What are Dr. Culleton’s Maternity Leave Dates?

November 23rd, 2023 – January 23rd 2024

Is someone covering Dr. Culleton’s practice while she is out?

Dr. Culleton doesn’t have anyone stepping into her practice to cover appointments. We have tried to schedule appointments before and after her leave. If you need to be seen urgently please refer to the Urgent Care and ER resources below. If you have questions about your treatment plan, please don’t hesitate to reach out via the patient portal and Dr. Culleton will get back to you at her earliest convenience.

More acute concerns like colds, flus, fevers, and coughs should be addressed with the links below and Urgent Care/ER because it may take her a week to return messages.

My baby was born and needs to be seen before Dr. Culleton is back, who does she recommend?

Dr. Gabriel Durben at Bellingham Family Natural Medicine has so graciously offered his services to cover Dr. Culleton’s newborn well exams and other concerns that may arise during those early months while she is on leave.

You can reach his office at (360) 738-7654.

What is the link to order supplements?

https://us.fullscript.com/welcome/drculleton

I need my child’s Immunization Records, can you send me those?

Dr. Culleton will not be pulling immunization records while she is on leave. You can view yours and your child’s records through the Wa DOH. If you have issues retrieving their records you can send Dr. Culleton a portal message and she will pull them from the state database when she is back from leave.

How do I schedule an appointment for when Dr. Culleton is back?

You can request an appointment online through our scheduling link or call/text the office at 360-685-7775 and Marcia will get back to you shortly.

Coughs & Colds & Flus

Most coughs can be managed at home, read the following links to determine if you need to take your child in to Urgent Care or ER to be seen urgently:

• Cough Resource (Seattle Children’s)
• Trouble Breathing Resources (Seattle Children’s)
• Colds 0-12mo of age (Seattle Children’s)
• Colds 12+mo of age (Seattle Children’s)

Natural support and resources:

• Warming Socks hydrotherapy treatment. I highly recommend this easy home treatment for speeding up recovery from cold and flu viruses.
• Nebulizer with 0.9% saline for lingering minor coughs and congestion. You can find many options on Amazon.
• Wishgarden’s Herbal Remedies
  • Kick-It Cough, Kick-it Immune, and Congestion Rescue are Dr. Culleton’s favorite!
• Fullscript Online Dispensary
  • Click Favorites -> Cold & Flu Season

Fevers

Most fevers can be managed and monitored at home with a few exceptions that need to be evaluated by the ER.

• Fever over 100.4 in a newborn under 12 weeks of age.
• Fever over 104 and not reducing w/ fever reducing measures indicated in links below.
• Fever with other symptoms of lethargy, severe vomiting, or dehydration. See links below for more guidance.

Read the following links to determine if you need to take your child in to Urgent Care or ER to be seen urgently:

• Fever 0-12mo (Seattle Children’s)
• Fever 12mo+ (Seattle Children’s)

Post Viral Rashes

Many viral infections can cause skin rashes, and they can vary in appearance and severity. Rashes may develop as the immune system responds to the infection and most will go away on their own. Some common viral infections associated with rashes in children include:

• Roseola: This viral infection, often seen in young children, is caused by human herpesvirus 6 (HHV-6). It typically starts with a high fever that lasts several days, followed by the appearance of a pinkish-red rash.
• Hand, Foot, and Mouth Disease (HFMD): Caused by various enteroviruses, HFMD can cause a rash with small, blister-like sores on the hands, feet, and sometimes the buttocks.

It is not uncommon to see eczema flares after viral infections like the flu or common cold.

If the rash is associated with other concerning symptoms, such as difficulty breathing or persistent fever, seek medical attention at your closest Urgent Care or ER

Vomiting & Diarrhea

Dehydration is the biggest for vomiting & diarrhea in our littles. Read the following links to determine if you need to take your child in to the ER to be seen urgently:

• Vomiting 0-12mo (Seattle Children’s)
• Vomiting 12mo+ (Seattle Children’s)
• Diarrhea 0-12mo (Seattle Children’s)
• Diarrhea 12mo+ (Seattle Children’s)
• Stomach Flu

Diarrhea can last up to 2 weeks to fully resolve. So long as there are no other symptoms of fever, vomiting, or abdominal pain and you have read the above link pertinent to your child’s age you can likely monitor at home.

Dietary and Natural support resources:

• BRAT diet for children 12mo+
• Dehydration & Oral Rehydration

Ear Infections

Ear infections are typically caused by bacteria or viruses and can affect the middle ear. The treatment for an ear infection may depend on the cause and severity of the infection. ration is the biggest for vomiting & diarrhea in our littles. Read the following links to determine if you need to take your child in to the to Urgent Care be seen urgently or if you can try the natural support below:

• Ear Infections (Seattle Children’s)

Natural support and resources:

• Garlic Mullein Ear Oil (Amazon)- Apply 1-2 drops in affected ear 3-4 times a day as needed for discomfort. Do not place drops in ears if child is less than 3 mo of age, fever over 103 in child over 3 mo, if there is discharge coming from the ear.
• Applying a warm compress to the affected ear can help relieve pain and discomfort..
• Over-the-counter pain relievers like acetaminophen or ibuprofen can help alleviate ear pain. Follow the recommended dosage instructions and consult with Urgent Care if you have any concerns.

RSV

Respiratory Syncytial Virus (RSV) is a common virus that can cause respiratory infections. It primarily affects the respiratory tract, leading to symptoms ranging from mild cold-like symptoms to more severe respiratory issues, especially in infants.

Links about RSV and how to determine if you need to take your child in to the ER to be seen urgently

• RSV Information (Seattle Children’s)
• RSV Information (Shan Tripp)