened by bacterial meningitis. Infection of the spinal fluid and tissues around the brain (meninges) can progress rapidly. As pressure builds in the brain, bacterial meningitis can take a healthy child to the brink of death in a matter of 1 day.

Early signs of meningitis in a baby can be irritability, a full soft spot, and vomiting. Older children may have a headache, vomiting, rash or stiff neck. Fever is often present.Meningitis

Children with severe headaches and inconsolable infants need prompt evaluation. Meningitis is diagnosed with a spinal tap. Viral meningitis is treated with supportive care. Bacterial meningitis has a high death rate and requires IV antibiotics for several weeks. For children who survive, complications can include mental retardation, hearing loss, kidney failure, limb amputations and cerebral palsy.

What can you do to prevent meningitis for your child? Most cases of bacterial meningitis can be prevented by vaccinating. We have excellent vaccines available in the USA for infants and children to prevent meningitis due to pneumococcus (PCV), haemophilus (Hib), and meningococcus (MCV). Vaccines are not scary, but meningitis is! Protect your child… vaccinate.

Dr. Janet Pate at Nurture Pediatrics, 6900 S. Rice Ave. in Bellaire, where we welcome patient questions! 713-894-2751, www.nurturepediatric.com

Nurture Pediatric Newsletter | Issue 7 | June 2017

                                             

What’s Inside?

New Office Coming to Bellaire in June!

 


Measles Prevention: 


 

 

                                                           


 

Safe Summer Travel Tips


Happy Fathers Day

 

June newsletter Nurture Pediatrics Contractors
Christensen Building Group, Brett Detamore and Chris Perez are busy getting the new office ready at 6900 S. Rice Ave.

measles

Measles Finds the Unvaccinated!

Eradicated in the USA in 2000, measles has made its return by taking advantage of un-vaccinated groups of people.

     Measles is more than just a rash.

measles data chartThe illness starts with a cough, runny nose, and watery eyes along with fever and body aches. A rash follows consisting of white spots (Koplik spots) in the mouth followed by red spots over most of the body.

What sets this illness apart is the high rate of encephalitis – inflammation of the brain that leads to a headache, confusion, and seizures. In the USA, 1 out of 4 people who contract the illness requires hospitalization for supportive care and management of encephalitis. 1 out of 1000 children who contract the illness will have permanent neurologic problems (cognitive deficits and hearing loss) due to encephalitis. The most recent death from measles in the USA was in 2015.

So why were we able to get rid of this serious illness in 2000, only to have it return?

  • Before the MMR vaccine became available in 1963, almost everyone contracted measles before the age of 15.
  • Before the MMR vaccine in the USA, measles killed 450 people (mostly children) on average every year.
  • After the MMR vaccine was introduced, measles was eradicated in the USA in 2000.
  • Due to under-vaccination and travel, there were 667 cases of measles in the USA in 2014.
  • Our community must be vaccinated at 95% to prevent measles outbreaks.
    • Currently, USA MMR vaccine rate is 92% or possibly lower.
  • People are misinformed about the safety of the vaccine and some think MMR vaccine is more harmful than the illness.
  • Parents have been refusing the MMR vaccine for their children due to misinformation propagated in a false study by UK physician Dr. Andrew Wakefield that has since been retracted from Lancet where it was originally published in 1998.

Measles rates worldwide are rising.

         Take Italy for example, vaccination rates for measles is at a low of 83% and they are experiencing a true epidemic of measles, more than 1600 cases thus far in 2017.     The US whiteGovernment has issued warning about travel: all travelers should be up to date on their MMR vaccine prior to travel, even babies 6-12 months of age.

http://www.cnn.com/

 

 

Measles outbreaks in the USA

Minnesota Outbreak May 2017

Measles found 48 unvaccinated people in an under-vaccinated Somali community in Minnesota who were taught by anit-vaxxers that the vaccine is unsafe for their children and that there is no reason to fear the illness in the USA.

https://www.washingtonpost.com/national/

California LA Measles Outbreak Dec 2016

At least 20 people contracted measles in an under-vaccinated Jewish community in the LA vicinity. Tallies for other measles outbreaks in the USA in 2016 are still being figured.

Tallies for other measles outbreaks in the USA in 2016 are still being figured.

whiteCalifornia Disneyland Outbreak 2015

Visitors to Disneyland were faced with 145 cases of contracted measles that proved to be the same virus serotype responsible for the Philippines Measles outbreak in 2014.

Ohio Outbreak 2014

The primarily unvaccinated Amish community in Ohio experienced an outbreak affecting 383 people.

There were 22 other smaller measles outbreaks in the USA in 2014.


What can be done to stop the measles outbreaks?

In 2015 following the California Disneyland measles outbreak, California Governor Jerry Brown signed a bill that denied students who attend public school the ability to “opt out of vaccines” for religious and personal reasons.

 

“The science is clear that vaccines dramatically protect children against a number of infectious and dangerous diseases,” Brown said in a prepared statement. “While it’s true that no medical intervention is without risk, the evidence shows that         immunization powerfully benefits and protects the community.”

 

  1. summer safety tipsKeep your child up-to-date on all CDC recommended vaccines.
  2. If you have concerns about a vaccine side-effect or safety, talk with your pediatrician.
  3. Avoid traveling to areas of the world in measles epidemic status without up-to-date measles vaccination.

Inform people you know about the safety of vaccines and the importance to protect their children and our community from the diseases they prevent.

 

 

Summer Safety Tips

Summer is fun! But nothing can ruin summer faster than a preventable illness or injury. Here are some safety tips for your summer adventures:

Beach Trips

  • Wear tear-free sunscreen, spf 50 and reapply it every 2 hours. Waterbabies lotion sunscreen is a good choice. Apply generously. There should be a haze of white if it is applied correctly. For infants less than 6 months of age, Desitin diaper cream can serve as sunscreen.
  • Wear UV protective clothing such as “rash-guard” shirts for boys and girls and wear hats.
  • Bring a 12-16 oz bottle of distilled or drinking water and reserve it for use as eye irrigation in case of sand in the eyes, cuts or jellyfish stings (see below).
  • Bring vinegar or baking soda in case of jellyfish sting. After you pour on the vinegar, rinse with fresh water, pat dry and immediately apply hydrocortisone (Cortaid) cream.
  • In case of a cut or scrape, rinse with fresh water then apply triple antibiotic or mupirocin ointment and cover with waterproof band-aid before re-entering the ocean.
  • Bring insect repellent (Off 15% -30%) to use in case of areas with high-mosquito load.

travel safety tips

 

Travel Tips

  • Consider taking a nausea prevention medicine in your travel bag. It is easy to get motion sickness or an upset stomach while traveling. A few doses of ondansetron or Dramamine can help tremendously.
  • Take probiotics as a preventative if you are traveling outside the country. Choose dairy-free products that contain lactobacillus such as Gerber Soothe Infant Colic Drops, Cutlurelle for Kids, or Biogaia.
  • Take a pain and fever reducer medication in your bag. Ibuprofen or Acetaminophen – consult the weight and dosing chart on the package.
  • Take your child’s vaccine record and insurance card with you just in case your child needs medical care while traveling.
  • Check the www.cdc.gov website for out-of-country travels at least 1 month prior to travel to ensure you have all the recommended vaccines.
  • Consult with your doctor in case of anticipated travel to malaria endemic areas.
  • Take a few standard things also: bandaids, antibiotic ointment, hydrocortisone cream, benadryl, sanitizer, imodium, inhalers prescribed, epi-pens prescribed and any other regularly taken prescription medications.

https://wwwnc.cdc.gov/travel/page/pack-smart

 

Thank you for reading our June Newsletter from Nurture Pediatrics!
J. Pate, MD

 

Click Here to download this page as a pdf document!

 

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Testimonials

"Dr. Janet Pate is an example of what a pediatrician should be. Caring, gentle, loving,smart, intelligent, "Really listens to you without rushing" She saved my nephews life with proper diagnosis. A blessing!!"

P. Z. September 19, 2016

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