Guest guest Posted June 9, 2007 Report Share Posted June 9, 2007 , We did not stagger vaccines with our first child and he is autistic, however our second child is not autistic and we have followed a staggered approach since he was born. There are other vaccines we are waiting to give until he is older. Living in two states, Indiana and now Texas, we have not had a problem with getting the vials in single doses. Especially MMR, which is available in single vials. If there are any pediatric nurses out there they can be of more help, hopefully they will respond. As a parent I called every pediatrician until I found one that would accept our protocol. Because they are now used to getting requests like this, you should not have too much difficulty. When they reassured me that there is no longer any thimersol, I explained that is fine but the autoimmune response to vaccines is a possible trigger. I received a blank stare as I discussed all possible theories (mine in particular of a genetic predisposition coupled with an environmental trigger or virus), and they did not disagree with me. Not sure where you are located, but if you need our pediatrician in Austin let me know. Good luck ________________________________________________________________________________\ ____ Looking for a deal? Find great prices on flights and hotels with Yahoo! FareChase. http://farechase.yahoo.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2007 Report Share Posted June 9, 2007 Hi , I think I saw in our DAN doctor's office last week (Dr. Rao in Dallas) that he could arrange and provide for the MMR in separate shots through your doctor or he could do it in his office. His number is (Mon. Thurs.) and (Tues. Wed, Fri.). Of course I highly recommend not getting the vaccines, it makes me shiver to even think about it. www.generationrescue might be a good source of info for your friend. If she's really set on getting it, I would definitely wait a few more years. What's the hurry really? There's one mom on one of my lists that talks about how her child regressed after their kindergarten boosters. You are a good friend to help her. Sincerely, Beth Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2007 Report Share Posted July 18, 2007 , Where are you in VA? I am on the Peninsula, but am trying to keep track of where IMPs are opening up in the state (we need more and more after all). I would be happy to talk to you about what I do about vaccines here, but much depends on how busy your peds practice is. If you want to talk further, contact me off list or call me at . Thanks! vaccinations I opened my IMP (in Virginia) a few months ago and haven't decided how to handle the vaccination issue. How do others handle it? Our local health dept administers vaccines required for school free of charge, and I am thinking of sending adults to local pharmacies for flu, but what about HPV vaccine for those young women out of school who want to catch up? And DTaP for adults? And pneumovax, etc.? I don't plan on having enough volume to stock a lot of vaccines. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2007 Report Share Posted July 18, 2007 I have only been doing Td and Pneumovax since 2004 and am on the edge of stopping even those. Allowables are less than the purchase price, and even if you add the admin fee to the vaccine payment it is still less than the cost of the vaccine, AND, to add insult to injury, if I bill a 99___on the same day as the injection, my three biggest payers besides MCR refuse to pay the cost of the office visit on the same day as the injection. This situation pretty much forces me to let pharmacies take over doing all vaccinations for my patients. Now with minute clinics in every pharmacy, and insurance staff “phone nurses/coaches” I believe that primary care doctors are on the way out. L. Skaggs, MD Lexington, KY www.fayettefamilymed.com vaccinations I opened my IMP (in Virginia) a few months ago and haven't decided how to handle the vaccination issue. How do others handle it? Our local health dept administers vaccines required for school free of charge, and I am thinking of sending adults to local pharmacies for flu, but what about HPV vaccine for those young women out of school who want to catch up? And DTaP for adults? And pneumovax, etc.? I don't plan on having enough volume to stock a lot of vaccines. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2007 Report Share Posted July 18, 2007 , We eased into vaccinations as our finances allowed. It is a huge cost to startup offering everything, so I would target what you think you will see most commonly first. For us, it was the first year shots for well child checks. We’ve gotten burned on giving out all of our flu shots from overshipments. We just recently added HPV, then zoster, then meningococcal. As the practice has grown, it has been easier and easier to give out all the shots we have ordered before they expire. Keep that in mind if you are starting from scratch. Some suppliers ( I think it is Merck)) will credit expired vaccines towards the purchase of new ones. Greg From: [mailto: ] On Behalf Of Brand Sent: Wednesday, July 18, 2007 7:48 AM To: Subject: vaccinations I opened my IMP (in Virginia) a few months ago and haven't decided how to handle the vaccination issue. How do others handle it? Our local health dept administers vaccines required for school free of charge, and I am thinking of sending adults to local pharmacies for flu, but what about HPV vaccine for those young women out of school who want to catch up? And DTaP for adults? And pneumovax, etc.? I don't plan on having enough volume to stock a lot of vaccines. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2007 Report Share Posted July 19, 2007 I recently ordered some from vaccine shoppe (on line) which is run (I think) by Sanofi. They have a return policy on all expired vaccines (not from other manufacturers). For me this is a great relief. I hate the idea of sending patients all over town for vaccines and my very demanding patient population really would not tolerate that type of “service”. Anyhow, knowing that I am not out the $ if the vaccines expire is a HUGE relief (even if I will do no better than break-even on them…) Ramona (they also have some small discount for ordering this summer and for on-line purchase as well as for paying ON TIME) Ramona G. Seidel, M.D. www.baycrossingfamilymedicine.com Your Bridge to Health polis, MD > > Email may not be totally secure and confidential. > Please consider the following: your employer may monitor your office > email home email is available to anyone who uses your computer; email > should not be used for emergencies, urgent matters, or highly > sensitive matters such as HIV/AIDS or mental health issues; I cannot > always receive or respond to emails instantaneously: I permanently > place all emails into your medical record. If you are uncomfortable > sending or receiving confidential medical information such as in this > email, please reply, and I will communicate in some other form in the > future. If I do not receive a reply from you regarding this, I will > assume that you consent to this use of email. > > From: [mailto: ] On Behalf Of Greg Sent: Wednesday, July 18, 2007 3:17 PM To: Subject: RE: vaccinations , We eased into vaccinations as our finances allowed. It is a huge cost to startup offering everything, so I would target what you think you will see most commonly first. For us, it was the first year shots for well child checks. We’ve gotten burned on giving out all of our flu shots from overshipments. We just recently added HPV, then zoster, then meningococcal. As the practice has grown, it has been easier and easier to give out all the shots we have ordered before they expire. Keep that in mind if you are starting from scratch. Some suppliers ( I think it is Merck)) will credit expired vaccines towards the purchase of new ones. Greg From: [mailto: ] On Behalf Of Brand Sent: Wednesday, July 18, 2007 7:48 AM To: Subject: vaccinations I opened my IMP (in Virginia) a few months ago and haven't decided how to handle the vaccination issue. How do others handle it? Our local health dept administers vaccines required for school free of charge, and I am thinking of sending adults to local pharmacies for flu, but what about HPV vaccine for those young women out of school who want to catch up? And DTaP for adults? And pneumovax, etc.? I don't plan on having enough volume to stock a lot of vaccines. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 27, 2012 Report Share Posted May 27, 2012 http://tinyurl.com/cfj7lsg Quote Link to comment Share on other sites More sharing options...
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