[Parentsgroup-list] Alternate after hr visit

Manjari C. Miller mchatter at fas.harvard.edu
Sun Sep 23 13:19:43 EDT 2007


We can second that. Our son too usually times his ear infections and 
fevers for the weekends and the after-hours care at HUHS has been great.


On Sun, 23 Sep 2007, Miriam Shakow wrote:

> Hi,
> We have gotten repeatedly excellent after-hours care at HUHS for our toddler, 
> though our son never had anything more severe than a tough ear infection. 
> Somehow, he always comes down with something on Saturday mornings. Sometimes 
> we even planned to take him in on Saturday mornings because we thought that 
> we'd get more time with a doctor than on a weekday, and usually, it's true.
> --Miriam
>
> On 9/23/07 12:47 PM, SPSUCH at aol.com wrote:
>> My understanding was that HUHS had no after hours care for pediatrics. If 
>> you called, the pediatrician on call would be paged and call you back but, 
>> if the baby needed to be seen, you'd be sent to Children's. There was no 
>> one for pediatric care at Holyoke Center after hours. Am I wrong about 
>> this? (I hope I am, because I can only imagine what a nightmare Children's 
>> is!).
>> 
>> Sara Suchman
>> 
>> In a message dated 9/23/07 12:12:56 PM, ziva.mann at gmail.com writes:
>> 
>> 
>>> Hmm.
>>>  Okay, so there's two considerations: first, the HUHS after hours is set 
>>> up for minor issues, but not major ones. So you'd need to work out with 
>>> your ped just how worried they are, and how seriously the issue needs to 
>>> be taken. Few docs take risks with babies - uniformly, the care for an 
>>> infant is pretty aggressive in conventional medicine. If the ped suggested 
>>> the ER rather than the HUHS urgent care clinic (after hours), it's because 
>>> there was a possibility of a real emergency. But some pediatricians are 
>>> more medically aggressive, others more anxious, some afraid of litigation 
>>> - so caveat medical emptor. I find one way to tell is to ask them to 
>>> explain to me what, exactly, they are worried about. Then I ask questions.
>>>  The second issue is convenience. A run to the Childrens Hospital ER takes 
>>> on average 4-6 hours. If the medical concern is low-level, then the urgent 
>>> care clinic would work. If it's mid-level, the urgent care clinic with the 
>>> option of going to the ER could work. Also, if it's mid-level, I find 
>>> Cambridge Hospital to be faster than Childrens. But I've been to Cambridge 
>>> Hosptial for a high to mid-level emergency, and I was not impressed. Thety 
>>> are a community hospital, and are set up to handle moderate urgent care - 
>>> all the real nasty stuff goes to the Longwood area. And they told us so. I 
>>> don't have experience with Mt Auburn, but I'd suspect the situation there 
>>> is similar.
>>>  Again, it's a matter of understanding and being able to weigh the risks. 
>>> Which makes it all the more important to have a pedicatrician that you 
>>> trust and with whom you communicate well.
>>>  -Ziva
>>>
>>>  On 9/23/07,* ludi mahadi* <arliadi.mahadi at gmail.com 
>>> <mailto:arliadi.mahadi at gmail.com>> wrote:
>>> May I tag along the question below for a related question?
>>> If so, I am wondering what would people do if one would not be able to
>>> go with HUHS for an after hour 'somewhat emergency care'. What I meant
>>> by that was something like an increasing high fever in the middle of
>>> the night, etc. In our experience at another state, in some cases our
>>> pediatrician wanted our baby to go to ER for a thorough examination,
>>> where we ended up staying for a good 4-5 hrs- not so pleasant
>>> experience vs. the convenient 24 hrs HUHS I suppose
>>> 
>>> thanks in advance for your insight,
>>> 
>>> ludi
>>> 
>>> On 9/21/07, Andrea Heberlein <heberlein at wjh.harvard.edu 
>>> <mailto:heberlein at wjh.harvard.edu>> wrote:
>>> > Seconding that recommendation-- we see Dr. Schofield and have been
>>> > very happy for all the reasons listed.  It is a schlep from East or
>>> > Mid-Cambridge, though, especially during rush hour.
>>> >
>>> > Andrea
>>> >
>>> > At 2:13 PM -0400 9/21/07, Deborah Freedman Woods wrote:
>>> > >We love our pediatrician, who's located on Mass Ave. in
>>> > >Arlington, about 5 minutes from the Cambridge border.  We
>>> > >see Elizabeth Chamberlain Landis.  The other doctors in the
>>> > >practice are Matthew Scofield and Rajee Joyce.  All of them
>>> > >are fantastic (our favorite is Dr. Landis with Dr. Scofield
>>> > >a close second).
>>> > >
>>> > >They always have same-day appointments for sick visits, they
>>> > >have drop in hours every day 8:00-8:45am, and they're also
>>> > >available on the weekends as needed.  They're extremely
>>> > >knowledgeable and thorough, but don't tend to push
>>> > >medications more than necessary.  Contact info is:
>>> > >
>>> > >Arlington Pediatric Associates
>>> > >5 Water Street
>>> > >Arlington 02476
>>> > >(781) 641-5800
>>> > >
>>> > >I know it's not as convenient as the Cambridge Hospital, but
>>> > >worth considering.
>>> > >
>>> > >Best,
>>> > >Deb Woods
>>> > >
>>> > >
>>> > >On Fri, 21 Sep 2007, Marna S. Costanzo wrote:
>>> > >
>>> > >>  Does anyone have any recommendations for a good pediatrician at 
>>> Cambridge
>>> > >>  Hospital or somewhere in that vicinity?  And if you've had a bad 
>>> experience
>>> > >>  please let me know too!  We recently switched my 2-year old's health
>>> > >>  insurance so he will no longer be able to go to HUHS, and we're 
>>> looking for
>>> > >>  a new pediatrician.
>>> > >>
>>> > >>
>>> > >>
>>> > >>  Thanks!
>>> > >>
>>> > >>
>>> > >>
>>> > >>  Marna
>>> > >>
>>> > >>
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>> 
>> 
>> 
>> 
>> 
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