Welcome!

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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Munchkin recalling about 180,000 of its LatchTM lightweight pacifiers

They may be a choking hazard.  See more info in this CNN story.

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Dr. Roy’s new pediatrics course now on sale!

My new course, Medical School for Everyone: Pediatrics Grand Rounds, has just been released from The Great Courses. It’s a medical school experience for anyone — parents, grandparents, future medical students, or anyone who has an interest in children’s health. Please check out the link to see the short video promo they’ve put together. With their 100% money-back guarantee, there’s nothing to lose. And, honestly, I think you’ll like it! Thanks!

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Spring is here! Allergy therapy update, 2016

reposted from Dr. Roy’s Blog

 

Ah, spring. The birds are tweeting, the flowers are blooming… and there’s a layer of yellow dust all over my car. And a whole lot of sneezing and stuffy noses! Fortunately, there are some great medicines out there to help reduce the symptoms of spring allergies, and most of them are inexpensive and over-the-counter. So many choices! Here’s an updated guide to help you pick the medicines that are best to relieve your family’s suffering.

But first: before medications, remember non-medical approaches. People with allergies should shower and wash hair after being outside (though it’s not practical or good to just stay inside all spring!) You can also use nasal saline washes to help reduce pollen exposures.

Antihistamines are still very effective for sneezing, drippy noses, and itchy noses and eyes. The old standard is Benadryl (diphenhydramine), which works well—but it’s sedating and only lasts six hours. It’s better to use a more-modern, less-sedating antihistamine like Zyrtec (cetirizine), Claritin (loratidine), or Allergra (fexofenidine.) All of these are OTC and have cheapo generics. They work taken as-needed, or can be taken every day. Antihistamines don’t relieve congested or stuffy noses—for those symptoms, a nasal steroid spray (see below) is far superior.

There are a just a few differences between the modern, OTC antihistamines. All are FDA approved down to age 2, though we sometimes use them in younger children. They all come in syrups, pills, or melty-tabs. Zyrtec is the most sedating of the three (though far less than Benadryl). Zyrtec and Claritin are once a day, while Allegra, for children, has to be taken twice a day.

Decongestants work, too, but only for a few days—they will lose their punch quickly if taken regularly. Still, for use here and there on the worst days, they can help. The best of the bunch is old-fashioned pseudoephedrine (often sold as generics or brand-name Sudafed), available OTC but hidden behind the counter. Don’t buy the OTC stuff on the shelf (phenylephrine), which isn’t absorbed well. Ask the pharmacist to give you the good stuff hidden in back.

Nasal Steroid Sprays include OTCs Nasacort, Flonase, Rhinocort, and generic fluticasone (essentially identical to Flonase.) There are also many prescription versions of these, like Nasonex and Veramyst. All of these are essentially the same. They all work really well, especially for congestion or stuffiness (which antihistamines do not treat.) They can be used as needed, but work even better if used regularly every single day for allergy season.

Some minor distinctions: Nasacort is approved down to age 2, Flonase to 4, and Rhinocort to 6, though there’s no reason to think any are more or less safe for children. Flonase is scented (kind of an odd, flowery scent, which seems weird in an allergy medicine), and seems to be a little more burny to some people than the others.

Nasal oxymetazolone (brands like Afrin) are best avoided. Sure, they work—they actually work great—but after just a few days your nose will become addicted, and you’ll need more frequent squirts to get through the day. Just say no. Steroid nasal sprays, ironically, are much safer than OTC Afrin.

Eye allergy medications include the oral antihistamines, above; and the topical steroids can help with eye symptoms, too. But if you really want to help allergic eyes, go with an eye drop. The best of the OTCs is Zaditor.

Bottom line: for mild eye or nose symptoms, a simple oral antihistamine is probably the best first line. For more severe symptoms OR symptoms dominated by clogging and stuffiness, use a steroid nasal spray. You can also use both, in combination, an antihistamine PLUS a steroid spray, for really problematic symptoms. Anything not improving on that combo needs to see a doctor.

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Camp Strong4life now enrolling for summer

Many children and teens struggle to reach a healthy weight. Camp Strong4life is a wonderful, supportive experience for overweight children and their families, stressing healthy habits and healthy activities instead of stressing about weights, calories, and numbers. Their summer camp has started enrollment. For more information, visit their web site.

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Help fight childhood cancer!

On March 13, I’m getting my head shaved to help raise money to support children with cancer through the St. Baldrick’s foundation. I’d really appreciate any donations you’d like to give. It’s a great charity, and these are wonderful kids who can really use your help.

To donate or learn more about St. Baldricks, click here. Thanks!!

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