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Child Health Care
Child Health Care

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AIR DATE: February 10, 2011

In a recent report, Nevada ranked 51st in America - dead last - when it came to child health care. Where are we failing kids? How many are uninsured? How can we improve? Do you have a story about your child's health care situation?

GUEST
Noah Kohn, pediatrician and founder, Clinics in Schools
Dr. David Gremse, Prof and Chair, Dept of Pediatrics, University of Nevada School of Medicine
Cathy Schoen, Sr VP, The Commonwealth Fund

PHONE NUMBERS
Cunningham ES Clinic: 702-855-9675
Martinez ES Clinic: 702-855-9219
Basic HS school-based health center in Henderson: 702-799-0508
Helping Kids Clinic: 702-732-7001
The Huntridge Teen Clinic: 702-732-8776
Volunteers in Medicine of Southern Nevada: 702-967-0530

LINKS
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COMMENTS:
During the show, the question of priority versus caring came up several times. I think the issue is not that our community "doesn't care," and rather that it isn't aware. Whenever I speak with individuals and groups, they are generally unaware of just how dire the situation is for so many in our community. Once Nevadans know what the problem is, and the scope of the problem, they want to help and make a difference. People can support our work directly by visiting our website (www.clinicsinschools.org), or they can take a broader view and work with groups like the United Way of Southern Nevada (www.uwsn.org) by donating as individuals, through a workplace campaign, or by starting a workplace campaign at their place of business. It also takes a lot of work to get the word out, which is why KNPR and State of Nevada are vital in sharing this information.
Noah Kohn, MDFeb 8, 2011 12:28:32 PM
It is an honor and a privilege to be able to help people in need in my own community. Thanks to KNPR for highlighting this crisis! I wanted to address the basic question in Joe M's email (and Kayla who called in), which is, "where can I go?" One of our two clinics is usually open every day, Monday-Friday, from 9-noon and 1-5. We are a walk-in clinic, first-come/first-served, and will see any child under the age of 18, and every CCSD-enrolled student 18 or older. All of our services are completely free. Generally (except when I need to be someplace like KNPR's studio), we are open at the Cunningham ES clinic on Mondays and Thursdays, at Martinez ES on Tuesdays and Fridays, and alternate between the two on Wednesdays. For specific details and information, parents may call 702-855-9219 (Martinez) or 702-855-9675 (Cunningham). Parents may also seek care at the Basic HS school-based health center in Henderson (702-799-0508), Helping Kids Clinic (702-732-7001), the Huntridge Teen Clinic (702-732-8776), or Volunteers in Medicine of Southern Nevada (702-967-0530).
Noah Kohn, MDFeb 8, 2011 12:13:19 PM
Thank you for the information..... My wife and I will take your adivce! Thank you again! Joe M.
Joe M.Feb 8, 2011 17:22:04 PM
I echo Dr. Kohn's sentiments on what an honor it is to serve the children and families in Nevada. Many parents seek locations that are convenient to them. In addition to the suggestions Dr. Kohn has listed, Kids Healthcare (992-6868) at 3006 S. Maryland Pkwy is the largest pediatric multidisciplinary practice in the state with specialists in General Pediatrics, Adolescent medicine, Developmental/ Behavioral Pediatrics, Pediatric Endocrinology, Pediatric Gastroenterology, Genetics, Pediatric Infectious Disease, and Pediatric Pulmonology. This clinic has sliding scale payment options based on ability to pay. Lied Outpatient Pediatric Clinic (207-8275) is near UMC at 1524 Pinto Lane and also has sliding scale payment options.
David Gremse, MDFeb 23, 2011 09:39:54 AM
We also work to get patients dental care as well as scans often helping patients get free medication or decreased cost scans. We have also worked with the Dental School to get our patients screened and seen in their clinics for treatment.
Jonathan BernsteinFeb 8, 2011 09:58:24 AM
The Cure 4 the Kids Foundation and the Children's Specialty Center of Nevada has Charity Care and a sliding scale for care. We have also brought in subspecialists we do not have in this state including Metabolic diseases, rheumatologic diseases, as well and Pediatric hematologic and oncologic diseases. We work to make sure no child will go without the best care available.
Dr. Jonathan BernsteinFeb 8, 2011 09:48:04 AM
Do these centers mainly treat diseases and specialties such as cancer? What about parents who just need help if their child needs antibiotics for something simple like a chest cold gone awry? Where do parents go for that type of care?
SarahFeb 8, 2011 10:08:12 AM
Generally, when children are identified as having a serious problem that requires the care of a specialist, the specialists are quick to respond and find a way to "make it happen." Dr. Bernstein, and many others like him, never fail to provide services to the sickest of children, no matter what the financial circumstances of the family. The real gap is in the children who are less ill or who have one time problems. This is where we need to do more, and where Clinics In Schools is trying to fill the gap. (THANK YOU Jonathan for all the help you give to our patients!!!)
Noah Kohn, MDFeb 8, 2011 12:20:52 PM
There have been subspecialists such as pediatric rheumatologists coming in to Las Vegas for years as you well know as well as for lysosomal storage diseases. Clearly, this is nothing new.
Francine PhilipponeFeb 18, 2011 09:49:17 AM
I am a compter tech with a almost a 3 year old boy. I HAD insurance but my employer canceled it. So now my boy can not get the help he needs! I heard that there cheap or free services here in LV. What are they? Where are they? A few months ago my son took the quick route from my step sons top bunk. 500 + for the emegerence room visit. I couldn't even afford to have the 9 stiches taken out! I had to do it myself!!! Plz point out where can I can go? Thanx
joe m.Feb 8, 2011 09:34:55 AM
I am a member of a great company called Well Rounded Momma and we've been trying to provide a program for teen mothers called CenteringPregnancy, with surprisingly little support from the high schools. I do think getting the word out that these services are out there, is the first step to helping out Nevada's children. I myself have been very surprised about the lack of support for our program.
SarahFeb 8, 2011 09:31:00 AM
All children should be treated holistically. Whenever my child starts to show signs of getting sick I treat him with immunity enhancers and herbs. You cannot use the excuse that you can't afford it because I am on medicaide and TANF and I sacrifice what I can to get the medicine. I save on the state by doing it my own way. I don't have any electronics at all, but I have a very healthy child. That is what's most important. For alleries, asthma, colds and even flues there are way better ways to treat your child than the antibiotics and nebulizars etc... that are given all the time that do not help cure the problem. Simple things like raw honey and fenugreek really work.
Ligeia WillFeb 7, 2011 13:12:53 PM
It is interesting how those that have access to insurance etc to take their kids to doctors and run to the doctor and go for all the doctor suggestions like vaccines etc. those are the one I noticed that are sick most of the time. I have three teenagers that dont know what the experience is like to go to a doctor until this year. Guess what? My kids have a simple cold or sore throat maybe once a year at most and with some herbal tea and rest they get over it quickly.
Arlin Feb 8, 2011 09:46:24 AM
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