Dr. Elizabeth Murray

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Dr. Elizabeth Murray As a parent, I don't always get it right every time either. What I do know, is that this page will give you tips & resources to make the job a lot easier.

As holiday travel approaches and case numbers continue to rise in Upstate NY and PA, it is now time to think about provi...
11/12/2026

As holiday travel approaches and case numbers continue to rise in Upstate NY and PA, it is now time to think about providing additional protection for infants 6-11 months old against .
The NY DOH is recommending the following for those living in, near, or traveling to outbreak areas:
-infants 6-11 months receive immunization early
-children 1 year and older should receive their second dose as soon as possible, but at least 28 days after the first dose

As always, speak with your child’s health care provider about your family’s specific risk.

11/10/2026

Part of working in academic medicine means teaching. Part of teaching in my community means everyone is included. Pediatrics in has always taken the approach that if you care for children, we are on the same team, regardless of which healthcare system you work for. So today, I’m spending the morning teaching PA students at Rochester Regional Health Health Sciences & Technology. Trainees, this is an important thing to consider when you are looking at future jobs. It’s a lot easier on one team! URochester Medicine Pediatrics Residents

This is a great idea!⤵️
11/10/2026

This is a great idea!⤵️

Got Asthma? Inhaler + Spacer, the Right Way

Parent-to-parent confession: my kids’ inhalers have Sharpie all over them, and I do that on purpose! 🖊️

When your child needs their inhaler, it might be Grandma, the babysitter, a coach or the school nurse holding it. So I write the directions right on the inhaler, like “2 puffs with spacer, every 4 hrs as needed for cough/wheeze.” That way every caregiver knows exactly what to do, even in a stressful moment. Does your child have more than 1 inhaler? It is even more important to write on them to keep track!

Using a spacer (the tube or chamber that attaches to the inhaler) gets more medicine into the lungs and less into the mouth and throat. Here’s how to use one:

1️⃣ Shake the inhaler well and take off the cap.
2️⃣ Attach it to the spacer. Littles use a mask, and big kids can use a mouthpiece.
3️⃣ Seal it. Make sure the mask fits snugly over the nose and mouth, or that lips are sealed around the mouthpiece.
4️⃣ Press once. It’s one puff at a time, never two at once!
5️⃣ Breathe. Little ones take 5 slow big breaths.
6️⃣ Press again (most directions state 2 puffs) the 5 big breaths. Tip-if you hear it whistle, breathe a little more gently.
7️⃣ Always brush your teeth after a controller (steroid) inhaler. No toothbrush handy? Rinse and spit after.

✨ Bonus tips:

Wash the spacer about once a week with warm, soapy water and let it air dry.
Keep an eye on the dose counter (typically back of the inhailer) so you’re never surprised by an empty inhaler!

💬 Your turn: What’s YOUR trick for keeping track of medicines with all the caregivers in your child’s life? Share it below so we can all learn from each other! 👇

Asthma can be tricky, but with the right medication and plan, your child can do anything they set their mind to! 💚

Picture of unglamourous - but real life - in the Mead household.

- Dr. Mead

11/09/2026

Boy, did page 12 of catch my attention! 3 important reviews out, shedding light on some important child health and safety issues.
Upstate New York Poison Center

11/08/2026

numbers are already going up, but it’s not too late to protect yourself and your family with this year’s immune booster!

Anticipating a lot misplaced blame in the coming months. The new guys don’t take over until January, so don’t fall for i...
11/05/2026

Anticipating a lot misplaced blame in the coming months. The new guys don’t take over until January, so don’t fall for it!

11/04/2026

I think she’s right! Congratulations to pediatrician senator Dr. Annie Andrews

11/03/2026

Nov 2, 2026: A Lewis county NY child has died from measles. On Nov 3, 2026, you can take steps to make this stop.

11/02/2026

Are you ready for the first Tuesday in November’s Taco Tuesday?!?! Don’t miss out. Plan ahead, make your choice, bring some friends, and get it done!

10/31/2026

cases continue to rise here in the Northeast. Next month, the US will lose its elimination status (if the committee actually meets). Pediatricians are learning about a “new” version of measles— congenital measles. Over 60 pregnant women in PA have been diagnosed with measles and their babies are at risk.
It didn’t have to be this way.
Nov 3rd is almost here.

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