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.
To view this file you will need to have Adobe’s Acrobat Reader. Its a free download and is available for both the Mac and Windows.



Physical and Forms Season

pic-physicalsAs we drift closer and closer to milder weather many kids will need sports physical forms; school physicals, and camp forms completed and signed by PYAM providers.

We are happy to perform this service for our patients!

Although our providers prefer to do an annual well child exam, we will complete forms for patients who have had  a physical within the last two years. Please call our centralized appointment desk at 651-256-6714 to make your appointment.  We will look forward to seeing you.

Flu vaccines are here!

We are happy to report that we have flu vaccines available and are beginning our flu clinics.  We have both the injectable vaccines (all of our vaccines are thimersol free) and flu mist, the inhaled vaccine.  The flu mist is available to children over the age of 2 who do not have asthma.  Please contact our office at 651-256-6714 to schedule your influenza vaccine today.  These vaccines last a full year, so getting them now will give you great protection through the entire respiratory flu season.