September 21, 2018 – Patients with private insurance may now call and set up an appointment for their child to get the flu shot in one of our Flu Shot Clinics.
Private-Supplied Flu Vaccine
For patients who have private insurance, we have received our shipment of private flu vaccine and are beginning to administer those shots. (Private insurance is through a health insurance company such as BCBS, United Healthcare, Cigna, etc.)
State-Supplied Flu Vaccine
For some, flu vaccine is supplied by the State of North Carolina:
Insured by Medicaid
Native Americans or Native Alaskans
Insured by a medical cost sharing plan
We have not received state-supplied flu vaccine, so we cannot begin vaccinating patients in these groups yet. We have no control over this and have no way to predict when we will receive it.
Check back here over the next few weeks. We will announce and start administering our state-supplied flu vaccine as soon as it arrives.
We dislike having two different flu vaccine start dates, but felt we simply have to begin with the vaccine that we have on hand.
Flu Shot Clinic
In an effort to prepare for the upcoming flu season with the goal of vaccinatingas many of our patients as quickly as possible, Flu Shot Clinic is for getting flu shots only.
If you have other health concerns, call and make a regular appointment with one of our pediatricians.
We will also continue to vaccinate patients as they are seen in our office for routine visits.
Experts: Jury Still Out On FluMist
FluMist – the nasal spray flu vaccine – will unfortunately not be available again this year at RCAM.
You may be aware of reports that FluMist has returned as an option after being unavailable for 2 years due to concerns that is had become ineffective.
We hope today’s Friday Notes: Special Edition finds you and your family together and safe
WE ARE CLOSED TODAY due to the Uncertain Nature of Hurricane Path Prediction
No one here is blaming local meteorologists.
In fact, I am personally amazed and appreciative – we benefit from their knowledge, forecasting, and stamina.
Way to Go Dr. Lily!
As we grow weary of weather maps, this morning’s Friday Notes: Special Edition picture features a Special Addition to the RCAM-ily: Our very own Dr. Lily Harris, her husband Michael, and now big sister Carrie Anne this week welcomed Georgia Amelia (aka “Milly”).
For those of you keeping score at home: 6 lbs and 8 oz.
Also for those of you keeping score: we are at 2 down and 1 to go for August and September expectant RCAM Pediatricians.
As stated earlier, both offices are closed today. We will be unable to see any patients today.
IF YOU HAVE AN URGENT QUESTION ABOUT A SICK CHILD:our answering service will be taking messages and a group of our nurses – backed by Drs. Emily Ross, Rick Gessner, Ben Meares, Todd Harris and Jamila Fletcher – will be happy to try and help on what no doubt will be a challenging day.
Stay tuned. Like you, we will continue to monitor local weather reports.
We are hopeful to open up the Duraleigh office for weekend hours on Saturday.
September 6, 2018 – As more information about children and automobile safety is gathered and analyzed, the American Academy of Pediatrics (AAP) is becoming more convinced that rear-facing is the safest seating position for a child riding in a car.
Prior to 2011, the recommended age to transition from a rear-facing to a forward-facing car seat was 12 months old. The AAP in 2011 moved that recommendation to 24 months.
That same group – in an effort to make recommendations based on the best and most up-to-date information available – continues to monitor crash safety data and now is recommending that children ride in a rear-facing car safety seat as long as possible – up to the limits of their car safety seat.
Most rear-facing car seats have a maximum rear-facing weight in the 30 pound range – the average weight of a 3-year old. Convertible car seats – seats that can be used both rear-facing and forward-facing – have a maximum rear-facing weight in the 40+ pound range – the average weight of a 5 year old. This new information will therefore include virtually all children under 2 years of age and most children up to age 4.
Car seat product listing – a 2018 listing from HealthyChildren.org that includes a comprehensive car seat listing that includes maximum height and weight limits – the new recommendation is based on those numbers (you can also find this information in the handbook that came with your car safety seat).
August 27, 2018 – There has been lots of first days of school so far for 2018 since Tracks 1, 2 and 3 got started on July 9th.
This morning, 160,000 Wake County, traditional-calendar students get started and we at RCAM would like to say to all our student-patients a heart-felt,
“Good Luck Today. Have a Great Year!”
Of course, many of our year-rounders have been in school for weeks to months. To you we add to the above, “Keep up the good work!”
One Reminder, Two Potentially Useful Links and a Video about a Fish’s First Day of Kindergarten:
Reminder: If your child suddenly tells you that they wish to play a sport and need a form completed, if they’ve been in our office in the last year for a well visit, we can fill out that form based on that visit. If they haven’t, give us a call and let’s get that scheduled. More information about getting forms completed here.
Useful Link #1: Last Monday, local affiliate ABC-11 compiled a county-by-county list of places offering FREE school supplieshere.
Useful Link #2: Our friends at the American Academy of Pediatrics website HealthyChildren.org have compiled MANY back-to-school tipshere.
On to the Video…
[NOTE: information that could be considered practical or useful ended above]
There are lots of great first day of school videos out there (and by “video” I am talking about a scene from a movie the depicts the first day of school).
I first thought of “Welcome Back Kotter” – which on further thought is more of a song than a scene so I’ve gone off theme here – also, RCAM parents are likely too young to get that reference. Those that did get it – they would know that song is about a former student returning as a teacher which is definitely not applicable to any current RCAM patients so… we keep moving.
Most movies that include the first day of school typically present the outsider / new student awkwardly arriving for their first day. That can be a lot of fun on a movie screen but not in real life. We see that theme in scenes from some all-time favorites like Footloose, Mean Girls, Diary of a Wimpy Kid, and – my personal favorite – Grease featuring the awkward Aussie, Sandy.
For our purposes here, I’d like to feature this scene from Finding Nemo.
You will find no cynicism whatsoever in this depiction of a Kindergartner’s unbridled enthusiasm.
And – how bout Marlin (Nemo’s Dad)? Who among us can’t identify with a parent’s unflinching anxiety when faced with the appropriate parental duties of letting go.
Been there myself – probably still am but we’ll keep in the past tense; don’t want to overthink…
But wait… On second thought – Marlin was kinda right, wasn’t he? His out-of-this-world fears were actually founded. The decision to start school was almost tragic for Nemo.
I’m going to rethink my decision to drop my kids off at school today. In the meantime, try to enjoy (don’t let me start a panic – keep in mind – everything does turn out just fine for young Nemo):