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Posts for category: Pediatric Health

By Town and Country Pediatrics
November 05, 2019
Category: Pediatric Health
Tags: adhd  

ADD (attention deficit disorder) and ADHD (attention deficit hyperactivity disorder) have become more and more prevalent in recent years. ADHDAccording to the Centers for Disease Control and Prevention (CDC), over six million children had been diagnosed with ADHD in the United States as of 2016. There are a few different categories of ADHD, and while the exact causes are still under investigation, there are a few factors that are believed to potentially play a role in the development of ADHD in certain children.

Fortunately, if your child is exhibiting symptoms or has already been diagnosed with ADD or ADHD, there are a number of options available to address the issue. Read on to learn more, and contact the pediatricians here at Town and Country Pediatrics in San Francisco, CA, to schedule a personal consultation for your child.


ADHD Diagnosis and Treatment from our San Francisco Office

ADHD symptoms can be managed with behavior modification therapies, medication, or a combination of both depending on the child and the situation. Parents of children with ADHD can also receive training in order to understand how to help the children cope and adopt the recommended behavior modification practices at home and in the classroom. While there is no official "cure," therapy and medication can help children and their parents successfully manage their symptoms.


Signs and Symptoms of ADHD

There are three categories of ADHD:



Inattentive ADHD symptoms include:

  • Often becoming easily distracted
  • Having difficulty concentrating and focusing on a single task
  • Having difficulty following instructions and directions
  • Having trouble organizing thoughts and processing new information


Hyperactive impulsive

The most common symptoms for hyperactive-impulsive ADHD include:

  • Squirming and fidgeting, having trouble sitting still
  • Impulsive, risky behavior
  • Verbal outbursts
  • Constant talking, difficulty being quiet
  • Disruptive behavior at home and in the classroom



Many children don't fall within one specific category and may experience symptoms of both inattentive and hyperactive-impulsive ADHD.

If you are concerned or suspect that your child may have ADHD, speak to your pediatrician for testing and treatment options.


Contact Us

For more information about the symptoms and treatment options for ADHD and ADD, contact Town and Country Pediatrics' office in San Francisco by dialing (415) 666-1860. Call today to schedule an appointment with one of our pediatricians!

By Town and Country Pediatric Medical Associates
July 09, 2018
Category: Pediatric Health
Tags: Immunizations  

We know how important your children’s health and wellness are to you. One way to help your children be their healthiest is to have them immunizationvaccinated. Vaccines help the body develop immunization against certain diseases. Pediatricians follow the immunization schedule developed by the Centers for Disease Control and Prevention and can help you keep your children on schedule with their vaccinations. The doctors at Town and Country Pediatrics are your Mill Valley and San Francisco, CA, pediatricians for children’s vaccinations.

Types of Vaccines

The immunization schedule of the Centers for Disease Control and Prevention recommends several vaccines be administered at regular intervals beginning at birth and continuing until children are school age. Your Mill Valley and San Francisco pediatrician can provide you with a schedule of the specific ages when your child should have certain vaccines or follow-up doses. The childhood immunization schedule includes the following vaccines:

  • Hepatitis A
  • Hepatitis B
  • Haemophilus Influenza type b
  • Diphtheria, Tetanus & Pertussis (DTaP)
  • Measles, Mumps & Rubella (MMR)
  • Inactivated Polio virus
  • Pneumococcal Conjugate
  • Varicella (chickenpox)
  • Rotavirus (RV)

Additional vaccines are available for children at different ages, but are generally not required for school attendance as many of the other vaccines are. Your Mill Valley and San Francisco pediatrician can discuss these vaccines with you so you can decide if you would like your children to have them. Other available vaccines for children include:

  • Influenza (Flu)
  • Meningitis
  • Human Papillomavirus (HPV0

Immunization Schedule

Many vaccinations are administered in multiple doses over the course of several months. Some vaccinations immunize against a combination of diseases, which means your children only need one shot for each dose of the vaccine. The immunization schedule developed by the Centers for Disease Control and Prevention outlines the number of doses, as well as the dosing intervals, for all available vaccines. Children who receive their vaccines according to the immunization schedule finish the majority of the recommended vaccinations by the time they start school.

It is important to follow the recommended immunization schedule for your children. Doing so will protect them against a variety of serious diseases. Your pediatrician’s office can help your children stay on schedule with their vaccinations. To schedule an appointment with a pediatrician at Town and Country Pediatrics, call (415) 666-1860 for the San Francisco office, or (415) 383-0918 for the Mill Valley location.

By Town and Country Pediatric Medical Associates
May 01, 2018
Category: Pediatric Health
Tags: well child visits  

The wellness of your child is your highest priority when you’re a concerned parent. That is why well-child checkups are highly well child examrecommended by the American Pediatric Association and your Mill Valley and San Francisco, CA,  pediatrician. Preventive health measures are a key part of keeping your youngest loved ones healthy, vibrant, and happy.

What Are Well-Child Checkups?
After your child is born, you and your pediatrician must monitor him or her continuously for important developmental changes. But children grow so fast—it seems as if it all happens in the blink of an eye. One minute they’re barely able to make sounds and the next they’re joining sports teams at school. Well-child checkups allow your child’s doctor to take note of all important changes over the months and years and ensure that your child is getting sufficient nutrition and care. Immunizations (vaccinations to prevent diseases) are also administered at some of these checkup appointments.

Why Preventive Care Is So Important
Well-child checkups are considered preventive care for young children. Preventive care allows your Mill Valley and San Francisco pediatrician to identify and treat potential problems before they have a chance to progress. For instance, behavioral changes and educational challenges can be addressed with the help of a child therapist. If a child is experiencing fatigue, it could be related to a vitamin deficiency or poor diet.

What Happens at a Checkup Appointment?
At your well-child checkup visit, your pediatrician will take notes on your child’s health history and record new information, including the child’s age, weight, and height. You’ll learn if your child is meeting important developmental milestones. You’ll discuss how the child is doing in every area of life, including school, behavior, eating habits, and forming normal relationships. Generally, you’ll have about six visits before age one, two more by age two, and yearly checkups each year until the child is an adult.

Keeping Your Child Healthy and Happy
The best thing about visiting your pediatrician for regularly scheduled well-child checkups is that it gives you peace of mind as a parent. Call today to schedule an appointment at Town and Country Pediatric Medical Associates, with locations in Mill Valley and San Francisco, CA.

By Town and Country Pediatric Medical Associates
November 02, 2017
Category: Pediatric Health
Tags: Immunizations  

Since the late 17th century, immunizations have been saving lives by introducing a small amount of specific antigens, or disease-causingimmunizations substance, that triggers the body's production of antibodies that fight it. At Town and Country Pediatric Medical Associates in San Francisco, California, our providers believe in educating parents and caregivers on the importance of choosing a full immunization regimen for their children.

Stop the spread

Thanks to vaccinations, dreaded diseases like polio, measles, and smallpox have been eradicated from the United States. Others such as mumps and tetanus are close to being a thing of the past. However, as our world "gets smaller" and international business and vacation travel continues, your San Francisco pediatrician urges all parents and caregivers to continue to make all immunizations a priority. Contracting or passing along a dangerous disease isn't probable, but vaccination ensures that it remains unlikely or impossible.

Peace of mind

Parenting isn't easy, and it becomes even more difficult when it comes to your child's health. Anyone who has stayed up all night caring for a sick child knows the concern and worry that comes from that experience. Working with your San Francisco pediatrician to keep up-to-date on their immunizations can help ease your mind, knowing that they are protected from illnesses that otherwise could be life-threatening.

Money and life-saving

As the saying goes, "An ounce of prevention is worth a pound of cure." The cost of immunizations is extremely low compared with the cost of treating diseases that require medications, doctor's visits, or hospital stays.

The pediatricians at Town and Country Pediatric Medical Associates want to help you make informed decisions about your child's health. For more information about immunizations, or to schedule an appointment, contact our office in either San Francisco or Mill Valley, California to schedule an appointment today!

By Town and Country Pediatric Medical Associates
July 17, 2017
Category: Pediatric Health
Tags: Sick Child   Common Cold   Sinusitis  

Common ColdMany people mistake a common cold for sinusitis, and vice versa, as the symptoms of a cold and a sinus infection can be quite similar to each other because the same viruses often cause both conditions. Additionally, since the nose and sinuses are connected, it is possible for viruses to move easily between the nasal passages and the sinuses. 

Your child may feel run down, have a low-grade fever, post-nasal drip and a sore throat. So is it a common cold or a sinus infection? Typically, a cold can definitely morph into a sinus infection, but there are some classic symptoms for each illness that can help distinguish between the two.

The Common Cold

With a cold, there is a cluster of symptoms that your child might be experiencing, including:

  • Nasal congestion
  • A run-down feeling
  • Runny nose with clear discharge
  • Sneezing
  • Sore throat
  • Post nasal drip
  • Fever may be seen in children, but not often in adults

If your child has a cold, they may even experience a cough or a headache, and it can often last from three to seven days with or without any treatment. Your child develops a cold from a virus in which the symptoms usually build slowly over the course of a day or two, peak by days three or four, then slowly improve around the fifth or seventh day. 

With a cold, treatment might include supportive care, fluids and chicken soup. Drinking plenty of water is also beneficial as it helps to hydrate your child. By hydrating your child through water consumption, you can help to flush out the infection because it liquefies the mucus. There are also medications available to help make your child more comfortable as the cold passes.


Sometimes colds can set in the sinuses and cause swelling, which then prevents the flow of mucus and turns the cold into a sinus infection.  Sinusitis is the inflammation of the sinuses that can be caused by a cold, an infection or allergies. Any swelling of the sinuses can produce symptoms such as:

  • Pressure or pain behind the eyes or cheeks
  • Pain in the top teeth
  • Congestion
  • Green or yellow nasal drainage
  • Headache
  • Post nasal drip

Your child may also complain of being tired, having a difficult time breathing through his or her nose, decreased sense of smell and restless sleep. If your child develops a cold every month or every other month, this is because his or her sinuses are flaring up and it is probably not a cold, but chronic sinusitis. 

The main difference between a common cold and sinusitis is that a cold comes around once a year and lasts for three to five days, and then is gone and your child most likely will not experience it again until next year.  Acute sinusitis typically lasts less than four weeks, with chronic sinusitis lasting more than 12 weeks. So if your child’s symptoms last more than a week, odds are they are experiencing a sinus infection and should visit your pediatrician. 

By visiting your child’s pediatrician, you can help your child breathe easy once again. Whether it is a common cold, or a more serious sinus infection, your child’s pediatrician is available to help relieve their symptoms.