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January 2011

Simplicity Urgent Care Is Open for Business

Hello, and welcome to the first newsletter for Simplicity Urgent Care, a neighborhood center that is open evenings and weekends, and never requires on appointment.

Located at 3263 Columbia Pike in Arlington, our goal is to provide a medical center where you can see a doctor any day of the week – whether you have insurance or not.

From treating sore throats and cold-and-flu symptoms to cuts and abrasions, strains and sprains, and urinary tract infections, the doctors on our staff provide fast, friendly care, as well as immunizations, X-rays, drug screenings, travel medicine, and more.

As ER doctors who have specialized in pediatrics at some of the largest hospitals in the country, we have learned from our patients that the best way to provide good medical care is to keep things as simple possible for the patient. Making healthcare easier is our goal, and it applies to everything we do.

In each of our monthly newsletters you'll find medical tips, meet our staff, and learn more about health care from a doctor's point of view.

Learn more about Simplicity Urgent Care here:

What Should You Do When Your Child Has a High Fever?

By Dr. John Jones
Medical Director
Simplicity Urgent Care

It always seems to happen at 6 p.m. You left your happy, healthy baby at the daycare center this morning, and now you have a cranky baby with a runny nose, cough, and a fever. Since your pediatrician's office is closed for the day, you know you can wait until morning to see a doctor, or take your child to the emergency department or urgent care center. But are you overreacting?

From a doctor's point of view, here are some suggestions on what to do.

1. First and foremost, it is never wrong to take your child to the emergency room or an urgent care center like Simplicity. As an Emergency Room doctor by day, I can tell you – that is what we are there for. Trust your parental instincts because you know in your gut when something is wrong with your kid.

2. Once you get there: With children and fever, pediatric emergency physicians divide children into three groups – 2 months and under, 2 months to 6 months, and 6 months and above. The grouping is based on the number of vaccinations the child has received, with the older children having enough protection against the Strep and H Flu and the younger ones at increased risk of contracting these bacterial illnesses.

• If your child is 2 months and under and has a rectal temperature of 100.4 or greater, the baby automatically gets a comprehensive work-up and spends the next two days in the hospital for observation.

• For children who are 2 to 6 months, the child will receive a work-up; however, if the lab results are normal, the child can go home with close follow-up with their pediatrician in the morning.

• For children who are 6 months and above, the work-up will depend on the child's symptoms and how sick the child looks to an experienced pediatric provider. Don't be surprised if your doctor does a complete physical exam, feels that a virus causes the fever, and sends you home with no antibiotics. This is standard – and good medicine – because it decreases the chances of allergies, diarrhea, and antibiotic resistance in your child.

3. About fever: Worried parents often ask me, "If my child's fever skyrockets to 104, what should I do?" I always reassure them that a relatively high fever in a small child is not harmful because raising the body's temperature is its method of fighting off infections. In some countries, in fact, doctors do not advise using ibuprofen or acetaminophen because they want to let the fever take its course.

In the United States, we advise taking antipyretics (Tylenol or Motrin), which knocks down the fever and keeps both the children and their parents happy. I usually advise parents to stick with Motrin because a dose lasts for eight hours. In my house, my wife – who is also a doctor – and I try to avoid the medicine battle with our kids at all costs. To minimize the frequency of giving medications when our little ones are sick, we usually opt to give them Children's Motrin.

4. When determining the proper dose of Children's Tylenol or Children's Motrin, be sure to administer the proper amount based on your child's weight – not their age. Even a small amount under the required dosage based on weight will render the entire dose ineffective.

For rules of thumb for administering Motrin, and to read more of my article in my monthly column on Be Inkandescent Magazine, click here.

If you have any questions, please contact your pediatrician, or feel free to stop by Simplicity Urgent Care at 3263 Columbia Pike in Arlington.

Learn More About the Medical Professionals at Simplicity Urgent Care

Dr. John Maguire, FACEP

Dr. John Maguire is the medical director for three of INOVA's freestanding emergency rooms in Northern Virginia where he is responsible for clinical operations and other administrative duties, and annually oversees more than 75,000 patient visits.

Dr. Maguire has also served as operational medical director for the PHI Air Medical Group, AIR CARE, and helicopter transport services. A 1997 graduate of Georgetown University Medical School, Dr. Maguire graduated magna cum laude from Radford University with an undergraduate degree in Biology. He completed his residency in emergency medicine at Geisinger Medical Center in Danville, PA, and he became board certified the following year, in 2001.

Dr. Maguire frequently lectures on medical topics, conducts peer reviews, and participates in research studies. His professional affiliations include American College of Emergency Physicians, American Academy of Emergency Medicine, Air Medical Physicians Association, National Association of EMS Physicians, the American Medical Association, and the Urgent Care Association of America.

Contact Dr. Maguire by email.

Dr. John Jones, FACEP, FAAP

An emergency physician at INOVA Fair Oaks Hospital who is certified in both pediatric and adult emergency care, Dr. John Jones is a graduate of George Washington School of Medicine with an undergraduate degree from Dartmouth College.

He earned several departmental awards in research and medicine during his course of study. He completed his residency in emergency medicine at George Washington University, then began working at the Quincy Medical Center in Quincy, MA, where he taught residents and was also a clinical instructor at Boston University.

Dr. Jones then completed a two-year fellowship program at INOVA Fairfax Hospital for Children, and is now boarded by the American Academy of Pediatrics and the American College of Emergency Physicians – one of the few physicians in the country who is double boarded in both emergency medicine and pediatric emergency medicine.

Most recently, he worked as an emergency physician at Shady Grove Adventist Hospital in Rockville, MD, in both the pediatric and adult emergency departments. He also taught residents and is a clinical instructor at Georgetown University. He maintains affiliations with several professional organizations, including the American Academy of Pediatrics and The American College of Emergency Physicians. He is also active with the Urgent Care Association of America.

Contact Dr. Jones by email.

Licensed Practicing Nurse and Office Manager Patty Grzankowski

Simplicity's head Licensed Practical Nurse (LPN) and office manager, Patty Grzankowski, has worked in the medical field for more than three decades.

She received her Practical Nursing License in New York State in 1977, and until 1986 worked in the Buffalo area Hospital System, primarily in the Intensive Care Unit and Medical/Surgical Units.

Patty then relocated with her family to Virginia and has since worked in Pediatrics and Family Medicine with the Inova Hospital System's Spinal Rehab Unit, General Surgery Unit, and Occupational Health Unit.

Most recently, she was a staff nurse at the Woodburn Endoscopy Center in Annandale, and from 2003 to 2007 she was the only nurse in Dr. Eric Furst's ENT office. Before that, she worked with children and teenagers at Virginia Family Health in Burke, as well as at Virginia Pediatric and Adolescent Center in Springfield, and Burke Primus.

Contact Patty by email.