Procedure Description: The foreskin is removed under sterile conditions.
What To Expect:
Typically, circumcisions are done in the hospital during the newborn period; It is done if the child is doing well and after he has urinated.
Circumcisions can be done in the office if you decide not to have it done in the hospital. We perform them up to approximately a month of age.
Please inform us if you have a family history of bleeding disorders (such as hemophilia).
The actual procedure takes about 20 minutes. A consent form explaining the risks and benefits will ge given to you to sign before the procedure.
The decision to have a circumcision is completely up to the parents; it is not medically required.
Preprocedure:
The boy is strapped onto a small board securing his hands and feet and placed under a warmer and light.
The area is cleaned and a sterile field is created.
A small amount of lidocaine is placed on each side of the base of the penis in an effort to eliminate the sensation of pain.
A nipple - dipped into simple syrup - is given to the child during the procedure to promote the release of natural pain killers within the body.
Sterile equipment is used.
We do not use any sutures or cautery during the procedure.
Postprocedure:
If the circumcision is done in the hospital, your nurse will check the baby about half an hour afterward and provide detailed instructions on post-circumcision care.
Likewise, if done at the office you will be asked to wait approximately 30-45 minutes afterward to ensure no complications.
At home:
Apply a generous amount of vasoline with a gauze pad on top of the penis with each diaper change.
Reapply vasoline as needed and change the gauze pad if soiled.
Expect to see a thin yellowish film on top of the penis, along with some swelling - this is part of the normal healing process. It is not necessary to wipe this film off.
If the gauze pad seems to stick to the penis, apply some warm water and gently peel it off.
Use a warm wet towel to clean the penis only if there is feces on it, otherwise simply reapply vasoline.
Continue care for about 5 days after the circumcision.
If there is a small amount of bleeding, contact us immediately.
Back Office Martina - medical assistant Jill - medical assistant Tiffany - medical assistant Vicki - R.N.
Swine Flu Update
First time patients
Expectant Moms Please feel free to call ahead to schedule a complimentary meet and greet with either or both of our physicians.
"How will the hospital know that you are my pediatrician?" You can state who your pediatrician will be at the time you register with the hospital (most hospitals allow you to do this ahead of time on their websites). Or, at the time you are admitted to the hospital you will be asked whom your pediatrician will be and you can designate any one of the three doctors: Drs. Patel, DeLucca, or Horlick
Newborn visits by our physicians One of the three physician will be going to see the newborns born at either Scottsdale Shea or at Paradise Valley Hospital every day. You can expect to see them every day that you are in the hospital, usually sometime between 6:00am and 9:00am each morning.
"How will you know that my baby was born?" Soon after your child is born the hospital will notify the office directly. When the office is closed, our answering service will take the message and if no call back is needed by the hospital then our doctors will be notified early the subsequent morning.
Calling during Nighttime, Weekends, Holidays
For any life-threatening emergencies call 911.
After the office has closed, either Dr. DeLucca or Dr. Patel is on call for emergencies or urgent situations that cannot wait until the morning. Calls about mild illnesses can usually wait until the morning. Please do not call with questions regarding scheduling, prescription refills, or referrals as those questions are best answered when the office is open.
If you have an urgent medical problem that cannot wait until the next day, call our answering service at:
(602) 776-3598
This number is also on our recording if you call the office after hours. The operator will page the either Drs. DeLucca or Patel who will then return your call as soon as possible. They will be able to offer home care advice or authorize an emergency room visit if it's needed.
Many insurance companies require you to contact your primary care provider before you go to an emergency room. They may also have specific hospitals you can use. Please be familiar with the regulations of your insurance company.
Which hospitals do we have priviledges with?
Drs. Patel,DeLucca, and Horlick have admitting and staff privileges at the following hospitals:
1919 E. Thomas Road Phoenix, AZ 85016 (602) 546-1000 Although we do admit to PCH we do not round/see patients there; another doctor from a Hospitalist service will see you daily.
3929 East Bell Road Phoenix, Arizona 85032 (602) 923-5000
9003 E Shea Blvd Scottsdale, AZ 85260 (480) 323-3000
We will see newborns and sick children ourselves at Paradise Valley Hospital and Scottsdale Shea. Patients requiring specialized care will be admitted to either Phoenix Children's or St. Joe's. However, we do not routinely round on those patients; care will be transferred over to another physician.
Scheduling Appointments & Well Visits
Sick Visits
Our practice philosophy is that we will offer a same-day appointment for all sick children. We will not turn away any child who needs care. You may call the office to schedule an appointment after 8:00 a.m. Monday through Saturday until the office closes for the day (5pm weekdays and noon on Saturdays). Call our office as early in the day as possible to schedule an appointment. Please feel free to request either Dr. Patel or DeLucca - we will try to accomodate your request. You will be able to see your provider of choice for well visits, but for sick visits it depends upon how busy each provider is for that day.
Holidays & Sundays
The office is closed on Sunday and on the following major holidays:
Memorial Day
Independence Day
Labor Day
Thanksgiving
Christmas
New Year's Day
Well-care appointments
If you are unable to keep a scheduled appointment, please call as far in advance as possible to cancel the appointment; This will allow us to offer this time to another child. You may request the physician of your choice for the well child visit. Appointments can me made several months in advance.
When is the office the busiest?
The busiest time of the day is typically the first and last hour.
Mondays and Fridays are the busiest days of the week.
The days following a holiday or long weekend.
The winter season (approximately November til March).
The phone lines are open starting at 8:00 am each morning Monday through Saturday. The first appointments typically aren't scheduled until 9:00. If our staff does not identify themselves please ask with whom you are speaking to.
We are happy to answer all routine questions regarding illnesses, child care, parenting or behavioral issues during office hours. The front office will take your message and pass it on to the pediatricians depending on the concern. Questions regarding referrals will be handled by either Sandra or Tiffany. We attempt to answer each call as promptly as possible.
The provider who returns your call will make decisions on which patients need to come to the office and how to provide home care for the children who do not need to be seen. If your child is sick and you want him or her seen, call ahead for an appointment so you won't have to wait.
Information before Calling-Please Know the Following:
Your child's main symptom
Mention if your child has a chronic disease or health problem
Child's temperature if they are sick
Child's approximate weight
Names and dosages of any medicines your child is taking
Your pharmacy's telephone number
Your questions written down
Have a pencil and paper handy to take down instructions
Finally, try to have your child nearby in case something needs to be checked
While waiting for a call-back, please try to keep your line open.
Keep in mind that Mondays and the days following any holiday are the busiest times.
We try keep appointments open during the last hour of the day for sick children who need to be seen after school or day care. Please try to have your babysitter or day care center director understand they you should be called before 3 PM if your child becomes ill so that you may call the office promptly.
What to do in case of an emergency
If you have a life threatening emergency call 911 for paramedic response. Do not call the office or directory service first.
Examples of 911 calls(not a comprehensive list):
Severe breathing problems:
Breathing stopped
Choking/Unable to breathe or turning blue at the lips
Difficulty breathing after bee sting
Significant swelling around or including the mouth and tongue causing gasping/choking/drooling
Severe Bleeding includes the following:
blood pumping/spurting out
blood is pouring out and can't be stopped with direct pressure
Severe neck injury (Advise not to move child until EMS arrives)
Seizure or convulsion in progress (has not stopped)
Cannot wake up child (unconscious or in a coma)
If you have a medical question that is not an emergency but cannot wait until the office is open, please call us at 480-563-1111 and one of our providers will call you back.
Please be aware that prescription refills, appointment scheduling/changing, or questions about referrals will only be taken care of during office hours. These matters cannot be handled by the on call physician.
However, for your convenience, you may submit such requests by going to www.mdhub.com and entering our phone number (480-563-1111)
