Doctor At Your Door, LLC

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Welcome to Dr. Carole's blog, where you can read information relevant to your child's health!

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Dr. Carole's philosophy

Posted on July 9, 2016 at 5:25 PM

Last week I posted 12 basic questions to ask a pediatrician or family practice doctor before deciding whether they are the right fit for your family.  Here are my answers.


1. Do you belong to a group practice? Who covers for you when you’re not available?

I am the primary doctor for Doctor At Your Door.  Dr. Spencer King MD covers for me when I'm not available (for example, if I am away on vacation).  I have a...

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12 Questions to ask a doctor

Posted on July 2, 2016 at 10:25 AM

Not all doctors are the same, and personality conflict is the most common reason people choose to leave their doctor. (That and insurance coverage, but then it’s not really a choice to change doctors.) Here are 12 basic questions to ask a pediatrician or family practice doctor before deciding whether they are the right fit for your family.


1. Do you belong to a group practice? Who covers for you when you’re not available?

2. What are your office hours? ...

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The true cost of health care

Posted on June 20, 2016 at 8:15 PM

How much do you really pay for your child’s doctor visits?


It’s easy to calculate. Take your monthly premium, multiply by 12, and divide by the number of visits you had last year. Then add the cost of the co-pay, if there is one.


We paid $1,440 for our son’s checkup last year. My husband took him, and it also cost him 4 hours (half a day) of work. As a small business owner, it’s hard to calculate how much his time is worth. Bu...

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Instant gratification

Posted on April 18, 2016 at 8:00 PM

In a world where 6 minutes in the microwave is too long to wait for a meal, we all appreciate efficiency and instant gratification. In fact, we have come to expect it.


You can imagine my frustration the other day when I called my doctor to make an appointment. The automatic phone system answered; I had to wait for the option to make an appointment, then select that I was an existing patient, and only then did I get put through to the office. The woman who answered said q...

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4 Things you Need to Know about Pertussis (Whooping Cough)

Posted on February 15, 2016 at 7:00 PM

"What should I do if my child is exposed to pertussis?" 


With the recent outbreak of pertussis at a preschool in town, and many unvaccinated children in Boulder, this question is on the front of many parents' minds in Boulder county.  Here are some facts about pertussis that will help to keep you and your family healthy.


1. Pertussis is spread by respiratory droplets, so when someone with pertussis coughs or sneezes, the bacteria is spread throu...

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Which cough medicine do I need?

Posted on January 16, 2016 at 1:45 PM


Winter is the season for colds and respiratory illnesses, many of which leave us with a nagging cough for weeks afterward. The cough medicine aisle is littered with combination cold and flu medicines, all promising to stop that cough. But they are not all the same, and some medicines won’t work in some people. Here is a quick guide to the main ingredients in cough medicines and how they work, so you can pick the best preparation for your symptoms.


It i...

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I published a book!

Posted on October 30, 2015 at 4:25 PM

I just published a book called The Baby Manual!  It is available for sale on Amazon and Kindle.  You may follow the link below to purchase a copy.

Do vaccines contain cells from aborted fetuses?

Posted on September 19, 2015 at 1:15 PM

Some parents have asked me whether vaccines contain parts of aborted fetuses.  This is evidence of a grain of truth being stretched way out of proportion.  I see where the misconception comes from. Let me clear that up.


Imagine you buy a pirate ship. Over time, as each of the wooden planks that make up the ship start to warp and crack, you replace them one at a time. Over the course of many years, you end up replacing every plank in the ship. You don’t r...

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Does this need stitches?

Posted on September 19, 2015 at 1:00 PM

I get a lot of calls and texts from patients asking whether a cut needs stitches.

Here are 3 quick ways to tell if a cut needs stitches:

- The bleeding doesn't stop for 10 minutes or more

- You can see subcutaneous tissue (whitish-yellow fat)

- The edges of the cut will line up if you pinch them together, but when you let go the edges move apart again

I have all the equipment to do stitches, staples, and dermabond (a special glue for wounds) at home, and trust me...

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Direct Primary Care

Posted on August 24, 2015 at 4:55 PM
Many people ask why I started Doctor At Your Door.  I start off telling them that it's to help children (patients) in the best way possible.  I chose a direct primary care model because I was tired of sitting in an office, seeing 20-40 children per day, and getting only a few minutes with each of them.  I was tired of skipping meals and not being able to use the restroom because there were 5 patients in rooms waiting for me to go see them.  I was tired of missing sleep w...
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Eyedrops: You're Doing it Wrong

Posted on August 20, 2015 at 1:50 PM

Thought you knew how to apply eye drops? Think again.

 My mom used to pry my eyelids open and drip the eyedrops right into the middle of my eye. I’m sure we’ve all tried that method and found that it results in a lot of distress.  Eye drops are scary, especially for children. How many movies have you seen where there is someone being tortured by something slowly approaching their eye? That’s how an eyedropper looks to a child. It’s terrifying.

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3 Things You Didn't Know about Poison Ivy

Posted on August 4, 2015 at 10:00 AM

1. Poison ivy is not a poison, it’s an allergic reaction.  A poison is a substance that directly harms you, whereas an allergic reaction is when your body creates antibodies to a substance, and then attacks it the next time it comes into contact. There are 4 types of allergic reactions, and the reaction to poison ivy is type 4. This is the slowest type of allergic reaction; it causes vesicles to appear 8-72 hours after contact with the allergen. The substance in poison iv...

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another reason to vaccinate against measles

Posted on June 20, 2015 at 10:25 AM

I just read an interesting article about measles. While measles itself doesn't cause many deaths, the measles virus causes children's immune systems to be suppressed for as long as 3 years after infection. This leaves children susceptible to opportunistic infections (the kind that wouldn't normally affect children at all, but can infect and even kill people with weakened immune systems).

Here is a link to the original article:

And the...

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Aluminum in Vaccines

Posted on May 24, 2015 at 10:55 AM

I've heard a lot of non-vaccinating parents talk abou the aluminum in vaccines (now that it's well-known that there is no more mercury in vaccines).  I understand the fear of metal in the body, but what most parents don't get is that children (and adults) are exposed to aluminum every day!  I wanted to see just how much aluminum is in various things, because I was told in residency that drinking a can of soda exposes you to the same amount of aluminum as childhood vaccines.  I ...

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What should I do when my child has a high fever?

Posted on April 28, 2015 at 8:55 PM

For children less than 6 months of age, any temperature over 100.4 degrees is considered a fever, and you should call a doctor right away.

For children 6 months of age and older, a "low-grade fever" considered to be 100.4 to 101.9 degrees. A "high fever" is from 102 to 104.9 degrees. A "very high fever" is over 105 degrees.


How to check a temperature:

If your child is over 5 years old, or is able to sit still with a thermometer in their mouth, then it is ok ...

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Superkids Expo!

Posted on April 10, 2015 at 7:55 PM

Tomorrow is the Superkids Expo at the Flatirons mall! It runs from 10am-4pm. There will be a moon bounce, petting zoo, some fun exhibitions, and tons of kid-related vendors (including schools, camps, karate, and Doctor At Your Door)! Stop by if you can :)

I was in the news!

Posted on February 21, 2015 at 9:30 PM

I was in the Boulder Daily Camera - you can see the article here!


It was any parent's nightmare. Five children. All under the age of 5. All with strep throat. Rebecca Payne, of Boulder, says she was not about to try to pack them into her car, fever and all, and make them wa...

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How worried do I need to be about ebola?

Posted on October 22, 2014 at 1:55 AM
Is ebola airborne?  Is ebola coming to Colorado?  Is ebola curable?  

Ebola, like most viruses, is spread through infected bodily fluids.  Since saliva is one of the bodily fluids that carries the ebola virus, when a sick person sneezes or coughs, the small particles of saliva that fly through the air can carry the virus to other people around them.  A sneeze can travel about 6 feet, and a cough travels less.  Then the virus needs to g...
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Constipation - not everybody poops!

Posted on October 8, 2014 at 10:55 AM

Constipation prompts about 3 to 5% of all pediatric outpatient visits. It is important to differentiate between acute and chronic constipation, as the underlying cause and management are very different.  Many causes of constipation are reversible, and all should be managed aggressively.  

Acute constipation – an abrupt onset of constipation in infants and children prompts the need for a thorough investigation and timely management. &...
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What should I do when my child is vomiting?

Posted on September 23, 2014 at 10:50 AM
If your child is vomiting, and you don't want to get vomit all over your car, Dr. Carole would love to come to your house and help out!  And while she is on the way, you may read this article to see what you can do.

Top 5 causes of vomiting in children (over 1 year of age):
- Being generally ill (even an illness not related to the stomach, like strep throat)
- Gastroenteritis (an infection of the stomach and intestines)
- Food (ei...
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