Pediatric Physicians, PC is a friendly and welcoming medical practice for your children. Our two offices in Alpharetta and Roswell are staffed by devoted, board-certified pediatricians, practicing the best state-of-the-art pediatric care from newborns to teens, including a 100% commitment to keep your children up to date on vaccines.

We’re easy to reach by telephone–no annoying phone tree!–and there’s plenty of free parking right at the doors of both offices. Same-day sick appointments are always available.

We’re here when you need us, and we’re here to help.

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Cancer prevention vaccine: New, simplified schedule

The HPV9 vaccine (brand name Gardasil), is a great, safe way to help prevent many serious kinds of cancer in your children. We’ve been using this vaccine since 2006, and it’s been shown both in huge clinical studies and in practical experience to effectively prevent the HPV infections that cause many cancers. It’s also very safe.

The CDC has just announced a change to simplify the schedule for receiving this vaccine. Vaccinating early, before age 15, helps build antibodies more effectively than giving the vaccine later. The new schedule calls for only 2 doses of vaccine, separated by 6-12 months, starting at age 11 or 12 years. So your child can get 2 doses across 2 yearly checkups to get great protection, without extra visits to our office.

For teens who start the vaccine on or after their 15th birthday, 3 doses are still recommended to get good protection, given over 6 months.

We’ll be encouraging your children, starting at age 11, to get this important vaccine! More about the CDC’s decision to change the schedule, here.

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Get your flu vaccines now!

The weather is cooling, the leaves are turning – and that means flu season is on the way! One of the best ways to protect your family is to follow the CDC’s recommendation: everyone 6 months and older should get an influenza vaccine every year.

We give flu shots every morning and every afternoon at both office locations. These must be booked ahead of time, by appointment only — there are a limited number of slots that we can fill in order to keep up with the other patients that are in the office.

To make it easier for you to bring your family in for vaccinations, we are opening up several dates with extra staffing to provide flu shot appointments every 5 minutes.

At Roswell we have added extra flu shot appointments all afternoon on Thursday, October 20 and Thursday, October 27th. We also have an evening flu clinic on Tuesday, October 25th beginning at 6pm.

At Windward we have added extra flu shot appointment times all day on Monday, October 24th continuing into the early evening.

This year, the only flu vaccines we are offering are the traditional shots, by injection. These are the “quadrivalent” versions that protect against 4 strains of flu, the maximum available. We’re happy to offer these vaccines to our patients and their parents. For parents, we can file for payment from your insurance company (make sure your insurance does not insist that you visit your own PCP for vaccines), or you can pay a cash price of $35 for the flu vaccine.

Please call soon to book your appointment!

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Homeopathic teething product recall

The U.S. Food and Drug Administration is warning consumers that homeopathic teething tablets and gels may pose a risk to infants and children. The FDA recommends that consumers stop using these products and dispose of any in their possession.
Homeopathic teething tablets and gels are distributed by CVS, Hyland’s, and possibly others, and are sold in retail stores and online.

Consumers should seek medical care immediately if their child experiences seizures, difficulty breathing, lethargy, excessive sleepiness, muscle weakness, skin flushing, constipation, difficulty urinating, or agitation after using homeopathic teething tablets or gels.

“Teething can be managed without prescription or over-the-counter remedies,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research. “We recommend parents and caregivers not give homeopathic teething tablets and gels to children and seek advice from their health care professional for safe alternatives.”

The FDA is analyzing adverse events reported to the agency regarding homeopathic teething tablets and gels, including seizures in infants and children who were given these products, since a 2010 safety alert about homeopathic teething tablets. The FDA is currently investigating this issue, including testing product samples. The agency will continue to communicate with the public as more information is available.

Homeopathic teething tablets and gels have not been evaluated or approved by the FDA for safety or efficacy. The agency is also not aware of any proven health benefit of the products, which are labeled to relieve teething symptoms in children.

The FDA encourages health care professionals and consumers to report adverse events or quality problems experienced with the use of homeopathic teething tablets or gels to the FDA’s MedWatch Adverse Event Reporting program.


Click here

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Bactroban recall

The affected products were distributed between October 2014 and May 2016. The recalled products are as follows:

Bactroban Nasal Ointment 10 x 1g Tubes: Lot #C686801, #C689267, #C692405, #C698116, #C750793, #C750794, #C752166, #C752805, #C754828
Bactroban Ointment 22g Tube: Lot #C715275
Bactroban Cream 15g Tube: Lot #C725860, #C740904
Bactroban Cream 30g Tube: Lot #C740906

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Protect yourself from mosquitoes and Zika

From Dr. Roy’s blog, The Pediatric Insider

I remember a trip to the Florida Everglades in about 1978. Surrounded by mosquitoes, alligators, and miles of swamp, our teachers told us that every creature was a vital part of the food chain, and essential to the ecosystem.

I hate those bloodsuckers. The mosquitoes, I mean. Not the teachers.

Mosquitoes are more than an itchy nuisance. Though uncommon, serious diseases such as West Nile Encephalitis and dengue fever can be spread by mosquito bites in the USA. Our newest worry, Zika virus, is especially dangerous to pregnant women and their unborn babies. Though it’s not yet been spread by mosquitoes in the continental USA, Zika will be here soon. Itchy mosquito bites can be scratched open by children, leading to scabbing, scarring, and the skin infection impetigo. Prevention is the best strategy.

Try to keep your local mosquito population under control by making it more difficult for the insects to breed. Empty any containers of standing water, including tires, empty flowerpots, or birdbaths. Avoid allowing gutters or drainage pipes to hold water. Mosquitoes are “home-bodies”—they don’t typically wander far from their place of birth. So reducing the mosquito population in your own yard can really help.

Biting mosquitoes are most active at dusk, so that’s the most important time to be vigilant with your prevention techniques. Light colored clothing is less attractive to mosquitoes. Though kids won’t want to wear long pants in the summer, keep in mind that skin covered with clothing is protected from biting insects like mosquitoes and ticks. A T-shirt is better than a tank top, and a tank top is better than no shirt at all!

Use a good mosquito repellent. The best-studied and most commonly available active ingredient is DEET. This chemical has been used for decades as an insect repellant and is very safe. Though rare allergies are always possible with any product applied to the skin, almost all children do fine with DEET. Use a concentration of about 10%, which provides effective protection for about two hours. It should be reapplied after swimming. Children who have used DEET (or any other insect repellant) should take a bath or shower at the end of the day.

Other agents that are effective insect repellants are picaridin, oil of lemon eucalyptus, and IR3535 (also known as ethyl butylactylaminopropionate. Tasty!) These are not more effective than DEET, but some families prefer them because of their more pleasant smell and feel. Other products, including a variety of botanical ingredients, work for only a very short duration, or not at all. The CDC has extensive info on these products here.

There are also yard sprayers or misters, devices that widely spray repellants or pesticides. I couldn’t find much in the way to independent assessments of these products, but there’s no reason to think they wouldn’t work. Still, I’m leery about the idea of spraying chemicals all over the place, when we know that DEET sprayed on your child is effective and safe for both kid and environment.

About “Organic” or “Natural” insecticides or repellants – those are just  marketing words. In the world of chemistry, the word “organic” means that the molecule contains carbon. Organic compounds are no more or less likely to be dangerous to people or the environment than non-organic compounds; likewise, “natural” in no way implies that something is safe or effective (or even “natural” in the sense that most people mean that term.) These words are tossed around as part of the typical salad of meaningless marketing-speak on labels. Ignore them.

There are also devices that act as traps, using chemicals or gas to attract the mosquitoes from your yard. Although I don’t have much independent confirmation that these work, they are probably environmentally friendly and safe.

Some children do seem more attractive to others to mosquitoes, and some children seem to have more exaggerated local reactions with big itchy warm welts. To minimize the reaction to a mosquito bites, follow these steps:

  1. Give an oral antihisamine like Benadryl, Zyrtec, or Claritin (do NOT use topical Benadryl. It doesn’t work, and can lead to sensitization and bigger reactions.)
  2. Apply a topical steroid, like OTC hydrocortisone 1%. Your doctor can prescribe a stronger steroid if necessary.
  3. Apply ice or a cool wet washcloth.
  4. Reapply insect repellent so he doesn’t get bitten again.
  5. Have a Popsicle
  6. Repeat all summer!
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