Our practice uses a team approach. Physicians and nurse practitioners work together to help provide the best care for our patients.
Our practice uses a team approach. Physicians and nurse practitioners work together to help provide the best care for our patients. For the first two years of life, our patients are encouraged to alternate Well Child visits between their pediatrician and one of our advanced pediatric nurse practitioners. This ensures that there are always at least two providers who know your child and family well. These visits provide time to review your child’s nutritional needs, growth and development, sleep habits, school progress and any other concerns. A complete physical examination is performed, immunizations given, and developmental changes discussed. At PNW, we believe that all children should be vaccinated according to CDC and AAP guidelines.
Recommended Visit Schedule
Our recommended schedule for routine well-care visits:
- 3 to 5 days
- 2 weeks
- 1 month
- 2 months
- 4 months
- 6 months
- 9 months
- 12 months
- 15 months
- 18 months
- 24 months
- 3 years
- 4 years
- And once every year thereafter for an annual health supervision visit that includes a physical exam as well as a developmental, behavioral, and learning assessment
When to Call Our Office
When to call your pediatrician if your child has a fever. The following are guidelines only. Your child’s general appearance and the way he or she is acting are usually more important indicators of illness than the height of their fever. You should always call if your child looks or acts significantly ill for any period of time or if you are concerned about worsening health.
- Your child looks or acts very ill for any period of time
- Your child is less than three months old and has a temperature greater than 100.4 rectally
- Your child is over three months and has a fever of 102
- Your child is over three years of age and does not look well, and does not perk up significantly after an appropriate dose of fever medicine
- Your child is crying inconsolably
- Your child cries if you try to touch or move them
- Your child if difficult to awaken
- Your child complains of stiff neck and cannot touch the chin to the chest without pain
- Purple spots begin on the skin and do not blanch (whiten) when pressed firmly
- Breathing is labored and no better after nasal passages are cleared
- Your child is unable to swallow anything and is drooling saliva
- Your baby’s soft spot (fontanelle) is bulging or sunken
- Your child walks with a limp or refuses to move a leg joint
- Your child has a compromised immune system
- Your child suffers from a burning sensation or pain during urination
- Your child complains of ear pain
- Your child complains of sore throat for 24 hours and any of the following: headache, swollen glands, abdominal pain, rash or joint pain
- Your child’s fever lasts 48 hrs without obvious cause of infection
- Your child’s fever is greater than 101.5 for more than 72 hrs
- The fever has been normal for 24 hrs then returned
- Your child has a history of seizures with fever and you wish to review fever management
Walk-in clinics are NOT the best choice for kids
For many years we have been seeing retail-based clinics (Minute Clinic, Doctors Express, etc.) open up throughout the country. These clinics are primarily staffed with clinicians who are not specifically trained in pediatric health issues. Due to the minimal pediatric training, these providers may overlook underlying medical conditions and may not be familiar with all the nuances of pediatric healthcare.
The American Academy of Pediatrics (AAP) first released a statement in 2006 strongly opposing these retail-based clinics. In March 2014 the AAP updated its statement by saying that retail-based clinics are an inappropriate source of primary care for children and emphasized that “the expertise of the pediatrician and the medical home should continue to be recognized as the standard for care of children.”
As your pediatricians, we strive to develop a long nurturing relationship with our patients and families. This relationship allows us to get to know your child’s health history and be better equipped to take care of both simple and complicated medical problems. Continuity of care improves quality of care . We strongly encourage you to call our office for all of your medical questions and concerns instead of visiting these retail-based clinics. We will make our best effort to promptly return your calls and schedule appropriate visits in our office.
*Referral requests for walk in clinics will not be processed by our office. Any billing costs will be your financial responsibility.