13132 Newport Ave #100  Tustin, CA   92780            Phone (714) 565-7960     Fax (714) 565-7982
Pediatric & Adult
Medicine,Inc.
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Recent Developments in Pediatrics
New Vaccines – New vaccines have been added to the routine vaccine schedule.

Adacel – This vaccine protects from Diptheria, Tetanus and Whooping cough.  It is given to children eleven
years and older.
Menactra – This vaccine protects from invasive disease caused by the Meningococcus bacterium.   It is
given to children eleven years and older.
Rotateq – This vaccine protects from the Rotavirus, the most common cause of severe vomiting and
diarrhea in children.  It is an oral vaccine and is given at the 2, 4, and 6 month Well Baby visits.
Guardasil – This vaccine protects against the Human Papillomavirus (HPV).  This virus is known to cause
cervical cancer in women.  

Resources for Pandemic Influenza and Avian (Bird) Influenza
Many people are concerned about the prevention and treatment of influenza, including the H5N1 (Bird Flu)
pandemic.   The Academy of Pediatrics (AAP) has compiled this list of resources to answer questions and
provide information about Avian Influenza.

Centers for Disease Control and Prevention (CDC)   
Unites States Department of Health and Human Services – Avian Influenza (
www.pandemicflu.gov)
Medine – Plus – Avian Flu
World Health Organization – Avian Flu


Inappropriate use of Antibiotics
Despite educational intervention that emphasize the correct use of antibiotics, physicians continue to
prescribe these drugs for acute respiratory tract infections for which they are not indicated.  Antibiotics are
ineffective in treating viral infections. Furthermore, the use of antibiotics for routine viral upper respiratory
tract infectious is one of the major causes of the developmental of bacterial resistance to antibiotics.  Our
physicians will only use antibiotics after careful assessment and only when clinically indicated.   Please do not
hesitate to discuss the use of antibiotics should you have any questions regarding their use.  For further
discussion on the use of antibiotics please see Antibiotics and Your Child under Clinical Information.


Using the Emergency Room
If you have an urgent problem that began after 6:00 p.m. or when our office is closed please call our regular
phone number, 714-565-7960 discuss the problem with the person on call.  In the event of a drowning,
unconsciousness, severe injury, or other life-threatening emergency, call 911!  If you feel you need to go to
an emergency room, then please go.  However, if time permits, please call us before you go.   We will be able
to offer you advice as well as authorize the emergency room visit for your insurance company.  We strongly
advise against taking your child to an emergency room for routine illnesses or convenience.   Management of
routine, non-emergency problems such as colds, sore throats, low-grade fevers, mild flu symptoms,
pinworms, diaper rash or minor injuries are best handled during regular office hours.


2009/2010 Flu Season
We order our Flu Vaccine in February  and should receive our shipment by October. We will send out an e-
mail when we receive our shipment.  If you'd like to be put on a "call-list" just ask any staff member to place
your children's names on the list.  We recommend that all children receive an annual flu vaccine.   We are
pleased to offer the flu vaccine to the parents of our patients.   These are provided on a "cash basis" as we
are not able to bill your insurance company for this vaccine.

Holiday office schedule for 2009
New Years Day - we will be closed on Thursday, January 1, 2009
Memorial Day - we well be closed on Monday, May 25, 2009
Independence Day - we will be closed on Friday, July 3, 2009
Labor Day - we will be closed on Monday, September 7, 2009
Thanksgiving - we will be closed on Thursday, November 26, 2009 as well as Friday, November 27, 2009
Christmas Day - we will be closed on Friday, December 25, 2009

We wish you and your family happy and healthy holidays.