Hurricane Florence

posted Sep 11, 2018, 7:36 AM by Marsha Cayton   [ updated Sep 11, 2018, 11:21 AM ]

As Hurricane Florence heads our way and a mandatory evacuation is under way, we wanted to update you on our hours. We will be closing Tuesday 9/11 at noon.  We will be closed all day Wednesday 9/12, Thursday 9/13 and Friday 9/14, reopening on Monday 9/17 if weather and roads allow. Please note this may change and we will update you as best possible.  Also follow Facebook for updates!

Be safe and well through this storm.

Wellness Wednesday Educational Series

posted Jul 30, 2018, 10:21 AM by Marsha Cayton

Wellness Wednesday is an educational series that is designed to support you and your family in creating wellness that lasts a lifetime.  Every day we are learning more about how the body works, and much of it is different that what we learned as healthcare providers and what we have taught you.  We offer this educational series to share with you what is being learned and how you can apply it in your every day lives.

The best part – you don’t even have to leave your home!  This monthly call is a 30 minute call that is offered 2 times for your convenience – a lunchtime call and an evening call.

Follow our event on facebook here

Sign up for our email to receive information about current and upcoming classes here.

We welcome our new provider!

posted Feb 24, 2018, 8:56 AM by Marsha Cayton

We would like to take a moment to welcome our new provider.  Marsha Cayton is a pediatric nurse practitioner and has been working with Dr. Hutton at James Island Pediatrics since October 2017.  Many of you have already met her, but we want to take a moment to share a bit about her.

She has worked in healthcare for over 20 years, as a pediatric nurse practitioner for 17 of those 20 years. She has worked as a nurse, a nurse practitioner, a manager, and an entrepreneur.  She is inspired by functional and integrative healthcare, as it can lead to true healing, which is what draws her to Dr. Hutton. She believes a person must be treated holistically - body, mind, heart, and spirit - to achieve optimal health and wellness.

She lives on Seabrook Island with her husband, Larry, and two cats, Merry & Mojo. She is a proud aunt to two teenagers. Please join us in welcoming her to the practice!

october 11-phones out--now fully operational

posted Oct 11, 2016, 5:46 AM by Martine Hutton   [ updated Oct 17, 2016, 6:09 AM ]

Change to Early Morning Urgent Appointments.

posted Feb 25, 2014, 11:13 AM by Martine Hutton

With the current financial hardships on families and  "affordable healthcare" that appears to be escalating premium costs for families, we have decided to move our urgent morning appointments to 8 am on Mondays, Tuesdays, Wednesdays, and Fridays. Thursday Early Morning Urgent Appointment hours will remain unchanged. You can call for an appointment - but the best way to get one of these appointments remains unchanged!  You make it yourself-at any time of the day or night !  Go to the After-hours page on this website and follow the directions.  Many families are regular users of this service and love being able to schedule their day in advance!  We will also be keeping the phones on during our lunch hours to allow working parents to reach us during their time off. Because we are routinely in the office during this time doing catch-up, we will be able to schedule some appointments over lunch but please call in advance for this appointment time.

Block Up -sunblock for summer

posted May 7, 2012, 12:02 PM by Martine Hutton   [ updated May 9, 2012, 11:42 AM ]

Block Up!

Lazy days at the beach and fun on the boat, Charleston is indeed one of the most beautiful places to live. Parents often ask Pediatricians what is the best sunscreen for their baby/child, or what age is appropriate to begin using sunscreen. The following are some important facts to live by and websites to visit.

 First, some education about sun rays. UVA rays cause prematurity of skin- wrinkles, age spots, and can pass through window glass. UVB rays cause sunburn, but can be blocked by window glass. Even on a cloudy day, the American Academy of Dermatology states 80% of the sun’s UV rays can pass through!  Sand reflects 25%, so your child is NOT completely protected under a tent!  Thus, when selecting a sunscreen, make sure to choose a broad-spectrum protection against UVA and UVB rays.  In general, solar radiation is at their harshest from 10AM-4PM.

For babies less than 6 months the American Academy of Pediatrics recommends to dress infants in lightweight long pants, long-sleeved shirts, brimmed hats and avoid direct sun exposure.  SPF-15 can be used on the back of hands and face if adequate clothes/shade are not available.

                For all other children, the American Academy of Dermatology suggest using SPF-15 or greater with UVA and UVB protection and apply 1 ounce every 2 hours. Reapply after swimming and sweating. Protect self with light-colored tight weave clothing and sunglasses.

Recommended Sunblock:

-                                                                                                                                                                            California Baby- this one is for all-natural lovers!

o   Also see- Badger

-          Luca -  hypoallergenic, broad spectrum

o   Created by locals from Charleston!

-          Blue Lizard- micronized 6-10% Zinc Oxide

o   240 minutes water-resistant!

-          Bull Frog-  PABA free

-          No-Ad – recommended by Skin Care Foundation


What’s coming soon from the FDA:

      In June 2012 there will be changes to labels on sunscreen bottles. Labels must state whether the lotion protects against UVA/UVB rays. They will also not be allowed to claim they are waterproof/sweat proof since all sunscreen eventually washes off! Instead, sunscreen can be “water-resistant up to 40-80 minutes,” states the AAD.


Websites to visit:

Luca sunscreen:

“Sunscreens”: -care/sunscreens

“Summer Safety Tips-Part 1”: American Academy of Pediatrics (AAP)

“Daily skin care for toddlers”: American Academy of Dermatology

“Safety and Prevention: Teens and Sun: Keeping Them Safe without Ruining their Fun”- AAP


Protect your largest organ, your skin, and block up this summer!      ~ Nicole Lukasavage, PA-S2

Many of you have met Nicole in our office as she completed her physician assistant rotation in pediatrics.  She is also a lifeguard, water safety instructor  and skilled swimming instructor- so if any family is interested in swim lessons please call our office for her contact information.

U.S. Measles Cases, Outbreaks Quadruple in 2011

posted Apr 27, 2012, 9:23 AM by Martine Hutton

Excellent reminder of the importance of strong community commitment to vaccination and its value protecting all our people-young and old.  Please make sure you have your immunizations up to date -especially if you are travelling out of this country. Don't bring any unwanted "souvenirs" home please!

Nasal Washes-the good and the bad!

posted Mar 1, 2012, 5:38 AM by Martine Hutton

This concern came out last year and now the CDC and National Jewish Health have issued a warning about using tap water in nasal washes.  Nasal washes are still an excellent and effective way reduce pollen and infection in the nasal passages but using tap water could risk exposure to this deadly organism. Stay with distilled,sterilized or previously boiled water for safety, but don't give up this practice-especially now-tree pollen is upon us!  
This amoeba can be found here in the Low Country and has caused death.  Typically it multiplies in the warmer/hot months in  fresh water lakes and ponds. The deadly disease is acquired by forcing water up the nasal passages, giving the amoeba (Naegleria fowleri)  opportunity to enter the brain. Though very rare, the messages should be clear: avoid potentially contaminated tap water in nasal washes AND beware of jumping into warm fresh water in ponds, lakes and rivers!

The Truth About Food Allergies

posted Feb 18, 2012, 5:29 AM by Martine Hutton

Excellent article about Food Allergies, new research being done at Duke University, and differentiating food allergy from food intolerance.,0

14 Most Outdated Pieces of Baby Advice

posted Sep 26, 2011, 4:05 PM by Martine Hutton

Much of yesterday's baby wisdom has been proven untrue today.  Many of these questions I am asked multiple times every week. This article on outdated baby advice is from  It is an easy read and quickly provides answers to commonly asked questions:

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