September 3, 2020 – You are beginning to see Flu (Influenza) vaccine being offered in our community in anticipation the 2020-2021 Flu season.
When is the best time to get Flu Vaccine?
My general advice about Flu vaccine is to get it as soon as and wherever you can – whether it is from our office, your local pharmacy, your workplace, etc.
However, in a year like this year when we are not expecting a shortage (that couldn’t happen in 2020, right?), it is probably best to wait until mid-September or October to get it so that you are most likely to still have coverage during the most active time of Flu season.
Flu vaccine lasts about 6 months and Flu illness is typically most active in January, February, and March.
June 18, 2020 – Our office mourns with our community.
The owners, the pediatricians, the nurses, and the administrative staff of Raleigh Children & Adolescents Medicine – our entire RCAM-ily – we all mourn.
We grieve the murder of George Floyd and too many other black men and women whose lives have senselessly been taken. We are listening to the voices within our community and to those across the nation who are protesting racial injustice.
We have devoted our careers to caring for children. This is what we believe:
Every child deserves to feel safe
Every child deserves the chance to thrive and live their best life
Every child deserves to be treated fairly and with dignity
We condemn systemic racism and discrimination in all forms. Racial discrimination casts a lifelong shadow that undermines the health and well-being of our children and prevents us from realizing the full promise of our community.
We stand together with our community against racism, fear, and social injustice. We want to stand up for one another to end discrimination. We want to move toward one another to find our common humanity and bring healing. We uphold human dignity for all our families.
How do we talk to our children about race and racism? Here are a few ideas to start the conversation:
April 20, 2020 – This past weekend RCAM lost one of our giants.
Alan Goldman, MD passed away late Friday night after battling an extended illness.
RCAM Pediatrician from 1971 to 2007
I have been lucky to have worked with some talented, good people. Alan most definitely was one of the most talented and one of the best.
He worked as a pediatrician at RCAM for 36 years.
He went to Harvard University for his undergraduate degree. Anyone who knew him found that easy to believe, because he was smarter than the rest of us. You picked up on that because it was obvious, not because he ever flaunted it.
He was an accomplished pediatrician. He was the first pediatrician in Wake County who had specialty neonatology training and helped to advance neonatal intensive care in this area.
Never a Negative Word
Alan had a very pleasant and calm demeanor. I never saw him frazzled, and I never heard him say a bad or even negative word about anyone the entire time I knew him.
I will write that again just to be clear. I never heard him say a bad or even negative word about anyone.
We worked together for 11 years. There was a time when we shared an office. I saw him plenty away from work – typically, it involved some carpentry (one of his many talents).
Never. A. Bad. Word.
He Brought the Party
Alan was fun, and he was almost always working on something that would bring people together for the sake of entertainment.
So many of us have been regaled by something Alan planned: Poker nights, Christmas party games, Super Bowl games, March Madness brackets. The list goes on and on…
I knew Alan to always be preparing for the next gathering where everyone would be entertained by some sort of quiz, riddle, or trying to remember the words to “Good King Wenceslas” (How many Jewish men know all the words to “Good King Wenceslas”? Alan did.).
Our Hearts Are Heavy
Words are difficult at times like this. Alan was truly one of the RCAM greats.
He set a high bar for excellence in skill, attitude, and community.
Alan meant so much to our office, but – also – he meant so much to so many others.
Our hearts ache for the Goldman family.
UPDATE 4/21/2020: Dr. Goldman’s family wrote a beautiful remembrance that you can find here
April 8, 2020 – Spring began a few weeks ago and – particularly after this past weekend – it became clear it was time to say Goodbye to Three Girls on a Sled whose carefree ride in the snow takes us back to a time before we had ever thought much about coronavirus and COVID was NO-VID.
Typically, our spring banner includes outdoor, spring activities (duh), but Young Girl and Online School seemed – given our present circumstances – to be a better fit.
[Aside: Of course, if your home is more like mine, this picture would need to include another, younger sister and some dispute about one of them “breathing too loud” and a father – numb to the sibling conflict – working feverishly to be sure the WiFi will produce enough bandwith for school and his office’s Zoom meeting that is scheduled to begin now.]
If you had some pressing things you wanted to discuss at a well visit that is on the delayed list, consider scheduling a TeleHealth visit (see below)
All sick child care was moved to the Brier Creek office – with a few twists:
Twist #1 – Curbside clinic was initiated for children with symptoms suspicious of possible coronavirus
Twist #2 – TeleHealth visits are becoming our new normal as a way to safely evaluate patients without the fear of increasing potential exposures
All RCAM staff are now wearing masks and gloves – at both offices – add to that lots of hand washing and not touching your face and cleaning rooms after every patient
All of these changes were made to be as safe as possible yet still available to our patient families, to reduce exposures, and to slow the spread of coronavirus / COVID-19.
TeleHealth Visits have some limits though I am surprised at how typically they can identify something treatable or rule out the need to come to our office or the Urgent Care or the Emergency Department.
He hit the ground running. Brian would probably describe it more like a chase – as in it felt like he was being chased by a lion – as his first week on the job was highlighted by a pandemic.
Brian has been great. More about him later, but it is about time we introduced him to our extended RCAM-ily.
If you see someone in our office wearing a tie that doesn’t feature Sponge Bob (Dr. Sena) – that is more than likely Brian – give him a big Hello and Welcome.
Given the circumstances of his first month, he could probably use the encouragement.
I am sure that everyone could use some encouragement.
The response of our administrative staff and nurses has been spectacular. The general day-to-day pressure on a pediatric staff is underrated, and now they quite suddenly have found themselves on one of the front lines of a pandemic.
They have handled some tough circumstances with a lot of grace and professionalism.
As pediatricians, we’ve had to work together even more than we usually do – Zoom meeting almost daily – making new plans and changing protocols that we just wrote. We have found another gear with how we work with and relate to one another and personally that has been great.
Patients and their families have even asked if they can help.
We have been gifted at least one box of N95 masks and numerous homemade masks.
Finally, the Raleigh pediatric medical community really stepped up. Specifically, Oberlin Road Pediatrics and Carolina Kids Pediatrics both sought us out directly. As it turns out, we didn’t need the help, but it meant a lot to hear from them, and we hope to return the favor sometime.
That’s how we’re all going to get through this – finding ways to help each other out.
Epilogue: Somewhat Related
For anyone still reading this, I had this post all ready to go late Sunday night.
I saved it to my computer and walked upstairs to say good night to my daughters.
When I returned, my screen looked entirely different.There were characters I had never seen before – and about 80% of my original post was completely gone. I tried to pull up the post I had saved, yet somehow that had been updated to the now-80%-gone post.
Sitting two feet away from me was the cause: Buddy, our orange tabby cat.
He has a penchant for getting comfortable in odd places – for example, he loves climbing and lying on top of backpacks.
He is also well known in our house – as pictured here in what I call “Exhibit A” – for getting comfortable on my computer keyboard.
The post finally got done and I believe I have been forgiven for the words that came out of my mouth that night.
Happy Easter to everyone!
Try to enjoy what you can about being locked down with people who are likely pretty important to you – and try to ignore all of their loud breathing.
“CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies) especially in areas of significant community-based transmission.”
We wish our office could offer all patients a mask but supplies are limited. Therefore,,,,
…RCAM is asking families who come into our office to bring their own masks if at all possible.
There is a lot of information available online about how to make and use a mask.