Oded Preis MD Neonatology DrMDK.com
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Host: Just a kid is, say the kid is able to get at eight weeks, and the kid comes to your office, and the kid is two months old, do you delay immunizations, give them more time? Dr. Oded Preis: No, there is absolutely no reason to delaying immunization. Immunization should be given in a timely fashion, according not to corrected age, but according to chronological age which means, a baby of two months should be started on the vaccination program. The only difference is that, in what we call the small pre-mature baby or babies under 35, 36 weeks, they should be given an additional medicine which is really not a vaccine, it's an immune globulin, which they should be getting in the winter months, usually between October, November and April against the RSV virus. So this is a antibiotic that is humanly made and protects them against this virus, because these small pre-mature babies are... Host: What would be the cut-off age of pre-maturity in your line that, the child should get this RSV vaccine? Dr. Oded Preis: The RSV immuno globulin should be given really to all babies under 36, 37 weeks because statistically even babies at 36, 37 weeks are at higher risk for mobility from RSV, should they acquire it. Unfortunately this product is extremely expensive, it's about $1500 to buy and Insurance companies have a cut-off of usually, babies under 34, 35 weeks, and at times they may require additional facts have been just the pre-maturity, in order to approve that the -- Hosts: What would be some of the other facts that you would look at it, to maybe give the insurance company, which is difficult to do, as you understand, maybe a little less difficult. Dr. Oded Preis: Well there's no questions, if they have the conditions, the baby was say, on ventilator support, had RDS, if the baby has what we call BPD or Bronchopulmonary dysplasia. Host: Which is a twins side -- Dr. Oded Preis: Not so much twins, but if there is a home with crowding multiple siblings,we will also see a economic group and other comorbilities, such as, infections, cardiac disease, cerebral palsy, etc. There are other conditions that may qualify these babies to receive that treatment more readily by the insurance companies. Host: They are all set up around. I know in New York and probably there are places that help and patients get the vaccines. Dr. Oded Preis: Well,in most instances, you will have to apply to the insurance company to get approval for their vaccine. In some situation, where patients do not have it, there maybe ways of getting the medication even outside of the realm of the insurance company. We have various agencies that -- and even the company that produces it, does have a program for patients that qualify and are hardship cases. Where they will supply their vaccine Gratis for these patients. Host: Originally, these called the medical directors say, the kid doesn't need vaccine, they don't say it anymore. They're just not paying for it, because we made the decision for, they were making a medical decision that was liable. Now they are very smart. We have seen, you can't get the vaccine, but we are under a contract to have the patient vaccined. Dr. Oded Preis: And that maybe one of the ways, in which these Insurance companies may try to get out from the responsibility of paying. Nobody should give up from fighting them and feeling their rejection on the first round. A lot of times after feeling it and re-pleading the case in front of them, they will reverse their decision and we'll release the medication for the patient. Host: These pre-matures are six months and older, should they get to flu vaccine? Dr. Oded Preis: Any baby over six months should get the flu vaccine. Host: And in pediatrics, flu vaccine, as you are aware, is free of all preservative, they are mostly used to. Dr. Oded Preis: The pediatric flu vaccine is free of the preservatives, this particular references is to the themerosal that contains mercury. As a matter of fact, since 2001,
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