Latest News

NEW COMPUTER SYSTEM!

We are excited to announce that we have a new computer system being installed.  We are transitioning to Electronic Medical Record.  We might be a little bit slower than normal as we make this change so please be patient. Our KICK-OFF date is June 9th for scheduling changes and August 5th for medical record changes. 

Thank you for your understanding!

If you are signing up for a new insurance plan through the Washington Health Exchange, please review the following sheet to help you understand which products our doctors are contracted to take:

http://www.ballardpediatrics.com/documents/aca_health_plans.pdf

 

Project Violet

We are pleased to highlight our commitment to research by announcing that for every flu vaccine that we administer in the month of October, we will donate $1.00 to Project Violet.

Our donation will help fund the research and development of new drugs designed to better target cancer and potentially other serious diseases.

This research is being led by Dr. Jim Olson and Fred Hutchinson Cancer Research Center.

http://www.projectviolet.org

If your child needs a camp or sports physical form filled out, please give us a few days notice.  Form completion and copies of immunization records take time to complete. 

Thanks for understanding!

When our office is closed, instead of going to the Emergency Room, you can now go to the Urgent Care Clinic at Seattle Children’s Hospital main hospital campus.  Whale parking lot, Whale 4 entrance.  It is important to understand that Urgent Care is not intended for emergencies but is appropriate for minor illnesses and injuries.  Note:  In some instances it may be necessary for the Urgent Care physicians to refer you to the Emergency Room. 

After Hours Availability:

Monday-Friday:  5:00pm-10:30pm

Saturday, Sunday and holidays: 11:00am-8:00pm

No appointment is necessary

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Pertussis is a highly communicable (contagious), bacterial infection of the respiratory tract.  It is spread through airborne respiratory droplets such as coughing.  Diagnosis is done by obtaining a specimen through a nasal swab.  The test results are most accurate when done during the first 3 weeks of the cough and might not be effective after week four. 

Pertussis is treated with antibiotics.  Once the full course of antibiotics is complete the patient is no longer contagious and can return to school or daycare.  Taking antibiotics will protect the patient so they are no longer considered contagious but they may not alter the course of the disease. 

If your child is being seen for suspected Pertussis, they need to wear a mask while in the clinic. 

We recommend and routinely vaccinate children against Pertussis following the standard schedules adopted by the CDC and the American Academy of Pediatrics.  This includes the Dtap series for ages 2, 4, 6, and 18 months with a pre-Kindergarten booster.  In addition, there is a booster dose of Tdap recommended for 11 year olds. 

Dtap = Diptheria, tetanus and acellular pertussis

Tdap = Tetanus, diptheria and acellular pertussis

The difference between Dtap and Tdap is that one is formulated for small children and one is formulated for older children.

More information about Pertussis can be found on the CDC website at: 

http://www.cdc.gov/pertussis/about/index.html

Pertussis Fact Sheet: http://www.kingcounty.gov/healthservices/health/communicable/diseases/pertussis.aspx

The following chart shows the phases of the disease progression:

Stage Length Clinical Features
Stage 1: Catarrhal (most contagious) Usually 7-10 days; range of 4-21 Characterized by:

  • Coryza (runny nose)
  • Low-grade fever
  • Mild, occasional cough (which gradually becomes more severe)
Stage 2: Paroxysmal Usually lasts 1-6 weeks, but may persist for up to 10 weeks Characterized by:

  • Paroxysms (bursts) of numerous, rapid coughs due to difficulty expelling thick mucus from the tracheobronchial tree.
  • Long aspiratory effort accompanied by a high-pitched “whoop” at the end of the paroxysms
  • Cyanosis
  • Vomiting and exhaustion

Paroxysmal attacks:

  • Occur frequently at night, with an average of 15 attacks per 24 hours.
  • Increase in frequency during the first 1-2 weeks, remain at the same frequency for 2-3 weeks, and then gradually decrease.
Stage 3: Convalescent Usually 7-10 days; range of 4-21 Characterized by:

  • Gradual recovery
  • Less persistent, paroxysmal coughs that disappear in 2-3 weeks

Paroxysms often recur with subsequent respiratory infections for many months after the onset of pertussis.

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