Current Environment:

Baby Formula Shortage

We know these shortages are stressful and we're really hoping they resolve soon.  Here are some suggestions for parents:

Look for the formula you’ve been using in untraditional places  

  • Utilize the store website's location finder.
  • Use local Facebook groups or other social media platforms to find people giving away unused cans, organizing collections or spotting stocked shelves.
  • Some stores, including grocery stores, are keeping formula cans behind the counter. If the shelves are bare, go to the customer service desk to inquire before moving on to your next destination.
  • Try different retailers. CVS, Walgreens, Target, Walmart, Stop & Shop etc. all carry formula 

If you can’t find the formula you’ve been using  

  1. Try ready-to-feed liquid in place of powder
  2. Use store brand generic formula (for example: Target Up&Up Infant Formula w/ Iron) The labels on these generic brands will often say “Compare to ingredients of Enfamil” etc. Alternatively, you can check the ingredient list yourself to compare. Look in particular at the first few items listed as well as the whey/casein protein makeup
  3. Switch to an alternate name brand. Brands like Earth’s Best, Gerber GoodStart, and HappyBaby tend to be more widely available on shelves. These brands also have gentle or sensitive formulations if your baby currently uses Similac Sensitive or Enfamil Gentlease 
  4. If your baby is 11 months old, talk to your pediatrician about transitioning to cow’s milk 

Like most times of stress in parenthood, this is a passing phase. Do the best you can. At the end of the day, keeping your baby fed is the priority and making changes or adjustments is okay! Most babies will tolerate formula changes well. As always, please don’t hesitate to reach out for any questions, tips or concerns.

For more information regarding what to do during the formula shortage, please click here.

COVID GUIDANCE 

If a patient has tested POSITIVE for COVID-19: 

If they have symptoms and test positive on any test (including an at-home antigen test) then they may reasonably consider themselves positive to COVID and they do NOT need any additional testing. A positive test followed by a negative test (regardless of the type of test) is still a positive test. 

ALL who test positive must isolate for 5 days. If a patient is asymptomatic after day 5, they may stop isolation but must continue to wear a mask around others for an additional 5 days. If a patient is unable to wear a mask consistently (too young, developmental delay, eating/sleeping at school), they must isolate for 10 days. If a patient's symptoms are not resolving or they have a fever, they must CONTINUE to isolate until afebrile and symptoms are improving (10 day max). 

If a patient has significant symptoms for >4 days, including fever > 100.4, muscle aches, chills, lethargy, chest pain, shortness of breath, palpitations, dizziness, syncope, decrease in exercise tolerance or non-ICU hospitalization, they need an office visit sometime after isolation for cardiac clearance before returning to physical activity 

How should patients isolate? 

Positive patients should isolate from other household members to the best extent possible based on the patient’s age, and have one family member care for them to limit exposure . They should stay in their own bedroom, not shared spaces. If it is necessary to use common spaces, all parties should wear masks, keep >6 feet away, and limit time in this space. They should use separate bathrooms if possible. 

What about other household members? 

As long as they remain asymptomatic, they need to follow the guidelines below: 

If fully vaccinated (including booster): 

  • Get tested 5 days after the exposure and wear a mask for 10 days 

If unvaccinated or incompletely vaccinated (not boosted after 6 mo since mRNA vaccine/2 mo since J&J): 

  • Quarantine for 5 days, then get tested 5 days after exposure 
  • Wear a mask for another 5 days after quarantine 

If a patient has ongoing contact with a COVID positive individual (unable for the covid-positive individual to completely isolate), quarantine does not start until after the positive individual's own isolation period ends. 

If you have tested NEGATIVE for COVID-19 

If a patient was tested due to: 

HAS symptoms, but NO exposure: 

The patient can return to work/school when he/she has been fever-free for at least 24 hours AND other symptoms have improved. 

HAD exposure, but NO symptoms: 

If fully vaccinated (must include booster if >6 mo since mRNA vaccine or >2 mo since J&J): Should be tested 5 days after exposure. No quarantine required, but wear mask for 10 days. 

If unvaccinated or incompletely vaccinated (includes those who have not received booster 6 mo after mRNA vaccine or 2 mo after J&J): Quarantine for 5 days after exposure, followed by strict mask wearing for 5 days. **If unable to wear mask consistently, should quarantine 10 days. 

How can I help my child to feel better at home? 

Have your child rest, eat healthy foods, and drink plenty of water. 

Take your child’s temperature twice a day with a digital thermometer. 

When do I call the pediatrician? 

Call if your child: 

  • Has a fever >100F for greater than 3 days. 
  • Refuses to drink fluids or has decreased urine output (no urine for 6-8 hours) 
  • Has a bad cough or chest pain 
  • Has any sign of difficulty breathing or respiratory distress 

Where can my child get a COVID vaccination? 

We are offering the Moderna vaccine for children ages 6 months through 5 years. More information about that vaccine can be found here: https://www.fda.gov/media/159309/download 

All other ages can find vaccine sites here: 

For over 40 years, our practice has been serving the medical needs of newborns to college-age children and their families who live in the greater Lexington community.

I cannot say enough nice things about Lexington Pediatrics. My son has been a patient here since he was just a few days old, and the staff has always been nothing short of amazing. They have weekend sick visits, which is great and has saved us a few trips to urgent care.

~ Kyle C. ~