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What if I have a question or concern after hours?

Please call the regular office number (970) 259-7337 with any questions or concerns. We have nurses available 24 hours 7 days a week to answer any of your questions.

One of our Pediatricians is always on call and available to speak to if our nurses are unable to help you or you are not satisfied.

*Please note our phones roll after hours to a team of registered nurses out of Denver. The nurses are able to contact the doctor on call if necessary. When calling our office after hours, you will get a recording. Then please hold the line to speak to a nurse with any concern. They are always there help you.

Does your office have patient parking?

There is Free Parking under the Bank of Colorado building. You must access this from the alley that runs behind the building. The alley is one way so you will need to enter from 11th Street and go north. Please feel free to park in the spots labeled Bank of Colorado Building Customer Parking. You can then take either the elevator or the stairs to the second floor suite 205.

Who will my child see?

We strive to ensure that you have a primary care provider and that you are able to see that provider. You can always request a certain provider for well child care and routine checkups and, when possible, sick visits. This may require you to schedule in advance or wait for an available appointment. We feel very strongly that it is important to have continuity of care with a provider that knows your family.

How quickly can I get an appointment?

We always have same-day appointments available during our regular hours.

Our non-urgent or well child appointments are usually no more than 2 weeks out.  Often there are appointments available in the same week.

If there is a need for a certain day or time we do recommend you calling a couple of weeks in advance to ensure you get the time and day you need. After school hours tend to fill up quickly.

When is my child due for his/her well visit?

Newborn check (3-4 days old)
Newborn WCC (7-14 days old)
1 month WCC (for first time parents or if there are questions or concerns)
2 month WCC (this is when first set of immunizations are usually given)
4 month WCC
6 month WCC
9 month WCC
12 month WCC
15 month WCC
18 month WCC
2 year WCC
3 year WCC
4 year WCC (start discussing 4-5 year immunizations)
5 year WCC (At the 5 year well visit the ASQ paperwork is much longer so we request that you please print the paperwork in advance and fill it out at home or come in at least 15 minutes before your appointment to fill it out.)
6 year –20 year WCC Patient should be seen yearly on or after their birthday

What is the immunization policy for your office?

At Pediatric Associates of Durango, we respect a patient’s right to not immunize but do believe that immunizations can play an important role in your child’s health and well-being. We are very open to working with parents by providing a delayed or alternate schedule and our nurses are available to answer and alleviate any concerns. The Vaccine Book by Sears is a resource that we trust regarding an alternative schedule.

What is your stance on alternative medicine?

I am a board certified pediatrician who looks at the whole child in order to encourage optimal health. I am often finding that dietary changes can prevent chronic ear infections, GERD, migraine headaches or even behavioral challenges. There are also a number of very talented alternative practitioners with whom I work in our area.

Western medicine has some very important tools and is exceptional in life threatening situations. Alternative/complementary medicine offers a more holistic perspective to tackle those challenges that may not be life threatening but are impacting our quality of life.

I also offer acupuncture and shonishin (a needle-less acupuncture from Japan for infants and children) for a variety of issues including migraine headaches, recurrent abdominal pain, sleep disorders, anxiety, trauma and post-concussion syndrome.

How can I get a refill for my child’s medication?

If you are on a routine medication that can be called into the pharmacy, please contact the pharmacy first for your refill. If your prescription is out of refills, the pharmacy is supposed to contact our office to get further refills authorized by the ordering provider. If you are having any issues with a refill please reach out to our office. Frequently we may not have received a request from your pharmacy.

If you have a prescription that is a controlled medication, such as Ritalin, Concerta, and Adderall, etc., please contact our office and the receptionist will forward your request to the ordering provider.
We do ask that you give us at least 48 hours’ notice on all refill requests.

How can I get school/sports/camp forms filled out for my child?
Generally, health forms require that the patient have an annual well child exam. If your child has had a well-child exam in the last 12 months (if they are older than 2 years of age) then you can drop the form off at the office for your provider to fill out. We ask that you give us at least 1-2 weeks to complete these forms.

If your child/teen has not had a well-child/physical exam in the past 12 months please contact our office to set this appointment up.

If I have a question(s)/concern(s) regarding a bill, who do I call?

Our billing department is off site, please contact SK Medical billing at 1-844-380-4836.

If you have a specific question about what your insurance covers, please contact your insurance carrier. The number should be on the back of your insurance card.

 

Information from National Institutes of Health:
Below are a few frequently asked questions about Acupuncture and Shonishin.
What is acupuncture?

 

Acupuncture is one of the oldest, most commonly used medical procedures in the world. Originating in China more than 2,000 years ago, acupuncture began to become better known in the United States in 1971, when New York Times reporter James Reston wrote about how doctors in China used needles to ease his pain after surgery. The term acupuncture describes a family of procedures involving stimulation of anatomical points on the body by a variety of techniques. American practices of acupuncture incorporate medical traditions from China, Japan, Korea, and other countries. The acupuncture technique that has been most studied scientifically involves penetrating the skin with thin, solid, metallic needles that are manipulated by the hands or by electrical stimulation.

 

How widely is acupuncture used in the United States?

In the past two decades, acupuncture has grown in popularity in the United States. The report from a Consensus Development Conference on Acupuncture held at the National Institutes of Health (NIH) in 1997 stated that acupuncture is being “widely” practiced–by thousands of physicians, dentists, acupuncturists, and other practitioners–for relief or prevention of pain and for various other health conditions. According to the 2002 National Health Interview Survey, an estimated 8.2 million U.S. adults had ever used acupuncture, and an estimated 2.1 million U.S. adults had used acupuncture in the previous year.

What does acupuncture feel like?

Acupuncture needles are metallic, solid, and hair-thin. People experience acupuncture differently, but most feel no or minimal pain when the needles are inserted. Some people are energized by treatment, while others feel relaxed. Improper needle placement, movement of the patient, or a defect in the needle can cause soreness and pain during treatment. This is why it is important to seek treatment from a qualified acupuncture practitioner.

Is acupuncture safe?

The U.S. Food and Drug Administration (FDA) approved acupuncture needles for use by licensed practitioners in 1996. The FDA requires that sterile, nontoxic needles be used and that they be labeled for single use by qualified practitioners only. Relatively few complications from the use of acupuncture have been reported to the FDA in light of the millions of people treated each year and the number of acupuncture needles used. Still, complications have resulted from inadequate sterilization of needles and from improper delivery of treatments. Practitioners should use a new set of disposable needles taken from a sealed package for each patient and should swab treatment sites with alcohol or another disinfectant before inserting needles. When not delivered properly, acupuncture can cause serious adverse effects, including infections and punctured organs.

Does acupuncture work?

According to the National Institutes of Health Consensus Statement on Acupuncture, there have been many studies on acupuncture’s potential usefulness, but results have been mixed because of complexities with study design and size, as well as difficulties with choosing and using placebos or sham acupuncture. However, promising results have emerged, showing efficacy of acupuncture, for example, in adult postoperative and chemotherapy nausea and vomiting and in postoperative dental pain. There are other situations–such as addiction, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low-back pain, carpal tunnel syndrome, and asthma–in which acupuncture may be useful as an adjunct treatment or an acceptable alternative or be included in a comprehensive management program. An NCCAM-funded study recently showed that acupuncture provides pain relief, improves function for people with osteoarthritis of the knee, and serves as an effective complement to standard care. Further research is likely to uncover additional areas where acupuncture interventions will be useful. Editorial comments by Dr. Pakhi Chaudhuri: A few additions to the above list: acute/chronic injuries, gastrointestinal issues including constipation, encopresis, urinary issues including enuresis, menstrual irregularities, trigeminal neuralgia (not a pediatric issue).

How might acupuncture work?

Acupuncture is one of the key components of the system of traditional Chinese medicine. A whole medical system that originated in China. It is based on the concept that disease results from disruption in the flow of qi and imbalance in the forces of yin and yang. Practices such as herbs, meditation, massage, and acupuncture seek to aid healing by restoring the yin-yang balance and the flow of qi. (Traditional Chinese Medicine). It is believed that there are 12 main meridians and 8 secondary meridians and that there are more than 2,000 acupuncture points on the human body that connect with them.

Preclinical studies have documented acupuncture’s effects, but they have not been able to fully explain how acupuncture works within the framework of the Western system of medicine that is commonly practiced in the United States. It is proposed that acupuncture produces its effects through regulating the nervous system, thus aiding the activity of pain-killing bio chemical’s such as endorphins and immune system cells at specific sites in the body. In addition, studies have shown that acupuncture may alter brain chemistry by changing the release of neurotransmitters and neurohormones and, thus, affecting the parts of the central nervous system related to sensation and involuntary body functions, such as immune reactions and processes that regulate a person’s blood pressure, blood flow, and body temperature.

What is Shonishin?

Shonishin is a Japanese form of “acupuncture” (though there is no puncturing of the skin) that is specifically designed for the treatment of infants and young children. Shonishin involves the use of light touch diagnosis and non-insertive therapy. Shonishin utilizes small instruments that are rubbed over the meridians or used to stimulate specific acupuncture points. It can be used in older children and adults if they would prefer to not use inserted needles

 

Will insurance companies cover acupuncture and Shonishin?

There is no insurance company that will cover Shonishin and because of this it will be offered on a sliding scale, ranging from $5 to $45 that you will be asked to pay at the time of service.

A few insurance companies will not cover acupuncture at all, but many state that they will cover it under certain circumstances based on the diagnosis and the patient’s plan. This will have to be figured out on a case by case basis. If you are interested in utilizing acupuncture for your child (when it is determined to be an appropriate therapeutic modality), we will request that you research whether acupuncture will be covered under your plan and if there are any restrictions prior to the visit or during the visit. We are happy to provide you with diagnosis codes and acupuncture codes so that you can investigate this. If your insurance company does cover part or all of the cost for acupuncture you will be required to pay a copay at that visit. If your insurance does not cover acupuncture at all you will be required to pay a same day amount at the visit.