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Posts for: April, 2020

By Tots 'N' Teens Pediatrics
April 17, 2020
Category: Child Safety
Tags: immunizations  

To keep your child healthy and happy this involves making sure that they eat the right foods, exercise regularly and get quality sleep. Of course, visiting your pediatrician for routine checkups and care is also necessary for maintaining optimal health in your child or teen. Along with making sure that your little one is reaching those developmental milestones, our pediatricians can also protect your child from a variety of serious and potentially life threatening illnesses through regular immunizations.

What do immunizations do?

Immunizations or vaccines are used to boost the body’s natural defenses to help it properly fight infection. In order to do this, a vaccine needs to contain either a dead or weakened form of the infection. This is just enough to trigger the immune system to start producing the necessary antibodies to fight the infection without actually causing an infection. Even once the body fights off these germs it will still maintain these defenses to prevent being infected in the future.

Your child won’t build up an immediate immunity once they’ve been vaccinated. It can take up to three weeks for the body to build a complete immune response to the specific germs. Therefore, during this time it is possible that your child could still become infected with any of the viruses for which they haven’t fully been vaccinated. Each vaccine is different and your pediatrician can discuss with you the expected length of time that a vaccine will take to fully work.

Why are immunizations important?

Immunizations are one of the most effective preventive tools we have for protecting children and teens from potentially dangerous or fatal infections and diseases. Since many of these conditions can also cause serious complications including hospitalizations, getting your child vaccinated can prevent the need for extensive and expensive medical treatments.

Certain people, especially those with weakened immune systems, may not be able to get certain vaccinations. This means that they are particularly susceptible to infection. By getting more and more children vaccinated we can also protect other members of our community who can’t be vaccinated so they don’t deal with life-threatening illnesses, themselves.

We know that parents usually have a lot of questions when it comes to getting their child vaccinated and during your child’s next visit we would be happy to discuss these options with you. The CDC also has a handy immunization schedule that every family should follow to make sure that their child is getting the proper immunizations at the right time so they are always fully protected from certain illnesses and diseases.

If you have questions about the immunizations your child is supposed to be getting or if you need to schedule their next checkup call your pediatrician today.

April 14, 2020
Category: Uncategorized
Tags: Untagged

Our office is open from 8AM - 4PM Monday thru Friday. Due to low patient volume, we will not be having Saturday morning office hours until further notice.

The Center for Disease Control ( CDC ) and the American Academy of Pediatrics recommend that we continue to provide well child check -ups especially for those children needing immunizations. We continue to see only Well check -ups in the mornings. We are seeing a few Sick patients in the afternoon but most of our Sick visits are done using Telemedicine. We wear masks during all visits to protect our patients.

When you come to our office for a Sick or Well visit, we ask that you stay in your car and text us from you cell phone .

Sick - 205-223-9105

Well - 205-240-8441

We will text you back letting you know when to come through our empty waiting room.

You may be receiving a call from our staff to schedule a visit for your child. If you wish to wait on a check up until after "shelter in place" has been lifted, you can go ahead and schedule a visit for this summer. If you wish to come to the office now, be assured that we are doing everything possible to keep you and your child safe. Please call us if you have ANY questions about COVID 19 or any other issues having to do with your family's health.

April 03, 2020
Category: Uncategorized
Tags: Untagged

Tots 'n' Teens continues to see well check ups in the office in the mornings from 8:30AM until 11AM. The office is closing at 4PM on weekdays until further notice. We still are open one Saturday for 8AM until 11AM

We are seeing a few sick patients in the office in the afternoon but are mostly taking care of our sick patients by phone and /or video visit. We have been so impressed by the way our patients and staff have adapted to this! I have no doubt that several of my patients have had a COVID 19  infection. Those patients have stayed at home and been evaluated by TELEMEDICINE vists. The families have treated the patient's symptoms and maintained frequent follow -up with our office but have stayed at home in quarantine, prevemting further spread of the virus. 


1. Parent calls the office and lets the receptionist know what problems the child is having. In most cases, the receptionist will suggest that a TELEMEDICINE visit be scheduled. If patient requests an IN OFFICE SICK visit, the medical assistant (MA) or provider will call and get more details .

2. For the TELEMEDICINE SICK visits, we request that YOU AND YOUR CHILD be available with your cell phone at the appointment time

3. We ask that you take you child's temperature and have the child's weight if possible.

4. The MA will call right before the appointment time, get the vital signs, enter them into the chart then let the provider know you are ready for the visit.

5. You will receive a text on your phone with a link to the video conference. When you press the link you will be placed in the provider's virtual waiting room. The doctor will see your child's name on their computer screen and open the visit. You will be able to see and hear the doctor and the doctor can hear and see you and your child.

6. Please try to be in a quiet, well lit area. We may ask you to do things like raise the child's shirt so we can watch them breathe or push on your child's belly to make sure it is soft. 

7. Please have a pen and paper available to write down any instructions that the provider gives you.

8. Some TELEMEDICINE VISITS will not require video and you may just receive a phone call from your provider.

9. We will follow up these visits with frequent phone calls to check on you and your child as needed. We ask that you call our office with ANY questions or problems .

10. Your insurance will be charged for these visits but for now Blue Cross and several other insuracne companies are waiving the co-pays .



Leading Pulmonary specialists across the country are telling us that patients with asthma and allergy problems may be at higher risk for serious COVID 19 infections. They feel the better allergy and asthma symptoms are controlled prior to illness, the better the patient will do if they contract the COVID19 virus. For that reason, we are trying to contact our asthma patients and schedule a TELEHEALTH visit to make sure we are doing all we can to keep your child safe and healthy. If your child is not having acute problems with illness, we do not have to see them on the video conference. 

There is concern that using a nebulizer vastly increasing the likelihood of viral spread to others. IF YOUR CHILD HAS A NEBULIZER PLEASE DO NOT USE IT !    Call us to discuss other options.

If your child is having a flair up of allergy or asthma symptoms, please call us to schedule a TELEHEALTH visit to discuss .

These visits, like the sick visits are covered by insurance and for now the copay is waived.


We  are encouraging all of our families how have childern on medication for ADD to have their medication follow -up visits via TELEHEALTH rather then coming into the office. For many, we need to discuss how to optimize medication while your child is not able to attend school. You child does not need to be present for the TELEHEALTH visit unless your would like for them to talk directly to the doctor. We would like for your to get a weight on your child if possible prior to the visit. 

These visits are covered by insurance and for now most copays are  waived.




By Tots 'N' Teens Pediatrics
April 02, 2020
Category: Child Safety
Tags: Warts  

Warts are common, benign bumps that develop on the skin as a result of a viral infection known as the human papillomavirus (HPV). Warts are pretty common in children and can develop just about anywhere on the body; however, they are most often found on the face, feet, and hands. Generally, warts usually don’t cause any problems and will go away on their own, but if you don’t want to wait a pediatrician can offer effective wart removal options.

Types of Warts

There are different kinds of warts that can develop. These warts include:

  • Common warts: these rough bumps are often found on the elbows, fingers, and hands and are usually gray in appearance. If you look closely at the bump you may also notice small black dots.
  • Flat warts: these smooth warts are often pink or light brown and most often develop on the face
  • Plantar warts: these warts develop on the soles of the feet, which can be very uncomfortable for your child, especially when walking
  • Palmar warts: just as plantar warts develop on feet, palmar warts develop on the hands

Treating Warts

While warts will go away without treatment it can take months or even years. If your child is embarrassed by the wart, if your child is dealing with multiple warts or if the wart is causing discomfort or pain then this warrants seeing a pediatrician. There are many ways in which a pediatrician can remove the wart.

Your child’s best treatment option will depend on the size, location, type, and number of warts. While there are certainly over-the-counter medications that you can try (these medications should not be used on certain areas of the body including the face), a pediatrician will be able to provide you with safe, effective treatment under proper medical supervision.

Common wart removal options include:

  • Cryotherapy: freezing the wart with liquid nitrogen (a very common wart removal technique)
  • Salicylic acid: a doctor can also provide a strong prescription solution that contains salicylic acid (this can be applied at home as per your pediatrician’s instructions)
  • Laser: sometimes laser therapy is used to target and destroy the wart

Usually the wart will fall off within a few days after treatment, but sometimes more than one treatment session is necessary to successful remove the growth.

If your child has plantar warts or warts in embarrassing places then they will most likely need to turn to their pediatrician to treat the problem. Call your children’s doctor today and let them know that you want to discuss wart removal options for your child or teen.