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Cook Children's Pediatrics - Flower Mound 
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Pediatric services

We're here to help you with well-child visits, vaccines, illnesses, behavior problems, learning disorders or answer questions all parents have. If your child has a chronic illness, we're here to provide you with a medical home and make sure he or she gets the attention and care they need.

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Well checks and immunizations

From your baby's long-awaited arrival until those first days of school, you'll be visiting the doctor regularly to make sure that your child is healthy and developing well. These check-ups are essential to ensure appropriate physical and mental development, and to provide vaccinations to prevent serious bacterial and viral illnesses. We are happy to discuss vaccines with you during your visit, and answer any questions you may have.

It is also our pleasure to discuss any questions or concerns you may have about your baby at these visits (or any time you call or come in!). It can be tough to remember everything you want to discuss with the doctor and everything the doctor tells you. These sheets give you a sense of what to expect at each visit and help you keep track of the guidance your doctor provides. Feel free to print them out and bring them with you!

School and sports physicals

Playing sports is a great way to have fun and stay fit. And anyone who has played sports knows that you have to pay some extra attention to your health. If you play team sports, you may have had a sports physical. A sports physical is a visit to the doctor to make sure you're in good enough shape to play the sport you want to play.

There are two main parts to a sports physical: your medical history and the physical exam.

Your medical history includes questions about illnesses and injuries you have had, such as asthma or a broken leg. It is important to know about medical problems that run in your family or any medicines you take on a daily basis. For example, has anyone in your family had heart trouble? Another important question is whether you've ever passed out, felt dizzy, or felt pain in your chest while running or playing. You should fill out the form with your mom or dad so the answers are the same. Your doctor may ask additional questions during the exam.

During the physical exam, the doctor may:

This is also your chance to discuss any other questions you have about your health and playing sports.

Flu shots/Influenza information

Have you had a flu shot? Most kids have and there's good reason. Like all vaccines, this one can protect you from a pretty awful illness — the flu.

No one loves shots. The good news is that the flu vaccine (say: VAK-seen) also can be given in a nasal mist (a nose spray). If you prefer it, you can ask your doctor if the nasal spray is right for you. This type of vaccine contains live flu virus, though, and shouldn't be given to kids who have certain health problems – or even kids who live with people who could get very sick from the flu.

In a healthy person, the flu causes a fever, body aches, and other cold-like symptoms. A person who has the flu will sleep a lot and feel sick, but will get better in a week.

The problem with the flu, also called influenza (say: in-floo-EN-zuh), is that it makes some people really sick. They are less able to get well on their own so they may need to go to the hospital. That's why a flu shot or nasal mist vaccine is recommended for just about everyone.


Please download and complete these forms for flu clinic:

You may download the CDC Vaccine Information Sheets:

When should I get vaccinated?

Now! Flu Mist is available today, and Flu Shots are available beginning Oct 1, 2015, while supplies last! Call 972-382-9725 to schedule! Before and after school appointments are available each day throughout October and November, 2015.

Since Flu Mist provides up to 12 months of protection, that vaccine can be given at any time, ideally early in the flu season. For the Seasonal Flu Shot, October through December is the best time to get vaccinated, but getting vaccinated later in the flu season still provides protection, as flu season normally peaks in February and lasts through April.

Who Should Get the Influenza Vaccine?

Flu Vaccination is recommended for everyone over the age of 6 months for the prevention of seasonal influenza A and B. Patients at higher risk of complications from influenza include infants under age 2 years and children with a history of wheezing/asthma, respiratory illnesses, prematurity, diabetes, or heart disease.

Unfortunately, we will not be able to offer flu vaccines to family members who are not patients in our practice.

Why get a flu vaccine?

Influenza, also called flu, is a contagious respiratory illness caused by influenza viruses. It is known to significantly increase the risk of ear infections, wheezing, pneumonia, and other serious conditions. The best way to prevent the flu is by getting a flu vaccination each year.

Every year in the United States, on average:

Why not get the vaccine?

People with allergy to eggs or who have a history of severe reaction to a previous influenza vaccine should not get it.

We may ask you to delay the Flu Mist if your child has nasal congestion which could block application of the vaccine. We may recommend delaying vaccination with either mist or shot if your child has a current illness with fever. Please consult with our nurses if you have any questions or concerns about your child's eligibility.

Which one should I get?

Both flu shots and flu mist are effective at preventing illness from influenza A and B, including the novel H1N1 virus ("Swine Flu"). Flu Shots are indicated for children and adults ages 6 months and older. Flu Mist (nasal spray) is indicated for children ages 2 years and older, with no history of wheezing in the past year. It cannot be given within 28 days of another live virus vaccine (i.e. MMR, varicella, H1N1 flumist).

The Flu Shot is an inactivated virus (non-live fragments of the viruses) injection which is 80% effective at stimulating immunity lasting about 6 months.

The Flu Mist is a live attenuated virus (weakened, but alive influenza viruses, similar to the chicken pox vaccine) which is over 90% effective, stimulating immunity lasting about 12 months.

"P-Free" vaccine is a preservative free inactivated virus flu shot. ALL of our flu vaccines are preservative free.

For more details, please see the Centers for Disease Control influenza information page.

How Many Doses?

If the patient is under 9 years of age, and they have never received the influenza vaccine before, then they need two doses of influenza vaccine this season, at least 28 days apart. We will do our best to reserve these second doses for you, and will be holding second-dose flu clinics in November.

How much?

During patient well-child (physical) visits, we will bill insurance for flu mist and flu shots. During flu "clinic," we will either bill insurance OR accept cash/check/credit.

If a second "booster" dose is needed one month later, (see below) an additional charge will apply. If the first dose is billed to insurance, we will plan to do the same for the second dose.

We have no way to know what your family's deductible or co-insurance might be for this, so if you have questions about insurance billing, please call your health insurance company. If you think your financial responsibility might be more than the cash pay price, we recommend you schedule for the cash pay clinic.

What about H1N1 flu ("Swine Flu")?

Though the novel H1N1 influenza virus raised considerable concern in the medical community when it first emerged (spring 2009), we are fortunate that it has proven itself to be no more severe than seasonal influenza. You are certainly hearing a great deal from the media about H1N1 influenza, and this is in large part due to the high prevalence of infection in our community. Because this was a relatively "new" virus to most of our bodies, we were more susceptible to catching it. In general, though, it is no more severe than the influenza we are accustomed to dealing with each winter. (Please see above for further explanation of influenza, its symptoms, and patients at higher risk of complications.) The seasonal influenza vaccine does provide coverage for the novel H1N1 ("Swine Flu") virus. See the Centers for Disease Control for details.

How do we treat the Flu?

The symptoms of the influenza virus is usually best treated with rest, fluids, and ibuprofen for pain and fever relief. If the virus triggers reactive diseases such as asthma, appropriate treatment may be necessary. In addition, a bacterial superinfection such as pneumonia may require antibiotic therapy. The antiviral medications, Tamiflu and Relenza, are being reserved for patients with severe disease requiring hospitalization, high risk patients such as young children under 2 years, and children with asthma and other chronic conditions, per CDC recommendations.

Developmental problems

We screen for appropriate development during each well child visit, but are also available to evaluate children for developmental issues any time a parent is concerned. We can help guide parents on appropriate interventions, such as speech, occupational, or physical therapy when needed. We may recommend blood testing, imaging, or neurological testing to evaluate for causes of any abnormalities we find. We may also refer to specialists such as neurologists or developmental pediatricians when appropriate.

Onsite lab

For acute illnesses, we have lab facilities for rapid testing of strep throat, influenza, mononucleosis, and urine. We do our own laboratory specimen collection, including blood drawing for testing such as routine blood counts, acute infection testing, and allergy testing.

Acute illnesses

As you might expect, we are available for urgent and non-urgent illness assessment and management. Same-day appointments are available, and patients can be worked in for more urgent issues upon discussion with our clinical staff. We have medications, shots, and intravenous fluids available in office for acute illness management.

Parent/doctor consultations

There are some issues that may best be addressed by arranging for a consultation between your child's pediatrician and yourself. Some issues may be too sensitive or complex to address in a conventional appointment that includes your child at least at the outset. If you have concerns that you believe may be best discussed in such a consultation, please let our staff know and we will work with you to make these arrangements.

Patient and parent education

Although we live in the information age and getting information is as easy as a few taps on a smartphone, not all of that information is trustworthy or based upon a foundation of good evidence. We are committed to providing our parents and patients with information that is well-researched and reliable. Just ask us. We'll provide you with the knowledge you need and the resources to get more if you need it.

ADHD management

Attention Deficit Disorder, with or without hyperactivity, is a common behavioral disorder that affects an estimated 8% to 10% of school-age children. Boys are about three times more likely than girls to be diagnosed with it, though it is not yet understood why.

Kids with ADHD can act impulsively, be hyperactive, and have trouble focusing. They may understand what's expected of them but have trouble following through because they find it difficult to sit still, pay attention, or attend to details.

Of course, all kids (especially younger ones) act this way at times, particularly when they are anxious or excited. But the difference with ADHD is that symptoms are present over a longer period of time and occur in different settings. They impair a child's ability to function socially, academically, and at home.

The good news is that with proper treatment, kids with ADHD can learn to successfully live with and manage their symptoms. We can help guide you on diagnosis and treatment options across a broad range of behavioral and medical interventions.

Vision screens

Routine medical exams for kids' vision include:

Hearing screens

Most children who are born with a hearing loss can be diagnosed through a hearing screening. But in some cases, the hearing loss is caused by things like infections, trauma, and damaging noise levels, and the problem doesn't emerge until later in childhood. So it's important to have kids' hearing evaluated regularly as they grow.

Your newborn should have a hearing screening before being discharged from the hospital. Every state and territory in the United States has now established an Early Hearing Detection and Intervention (EHDI) program to identify before 3 months of age every child born with a permanent hearing loss, and to provide intervention services before 6 months of age. If your baby doesn't have this screening, or was born at home or a birthing center, it's important to have a hearing screening within the first 3 weeks of life.

If your baby does not pass the hearing screening, it doesn't necessarily mean there's a hearing loss. Because debris or fluid in the ear can interfere with the test, it's often redone to confirm a diagnosis. If your newborn doesn't pass the initial hearing screening, it's important to get a retest within 3 months so treatment can begin right away. Treatment for hearing loss can be the most effective if it's started by the time a child is 6 months old.

Kids who seem to have normal hearing should continue to have their hearing evaluated at their annual physical.

If your child seems to have trouble hearing, if speech development seems abnormal, or if your child's speech is difficult to understand, talk with your doctor.

Prenatal consultation

One of the best ways to find a good pediatrician is to do your own personal shopping. We here at Cook Children's appreciate the opportunity to meet future parents of newborns in prenatal consultations so that we can answer your questions and provide important information. It also gives you the chance to make sure you feel comfortable with your baby's doctor and get things set up before you have your baby. Just one less thing to worry about in the busy days following your baby's birth.

To view Cook Children's guide on choosing a pediatrician for your child, click here.

Disease prevention

If there is one thing that is most important to pediatricians, it is the concept of prevention. It is really at the heart of just about everything we do. Whether it is counseling about how to keep your child well and safe, or providing life-saving immunizations to prevent serious infectious diseases, we would much rather prevent a disease than have to treat one. Your children are our future and we take keeping them well very seriously!

Injury treatment

Our doctors can see and treat minor injuries including lacerations and simple fractures. We can close minor and complex lacerations with Dermabond (skin glue) or sutures. We order and interpret x-rays, make splints, and direct care for simple orthopedic (bone) injuries. We will help arrange referrals and follow-up for more complicated injuries and issues.

Routine gynecological care

For our adolescent girls and young women, we manage routine gynecological care including menstrual problems, STD testing, and yearly pap smears.

Chronic conditions

Children, like adults, sometimes have chronic conditions that require ongoing treatment. Sometimes that treatment is provided by the pediatrician and sometimes that treatment is provided by our colleagues in the pediatric specialties. Our state of the art electronic medical record allows us to see who is caring for our patients and what care is being provided. That helps us make sure that of all the care is coordinated and that your child is getting the right treatment at all times.

Ear piercings

Our office also provides ear piercing for our patients who are over age 3 years. Ask your pediatrician about it!

Note: We do not recommend ear piercing for children under 3 years of age, as earrings can be choking hazards, per American Academy of Pediatrics guidelines.

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