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Posts for: March, 2020

March 27, 2020
Category: Uncategorized
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The American Academy of Pediatrics (AAP) and the Center for Disease Control (CDC) have published statements saying that well child check-ups, particularly for those needing immunizations, continue to be important even during the COVID 19 pandemic.

For this reason, Tots 'n' Teens Pediatrics is continuing to see children for their check-ups. 

We are taking the following steps to make our office as safe as possible:


Well checks seen on one side of the building - sick visits on the other.

EVERYONE text the front desk when you arrive and remain in your car until you receive a text or call asking you to come into the EMPTY waiting room to check in.

We will be questioning everyone about symptoms and possible exposures multiple times prior to having them seen in our office.

Our staff will be wearing person protective equipment (PPE) when we see you and your child so that we stay healthy. If you come for a sick visit and have masks aat home, please wwear them.

Please have only one adult accompany each patient.

We have started using TELEMEDICINE to evaluate many of our sick patients. Blue Cross has announced that they will be waiving co-pays for visits done by phone or video until at least 4/16/20. We are still in the process of establishing the best protocols for handling these visits. We hope to post these procedures to the BLOG early next week. For now, the medical assistant or provider may ask that you send pictures of you child, your child's temperature, weight, and other data to us prior to having the phone or video encounter with your provider. We strongly encourage this type of visit for ADD follow-ups and Asthma follow-ups. We cannot use TELEMEDICINE for check-ups at this time.

Please call us with ANY questions you have regarding your child's health and check into this BLOG for future updates.

By Tots 'N' Teens Pediatrics
March 19, 2020
Category: Child Care
Tags: Hearing Screening  

As soon as your baby is born but before they leave the hospital, they will need to undergo a hearing screening (most hospitals perform a hearing screening but it’s also a good idea to ask). Congenital hearing loss, which occurs at birth, affects less than 1 percent of newborns; however, it is also possible for hearing loss to develop later during a child’s life, which is why routine hearing screenings are necessary for all children.

Once they leave the hospital, it’s now your pediatrician’s responsibility to provide hearing screenings and other tests and treatments that your child will need until they turn 18 years old. Your pediatrician will be an asset to your child’s health and you will work closely with them, so it’s important that you choose a pediatrician that you trust and value.

Why are hearing screenings necessary for newborns?

As soon as your child is born one of the ways in which they will receive and interpret information is through what they hear; therefore, if they have problems hearing then they may also deal with other problems including delays in language development and speech problems.

By detecting hearing problems early on your pediatrician can provide early interventions including hearing aids or other treatment options to ensure that your child reaches these important and necessary developmental milestones.

Of course, if your child responds to your voice or responds to noises then you may think that their hearing is fine, but this isn’t always the case. There may still be certain noises that they can’t hear properly and sometimes even these minor hearing issues can still affect language and speech.

Should my child’s hearing be assessed regularly?

Even if your baby passes their first hearing screening it’s still important that you turn to a pediatrician for routine checkups. Most hearing screenings usually don’t warrant a separate trip to the office, which means that your child’s hearing will be assessed during regular wellness visits.

Of course, if your newborn has certain risk factors that could affect their hearing it’s important that you share these factors with your pediatrician. These factors include:

  • A family history of hearing loss
  • Facial deformities
  • Postnatal infections
  • Premature birth

Finding a knowledgeable and trustworthy pediatrician before your baby is born is one of the most important things soon-to-be parents can do. Let our team provide your little one with the quality care they need to grow up healthy and strong.

March 19, 2020
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We are continuing to see both sick and well patients in our office.

Starting today, we will see well check-ups between 8AM and 11AM. We will see sick patIents in the afternoon only.

Please call and discuss your situation with our medical assistants or your provider prior to making an appointment. We will be able to handle some problems with a Telemedicine appointment. You can make an appointment and you will receive a call from your child's doctor at the appointed time.

If you come to  our office, please stay in your car and text your child's name and date of birth to the following number:

SICK -  205-223-9102

WELL - 205-240-8441

Our receptionists will can or text you back with instructions on how to safely enter our office. We do not want to have more than one family in our waiting room at a time. We have removed all toys, books and magazines from waiting and exam rooms so you may wish to bring a book and or toys for you child to play with.

Please call our office with ANY questions or concerns!


March 17, 2020
Category: Uncategorized
Tags: Untagged

We are continuing to see patients in our office. We ask that you speak to a docter or medical assistent prior to scheduling a sick visit. We also ask that you text your child's name and apointment time to the following numbers when you arrive in our parking lot : 

SICK - 205-223-9105

WELL - 205-240-8441

We will then text you when the waiting room is clear for you to come in. We are taking copays by credit card over the phone to decrease handling of cards and pens and are not asking patients to fill out any forms if possible. If possible have only one adult come into the office with each patient.

We have designated exam rooms for sick patients and providers will be wearing personal prootective equipment when seeing sick children.

 We are happy to anounce that Blue Cross is now paying for Telemedicine visits. You can make an appointment, pay your co-pay over the phone and then your doctor will call at the appointed time. If necessary we can use face time on cell phones to see your child. 


By Tots 'N' Teens Pediatrics
March 02, 2020
Category: Child Care

Sneezing. Watery eyes. Stuffy nose. These could just be symptoms of a cold or these could be signs that your child has allergies. If you notice that your child’s symptoms flare-up during certain times of the year then this could definitely be a sign of seasonal allergies. Unfortunately, allergies can impact everything from performance in school to participating in outdoor activities such as school sports. If you suspect that your child may have allergies it’s important to talk with your pediatrician.

Childhood Allergy Symptoms

Allergy symptoms can also seem a lot like a cold or other upper respiratory problems. Common symptoms associated with allergies include:

  • Watery, red, and itchy eyes
  • Itchy nose
  • Dark circles under the eyes or puffy eyelids
  • Ear pain and chronic ear problems
  • Nasal congestion
  • Facial pain and pressure
  • Headaches
  • Sneezing
  • Persistent cough
  • Chest tightness

So, how can you tell that your child is dealing with allergies and not an infection? Some telltale signs include itchy eyes and nose, which are classic signs of allergies. If your child has a fever this is usually a sign of an infection and not allergies. Unlike a cold, allergy symptoms can last for weeks. You may also notice that your child’s symptoms come and go, appearing more often during the spring and fall months. Again, this is a trademark of childhood allergies.

Treating Childhood Allergy

There are many ways in which a pediatrician can help your child manage their allergy symptoms, and the treatments that are recommended will depend on the type and severity of your child’s symptoms. Most treatment plans include a variety of lifestyle changes and medication. Children with minor symptoms may find relief through over-the-counter antihistamines and decongestants, while other children may require a prescription-strength allergy medication to tackle more moderate to severe symptoms.

Lifestyle modifications may include using a dehumidifier in your child’s bedroom, wearing glasses instead of contacts during allergy seasons, bathing immediately after being outdoors, limiting outdoor activities during high pollen counts, and keeping pets out of bedrooms (if your child suffers from pet dander allergies).

For severe or unresponsive allergies, your pediatrician may recommend immunotherapy, or allergy shots. Allergy shots may be a good option for your child when other treatment options and medications have not been successful.

Are your child’s allergy symptoms impacting their daily routine? If so, our pediatricians can help them manage their symptoms so they can get back to enjoying days on the playground and time spent with family.