About Us
At Wind River Pediatrics, we know that your kids deserve the very best care, and we’re proud to provide it! Dr. Michael Fisher and his team of compassionate, knowledgeable nurses have years of training and experience. They have a deep love for children and their parents and want to make sure Fremont County’s kids are healthy both physically and mentally. We are happy to answer your questions and address any concerns you may have. It’s our goal to always be there for our patients and their parents.
Come Visit Us
Located in Riverton, Wyoming, Wind River Pediatrics is conveniently located close to both the high school and middle school, and is within easy driving distance of several elementary schools. We are currently taking new patients, from newborns to new move-ins!
Our Kids. Our Families. Our Community
Our mission is simple: we want Fremont County’s Kids to be healthy, happy, and strong – both physically and mentally. Kids of all ages face a lot of challenges in today’s world, as do their parents. We want to do our part to help you with your children’s health needs so that you both can enjoy peace of mind and a great quality of life. From baby poop to sports physicals, we can help answer all your questions and alleviate any concerns you may have. We’re parents ourselves and understand your perspective!
Staff
Dr. Michael Fisher
Morgan Sanderson
Registered Nurse
Shirene Petersen
Registered Nurse
My child has a fever. What do I do?
0-3 months- If your baby is 0-3 months of age and has a temperature of 99.4F or greater under their arm or 100.4F on a forehead reading, please contact our office.
3-6 months- If they have a temperature of 100.4F (as above) or greater treat your infant with Tylenol (see available chart for dosage and instructions). If your infant is lethargic, not drinking or has not voided for 6 hours, is breathing hard or fast, or if you have any concerns, please call our office or Dr. Fisher. If your infant has a fever for more than 3 days, notify our office or contact Dr. Fisher.
6-12 months- If they have a temperature of 101F (as above) or greater treat your infant with Tylenol or ibuprofen (see available chart for dosage and instructions). If your infant is lethargic, not drinking or has not voided for 6 hours, is breathing hard or fast, or if you have any concerns, please call our office or Dr. Fisher. If your infant has a fever for more than 3 days, notify our office or contact Dr. Fisher.
1+ years- If they have a temperature of 101F (as above) or greater treat your child with Tylenol or ibuprofen (see available chart for dosage and instructions). If your child is lethargic, not drinking or has not voided for 12 hours, is breathing hard or fast, or if you have any concerns, please call our office or Dr. Fisher. If your child has a fever for more than 3 days, notify our office or contact Dr. Fisher.
My child has had diarrhea for several days. What do I do?
Most diarrhea is due to a viral infection. Some viruses can cause children to have diarrhea for several days or longer. Avoid foods that can be irritating to the GI tract such as – greasy or fatty foods, dairy and green leafy vegetables. Offer bland foods such as bananas, rice, apples, or toast.
If you notice blood in your child’s stool or if your child is not voiding every 6-8 hours, notify our office.
My infant has a cough and runny nose. What do I do?
You can manage their symptoms at home. Watch your infant for trouble breathing, breathing fast, wheezing and shortness of breath. If they develop any of these symptoms notify our office or contact Dr. Fisher.
You can use a bulb syringe with or without saline drops to help clear their nose to allow them to breathe better. You may apply 1-2 drops per nostril and suction with the bulb after 5-10 seconds and/or run a humidifier if it helps.
When can my baby go swimming?
Your baby can have trouble regulating their own temperature until about 6 months of age. As a result, water that is cold or hot may harm them. Starting at 2-3 months old, they may have limited exposure only in warm pools with full exposure ok at six months of age if monitored closely.
When can my baby go outside in the sun?
Your baby should remain in the shade when outdoors until about 6 months of age when they can better regulate their temperature. Also, we recommend the use of sunscreen when outdoors to prevent sunburns.
Can I use bug spray on my infant?
Bug spray should be avoided until about 4 months of age. Up to 40% DEET is safe.
What should I be feeding my baby?
Nursing is best for the first year (with clear benefits up to 2-3 years). At four months old, you may consider starting cereal and first foods. At six months, you may expand to table foods including dairy based foods, eggs, peanut butter. You must avoid any items your baby can choke on, be cautious if there is a strong family hx of a particular food allergy, and avoid honey until one year old. Regardless of what you have heard, early introduction of foods is now considered appropriate. A common question is also when to transition to cow’s milk. This may be done at 11-12 months old if your child does not have a history of dairy allergies.
When do I need to bring my child in for wellness exams?
Wellness exams are recommended to check your child’s weight gain, development, and overall health.
Wellness exams are done at the following ages-
Shortly after birth (when your physician in the hospital recommends returning)
1 month
2 months
4 months
6 months
9 months
12 months
15 months
18 months
2 years and then yearly thereafter.
How much medicine should I give my child?
Here are helpful charts to guide you with the treatment of your child’s minor aches and pains. These are general guides. Give us a call for specific questions, dosage updates, and chronic or severe pain issues.
Acetaminophen is not recommended for babies less than 2 months old. Give every 4-6 hours as needed for fever or pain.
Ibuprofen is for children OLDER than 6 months. Give every 6-8 hours as needed for fever or pain.
What do I need to know about Sports Physicals?
To clear up any misconceptions, if your child is insured (nearly all commercial insurance and Medicaid), a sports physical is covered as part of a well exam. There are no out of pocket expenses for well exams such as copays or deductibles SO THEY ARE ALREADY FREE. In addition, any existing health issues or questions can be addressed. If any issues are found on other so-called free sports physicals, they are typically referred back to the primary care physician rather than being addressed at that time, costing your family time and money. For patients without insurance, we offer low cost sports physicals but with the same level of service.
The best course of action from a cost and level of care standpoint is to see your regular physician for a well exam. At Wind River Pediatrics, you always see a board certified pediatrician with nearly 20 years of experience.