Our Blog

Posts for: May, 2020

By Amherst Pediatrics
May 20, 2020
Category: Children's Health
Tags: Tonsillitis  
TonsillitisEveryone is born with two tonsils. These are lymph nodes located right in the back of the throat. They help out the immune system by housing important white blood cells. Even so, the tonsils themselves can become infected, which is known as tonsillitis. The tonsils swell up, causing pain and discomfort. Children between the ages of five and eleven experience it the most. You need to bring your child in to see a pediatrician right away. Tonsillitis is commonly caused by streptococcus pyogenes also known as strep throat. 
 
The Basics of Tonsillitis
 
Your tonsils work by trapping dangerous viruses and bacteria within. As mentioned before, this can lead them to become infected. Infections are easily transferred between children, with tonsillitis being caused by strep, adenovirus, the flu, and Epstein-Barr virus (mono).
 
Your pediatrician is highly qualified in treating tonsillitis. That is because almost all cases are found in children. During puberty, the tonsils shrink in size. This makes it much harder for them to become infected. You need to seek medical intervention right away. Infections can become life-threatening if not treated, leading to diseases like rheumatic fever. An even more serious complication is a peritonsillar abscess. The infection spreads beyond the tonsils and swells up the neck and chest tissues. This can block and stop your child’s airways. 
 
Signs of Tonsillitis in Children
 
In children under the age of two that have problems communicating what is wrong, symptoms manifest in the form of excessive drooling, refusing food or bottles, and fussiness. Expect these symptoms in older children: 
  • Sore throat
  • Noticeably bigger tonsils
  • Fever
  • Pain or problems with swallowing
  • Yellow or white patches coating the throat and tonsils
  • Swollen lymph nodes in the neck
  • Foul breath
  • Stiff neck
  • Headaches
  • A scratchy or rough voice
  • Stomach pain
Diagnosing Tonsillitis
 
Your pediatrician won’t have any trouble diagnosing your child with tonsillitis. They will first start by asking for a brief history of when your child started feeling sick. The next step is performing a physical exam. The pediatrician will look in the throat, nose, and ears. If strep is suspected, a nurse takes a swab of the throat. A blood test will also be drawn to identify what bacteria or virus is responsible.
 
If strep or another bacteria is responsible for your child’s tonsillitis, antibiotics are prescribed. It’s important that your child finishes the whole dose. This guarantees that the entire infection is gone.

By contactus@amherstpeds.com
May 18, 2020
Category: Uncategorized

Want to be part of the COVID-19 solution? Just answer the call.

The Commonwealth of Massachusetts, along with Partners In Health, has created the COVID-19 Community Tracing Collaborative (CTC). This program focuses on reaching out to the contacts of confirmed positive COVID-19 patients to help others who have been potentially exposed to the virus. CTC gets their information about positive COVID-19 patients from data that all hospitals are required to report to the state. However, one of the biggest obstacles that CTC has right now is getting people to respond to their calls. Here is where you can help. Please share with your friends and families that if they get a call or text from “MA COVID team” with either an 833 or 857 area code, that they should answer their phone. The information provided on these calls can help flatten and reduce the curve in Massachusetts.

For more information about Massachusetts’ contact tracing initiative, see https://www.mass.gov/info-details/learn-about-the-community-tracing-collaborative

 

 


By contactus@amherstpeds.com
May 13, 2020
Category: Children's Health
Tags: coronavirus   COVID-19   pandemic  

Amherst Pediatrics

May 13, 2020

 

It is truly hard to believe that two months have past since we added this COVID-19 response page to our web site. The world looks very different today than it did way back then, and fortunately some things have remained the same. Amherst Pediatrics continues to work hard adapting to the ever changing landscape with the goal of providing the best care possible to our wonderful families and community. We are proud of our amazing staff, which has learned to adjust to these necessary changes and has developed innovative ways to keep our patients safe while adapting and streamlining processes to optimize care. And we are so very grateful to you, our amazing familes, who have also adapted to these changes and have been so understanding of our "growing pains" in the process.

 

Throughout the course of the pandemic, Amherst Pediatrics has kept in close contact with the Massachusetts DPH as well as our local hospitals and other public health experts to remain at the cutting edge of the most up-to-date guidelines and recommendations. As a member of the Boston Children's Hospital network, we are also in constant contact with some of the world's leading experts on pediatric infectious disease and the COVID-19 pandemic. While the news bombards us with a dizzying amount of information that seems to change hourly, we assure you that the care you receive at Amherst Pediatrics will always be of the highest quality and based on the most current, science-based evidence.

 

Keeping you safe in our office

As discussed below, most of our visits are being conducted virtually. However, while we are making every effort to keep you home, there may be some occasions for which an in-office visit is most approprate. Please be assured that Amherst Pediatrics takes your safety extremely seriously, and we have put work-flows in place to make sure your in-office visit is as safe and stress-free as possible.

  • Physical distancing: Floor markers have been placed throughout our office reminding people to keep a safe distance from others.
  • Mandatory mask policy: Anyone under 2 years of age entering our office is required to wear an appropriate face covering over their mouth and nose at all times. There are no exceptions to this policy. If for some reason you do not have an appropriate face covering, please call our front desk upon arrival and a staff member will meet you at your vehicle to provide you with one.
  • Provider use of PPE: Our providers always wear N-95 masks, eye protection, and gloves when interacting with patients. Providers come to work wearing a clean set of hospital scrubs or office-only clothing.
  • Meticulous cleaning: Our office is cleaned meticuloulsy on an ongoing basis. All exam rooms, clinical-use surfaces, and equipment are disinfected after each and every use.
  • Managed appointment times: Appointments are scheduled so that well-vists and illness-related vists occur during different times of the day.
  • Strict precautions for respiratory and COVID-19 patients: Patients we believe may have COVID-19 are typically directed to appropriate outside facilities for testing and/or evaluation. Any patients we see with respiratory illness or who are thought to possibly have COVID-19 are seen outside of our office in a rear parking lot. For these encounters, our providers take all appropriate precautions, including the use of full PPE.

 

In-Office Well Care Visits

Because many children have understandably been kept home over the past couple of months, many have fallen behind on receiving vitally important immunizations. Becasue of this, and based on current recommednations, we are requesting that all children and adolescents who are due for well care visits and are in need of immunizations be scheduled for in-office well-care visits. If you or your child is due for a check-up and is need of immunizations, and you have not already been contacted by our office, please schedule an appointment now through the MyChart - Patient Portal.

 

In-Office Urgent Care Visits

While we are making every effort to keep you home, there may be some occasions for which an in-office visit is best. If you think you or your child may need to be seen in our office, or are unsure if an in-office or virtual evaluation is more appropriate, please send us a message with your concern through the MyChart - Patient Portal so we can help determine the best way for us to help you.

 

Virtual Visits

Amherst Pediatrics continues to make every effort possible to keep you safe at home during this unprecedented time. To that end, we have successfully implemented telemedicine or Virtual Visits for many types of appointments. These visits may be scheduled through the MyChart - Patient PortalPlease see the Virtual Visit page for more information about scheduling and participating in a Virtual Visit.

 

  • Virtual Well Care: We are successfully conducting modified check-ups through our integrated Zoom video interface. These well-care visits are being scheduled for patients of any age who are not due for immunizations and who do not have another specific need to be seen in-person in our office.
  • Virtual Urgent Care: Many illnesses or other concerns can be managed through Virtual Visits rather than through typical in-office visits. If you are unsure whether your particular concern is suitable for a Virtual Visit, please send us a message through the MyChart - Patient Portal and we will determine which type of visit is most appropriate for your particular concern.
  • Virtual Follow-up Care: Many of our patients require regular, routine follow-up care to manage chronic issues such as asthma, diabetes, eczema, acne, and ADHD. These visits are exprementy important to make sure your condition is being managed appropriately and to reassess any medications you may be taking. If you or your child is due for a routine follow-up visit, please schedule one now through MyChart. The typical recommended timeline for these follow-ups varies, so please check with us if you are unsure when you need to be seen back.
  • Virtual Behavioral Health Care: Regular follow-up care for behavioral health issues is extremely important. If you are in need of a follow-up visit, please schedule one now. Again, if you are uncertain whether you are due for a follow-up, please send us a message through the MyChart - Patient Portal and we will be happy to assist you.

By Amherst Pediatrics
May 06, 2020
Category: Children's Health
Tags: ADHD  
ADHDParents want the best for their child, which is why check-ups and appointments with their pediatricians are so important. Yet your pediatrician isn’t just available for when your child is sick or has physical ailments. They can also help with mental and behavioral conditions, including the diagnosis and treatment of ADHD. If your child struggles with focus, impulsivity, attention, or hyperactivity, schedule them for an evaluation. It’s also important to note that children must be at least four years old for a diagnosis.
 
The Three Facets of ADHD
There are three parts to pediatric ADHD: impulsivity, inattention, and hyperactivity. Each of them is signs and are necessary for a diagnosis. Here is some information about each of them.
 
Inattention: your child spends a lot of time daydreaming or not paying attention, struggles to listen, is easily distracted, makes careless mistakes, rarely finishes tasks, and is disorganized to the point of losing or forgetting important things. 
 
It’s important to understand that children with ADHD can pay attention, it’s just harder with topics that don’t interest them. They can tune out when tasks get repetitive. Working with them to organize their schoolwork and tasks is essential. Try to provide them with a quiet and calm environment to work in.
 
Impulsivity: your child can’t wait or acts without thinking, interrupts others, and has problems taking turns.
 
Children with ADHD have trouble with self-control, which leads to the impulsive characteristics mentioned above. They have a harder time censoring themselves. This results in them invading people's personal space or asking overly personal questions. Impulsivity problems also lead to moodiness and overreactions. 
 
Hyperactivity: your child seems to constantly be moving, without being able to sit still without squirming. They also talk too much and loudly, often playing in areas that aren’t permitted. 
 
It’s normal for younger children to have high energy levels. It’s only when your child seems to be constantly moving that it could be an issue with hyperactivity. When they do sit still, they are still moving. They may tap their fingers, shake their legs, or move their feet. 
 
Diagnosing ADHD
A diagnosis won’t happen right away. There are many steps in the process before an accurate understanding is available. Your pediatrician will most likely want statements from not just you and your child, but other caregivers and teachers. 

At the appointment with your child’s pediatrician, they’ll want you and others to fill out a questionnaire about your child’s behavior. Symptoms need to be present in multiple settings, like at home and school and cause issues at both. 
 
The criteria change depending on your child’s age, so it isn’t one-size-fits-all. Your pediatrician will work with you to get an accurate picture of your child’s situation. 



Office Hours
Monday:8:00 AM - 6:45 PM
Tuesday:8:00 AM - 6:45 PM
Wednesday:8:00 AM - 6:45 PM
Thursday:8:00 AM - 6:45 PM
Friday:8:00 AM - 4:45 PM
Saturday:12:30 PM - 3:45 PM
Sunday:12:30 PM - 3:45 PM

Contact Us

Our Address
31 Hall Dr.
Amherst, MA 01002
Tel: (413) 253-3773
Fax: (413) 256-0215
Email: mail@amherstpeds.com
 

Please note temporary office hours
during the COVID-19 pandemic

Patient Care Hours:
Monday-Friday

8:00 AM - 4:45 PM: In-office and Telehealth visits
4:45 - 7:00 PM: Telehealth visits only

Sat-Sun
12:30 - 3:30
Telehealth visits only

Due to the pandemic, we ask that you please remain at home if you or your child is ill. If you have concerns about how your child is feeling, please contact us by sending a message through this patient portal. The clinicians will be able to respond to you during our regular hours. Calling the office may present a further delay in response times.

The COVID-19 situation is ever unfolding. We are dedicated to the safety of our patients and staff. Please refer to our website for updates on this changing situation.

* Please note: It is our policy that we do not approve referral requests for visits to outside urgent care centers during times that our office is open.

Holidays
We are open for urgent visits only on most Holidays. Our office is closed on Easter Sunday, Thanksgiving Day, and Christmas Day.