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Ear Piercing

Nov 17, 2016/in A to Z Guide, Specialties /by Scott Beyer

A to Z Resource Guide

Ear Piercing

Several of our providers now provide professional ear piercing for our patients.  We prefer to see children from two to six months, and over 8 years of age. Please call our office if you would like to schedule your child’s first ear piercing with us.

Downloads

  • Ear piercing consent form
  • Taking care of your ear piercings
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General Childcare

Nov 17, 2016/in A to Z Guide /by Scott Beyer

A to Z Resource Guide

General Childcare

Please maintain regular face-to-face contact with us! No website or reference guide can replace personal professional care for your child.

Reliable Web Sites

  • American Academy of Pediatrics
    An organization of 60,000 dedicated pediatricians working together for the care of children
  • Healthy Children
    Website created by the American Academy of Pediatrics to provide information to parents and families
  • Healthy Children Symptom Checker
    Interactive page giving advice on when to call your doctor
  • Kids Health
    [en Español]
    Information about the health, growth, development, and emotions of children
  • Teens Health
    [en Español]
    Information about the health, growth, development, and emotions of teenagers
  • Ask the Mediatrician
    Dr. Michael Rich from Children’s Hospital Boston answers your questions about parenting

Recommended Reading

  • The Mother’s Almanac, Kelly and Parsons
  • Baby and Child Care, Spock
  • Your Child’s Health, Barton Schmitt
  • AAP Guide to Your Child’s Symptoms, Schiff and Shelov
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Adolescent Care

Nov 17, 2016/in A to Z Guide, Specialties /by Scott Beyer

A to Z Resource Guide

Adolescent Care

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.

Adolescent Vaccines

As your child moves to middle school, there will be a number of vaccines that we will discuss and recommend:

  • Tdap
    Now required by North Carolina before middle school entry, this protects children against tetanus as well as pertussis, or “whooping cough”
  • Varicella
    A second dose of this chicken pox vaccine is recommended before adolescence
  • HPV/Gardasil
    Protecting against a family of viruses that causes genital warts has also been shown to greatly reduce a young woman’s chance of getting cervical cancer. It is a two dose series if given before age 14. If a patient gets their first dose at 15 or older, they will get three doses.
  • Menactra
    This meningitis vaccine is becoming a required vaccine for college entry. Patients get their first dose in 7th grade and a booster before their senior year in high school.
  • Hepatitis A
    This viral infection leads to vomiting and diarrhea, along with the liver infection. It can be obtained from food contaminated from an infected person or from certain other high-risk behaviors. It is a two-dose series.

Adolescent Safety

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.

Contraception

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.

Transitioning to Adult Care

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.

Downloads

  • Vaccination Fact Sheets

Reliable Web Sites

  • KidsHealth.org
    Some great resources to help you and your children to navigate their growth together.
  • Center for Young Women’s Health
    Information for teen girls by the Children’s Hospital Boston
  • ChooseMyPlate.gov
    Educational site on how to make healthy eating choices
  • Internet Safety
    Resources for keeping your kids safe online
  • Depression in Children and Teens
    From the American Academy of Family Physicians
  • Partnership for Drug-Free Kids
    Free e-books, fact sheets, guides and more
  • National Institute on Drug Abuse
    Resources specifically for children and teens
  • Got Transition
    Resource for the transition from pediatric care to adult medicine

Recommended Reading

  • Caring for Your Teenager, Greydanus (AAP Publication)
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Breastfeeding / Lactation Consult

Nov 17, 2016/in A to Z Guide, Specialties /by Scott Beyer

A to Z Resource Guide

Breastfeeding / Lactation Consult

Our Lactation Consultant is located in our Apex office. Karissa collaborates with parents by creating customized plans to meet the needs of the each families’ unique goals. Her gentle approach to counseling develops better understand of baby, generates a sense of empowerment within the mother, and enhances the enjoyment of the breastfeeding experience.

Appointments are scheduled in our Apex office. Please speak with the front desk or call 919-290-1090 to set up your appointment.

  • Please arrive 15 minutes prior to appointment time.
  • Please bring a list of questions or concerns you have
  • Please bring all items that you use regularly when nursing or pumping. This may include pillows, pumps, shields.
  • If you have a support person available to attend, please invite them to join us if you feel comfortable.

Reliable Web Sites

  • La Leche League
  • Kelly Mom
  • Work and Pump
  • WakeMed Mothers' Milk Bank
  • Infant Risk Call Center 806-352-2519 (Amarillo, Texas USA)
  • Breastfeeding with Suboptimal Glandular Tissue
  • Video Resources

Recommended Reading

  • Nursing Your Baby, Pryor
  • New Mother’s Guide to Breastfeeding, AAP, Meek (ed.)
  • A Simple Guide to Breastfeeding, Ewy
  • The Womanly Art of Breastfeeding, La Leche League
  • The Nursing Mother’s Companion, Kathleen Huggins, RN
  • Breastfeeding Mother's Guide to Making More Milk, West & Marasco
  • Mother Multiples, Gromada
  • Adventures in Tandem Nursing , Flower
  • Mothering Your Nursing Toddler, Bumgarner
  • Breastfeeding Your Premature Baby, Gotsch
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Vaccinations

Nov 17, 2016/in A to Z Guide, Home Page, Specialties /by Scott Beyer

A to Z Resource Guide

Vaccinations

Our Vaccine Policy

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.

TYPICAL VACCINE ADMINISTRATION SCHEDULE:

2 month series (3 shots):  Pentacel (DtaP, IPV, HiB), Prevnar, Hep B, and oral Rotateq

4 month series (3 shots):  Pentacel (DtaP, IPV, HiB), Prevnar, Hep B, and oral Rotateq

6 month series (3 shots):  Pentacel (DtaP, IPV, HiB), Prevnar, Hep B, and oral Rotateq

1 year series (4 shots):  MMR, Varivax, Hep A, and Prevnar

15 month series (2 shots): DTaP, HiB

18 month or 2 year (1 shot): Hep A

4-6 years old (2-4 shots depending on combination used): MMR, Varivax, DTaP, IPV

11-12 years old:  TdaP, Menactra, HPV (2 doses needed)

16-17 years old:  Menactra, Meningitis B (2 doses needed)

To meet our practice standards, the following are required:

1 year standard:  Each infant should have 3 doses each of DTaP, IPV, HiB, and Prevnar by 1 year of age.

2 year standard:  Each toddler should have the 1 year standard + 1 dose each of MMR, Varivax + boosters of DTaP, HiB, and Prevnar (total of 4 each) by 2 years of age.

6 year standard:  Each child should have the 2 year standard + boosters of MMR, Varivax, DTaP and IPV. Note that Hep B is required for Kindergarten entry.

12 year standard:  Each child should have the 6 year standard, + TdaP booster and Menactra.

17 year standard: Each child should have the 12 year standard + Menactra #2

Vaccination Facts from the Centers for Disease Control

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.

Downloads

  • Vaccine Facts and Perspectives
  • Baby’s First Vaccines
    [en Español]
    CDC VIS fact sheet
  • Chickenpox
    [en Español]
    CDC VIS fact sheet
  • Diphtheria, tetanus, and pertussis
    [en Español]
    CDC VIS fact sheet
  • Haemophilus Type B (Hib)
    [en Español]
    CDC VIS fact sheet
  • Hepatitis A
    [en Español]
    CDC VIS fact sheet
  • Hepatitis B
    [en Español]
    CDC VIS fact sheet
  • HPV (Human Papillomavirus)
    [en Español]
    CDC VIS fact sheet
  • 2014 Influenza Inactivated
    [en Español]
    CDC VIS fact sheet
  • Meningococcal
    [en Español]
    CDC VIS fact sheet
  • Measles, Mumps & Rubella
    [en Español]
    CDC VIS fact sheet
  • Polio
    [en Español]
    CDC VIS fact sheet
  • Pneumococcal Conjugate Vaccine
    [en Español]
    CDC VIS fact sheet
  • Rotavirus
    [en Español]
    CDC VIS fact sheet
  • Td
    [en Español]
    CDC VIS fact sheet
  • Tdap
    [en Español]
    CDC VIS fact sheet

Reliable Web Sites

  • CDC vaccine information.
  • Vaccinate Your Baby
  • Autism Science Foundation
    Scientific reports about the association between vaccines and autism
  • HPV information handout
    Our information sheet with information about the HPV vaccine.
  • HPV Information handout (PDF)

Recommended Reading

  • Vaccinating Your Child, Humiston and Good
  • What Every Parent Should Know About Vaccines, Offitt & Bell
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Contraception

Nov 17, 2016/in A to Z Guide, Specialties /by Scott Beyer

A to Z Resource Guide

Contraception

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.

Nexplanon

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!

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Page 4 of 512345

Cary Pediatric Center

1001 Crescent Green
Cary, NC 27518

Phone
(919) 467-3211

Fax
(919) 467-5315

Mon - Fri
8am - 5pm
Closed daily for lunch 12-1

Saturday
Sick visits 8:00 am- 12 pm

Map & Directions

Apex Pediatrics

1021 W. Williams Street, Ste. 105
Apex, NC 27502

Phone
(919) 290-1090

Fax
(919) 290-1086

Mon - Fri
8am - 5pm
Closed daily for lunch 12-1

Map & Directions

Fuquay-Varina Pediatrics

316 Judd Place Drive
Fuquay-Varina, NC 27526

Phone
(919) 557-2362

Fax
(919) 557-2168

Mon - Fri
8am - 5pm
Closed daily for lunch 12-1

Map & Directions

After Hours Care

Clinical advice is available 24/7 by calling the office during regular hours or after hours with our triage service or physician on call.

© Copyright 2017 Cary Pediatric Center. Site by Appleseed Solutions.
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