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Services Offered

Newborn & Infant Care

Having a baby usually means that the near and distant future will be peppered.

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Wellness Exams

Parents know who they should go to when their child is sick.

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Adolescent Medicine

Zits. Periods. Pressure to do drugs, drink, or smoke.

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Injuries & Lacerations

Injuries to the skin anywhere on the body surface.

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Immunizations

Immunizations are a foundation part of preventive healthcare for children.
.
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Illness Prevention

Disease prevention is an important part of maintaining your child’s.

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Pediatric Skin Care

When it comes to skin disorders and care, children sometimes.

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Tropical & Travel

It is becoming increasingly common for families with young children to travel.

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Allergies and Allergy

If your child has allergies or asthma, it can make it difficult for them to breathe.

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Acute & Chronic

As a first step, it is important for you and your child to try to understand.

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Get started with SenCare

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Newborn and Infant Care

Having a baby usually means that the near and distant future will be peppered with plenty of doctor’s visits, starting just days after birth. In fact, babies should see a  pediatricians before being released from the hospital for the first time. A pediatrician is a parent’s partner in health, wellness and prevention for their children. It is important to maintain all pediatric appointments, which serve to evaluate a child’s growth and development, as well as immunize babies and children against dangerous diseases.

Did you know…

that it is normal for a new baby to lose some weight between birth and the first pediatrician’s visit? In fact, nearly all newborn babies lose weight during their first week of life. Pediatricians monitor this weight loss at initial appointments to ensure babies are feeding properly and adequately. Generally, a breastfed baby can lose as much as 7 to 10 percent of birth weight in the first week without causing alarm. Formula-fed babies, on the other hand, should lose no more than 5 to 7 percent of birth weight.

Frequently Asked Questions

When should I take my child to the pediatrician?

You should schedule a first visit sometime between 3 and 5 days after birth. However, it is important to wait no more than one week to schedule an initial pediatric visit. This is a crucial time – especially for babies who were discharged from the hospital at less than 48 hours old. This first visit, which is arguably the most important, is when pediatricians check your baby for jaundice and health conditions that may not have been detected in the hospital, such as congenital heart disease.

What should I expect during our visit?

Your first visit may be one of the longest. Your child will be measured and weighed, and the pediatrician will conduct a physical exam. Be prepared to answer questions about your child’s eating habits, including how frequently your baby is feeding and how long. Your child’s pediatrician may spend time talking with you about related topics, such as developmental milestones, teaching a child to sleep through the night, and baby-proofing your home and car.

How often will I need to return to my child’s pediatrician?

Most parents schedule subsequent pediatric appointments before leaving the office at each visit. After your child’s initial visit, he or she will need to return for wellness check-ups and immunizations multiple times over the next two years, and then once annually after that. Pediatric check-ups are recommended at 1, 2, 4, 6, 9, 12, 18, and 24 months of age. 

Wellness Exams

Schedule of Well-Child Care Visits (Vorsorgeuntersuchungen “U’s”)

Parents know who they should go to when their child is sick. But pediatrician visits are just as important for healthy children. Children’s physicals function to monitor developmental progress, identify potential health complications and provide medical interventions and counseling that help prevent disease and injuries in the future. It is opportunity not only to oversee a child’s health and development but also for parents to discuss questions and concerns they may have about expectations for physical, emotional, academic and social development. Parents work together with their children’s doctor to achieve optimal pediatric and adolescent health.

The following schedule of screenings and assessments are recommended at each well-child visit from infancy through adolescence.

Schedule of Well-Child Visits:

3 to 5 visit (U2)

1 month old (U3)

2 months old

4 months old (U4)

6 months old (U5)

9 months old

12 months old (U6)

2 years old (U7)

3 years old (U7a)

4 years old (U8)

5 years old (U9)

7 years old (U10)

9 years old (U11)

10 years old

12 years old (J1)

16 years old (J2)

The Benefits of Well-Child Visits:

Prevention. Your child gets scheduled immunizations to prevent illness. You also can ask your pediatrician about nutrition and safety in the home and at school.

Tracking growth and development. See how much your child has grown in the time since your last visit and talk with your doctor about your child’s development. You can discuss your child’s milestones, social behaviors and learning.

Raising concerns. Make a list of topics you want to talk about with your child’s pediatrician such as development, behavior, sleep, eating or getting along with other family members. Bring your top three to five questions or concerns with you to talk with your pediatrician at the start of the visit.

Team approach. Regular visits create strong, trustworthy relationships among pediatrician, parent and child. Well-child visits are a way for pediatricians and parents to serve the needs of children. This team approach helps develop optimal physical, mental and social health of a child.

Immunizations:

Did you know…that immunizations play an important role children’s physicals? It is during this time – when a child is visiting the doctor in good health, rather than sick – that vaccinations are administered to prevent dangerous diseases. The vaccine schedule for basic vaccines like Tetanus, Diphteria, Polio, Whooping Cough, Hepatitis A, Measles, Mumps, Rubella and Chickepox is similar all over the world but many countries have additional requirements according to the diseases you are facing there. 

Frequently Asked Questions

My child seems healthy. Do I really need to bring him to the doctor for a physical?

Yes. Even if your child seems healthy, a doctor can identify possible underlying problems, such as high BMI or developmental delays. Kids visit every few months until age two, and then annually between ages 2 and 6. After age 6, well-child exams are every other year until age 10, when annual recommendation resume.

What should I expect during my child’s physical?

Your child will be measured and weighed, and the doctor will conduct various screenings to ensure your child’s health and development are on track for his or her age. You’ll have an opportunity to ask questions, and your son or daughter will receive immunizations based on the schedule recommended.

Will I need to follow any special instructions in caring for my child after our visit to the doctor?

Possibly. If your child’s doctor finds any underlying health problems, you may be advised to take steps to manage your child’s diet, sleep, and activity levels. Depending on the results of the exam, your child may also require additional screenings, tests, procedures or medications.

Adolescent Medicine

Zits. Periods. Pressure to do drugs, drink, or smoke. Too much growth in places you don’t expect — and not so much in places you do. There’s a lot going on health-wise during the teen years. It helps to have a medical team who understands.

Adolescent medicine specialists have extra training in the medical and emotional issues that many teens face. We are taught to deal with topics like reproductive health, drugs, eating disorders, irregular periods, mood changes, questions about sexual identity, and problems at home or school.

Adolescent medicine specialists are doctors and other medical professionals, like nurse practitioners, who work alongside doctors to provide care. Seeing an adolescent medicine specialist is a great way to transition from childhood — where your parents controlled your health care — to adulthood, where you manage your own health and well-being.

Adolescent medicine specialists usually try to spend some time with their patients alone. That allows the two of you to talk about confidential issues without other family members in the room. Some doctors will let you make and go to appointments by yourself, without an adult.

Injuries and Lacerations

Defination

Types of Skin Injury

When Sutures (Stitches) are Needed for Cuts

Cuts Versus Scratches: Helping You Decide

Immunizations

Immunizations are a foundation part of preventive healthcare for children and teens. The current vaccination schedule for children contains a list of 11 vaccines that protect against 16 dangerous diseases. The vaccines contain components designed to help the immune system develop antibodies that can fight against future infections. These components may be weakened or inactivated versions of a virus or bacteria or they may contain only parts of a bacterium combined with other proteins. Others, such as the tetanus and diphtheria vaccines, do not contain the bacteria, but rather introduce an inactivated toxin produced by them.

Did you know…

that your child may need a modified vaccination schedule if you plan to travel outside of the country with him or her? Nearly 2 million children travel internationally every year. Those children are susceptible to diseases that are all but eradicated in Europe and North America. For example, there has not been a documented case of Polio in these countries in 20 years, yet the disease still plagues many people in South America, Africa and parts of Asia. If your child has not yet completed the recommended vaccination schedule, talk to your pediatrician about an accelerated schedule prior to travel. Other preventive measures, such as medications that help prevent malaria, may also be necessary depending on your destination.

Frequently Asked Questions

When should my child get an immunization?

Your child will probably get his or her first vaccination in the hospital after birth. At the 2-month check-up your child may also receive immunizations for rotavirus, diphtheria, pertussis, tetanus, HIB, PCV, and Polio. Additional booster vaccines will be necessary periodically. Beginning at 9 months a vaccine for meningitis, then age 1, your child will also start receiving vaccinations for Chickenpox, Measles, Mumps and Rubella. Be sure to speak with your child’s pediatrician about when to start administering annual flu shots.

How can I calm my child during a vaccination visit?

Vaccinations are not pleasant for children. Once children are old enough to associate shots with the doctor’s office, they may resist going. Try distracting your child with a favorite toy or book brought along for play in the waiting room. You can also comfort your child by holding him or her while the shot is administered. Finally, offer a reward your child can look forward to after the appointment, such as dinner at a favorite restaurant.

Will my child experience any side effects as a result of immunizations?

Although vaccines are considered safe by the European and American Pediatric Societies, there is a possibility of side effects. Of those children who do experience side effects, most have only minor symptoms, such as a low-grade fever or soreness at the site of the injection. Other temporary symptoms may include joint pain, headaches, nausea, cough, diarrhea, and upper respiratory infections. The risk of serious or severe side effects is very low but you should discuss them with your child’s pediatrician prior to getting vaccines.

Illness Prevention

Disease prevention is an important part of maintaining your child’s overall good health. Many preventive strategies are so simple, safe, and effective, allowing you to guard against a variety of potentially serious illnesses like infections caused by animal bites and ticks or food-borne diseases. Educating patients and their parents about these strategies that can contribute to a healthier life.

Pediatric Skin Care

When it comes to skin disorders and care, children sometimes have different symptoms and concerns than adults. Certain skin conditions – be it infectious or chronic or hormonal - are more often seen in childhood and adolescence, such as acne, eczema or impetigo as well as warts and Mulloscum contagiosum. These conditions can develop as children grow, or they can be present from birth. Pediatricians have experience in diagnosing and treating these conditions so that your child can feel their best.

Tropical and Travel Medicine

It is becoming increasingly common for families with young children to travel overseas to exotic locations. Travelling with children poses some challenges but can also be very rewarding. 

Having a pre-travel consultation is even more important for children as it is for adults. Children encounter the same problems as adults, but do not always receive appropriate pre-travel advice. There are some issues that are more complex to deal with in children. For example, some travel-related vaccines are not immunogenic in young children, and the use of certain vaccines or medications that are first line in adults may be contraindicated in children. 

Your doctor will review routine childhood immunizations that should be up to date for international travel as well as travel vaccinations such as yellow fever, typhoid, cholera, meningococcal, Japanese encephalitis and rabies. Sometimes, routine vaccinations may need to be accelerated to an earlier age for international travel.

Especially required is counseling for infants, children, or adolescents with specific risks, such as those with chronic diseases or those who are immunocompromised.

The consultation will review strategies for providing safe water, formula, snacks and food preparation as well as educate you on signs and symptoms of when to seek medical care for your child, if ever needed.

Also, adolescents and students need advice when traveling abroad. This age group is more likely to take risks and lacks often proper judgement. It is crucial to reinforce safety information before travel relating to issues such as assault prevention, STD prevention and drug and alcohol use.

Did you know …

that rather than unusual tropical diseases, travel related illness in children is more likely to be due to common problems, such as trauma, skin and respiratory tract infections and diarrhea. 

Malaria and tuberculosis are important exceptions: both tend to be more frequent and more severe than in adults. Children also likelier to need hospitalization if they become ill as they become dehydrated more quickly than adults. As malaria and other mosquito-spread infections are more serious in young children, make sure to see a pediatric travel medicine clinician for education on the most effective mosquito protection measures and to obtain malaria prevention prescription if needed is of upmost importance.

The appointment will include:

Allergies and Allergy Testing

If your child has allergies or asthma, it can make it difficult for them to breathe or enjoy things like being outdoors. They need specific treatments according to their clinical presentation as well as diagnostic findings.

Allergy testing helps determine if your child’s symptoms are the result of an allergy. These tests help you to better understand how allergens are affecting your child and provide insight into avoidance strategies. Your doctor diagnoses, treats, and educates families about allergies in children including:

Acute and Chronic Illnesses

Our child has a chronic illness or disability. How can we help him learn to live as best as he can with his condition?

When you first learn that your child has a disability or a chronic illness, the news is often unexpected and can seem devastating. Many families experience a sense of powerlessness in the beginning at the prospect of dealing with a chronic illness, health problem, or disability and often feel very stressed at facing a future filled with unknowns.

Knowledge Is Power

As a first step, it is important for you and your child to try to understand your child’s special needs, and try to find out as much as you can about her condition and its care. The more information parents and children have, the less frightening the present and future will seem. Knowledge is empowering. It can help both you and your child feel more in control of the condition and the impact and effects on your child’s life and on your family.

Information will also help you plan, guide and advocate for and with your child. Over time, you can teach him (if possible) to manage his own condition and learn to be his own advocate through the potentially complicated pediatric and adult health care and educational systems.

Informing Your Child about His Condition

The type of information you convey to your child should be appropriate for your child’s age and developmental abilities. You can gauge this best by listening to her questions.

Remember that as children grow up, their ability to understand information and take responsibility for their own care increases. Every year or so, someone should check out what the child understands about his illness or disability, fill in the gaps and correct information that he does not understand correctly. All too often, the explanations and details about the condition discussed with a child and youth stop at the time of diagnosis.

Helping Your Child Manage Stress

Stress is a part of life. It motivates us to succeed, but it can also interfere with life’s joys and accomplishments. Children with chronic illnesses and disabilities often deal with more stress than other children. For example, they may have to cope with an imperfect body, frequent hospitalizations, painful injections, surgery, or even premature death.

A child with kidney disease who requires dialysis three times a week has regular and repeated periods of stress to address. A child with cancer, who must undergo repeated chemotherapy, often has to manage the fears and anxieties of each future treatment. A child with epilepsy may feel anxious about the possibility of having another seizure.

Unfortunately, there are no simple ways to help your child avoid these stresses.

Suggestions to Reduce the Negative Impact or Effects of These Stresses on Your Child:

Independence

Children’s capacity for independence varies from illness to illness and child to child and will steadily increase with maturity. If your child has diabetes, you may have to test her blood sugar level and make sure insulin injections are given regularly during her younger years. If she requires a special diet, you will need to supervise food choices and eating habits closely. At the same time, watch for signals from her that she is able to assume greater responsibility, and help her take on more of the management of the illness little by little as she gets older.

Some children avoid accepting more independence and self-management of their condition. Families may not mean to but foster dependency because they find it easier to maintain responsibility for their child’s care, rather than teaching the child to perform certain tasks and relying on her to do so. Also, some children may enjoy being the object of their parents’ special attention. They may relish having certain tasks performed for them, and may resist taking responsibility.

It is critical to help your child come to terms with his health condition and accept developmentally and age-appropriate responsibility for caring for himself. Try not to deprive your child of the important and rewarding experience of mastering day-to-day tasks; it instills pride and self-confidence that prepares him for adult life. Praise his efforts at assuming responsibility and applaud yourself for having the wisdom and courage to let him take these very important steps.

Self-management skills should also be more formally assessed and encouraged in youth starting at age 14 years of age with your child’s pediatrician. Youth should help develop a shared medical summary and emergency care plan with their health care providers and develop linkages to any needed community-based supports. Parent and youth should also begin to address issues of legal decision-making and guardianship as appropriate with their providers starting at age 16 years of age. Youth and families should also ask about options for adult health care providers and the process for transferring care.

Your Pediatrician Can Help

Discuss any of your concerns and any limitations with your child’s pediatrician. Using your doctor’s input, develop some guidelines for sensible restrictions if needed while also encouraging your child to participate in a diversity of activities and gain more responsibility for their care. Parents need to recognize their children’s changing needs and to plan for them. It is also important for parents to be educated and up-to-date about their child’s illness or disability and about new treatments and their effects.

Most children with chronic illnesses or disabilities do well in school, develop appropriately and achieve their goals in much the same way that other children do. Most are healthy children who happen to have a chronic illness or disability. While their illness may create certain difficulties, with the support of their parents and other community-based services as needed most lead happy, effective and exciting lives and grow up to become productive adults Period.