911: for any life threatening symptoms: Chest pain, Difficulty breathing, Sudden loss or change in vision , Signs of a stroke (Facial drooping, weakness of an extremity, dizziness and confusion), Uncontrolled bleeding, Severe allergic reaction (Swelling above the neck/shortness of breath), Severe burns, Suspected overdose

Free Nurse line -Call 231-935-0951 - Traverse City Munson Health Nurse line - Available 24 hours a day, every day, to residents and visitors in Michigan. No insurance required. Call 231-935-0951

Your insurance 24 hour nurse line: Nearly every insurance offers a free 24 hour nurse line to keep you from going to the ER when you don’t need to go. (see lower tabs for many nurse line phone numbers)

Michigan 211 - Dial: 2-1-1 or 844-875-9211 (see further explanation below)

Poison control: 1-800-222-1222. free, expert, and confidential. (see further explanation below)

Michigan free crisis help. No matter what you’re dealing with, there is no wrong reason to call.

Call 988 (just like 911) - Free, confidential, no judgement, support, care, and coordination.

https://www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/mi-behavioral-health-crisis-services

Michigan free crisis help. No matter what you’re dealing with, there is no wrong reason to call.

Call 988 (just like 911) - Free, confidential, no judgement, support, care, and coordination.

https://www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/mi-behavioral-health-crisis-services

Beaumont Operator: 248-898-5000

Appointment center (much faster scheduling online through your my chart): 800-328-8542 https://www.beaumont.org/patients-families/schedule-an-appointment

Beaumont Lab locations/hours/phone/fax: https://www.beaumontlaboratory.com/locations

Beaumont imaging location/hours/phone/fax: https://providers.beaumont.org/docs/default-source/pages/final_p19519g1_21600_111819_imaging_services_for_physicians_no_trim.pdf SOUTH WEST locations with OPEN AND WIDE OPEN MRI: https://providers.beaumont.org/docs/default-source/pages/imagingservices_flyer.pdf?sfvrsn=787c111e_6

Mammogram: 248-965-0359, Breast center: 248-551-3300

All other Beaumont Numbers: https://www.beaumont.org/locations/beaumont-hospital-royal-oak/patient-and-family-information/department-phone-numbers

Beaumont Urgent Care locations with real-time online scheduling: Services include 8 am-8pm - 7 days per week. Holiday hours. All locations have XRAY, same day lab, and testing. https://www.beaumonturgentcare.com/

COREWELL HEALTH BEAUMONT TROY HOSPITAL CHILDREN'S AFTER-HOURS 44201 Dequindre Road. Area C, Suite 502 Troy, MI 48085, 248-964-5880 - Monday - Friday 6 - 10 p.m. , Weekends and Holidays 11 a.m. - 9 p.m.

Synergy ORTHO urgent care with great evening and weekend hours. They do same day casting, XRAY, CT, and MRI if appropriate. Staffed by and ortho PA. 8am -8pm. 7 days per week. https://synergyhealth.org/orthopedic-urgent-care/

They are great. They have lab and XRAY, and IV fluids for dehydration.

Limitations: Limited hours hours.

https://www.emcura.com/

Longest Hour Pharmacies:

CVS: NOW OPEN TO 11 pm: 30900 Woodward Ave, Royal Oak, MI 48073, +12485494377

WALGREENS open until 1:30AM: 16741 Canal Rd, Clinton Twp, MI 48038, +15862865753

Very few pharmacies are open until 9pm weekdays. Most close at 8pm weekdays, 6pm on Saturday, and 5 pm on Sunday.

They all stink. IF IT IS A TRUE EMERGECY, arriving by ambulance skips some line. Try to call ahead and see what the wait is like when deciding between locations: Emergency center 248-898-2000. Beaumont Livonia has a new stand alone ER, which can manage many things and frequently has a shorter wait. attps://www.beaumont.org/locations/emergency-center-livoniat

The absolute number not important (like 104F). It’s “OKAY” to have a fever of 105F. Give Tylenol and or Motrin. Go the ER for lethargy, significant shortness of breath, or dehydration, not because of the number on the thermometer. Your parental instinct is most important. If your gut tells you to go to the ER, then go to the ER. Parents often know best.

Pediatric Dosing Chart at the bottom of this webpage.

Category of its own - Tylenol (acetaminophen). It is NOT an anti-inflammatory. It can be given at the same time as NSAIDs. It works well for fever and headache, but not great for muscle pain. Adult Max dosing: 1 gram (2 extra strength 500 mg tabs OR 3 regular strength 325 mg tabs 4 times per day.) The max is 4 grams (4000 mg) daily.

NSAIDs - Non-Steroidal Anti-Inflammatory Drugs: These drugs bring down fever, reduce pain, and reduce inflation. They work well on macular pain. They cannot be taken in combination with other NSAIDs but can be taken with Tylenol even at the same time. NSAIDs taken long term, or sometimes even short term, that can irritate your stomach and cause an ulcer or bleed. They can affect your kidneys so after months, periodic lab maintenance is required. Advil/Motrin (ibuprofen): max dose: 800 mg three times per day (2400 mg daily.) Aleve (naproxen): Max dose 500 mg twice a day. Volateren (diclofenac 75 m): 75 mg- 1 tablet twice a day. Mobic (meloxicam 15 mg): 1 tablet 15 mg daily. Celebrex (celecoxib 100 mg): 1-2 tabs twice a day.

Steroid Ant-inflammatory Drugs (prednisone, methylprednisolone, hydrocortisone:) Should not be on long term. Only short term for many different reasons.

Free - Traverse City Munson Health Nurse line - Available 24 hours a day, every day, to residents and visitors in Michigan. No insurance required. Call 231-935-0951

Nearly every insurance has a free 24 hour nursing line. Some even have free 24 hour nurse practitioner appointments for easy topics. Check the back of your card for the phone number. (The below numbers have were cut and paste from the internet)

BCBS: 1-844-811-8460 BCBS 24-hour nurse line is a free resource to BCBS members. check the back of your BCBS member card or visit your BCBS company website.

CIGNA's 24-Hour Health Information Line: (800)564-9286, 888.992.4462

United Health Care: (877) 365-7949

Allegiance: 888-546-8463

AMbetter Merridian: 1-833-993-2426 (TTY Relay 711).

Aetna: Call 1-855-493-7019 (TTY: 711) anytime.

Michigan 2-1-1 is a free-to-use, confidential service that connects you with local community-based organizations across the state offering thousands of different programs and services for people seeking answers.

2‑1‑1 is available in multiple languages, allowing those in need to access information and obtain referrals to physical and mental health resources; housing, utility, food, and employment assistance; and suicide and crisis interventions.

TO GET OR GIVE HELP

Dial: 2-1-1 or 844-875-9211

Text your zip code to 898211

Chat or search at www.mi211.org

Exposure to gas, chemical, pill, bad food, or infectious disease:

GET HELP ONLINE OR BY PHONE that is FREE, expert and confidential.

https://www.poison.org/

OR at 1-800-222-1222

GENERALLY, Suspected Fracture don’t always have to be seen the same day, and can be evaluated he next day if:

Pain is controlled through stabilization on the injured area often with a splint.
Blood flow does not appear to be disrupted. (There is good coloring near the injured area)
There is no obvious neve damaged. (Normal sensation and general function).
Nothing appears crazy. Parents know best.

General use RICE - Rest, ICE, Compression, Elevation. Monitor and Re-evaluate.

Here are ortho urgent cares with evening and weekend casting and advanced imaging beyond XRAY when needed. https://synergyhealth.org/orthopedic-urgent-care/

Sudden significant vision changes, vision loss, double vision, or missing portions of your visual field warrants and urgent ER visit.

You only have 2 eyes.

Chest pain that is worse with exertion (walking or exercising), nausea or gastro symptoms (vomiting/abdominal pain/diarrhea, sweating, or shortness of breath are concern because cardiac chest pain often presents differently in women and diabetics. This warrants and urgent ER visit.

You should call 911 or go to the emergency room immediately if you have chest pain that is intense, prolonged, or accompanied by other symptoms:

Typical cardiac chest pain presents as sudden, crushing, squeezing, or pressure in the middle of your chest that radiates to your jaw, left arm, back, neck, or shoulders

You should go to the emergency room (ER) for a headache if it's accompanied by other symptoms that are severe or could be a sign of a more serious condition:

Sudden onset - A headache that comes on suddenly and is debilitating or interferes with your daily life

Severe pain - A headache that's worse than any you've ever had, or that peaks in intensity within seconds

Neurological symptoms - Weakness, numbness, slurred speech, blurred vision, confusion, or stroke-like symptoms

Other symptoms - High fever, stiff neck, trouble walking, nausea or vomiting, or loss of consciousness

Certain strokes can be treated and potentially reversed through tPA therapy if done within 4 hours of onset of symptoms. There for treatment of stroke is emergent and timely.

Stroke symptoms include:

Sudden numbness, weakness or paralysis and drooping of the face, arm or leg, especially on one side of the body.

Suddenly blurred or decreased vision in one or both eyes.

Slurred speech, difficulty speaking or inability to understand or be understood.

Loss of balance or coordination.

Ultimately, you know best. You have context that physicians will never experience.

CDC immunization schedule: https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html

Before, During, and after your child’s shots:

https://www.cdc.gov/vaccines/parents/visit/before-during-after-shots.html

Vaccination Reaction:

https://www.seattlechildrens.org/conditions/a-z/immunization-reactions/

Health department:https://www.oakgov.com/community/health/public-health-services/immunizations

Oakland County Health Division Offices - WALK IN

North Oakland Health Center
1200 N Telegraph Rd
Bldg 34 East
Pontiac, MI 48341
Phone: 248-858-1280 or 248-858-1305
Fax: 248-858-0178

BRING - photo ID, insurance card, Shot record if out of state. No order needed. No appointment needed. The immunization nurse practitioner will be able to look up immunizations on record with the state and identify what vaccines you are in need of. No appointment n

It is a walk in clinic. Visiting in the AM typically has less wait.

CVS: 18 months and older at CVS minute clinic:https://www.cvs.com/minuteclinic/services/vaccinations-and-injections/N-d8Z3a3joZd5 3010 Walton Blvd., Rochester Hills, MI 48309, 1402 W 14 Mile Rd, Clawson, MI 48017, 4995 Highland Rd, Waterford Twp, MI 48328, 39350 9 Mile Rd, Northville, MI 48167

3 y.o. and older at CVS pharmacy: https://www.cvs.com/vaccine/intake/store/schedule-options?icid=rxhome-hero-imz-book

Vaccine choices: COVID-19, Flu, 60+ RSV, Pregnant RSV, Pneumonia (Prevnar 20), Pneumonia (Pneumovax 23), Hepatitis A, Hepatitis B, Tdap, Td, HPV, Shingles, MMR, chickenpox (Varicella), Polio, Typhoid, MPox,

Form download: https://www.mhsaa.com/sites/default/files/Administrators/physical2page.pdf?time=1717851359714