Author Archives: admin

Vegan Chocolate Mousse

Vegan Chocolate Mousse 1 ripe avocado 1/4 cup of pure maple syrup 1/4 cup of unsweetened almond milk 1/4 cup unsweetened cocoa powder 1 teaspoon vanilla extract   Purée until smooth and serve chilled. Here’s another healthy recipe to satisfy … Continue reading

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Lyme Disease & Tick Bites

Lyme disease and tick bites Now that spring is here and people are spending more time outside, we get lots of questions over the phone or in the office about Lyme disease. I am going to briefly outline answers to … Continue reading

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Teens, Opiates & Marijuana

You have all seen the reports about the opiate epidemic in our country and more importantly in our region. At Wareham Pediatrics, we see the impact of opiate use in our communities; from babies born addicted to opiates from maternal … Continue reading

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Sweet Potato Bites

There are many creative ways to make brownies healthier. Here is one that we love by Daphne Oz. You would never know that the healthy ingredient was sweet potato! Sweet Potato Bites ingredients SWEET POTATO BROWNIE BITES     •    1 … Continue reading

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Vitamin D Drops

Those of you who know my dad know that he is a bit nuts, especially when it comes to trying to get breastfeeding babies to convince their mom that they need Vitamin D supplement drops.  So we know that all … Continue reading

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Early exercise

Those of you who know my dad know that he is a bit nuts, especially when it comes to trying to get everyone to exercise.   But nobody ever asks little-4-month-old ME what his favorite Ben and Jerry’s ice cream flavor … Continue reading

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My review of a book that mom and dad are reading: Retro Baby

Those of you who know my dad know that he is a bit nuts, especially when it comes to media-related topics.  Because all parents want the best possible start for all of us kids, many parents are sucked in by … Continue reading

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Button Wood Park Zoo

Those of you who know my dad know that he is a bit nuts, especially when it comes to getting outside.   Today he took me to the Buttonwood Park Zoo for my first zoo experience.  He said I was going … Continue reading

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Mother’s Support Group

Looking for a Mother’s Support Group in the area? Wareham Pediatrics is happy to inform you that there is an upcoming Mother’s Support Group for mother and babies 0-1 years of age. The group starts Friday, December 7 and will … Continue reading

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Development & Behavior

If you child is in of a mental health or developmental health specialist check out these links prepared by Bianca Robinson, our care coordinator. Developmental Medicine Referral Guide Mental Health Resources Guide

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Strep, Lyme, EEE, etc

top of page EEE Lyme Croup Strep Lice

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Sports Medicine & Ortho

The Sports Medicine Clinic at Children’s Hospital Boston is a wonderful resource for physicians and patients in this area.  Click here to find a list of patient education resources that you may find helpful.

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Teen Featured Video

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Immunizations

Physician in charge of famed study proposing link between autism and MMR vaccination found guilty of fraud.  This story explains the story behind MMR vaccination fears and the lack of evidence to back these fears.

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QA1

back to Q&A list QA1: What temperature is too high and when should I take my child to the emergency room for a fever? This is a question that we are asked commonly in the office and over the phone.  … Continue reading

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QA2

back to Q&A list QA2: What should I use, tylenol or motrin? Tylenol and motrin (or acetaminophen and ibuprofen) are both anti-pyretic medications.  That means they both reduce fever and also relieve pain.  They each work differently in the body … Continue reading

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QA3

back to Q&A list QA3: Can I use sunblock on my infant? What is the safest sunblock level to use? Sunscreen can be used on infants and children of any age, however, avoiding exposure to the sun?s rays in infants … Continue reading

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QA4

back to Q&A list QA4: If my child is sick, can we be seen the same day? To schedule a sick visit please call the office early in the day for the best availability.  We schedule same day sick visits … Continue reading

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QA5

back to Q&A list QA5: How soon can I get my exam record? If you need a copy of your child’s physical exam, please allow 3 to 5 business days for us to process.  Please keep a copy of this … Continue reading

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QA6

back to Q&A list QA6: How long will it take to process forms that I send/bring in? If you need other forms completed, please allow 3 to 5 business days to process.- Robin Zahner  

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QA7

back to Q&A list QA7: Why do I sometimes need an appointment before I can refill my prescription? Especially for controlled medications, for the safety and health of a child we often need to review side-effects, clinical response and benefits … Continue reading

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QA8

back to Q&A list QA8: I was told that I need to come in person to pick up my Rx. Why is that? Controlled substance prescriptions must be picked up in person. Most other prescriptions are sent electronically. Please allow … Continue reading

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QA9

back to Q&A list QA9: What happens if I arrive late for my appointment? Please arrive on time for your visits. If you are 15 minutes late, we will have to reschedule you to the next available appointment.- Robin Zahner … Continue reading

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QA10

back to Q&A list QA10: I can’t find my insurance card. Do I need it? Please bring your insurance cards with you to every visit and inform us if there have been any changes.- Robin Zahner  

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QA11

back to Q&A list QA11: I have recently moved and my phone number changed. What do I do? Please update us on your Demographic Sheet, so that we may reach you if we need to.- Robin Zahner  

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QA12

back to Q&A list QA12: What types of payment do you accept? Co-pays are due at time of visit. We take cash, check, debit or credit card. If the person taking the child to the visit is not responsible for … Continue reading

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QA13

back to Q&A list QA13: I left a phone message for a nurse. How long will it take until I get called back? If you have a question for a nurse or provider, a receptionist will take a message and … Continue reading

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QA14

back to Q&A list QA14: What is the difference between Flovent and Pulmicort? They are effectively the same, just different molecules of inhaled steroids that prevent inflammation of the airways.  These are the 2 major brands that we use and have been … Continue reading

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QA15

back to Q&A list QA15: What is the difference between albuterol and ProAir? Albuterol sulfate is what we call an asthma rescue medication.  It relaxes the muscles that surround the small airways in our lungs to improve the movement of … Continue reading

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QA16

back to Q&A list QA16: What is the difference between albuterol (or ProAir) and inhaled steroids (like Flovent and Pulmicort)? Albuterol and inhaled steroids are central to the management of asthma in children and adults.  Asthma is a chronic disease … Continue reading

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QA17

back to Q&A list QA17: Is there mercury in any of the shots that you give to children? Thimerosal was routinely used as a preservative in all vaccines until 1999.  At that time,  the decision was made to remove it … Continue reading

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QA18

back to Q&A list QA18: How do I pull ticks off of my children? The answer to this question can be found in this fun and informative pamphlet on Tick safety: Don’t Let The Ticks Bite! We also cover topics … Continue reading

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QA19

back to Q&A list QA19: How do I get rid of warts? Warts are viral infections of the skin that are only temporary: they will eventually go away on their own! You can often kill the virus earlier if you … Continue reading

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QA20

back to Q&A list QA20: What am I supposed to do with the warts after they have been frozen in your office? After the area of freezing heals, soak the wart(s) in warm water, file it down with an emory … Continue reading

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QA21

back to Q&A list QA21: Does diet effect my acne? Contrary to a lot of people’s opinions out there, diet really has no impact on a child’s acne. Having said that, we do feel it is extremely important for teenagers … Continue reading

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QA22

back to Q&A list QA22: What vaccines do I as a parent need to make sure that I have? It is very important for parents to make sure that they are up to date with all of their vaccines, since … Continue reading

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QA23

back to Q&A list QA23: What do you recommend for my child who is about to get his driver’s license? Click here ( Teen Driver with Contract ) for a contract you can create with your child. Learning to drive … Continue reading

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QA24

back to Q&A list QA24: I had sex and didn’t use a condom. I don’t have any symptoms but could I have an STD? Yes, most STD’s don’t have any symptoms. The only way to tell is to be tested. … Continue reading

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QA25

back to Q&A list QA25: My 4 year old sleeps in our bed. Is this wrong? In the long run, it’s good for kids to learn to comfort themselves to sleep and to learn to sleep on their own. However, … Continue reading

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QA26

back to Q&A list QA26: Does my child need to take vitamins? Children should not be taking multivitamins with very few exceptions: an infant who is breast feeding should be given Vitamin D supplements daily until he or she is … Continue reading

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QA27

back to Q&A list QA27: How can I help my child to learn how to swallow pills? I usually recommend getting those small M&M’s that come in a tube to practice with initially. First have your child take a large … Continue reading

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QA28

back to Q&A list QA28: My child has tubes in his ears. Can he go under water? There are differing opinions from ENT specialists on this question. Generally ENT specialists recommend protecting the ears from water if tubes are present. … Continue reading

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QA29

back to Q&A list QA29: What is that vision test you used to screen my preschooler’s eyes? The vision test we use is called Suresight. It measures how light is changed when it hits the eye and allows us to … Continue reading

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QA30

back to Q&A list QA30: I’ve heard about banking my baby’s blood from the umbilical cord (also called cord blood banking). What is this? Should I do it? Umbilical cord blood contains cells that are the building blocks for all … Continue reading

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QA31

back to Q&A list QA31: : How old should my baby be before we pierce his (or her) ears? (2-4 years old) Ear piercing can be done as young as 2 months of age, however it is recommended that you … Continue reading

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QA32

back to Q&A list QA32: When should I think about transitioning my child to an adult doctor? Young adults generally transition to an adult doctor after graduation from college. We will see your child until age 22 if they are … Continue reading

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QA33

back to Q&A list QA33: When do teeth come in? What do you do for teething? Can I give my child Tylenol? Is it safe to use those numbing gels? Teeth start appearing for most infants between 4-7 months of … Continue reading

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QA34

back to Q&A list QA34: Can I use bug spray? What kind? How much DEET? On what age children? Insect repellant (bug spray) should not be used on children under 2 months of age. Only apply bug spray on exposed … Continue reading

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QA35

back to Q&A list QA35: Do I have to accompany my child to the visit? Parents should accompany their children to all physical (well-visit) appointments. If a parent is unable to attend a sick appointment, please let the office know … Continue reading

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QA36

back to Q&A list QA36: My child has been on an antibiotic and is still having a fever. Why? Your child was likely placed on an antibiotic due to a bacterial infection. If your child’s fever persists after 72 hrs … Continue reading

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QA37

back to Q&A list QA37: My teenage son recently suffered a concussion. When can he return to play? Anyone that receives a concussion, whether sports related or otherwise, needs to be evaluated by a health care provider. Typically, if there … Continue reading

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QA38

back to Q&A list QA38: My 5 year old child is constipated. How can I help? Constipation is very common in childhood. The best treatment involves prevention. Encourage a high fiber diet (a good rule for figuring out how many … Continue reading

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QA39

back to Q&A list QA39: My child has had several MRSA infections, how can I prevent more outbreaks? Recurrent MRSA infections are unfortunately quite common. Your child may be ‘colonized’ by the bacteria that cause MRSA infections. These bacteria frequently … Continue reading

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QA40

back to Q&A list QA40: My child’s health care provider has used the terms ‘rescue’ vs ‘control’ medications as it relates to treating asthma. What do those terms mean? Treating asthma usually involves using a medication daily to ‘control’ asthma … Continue reading

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QA41

back to Q&A list QA41: What is the difference between your Nurse Practitioners and Physician’s Assistant? Both are well trained health care providers that have received graduate level instruction on diagnosing and treating common pediatric illnesses. They also have experience … Continue reading

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QA42

back to Q&A list QA42: What can I do about mosquitoes? Empty standing water in old tires, cemetery urns, buckets, plastic covers, toys, or any other container where mosquitoes may breed. Empty and change the water in bird baths, fountains, … Continue reading

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QA43

back to Q&A list QA43: Can my child be started on oral birth control pills without having a PAP smear done first? Yes. We do not routinely perform pelvic examinations in this situation unless your daughter is having specific problems … Continue reading

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QA44

back to Q&A list QA44: Why do you sometimes call and ask to speak to my teenager instead of speaking to me? We feel that it is important for your teenager to feel comfortable discussing all of their health issues … Continue reading

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QA45

back to Q&A list QA45: Can I be seen at your office for contraception without my parents’ knowledge? Although we would always encourage you to discuss this issue with your parents first, if you can’t talk to them about it … Continue reading

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QA46

back to Q&A list QA46: What if my periods aren’t regular? There are many different reasons why menstrual cycles may not be regular. It is best to contact our office and speak with someone about your periods to tell if … Continue reading

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QA47

back to Q&A list QA47: How old does my child have to be before they can get the HPV vaccine? The HPV vaccine is recommended for girls age 11-12, but can be given as young as 9 years. – Sharon … Continue reading

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QA48

back to Q&A list QA48: Why do you prescribe electronically? Electronic prescribing has been shown to be the safest way to ensure that the proper information is transmitted to your pharmacist while keeping everyone’s records up to date about what … Continue reading

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QA49

back to Q&A list QA49: Can my son get the HPV vaccine? Yes, the HPV vaccine is FDA approved for males ages 9-26 years. – Sharon Keating, PNP

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QA50

back to Q&A list QA50: When should my child start seeing a dentist? Ideally your child should start seeing a dentist when they start having teeth, which is usually at about 6 months. Unfortunately, most family dentists do not have … Continue reading

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QA51

back to Q&A list QA51: What can I do to stop the diarrhea that happens when my child is on antibiotics? There is really nothing that can be done to STOP that diarrhea, though sometimes you can lessen it with … Continue reading

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QA52

back to Q&A list QA52: How do I know if my child has lice? How do I treat lice? When can my child with lice go back to school? Lice are small insects that populate the scalp of people and cause … Continue reading

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QA53

back to Q&A list QA53: Where can I get a list of good websites and/or books that you recommend? We have designed this site to help you find answers to your questions! Check out our Health Links section which provides … Continue reading

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QA54

back to Q&A list QA54: Can I use a tub for my child’s fever? We do not recommend using a tub to reduce the fever of your child. If you have already given tylenol and/or motrin and you child still … Continue reading

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QA55

back to Q&A list QA55: Why does my child with ADHD need to be seen so often? Children with ADHD need to be seen in our office frequently so that we can monitor the effectiveness of therapy while ensuring that … Continue reading

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QA56

back to Q&A list QA56: Does my child need ear tubes (also known as ventilation tubes, myringotomy tubes, PETs, and others)? When might a child need tubes placed? Myringotomy tubes (“ear tubes”) are small tubes that are inserted into a … Continue reading

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QA57

back to Q&A list QA57: Should my child be on Flouride? Doesn’t the water have flouride in it and isn’t that enough? The American Academy of Pediatrics, American Dental Association, and American Academy of Pediatric Dentists all recommend supplemental fluoride … Continue reading

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QA58

back to Q&A list QA58: How do I treat diaper rash? Initially, you can try to limit further irritation by applying a zinc oxide cream or ointment, or a petroleum jelly product on the irritated area before replacing the diaper … Continue reading

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QA59

back to Q&A list QA59: My child has asthma and we use inhalers. Do we need to use that “SPACER” thing? Yes. The best way for your child to get his/her asthma medication is with a SPACER. Spacers can be … Continue reading

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QA60

back to Q&A list QA60: How do I use a spacer? Take off the cap, shake the inhaler and attach spacer Breathe out all the way. ( This is tougher for younger kids and ok if not fully achieved.) Place … Continue reading

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QA61

back to Q&A list QA61: How do I clean my spacer? Your space should be cleaned every 4 weeks. Take the spacer apart and wash it in clean water with dishwashing detergent. Don’t rinse off the bubbles but let it … Continue reading

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QA62

back to Q&A list QA62: Anything else I should know about spacers? If you are using a daily controller medication with a spacer, you should rinse your mouth out after each use to make sure there is no residue of … Continue reading

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QA63

back to Q&A list QA63:What is a 504 Plan A. A 504 plan is a legal document falling under the provisions of the Rehabilitation Act of 1973. It is designed to plan a program of instructional services to assist students … Continue reading

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ADHD Visit

Please fill out for initial appointment Vanderbilt Assessment PARENT Vanderbilt Assessment TEACHER   Fill out for follow-up appointments Vanderbilt Assessement PARENT Follow-up Vanderbilt Assessment TEACHER Follow-up

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Asthma Visit

Asthma is the most common chronic disease of childhood resulting in millions of school absences in the United States each year.  New England leads the nation in numbers of documented cases of asthma and also in number of missed school … Continue reading

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Well Child Visit

Well Child Forms Immunization Schedule Edinborough Postnatal Depression Scale (2 weeks to 6 months) Lead Risk Questionaire (9 months to 5 years) Autism Checklist (MCHAT) (18 month visit) Cholesterol Screening (2 years and above) Pediatric Symptom Checklist (6 years and … Continue reading

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Directions Tobey

  Southcoast Health System Tobey Hospital 43 High Street Wareham, MA 02571 (508) 295-0880 www.southcoast.org/tobey/

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Copyright & Use

Please Contact Us is you have questions about use and permissions of our website.

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Smoking Cessation

The bottom line is: TOBACCO KILLS you and your kids!!!!!! If you smoke, stop smoking NOW. Never Start Smoking. Keep you and your kids away from second hand smoke. Stay away from chewing tobacco and other recreational uses.

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Nutrition & Obesity

GetAmericaFit reports: -Obesity is the #2 cause of preventable death in the United States-60 million Americans, 20 years and older are obese-9 million children and teens ages 6-19 are overweight-Being overweight or obese increases the risk of health conditions and … Continue reading

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Children with Special Needs

  In the United States there are an estimated 35-43 million people with physical and mental disabilities.

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Mental / ADHD / Neurology

Experts tell us that 8% of all children have ADHD. Click here if your child needs to be seen for an ADHD visit. top of page Depression Anxiety Bipolar ADHD Suicide Oppositional Conduct Learning Eating Autism

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Asthma Allergy

  If your child needs to be seen for an Asthma visit, please review this link for more information.

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Concussion head injury

Each year, U.S. emergency departments treat an estimated 135,000 sports- and recreation-related TBIs, including concussions, among children ages 5 to 18. Athletes who have ever had a concussion are at increased risk for another concussion. Children and teens are more … Continue reading

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Pregnancy & Feeding

top of page Pregnancy Health Feeding Post Partum Life Stages

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Car & Travel

The CDC reports that… In 2009, about 3,000 teens in the United States aged 15–19 were killed and more than 350,000 were treated in emergency departments for injuries suffered in motor-vehicle crashes. Young people ages 15-24 represent only 14% of … Continue reading

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Vaccine Information

  We feel strongly that all children should be immunized. Learn about our vaccination philosophy and find out about our flu clinics.

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Media Screens

A national survey by the Kaiser Family Foundation found that with technology allowing nearly 24-hour media access as children and teens go about their daily lives, the amount of time young people spend with entertainment media has risen dramatically, especially … Continue reading

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Health Links

You can Navigate thru our Health Links sectionsorread WPAdvisor postsorscroll our health tips. These links offer suggestions but are not our medical recommendations.Contact us directly or through the Patient Portal for your medical questions.

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Connect With Us

We are on facebook! How are we Doing?Give us feedback! Praise, Inquiries, Suggestions Patient Service Satisfaction Survey Provider Satisfaction Survey Website Problems

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Patient Portal

Login to Portal New Patient Signup Current Patients: Call our office to signup. Patient Portal features Update Contact Info Refills Referrals Requests Request Appt Leave Message Review statements

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Flu Clinic

Did You Know? In the 2009-10 flu season there were 282 pediatric deaths in the United States from influenza.  To get more information about influenza, including up to date reports about disease activity in the United States go to http://www.cdc.gov/flu

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For Teens

Serious Stuff tattoos cutting bullying not eating depression suicide gangs drugs alcohol smoking steroids Fun Stuff sport safety driving party clothes/ shoes Embarrassing Stuff sex STD’s weight issues acne periods seminal discharge gender identity My World helping out travel finances … Continue reading

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For New Parents

How infants learn Crying and your baby (how to calm) Breastfeeding your newborn Good nutrition from the start Newborn Brochure Preventing Choking in Children

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For New Patients

New Patient Checklist 1. Medical Records 2. Records Release Form 3. Make Appointment 4. Choose Provider 5. Registration Forms 6. General Forms 7. Drivers License 8. Insurance Card 9. Co-pay 10. Be on time 🙂

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