Frequently Asked Questions
What are your office hours?
Working Hours are generally:
For the most current list and locations, click here
Monday: 8:00am to 5:00pm
Tuesday: 8:00am to 5:00pm
Wednesday: 8:00am to 5:00pm
Thursday: 8:00am to 5:00pm
Friday: 8:00am to 5:00pm
Saturday: 8:00am to 12:00pm Open by Appointment Only
Lunch break 12 noon -1:00 pm
During winter season we are open Monday – Friday 8 am-7 pm
We prefer same day appointments rather than walking in. We ask our parents to call ahead so that we can find an appropriate appointment slot to avoid disruption due to a walk in visit. If a patient walks in we try to accommodate them but there may be a wait as we need to see those patients who have appointments first.
You call our 352-671-6741 and you are prompted to select to talk to our on call providers for urgent conditions that need immediate attention. For non-urgent conditions we ask our parents to wait until next business day without disrupting the providers rest and family life.
We do not out source our calls. You talk to the providers you see in our office.
We accept all major private insurances and Medicaid HMOs (Staywell, Sunshine, United Health Care), credit cards, check & cash. We have a sliding fee schedule for those who do not have an active insurance. Note: We no longer accept Prestige.
Please call us if you are concerned about your health plan insurance carrier.
It is the policy of Premier Pediatrics to provide essential medical services to all patients. No one will be denied access to services due to inability to pay. Discounts are offered to those who qualify based upon family/household size and annual income. A sliding fee schedule is available and is used to calculate the basic discount. Our sliding fee schedule is updated each year using the Federal Poverty Guidelines. Once the application is approved, the discount will be honored for six months, after which the patient must reapply.
Discount Application Process
To apply for our Sliding Fee Schedule, the patient must provide necessary documentation along with a completed application. The required documentation includes proof of:
- Home Address
- Household Income
- Insurance Coverage
You may obtain an application at the front desk or click here for a copy, print it and bring the completed application to our office.
It is the policy of Premier Pediatrics to treat all patients and to operate in a manner that does not unlawfully discriminate against people on the basis of inability to pay, race, color, national origin, religion, sex (including pregnancy), age, sexual orientation (including gender identity and expression), marital status, disability, veteran status, or any other basis prohibited by federal, state, or local law.
New healthy (not sick) patients should call at least two days in advance to schedule an appointment.
All future appointments, if need be, will be scheduled with you before you leave.
If you are sick and need attention we will be more than happy to accommodate you the same day.
It is recommended that your baby be seen within 1-2 days after hospital discharge.
All hospital discharge papers with information about pregnancy, labor and delivery, especially if the baby was born in a hospital other than MRMC.
All other documents mentioned in downloadable forms section.
We do. If your baby is a boy and you want him to be circumcised we strongly recommend that he gets Vitamin K shot at birth. Without this shot his bleeding risk from a circumcision is very high and Dr. Eunus is unable to take that risk.
We strongly recommend vaccination, based on extensive scientific data we believe that the benefits from immunization outweigh the small risks of side effects from vaccination and we immunize our children. But we respect parents’ preference and we do not discharge them from our practice.
We also offer Dr. Sear’s alternative immunization schedule for those who prefer a delayed immunization schedule.
Even if you refuse immunization you still need to bring your child(ren) for routine physical exams.
There is a small group of parents who not only refuse immunization but oppose almost any recommendation given by our health care providers, creating significant difficulties in parent-physician trusting relationship. In this scenario continuing care becomes meaningless and we recommend that these parents choose another physician who may better meet their needs.
No, we do not.
Our decision and recommendations are based on our knowledge, experience, common sense and risks and benefits analysis .If you disagree we try to explore what your concerns are, what’s the rationale behind you disagreement and try to work with you. We can only recommend. We cannot force you to accept our position. It is really hard to practice rational medicine when a parent demands a prescription or no prescription at all.
- Thanks to a highly effective universal immunization program ,we really do not have too many serious bacterial infections that need antibiotics ( like strep throat, sinus infections, urinary tract infections, skin infections, few cases of ear infections and pneumonias)
- Antibiotics cannot kill viruses, so viral infections are not treated with antibiotics. Most colds, ear infections, cough, bronchitis and bronchiolitis, pneumonias are caused by viruses and usually do not need any antibiotics
- Any course of antibiotics kills our normal body flora that is part of immune defense, thus creating a transient immune deficient state when our body become more susceptible to serious infections.
- Non judicial antibiotic use created antibiotic-resistant MRSA and VRE like dangerous bacteria with very high mortality.
- Despite general belief, color ( green or yellow) of a nasal discharge doesn’t mean sinus infection. Usually it is the duration of a runny nose (10 or more days) that matters.
- No medication is the best, less is better. Unless we are convinced that your child needs a medication we will not prescribe one.
- The younger the child is the risk of medication side effect is high and we are particularly cautious.
- We expect our parents to understand that during most sick visits we will recommend no medications but symptom relief and education. Please do not perceive it as “our doctor did nothing”. Our role is to recognize serious conditions and manage. If we found none that should make us happy, not angry.
First of all, I do my evaluation as per AAP and AACAP guidelines to diagnose ADHD.
If ADHD is diagnosed there are following options:
- Do nothing but observe if the child is too young, not in school and you can deal with him.
- Follow recommendations by your friends (not proven by any research) like eliminating sugars, red dye, using mountain dew or coffee. If it helps you are fine to continue.
- Can try supplements like omega-3 (fish oil), or other supplements containing L-theanine, Phosphatydil serine . If these help you continue.
- You can use behavior therapy.
If none of those options are effective then you really have no other choice but using medications.
Here what you need to ask yourself:
- If your child would have asthma (a chronic condition) will you withhold his inhaler?
- If your child has insulin dependent diabetes (a chronic condition) will you withhold insulin?
- If your child has AHDS and is having problems in school (behavior or academic or both) and you are getting complaints from school, why you will withhold his medication?
- Are you aware that your fear of medication side effects is leading to your child to academic failure and low self esteem ?
- Now we have slow release longer acting medications their side effects are much less than older immediate release medications
- In our practice we follow the golden rule “start low, go slow” , we always start medications from the lowest possible dose and titrate up very slowly until we get desired effects. If we see side effects we act without delay. We monitor our patients closely.
What is the patient being tested for, and how does it work?
The patient is being tested for 58 allergens and 2 controls, controls are used to make sure there are no antihistamines in the body to block the test. 60 scratches are done in total: cat, dog, guinea pig, hamster, horses, feathers, 2 types of dust mites, several different trees, several weeds, molds, fungus and about 10 different grass pollens.
It is called a scratch test, and is either done on the back or the arms depending on age of the child—usually 6 years of age and above will have it done on their arms. After testers are placed on child, child will need to sit still for 15 minutes. It may become itchy, but they cannot scratch area of testing.
There are no needles involved to do testing—it’s like a hard bristle brush.
Appointments are about 40 to 45 minutes but sometimes take an hour depending on the child and parents’ questions.
How old does the child have to be to be tested/receive immunotherapy?
Child must be 2 years or older for testing and Immunotherapy.
What is the process? (How many visits/shots total, what span of time)
Treatment lasts one year.
2 small injections every other day for the first 8 months, then 2 times a week for the last 4 months totaling 280 injections in 12 months.
We teach parents to do home based injections for the immunotherapy, but we do offer the service of in-house injections on Mon, Wed, and Fri if needed. Appointments are as follows: 1 testing appointment, 6 follow-up appointments (1 every 2 months) and after 1 year a retesting appointment.
We respectfully request at least a 24 hours notice to cancel an appointment.
We reserve the right to charge patients a no show fee.