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:

Whooping Cough Vaccine Only Effective For 3 Years: Study

posted Sep 20, 2011, 4:43 AM by Martine Hutton

The whooping cough vaccine loses much of its effectiveness after just three years – a lot faster than doctors believed – and that could help explain a recent series of outbreaks in the U.S. among children who were fully vaccinated, a study suggests

The study only looked at a small population but it may help explain why we are seeing so many cases of whooping cough (pertussis) in South Carolina.

Flu Vaccination 2011

posted Sep 19, 2011, 9:21 AM by Martine Hutton

Flu vaccines - intranasal and injections are now available in the office. Please call our office to schedule an appointment for you child's vaccination while supplies last.

To Circumcise or Not to Circumcise-that is the Question!

posted Aug 27, 2011, 4:45 AM by Martine Hutton

The link below is to a recent New York Times article that discusses the various issues of newborn circumcision.  This is a balanced discussion concerning personal and medical  considerations that need to be weighed when parents are making the choice. Once again, medical studies do not provide any overwhelming direction.

1-10 of 14