Once your child enters school, it is still important to keep yearly well visits. We will continue to check growth and development, discuss concerns specific to the child, and build our relationship with the entire family. According to the American Academy of Pediatrics (AAP), benefits of regular well visits include:
Prevention. Your child gets scheduled immunizations to prevent illness. You also can ask your pediatrician about nutrition and safety in the home and at school.
Tracking growth and development. See how much your child has grown in the time since your last visit, and talk with your doctor about your child’s development. You can discuss your child’s milestones, social behaviors and learning.
Raising concerns. Make a list of topics you want to talk about with your child’s pediatrician such development, behavior, sleep, eating or relations with other family members. Present your top three to five questions or concerns to the pediatrician at the start of the visit.
Team approach. Regular visits create strong, trustworthy relationships among pediatrician, parent and child. The American Academy of Pediatrics (AAP) supports well-child visits as a way for pediatricians and parents to serve the needs of children. This team approach helps develop optimal physical, mental and social health of a child.
Hemoglobin & Hematocrit At 7, 9, 11 years visits, a quick finger poke will check for iron deficiency anemia by measuring your child’s hemoglobin.
Urinalysis Urine provides much information about the child’s well being. An urinalysis will also be performed at the odd year visits and involves checking the appearance, concentration and content of urine. Abnormal results may point to a disease or illness, such as kidney disease, urinary tract infection or diabetes.
Lipid Panel & Glucose At nine years old, we will also collect blood to run a lipid (cholesterol) panel and glucose.
Pure Tone Hearing
Your nurse will use a device similar to this that emits sounds across the speech spectrum (500-4000 Hz) to check the child’s hearing. Each ear is assessed individually. This will be done at even year visits (6, 8, and 10 years).
Vision is also assessed yearly using the Snellen eye chart as Dr. Bullen demonstrates here.
After the five years old exam, your child is granted a temporary reprieve from vaccinations. They are usually quite excited about this. They will still need a yearly flu vaccine, though.
Seasonal influenza Children 6 months and older may get a flu vaccine if appropriate age and season. If this is the first year your child received the flu vaccine, he/she will need a second one in 1 month. The seasonal flu vaccine covers four strains of the flu predicted to be circulated each year. All of our injections are preservative free. Children 2 years and up may also get the nasal flu vaccine, FluMist, if available and appropriate.
Patient Portal/ Surveys
Pediatric Symptom Checklist (PSC-17) The PSC-17 is a brief mental health survey used by the pediatrician to identify areas of concern. This will be administered yearly.