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We are here for you 24/7


A Physician is on call 24 hours per day, 7 days per week.  Call (423) 581-3904 or (865) 475-5377 and you will be connected to our answering service.  A nurse from East Tennessee Children's Hospital answering service will return your call. If you have not received a call back within 30 minutes, please call the answering service again. After hours is for emergenices or acute illness questions - not for routine questions which can be answered during regulary business hours. 

Winter is Here!
Written by Dr. Toffoletto   
Tuesday, 09 February 2010 19:15

Winter is Here! As temperatures fall, we all want to stay warm. Babies and young children are generally comfortable at the same air temperatures as adults; there is no need to set the furnace higher than usual. Infants and children are also comfortable when dressed in the same number of layers of clothes as mom and dad, although I recommend an undergarment such as a Onsie when the weather gets really cold

 

Please remember that infants and children can lose 50% of their body heat through their head. Covering your baby’s or child’s head when going outdoors in cold weather is a must for keeping them warm. Don’t forget to cover the hands and feet as well to prevent cold injury to young fingers and toes!

By Dr. Toffoletto, MD


 

Last Updated on Monday, 22 February 2010 17:29
 
Fever Myths and Facts
Written by Office Staff   

Misconceptions about the dangers of fever are a commonplace. Unwarranted fears about the harmful side effects from fever cause lost sleep and unnecessary stress for many patients. Let the following facts help you put fever into perspective:

 
Myth: All fevers are bad for children
 
Fact: Fevers turn on the body’s immune system. Fevers are one of the body’s protective mechanisms.
 
Most fevers are good for sick children and help the body fight infection. The exception is babies less than 3 months of age.They should be seen by a healthcare provider right away. Use the following definitions to help put your child’s level of fever into perspective:
 
100°F to 102°F(37.8°C to 39°C)          Low-grade fever: Beneficial. Try to keep the fever in this range.
 
102°F to 104°F (39°C to 40°C)            Moderate –grade fever- Beneficial.
 
Over 104° F(40°C                               High Fever: Causes discomfort, but is harmless.
 
Over 105°F(40.6°C)                            High Fever: Higher risk of bacterial    infection.
 
Over 108°F (42°C)                              Serious Fever: The fever itself can be harmful
 
Myth: Fevers cause brain damage or fevers over 104°F(40°C) are dangerous.
 
Fact: Fevers with infections don’t’ cause brain damage. Only the body
Temperatures over 108°F(42°C) can cause brain damage. The body
temperature goes this high only with extreme environmental
temperatures (for example, if a child is confined in a closed car in hot
weather).
 
 
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