Health Tool - Child Wellness Visit

I’m wondering if our local families understand and take advantage of the benefits of well-child checks. Well child checks are important tools for you and your doctor to make sure your child is developing right and to screen for common problems that appear at specific ages.

What happens at a well-child visit?  We check your child’s growth and development, looking at their height, weight, and head size as compared to other kids their age and gender.  This can tell us if there are trends that need attention.  We also check age-appropriate milestones, social behaviors and learning.  We make sure your baby is able to do the things he/she should be doing by certain ages.  If we find a problem, we make recommendations:  continue to monitor, send to a specialist to evaluate, or get specialized services or therapy starting at an age young enough to make a difference.  We also talk about nutrition and safety in the home and community.  At well child checks, we discuss immunizations to prevent illness.  At the Perry Memorial Walnut Clinic and our other Perry Clinics, we offer immunizations for children whose insurance cover them.  If your insurance doesn’t cover immunizations, we discuss with you when and which vaccines your child needs to get at the health department – who typically can provide these necessary immunizations for free or at a reduced cost to children without insurance or who are underinsured.

Most insurances cover wellness exams 100%, especially for kids.  Check with your insurance provider to be sure.  Well-child checks are for healthy kids who are growing and seldom go to the doctor, as well as for children who are seeing doctors regularly due to chronic health issues.

In my office, I like to see kids at the following intervals starting from their newborn checkup (2-5 days old), 1 month, 2 months, 4 months, 6 months, 9 months, and 12 months.  Then in the second and year, we would see them at 15 months and then every 6 months (18 months,  24 and 30 months of age) until they are 3.  Starting at age 3, we would then like to see the kids yearly until they are 21.  Their birth month is a good time to remember to schedule these visits, or you could do it in the summer when the children are off school.
 In the summertime (or any time of the year) we can incorporate school and sports physicals with the well-child check.  Keep in mind the well child visit and physical are not interchangeable.  The well-child check is much more comprehensive than the school or sports exams and is intended to catch any health problems early on.  Because of the wide range covered during the exam we can fill out the any required forms pertaining to the physical during this visit to save you time or an additional appointment.
Before you bring your child to the clinic for his/her wellness exam, make a list of topics you want to discuss with us, whether it be about how much sleep your baby should be getting, is a certain behavior normal, what and how much should they be eating, or maybe small health issues like skin lesions that you’ve deemed too minor to make an appointment for.

Regular wellness exams help your provider get to know your child and the family, so that they can know when something is amiss.  This consistency helps develop that medical home, where everyone knows your name.
Remember as you are making plans this summer, think about scheduling well child exams for your kids if they haven’t had one, need to get caught up on them, and especially if they need to get vaccines, or need physicals for camp,  school or sports.


Perry Memorial Hospital Growing the Provider Team

October 6, 2017

Perry Memorial Hospital is pleased to welcome four new providers to the Perry healthcare team. Dr. Anju Patel, MD, pediatrician, Bianca Ramiro, DNP, and Cory Kramer, FNP, and Sarah Johnston, FNP, will be providing healthcare for all stages of life. Perry Memorial is expanding our healthcare footprint in Bureau, Marshall, and Putnam Counties to provide for the communities’ health and wellness future, one step at a time.

Dr. Anju Patel, a Pediatrician, knew at a young age her adult profession would involve a service field involving giving to others and their communities. “Choosing pediatrics was easy,” Dr. Patel said. “I was drawn to providing preventative measures and guidance for parents and their child from the moment their child drew their first breath, to preparing for school attendance, growing through puberty and preparing to send them off to college.”   My special interests are childhood illnesses like asthma and attention deficit disorder. Dr. Patel looks forward to caring for children of all ages and being part of their growth. Dr. Patel is seeing patients at the Perry Memorial Family Health Clinic, Mondays only. *Illinois Valley Community Hospital Partnershi

Bianca Ramiro began her nursing career in the Philippines working as a dialysis nurse. She grew up in a healthcare profession family, surrounded by nurses and EMT’s and had her sights set on an advanced degree. She achieved her Doctor of Nursing Practice – Family Nurse Practitioner degree May 2017. Bianca has a strong interest in growing diabetes awareness through education and is a knowledgeable resource of information for patient care. Bianca exudes warmth and compassion she will listen to understand you as a patient. Bianca is now seeing patients at Perry Memorial Family Health Clinic, Princeton.

Cory Kramer was nineteen working on a hot summer day as a welder and he pondered what he truly wanted to do with his life. His grandmother listened that evening as he shared his day’s thoughts. Her response, “You can choose to do anything and do it well,” she said. Cory made a life changing decision that night and he hasn’t looked back. He left his welder world and became a CNA to pursue a nursing degree. He achieved his registered nursing degree in ten years and with the addition schooling of four years, June 2017 he received his Master Degree of Family Nurse Practitioner from Chamberlain College of Nursing in Downers Grove. Cory is now seeing patients at Perry Memorial Prompt Care, Princeton.

Sarah Johnston was a home health activity aid in a senior care center when she was guided by her friends and associates to consider a nursing career in place of a social work career. With ten years of senior care she took the first step in 2004 to begin her nursing journey which evolved over the last thirteen years, while raising four boys. Sarah received her Bachelor of Science and Master of Science in Nursing from Wright State University, Dayton, Ohio. She is settling into the area and welcomes the challenge to provide quality family and senior care for the long-term. Sarah will begin seeing patients in mid-October at the Perry Memorial Henry Clinic, Henry.