9235 Crown Crest Boulevard, Suite 100, Parker CO 80138

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

Latest Blog Entries

More Flu Shot Clinic Dates!

October 10th, 2014


It’s Flu season and we are excited to begin scheduling all patients for our Flu Clinics where you can receive either the flu shot or the FluMist. Please see below for dates.
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Flu Shot Clinic Dates!

October 2nd, 2014


It’s Flu season and we are excited to begin scheduling patients for our Flu Clinics. Please see below for dates.

We will continue to add additional dates over the course of the new couple of months. Currently the Flu clinics are scheduled based upon the type of insurance you have as we receive different flu vaccines depending upon whether or not you have Medicaid insurance or other insurance plans.
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Enterovirus D68 and Respiratory / Neurologic Infections

October 2nd, 2014

There have been many respiratory infections across more than half the U.S. involving children and caused by an epidemic of Enterovirus D68. The epidemic has drawn national attention to Colorado.

Enteroviruses often cause summer time infections resulting in diarrhea and vomiting but can cause respiratory infections as we are now experiencing with Enterovirus D68. A well-known enterovirus, the polioviurus, can sometimes cause muscle weakness and paralysis. Experts from Children’s Hospital Colorado and the CDC are now exploring whether Enterovirus D68 is the cause of 10 cases of muscle weakness and paralysis here in Colorado. Children’s Hospital and our office have seen a large number of kids in the past 6 weeks with coughs and fever most likely associated with the Enterovirus D68. The children at highest risk seem to be those with asthma or other chronic respiratory problems.

Please call Crown Point Pediatrics if you have any questions about your child and cough, fever, wheezing, difficulty breathing, muscle weakness or paralysis. See the information below describing when to call 911 or go to the nearest Pediatric Emergency Department.

Read the latest update from Children’s Hospital Colorado that is presented below with information for parents regarding the current epidemic.

David Roos, M.D.

“UPDATE ON CURRENT RESPIRATORY VIRUSES AT CHILDREN’S HOSPITAL COLORADO Sept. 30, 2014

Children’s Hospital Colorado has seen an unusual influx of patients with respiratory illness at its emergency and urgent care locations, and at the same time has also seen a rare occurrence of neurologic illness, including limb weakness and cranial nerve dysfunction, in a small number of children.

Cranial nerve dysfunction is weakness related to cranial nerves that includes symptoms like facial droop, difficulty swallowing and double vision.

“At present, we can say this is a relatively rare occurrence,” said Samuel Dominguez, M.D., PhD, microbial epidemiologist at Children’s Colorado. “The way this neurologic illness presents itself in children is usually not subtle; in most cases, parents will be able to recognize the rare symptoms.”

The Centers for Disease Control (CDC) is actively investigating this cluster of neurological cases, and has not yet confirmed an association between these cases and enterovirus D68 or any other respiratory pathogen.

Below are questions and tips for concerned parents.
Reviewed by Chris Nyquist, M.D., epidemiologist at Children’s Hospital Colorado

When should I call 911 or go to my nearest emergency department?

If your child has any of the following symptoms:
• The child is having serious trouble breathing (chest retracts and lips and/or fingers turn blue)
• Child’s skin or lips have turned blue
• The child is unresponsive or difficult to arouse
• Paralysis or unexplained slurred speech
• Severe headache accompanied by blurred vision, difficulty speaking, numbness, tingling or paralysis

(These are guidelines; if at any point you believe your child needs immediate emergency care, take him or her to the emergency department or call 911)

Call your doctor if your child shows signs of neurologic illness, including:

• Unexplained weakness in his or her limbs • Unexplained cranial nerve dysfunction

What is causing it?

The Centers for Disease Control (CDC) is actively investigating this development and has not yet confirmed an association between neurologic illness and enterovirus D68 or any other respiratory illness.

How long will this neurologic illness last?

At this time clinicians do not know how long this neurologic illness will last.”

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Flu Shots Have Arrived!

September 9th, 2014

It’s that time of year again. The latest guidelines recommend that all children from 6 months to 18 years receive the flu vaccine.

We now have the FluMist and injectable influenza vaccines for patients with commercial insurance or who are private pay. FluMist is the nasal-spray flu vaccine for healthy patients 2 years and older. This year we have plenty of flu vaccine for all of our patients.

We have not yet received our flu shots for our patients with Medicaid insurance. These flu shots are supplied to us by the state’s VFC Program and the state requires that Medicaid patients receive their flu shots from that supply. Please check our website regularly as we will update it as soon as the VFC Program flu shots are received. We want to make sure that everyone gets their flu shot.

The flu shot, which helps protect against the influenza virus, is especially important for those at higher risk of developing complications due to an influenza infection. This includes:

  • Children aged 6-59 months
  • People with asthma, diabetes, chronic lung and heart disease
  • People with weakened immune systems
  • People who live with high-risk patients

Infants under 6 months are especially vulnerable because they are not old enough to get a flu shot. For this reason, parents and caregivers should also receive the vaccine and may do so at our office. Let us know if you are interested.

Keep watching our website – we will provide updates of the dates of the upcoming Flu Clinics.
Crown Point Pediatrics Staff

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Parenting While Distracted

August 27th, 2014

The following Opinion Piece appeared in The Washington Post on August 8, 2014. This article brings up some very important points about parenting in today’s electronic world and was written by Dr. Jane Scott, a pediatrician in Highlands Ranch, Colorado. Each of us should read the words below with a critical eye to our own use of electronic media in the presence of our children, spouses and friends.

“I’ve been a pediatrician for 20 years, and I thought I’d seen it all. But not long ago when a father brought his 2-year-old into my clinic, something happened that has me deeply concerned.
Upon entering my examining room, I found father and son sitting together, eyes downcast, each silently scrolling and tapping on smartphones. During my initial exam, the father directed most of my questions to his frowning toddler, who indicated that his ears hurt, and I quickly discovered that both eardrums were red and inflamed.
“Guess what?” I said to my small patient. “Your ears hurt because you have an ear infection. But we can give you medicine and make you better.” I smiled at the little boy and his father. Immediately, the child picked up his phone and pushed a button. “Siri,” he asked carefully. “What is an ear infection?”
At age 2, a few minutes on a smartphone isn’t a big deal; screen time is a part of growing up today, and most parents try to set appropriate limits. But when a child so young turned to a machine for information instead of to his father, it made me wonder: Just how limited was his parents’ screen time? What I saw was modeled behavior — a child who’s learned that when he has a question, Siri, and not Dad, is most readily available with an answer.

It’s hard to say for sure based on this one moment, but there can be no doubt about the larger trend: Parents today are probably the most informed and involved generation in history. And, yet, in the company of their children, they often act as though they’d rather be someplace else. That’s what they’re saying when they break eye contact to glance at their push notifications or check Facebook when they think their child’s distracted. The parents are present, their attention is not.
In my practice, I see evidence every day of how such inattention affects kids. It’s expressed in temper tantrums and separation anxiety, and older children who resist discipline. Most parents are taught that this is all normal, that children are biologically wired this way. Not exactly. Yes, all of this is normal attention-getting behavior, but it often is preventable.
Consider the results of a March study by researchers from Boston Medical Center who carefully observed caregivers and children at fast-food restaurants. Out of 55 caregivers, 40 used their mobile devices, and their absorption was such that their “primary engagement was with the device, rather than the child.” In many cases, the caregivers expressed irritation when the children tried to get their attention. One observer watched a woman push a small boy away as he took her face in his hands in an attempt to get her to look up from her tablet.
It’s possible all those adults were following an urgent work e-mail thread. More likely, they were on Facebook, Twitter or Pinterest. A 2011 Nielsen poll found that people with children use social media more than those without. Maybe these adults were reading an article shared by another parent. Maybe they were making plans with friends and family. But they were definitely communicating to their children that they were less important than whatever was on those devices.
This might seem absurd to today’s parents, who feel like they give themselves to their children in ways previous generations never imagined. But the undivided attention that children need from us is in jeopardy. Most people just don’t realize how much time they’re spending online; what feels like a few minutes is often a half hour or more. When we are with our children, we need to be with our children — not with them except for the part of us that’s reading e-mails, tweeting and checking Facebook.

Another reason for parents to put down their phones: Though Facebook may provide community, it can also promote competition and unreachable standards of perfection. Through Facebook, we read an endless litany of our friends’ boasts about their children. It’s enough to make a person wonder what she’s doing wrong because her child prefers plain pasta over the curry special, or “Old MacDonald” to Chopin. Though most parents would say they’re not competitive in this way, many worry privately that they might be short-changing their kids.
Social media has a place and a purpose, but too many parents are creating unnecessary stress by trying to be in two places at once, while modeling to their children that online relationships take precedence over real ones. In an era of constant distraction, we must decide what’s more important: heeding the constant ping of our devices, or telling our children, in word and deed, “I am listening. I am here. And there’s nowhere else I’d rather be.””

Submitted by David Roos, MD

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HPV Vaccine Recommendations and Safety Profile

July 25th, 2014


What is HPV?

HPV stands for Human Papillomavirus. HPV is a sexually transmitted virus. There are approximately 79 million persons in the United States infected with HPV, and approximately 14 million people will become newly infected with HPV each year. Each year, it is estimated that 26,000 cancers are attributable to HPV; about 17,000 in women, and 9,000 in men. Cervical cancer is the most common HPV associated cancer among women, and oral cancers are the most common among men.

The HPV vaccine is a cancer prevention vaccine.

There are 2 vaccines available to protect against HPV types 16 and 18, the types that cause most cervical, anal, genital, and oral cancers.

The Advisory Committee on Immunization Practices (ACIP) recommends routine vaccination of girls and boys, ages 11-12 years old. Vaccination is recommended for females through age 26 years and males through age 21 years who were not vaccinated at an earlier age.

There have been nearly 60 million doses of HPV vaccine given in the US, through 2013. Safety monitoring and surveillance has not identified any new safety concerns. More than 7 years of post-licensure vaccine safety monitoring in the US provide continued evidence of the safety of the vaccine.

Injection site discomfort is the most common adverse reaction. Syncope (fainting) is the most common safety concern. Syncope can occur among adolescents who receive any vaccines. The ACIP recommends that all adolescents be observed for 15 minutes after they receive any vaccination.

Please ask your health care provider about the HPV vaccine at your teen’s next physical exam.

Submitted by Vona M. Lantz, CPNP

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Healthy Dental Health

July 8th, 2014


Healthy teeth and gums begins with taking proper care of your infant’s gums, and modeling appropriate dental care to children every day. Parents can demonstrate to their children every day the importance of brushing their teeth consistently, and teaching the importance of flossing their teeth on a regular basis.

Children need to have regular dental visits, every 6 months, starting by the age of 18 months to 24 months. During infancy, begin healthy dental habits by wiping your infant’s gums with a soft, clean cloth after each feeding. Once, their teeth begin to come in, wipe your infant’s teeth and gums after each feeding, especially along the gum line, with a soft, clean cloth, or a soft bristled toothbrush, or a finger brush.

By the age of 18 months to 24 months, brush your child’s teeth twice daily, once in the morning and once before bedtime. Use a small smear of toothpaste with fluoride, like the size of your child’s pinky finger nail. When finished, wipe off your child’s teeth with a soft cloth, until they can spit out the toothpaste on their own.

It’s important to begin to wean your child from the bottle after 12-15 months old. Do not put your child to bed with their bottle. If you are transitioning from a bottle at bedtime to no bottle at bedtime, only put water in the bottle if the child takes their bottle to bed.

Healthy habits start at a young age. When you begin to feed your child solid foods, make sure to provide healthy choices. Avoid sugary foods such as candy, sticky fruit roll-up snacks, fruit juice, sugary cereals, soda. Remember, even gummy vitamins and raisins can lead to tooth decay.

Submitted by Vona M. Lantz, CPNP

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National Infant Immunization Week

April 24th, 2014

National Infant Immunization Week (NIIW) is set for April 26-May 1, 2014.  NIIW is an annual observance to highlight the importance of protecting infants from vaccine-preventable diseases and to celebrate the achievement of immunization programs and their partners in promoting healthy communities.

Since 1994, hundreds of communities across the United States have joined together to celebrate the important role vaccination plays in protecting our children and communities.

We, here at Crown Point Pediatrics, highly recommend immunizations for everyone from infancy through adolescence and adulthood.  We encourage you to talk with your health care provider about your child’s immunizations and discuss any questions or concerns you may have.  You may also visit the CDC website (Centers for Disease Control) for accurate an reliable information about all immunizations.  (cdc.gov/vaccines)

Submitted by Vona M. Lantz, CPNP

Posted in Babies, General Information, Immunizations, News and Updates | No Comments »

ENERGY DRINKS LINKED TO SUBSTANCE ABUSE

March 4th, 2014

High school and middle school students who consume energy drinks and soft drinks are more likely to abuse other substances like cigarettes, tobacco and illicit drugs than students who don’t regularly drink these beverages.  This makes sense in many ways because students who like the buzz they get from energy drinks might be more prone to find other substances to find that high or buzz.

A study from the University of Michigan recently showed that 8th, 10th and 12th grade students across the country, in self-reported surveys, showed a link between using energy drinks and soft drinks and using illegal substances like alcohol, cigarettes and illicit drugs.  In this large group of teens, 30% drank energy drinks or shots, 40% consumed daily amounts of regular soft drinks and 20% used diet soft drinks on a daily basis.  Consumption of these beverages was strongly associated with the use of alcohol, cigarettes or illicit drugs within the 30 days before the survey was taken.

 The FDA requires that soft drinks contain no more than 71 mg of these substances per 12 oz. serving which is almost 6 mg per oz.  Energy drinks may contain from 2.5 to 171 mg per oz.  There may be more than 30 times the stimulant concentration in energy drinks compared with stimulant containing soft drinks.  The FDA is examining the safety of caffeine in foods and beverages because there have been reports of hospitalizations and deaths after consuming energy drinks or shots containing high concentrations of caffeine.  The risk of harm is highest for children and teens.

Parents need to monitor the amount of caffeine and other stimulants that their children and teenagers consume.  Currently the most common source for caffeine is soft drinks but more and more children and teens are consuming energy drinks and coffee.

http://journals.lww.com/journaladdictionmedicine/Fulltext/2014/01000/Energy_Drinks,_Soft_Drinks,_and_Substance_Use.2.aspx

Submitted by David B. Roos, M.D.

Posted in General Information, Teens | No Comments »

Champ Camp for Children with Asthma

February 27th, 2014

Champ camp turns 34 years old this year.  Every year the American Lung Association in Colorado holds Colorado’s only wee long camp for children with asthma.  At camp, children get to be physically active and challenged, while learning how to correctly manage their asthma.

Champ camp is for children 7-14 years old with asthma.  There are day to day outdoor group activities such as swimming, canoeing, rock climbing, high and low rope courses.  There will be asthma education and management of asthma there.  Champ camp is July 20-26.  It is at Glacier View Ranch in Ward, Co, near Boulder.

There are volunteers around the clock that include doctors, nurses, respiratory therapists, cabin counselors, and activity assistants who are dedicated to creating a fun and safe camp experience.

Every child has a chance to have an adventure and attend the Champ Camp no matter their financial status.  If you have a child with asthma between the ages of 7 and 14 years old and you think they would enjoy this camp please call 303-847-0267 or 303-847-0279, or visit www.champcampcolorado.org.

Submitted by Vona Lantz, CPNP

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