• King Seegar, MD
  • J. King B. E. Seegar III, MD, is board certified in pediatrics. He received an MD from West Virginia University and completed his residency at the University of Arizona. He has worked internationally with The Mountain Institute in India and Nepal, and worked in Mexico and Peru as well. Currently he is medical director and pediatrician at Pendleton Community Care in Franklin W.Va., a rural primary care Federally Qualified Health Center.

Friday, March 7, 2014

Effects of poverty on children's health

King Seegar, MD

A local group recently held a Poverty Forum and asked me as one of the speakers to work up a talk on the effects of poverty on children’s health. The idea was to rally state and local resources to discuss the most significant issues resulting from underemployment and reduced government supports for families in our region.

My piece of the action was to line out what scarcities affect children’s well-being, and to look at what actions have proved effective in the past to insulate children from those effects.

Wednesday, November 6, 2013

School-Based Health Care: An Overview with Particulars from a Rural Mountain Community

King Seegar, MD

"Fifteen-year-old 'Richard' wandered into the high school health center to ask us to take a look at his foot," recalls the pediatric nurse practitioner staffing the center on that day. "He seemed pretty casual, just wondering since we were there anyway if we'd see him.

"I told him, sure, feet were on special on Tuesdays; but when he gingerly removed his boot, I saw we had a problem here. He had a significant cellulitis, and the classic red lines of blood poisoning running up his leg.

"He reported having run a nail through his sneaker into his foot on the farm 5 days earlier. 'It hurt like all get-out there at first,' he told me, 'but I pulled it out and limped around for a while and it seemed OK, so I didn't think any more of it. But now it's real sore and I wonder if I busted something.'

Wednesday, September 4, 2013

Vaccine Vexation

King Seegar, MD

I was in the clinic seeing patients and getting ready to do a well-child check on a four-month-old boy, an exercise I thoroughly enjoy. I usually start off by going over the baby’s height, weight and head circumference with the parents. On this occasion, we were talking a bit about the family’s’ plans for this summer, their planned travel as well as some strategies for making air travel more tolerable for everyone, particularly the baby.

On this afternoon, the vaccine consent form was on top and I started with that. I try to make sure that the experience of vaccination causes as little discomfort for the baby as possible and as little anxiety for the parents too. To that end, I talk about the importance of vaccination – probably the most important thing I do in the clinic as a pediatrician. I note the care which has gone into the development and manufacturing of vaccines, and the attentiveness of the medical community to the concerns voiced at various times by parents and others regarding vaccine safety. This was a young couple with their first child; at the two-month visit I had given the vaccine talk and we had vaccinated the baby with the two-month regimen.

Friday, July 5, 2013

Competent communities

King Seegar, MD

On joining the clinic, Pendleton Community Care, here in Pendleton County, W.Va., just after I finished my residency in Tucson, I found myself the only pediatrician in the county (I still am). 1987 was an exciting year — the clinic was new, the patient base was growing fast, we were interested in how best to serve our population, and we were implementing the ideas and philosophy of community-oriented primary care (COPC). We had three providers who wanted to work with the community in a collaborative way, and we were listening carefully to what county residents felt they needed in the way of services and health care.

Wednesday, April 3, 2013

PIDInk: The evolution of a primary care clinic

King Seegar, MD

So how did a nonprofit rural primary care clinic like ours in Franklin, W.Va., begin, and how did a pediatrician get there?

The idea for the clinic came from a small group of young people living on the side of a mountain in Pendleton County, W.Va., one day in the early 1970s. We were out to found a school, The Woodlands and Whitewater Institute, now an international non-governmental organization (NGO), The Mountain Institute (www.mountain.org). The clinic idea took root after a community needs assessment revealed access to health care as a top community concern, and it has grown into what today is a community health center: Pendleton Community Care (PCC; www.pccnfc.org).