Pediatric & Adult Medicine, Inc

Here We Go...

2010-04-18T20:04:00.000-07:00

After years of doing research, we have made the decision to start our transition to electronic health records.
The decision was made at the end of 2009. Since then we have been working on all the information that goes on behind the scenes.
If you've tried to make an appointment with Dr. Mackey - you know that he's been busy working on our templates and the clinical data that the physicians will use to document your child's visit.

For the past couple of months everyone on our staff has been entering patients into the new system. We're going as fast as we can - but we don't have everyone in yet. We may still need to ask you for information when you call for an appointment. The biggest change you'll notice is - no more chart numbers. When you call, we will ask for your child's date of birth.

For the past month we have started entering immunization information, allergy and medication history. We are also scanning important medical information, consents, and waivers into the new electronic chart.

Tomorrow we start our training in the "practice management" program. That is... making appointments and doing billing. The follow week we go "live" with it. So starting next week - all appointments will be in the new system.

Keep checking back for information about our journey.

Seasonal flu vaccine update

2010-01-14T07:34:00.000-08:00

We still have a limited supply of injectable seasonal flu vaccine.

We have also now received a supply of injectable seasonal flu vaccine, from the Vaccines for Children program, for our CalOptima patients.

Please call our office at 714-565-7960 to schedule an appointment for this important vaccine.

Remember - now is the time for the seasonal flu "season".
Don't wait to get your vaccine.
Call today!

We have received more H1N1 vaccine

2010-01-08T15:00:00.000-08:00

We have received an additional 300 doses of the H1N1 injectable flu vaccine.
If your child had not received their booster dose - please call us now to schedule that appointment.

Seasonal Flu Mist

2010-01-05T09:14:00.000-08:00

Have you had your seasonal flu vaccine?
We are down to our last 50 doses of the seasonal nasal spray flu vaccine.
Remember, this is for patients between the ages of 2 and 49 years - who are healthy (without asthma).
Call us to schedule and appointment before we run out.
714-565-7960

H1N1 Vaccine Recall - Non-Safety Related Recall

2009-12-16T06:31:00.000-08:00

You have no doubt heard on the news about the recall for some doses of H1N1 vaccine for children 6 months to 35 months. These doses were from four different lot numbers.

California received doses from only one of the four lot numbers that are being recalled.

Our office did NOT receive any doses from the recalled lot numbers.

We are still out of stock of the H1N1 vaccine - but will update the blog if we receive any new information.

We are out of our small supply of H1N1 vaccines

2009-12-11T09:56:00.000-08:00

As Friday dawns, we will no longer be able to administer H1N1 vaccines as our short supply has been snapped up.

The LATimes this am noted that county health departments have some H1N1 vaccines, and are administering it.

We do have the "baby" seasonal flu vaccines for children aged 6 months to 3 years, and the seasonal flu vaccine for 3 years and older in our office, so stop by, or ask your doctor at your visits over the next couple of weeks about the vaccine.

dlb

H1N1 injectable vaccine arrival

2009-12-07T11:59:00.000-08:00

Today we received a few doses (100) of the H1N1 injectable vaccine for children and young adults 4 years of age and older. If you are in the office this next couple of days, inquire about its availability. This will be available for those who need the FIRST dose only.

We do have plenty of seasonal flu (injectable) vaccine still available for those aged 3 years and older.

flu (seasonal) vaccine arrival

2009-12-01T15:52:00.000-08:00

We are glad to report that we received 500 doses of the seasonal flu vaccine today (NO H1N1 as yet). This vaccine will be for those who are three years of age and older. We encourage all pregnant moms to get this vaccine as soon as possible. We will not be receiving any more of the nasal mist seasonal vaccines.

You can call now to make an appointment for your child's vaccine.

H1N1 Appointment Scheduling - Suspended

2009-11-11T08:59:00.001-08:00

We have had to stop scheduling appointments for the H1N1 vaccine.
We will begin again as soon as we receive notification of our next shipment.

Thank you to everyone for your patience and cooperation during this unusual time.

Since Saturday - we have scheduled over 350 appointments through e-mail and the several hundred over the phone.

If you already have an appointment scheduled for the vaccine only - your dose has been "reserved".

We are doing everything we can to balance the vaccines that we receive with the need for all of our patients to receive one.

Please keep your eye on this blog - or subscribe to it for the latest information.

H1N1 Vaccine Shipment Update

2009-11-10T15:11:00.001-08:00

Important Information for Children 3 to 4 years of age.

We received our shipment of H1n1 injectable vaccine today. (800 doses)

We expected to receive the H1N1 injectable vaccine for children over the age of 3 (which is manufactured by Sanofi Pasteur - the company from which we order our seasonal vaccines).

We received the H1N1 injectable vaccine for children over the age of 4 (which is manufactured by Novartis)

So, at this time we have NO H1N1 vaccine for children that are 3 to 4 years old. We do not know when we will receive vaccine for this important age group, but have to assume that we will.

We will update this blog as soon as we have any new information about shipments of vaccine for children ages 3 to 4.

Supply update coming tomorrow.

H1N1 Injectable Vaccine - 3 years and older

2009-11-07T16:30:00.000-08:00

AGAIN...
Please Do Not Call Our Office
Until you read this entire newsletter.

We have been notified that sometime next week we will be receiving two shipments totaling 800 doses of the injectable H1N1 influenza vaccine for children 3 years and older.
We ordered over 4000 doses. This will NOT be our only shipment.

We will begin scheduling appointments for Thursday, November 12th, (because we do not know exactly when the shipment will arrive). Please call after 10:00 to schedule your appointment. The last time we sent out this enews letter we had so many calls we could not schedule appointments for our sick children.

Something new... no need to wait on hold.
You may also send us an email to schedule your appointment. Send your appointment request to pamedicine@yahoo.com (you can click on the address, or just type it into "send" in your email) in the subject line please type H1N1 and your chart number.
In the body of the email please tell us the name and age of the child or children that you would like to bring in, let us know when you would like to come in - give us the day, date and the time you would like to have an appointment.
Your appointment will be scheduled and we will email you back a confirmation.

We will post an update to this blog if we can schedule appointments before that date.

Children under the age of 10 need to receive 2 doses - 30 days apart (if the supply permits). We can not "save" your child's second dose because it is important that we vaccinate as many children as possible with their first dose so that they receive "some" protection.

Each day we will schedule as many appointments as possible without compromising the safety of our patients and our staff.

Vaccine Availability

2009-11-06T10:36:00.000-08:00

As of 7:00 a.m. , Friday, November 6th our vaccine availability is as follows:

Seasonal flu injection for 6 months - 3 years - out of stock (more coming)

Seasonal flu injection for 3 years and older - out of stock (more coming)

Seasonal flu injection for 3 year and older, preservative free - out of stock (more coming)

Seasonal flu nasal spray (FluMist) for 2 years and older, for health children - good supply

+++++++++++++++++++++++++++++++++++++++++

H1N1 flu injection for 6 months -3 years - good supply

H1N1 flu injection for 3 years and older - coming soon (watch the blog)

H1N1 nasal spray for 2 years and older, for healthy children - out of stock (more coming)

++++++++++++++++++++++++++++++++++++++++++

Please continue to watch (or subscribe to) this blog. We will keep it updated as things change.

The Shipment Arrived

2009-11-05T06:26:00.000-08:00

We have received the shipment of 500 doses of the H1N1 injectable vaccine for children 6 months to 3 years.

If you already scheduled an appointment to come in for the vaccine next week, please do not call to move it up. Your vaccine has been reserved (your child's name is on the box).

Please remember this vaccine is for children who have reached age 6 months but have not turned 3 yet. So, if they have already had their 3rd birthday, they need to wait for the other injectable vaccine.

We still have no idea when the injectable vaccine will arrive for everyone 3 years and older. We will update this blog as soon as we receive notification.

We still have a good supply of the seasonal vaccine for children 6 months to 3 years. Remember this injectable seasonal flu vaccine can be given at the same time as the injectable H1N1 flu vaccine.

We also still have a good supply of the seasonal FluMist nasal spray. This for healthy children 2 years and over.

Vaccine Availability Update

2009-11-03T06:33:00.000-08:00

As of 7:00 a.m. , Tuesday, November 3rd our vaccine availability is as follows:

Seasonal flu injection for 6 months - 3 years - good supply

Seasonal flu injection for 3 years and older - out of stock (more coming)

Seasonal flu injection for 3 year and older, preservative free - limited supply

Seasonal flu nasal spray (FluMist) for 2 years and older, for health children - good supply
+++++++++++++++++++++++++++++++++++++++++

H1N1 flu injection for 6 months -3 years - should arrive this week. (Keep watching the blog)

H1N1 flu injection for 3 years and older - have not received a shipment yet (watch the blog)

H1N1 nasal spray for 2 years and older, for healthy children - out of stock (more coming)
++++++++++++++++++++++++++++++++++++++++++

Please continue to watch (or subscribe to) this blog. We will keep it updated as things change.

Injectable H1N1 Flu Vaccine is Coming for 6 months to 3 years

2009-11-01T20:11:00.000-08:00

PLEASE do not call the office, until you read this entire post. (THANK YOU)

We have been notified that sometime next week we will be receiving a shipment of 500 doses of the injectable H1N1 influenza vaccine for children ages 6 months to 3 years. (We still have no idea when the injectable vaccine for 3 years and older will arrive.)

We will begin scheduling appointments for Monday, November 9th, (because we do not know exactly when the shipment will arrive).

We will post an update to this blog if we can schedule appointments before that date.

Children under the age of 10 will need to receive 2 doses of their age specific vaccine - 30 days apart (if the supply permits). We can not "save" your child's second dose because it is important that we vaccinate as many children as possible with their first dose so that they receive "some" protection.

Each day we will schedule as many appointments as possible without compromising the safety of our patients and our staff.

We do not know when we will be receiving the injectable vaccine for children 3 years and older. We will send out an eNewsletter as well as post an update to this blog as soon as we have more information.
(Supply update coming tomorrow)

County of Orange Health Care Agency Vaccination Clinic Announcement

2009-10-27T09:58:00.001-07:00

We have just received the following information, from the County of Orange Health Care Agency.
You may choose to attend one of these vaccination clinics.
We will continue to update this blog as soon as we have additional information about our own shipment of the H1N1 and Seasonal Vaccine.

Novel H1N1 Vaccine Update (10/26/09)
Children’s H1N1 Vaccination Clinics
Nasal spray H1N1 influenza vaccinations are available for healthy children 2 years to 9 years old, and healthy people younger than 49 years old who are care givers for children younger than 6 months of age.
Children 2 to 9 years of age will need two doses of vaccine at least 28 days apart to develop sufficient immunity to the virus.
Saturday, October 31, 2009 – 10:00 AM to 2:00 PM
Irvine Valley College - 5500 Irvine Center DriveIrvine, CA 92681Vaccination Room Location: Gymnasium
Santa Ana College 1530 W 17th StreetSanta Ana, CA 92706Vaccination Room Location: Johnson Center

To check their web site for additional information click here.

Vaccine Availability Update

2009-10-26T15:35:00.000-07:00

We continue to appreciate your patience.

As of 3:45 today, Monday, October 26th our vaccine availability is as follows:

Seasonal flu injection for 6 months to 3 years - good supply

Seasonal flu injection for 3 years and older - out of stock (more coming, watch the blog)

Seasonal flu injection, preservative free, for 3 years and older - limited supply (more coming, watch the blog)

Seasonal FluMist (nasal spray) 2 years and older, for healthy children - good supply

H1N1 flu injection for 6 months to 3 years - have not received a shipment yet (watch the blog)

H1N1 flu injection for 3 years and older - have not received a shipment yet (watch the blog)

H1N1 flu nasal spray for 2 years and older, for healthy children - out of stock. (we went through 100 doses today) (more coming - watch the blog)

Please contnue to watch (or subscribe) to this post. We will keep it updated as things change.

NO H1N1 Yet

2009-10-23T06:08:00.000-07:00

We did not received a shipment of the H1N1 injectable flu vaccine as expected. We are hoping for a shipment next week and will update this blog just as soon as we have more information.

Below is the current availability of our flu vaccine.

Seasonal flu injection for 6 mos - 3 years - good supply

Seasonal flu injection for 3 years and older - out of stock (more coming, watch the blog)

Seasonal flu injection for 3 years and older - preservative free - limited supply

Seasonal FluMist (nasal spray) 2 years and older, for health children - good supply

H1N1 flu injection for 6 mos - 3 years - Have not received a shipment yet (watch the blog)

H1N1 flu injection for 3 years and older - Have not received a shipment yet (watch the blog)

H1N1 flu nasal spray for 2 years and older, for healthy children - limited supply

Please call our office for an appointment and keep watching this blog for information.

Remember... wash your hands!

SEASONAL Flu Vaccine shipment info for children that are 6 months - 3 years of age

2009-10-21T14:39:00.000-07:00

We just got notification that we are going to be receiving 600 doses of injectable seasonal flu vaccine for ages 6 months to 3 years by Monday, November 2nd. You may call our office now to schedule an appointment for that week.

Please take a minute to complete the screening questionnaire for injectable flu vaccine - print it out and bring it with you. This will save you some time when you reach the office. If you answer "YES" to any of these questions, please call and speak to one of our nurses before you come in.

We will let you know as soon as we receive any additional information.

Thanks again for your continued patience.

No Change as of 10.20.09

2009-10-21T06:30:00.000-07:00

We have not received any additional shipments of either seasonal or H1N1 flu vaccine.

The only vaccine we currently have available is the seasonal FluMist nasal spray.
While all the media attention is on the H1N1 flu - it is still important to protect your children against the seasonal flu. If your children have not received the seasonal vaccine yet and are over 2 years old, with no underlying health issues - call our office as soon as possible to schedule an appointment for the FluMist nasal spray.

We truly appreciate your cooperation by continuing to check this blog. Our phones and our front office staff have been overwhelmed with calls asking about the seasonal and H1N1 vaccines and their availability. This blog is your best source for information. We promise that as soon as we receive shipments of flu vaccine - the information will be posted here and we will send out an email.

They say it's coming...

2009-10-19T06:47:00.001-07:00

We have received notification that the H1N1 injectable flu vaccine will begin shipping to medical offices this week. We do not have any idea when it will arrive or how many doses we will be given. (We ordered several thousand doses).

We will update this blog just as soon as it arrives.

Our current vaccine availability is as follows.

In Stock:
Seasonal FluMist for 2 and older without underlying disease

Out Of Stock:
Seasonal Injectable 6 months to 3 years (waiting for next shipment)
Seasonal Injectable 3 years and older (waiting for next shipment)
H1N1 Injectable 6-35 months (waiting for 1st shipment)
H1N1 Injectable 3 years and older (waiting for 1st shipment)
H1N1 Nasal Spray 2 and older without underlying disease (waiting for next shipment)

Thank you again for your patience. We have no control over the timing of these shipments.

Remember to WASH YOUR HANDS!

Flu Vaccine Update and Information

2009-10-15T09:00:00.000-07:00

Our supply of flu vaccine continues to change daily, so thank you for your patience.

As of today we only have doses for the Flu Mist - seasonal flu nasal spray vaccine (which is for children WITHOUT asthma who are 2 years old or older)

If you already have an appointment for the H1N1 nasal spray - your dose has been reserved.

As of today - we have not received any additional shipments of the seasonal flu vaccine.
Also, we have not received a shipment of the H1N1 injectable vaccine. Although it is expected at any time.

We understand your frustration and concerns. We share them. We ordered thousands of doses in February of this year expecting to receive the shipment in September. We have NO CONTROL over the timing of the shipments. We are all at the mercy of the manufacturer.

Please continue to check this blog for the most current information.

There is a lot of information in the media these days about the flu. The federal government has established a web site to keep you informed. http://www.flu.gov/myths/index.html

Save Time when coming in for your Flu Vaccine

2009-10-10T21:34:00.000-07:00

It has been a challenge to keep our flu vaccine in stock and meet the needs of our patients. The manufacturer sends us small amounts of the thousands of doses of flu vaccine that we pre-ordered last February.

Please make sure to check our blog or contact our office for vaccine supply status.

When you arrive, you may find that the office is very busy. This is because we are not only seeing our sick children but trying to accomodate those needing the flu vaccine.

To save some time when you come in for your flu vaccine - please consider completing one of our Screening Questionnaire forms, print it out and bring it with you.

Please complete the questionnaire for the vaccine that you wish to receive -
the Intranasal vaccination or Injectible vaccination.

Please remember - if you answer YES to any of the questions, you may not be able to get the flu vaccine from our office. Please call our office and speak to one of our nurses.

Flu Vaccine Availability as of today

2009-10-09T09:58:00.001-07:00

Below is the current staus of our flu vaccine supply.

Seasonal flu injection for 6 mos - 3 years - Out of Stock (more coming, watch the blog)
Seasonal flu injection for 3 years and older - Out of Stock (more coming, watch the blog)
Seasonal flu injection for 3 years and older - preservative free - limited supply
Seasonal flu mist (nasal spray) 2 years and older for healthy children - good supply

H1N1 flu injection for 6 mos - 3 years - Have not our received shipment (expected next week - watch the blog)
H1N1 flu injection for 3 years and older - Have not received our shipment (expected next week - watch the blog)
H1N1 flu nasal spray 2 years and older for healthy children - limited supply

Please call our office for an appointment

H1N1 Live Virus Nasal Spray

2009-10-08T21:50:00.000-07:00

The H1N1 Live Virus Nasal Spray has arrived in our office. (we hope to be receiving the injectible vaccine next week- keep checking our blog).

The vaccine was purchased by the federal goverment and is being distributed by medical offices that have chosen to participate in this important program.

The live virus nasal spray vaccine formulation is for healthy people ages 2-49 years of age.
Please call our office to schedule an appointment.

Welcome to Our Blog

2009-10-08T21:31:00.000-07:00

Information can change quickly.
We decided to start this blog so that you would have access to the most up to date information about our office and a variety of topics.

We will continue to send out our enewsletters and emails.

Check back often!