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Parents: When to Call Your Doctor

Photo of child being examinedThe signs and symptoms of infection that are listed here should be brought to your doctor's attention. Of course, whenever your child has a symptom that concerns you, you should not hesitate to call your doctor, whether or not the symptom appears on this list. 
Although some symptoms of illness differ depending on a child's age, some are the same for all children.

  Our waiting room is stocked with toys for children.

For any child, infant to adolescent, call your doctor if you observe any of the following:

  • High fever (The level of fever that is considered significant depends on the age of the child, the illness, and whether the child has other symptoms with the fever)
  • Chills that make the child shake all over
  • Loss of consciousness
  • Extreme sleepiness or unexplained lethargy
  • Unusual excitement or hysterical crying
  • Sudden weakness or paralysis of any part of the body
  • Seizures (convulsions) or uncontrollable shaking of an arm or leg
  • Severe headache
  • Pain, heaviness, or stuffiness around the nose, eyes, or forehead
  • Nasal fluid that is discolored, bad-smelling, or bloody
  • Sudden hearing loss
  • Earache
  • Fluid discharge from the ear
  • Sudden decrease in vision
  • Eyes that are red, swollen, and watery, with or without blurred vision
  • Eyes that are extremely sensitive to light, especially if your child also has a fever, headache, or stiff neck
  • A yellow color in the whites of the eyes or in the skin, especially with pain in the abdomen and/or dark or tea-colored urine
  • Stiffness or pain in the neck, especially with fever or headache
  • Severe sore throat, especially with trouble swallowing or speaking
  • Uncontrolled drooling because of painful swallowing
  • Difficulty breathing, especially with pale or bluish color of the lips or nails
  • Unusually rapid breathing
  • Severe or persistent cough, especially if it brings up bloody or discolored mucus
  • Vomiting for 12 hours or more
  • Vomiting of blood
  • Intense or unusual abdominal pain
  • Swollen or abnormally large abdomen
  • Diarrhea that is streaked with blood or mucus
  • Pain in the middle of the back, especially with fever or with discomfort while urinating
  • Painful or unusually frequent urination
  • Urine that is discolored, bloody, cloudy, or has an unusual smell
  • Discharge from the penis
  • Vaginal discharge that is thick and white, brown or discolored, or smells bad
  • Pain, redness, or swelling of a joint that can't be explained by exercise or injury
  • A cut or scrape that oozes pus or becomes hot, red, tender, or swollen
  • A sudden rash, or sudden crop of blotches or blisters, especially over a large area of the body 

Special Signs and Symptoms - birth to 1 month old

  • Fever (rectal temperature of 100.4ºF should prompt a call to the doctor)
  • Baby suddenly becomes "floppy" - loses muscle tone all over
  • One or both eyes are pink, bloodshot, have a sticky white discharge, or eyelashes that stick together
  • Diarrhea in newborns - more than six to eight watery stools per day (breast-fed newborns often have more loose stools than formula-fed babies; check with your doctor for guidance)
  • Redness or tenderness around the navel area
  • White patches in the mouth 

Nose blocked by mucus so baby can't breathe while feeding
  • Forceful vomiting
  • Vomiting that lasts for 12 hours or more
  • Vomiting with fever and/or diarrhea
  • Baby stops feeding normally
  • Crying for an abnormally long time

Special Signs and Symptoms - 1 month to 1 year

  • Fever (rectal temperature 100.4ºF in infants younger than 3 months, 101ºF in infants ages 3 to 6 months, and 104ºF in a child 6 months or older should prompt a call to the doctor)
  • Baby refuses to eat and misses several feedings
  • Baby is unusually cranky and irritable or unusually sleepy

Professional Health Care is Essential

  • Getting regular check-ups for your children ensures that they'll stay healthy and happy! Your family doctor or family physician can help. Bestcare Family Medical Center in Garland Texas is committed to providing your whole family with the best medical care and urgent care. We're easy to find... our medical offices are located in Garland Tx. We also serve Dallas, Mesquite, Richardson, Rowlett, Rockwall, Wylie, Sachse and surrounding communities. Call BestCare at 972-240-1789 to schedule an appointment today...we also accept walk-ins.

Exam Room Themes

Each of our exam rooms is decorated in a theme to make your visit as comfortable and enjoyable as possible.

exam-room-italy   exam-room-hollywood
Italy-themed exam room.   Film-themed exam room.
exam-room-music   exam-room-ocean
Music-themed exam room.   Ocean-themed exam room.

Expert care + unique decor makes BestCare fun

As an avid collector of antiques and collectibles, Dr. Carlson presents many of his favorites at BestCare. These change all the time, so there's always something new to see and enjoy!

batmobile   antique-penny-arcade
An original Batmobile from the 1950s.   An antique penny arcade in the waiting room.
Original hand-drawn artwork used to produce Mad Magazine's much-beloved Spy vs. Spy cartoons.

David Carlson, MD


Dr. David Carlson, Bestcare Medical Director, has been serving the community for more than 25 years.

The best medicine starts
with being heard.


No one since the beginning of time has ever cured anyone by ignoring them. When doctors really listen, patients recover faster.

(972) 240-1789

Josanne Howard, PA


Educated in Texas and Pennsylvania, Josanne Howard, PA (left) brings warmth, a positive attitude and and broad knowledge as a seasoned veteran of emergency and urgent care. 

Lauren Crumm, PA-C


A former Air Force Brat and the oldest of four children, Lauren Crumm received her Bachelor of Science Degree in Biomedical Science at Texas A&M University and her Master of Science Degree in Physician Assistant Studies at the University of Texas Medical Branch in Galveston. After graduation she worked for four years as a certified PA before relocating to Garland, Texas after accepting a position at BestCare!

Easy 4 U

Call Ahead Service

It's like getting here before you actually get here. Call us just before you leave and get your name on the list. When you arrive, your wait will be minimal.

Call Waiting

We also have a Convenient Call Waiting Service. If you want to leave BestCare before you've been seen, give us a phone number and we'll call as soon as we're ready to see you.

Bestcare Services

Primary Care

General illnesses
Annual physicals
School physicals
Well-woman exams
Pregnancy tests
Flu shots and flu tests
Medical check-ups
HIV screenings


Urgent Care

Minor emergencies
Accidental injuries
Scrapes and lacerations
Strains and sprains
Physical therapy
Eye injuries
Foreign body removals
Internal fractures
Chemical exposure

Clean & Germ-Free Spaces


We are dedicated to providing truly professional medical care in a clean, germ-free space.  More...




Having a family doctor is like having a doctor in the family


It's no accident D Magazine named us the “Best Doctors in Dallas” for Family Medicine. For more than 20 years, we’ve been healing, mending and making Texans well in a meticulously clean facility. When you come to BestCare you’ll see the friendly face of a doctor you know. BestCare Family Medical Center is easy to get to and offers two choices: Our Urgent Care Center takes walk-ins—no appointment necessary. Or set an appointment online or by phone for Primary Care. Have a daytime job? We’ll see you over lunch, after work or on weekends. Our in-house X-rays and lab work are less expensive, too!   Learn more...