Little Oaks Pediatrics Blog

Posts for tag: pediatrician

By Little Oaks Pediatrics
November 16, 2022
Category: Pediatrics
Tags: pediatrician  

Going to a pediatrician is recommended even if your child is not sick. By taking your child to the doctor for regular check-ups, you can effectively protect them from potential illnesses.

Visits to the doctor are recommended when your child hits the following age milestones

  • Birth
  • 2 weeks            
  • 1 month
  • 2 months
  • 4 months
  • 6 months
  • 9 months
  • 12 months
  • 15 months
  • 18 months
  • 2 years
  • 2 and a half years
  • 3 years
  • 4 years 
  • Annually thereafter through 18 

Call (919) 720-4876 and schedule an appointment with Dr. Ozturk and Dr. Guerra of Little Oaks Pediatrics if you’re looking for a pediatrician in Raleigh, NC.

December 08, 2016
Category: Uncategorized
Tags: sick   pediatrician   flu   influenza   child   Pediatric  

It’s not too late to vaccinate – Get your flu vaccine today!

This fall, when you see signs reading “Get Your Flu Vaccine,” you might ask “Isn’t it too late to get vaccinated?” No, it’s not too late! CDC recommends that flu vaccination efforts continue throughout the flu season. While the sooner you get vaccinated the more likely you are to be protected against the flu when activity picks up in your community, vaccination into December and beyond can be beneficial during most flu seasons.

View CDC’s influenza summary map for a weekly update on flu activity in the United States. “Flu season most often peaks between December and March, but activity can occur as late as May,” says Dr. Dan Jernigan, Director of the Influenza Division at CDC. “We are encouraging people who have not yet been vaccinated this season to get vaccinated now.” It takes about two weeks after vaccination for antibodies that protect against influenza virus infection to develop in the body, so it’s best to get vaccinated early. For millions of people every season, the flu means a fever, cough, sore throat, runny or stuffy nose, muscle aches, fatigue, and miserable days spent in bed. Millions of people get sick, hundreds of thousands are hospitalized, and thousands to tens of thousands of people die from flu each year. There is a vaccine that can help prevent flu. While the vaccine varies in how well it works, there are many studies that show that flu vaccination can reduce flu illnesses, doctor visits, and missed work and school due to flu, as well as prevent flu-related hospitalizations. CDC recommends a yearly flu vaccine for everyone 6 months of age and older as the first and most important step in protecting against seasonal flu viruses. This season, CDC recommends the use of injectable flu vaccines (flu shots) and not the nasal spray flu vaccine. The nasal spray flu vaccine (live attenuated influenza vaccine or LAIV) is not recommended for use this season because of concerns about effectiveness. “We are looking into the situation with the hopes that the nasal spray flu vaccine will once again be an option for some people,” says Dr. Jernigan. “In the meantime, this flu season, CDC recommends the flu shot and not the nasal spray flu vaccine.” Flu shots work and can keep you from getting sick! 

By Dr.Ozturk
September 12, 2015
Category: Uncategorized

Finding a Pediatrician


The best way to start looking for a pediatrician is by asking other parents you know and trust. They are likely to know you, your style, and your needs. You also should consider asking your obstetrician for advice. She will know local pediatricians (who are competent and respected within the medical community. If you’re new to the community, you may decide to contact a nearby hospital, medical school, or county medical society for a list of local pediatricians.

If you are a member of a managed care plan, you probably will be required to choose a pediatrician from among their approved network of doctors. Once you have the names of several pediatricians you wish to consider, start by contacting and arranging a personal interview with each of them during the final months of your pregnancy. Many pediatricians are happy to fit such preliminary interviews into their busy schedules. Before meeting with the pediatrician, the office staff should be able to answer some of your more basic questions: Is the pediatrician accepting new patients with my insurance or managed care plan? What are the office hours? What is the best time to call with routine questions? How does the office handle billing and insurance claims? Is payment due at the time of the visit? Both parents should attend the interviews with pediatricians, if possible, to be sure you both agree with the pediatrician’s policies and philosophy about child rearing.

 Don’t be afraid or embarrassed to ask any questions. Here are a few suggestions to get you started. How soon after birth will the pediatrician see your baby? Most hospitals ask for the name of your pediatrician when you’re admitted to deliver your baby. The delivery nurse will then phone that pediatrician or her associate on call as soon as your baby is born. If you had any complications during either your pregnancy or the delivery, your baby should be examined at birth, although this exam may be conducted by a staff pediatrician or neonatologist at the hospital if your pediatrician is not there at the time of delivery. Otherwise, the routine newborn examination can take place anytime during the first twenty­four hours of life. Ask the pediatrician if you can be present during that initial examination. This will give you an opportunity to learn more about your baby and get answers to any questions you may have. Your baby will undergo routine newborn tests that will screen for hearing and jaundice levels as well as thyroid and other metabolic disorders. Other tests may need to be done if your baby develops any problems after birth or to follow up on any unusual findings on your prenatal sonograms. 



By Dr.Ozturk
June 15, 2015
Category: Uncategorized
Tags: pediatrician   swimmer's ear   raleigh  

Swimmer's Ear in Children

Summer is around the corner and we have started seing more cases of Swimmer's Ear. Below is a short take on this issue from the AAP: 


Swimmer's ear, which doctors call otitis externa, is an inflammation of the external ear canal. It occurs when water gets into the ear—usually during swimming or bathing—and does notproperly drain. When that happens, the canal can become irritated and infected.

Youngsters with this condition will com­plain of itching or pain in the ear, the latter particularly when the head or the ear itself is moved. As the canal swells, hearing will decrease. The infected ear may ooze yel­lowish pus.

Your doctor will diagnose otitis externa after examining the ear canal with an oto­scope. He or she may treat it with prescrip­tion eardrops. Sometimes you will need to insert a gauze wick into your child's ear to make sure the drops reach the site of the swelling. If it is needed, your physician will demonstrate this procedure. Also, try keep­ing your child's ear canal as dry as possible during the healing process; that means de­laying washing and shampooing until the inflammation has disappeared.

Once a child has had a swimmer's ear in­fection, you should try to prevent futureepisodes. To help avoid them, your young­ster should place drops in the ears after swimming—either a 70 percent alcohol solu­tion or a mixture of one-half alcohol, one-half white vinegar. Also, dry the ears with a towel immediately after swimming or bathing.



By Dr. Ceyhun Ozturk
February 07, 2015
Tags: measles   outbreak   contagious   pediatrician   daycare   vaccine   immunization   autism   travel   Pediatrics  


Measles Outbreak


Since the recent measles outbreak is a hot topic I would like to share an opinion  of expert Dr. Marietta Vazquez, associate professor of pediatrics at Yale School of Medicine below: 


What is the cause of the recent measles outbreak?

The United States is currently experiencing a large, multi-state outbreak of measles linked to cases reported at DisneyLand in California. As of last month, 102 people from 14 states are reported to have measles. 

The current outbreak likely started from a traveler who became infected overseas with measles, then visited the amusement park while infectious. However, no source has been identified.

Travelers bring measles in the country, where the disease is spread primarily to unvaccinated individuals — either infants too young to receive the MMR (measles-mumps-rubella) vaccine or those who have chosen, or whose parents have chosen, to avoid the vaccine.

Measles is a serious respiratory disease caused by a highly contagious virus. It spreads through the air when an infected individual coughs or sneezes. The infection can also cause serious health complications, such as pneumonia or encephalitis, and even death. Children younger than 5 years of age and adults older than 20 are at high risk of getting a serious case of measles. About 1 in 4 unvaccinated people in the United States who get measles will be hospitalized, and about 1 in 500 may die.


What should healthcare providers and the general public do about measles?

First and foremost providers should ensure that all patients are up to date on the MMR vaccine. Parents should make sure they and their children are up to date on their vaccines. One in 12 children in the United States is not receiving the first dose of MMR vaccine on time, leaving those children susceptible to the disease if exposed. 

Unvaccinated U.S. residents traveling abroad are at risk for measles. Returning U.S. residents and foreign visitors may develop measles and expose unvaccinated and vaccinated people. The majority of importations of measles into the United States come from U.S. residents.


Have you treated children with parents who have worries about vaccines? What are their concerns?

Yes, parents come to me with concerns regarding vaccines. Some of the concerns from parents include the pain of the shots, the number of vaccines given to children under age 2, vaccines causing fevers, and concerns that vaccines may cause autism, or contain mercury.

These concerns can lead parents to decline or delay vaccines for their children.   


How do you respond to their concerns?

I do a couple of things: First, I listen. The only way practitioners can successfully address a question is by listening and really understanding where it’s coming from.

So when a patient says, “I don’t want the vaccines,” I listen and ask questions: “Tell me, what are your concerns? What have you heard? Do you know of somebody who had an adverse reaction to vaccines?” Maybe they saw something on TV, read something on the Internet, or maybe they have a family member with autism. 

Listening is the first step; the next is to not preach or indoctrinate. I give information, and I’ll be very frank with parents. I say, “This is my area of expertise; let me tell you about this vaccine.” I talk about what the vaccines are, what is in the vaccine, what is not in the vaccine, because there are a lot of misconceptions. Some people still think there is mercury in vaccines, but it is only present in the multi-dose flu shot. I also make sure that I talk about the diseases in question because oftentimes parents will say no to the MMR vaccine, but I feel that it is my job as a physician to inform them that there is an outbreak and to talk about what nobody wants to talk about — that children can die from this. And then I ask if they have any questions. I give them literature and time to decide. My goal is to help parents make an informed decision. 


What can happen when some parents decide not to vaccinate their children against diseases such as measles or whooping cough?

If enough children do not get immunized, it can break down community immunity and pose a danger to kids who are either too young to get vaccinated or unable to get vaccinated (e.g., children being treated for cancer), as well as those children for whom the vaccine did not provide immunity (unfortunately, vaccines are not 100% effective).

Immunization of adults, pregnant women, and adolescents is also very important. Moms and dads who get vaccine-preventable diseases can pass them on to their babies and children, who may not be old enough to have gotten all of their vaccines yet. Some diseases, like whooping cough, measles, and flu, can be deadly for babies. Children can get these diseases from the adults who care for them.  

Parents, grandparents, older siblings, and anyone who cares for babies should get their flu and Tdap (tetanus-diptheria-pertussis) vaccines. Parents may need other vaccines as well and should ask their doctor which vaccines are recommended for them.  


Some parents who are wary of vaccines believe that “herd immunity” will protect their child. Is that the case?

Some vaccine-refusing parents believe that vaccine-preventable diseases are not a threat. Herd immunity means enough people in a community are immune to a contagious disease — either through vaccination or prior illness — to make its spread from person to person unlikely. Even people who have not been vaccinated are offered some protection because the disease has little opportunity to spread within the community. 

But when measles gets into communities of unvaccinated people (such as people who refuse vaccines for religious, philosophical, or personal reasons), outbreaks are more likely to occur. These communities make it difficult to control the spread of the disease and make us all vulnerable to having the virus re-establish itself in our country again. 


What are the real risks of vaccination?

Vaccines are safe. For more than 30 years, the United States has had a vaccine safety system in place to ensure that vaccines are as safe as possible. There is no evidence to support a link between the U.S. childhood immunization schedule and autoimmune diseases, asthma, hypersensitivity, seizures, child developmental disorders, learning or developmental disorders, or attention deficit disorders. 

The main risks associated with getting vaccines are side effects, which are almost always mild (redness and swelling at the injection site) and go away within a few days. Serious side effects following vaccination, such as severe allergic reaction, are very rare, and doctors and clinic staff are trained to deal with them. The disease-prevention benefits of getting vaccines are much greater than the possible side effects for almost all children.