Frequently Asked Questions
Appointments


Appointments may be made by calling (580) 234-7070 during office hours Monday-Friday 9 am-5 pm.

There are 2 types of appointments available - acute visit appointments for children who are acutely ill and routine appointments for a child's routine (well) check-up. We ask that cancellations be made at least 24 hours in advance. To facilitate your routine visit (well check-up) appointment, please arrive at least 10 minutes before your scheduled appointment.

The clinic also offers Saturday morning hours from 9 am - noon. Appointments may be made by calling Saturday mornings. Sorry, but Saturday morning appointments are for acute visits only.

For urgent matters after-hours, contact our pediatrician on-call through St. Mary's Hospital at (580) 233-6100.

A Special Word from Dr. Switzer


Pediatrics is a very unique specialty. The opportunity to care for children is extraordinary as we assist in the transformation of a helpless newborn infant into a mature young adult.

It is my hope that the care that you receive in our clinic is personalized, empathic, and unique as well.

Please do not hesitate to contact us with comments and/or suggestions. Welcome to our practice!

--Dr. Switzer

Staff Information


Meet our practice staff!

Kim, Sherry, and Denise are trained to assist our pediatricians in caring for your children in our office. They provide courteous and caring services including answering your medical questions over the telephone, measuring your child, giving allergy injections, and assisting you and your children during the office visit.

Front office staff include Leona, Jeri Dawn, Jennifer, and Jerry who will assist you with checking in, checking out, and making your appointments. Our front office staff is always courteous and attentive to your questions.

Donna is our office manager and will assist you in solving specific problems or issues if the need arises.

Our Vaccination Schedule

Keep those germs away! To help parents keep track of their child's immunizations as well as let parents know what to expect at the well child visits, here is the current vaccination schedule that we are using:

Birth: Hep B1
(# of shots: 1)

1 month: none
(# of shots: 0)

2 months: DTaP1, IPV1,
HepB/Hib (Comvax),
and Prevnar1
(# of shots: 4)

4 months: DTaP2, IPV2,
HepB/Hib (Comvax),
and Prevnar2
(# of shots: 4)

6 months: DTaP3,
HepB/Hib (Comvax),
Prevnar3, IPV3
(# of shots: 4)

9 months: none
(# of shots: 0)

12 months: MMR1,
Varivax
(# of shots: 2)

15 months: TriHibit, Prevnar4
(# of shots: 2)

18 months: none

24 months: Hep A1
(# of shots: 1)

(6 months later): Hep A2
(# of shots: 1)

4-6 yrs: DTaP5, IPV4, MMR2
(# of shots: 3)

To see the AAP recommended vaccination schedule go to: AAP vaccination schedule

Recommended Routine Visit Schedule


Scheduled routine visits for preventive care is extremely important for your child. At each routine visit, your child's growth and development will be assessed, immunizations will be updated, your child will receive a thorough physical examination and general questions will be answered.

Here is our recommended routine visit schedule by age:

Birth-2 weeks
1 month
2 months
4 months
6 months
9 months
12 months
15 months
18 months
24 months
3 years
4 years
5 years
6 years
7 years
8 years
10 years
12 years
14 years
16 years
18 years

Did You Know?!?
By Eve H. Switzer, MD

Common Pediatric Myths

As a pediatrician, I have come across many myths in pediatrics that can be called "Old Wives' Tales". There are some parents that swear by anecdotal evidence that these myths are true, but most of these myths have been proven over and over again through well-conducted research studies to be untrue. Here's my list of interesting pediatric facts. I hope that at least one of these makes you think "WOW - I didn't know that!!":

DID YOU KNOW...

....that cleaning a newborn's umbilical stump too often can make it stay attached longer ? A common misconception is that using alcohol "dries up" the belly button stump. The umbilical remnant, in actuality, ROTS off. Cleaning it more frequently than 3-4 times a day does not allow for the bacteria to do it's job - to make the stump fall off.

....that iron fortified formula does not contribute to constipation in an infant? Studies have shown that there are no significant differences in the amount of stool or consistency of stool between children on iron fortified formula and those that were not.

....that it is safe for a child with an ear infection or middle ear fluid to fly on an airplane? There is no increase in ear discomfort or pain in the presence of an infection or fluid while flying on an airplane.

....that colic in an infant is not due solely to gas? It is felt that colic is due to multifactorial reasons including an infant's personality, overstimulation, as well as the possibility of some abdominal discomfort. Usually changing the type of feeding or giving gas medication does not help much. Changing formulas has not been shown to help with spitting up either.

....that how a fever responds to Tylenol or Motrin does not correlate with the severity of the illness? I see a lot of concern when a fever cannot be "broken". A child's illness is not necessarily more severe when the fever does not respond well to Tylenol or Motrin.

....that the height of a fever does not necessarily correspond to the severity of an illness? Serious illnesses in children can occur at fevers of 102 F just as easily as fevers of 105 F. By the same token, a fever of 105 or 106 F can be associated with "just" a viral illness.

....that a milk protein allergy may manifest itself as chronic CONSTIPATION ?

....that there is no cure for the common cold (I'm sure you know this already) and that over-the-counter cold remedies have never been shown to be of any benefit in children preschool age and younger? Over-the-counter cold medications often do not help symptoms at all and do not help colds to resolve any faster.

....that more children DIE from chickenpox complications than from any other vaccine-preventable childhood illness?

....that the "normal" body temperature of 98.6 was derived from a study of 1 million ADULTS by taking their AXILLARY (under the arm) temperature? Children have, in fact, been found to have higher "normal" body temperatures than adults!

....that infants do not need extra water in addition to breastmilk or formula?

....that green or yellow nasal discharge does NOT necessarily mean a bacterial infection?

....that a temperature of up to 100.4 degrees F in a child is considered normal? Temperatures between 100.5 and 101 degrees F is what I consider a "low grade" temperature and a fever would be a temperature over 101 degrees.

....that adults may only be correct 50% of the time when they think their child is running a fever? There was a study looking at how well mothers can tell if their child was running a fever without the aid of a thermometer. They found that mothers are right 100% of the time that their child was NOT running a fever. When a mother *thought* that her child "felt warm", the children were running a fever only 50% of the time. The only sure way to tell if your child is running a fever? Take it with a thermometer!

....that feeding a baby (less than 4 months old) rice cereal DOES NOT help them sleep through night?

....that axillary (under the arm) temperatures can be off by up to 3 degrees? If possible, axillary temperatures should be avoided!!

....that milk DOES NOT increase or thicken mucus?

....that fever may be harmful when it exceeds 107 degrees F?

....that the MMR vaccine has NOT been shown to be linked to autism?

....that we rarely treat tongue-tied infants anymore? Having a short lingual frenulum (or being tongue-tied) is not an uncommon occurrence. As a child grows, eats, and speaks, the frenulum usually stretches and does not interfere with these activities. Rarely, a child older than a year of age may need the frenulum "clipped" if there is a problem with speech or eating.




 



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