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St. Louis Children's Hospital After Hours (314) 747-2256
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Is Your Child Sick
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Are We A Good Fit For You?
It is crucial when choosing a pediatric practice for your children that you have given serious consideration to the fit between the practice philosophies and your own. Excellent care happens when the providers and office staff are aligned with your family’s priorities and philosophies regarding medical care. Medical care is enhanced by mutual respect of the patient and the medical care provider.
Please read our thoughts on a variety of commonly encountered situations in any pediatric practice.
follows the schedule outlined by the
Centers for Disease Control and Prevention
American Academy of Pediatrics
. We vaccinate our own children on schedule and expect to do the same with our patients. Families who do not wish to immunize their children according to the recommended schedule established by the CDC and AAP should seek care elsewhere.
We work hard to not overuse antibiotics. We educate families on appropriate use of antibiotics, and follow evidence-based guidelines. We do not automatically treat ear pain or a green runny nose with antibiotics. We do not routinely prescribe antibiotics over the phone as we do not believe that to be responsible medical care. We will prescribe an antibiotic when we feel it is clinically indicated.
We work hard to provide comprehensive medical care and serve as your medical home. To that end, we expect that you contact our office first before seeking specialty care or using an urgent care because of convenience We want to be involved in either providing care for your child(ren) in our office or referring you to the most appropriate specialist for the given situation; we aim to coordinate and manage your child’s total health care. Our office believes in the use of up-to-date medical technology so as to help you be better health - educated parents as well as to provide easy access to our office and your child’s health information. We encourage you to reference our website routinely – it is full of information – and to sign up for the patient portal.
We make every effort to meet the needs of our patients, offering both routine and acute care appointments at our office during traditional business hours. We do not at this time offer walk-in visits.
Click here for our office hours.
As we are your medical home, we strongly discourage the use of urgent care facilities. There are several reasons behind this statement:
They are not staffed with pediatric providers and the care rendered is often not based upon pediatric guidelines.
We do not routinely receive any information about your child’s visit from the urgent care.
They do not have access to your child’s medical record, which is a very important collection of information when treating a patient.
NO ONE LESS THAN 2 YEARS OF AGE SHOULD EVER BE CARED FOR AT AN URGENT CARE.
For well visits, please call our
. Well visits may be scheduled up to 6 months in advance. You will receive an automated reminder 2 months ahead of when your child is due for their next well visit. Automated reminders are also sent out within a few days of your child’s appointment.
For acute care (sick visit),
call the office to make an appointment
; if you so wish, you may speak with the triage nurse first to discuss your child’s problem and verify if an appointment is needed. However, if you wish for your child to be seen, we will be happy to do so.
Please leave a message if no one is able to answer when you first call and allow 60 minutes for a return phone call. Certain days of the week can be extremely busy with the number of phone calls and it is sometimes difficult to get back immediately. Please do not call and leave multiple messages, unless your call has not been returned within the 60 minute time frame.
Of course, if you feel you have an emergency, go to the nearest emergency room or call 911.
Our providers make every effort to run on time with appointments, as we believe everyone’s time is equally important. As a courtesy, we will remind you of your upcoming appointment, via phone/text message /email. We ask that you arrive 15 minutes before your scheduled appointment time (to allow time for parking, check-in, updating your insurance information, etc). We understand sometimes things happen beyond your control that may cause you to be late.
We will try to “work you into” the schedule, but you may need to wait a while, or depending on the situation, we may ask for you to reschedule. Similarly, things can sometimes happen beyond our control that causes us to sometimes run late for appointments.
Missed appointments represent a loss to other patients who could have been seen in the time set aside for you. We reserve the right to charge a fee for late-cancelled or missed appointments. We request 24 hours notice for cancellation of appointments.
A $25 fee will be charged for each missed appointment.
The third missed appointment will result in discharge from the practice. For new patients who miss their first appointment, no further appointments will be given and the individual will not be considered a patient in our practice.
We have a provider on call 24/7/365. When our office is closed and you have an urgent issue that cannot wait until the next time that the office is open, you can call 1-314-747-2256 and be connected to our pediatric nurse triage service through St. Louis Children’s Hospital. You will be given advice regarding your child’s problem; often times, the triage nurse will discuss the case with the provider on call. You may wish to check the "
Is Your Child Sick?
"section of our website for helpful information before using the triage service.
Make sure that we participate in your insurance plan.
Click here for a list of our participating insurances
. (Insurances) It is your responsibility to know the limits and coverage of your particular health insurance policy, to show your insurance card to us at each visit, and be prepared to pay any co pays at the time of service. Our billing staff will do their best to assist you with insurance questions; however, if you have questions about your coverage of immunizations, etc it is best to check with your specific insurance plan. Our office does not want you to be surprised by a bill because services provided were not covered by your insurance. Immunizations are a very important example.
Having A (New) Baby?
Here are some things to consider when choosing a pediatrician for your newborn:
“Are We a Good Fit for You?”
. Excellent care occurs when the priorities and philosophies of the parents and pediatrician align.
Make sure that Pediatric Healthcare Unlimited is a participating provider on your
Call our office as soon as possible once you have decided to enroll with us. You will be asked to provide insurance information for BOTH parents, regardless of marital status and regardless of which parent’s plan the baby will be added to. It is important that we hear from you before your baby is born to make sure that there are no potential insurance issues.
If you would like, you can schedule an appointment for a prenatal visit where you can meet with your chosen pediatrician, have your questions about the practice answered, and get a feel for the office. A prenatal visit is not required; however, it is an option for you.
Once you have decided upon a pediatrician, inform your obstetrician that you have selected Pediatric Healthcare Unlimited, (
Dr. Laura Hill
Dr. Janis Robison
Dr. Kathie Wuellner
) for your baby’s pediatrician.
If you deliver at
Alton Memorial Hospital
, the hospital will contact us and one of our providers will see your baby in the hospital usually the morning following your baby’s birth. If there is an issue with the newborn, one of us would come promptly to assess your newborn.
If you deliver at another hospital, the hospital’s staff pediatrician will see your baby and then direct you to call our office and schedule an appointment upon discharge. New babies need to be seen in our office within a few days of discharge – the physician will let you know when exactly. Please make sure before you leave the hospital that you request that your baby’s records be sent to Pediatric Healthcare Unlimited and complete any necessary paperwork to make sure this happens.
Once your baby is born, it is
that you add your new baby to your health insurance policy. Most insurance plans have a
30 day grace period
for newborns to be added. Once the grace period has expired, if the baby has not been added, the
parent will be responsible
for charged incurred.
Please remember to bring your insurance card, co-pay and baby's records to your first visit
Is Your Child Sick?®
Illnesses and Symptoms...
Abdominal Pain - Female
Abdominal Pain - Male
Animal or Human Bite
Antibiotics: When Do They Help?
Bed Bug Bite
Bee or Yellow Jacket Sting
Bottle-Feeding (Formula) Questions
Bruises and Cuts
Colds (0-12 Months)
Coronavirus (COVID-19) Diagnosed or Suspected
Coronavirus Exposure, But No Symptoms
Cough (0-12 Months)
Coughs: Meds or Home Remedies?
Cracked or Dry Skin
Crying Baby - Before 3 Months Old
Crying Child - 3 Months and Older
Cut, Scrape, or Bruise
Diarrhea (0-12 Months)
Diarrhea Diseases From Travel
Drinking Fluids - Decreased
Ear - Congestion
Ear - Discharge
Ear - Pulling At or Rubbing
Ear - Swimmer's
Ear Infection Questions
Ear Piercing Symptoms
Emergency Symptoms Not to Miss
Eye - Allergy
Eye - Foreign Object
Eye - Pus or Discharge
Eye - Red Without Pus
Fever - How to Take a Temperature (0-12 Months)
Fever - How to Take the Temperature
Fever - Myths Versus Facts
Fever (0-12 Months)
Fire Ant Sting
Fluid Intake Decreased
Foreskin Care Questions
Genital Injury - Female
Genital Injury - Male
Hand-Foot-And-Mouth Disease (HFMD)
Heat Exposure and Reactions
Human or Animal Bite
Impetigo - Infected Sores
Infection Exposure Questions
Influenza - Seasonal
Lice - Head
Lymph Nodes - Swollen
Medicine - Refusal to Take
Menstrual Period - Missed or Late
Mental Health Problems
Mosquito-Borne Diseases from Travel
Neck Pain or Stiffness
Newborn Appearance Questions
Newborn Illness - How to Recognize
Newborn Rashes and Birthmarks
Newborn Reflexes and Behavior
Nose Allergy (Hay Fever)
Poison Ivy - Oak - Sumac
Rash or Redness - Localized
Rash or Redness - Widespread
Reflux (Spitting Up)
Sinus Pain or Congestion
Skin Foreign Object
Sliver or Splinter
Solid Foods (Baby Foods)
Spitting Up - Reflux
Stomach Pain - Female
Stomach Pain - Male
Stools - Blood In
Stools - Unusual Color
Strep Throat Exposure
Strep Throat Infection
Swallowed Foreign Object
Swallowed Harmless Substance
Swimmer's Itch - Lakes and Oceans
Tear Duct - Blocked
Toenail - Ingrown
Umbilical Cord Symptoms
Urinary Tract Infection - Female
Urination Pain - Female
Urination Pain - Male
Vomiting (0-12 Months)
Vomiting With Diarrhea
Vomiting Without Diarrhea
Weakness and Fatigue
Wheezing (Other Than Asthma)
Answers About Complementary and Integrative Medicine—Autism Toolkit
Choosing Over-the-Counter Medicines for Your Child
Complementary and Integrative Medicine: What Parents Need to Know
Giving Eye drops to your Toddler
Giving Medicine to Children: Important Safety Information
How Asthma Medicines Are Taken
Medications, Administration of
Medicine and the Media: How to Make Sense of the Messages
Prescription Medicines and Your Child
Use of Medicines in Sports (Care of the Young Athlete)
Using Liquid Medicines
Using Over-the-Counter Medicines with Your Child
2019 Novel Coronavirus (COVID-19)
Acute Ear Infections and Your Child
Allergies in Children
Anemia and Your Young Child: Guidelines for Parents: Adapted from Caring for Your Baby and Young Child: Birth to Age 5
Anesthesia and Your Child: Information for Parents
Ankle Sprain Treatment (Care of the Young Athlete)
Antibiotics Aren't Always Needed
Asthma and Your Child
Bedwetting: What Parents Need to Know
Bites (Human and Animal)
Breastfeeding During COVID-19 Pandemic
Bronchiolitis and Your Young Child
Chickenpox (Varicella-Zoster Infections)
Clostridium difficile (Also Called “C diff”)
Cloth Face Coverings for Children During COVID-19
Common Childhood Infections
Congenital Hip Dysplasia
Constipation and Your Child
Co-Parenting Through COVID-19: Putting Your Children First
COVID-19: Infant Formula Advice
COVID-19: Information for Families of Children and Youth with Special Health Care Needs
Croup and Your Young Child
Croup: When Your Child Needs Hospital Care
Crying and Your Baby: How to Calm a Fussy or Colicky Baby
Cytomegalovirus (CMV) Infection
Developmental Dysplasia of the Hip
Diaper Rash and Your baby
Diarrhea and Your Child
Diarrhea Caused by Specific Types of E coli (Escherichia coli)
Eating Disorders: Anorexia and Bulimia
Eczema (Atopic Dermatitis) and Your Child
Fever and Your Child
Fifth Disease (Human Parvovirus B19)
Food Allergies and Your Child
Food Borne Illnesses
Gastroenteritis: When Your Child Needs Hospital Care
Getting Children Outside While Social Distancing for COVID-19
Haemophilus influenzae Type b (Hib)
Hand Foot and Mouth
Hepatitis A Infection
Hepatitis B Infection
Herpes Simplex (Cold Sores)
Hip Dysplasia (Developmental Dysplasia of the Hip)
How to Take Your Child's Temperature
Imaging Tests: A Look Inside Your Child's Body
Inhaled and Intranasal Corticosteroids and Your Child
Know the Facts About HIV and AIDS
Learning Disabilities: What Parents Need to Know
Lice (Pediculosis Capitis)
Lyme Disease (and Other Tick-borne Diseases)
Managing Chronic Health Needs in Child Care and Schools—Allergic Skin Conditions
Managing Chronic Health Needs in Child Care and Schools—Allergies: An Overview
Managing Chronic Health Needs in Child Care and Schools—Anaphylaxis
Managing Chronic Health Needs in Child Care and Schools—Asthma
Managing Chronic Health Needs in Child Care and Schools—Attention-Deficit/Hyperactivity Disorder (ADHD)
Managing Chronic Health Needs in Child Care and Schools—Gastroesophageal Reflux Disease (GERD)
Middle Ear Fluid and Your Child
Osgood-Schlatter Disease (Care of the Young Athlete)
Parasites - Giardia
Parent’s Guide to Head Lice, A
Pinkeye and Your Child
Pneumonia and Your Child
Positive Parenting & COVID-19: 10 Tips to Help Keep the Calm at Home
Respiratory Syncytial Virus (RSV)
Respiratory Syncytial Virus (RSV)
Roseola (Human Herpesvirus 6 and 7)
Rubella (German Measles)
Safety of Blood Transfusions
Seasonal Influenza (Flu)
Shingles (Herpes Zoster)
Simple Ways to Entertain and Boost Your Baby’s Development at Home
Sinusitis and Your Child
Sleep Apnea and Your Child
Sleep Problems: Your Child’s Sleep Diary
Social Distancing: Why Keeping Your Distance Helps Keep Others Safe
Staphylococcus aureus (Methicillin-Resistant [MRSA] and Methicillin-Sensitive [MSSA])
Strep Throat (Streptococcal Pharyngitis) and Scarlet Fever
Teens & COVID-19: Challenges and Opportunities During the Outbreak
Tips for Coping with a New Baby During COVID-19
Tonsils and the Adenoid
Treating Your Child's Pain: Medical Procedures
Treating Your Child's Pain: Surgery
Type 2 Diabetes: Tips for Healthy Living
Upper Respiratory Infection (Common Cold)
Urinary Tract Infection
Urinary Tract Infections in Young Children
Warts (Human Papillomavirus)
What is Clean Intermittent Catheterization?
Whooping Cough (Pertussis)
Working and Learning from Home During the COVID-19 Outbreak
Your Child Has a Sore Throat: What's the Cause?
Growth & Development
Sports & Exercise
What's Going Around
Pediatric Healthcare Unlimited
8:00 am - 5:00 pm
8:00 am - 12:00 pm
Poison Control: 800-222-1222
After Hours and Emergency
Check-Up / Vaccine Schedule
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