9235 Crown Crest Boulevard, Suite 100, Parker CO 80138

Tel: (303) 695-7667Fax: (303) 695-8146

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Archive for March, 2011

Broken bones and Lacerations

Wednesday, March 16th, 2011

Remember to have fun but stay safe this spring and summer.

Even if you take the best safety precautions, there are bound to be some bumps and bruises. It’s a good idea to know some basic first aid, since many minor scrapes and cuts can be treated at home. However, some injuries may require a doctor’s visit. We are equipped to handle many fractures and lacerations in our office.

Fractures, or broken bones, are fairly common in children. Suspect a broken bone if your child heard or felt a snap, has difficulty moving the injured part, or is in severe pain, especially when touched. If there is any doubt about whether or not the bone is broken, bring your child in for an evaluation. We can assess the injury in our office, and get an x-ray at Parker Hospital right next door. Our new treatment room is stocked full of casting materials, splints, braces, slings and other necessities. If the bone is broken, we can put a cast on in the office. (Severe fractures may require a referral to a specialist.) Splints and braces can be helpful for sprains.

We also have the ability to do stitches in our office. A cut may need stitches if it is deep enough to see the underlying fatty tissue or if it is gaping open. Stitches help the wound heal properly and reduce the risk of infection. Usually, stitches need to be placed within 6-8 hours of the injury, so if there is any question that stitches may be needed, make sure to bring your child into our office right away.

Certainly, emergency rooms are available for severe injuries or injuries that occur after-hours.

 

What is ADHD? Does My Child Have ADHD?

Tuesday, March 15th, 2011

Almost all children have times when their behavior veers out of control.  They may speed about in constant motion, make noise nonstop, refuse to wait their turn, and crash into everything around them.  At other times, they may drift as if in a daydream, failing to pay attention or finish what they start.  However, for some children, these kinds of behaviors are more than an occasional problem.  Children with attention-deficit/hyperactivity disorder (ADHD) have behavior problems that are so frequent and severe that they interfere with their ability to live normal lives.  These children often have trouble getting along with siblings and other children at school and home; are impulsive, sometimes putting them in physical danger; have difficulty paying attention and learning in school; and are disorganized.  Left untreated, many of these children will have life-long problems, such as poor grades in school, run-ins with the law, increased frequency of automobile accidents, failed relationships, and the inability to keep a job.

ADHD is genetic, neurobehavioral disorder that affects about 10% of the population.  If a parent has ADHD, there is a 75% chance that one of their children will have the condition also.  ADHD is a life-long condition, progressing into adulthood.  Children with ADHD will have many of the following symptoms:

  • Inattentive, daydreams
  • Does not listen
  • Easily distracted from work or play
  • Is disorganized
  • Frequently loses a lot of important things
  • Does not follow through on instructions or finish tasks
  • Is in constant motion, as if “driven by a motor”
  • Cannot stay seated
  • Frequently squirms and fidgets
  • Excessive talking
  • Frequently acts and speaks without thinking
  • Cannot wait his/her turn
  • Impatient
  • Blurts out answers
  • Interrupts others

Sometimes a teacher is the first to notice these symptoms or perhaps questions from the pediatrician raises the issue.  At routine visits, pediatricians often ask questions such as

  • How is your child doing in school?
  • Are there any problems with learning that you or your child’s teachers have seen?
  • Is your child happy with school?
  • Is your child having problems completing class work or homework?
  • Are you concerned with any behavior problems in school, at home, or when your child is playing with friends?

If your child has shown symptoms of ADHD on a regular basis for more than 6 months, discuss further evaluation for ADHD with your pediatrician.

 

Avoid Urgent Care Centers, Strip Mall and Retail Clinics For Physicals and Trauma and Illness Care

Wednesday, March 9th, 2011

Spring and early summer are a great time to schedule your child’s well exams for school, summer camps and sports teams. High school sport teams and summer camps require a yearly physical exam with an updated record for immunizations. We, along with the American Academy of Pediatrics, recommend that all children receive a yearly physical after they are 2 years of age.

There has been a trend recently for children to get a “quick” physical or illness care from urgent care centers, strip mall clinics or even inside retail stores like Wal-Mart or Target. David Roos, M.D. and Jason Kalan, M.D. recommend strongly that you don’t use these clinics. Most of these clinics have doctors or nurse practitioners with limited or no pediatric experience and the nurse practitioners in stores like Wal-Mart have no direct physician supervision. Immunizations given in these clinics or in pharmacies aren’t placed in the Colorado Immunization Registry and are not available for our records. It may appear your child is behind in immunizations. Many parents are skeptical about the idea of getting a child’s checkup or immunizations where they also get their groceries, clothes and auto supplies. These clinics don’t have access to your child’s health history or immunization record. Providers in these clinics may give a brief, cursory exam that may not include blood pressure, urinalysis, hemoglobin or a head to toe physical exam. In addition, providers in these clinics are generally unfamiliar with the pediatric hospitals and pediatric specialists in town and are uncomfortable recommending specialists they don’t know for any of your child’s chronic, acute or serious conditions.

In our office we will provide your children with a comprehensive physical exam. Our nurses will obtain your child’s weight, height, body mass index, blood pressure and vital signs and administer age appropriate immunizations. Our doctors, nurse practitioner and physician assistant will complete a full medical exam and take an extensive medical history. In addition we will discuss child development, behavior, school performance, safety, prevention of accidents and injuries, methods of discipline, nutrition, exercise, street drug avoidance and abstinence education for teens.

Schedule your child’s physical exams with Crown Point Pediatrics soon because our summertime appointments fill up quickly.

 

Flu Vaccine

Tuesday, March 1st, 2011

For all children older than 6-months of age, we recommend an INFLUENZA vaccine between August and April of each year, preferably in the months of September, October, and November. The vaccine covers both seasonal INFLUENZA and Swine Flu. Children under ages 9-years will need 2 vaccinations their 1st year receiving the vaccine. For healthy kids over 2 years of age we have Flumist Nasal Vaccine which is sprayed in the nose and is an option instead of an injectable flu shot. Please schedule your child’s influenza vaccination as soon as possible each fall or winter.

 

Vaccines for Teens

Tuesday, March 1st, 2011

Girls over 9 years of age can now receive the Gardasil or Cervarix vaccine to prevent cervical cancer and genital warts caused by the Human Papilloma Virus (HPV). Boys can receive the GARDASIL vaccine as well to prevent genital warts and penile cancer. This is a 3 shot series, and is given at zero, 2 months and 6 months after the first dose. Ask one of our providers at Crown Point Pediatrics about the Gardasil or Cervarix vaccine for your kids.

 

Chronic Disease and Trauma Care

Tuesday, March 1st, 2011

At Crown Point Pediatrics we specialize in addressing concerns unique to infants, children and young adults, including treatment of ADHD, depression, and anxiety and management of chronic illnesses like asthma, diabetes, obesity, epilepsy and heart disease. In addition we provide care for trauma, burns, fractures and lacerations. Our address is 9235 Crown Crest Boulevard, Suite 100, in Parker, Colorado.

 

Vaccinations

Tuesday, March 1st, 2011

Vaccinations and parents are both there to help keep children as healthy as possible. At Crown Point Pediatrics we have several new recommended vaccinations. Two doses of Hepatitis A are suggested for all children over age one. The Rotovirus vaccine is administered orally, which is more kid friendly, and prevents a common but severe illness that includes serious vomiting, diarrhea and high fever. We recommend the Rotovirus vaccine at 2 and 4 months of age. For bigger kids, over age 11, we have Menactra, which helps prevent a bacterial spinal meningitis and Tdap which prevents whooping cough and tetanus. A booster dose of Menactra should be given at age 16. Trust Crown Point Pediatrics to have the vaccines that work just as hard as you do to keep your children healthy. You may schedule your child’s next well visit whenever they need their yearly physical exam and vaccinations.

 

Physical Exams

Tuesday, March 1st, 2011

Your child’s school physical and well check exam are not only required for school and daycare but may be necessary for camp, high school sports, college and for military service. During a physical it’s a great time to address any concerns you may have about your child’s health. Exams should be scheduled every year after the age of 2 years. Questions about maintaining a healthy weight, encouraging good eating habits, preventing sports injuries and more can all be handled at your child’s next physical exam. We also want to keep your child up to date on all our new immunizations. We are your support team to help you raise a healthy family. It’s our pleasure to come along side you and your children for their medical care.

 

Doctors and Providers in Our Practice

Tuesday, March 1st, 2011

David B Roos, M.D and Jason Kalan, M.D. have been serving the South East metropolitan community for over 30 years. Along with our pediatric nurse practitioner Vona Lantz and our pediatric physician assistant Jaime Clark, we provide a full range of medical care for infants, children, and young adults. We are ready to address problems found in growing boys, girls and teens and are uniquely equipped to address youth specific concerns because kids aren’t little adults. You and your children deserve the best medical care available and we can offer this to you and children at Crown Point Pediatrics.

 

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