Pediatrician, Dr. George Bengston, told us what every parent needs to know to get their child's medical records updated before they head back to school.
What to expect from Pre-Participation Visit (PPV)
* MORE than a normal checkup, not LESS *
Components of normal “well care”
Medical history since last visit
Review of medicines, allergies, immunizations
Family medical history (especially cardiac/neuro history)
Review of family/school/social situation
Thorough overall physical exam
Anticipatory guidance – what to expect next year or two
Alliance – “leaving the light on for you” (GB will explain)
Extra ingredients w/ PPV
Patient’s experience w/ sport or activity
General discussion of injury/accident triage w/ athlete & parent
Concussions, nosebleeds, respiratory, etc.
Specific precautions for particular sports
Head/eye/ear protection, etc.
Availability of Rx meds at site of practice/competition
Red Flags – “Sports Physicals” to watch out for
Unfamiliar examiner – try to schedule with your own physician
Doc-in-the-box – Even if competent, there’s no continuity
Dumbed-down physical exams
“Heart/Lung/Bones” exam neglects important other areas
Station-based exams – the “sheep-in-a-chute” approach
If they’re advertising the price, it’s probably cheap and potentially costly
Bring the paperwork
Do your own part of the paperwork before you come in
Allow patient-athlete private time with doc if desired
What is this “Swine Flu”, anyway?
Influenza is a viral respiratory infection.
It comes in two flavors, A & B.
Within the “A” family is the H1N1 group.
Within the H1N1 is the “novel” H1N1 or “swine flu”.
**Current “regular flu shot” contains an H1N1, but not “swine flu” H1N1
How bad is this going to be?
Those in the know predict 40% absenteeism at work/school this season
Who is most vulnerable?
The usual suspects: young, old, those w/ chronic illnesses
Status of the Swine Flu shot
Currently in late stages of testing, mostly to work out the dosing
(think this is happening in Seattle)
**Two doses of the shot may be necessary for many people, since it's new