Well Child Exams

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Routine Well Child Exams (Physicals) provide a wonderful opportunity for us to get to know your child as well as your family’s values. Well Child Exams give us an incredible opportunity to insure proper growth and development in their early years, allow your child to become comfortable with their physician once they are school age, and help up to establish a rapport with your child that we will rely upon in the teen years as we counsel them on how to prevent accidental injury and teach them how to care for themselves.

The recommended schedule for routine well care is as follows:
2-3 Days after hospital discharge
10 - 14 Days
2 months
4 months
6 months
9 months
12 months
15 months
18 months
24 months
30 months
3-18 years - annually
The recommended schedule for physical examinations for children ages 11-18 is one per year. For sports clearance, schedule your child's physical after April 15th to be valid for the next school year.

Services Provided at Well Child Exams

1. Monitor growth
2. Monitor development
3. Review Immunization Status
4. Perform Physical Examination
5. Discuss routine screening/laboratory testing
6. Discuss injury prevention
7. Promote healthly lifestyle choices
8. Provide parents with a copy of current immunizations
9. Complete physical forms for camp, daycare, school entry, sports participation
10. Refill routine medications

Immunizations

Infant and childhood immunizations are one of the most important ways for parents to protect their children from deadly diseases. The use of modern immunizations has helped to decrease mortality in the first year of life from 100-200 per 1000 live births in 1915 to 6.8 per 1000 live births by 2005. No longer are infectious diseases the main cause of death in children. The use of immunizations has changed the focus in pediatrics from the treatment of infectious diseases to one of physical and psychological health promotion and injury prevention.

For the well-being of our patients, children age 10 years and older are required to wait 10 minutes after any shots. This is to ensure that the child is feeling well and not experiencing any adverse effects of the shot.

All the physicians at Pediatrics, PC strongly believe in the value of immunizations to prevent disease and decrease the need for unnecessary antibiotic use. We are happy to discuss your concerns regarding immunizations and welcome your questions at routine wellness exams. Below are links to the US Centers for Disease Control that provide a nice review of recommended vaccinations.

Yearly Influenza Vaccine

The Flu vaccine is recommended yearly for all children aged 6 months to 18 years every fall. There are two vaccine options available, the killed cell injectable or the live attenuated intranasal version.

First Year of Life
Recommended immunizations for this age
range include
vaccines that protect against the following diseases:

• Hepatitis B
• Diphtheria
• Pertussis
• Tetanus
• Polio
• HiB meningitis
• Pneumococcal meningitis
• Rotavirus diarrhea

Second Year of Life
Recommended immunizations in the second year of life
include booster doses for many of the products started in
the first year of life as well as three new vaccines:

• Diphtheria
• Tetanus
• Pertussis
• HiB meningitis
• Pneumococcal meningitis
• Measles
• Mumps
• Rubella
• Chicken Pox
• Hepatitis A
• Influenza

Prior to Starting Kindergarten

Immunizations between the ages of 4-5 yrs are given to boost immunity against the following diseases:
• Diphtheria
• Tetanus
• Pertussis
• Measles
• Mumps
• Rubella
• Chicken Pox
• Polio
• Influenza

Pre-teen and Adolescent

The current recommendations for pre-teens and adolescents include both routine and catch-up doses. Many of our current teens have not received the Hepatitis A series and some have yet to get their Chicken Pox booster as these are relatively new additions for children of all ages.
• Tdap (Tetanus, diphtheria and pertussis booster) - starting at 10 years of age
• Meningococcal Meningitis vaccine - starting at 11 years of age with booster at 16 years or older
• Human Papillomavirus (HPV) - starting at 11 years of age and up.
• Influenza

Sports Physicals

In order to participate in interscholastic sports at the middle school and high school level, the State of Michigan requires every student to undergo a yearly sports physical. State law mandates that for a physical to be acceptable for any academic year, it must be completed no earlier than April 15th (Spring) of the previous school year. (For example, for the 2015-2016 academic year, physicals must be done on or after April 15th of 2015.) Many schools offer screenings that are done “en mass” that satisfy the State’s requirements.

At Pediatrics, PC we don’t see the Sports Physical as something less than the well child care we already offer. Sports Physicals require EXTRA screening questions in an attempt to identify areas of risk your child athlete may have. We welcome this opportunity to see your child, review their immunization status, review the sports history questionnaire, perform a physical exam, and counsel your child on how to reduce their risk for injury and promote healthy lifestyle choices.

School Specific forms are available through each institution and we have commonly accepted forms available on our website if you need a copy (because we all know our children would never wait to tell us the day before practice starts that they wish to participate and need an exam by tomorrow). The screening questions on the sports physical forms should be filled out prior to the exam. This will help to decrease your wait time in the room.

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