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 vaccine is here!!!

The flu vaccines are available at all of our offices now.  We have both the nasal mist and the injectable vaccines.    Please call 651-256-6714 to make an appointment.

Arsenic in Rice Products

In September of 2012, Consumer Reports published its results of an investigation into arsenic in rice products including infant rice cereal, rice cakes, rice cold cereals, etc. This raises concern about the long-term recommendation to feed our babies infant cereal once or twice daily to assure adequate iron intake. Please see the American Academy of Pediatrics report on this issue at  If you have concerns about your child’s past arsenic exposure, you can check with the regional pediatric environmental health specialty unit at


Mother’s Day Rhubarb Custard Tart


  • 1 cup flour
  • 1/3 cup powdered sugar
  • 1/2 cup butter or margarine, softened
  • 3/4 cup sugar
  • 3 tablespoons cornstarch
  • 1/2 teaspoon salt
  • 1/2 cup whipping cream
  • 2 egg yolks
  • 1 teaspoon vanilla
  • 1 and 1/4 pounds rhubarb, cut into 1/2 inch slices (4 cups) or 1(16 ounce) package frozen rhubarb, thawed, drained
  • 1 tablespoon powdered sugar


Place baking sheet on bottom oven rack. Preheat oven to 350 F. In large mixer bowl, beat first 3 ingredients until thoroughly combined. Pat into bottom and 1 1/2 inches up side of 10-inch spring-form pan. In large mixer bowl, stir sugar, cornstarch and salt to combine. Add whipping cream, egg yolks and vanilla, mixing thoroughly; stir in rhubarb. Pour filling into crust; place on preheated baking sheet on bottom oven rack. Bake until filling is set and golden brown (65-75 minutes). Cool on wire rack 30 minutes. Remove side of pan. Sift powdered sugar over top.

Amount: 8 servings

Tips: Tart may be made ahead and refrigerated until ready to serve. Sift powdered sugar over tart just before serving.

Dry Enough For You?

What wouldn’t most of us have given to have had drier air last summer? But now furnace season is in full swing and the air is definitely drier—dry enough to affect how we feel. This doesn’t sound too threatening, but it can have negative effects on our bodies. Many chronic health conditions are exacerbated by the very dry conditions of winter. The dry air doesn’t cause eczema or asthma but it can trigger outbreaks and cause other problems like dry itchy skin and nosebleeds.

Here are some steps you can take to improve your family’s comfort and health this winter:

  • Stock up on skin-moisturizing lotions, lip balm and hand crèmes. Don’t just buy them, use them faithfully
  • Hand sanitizers can dry skin out—think how often you and the kids use it every day.
  • Stay on top of chronic respiratory issues at this time of the year. A simple cold can keep many asthmatics out of school. Keep your prescriptions current by making sure your child is seen every six months
  • Follow your doctor’s instructions for dealing with eczema, psoriasis and other skin conditions
  • Ask your doctor for recommendations about humidifying your home
  • Bedtime is a smart time to slather the kiddies with body lotion—dry itchy skin can make it hard for them to fall asleep; who wants that?
  • Dry nasal passages can lead to nosebleeds. These are generally not serious but can be a real nuisance for the child. Not so good for pillowcases either. See our website for specific information about treating and preventing nosebleeds.

Dry air tends to sneak up on us; we don’t usually notice a problem until our lips are dry and sore or we notice small cracks on our hands. Be proactive and ready to deal with this problem.