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HIP Blog
Happy New Year in a few days!! 
 
Our office is open December 31st and January 2nd. We will be closed for New Year's Day
 
Illness prevention

There are things that you can do for your child to help their immune system through the cold and flu season. 
  • Balanced diet and sleep help our immune system stay at its best
  • Probiotics: There are some studies that suggest that a daily probiotic can decrease viral illnesses by up to 40% over the course of a school year.
  1. For Infants <3 months old.  We recommend lactobacillus reuteri (also helpful with colic) which can be found in the Gerber Soothe colic drops. Give 5 drops by mouth/day
  2. For infants 3-12 months. There are many good probiotic choices. We like Jarrow: Baby's jarro-dophilus, 1/4 tsp/day of the powder mixed into a syringe full of breast milk or formula or mixed into a bite of food (if they are taking solids). 
  3. For children 1 year and older: You can use 1/2 tsp of the Jarrow: Baby's jarro-dophilus or 1-2 capsules of the Jarrow Adult Original capsule (they can be swallowed or opened and the powder mixed into food) 
  • Vitamin D can help support a healthy immune system
    • Infants can take 400 IU of vitamin D if they are breast fed. Formula fed infants do not need extra vitamin D
    • Children above a year old can take 400-800 IU of vitamin D. Cow's milk and milk substitutes have about 200 IU of vitamin D in 16 oz.
  • Elderberry extract has been shown to help shorten an influenza illness.  At the start of a viral illness, elderberry extract could be started for children 12 months or older
    • Elderberry syrup/Eldertussin by Herbs for Kids can help support the immune system and may help reduce cough. This can be given 2-3 times/day during an illness
 
Influenza Update
 
Influenza is a virus and there are many different strains or types of influenza. The virus typically causes fever, body aches and respiratory symptoms like cough and congestion.  The virus can lead to secondary bacterial infections like pneumonia and ear infections.  While vomiting and diarrhea can be associated with influenza it is often confused with the "stomach flu".  Most vomiting and diarrhea illnesses are not caused by influenza and therefore don't cause high fever, body aches and respiratory symptoms.  They are not truly a "flu" and therefore the flu vaccine does not protect against those intestinal viruses.  

So far this season, the strain of influenza A that has been causing the majority of cases, is not a great match with the strains in the flu vaccine. This does not mean that there is no benefit to this year's vaccine. Those who have been vaccinated may still have a more mild case of the flu than those who are unvaccinated. Also, most flu seasons include a strain of influenza type B that causes illness. Most years the vaccine is a good match for influenza B. 
 
Flu Vaccines
 
We still have both Flu Mist nasal spray and injectable flu vaccine for all ages 6 months and older. All of our flu vaccine is preservative (mercury) free. 
  • Injectable flu vaccine: this form of flu vaccine can be used for anyone 6-months-olds or older.  This version is known as a killed virus vaccine
    • Note: Two doses of flu vaccine, at least one month apart, are recommended for kids under 8 years old who are receiving the flu vaccine for the first time or who have never had two doses in one flu season.  
  • Flu Mist (nasal spray): for use in those 2-years-old or older.  Flu mist uses a live, inactivated form of the influenza virus.  This vaccine is not recommended for kids or adults with asthma that requires a daily controller medication like Pulmicort, QVAR, Flovent, Advair, Asmacort etc. 
The American Academy of Pediatrics (AAP) recommends flu vaccine for all children older than 6 months old.  Our strongest recommendation is for children between 6-months-old and 3-years-old or any child above 6-months-old who has asthma or other chronic medical conditions that may make them more susceptible to complications from influenza.  Kids in these groups are more likely to develop complications from the flu. 
 
Families that have infants under 6-months-old can help to protect their infants by getting the flu vaccine for those people around them.
 
We have vaccine available for parents and caretakers (nanny, grandparent etc)
 
We have preservative flu vaccine available for pregnant women 
 
Cost: 
  • Insurance will be billed for patients of H.I.P and there is no co-pay for a flu vaccine visit. 
  • Any non-patient family members or caretakers can receive a flu vaccine for $35.   
 
YOGA
 
Gentle Yoga every WEDNESDAY 12:00pm to 1:00pm with Tara Emrick 
$12 drop-in ($10 per class when buy 10 classes). All are welcome.
 
Yoga for Grief every month. Click here  for information about Grace Grief Yoga classes at H.I.P.
 
Contact Tara with questions at 720.232.6514 or [email protected]. Thank you!

Check out this new book by one of H.I.P's pediatricians and raise money for lymphoma research...

Please note: This book contains stories of great triumph and heartbreaking tragedy in the setting of a busy children's hospital. Because of this, it may be a difficult read for some.

Copies are available on Amazon and for direct purchase at H.I.P. Here's a summary of the book:

A Rich Residence by Bryan Kono invites the reader in for a rare peek at the life of a pediatrician-in-the-making. Based on the poetry and journal entries written during those event-filled years, Dr. Kono beautifully, accurately, and poignantly documents the ups and downs, joys and frustrations, rewards and agonies of caring for very ill children, many of whom would never grow into adulthood despite the wonders of modern medicine. Oftentimes, we think of doctors as distant, academic, uninvolved, and unemotional. Nothing could be further from the truth. The reader will laugh, cry, and gasp in awe at Dr. Kono's stories of real children and real parents caught in the web of catastrophic disease. Names have been changed to protect the privacy of those involved, but actual case histories clearly depict the amazing spirit, resilience, and strength of the very young and often that of their heartbroken families-as well as the agonizing efforts of their doctors to relieve their suffering. The journey of this medical school graduate into a capable, caring physician should inspire us all to appreciate those who have traveled that road. Dr. Kono poured his heart and soul into his journey, setting an example for all of us, no matter what road we choose. This book wraps itself around the heart of the reader and begs us to return again and again for encouragement when we stumble on our own paths. We are left with a prescription for finding the poetic in our own lives. All proceeds from the sale of this book will go to support lymphoma research.

 

Hello H.I.P Families!
Check out the classes happening for parents at H.I.P Studio:
 
Vaccine Discussion with Bryan Kono
Tuesday, September 24th, 6:30 to 8:30pm
$20/individual, $30/couple for H.I.P families ($25/individual, $35/couple for non-H.I.P families)
 
Come join us for this open discussion about the childhood vaccines on the CDC/AAP schedule for children 0-5 years old. Dr. Kono has presented this talk several times over the past few years in the Denver area with the goal of providing a balanced approach and a non-judgmental environment to share ideas. The discussion includes a big picture view of the vaccine decision for parents. Each vaccine is then covered including; historical perspectives on each disease, vaccine efficacy and side effects and any controversy surrounding it. Plenty of time is afforded for individual questions and discussion.
 
Click here to register. 
 
An Introduction to Five Element Chinese Medicine
with Judi Terrill L.Ac., Dipl. Ac.
Thursday, October 3rd, 6:00pm to 9:00pm
Cost TBA
 
Learn the basic theory of the nature based Five Element Model of Chinese Medicine. Explore the elements in nature, specifically water, wood, fire, earth and metal to identify the individual characteristics, needs and best environment for healthy development and well-being. Discover how nature's wisdom can be used as a guide for relational interactions and create harmony and balance in family dynamics.
 
This class is intended for parents, medical professionals and other interested adults.   

Please register with Judi ahead of time: 720-484-5357 or email[email protected] 
 
YOGA
 
Gentle Yoga every WEDNESDAY 12:00pm to 1:00pm with Tara Emrick 
$12 drop-in ($10 per class when buy 10 classes). All are welcome.
 
Yoga for Grief every month.  Click here for information about Grace Grief Yoga classes at H.I.P.
Contact Tara with questions at 720.232.6514 or [email protected]. Thank you!

 

Hello H.I.P Families!

 

H.I.P Studio Happenings

 

Please check out our web site, www.hipstudiodenver.com to see what classes are happening at the Studio in September including An Introduction to Parenting by Connection with Kristen Volk on 9/14 AND a Vaccine Discussion with Bryan on 9/24.  Click here for the calendar of all upcoming classes. Click here to register.

 

We are also offering a Gentle Yoga class every WEDNESDAY at noon with Tara Emrick.  $12 drop-in. All are welcome.

 

Contact Tara with questions at 720.232.6514 or [email protected] Thank you!

 

When is Flu Season?

 

It is difficult to predict exactly when the season for influenza is going to start and end.  It can start as early as October and end as late as April or May. There is no reported influenza activity yet in Colorado but that could change soon. 

 

 

What is influenza?

 

Influenza is a virus and there are many different strains or types of influenza. The virus typically causes fever, body aches and respiratory symptoms like cough and congestion.  The virus can lead to secondary bacterial infections like pneumonia and ear infections.  While vomiting and diarrhea can be associated with influenza it is often confused with the "stomach flu".  Most vomiting and diarrhea illnesses are not caused by influenza and therefore don't cause high fever, body aches and respiratory symptoms.  They are not truly a "flu" and therefore the flu vaccine does not protect against those intestinal viruses.  

 

 

Illness prevention

 

There are things that you can do for your child to help their immune system through the cold and flu season. 

  • Balanced diet and sleep help our immune system stay at its best
  • Probiotics: There are some studies that suggest that a daily probiotic can decrease viral illnesses by up to 40% over the course of a school year.
  1. For Infants <3 months old.  We recommend lactobacillus reuteri (also helpful with colic) which can be found in the Gerber Soothe colic drops. Give 5 drops by mouth/day
  2. For infants 3-12 months. There are many good probiotic choices. We like Jarrow: Baby's jarro-dophilus, 1/4 tsp/day of the powder mixed into a syringe full of breast milk or formula or mixed into a bite of food (if they are taking solids)
  3. For children 1 year and older: You can use 1/2 tsp of the Jarrow: Baby's jarro-dophilus or 1-2 capsules of the Jarrow Adult Original capsule (they can be swallowed or opened and the powder mixed into food) 
  • Vitamin D can help support a healthy immune system
    • Infants can take 400 IU of vitamin D if they are breast fed. Formula fed infants do not need extra vitamin D
    • Children above a year old can take 400-800 IU of vitamin D. Cow's milk and milk substitutes have about 200 IU of vitamin D in 16 oz.
  • Elderberry extract has been shown to help shorten an influenza illness.  At the start of a viral illness, elderberry extract could be started for children 12 months or older
    • Elderberry syrup/Eldertussin by Herbs for Kids can help support the immune system and may help reduce cough. 

Flu Vaccines

 

H.I.P will have two types of flu vaccine available.  Flu Mist (nasal spray) and injectable flu vaccines.  All of our flu vaccine is preservative (mercury) free. 

  • Injectable flu vaccine: this form of flu vaccine can be used for anyone 6-months-olds or older.  This version is known as a killed virus vaccine
    • Note: Two doses of flu vaccine, at least one month apart, are recommended for kids under 8 years old who are receiving the flu vaccine for the first time or who have never had two doses in one flu season.  
  • Flu Mist (nasal spray): for use in those 2-years-old or older.  Flu mist uses a live, inactivated form of the influenza virus.  This vaccine is not recommended for kids or adults with asthma that requires a daily controller medication like Pulmicort, QVAR, Flovent, Advair, Asmacort etc. 

The American Academy of Pediatrics (AAP) recommends flu vaccine for all children older than 6 months old.  Our strongest recommendation is for children between 6-months-old and 3-years-old or any child above 6-months-old who has asthma or other chronic medical conditions that may make them more susceptible to complications from influenza.  Kids in these groups are more likely to develop complications from the flu. 

 

Families that have infants under 6-months-old can help to protect their infants by getting the flu vaccine for those people around them.

 

Cost: 

  • Insurance will be billed for patients of H.I.P and there is no co-pay for a flu vaccine visit. 
  • Any non-patient family members or caretakers can receive a flu vaccine for $30.  Because we have limited supply of Flu Mist, only injectable flu vaccine is available for parents and caretakers.   

 

Flu Vaccine Clinics

 

We will schedule nurse appointments for flu vaccines on Tuesdays and Thursdays beginning September 3rd.  We will have some early evening hours.  Flu vaccine will be available in the coming weeks.  

 

Call our office to make a flu clinic appointment.

 

Happy Fall!

August 22, 2013
Category: Uncategorized
Tags: Untagged

 

New Pediatricians at H.I.P

 

It's been great seeing many of you this summer!  As you may already know, we have added two integrative pediatricians to our practice.  Drs. Rothtida Srey and Rachel Workman started seeing patients over the past month and we are thrilled to have them as part of the H.I.P team.  They each bring a unique skill set and an open minded approach that fits perfectly at H.I.P.  

 

To learn more about their individual journeys, click here

 

 

New Patients and Promoting Continuity at H.I.P

 

We are so grateful for the support that many of you have provided for our young practice.  Thank you for getting the word out to your communities!  As we grow, we are working hard to maintain the core of what we hope makes our practice unique.  One of those priorities is continuity.  We believe that in order to provide excellent, holistic care for your family, you need to know your pediatricians well.  We hope to promote that in a few ways:

  1. Remain a small practice: While we are growing, we are designed to have no more than 3-4 pediatricians at full capacity.  Being a small practice allows your family to become familiar with all the pediatricians.
  2. We encourage families to see the same pediatrician(s) whenever possible.
  3. In order to maintain accessibility for wellness and illness appointments, our pediatricians will need to intermittently stop taking new families into their continuity group.  

We currently have two continuity groups for our patients: 

    • Rothtida Srey and Rachel Workman (accepting new families). Rothtida and Rachel work on alternating days and team up to form a continuity group
    • Bryan Kono (currently closed to new families)

Patients are still able to see any of our pediatricians for same day sick appointments.  We encourage you to request an appointment within your continuity group if it is available. 

 

Vaccine Talk with Bryan, TUESDAY, SEPTEMBER 24th, 6:30pm

 

Come join us for this open discussion about the childhood vaccines on the CDC/AAP schedule for children 0-5 years old. Each vaccine will be discussed. Plenty of time is afforded for individual questions and discussion.  

 

$20/individual or $30/couple for H.I.P families ($25/individual or $35/couple for non-H.I.P families)

Click here to reserve your spot.

 

Flu Vaccine

 

Flu vaccine will be available in the coming weeks.  Look for an upcoming email and website posting for flu clinic times.

 

After Hours Advice

  

Just a reminder of the options for H.I.P parents for after hours questions and concerns that arise.

  • During business hours, you can call our main office number and request to speak with one of us regarding your question.  Many questions can be answered by one of our medical assistants.  If you would like to speak with Bryan, let us know and a message will be left for him.
  • After Hours:
    • Our website has links to a "symptom checker" with useful information about common symptoms.
    • Children's Hospital Colorado offers free parent advice at 720.777.0123
    • If you would like to speak with the on call doctor, please call our main office number, 720.583.4470, and follow the instructions on our message.  In most cases you will be asked to send a text message to the office number.  Your call will be returned as soon as possible.  If you have not heard back within 30 min, resend your text message or leave another voicemail. 
    • Patients are seen at H.I.P on an as needed basis for urgent visits on most Saturday mornings.  If you believe your child needs an appointment, contact the on call doctor (see above) to discuss the symptoms.

 

H.I.P Studio

 

Gentle Yoga every WEDNESDAY at noon with Tara Emrick

 

$12 drop-in. All are welcome.

 

For more information about any of our offerings at H.I.P Studio please visit our web site www.hipstudiodenver.com.  Contact Tara with questions at 720.232.6514 or [email protected]. Thank you!

 

 

 




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