Dr. Jamila Fletcher

Monday Notes

Written by Dr. Jamila Fletcher

Today is Monday, December 17, 2018

  • This morning we sign off from our answering service at 8:00 am to take calls directly from our office.
  • We will be in the office until we finish our On Call Evening Clinic (typically around 7:00 pm).

Walk-Ins

  • 8:00 – 8:30 am: Today if you arrive at the Duraleigh office during that time your child will be seen by our pediatrician(s) covering walk-in patients.
  • Walk-In appointments are for acute sick visits only (symptoms of a short duration).
  • As always, all other visits today are scheduled by appointment only.

Today’s Lineup

  • On Call PediatricianDr. Jamila Fletcher will be rounding on our newborns at Rex Hospital and running our On Call Evening Clinic.
  • In our Duraleigh Office today:  Drs. Muff Carr, Jamila Fletcher, Lily Harris, Todd Harris, Sarah Owrey and Tom Sena (AM)
  • In our Brier Creek Office today:  Drs. Rick Gessner, Ben Meares and Tom Sena (PM)

After Hours Care

  • Our On Call Pediatrician manages our after hours care.
  • Urgent calls outside regular hours: 919-781-7490
  • After hours backup number: 919-831-5526
  • Poison Control: 1-800-222-1222

Dr. Ben Meares

Get Your Flu Shot

December 12, 2018 – As of today, the status of flu vaccine supply here at Raleigh Children & Adolescents Medicine:

RCAM Privately-supplied flu vaccine (private insurance):

  • Infants and Children UNDER 3 YEARS OLD: in stock
  • Children and Teens 3 YEARS & OLDER: OUT OF STOCK

RCAM State-supplied flu vaccine (Medicaid & uninsured)

  • Infants and Children UNDER 3 YEARS OLD: in stock
  • Children and Teens 3 YEARS & OLDER: in stock

Alternative sites that offer flu vaccine for children

NOTE: RCAM prefers that all pediatric medical care be rendered by your child’s medical home for consistency of care and continuity of medical record. We believe in the quality of pediatric medical care that is provided at RCAM. However, we also recognize that is not always possible, and, for the purpose of getting a flu vaccine, these are sound resources.

  • Ages 6 months and older:

    1. Wake County Health Department; 919-250-3900;
      • Walk-ins only at Sunnybrook Road location in “Clinic E” on Thursdays from 8:30am-10:30am
      • For appointment, call 919-250-3947
      • More information at wakegov.com
    2. WakeMed Urgent Care; 919-789-4322
      • Walk-Ins welcome
      • 2406 Blue Ridge Road, #190, Raleigh, NC 27607
    3. Passport Health; 919-781-0053 (Raleigh); 919-781-0053 (Cary)
      • No walk-Ins; appointment only; $40
      • 3100 Duraleigh Road (same building as our Duraleigh office), Suite 210, Raleigh, NC 27612
      • 8450 Chapel Hill Road, Suite 205, Cary, NC 27513
  • Ages 18 months and older:

    1. CVS Minute Clinic
  • Ages 14 years and older:

    1. Walgreens Pharmacy
    2. Rite Aid Pharmacy

 


Dr. Todd Harris

Winter Holidays Office Coverage 2018

Written by Dr. Todd Harris

November 19, 2018 – Published

winter-holiday-schedule-2016

Illness does not recognize holidays, so here is how RCAM plans to be available during the holiday season:

Wow. Is it already Thanksgiving? That sure snuck up.

It is our wish to be your child’s medical home – one place where all your child’s care resides.

  1. That means being available for questions:
    • Every day of the year one of our pediatricians is on call 24-hours-a-day for urgent health concerns.
    • If you ever have urgent concerns about your child’s health – you can always call us:
      • 919-781-7490
      • (If there is trouble with the above number, our on call backup number is 919-831-5526)
  2. That means being available to be seen – even if it is a holiday or a weekend:
    • We strive to keep our patients out of Urgent Cares and Pharmacy Clinics.
    • Emergency Rooms provide a vital service but – when possible – we want to keep you from having to go there too.
    • On weekends and holidays, we will see children with urgent medical concerns beginning in the morning by appointment only (call first – there are no walk-in appointments on holidays or weekends).
    • Christmas Day is the only day of the year that we do not see patients in our office (but we are available by phone all day).

Wednesday – November 21

  • Regular weekday business hours

Thursday Thanksgiving Day – November 22

Friday – November 23

  • Duraleigh office OPEN
  • Brier Creek office closed

Saturday and Sunday – November 24 and 25

Monday – November 26

  • Back to regular weekday business hours

christmas

Saturday and Sunday – December 22 and 23

Monday – Christmas Eve –  December 24

  • Duraleigh office OPEN (sick visits only; we will likely check out to our on call pediatrician and close the office early)
  • Brier Creek office closed

Tuesday Christmas Day – December 25

  • BOTH offices closed
  • On call pediatrician available for urgent questions
  • No office clinic on Christmas Day (atypical holiday hours)

Wednesday – December 26

  • Duraleigh office OPEN (we will likely check out to our on call pediatrician and close the office early)
  • Brier Creek office closed

Thursday – December 27

  • Back to regular weekday business hours

new-year

Monday – December 31

  • Regular weekday business hours

New Year’s Day Tuesday – January 1

Wednesday – January 2

  • Back to regular weekday business hours

 


Dr. Todd Harris

October 20, 2018 – I interupt this Banner Change post for an IMPORTANT ANNOUNCEMENT:

Flu Vaccine: Available for All RCAM Patients

We now have adequate amounts of both state-supplied and privately-supplied flu vaccine. Flu Vaccine Clinic appointment slots are now open all RCAM patients.

Whether you have private insurance… Whether you have Medicaid insurance... Whether you are uninsured… RCAM now has flu vaccine for all RCAM patients.

Call us at 919-781-7490 and schedule your child to get their flu vaccine.

2018-2019 Flu Season: Way-Too-Early Statistics

North Carolina Weekly Influenza Surveillance Summary 10-13-2018

Sure. There is some flu out there right now – that red line picture above that depicts the 2018-2019 Flu Season shows that there isn’t much flu illness out there… yet.

The amount of flu we are seeing now is nothing like what we typically see later during the more active parts of flu season.

Take advantage of the slow part of flu season and prepare. Do your part for your family and for yourself: Go get your flu shot.

Decrease Your and Your Family’s Chance of Getting a Serious Illness

By getting your flu vaccine you know that – by the time we get to the busy part of flu season – you’ve done what you can do to limit your chance of getting the flu.

That’s what you are doing when you get your flu shot: you are reducing your chance of catching a very difficult illness.

Flu vaccine doesn’t eliminate the possibility of catching flu. It also doesn’t cause the flu. It does cut your chance of catching the flu.

I like that. Less chance to catch a serious illness. Who wouldn’t want that?

Back to the Banner Post

It’s been autumn so long that the temperature actually feels like autumn.

We welcome a new banner picture.

Welcome, two little girls who are getting along very well.

Did I Mention that 3 of Our 10 Pediatricians Have Recently Given Birth?

Lately, it seems most of the chatter around RCAM comes back to Sarah, Lily and Jen and their recent new additions.

We all have questions.

How are they doing?

How is there transition to having two young children going?

Are they getting any sleep?

The talk eventually goes inward. Remember the exhaustion of caring for a new baby – particularly when you already had an energetic and attention-starved toddler at home?

Finally someone asks, How did any of us ever decide to go through it all over again and have another child? [Next slide please…]

Presenting: Moments that Make Us Forget How Difficult Raising Young Children Can Be


Dr. Todd Harris

Atta Girl: The Grand Finale

Written by Dr. Todd Harris

October 5, 2018 – So I (and 10 others) got this text on Monday night:

[NOTE: You will be happy to know that we did forgive the 9-hour-gap between birth and viewing an official pic 😉 ]

[PRO TIP: If you ever need forgiveness, a pregnancy / birth of a child works almost 100% of the time. Although – in this case – there are still questions. Who else did you inform and when were they informed? What were the time gaps? At what amount of time does a gap mean we’ve become an after thought? All questions to which we really don’t want answers.]

Congratulations Dr. Long and Family!

OK – back to the important part – the big day arrived for our very own Dr. Jen Long, her husband, Brandon, and newly-anointed big brother Emerson to officially face-to-face welcome baby Audrey Mae.

One-In-A-Million

We are soooo happy here at RCAM that we have completed our recent ‘Season of Anticipation’ with a perfect record.

This week’s ‘Grand Finale’ ended an 8-week period in which 3 of our pediatricians had 3 healthy baby girls and a 7-month period in which 5 of our RCAM-ily had 5 healthy baby girls (yes… ALL were girls).

Counting backwards, employees of RCAM have produced 9 straight girls.

For those keeping score: if you take 9 random pregnancies, there is a 1 in 512 chance of have 9 girls.

That is not quite 1 in a million – but today maybe the Long Family would disagree.


Dr. Todd Harris

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
  • Uninsured
  • 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 vaccinating as 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.

Infectious disease experts and the American Academy of Pediatrics are not yet convinced that the updated FluMist will be as effective as the Flu Shot. As a result, RCAM this year will only offer the shot version of the flu vaccine.

Decrease Your Chances of Catching a Bad Illness

Influenza illness – the Flu – can be very hard on the very young, the very old, and for those with certain underlying conditions like diabetes and asthma.

It can also be a very bad illness for anyone – regardless of health – so we recommend flu vaccine for just about all of our patients.

Decrease your family’s chances of catching the flu. Call RCAM 919-781-7490 to get your child’s Flu Shot.


Dr. Todd Harris

It’s the Weekend, September 15 and 16, 2018

The weekend notes are publishing just a little bit earlier to get the following word out to our families:

As of 10:00 Friday night, we plan to open for our typical Saturday morning on-call clinic. We will update if plans have to change before tomorrow morning.

  • No Walk-In Appointments on the Weekend
  • Patients are seen by appointment only on all holidays and weekends.
  • If you think your child may need to be seen this weekend, call 919-781-7490 in the morning after 9 am and speak to the nurse working with the On Call Pediatrician.
  • Saturday and Sunday Clinic begins at 10am. Clinic ending time varies depending on how busy we are.
  • After clinic, we are available to speak by phone about any urgent concerns you may have.

The Weekend Lineup

After Hours Care

  • Urgent calls 24 hours a day: 919-781-7490
  • After hours backup number: 919-831-5526
  • Poison Control: 1-800-222-1222

Dr. Todd Harris

Friday Notes: RCAM CLOSED TODAY Edition

Written by Dr. Todd Harris

Today is Friday, September 14, 2018

  • 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.

Today’s Plan

  • On Call PediatricianDr. Emily Ross will be managing our after hours care
  • 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.

Tomorrow’s Plan

  • 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.

After Hours Care

  • Urgent calls 24 hours a day: 919-781-7490
  • After hours backup number: 919-831-5526
  • Poison Control: 1-800-222-1222

Dr. Todd Harris

September 13, 2018 – Due to concerns about the safety of our employees as well as patients traveling to our office, we make the following statement:

RCAM will close both offices for Friday, September 14, 2018 being so close to the predicted path of Hurricane Florence.

We will continue to follow the weather reports and hope to open our Duraleigh office for Saturday clinic on September 15, 2018.

You may call at anytime on Friday and speak to a nurse if you have an urgent need regarding the health of your child.

Stay tuned and stay safe.


Dr. Todd Harris

RCAM Phone Upgrade COMPLETE

Written by Dr. Todd Harris

September 12, 2018RCAM is upgrading its telephone system this morning.

This morning – Wednesday – September 12th – between 7:30 and 8:30 am – if you have an urgent need about a sick child that can’t wait, call our backup on-call number 919-831-5526

By 8:30 am on that day our regular number 919-781-7490 should be working just fine.

We have been reassured that this process takes about 15 minutes. We have scheduled 60 minutes for it. Fingers crossed that we don’t set any records and have a smooth telephonic transition.

10:10 am UPDATE – Upgrade is complete. You can now reach us at our regular number 919-781-7490. Thank you for your patience.