Our office is located in LA's  

  Carthay Circle neighborhood  

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You are not generic.

 

Because everyone is different among both children and parents, I find it difficult to give generic advice. Sometimes the situation calls for more intervention, and sometimes it calls for just waiting and letting things take care of themselves. My goal is to take care of your child when he or she is sick, to help you make decisions that will keep your child healthy, and to help you be the best parent that you can be.

 

My pledge to you is to listen, to be observant, to be thoughtful and to make appropriate use of what is known from real science, in order to provide or arrange for the best possible care for your child. 

 

For more on my approach to pediatrics in general and certain topics in particular, please explore this website. And if you have more questions, I hope to see you in the office soon. 

Measles outbreak 2019

 

     I've spoken to folks at the Health Department who are working hard to keep measles cases here in Los Angeles to as few as possible.  As of  April 24 at 1:30 PM, there are a total of five cases of measles known to the Health Department in Los Angeles County.

     Of course, that may change over the next days and weeks.

     Measles is a serious disease with serious and sometimes permanent side effects. It is way worse than chicken pox, which is more like a nuisance.

     Every person who has not had measles already, or who has not been appropriately immunized, should get herself or himself and/or their children in to a doctor to get the MMR vaccination as soon as possible--preferably before spring break ends, May arrives or they start attending Dodger games.

      If you know of cases or suspected cases of measles, please call the Preventable Diseases (like measles) Unit at the LA County Department of Public Health at 310--351-7800. I would be happy to hear about it as well.

     Anyone who thinks they might be coming down with measles should stay home and call their doctor. They should not go to the doctor's office or to school or shul or church or Ralph's or wherever. They should stay home to try to avoid spreading this severe illness to others.

    Please forward this message to whoever is looking for information about measles. Anyone can to pitch in to help keep everyone safe.

INFORMATION ABOUT INSURANCE

     I believe all families deserve access to the very best medical care, and I have been proud throughout 

my years in practice to subscribe to as many insurance plans and options as possible. 

 

   Almost everyone who has pediatric insurance can arrange to use our office.  Click here to visit our website's Insurance page.

My practice

 

My office is open from 9 a.m. to 5 p.m. Monday through Friday, and until 7 p.m. on Wednesday.  After hours you can reach me through my office telephone number, which will give you the option to page me   either urgently – no matter the time of day or night –  or  non-urgently, which means that if it’s after 10 p.m., I won’t be “beeped” until 8 the next morning.   

 

My practice serves a very diverse slice of our very diverse  Southern California community, including patients who come from as far away as Palmdale, Long Beach, Orange County and Pomona.  But I don't mean just geographical diversity, but economic and cultural as well.  

 

Really good medicine -- the relationship we hope to create and sustain between patient, parent and physician -- cannot exist outside of the social and cultural context. I aim to be aware of and sensitive to the context from which each of my patients comes.  Everyone's an individual and I aspire to treat everyone in a way that respects who they are.

To learn about our office and staff, click here.

 

 

The journey of growing up
 
Childhood

 

Most children are well most of the time, and when illness happens, often all that’s needed is a little bit of time for your child to get over whatever problem he or she has.  Colds, diarrhea and rashes are all common problems that almost always resolve on their own.  



    If your child is well, you should come in once a year for a check-up so we can mark his or her progress, catch potential problems early, and explore any questions that you -- or he or she -- may have. Questions especially will get better attention at a check-up than in the shorter time allotted for a sick visit.  

 

  To keep reading, click here.

 

 

Adolescence

 

When I think about adolescents, I'm reminded of what William Faulkner said on the occasion of receiving the Nobel Prize in literature -- that man will not merely endure, he will prevail.   

 

People think adolescence is a challenge, but that's not what makes it different from other stages of parenting. I advise my patients not to let their pre-teens' and teenagers' behavioral changes obscure the tremendous emotional and intellectual growth that is also occurring -- growth that makes a young person more interesting, more capable, and eventually, more mature.  

 

To take advantage of these changes, try to make sure your teenager is getting enough rest -- including rest from their electronic devices, which should be off a full hour before they try to go to sleep.  Studies have shown it's natural for teens to stay up late, but that doesn't mean the time has to be spent on a computer.  Reading a magazine, doing math homework and even planning tomorrow's outfit will make it easier for your teenager to fall asleep when she tries.  And if you can use that last hour for talking between you and him even once or twice a month, you're doing great.

 

 To keep reading, click here. 

 

 

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For new parents

 

 

Congratulations and welcome, or welcome again, to the wonderful world of parenthood!  Every baby is special, and even if you've been here before, you'll find that there will be surprises galore along the way.  

 

Hiccups and sneezing are really common, and normal.  Babies are supposed to eat more or less all the time, every couple of hours. They pee and poop a lot.  We don't call it diarrhea as long as they start gaining weight, but they don't start gaining weight until they're a few days old. 

                   

  • If you're planning to breast-feed your baby, that's terrific.  For sure it's less expensive than buying formula, and it's almost always a little bit better.  But you should know that it doesn't always work, even for mothers who are completely committed to making it work.  And you should know that formula isn't so bad either – and it's a big improvement over being hungry and underfed if there isn't enough breast milk available.   

 

  • Spitting up is normal – every baby does it. That’s why you carry a cloth around protecting your clothes.

 

  • Coughing, on the other hand, isn't really normal. Call if your baby coughs.

 

  • I would not advise taking your baby's temperature unless he or she seems to be really hot or unless he or she is acting sick.  And if the temperature is over 100.0 degrees before the baby is three months old, you should call me right away.  

 

At home with your newborn

 

Click here for information on bilirubin and jaundice.

 

Click here for information on immunizations.

How to find us

My office is located on a mostly residential stretch of San Vicente Boulevard between Wilshire and Olympic, just south and west of LACMA and Miracle Mile, near the southeast border of Beverly Hills.

 

The address and phone number are at the top of this page.

Click here for a map.

Our building is just west of the corner of San Vicente and Crescent Heights.  There's ample underground parking and we have pretty views from our office, which is down the hallway to the left when you step off the elevator.

© 2012 - 2019 by David H. Keene, M.D. Proudly created with Wix.com

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