Moms Supporting Moms is a community-based resource, and is a “…peer-led, judgment-free support group for women struggling with issues related to pregnancy, delivery and early motherhood.” As it says very appropriately on their website:
“The adjustment to new parenthood sometimes can be difficult. Irritability, anxiety and even sadness over changes in lifestyle can be expected as parents settle into a new routine of caring for an infant.”
If you or someone you care about is having difficulty adjusting to the changes surrounding motherhood, please reach out during your visit to our office to a provider or nurse, or call for guidance.
They can be reached at 919.454.6946 and can found on the web at Moms Supporting Moms.
With the flu season just around the corner, we have a few things to keep in mind.
First, and most importantly, we recommend that all children 6 months and older receive the flu vaccine. This is the best and most effective way to prevent your children from getting the flu. If you haven’t already, please call one of our offices to schedule a nurse visit to receive the flu vaccine. Bear with us as our supplies of the flu vaccine are changing daily.
At this time of year, we receive lots of letters from urgent care clinics in the area stating that a child has been diagnosed with the flu and been given Tamiflu, usually appropriately, but sometimes inappropriately. Tamiflu is ONLY indicated in children 2 weeks and older who have been symptomatic for LESS THAN 48 hours. When given in the first 48 hours of the illness, Tamiflu has been shown to reduce symptoms by only 1-2 days. Therefore, do not expect your child to improve immediately after being given Tamiflu.
After 48 hours, there is no evidence that Tamiflu has been shown to be effective and should’t be given unless your child is critically ill from the flu (meaning your child is in the ICU in the hospital). There are only a few, rare, reasons to give Tamiflu to children who have been exposed to influenza. We can explain those situations to you if this case should arise.
Just like antibiotics, inappropriate use of Tamiflu can lead to increase in resistance, decreasing the effectiveness of Tamiflu. If you have more questions refer to the CDC web site or call our office.
As your child moves from elementary school to middle school, their body and interests change, and our parenting changes along with them. As pediatricians, the way we care for your child changes as well. We assess for risky behavior, counsel on safety and discuss a large number of developmentally appropriate topics.
As your child moves to middle school, there will be a number of vaccines that we will discuss and recommend:
It’s never too early to talk to your child about being an adolescent and becoming a young adult. The hardest part is starting the conversation. KidsHealth.org offers some great resources for you and your children to navigate their growth together.
Please take time to check out The Center for Young Women’s Health for valuable information on hundreds of teenage issues your young woman may be facing.
There has been recent concern about a new “game” adolescents play called the choking game. Like any risky behavior, parents need to educate themselves about the signs of such behavior.
If you are interested in discussing contraception for your child, we have many providers that are available and willing to discuss the various means of contraception. We can prescribe oral contraceptive pills and depo injections. As of September 2015, we have a provider in each office that is qualified to insert the Nexplanon implant. If you have questions about any of these methods of contraception, please call our office to schedule an appointment.
Perhaps one of the most important things we can teach our children is to prepare them to be an adult. That includes treating them like an adult in the doctors office. This means that we will often have conversations with the teenagers in the room by themselves to help them become accustomed to talking with a doctor. As your children get closer to 21, then we will start preparing the transition to adult medicine, increasing the child’s responsibility in their own care. The website Got transition, has lots of resources for parents and teens to prepare them for this transition.
We believe in the effectiveness of vaccines to prevent serious illness and to save lives.
We believe in the safety of our vaccines.
We believe that all children and young adults should receive all of the recommended vaccines according to the schedule published by the Centers for Disease Control and Prevention and the American Academy of Pediatrics.
We believe, based on all available literature, evidence, and current studies, that vaccines do not cause autism or other developmental disabilities.
We believe that thimerosal, a preservative that has been in vaccines for decades and remains in some vaccines, does not cause autism or other developmental disabilities.
We believe that vaccinating children and young adults may be the single most important health-promoting intervention we perform as health care providers, and that you perform as parents/caregivers. The recommended vaccines and their schedule are the results of years and years of scientific study and research, with data gathered on millions of children by thousands of our brightest scientists and physicians.
These things being said, we recognize that there has always been and will likely always be controversy surrounding vaccination.
The vaccine campaign is a victim of its own success. It’s precisely because vaccines are so effective at preventing illness that we even discuss whether or not they should be given. Because of the safety and effectiveness of vaccines, many of you have never seen a child with polio, tetanus, whooping cough, bacterial meningitis, or even chickenpox.
Over the past several years, some people have chosen not to vaccinate their children with the MMR vaccine after publication in Europe of an unfounded suspicion that the vaccine caused autism. This claim was later discredited and retracted. Unfortunately, decreased vaccination rates have resulted in a rise in the number of measles cases across Europe.
Please understand that delaying or “breaking up” vaccines to give one or two at a time over several visits goes against expert recommendations and can put your child at risk for serious illness or even death. Doing these things also goes against our medical advice.
As medical professionals entrusted with the lives of children we believe strongly that vaccinating children on schedule with currently available vaccines is the right thing to do. With rising rates of pertussis being seen in this country we have made the decision here at Cary, Fuquay, and Apex Pediatrics to require our patients to meet certain vaccine standards to be part of the practice. This is to protect the health of your child, our patients, and our community.
Finally, if you should refuse to vaccinate your child despite all our efforts and recommendations, we will ask you to find another health care provider who shares your views.
We write this statement not to scare you, nor to coerce you, but to make you aware of the facts, and to emphasize the importance of vaccinating your child.
Please feel free to discuss any questions or concerns you have about vaccines with any one of our providers. Please also recognize that we will do everything we can to convince you that vaccinating your child according to the recommended schedule is the right thing to do. It is our job to advocate for children and their health is our priority.
Bear in mind that diseases we vaccinate are not gone. The number of cases of measles last year was more than any single year since the 1990’s; most of the cases in children who have not been vaccinated either because of age or by choice.
See the Downloads list below for fact sheets about each vaccine.
We are now offering CPR training for new parents, members of volunteer organizations, athletes, and anyone who wants to learn CPR that does not require certification. Those who participate in the course will receive a student manual and hands on practice. The Family and Friends CPR Course covers:
The course will be offered only in our Fuquay-Varina Office. Cost is $33.00 per person. Please call our office or sign up at the front desk to register for the course.
At Cary, Fuquay and Apex Pediatrics, we are proud to be following the latest recommendations from the AAP for the most effective adolescent contraception. We offer traditional guidance for birth control, including but not limited to abstinence, condoms, oral contraceptives and Depo Provera.
Our providers are trained in the insertion of Nexplanon, which is a small, soft, and flexible birth control implant that is just 4 centimeters in length. It is inserted directly and discretely under the skin on the inside of the arm. The procedure is quick with minor discomfort and Nexplanon provides up to 3 years of continuous pregnancy prevention. No daily pills, sticky patches or injections.
Once it is inserted, Nexplanon is over 99% effective. If you or your teen are interested in Nexplanon or any other form of contraception, ask to schedule a consult with one of our trained providers in ANY of our locations. We can tell you all about it!
Clinical advice is available 24/7 by calling the office during regular hours or after hours with our triage service or physician on call.