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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Thanksgiving holiday hours

Have a safe and happy holiday! We’ll have special holiday hours this week. As always, our doctors are available after hours by phone for emergencies. Things have been super busy with lots of sick kids– we appreciate your patience. Hopefully we can all use this time off to recharge and get healthy!

All office hours are by appointment only.

Wednesday 11/26 Open morning only, Roswell and Windward.
Thursday 11/27 Closed
Friday 11/28 Open morning only, Roswell and Windward
Saturday 11/29 Usual hours (Roswell open Saturday mornings)

In addition, our Kids Time after hours clinics are open for walk-ins with no appointments necessary:

Wednesday 11/26 East Cobb and Alpharetta open regular weekday hours, 6-9 pm
Thursday 11/27 Alpharetta open 1-4 pm; East Cobb closed
Friday 11/28 Alpharetta and East Cobb open 1 pm-4 pm.
Saturday 11/29 East Cobb and Alpharetta will be open regular weekend hours, 1-7 pm
Sunday 11/30 East Cobb and Alpharetta will be open regular weekend hours, 1-7 pm


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It’s a busy, sick autumn

Our office has been very busy with one of the sickest autumns any of us can remember. We’re seeing, well, a ton of everything. It’s becoming more difficult for any of us to keep our kids healthy.

A sample of what’s out there:

  • Strep throat
  • Enterovirus D68, which causes a prolonged and sometimes severe cough, and can be even more serious for children with asthma. CDC update here.
  • Parainfluenza, which can cause croup, laryngitis, or pneumonia
  • Fevers—lots of fevers, caused by a variety of infections. Most of these are viral, but they’re lasting several days
  • RSV, a virus that affects young babies most, causing cough and wheeze and congestion
  • And: Influenza has begun to appear!

The best ways to keep your children safe from these and other infections are:

  •  Stay away from sick people
  • If you or your children are sick, stay home
  • Practice good hand hygiene. Don’t touch your own face, and wash or sanitize hands frequently
  • Make sure your children are fully vaccinated, including their yearly influenza vaccines
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Get your influenza vaccines now

The weather is cooling off, the school year is in full swing—and that means influenza is sure to be here soon. The flu is very different from an ordinary cold, or even a very bad cold. Influenza causes high fevers and a lot of aches and pains, and sometimes severe complications and death (about 36,000 deaths annually in the USA, including hundreds of children.) Once it’s in your house everyone is bound to get it.

There are many ways to help keep the flu away. One of the most important is for you and your children to get a yearly influenza vaccine. This is recommended by the CDC and by the doctors at our practice. Unless there is a medical contraindication, every one of us aged 6 months or older should get a flu vaccine every year.

 Two kinds of influenza vaccine

We have two kinds of influenza vaccine available, the “mist” and the traditional injectable or “shot” vaccine. Both are safe and effective, and the supply we have for both of these is all preservative-free.

The mist is a cold-adapted, live vaccine for use from age 2-49 years. It is especially recommended from age 2-8 years, because it’s even more effective than the shot for young children. The mist shouldn’t be given to people with lung, heart, or immune disease. The injectable vaccine can be given to anyone over 6 months of age.

People should not get a flu vaccine if they have a severe or life-threatening allergy to egg. Mild egg allergies are not a problem. Flu vaccines can be given safely to children or adults even while sick, as long as the illness isn’t severe.

Schedule a visit to our office for your vaccines

We have all of our flu vaccines in stock now, and now is the time to call for your appointment. As we’ve done in previous years, we’re happy to vaccinate healthy parents and grandparents of children in our practice (with an appointment—and please bring your insurance information.)

We don’t like to keep people waiting, so all vaccine visits must be by appointment. We cannot accommodate walk-ins for vaccines.

We know that communities with high vaccination rates have far less influenza disease. Protect yourself, your family, and your neighborhoods—get vaccinated!

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Free Kindle Ebook for Pediatric Sleep Problems

A friend and medical school classmate of mine, Dr. Sujay Kansagra, has just published a Kindle ebook on Amazon about pediatric sleep problems. It is very straightforward, easy to understand, and evidence-based.  Dr. Kansagra is the director of the Duke University Pediatric Neurology Sleep Medicine Program. Even better – it’s free for a limited time!

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Protect your family from the new respiratory virus

As reported officially by the CDC this week, in the last month hospitals in Illinois and Missouri reported an increase in emergency department visits and hospitalizations for respiratory symptoms. Since then, reports of similar illness are coming in from many other states, scattered across the country. Here in Georgia, our own Children’s Healthcare of Atlanta microbiology team is reporting a lot of cases. Most (but not all) of the children with more severe illness had pre-existing lung disease (like asthma).

The illness seems to be mostly affecting children. Most cases begin with ordinary, cold-like symptoms—and it’s likely that most cases actually never develop into anything more than that. The reported cases, so far, may well be a “tip of the iceberg” effect, where only the sickest children get tested and identified. These are the kids who develop trouble breathing and low oxygen levels, and often need intensive care. It’s quite likely that most children with this infection quickly recover after a cough, sniffles, and runny nose. Of the cases reported so far, only about 1 in 4 or 5 runs a fever. Probably, most children and adults who have this infection don’t seek medical care, and very few of them (so far) are even being tested for the likely viral cause.

Most of the reported cases are testing positive for a specific virus, called enterovirus D68. That virus was first identified in California and 1962, and until now had rarely been a reported cause of illness. The enterovirus group, as a whole, contains a lot of other viruses that cause a whole bunch of different symptoms—fevers, respiratory illnesses, GI problems, heart disease, rashes, and neurologic problems. Pediatricians and others who take care of kids are used to seeing tons of enterovirus, which usually strikes in the summer, most typically as hand-foot-and-mouth disease, or as a fever. So we’re used to these kinds of viruses, even though this specific one is a newly-recognized member of the family. We’re not 100% sure, yet, exactly how D68 is transmitted, but other enteroviruses spread though respiratory drops and in stool, and can remain infectious for a long time on contaminated surfaces.

As with many viral infections, prevention is the best strategy. Common sense things can really help: keep your kids home when they’re sick, and don’t send your kids off to play with sick children. Encourage your kids to wash their hands and use hand sanitizer frequently. Get a good night’s sleep and moderate exercise. Keep your child up-to-date on vaccines—though there is no specific vaccine for this enterovirus, bacterial and viral co-infections with influenza and pneumonia can be prevented. If your child has asthma (or any other respiratory problems), make sure that you’re keeping up with all prescribed treatments, so things are less likely to spiral out of control when an infection strikes.

If your child does get sick with cough, look out for these symptoms:

  • Having trouble breathing. You may see individual ribs poking out with each breath, or the depression at the bottom of the neck sinking in. Children with trouble breathing usually breathe fast, and sometimes breathe noisily.
  • Having trouble speaking. If you can’t get good breaths in, you can’t typically complete sentences and talk normally.
  • Seeming listless, with low energy. Children with serious respiratory compromise may not be getting enough oxygen to their brains. They can seem “foggy” or “out of it.”
  • Drinking poorly. Younger children and babies may have a hard time eating and (especially) drinking when they’re really ill.
  • Looking blue or pale.

If you’re seeing those kinds of symptoms, take your child to the doctor right away, or head to the emergency department. Even if things don’t seem quite that bad, if you’re worried, don’t hesitate to call for help.

Most children who are getting enterovirus D68 infection will do just fine. Some of you have probably already had children with this, and didn’t even know it. Every year, we see spikes of infections like this, caused by a variety of viruses like RSV, metapneumovirus, or influenza. Though there is no specific therapy for most of these, we’re pretty good at recognizing who needs extra help, and we can provide good supportive care when it’s needed. It sounds scary when you see news of a new, bad infection—but in truth, this isn’t very different from other infections we’re used to dealing with. We need to stay vigilant and keep our eyes on whatever’s out there making our children sick, but there’s no reason to get too worked up over this latest challenge.

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