Farewell to Dr Hecker

DR. KATHERINE J. HECKER, M.D.To my dear patients and families at PYAM:

It is with a heavy heart that I am writing to let you all know that I will be leaving PYAM effective February 1, 2018.

In the last year, my personal life has been wrought with many events affecting the health and well-being of myself and my family. This has prompted a move to Wisconsin to be closer to extended family for support. Unfortunately, my commute is often 5+ hours per week. In a time when my family continues to heal and needs me more than ever, I have decided to work closer to home to allow me to spend more time with my family.

I have had four fantastic years with PYAM, during which it has been a privilege and my pleasure to be your health “coach” with the fun and challenges of health and parenting. I often say, “My job is not work; I get to play every day!” I have truly enjoyed meeting your beautiful children and watching them grow. I feel very fortunate to have had the opportunity to meet such wonderful families and be part of your family’s experiences and memories. Thank you for allowing me the great honor and opportunity to coach you – the experts! – on your children’s health.

I leave knowing that you will all be very well cared for by the incredible, caring, and compassionate team of pediatricians and pediatric nurse practitioners at PYAM. I will miss each and every one of you!

All the best to you and your family! Stay healthy 🙂

Dr. Kate Hecker

In Memoriam Dr Coyne

On Friday November 10, 2017, Dr. Coyne passed away after a courageous fight against cancer.

Dr. Coyne was a pediatrician with Pediatric and Young Adult Medicine from 1973 to 2016. He was adored by his many patients, staff, and partners. The news of his passing has been heartbreaking for everyone at PYAM.  Dr. Hecker said it best; “Few people exude joy unto others the way that Dr. Coyne did. EVERYONE knew “Dr. Coyne” – for his handful of suckers (each kid got 5, not 1!), his quick wit and easy laugh, his patience with his patients, his musical heart heard by his humming or whistling as he walked down the hall.” Many of his patients remember him for asking them “How many belly buttons they had”, or if Elmo or Grover were in their ears. His birdcalls could be heard from his exam room. Many times, we would see him walking the hallways trying to calm down an infant before sending them home with Mom. His kindness was not just given to his patients but his staff as well; he was always there to help if we needed him. Even after he retired, we would receive emails about the latest medical update that he read about or just a note updating us on how he was doing. There was usually a funny story and always asking us how we were doing. Our hearts broke on Friday.

Our thoughts and prayers are with his wife Karen and his children Chris, Adam, Courtney, Nick, Shannon, Alex, and Victoria, their spouses and his 17 grandchildren who he adored.

The offices of Pediatric and Young Adult Medicine will be closed from 10 AM to 1PM on Wednesday November 15th so that we may honor him at his funeral at St. Agnes Church, Mass starting at 11 AM.

Rest in Peace Dr. Coyne you will be missed by your PYAM family.

Anna Pokrzywinski leaves PYAM

Anna Pokrzywinski, ARNP

To: My Patients & Families

This letter is to inform you that I am resigning as a Nurse Practitioner at Pediatric & Young Adult Medicine, as I will be relocating to Madison, WI. It is a bittersweet decision as I continue to care for children while being closer to family and my significant other. I have greatly enjoyed my work at the clinic. My last day at the clinic will be October 6th, 2017.

If your next appointment is occurring before my date of departure, I will be delighted to see you at the scheduled time. Beyond that, my fellow providers will be available for your healthcare needs. We do have a new Pediatric Nurse Practitioner I highly recommend, Jenifer Flegel, who is a skilled professional I hold in high regard. I feel confident that all of my patients will be in excellent hands under the continued care at Pediatric & Young Adult Medicine.

I would like to thank you for your patience and cooperation with me. Working at Pediatric & Young Adult Medicine has been a wonderful experience for me that I will not soon forget, and I will surely miss seeing you and all of my patients.

Yours sincerely,

Anna B. Pokrzywinski, APRN
Pediatric & Young Adult Medicine

Flu shots At Pyam

At PYAM we wholeheartedly endorse the CDC, American Academy of Pediatrics and the Advisory Committee on Immunization Practices recommendation that all children ages 6- months to 21 years receive a influenza vaccine each year.

Despite not being able to prevent all influenza disease, the flu shot does provide protection from severe disease. It is especially important for our high risk patients to remember to get immunized each year


In case you’re wondering, the Flumist will not be offered again this year. It was not approved for use.

To schedule your flu shot only appointment simply call our central appointment line at 651-256-6714.

Flu shots for 2016

flu-shots-2016bAfter a mild flu season it is easy to forget how very nasty the flu can be. One of the many reasons why the flu is so difficult to manage from a community health stand point is its unpredictability. No one can say that any given year will produce a virulent strain that sickens and hospitalizes hundreds, or whether it will be a mild flu season.

Our suggestion is to be proactive and get immunized this fall when clinics are available, or during well visits. When you and your children are vaccinated, it doesn’t matter what kind of season it turns out to be. Last year, doctors across the country reported that the vaccinated kids who did get the flu (no vaccine is 100%), had a much milder case. Either way, you win if you get vaccinated.  We have flu shots available now.  For flu shot clinic times and locations check our website or facebook page.

flu-shots-2016Unfortunately, On June 22, 2016, the Advisory Committee on Immunization Practices recommended that Flu Mist not be used in the 2016-17 influenza season due to poor effectiveness. The Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP) are supporting this recommendation.  PYAM will also be supporting this recommendation given by the ACIP, CDC, and AAP and will not have Flu Mist available this year.



We will be opening the office on June 13th.

Grand Avenue will close at 4 pm on June 9th and we will open at the new location on June 13th.

PYAM St. Paul Is Moving To A New Location


We are delighted to announce that PYAM St. Paul location is moving to a new building about 3 miles from our current loacation!  We are very excited and looking forward to the move.  

Watch for more information about the move to our new location here, on our website, and Facebook in the upcoming weeks.

Dr. Lidle to leave PYAM

To My Patients and Families:

Dr Calley LidleIt is with a heavy heart that I announce my resignation from PYAM on July 31, 2015. I have made the decision to join another practice. I have spent 6 of the most meaningful years of my life at PYAM. Meeting your children and watching you grow as a family has deeply affected me. I woke up each morning looking forward to seeing each and every child. Your children have been like family to me.

The decision to leave PYAM has been a difficult one. I have great confidence in my partners’ ability to provide outstanding care for your children. I would be happy to discuss this with you and help direct you towards one of the remaining providers.

Thanks for making my work so meaningful and fun,

Calley Lidle, MD

Dr Balfanz to retire

Balfanz_retires-slideAfter 40 years of practice at Pediatric and Young Adult Medicine I have made the difficult decision that it is time to retire. My last day in practice will be June 30, 2015.

I have been blessed to be able to be a pediatrician and it has been very rewarding to be able to care for your children. I have been able to see them as newborns, counseled you in normal newborn care and well child care. I have been able to watch them as they grew up, shared in their successes and in their difficulties and taken care of them when they were ill. I have shared my experiences in raising my children in teaching you how to care for your children. You and your children have been an extended family to me.

The decision to retire is the most difficult one I have ever made. I cannot tell you how much I am going to miss seeing you and your children. I will miss seeing them grow up. I am honored that you trusted me with their care and it has been a privilege to serve you.

We have nine pediatricians and one nurse practitioner at Pediatric and Young Adult Medicine and in June will be adding a second nurse practitioner. They have been great partners and will provide outstanding medical care for your children.

Again, thank you for allowing me to care for your children over the past 40 years.


John Balfanz, MD, FAAP (Dr. B)



Pediatric and Young Adult Medicine refill voicemail line is now available. You may now call and request your refills when it is convenient for you 24-hours a day/7-days a week.

To use this service, we ask that you review the following procedures to ensure that we receive the proper notice and information to guarantee the prescription(s) for your child is ready when you need it.

  1. We will have your prescription ready within two business days for pick-up and 5 days for delivery to a pharmacy. If there is a problem with your child’s present dosage, please speak with your primary provider by calling 651-227-7806.
  2. Please provide all of the information that is required to process your request. We have provided you a template on the back of this sheet. We suggest that you write the information in the blanks that are provided so you will be able to read it over the phone.
  3. This service will be available to request your refill for ADD/ADHD RX only.
  4. You may request them 24 hours a day, seven days a week. Please remember we can only fill the prescriptions during regular business hours.
  5. At this time, no other prescriptions can be filled using this line. Other concerns or topics should be addressed with your provider by calling 651-227-7806.
  6. All voice mails will be listened to and processed daily during regular business hours.
  7. All ADHD/ADD patients who are on prescriptions are required to have a medication check-up every 6 months. lf you are a patient either starting a new prescription or are restarting a prescription you must be seen 2 weeks after you have started your new prescription. Failure to do this may cause your refilled to be denied.

Thank you, Pediatric and Young Adult Medicine, PA

adhd_checklist.pdf Use this checklist to collect the information you need before you call in and make your request.
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