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.
On Monday, August 19, 2019, U.S. Representative, Adam Kinzinger (R-IL 16), toured Perry Memorial Hospital with Perry’s CEO/President, Annette Schnabel. Rep. Kinzinger promised a visit to Perry during a June meeting with Annette and Deb May-Rickard, VP Nurse Administration in Washington D.C. He was interested in seeing Perry’s facilities and initiatives, and learning more about challenges facing rural healthcare.
While on tour, he visited the Family Health Clinic to view the new building construction, to be completed in February 2020, and the ICU department. Much of the discussion centered around the growing need for telehealth services as a way to meet rural community health needs and the need for funding to establish and maintain these services.
While visiting the Ambulatory Care Department, they discussed the growing outpatient focus of healthcare. Annette said, “Outpatient services are growing, and 86% of Perry services include surgery, emergency, observation and diagnostic testing performed on an outpatient basis. Perry is challenged with limited space to deliver this care in a facility that was built for inpatient care.”
Lastly, Annette and Rep. Kinzinger stopped in the “60’s building,” the only Perry facility remaining untouched since it was built. The building cannot be used for patient care as it does not meet current life safety codes. The financial cost of demolition prevents the hospital from repurposing the space.
After the tour, Rep. Kinzinger stated that he would look into what grants are available to help support some of Perry's needs, as well as continuing to learn about and fight for policies that make it easier for rural hospitals to adapt and grow.
Dr. Mark Williams and Rep. Adam Kinzinger discuss how changes in insurance policies are affecting elective general surgery.