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Regional Pediatrics Upcoming News and Events

We are excited to announce that as of October 1, 2013, Regional Pediatric Associates PA is affiliated with Duke University.  We are not being bought out by Duke.  Regional Pediatric Associates will be joining the Private Diagnostic Clinic (PDC)- a group of independent physicians and clinics (over 1300 physicians in our area) who practice medicine with a strong relationship with Duke.  We see this as a positive move for Regional Pediatrics and for you, our valued patients, but know that you may have some questions.

What does this mean for you?

Will my child(ren) still be able to see my regular doctor at Regional Pediatrics?

YES!!  Regional Pediatrics has been a part of this community for more than 75 years and the relationships that we have established over many generations with patients and families is what sets us apart and that will not change.  You and your children will continue to receive the same high-quality, personalized care you have always trusted.

The doctors will not change.  Doctors Greg Fisher, Charles Lallier, Vivian Makar, Maxine Murray, Stephanie Rand, Robert Stifler and Kyne Wang will continue to see patients at our current locations in north Durham (at Freedom Lake Drive in Independence Park) and in south Durham (on Highgate Dr near Southpoint Mall).  Our physicians, already all board-certified and licensed in good-standing in the medical community, will also be Duke clinical faculty physicians in the Department of Pediatrics at Duke Medicine.

What changes or differences will we see?

When you look around our offices, you will notice that there is a lot more activity than usual.  We will be using a new electronic medical record (Duke’s Epic Maestro EMR system) with new equipment and computers.   You will see us doing more patient-related tasks in the office- for example, we will be checking height, weight, and blood pressure on all children 2 years of age and above for all office visits.  Some items are government meaningful-use requirements that all doctor’s offices now have to follow, some are Duke criteria, and others are required by JCAHO (Joint Commission on Accreditation of Healthcare Organizations).   Even though we will not be owned by Duke, they will take over several of the business functions of the practice including the insurance and billing.

Aligning with Duke allows Regional Pediatrics to offer services to you that we would not be able to do on our own.  The new electronic medical record will have a patient portal in order for you to have on-line access to labs that we don’t get back right away.  Your child’s medical record has portability which improves patient care- if your child needs to be seen by a Duke specialist or the Duke emergency room, they will have ready access to all notes and labs we have here.  Vice versa is also true, if your child is seen in the Duke ED or a Duke specialist, we will also know about it right away and have better access to those records. In addition, we will have improved e-prescribing and will continue to send more prescriptions electronically to your child’s pharmacy.

Who can I contact if I have questions?

Although we will do our best to make this transition as seamless as possible, we know that there will be some delays in the process.  We truly appreciate your patience during this time!

If you have any questions, please ask the physicians or our practice administrator, Bridget Mussler (919) 477-2202.

CDC recommends that all children aged 6 months up to their 19th birthday get a flu vaccine.

Vaccination of all children aged 5-18 years is a new Centers for Disease Control and Prevention/Advisory Committee on Immunization Practices recommendation.

CDC also recommends that people in contact with certain groups of children get a flu vaccine

in order to protect the child (or children) in their lives from the flu. The following contacts of children are recommended for influenza vaccination by CDC:

  • Close contacts of children younger than 5 years old (people who live with them including older children and adolescents) should get a flu vaccine.
  • Out-of-home caregivers (nannies, daycare providers, etc.) of children younger than 5 years old should get a flu vaccine.
  • People who live with or have other close contact with a child or children of any age with a chronic health problem (asthma, diabetes, etc.) should get a flu vaccine.
  • Pregnant women

Children and adolescents at higher risk for influenza complication are those:

  • Aged 6 months-4 years;
  • Who have chronic pulmonary (including asthma), cardiovascular (except hypertension), renal, hepatic, hematological or metabolic disorders (including diabetes mellitus);
  • Who are immunosuppressed (including immunosuppression caused by medications or by human immunodeficiency virus);
  • Who have any condition (e.g., cognitive dysfunction, spinal cord injuries, seizure disorders, or other neuromuscular disorders) that can compromise respiratory function or the handling of respiratory secretions or that can increase the risk for aspiration;
  • Who are receiving long-term aspirin therapy who therefore might be at risk for experiencing Reye syndrome after influenza virus infection;
  • Who are residents of chronic-care facilities; and,
  • Who will be pregnant during the influenza season.

Even if your child does not fit the higher risk categories listed above, Regional Pediatric Associates still encourages all children get vaccinated for influenza – not only to prevent illness but also to reduce missed school days for children and missed work days for their parents.

There are two ways to get the influenza vaccine. The first is the traditional shot – an inactivated vaccine (containing killed virus) that is given with a needle. The second is the intranasal influenza vaccine (containing live, weakened flu virus that does not cause the flu), Flumist. This is a good alternative for people who want to avoid shots. It is available for healthy, non-pregnant 5-49 year olds.

Other facts to know regarding the influenza vaccines:

Children less than 9 years old getting the flu vaccine for the first time should get two doses (at least one month apart, whether flu shot or Flumist). Some people should not be vaccinated or should wait before getting vaccinated. They include:

  • People who have a severe allergy to chicken eggs.
  • People who have had a severe reaction to an influenza vaccination in the past.
  • People who developed Guillain-Barre syndrome within 6 weeks of getting an influenza vaccine previously.
  • Children less than 6 months of age.
  • People who have a moderate or severe illness with a fever.  (These people can get vaccinated once their symptoms lessen.)

 

Please call to schedule your child’s flu vaccine. We are scheduling nurse visits for influenza vaccines.

When you call for your child’s appointment, please tell us whether you are interested in the shot or nasal form of the flu vaccine. The visit for flu vaccine is schedule for a nurse visit only – if you have other concerns about your child’s health including illness, please schedule the appointment with a physician.

If you have any questions, please do not hesitate to call us at 919-477-2202 (North Durham Location) or 919-544-2049 (South Durham Location).

For more information about influenza, and influenza vaccine:  http://www.cdc.gov/flu/about/qa

For more information regarding Flumist:  http://www.cdc.gov/flu/about/qa/nasalspray.htm