In The News | Concierge Pediatrics

All About Strep Throat in Kids — Say AHHH!

By on April 22nd, 2025

Strep throat is a common childhood illness – if you’re reading this, chances are you’ve had strep throat at least once in your life. Not all sore throats mean a strep throat diagnosis, so let’s unpack the basics of what parents need to know about strep, including the different types of strep bacteria, symptoms, contagiousness, treatment, affiliated illnesses, and even some controversy.

Streptococcus –  The Bacteria Behind Strep Throat
Strep throat is a bacterial infection of the throat and the tonsils. “Strep” is short for streptococcus, which, to children, may sound like the name of a dinosaur, but is actually the name of the round bacteria that infects the throat. Directly translating to “twisted chain of berries”, streptococcus bacteria is identifiable under a microscope by its round, chain-like structure. There are many types of streptococcus, some harmless and others serious. Strep throat is most commonly caused by Group A Streptococcus which will be the focus of the information in this blog. 

Not all sore throats are bacterial infections, like strep throat. In fact, viruses are the common culprit for most sore throats, with only about 30% of sore throats in children being diagnosed as strep and even less in adults (about 10%). Strep throat is most commonly found in children between the ages of 5 and 15 years and is extremely rare in babies under 2-3 years old (more on this later in the blog). 

Some children with strep throat will develop a reaction called Scarlet Fever. In Scarlet Fever, children will have the typical strep throat  symptoms of fever and sore throat, but they also develop a bumpy red tongue (called “strawberry tongue”) and bright red rash that covers much of the body. Scarlet Fever may sound alarming to some people, as it was once considered a dangerous childhood disease. Parents may remember it as the cause of severe illness in older popular media and literature like Little Women, The Velveteen Rabbit, Frankenstein, and Little House on the Prairie. However, a diagnosis of Scarlet Fever is no longer nearly as worrisome due to the development of effective antibiotics as treatment. 

How Do I Know if My Child Has Strep Throat? 

Common symptoms of strep throat include: 

  • The telltale red and swollen tonsils
  • Discomfort and some difficulty when swallowing
  • Fever
  • Swollen lymph nodes in the throat
  • White patches in the mouth and on the tonsils
  • Abdominal pain
  • Unexplained bad breath (halitosis)
  • Lack of cold symptoms or coughing

Strep throat is a bacterial infection and as discussed, most sore throats are caused by viruses (which are not treated with antibiotics). Strep throat is definitively diagnosed by a throat culture, which is conducted by taking a long cotton swab and gently swiping the back of the throat by the tonsils. Afterwards, the swab is then placed in a culture container which allows the bacteria to grow if it is present. Clinicians will commonly also perform a quick-test called a “rapid antigen test” at the same time as they would perform a culture. These tests are very sensitive and if positive, the child will be treated with antibiotics and no further testing is needed. If it is negative, there is still a small chance that there might be strep throat so the culture is sent to a laboratory  to see if the bacteria grows in a petri dish. Most clinicians will not treat with antibiotics, though, unless the culture comes back positive (usually within a day). At Concierge Pediatrics, all strep tests are done at our in-house laboratory, where we have a throat culture incubator.

In addition, most clinicians will not test children less than 2-3 years old. This is because strep throat is extremely rare in this age group. In the rare case that it is strep, the risk of complications is extremely low. There are occasions where a child this age may be tested, including:

  • If the child has had close contact with someone who tested positive for strep
  • If the child has unusual or worsening symptoms, like a rash, high fever, or significant difficulty swallowing
  • If the pediatrician has other clinical concerns based on their exam

Strep is contagious and spreads through respiratory droplets, so it is best to teach children practice good hygiene including good hand washing practices, covering their mouth with their elbow when coughing or sneezing, and avoiding the sharing of straws, utensils, cups, etc. Once exposed to strep, it can take 2-5 days before symptoms appear. 

The Importance of Antibiotics for Strep Throat

If your child is over age 2 (sometimes age 3 in other practices) and tests positive for strep, they will be prescribed an antibiotic. It is important to take antibiotics to treat strep throat. When left untreated for long periods of time, strep throat can cause complications like kidney issues or rheumatic fever, an inflammatory disease that can affect a child’s joints and heart. These complications are rare in developed countries like the United States, but highlight the importance of treatment. 

Amoxicillin is the most common antibiotic used to treat Strep throat because it is most effective at fighting off the group A streptococcus bacteria and shortening the duration of symptoms. This antibiotic also has few and generally mild side effects and there has been no reported drug resistance. A doctor may sometimes choose a different antibiotic due to risk of allergic reactions or other specific situations related to the child. It is important to make sure your child finishes the complete course of antibiotics as directed by your prescriber, unless they tell you to stop. It can be tempting to discontinue antibiotics once your child is feeling better, but stopping too soon creates risk for antibiotic resistance in the future, meaning the bacteria could become stronger than the medicines we use to fight off the bacteria. 

Sometimes, antibiotics can cause mild side effects such as upset stomach or a secondary yeast infection. Eating greek yogurt can help to reduce these side effects, as greek yogurt is full of probiotics. Probiotics will not interfere with your antibiotic treatment and will help to restore gut balance, easing stomach discomfort and reducing the possibility of yeast infection. If your child is experiencing any other mild side effects, do not stop the antibiotics, but be sure to give your pediatrician a call to talk through solutions. If your child is experiencing life-threatening anaphylactic reactions like difficulty breathing, hives, or facial swelling after taking antibiotics, seek medical care immediately. 

Once your child receives a strep throat diagnosis, they should rest at home and begin their antibiotic treatment. After 24 hours on the antibiotics, if they are starting to feel better and have also been fever-free for at least 24 hours, they can return to school and most activities. 

In addition to antibiotics, home remedies and comfort measures (also called supportive care) can be taken at home to help relieve symptoms of strep or any sore throat, including:

  • Gargling with warm saltwater 
  • Acetaminophen (Tylenol etc.) and Ibuprofen (Motrin, Advil, etc.) for pain and fever management 
  • Drinking plenty of fluids, especially warm liquids like tea and soup
  • Plenty of rest, which will allow your body to heal
  • Eating soft, bland foods to avoid irritation

It is important to stress again that most sore throats are viruses and antibiotics will not treat a virus. Taking antibiotics unnecessarily is indeed problematic because, as discussed, they can cause side effects or other reactions as well as contribute to antibiotic resistance. 

Strep Can Come Back 

It is possible to get strep throat more than once a year. Sometimes kids will test positive for strep and be considered “strep carriers” meaning they aren’t showing symptoms of strep throat but pose a risk of infecting others because they are carrying the bacteria in their throat. If your child has 7+ strep throat diagnoses in one year or 5+ infections per year 2 years in a row, you may want to speak with your pediatrician or an ear, nose, throat (ENT) specialist about treating as a carrier or, if these are true repeated infections, the possibility of a tonsillectomy. A tonsillectomy is the removal of tonsils and while it is possible to get strep throat without tonsils, the likelihood is reduced. A tonsillectomy may also have other benefits like improved sleep and improved ease of swallowing. 

PANDAS

Many parents have been discussing a syndrome called PANDAS so we will briefly discuss it here. Recurrent strep infections can sometimes be associated with a rare condition called PANDAS, which stands for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections. This is often a controversial diagnosis, with more research needed to fully understand the potential link with strep infection. 

Most researchers believe that PANDAS is an autoimmune reaction (i.e., the child’s immune system overreacting to the strep infection) that can appear during childhood, usually between 3 years old and the age of puberty. Symptoms typically appear very suddenly following a strep infection, and can be significant. There is also thought that people with a family history of autoimmune diseases or rheumatic fever are at higher risk. Symptoms include obsessive-compulsive behavior or motor or vocal tics similar to someone with Tourette’s syndrome, sometimes paired with increased irritability or anxiety, difficulty sleeping, or bed wetting. There is no test to diagnose PANDAS – it is a diagnosis based on experience and the clinical examination of the healthcare provider. It can be treated with cognitive behavioral therapy and sometimes medication. Importantly, a full course of antibiotics must be taken to eliminate the streptococcus infection that may have been the cause. 

While the idea of PANDAS can understandably cause concern, it is considered a very rare condition. There are many impassioned conversations among parents regarding PANDAS but it is important to speak directly with your pediatrician about any concerns you may have, to ensure you receive accurate and evidence-based information and an appropriate path forward for your child based on their personal history and circumstances. 

It can be frustrating to navigate childhood illnesses, but with the right information, parents and caregivers can be empowered to take action towards the path to recovery. Remember, if you ever have questions about your child’s symptoms or care plan, don’t hesitate to reach out to your pediatrician — we’re here to guide you with expert, compassionate support every step of the way and help your child feel better, faster.

Measles in Our Community: A Pediatrician’s Guide to Symptoms, Treatment, and Prevention

By on March 18th, 2025

As of March 13, 301 Measles cases have been reported this year in the United States across 15 jurisdictions. Though the majority of cases have been in the state of Texas, a new case of Measles in an unvaccinated child under age 5 was reported on March 11 in nearby Suffolk County on Long Island. This has prompted many questions and concerns from parents and caregivers across our communities – we’re here to break it down for you and help you proceed confidently as an well-informed decision-maker.

What is measles?

Measles, also called Rubeola, is an airborne, extremely infectious, and potentially severe illness most commonly recognized by its signature red blotchy rash. The virus lives in the nose and throat of an infected person and is spread through the microscopic droplets, so if an infected person coughs, sneezes, or even breathes close to someone else, the infection can be easily spread. Infectious droplets can remain airborne and on some surfaces for up to 2 hours even after the infected person has left the area.  Although the virus can affect anyone, it is most commonly seen in children. 

Because of its high infectiousness, Measles spreads rapidly during times of high travel, like school breaks. People who contract the Measles virus usually begin to develop respiratory symptoms, like cough and runny nose, as well as a fever and watery eyes 8-12 days after being exposed. The hallmark symptom of Measles – a red blotchy rash across the body – tends to appear 3-5 days after the initial symptoms appear. 

While Measles can be a minor illness for many, others will develop serious complications which can lead to death, and it can be difficult, even impossible, to determine who will be affected with serious complications. This is why vaccination is the #1 recommended action to take for Measles prevention. 

A Brief History Of The Measles Virus & Vaccine

The first known documentation of Measles came from a Persian physician in the 9th century. By 1912, healthcare providers and labs in the United States were required to report all cases to the health department. In the first 10 years of this reporting, approximately 3-4 million Measles cases were reported annually, with about 48,000 people hospitalized. About 400-500 people died from complications of the virus each year, including children who were previously considered to be healthy. 

In 1954, physicians began efforts to seek a cure for Measles and by 1963, a vaccine for Measles was developed and licensed for use in the United States. In an effort to provide convenience and thereby increase vaccination rates, the Measles vaccine was then developed into a combined single vaccine to target 3 diseases – Measles, Mumps, and Rubella. This is what we now know as the “MMR” vaccine. A Measles outbreak among vaccinated children in 1989 prompted a recommendation of a second dose of the MMR vaccine for all children, which further reduced the number of Measles infections. By the year 2000, Measles was declared eliminated in the United States due to high vaccination participation.

Why Do We Have Measles Outbreaks Now? 

Despite the good news of Measles elimination in 2000, the virus has been making a comeback in recent years due to global travel (it has not been eliminated worldwide) and reduced immunization participation. One of the most severe contributing factors to reduced vaccination can be attributed to a paper published in 1998 from a British gastroenterologist, Andrew Wakefield, which suggested that children who were diagnosed with autism developed their symptoms within a month of receiving their MMR vaccine. Wakefield theorized that autism could be caused by a breakdown of the intestinal lining from the vaccine, allowing encephalopathic proteins to be absorbed. This study induced widespread panic among parents who began to feel hesitant about the safety of providing the MMR vaccine to their children. 

Scientifically, this study was flawed and data did not support any true association between the MMR vaccine and an autism diagnosis. Subsequently, several epidemiologic studies were conducted  in an effort to address parental fears raised by the Wakefield study. These studies, paired with the observations of large-scale vaccination programs, disproved the claims of the 1998 study. However, the fears among parents were still difficult to quell, especially as other anecdotal theories emerged suggesting the combination of vaccines or the preservative (thimerosal) used in the vaccine may cause autism.1

Twenty studies have since disproven those claims, but disinformation campaigns, especially across the internet and social media, continue to instill fear among parents and those who have yet to be vaccinated. The resulting lower vaccination rates create more opportunity for outbreaks of preventable diseases like Measles.2

The good news is that people who have received 2 doses of the MMR vaccine are unlikely to contract Measles. However, Measles vaccines are not typically recommended until 12 months of age, leaving infants especially vulnerable to contracting the disease and putting them at risk for complications.

Who Is At Risk For Contracting Measles? 

For persons who are not vaccinated and have never been exposed to the virus, the likelihood of contracting measles is 90% in close-contact settings. Close contact is considered being in the same enclosed space as someone infected with Measles. It is also possible that an unvaccinated person can contract Measles after being in a room within 2 hours of an infected person. If you are unvaccinated and had any exposure to someone with Measles, it is a health risk. 

For parents with babies who are too young to receive the Measles, Mumps, and Rubella (MMR) vaccine, precautions can and should be taken during times of outbreak:

  • Avoid exposure to Measles by limiting contact with crowded places and public transport
  • Stay away from sick individuals, especially those who have symptoms of Measles like fever, rash, cough, and/or red eyes.
  • Be vigilant about visitors – ask anyone with recent travel history or symptoms of illness to postpone visits with your baby.
  • Ensure that everyone in your household, including caregivers and frequent visitors, is fully immunized against Measles with 2 vaccine doses. 
  • If exposed, speak with your baby’s primary care physician right away. Immune globulin (IG) may be an option for babies as a temporary protection measure. This is most effective if given within 6 days of Measles exposure without vaccine protection.
  • Avoid travel to areas of outbreak. If you cannot avoid travel, speak with your primary care doctor or local health department to determine if an early MMR vaccine is appropriate.
  • If breastfeeding, consider continuing this to provide some passive immunity to your baby.
  • Ensure good hygiene practices such as handwashing with soap and water, disinfect frequently touched surfaces, and cough or sneeze into your elbow.  

Symptoms And Complications Of Measles

Common initial symptoms of Measles appear 7-14 days after exposure, including: 

  • Fever
  • Cough
  • Red, watery eyes
  • Runny nose
  • Tiny white spots inside the mouth

These telltale symptoms of Measles are likely to appear 3-5 days after initial symptoms:

  • Flat, red, spotty rash on face, spreading to neck, trunk, arms, legs, feet. Click here to see an image of Measles rash.
  • After rash appears, the fever may spike to >104° F

1 in 5 unvaccinated people in the US who get measles is hospitalized. Complications from Measles infection include:

  • Pneumonia (fluid in lungs)
  • Encephalitis (brain swelling)
  • Premature birth or low birth weight
  • Rarely, death 

Will Vitamin A Or Cod Liver Oil Help Lower My Risk? 

There are some claims circulating among communities that vitamin A or cod liver oil (which contains higher levels of vitamin A) will help to prevent and treat Measles. This claim has some misinformation that can put people at risk for dangerous health outcomes.  

During a Measles infection, the virus greatly depletes vitamin A in the body, which can cause complications like blindness. The World Health Organization (WHO) recommends that people already infected with Measles receive 2 doses of vitamin A from their physician to boost those levels in the body. However, too much vitamin A can be harmful! Large doses of vitamin A should only be recommended and administered by a licensed healthcare professional such as a physician. Self-administration of large doses can cause negative side effects such as vomiting, liver damage, or blurry vision. Vitamin A doses are provided to people infected with Measles, but vitamin A cannot prevent nor cure Measles. 

So while it should generally be OK to take a vitamin A or cod liver oil supplement as part of your regular routine, too much can be harmful and it should not replace other proven Measles prevention methods. 

If I Had My Vaccine, Am I Safe? 

The great news is that 1 dose of the MMR vaccine provides 90-93% protection against contracting Measles, and 2 doses of the MMR vaccine increases the protection rate up to 97+%. Fully vaccinated people are unlikely to need any additional vaccinations against Measles. 

People born before 1957 likely already had natural exposure to the virus. If you were born after 1963, it is likely that you received a vaccine, but you should check your health records and speak with your primary care physician or local health department if you’re unsure. Families following the CDC & AAP-recommended vaccine schedule most likely received their first MMR vaccine between 12-15 months old and their second between 4-6 years old (or within 3 months of their first dose)3. One exception to this is children who travelled internationally or were in an area of outbreak may have received their first dose as early as 6 months old.  

If you were exposed to Measles and have not been vaccinated, it is generally recommended to receive a Measles vaccine within 72 hours of exposure. However, it is imperative to first contact your primary care provider and/or local health department for guidance to protect yourself and others. 

Vaccination is the most important way to avoid contracting Measles. If you are a Concierge Pediatrics member and have any questions about your child’s Measles risk or vaccination status, give us a call for guidance. We’re here to help you make the best decision for your family’s well-being.  

What Else Can I Do to Protect Against Measles? 

Stay vigilant! If you are unvaccinated or immunocompromised and were exposed to Measles or think you may have been exposed, isolate yourself and limit contact with other people, and call your healthcare provider. People who have received 2 doses of the MMR vaccine and are healthy should call their healthcare provider, but are unlikely to need to take additional action. 

Find a trusted, evidence-based source of scientific information. At Concierge Pediatrics, our board-certified pediatricians and pediatric teams are here to help you navigate all of your concerns and questions. Other great resources for evidence-based information include the Centers for Disease Control (CDC), the National Institutes of Health (NIH), the World Health Organization (WHO), and your local health department. 

The team at Concierge Pediatrics understands that navigating health concerns like outbreaks of Measles can be worrisome. We are here to provide clear, evidence-based guidance so you can be prepared to make confident decisions. Whether you have questions about your child’s risk, vaccination status, or how to best protect your family, we’re just a phone call away. Your child’s health and safety are our top priorities, and we’re committed to being your trusted partner in expert pediatric care, trustworthy information, and compassionate support. 

Healthy Hearts, Happy Kids: 3 Essential Tips for Wellness

By on February 19th, 2025

A healthy heart is essential for a child’s overall well-being. In this article, we share children’s heart health tips to help parents promote lifelong cardiovascular wellness. A healthy heart is the foundation of lifelong wellness, and building good habits in childhood sets the stage for a strong future. At Concierge Pediatrics, we’re dedicated to helping families make heart-healthy choices that are simple, effective, and fun! Here are three key ways to support your child’s heart health:

1. Encourage an Active Lifestyle

Physical activity is one of the best ways to keep the heart strong. The American Heart Association recommends at least 60 minutes of moderate to vigorous activity per day for kids. One of the best children’s heart health tips is encouraging regular physical activity to keep kids active and healthy Encourage your child to:

  • Play outside—running, biking, or jumping rope are all great for cardiovascular health.
  • Join a sport or participate in structured activities like dance or martial arts.
  • Limit screen time and replace it with movement-based activities.

Making exercise a fun and regular part of their day helps instill lifelong healthy habits!

2. Fuel with Heart-Healthy Foods

Nutrition plays a vital role in heart health. A balanced diet rich in essential nutrients helps keep cholesterol and blood pressure levels in check. Try these heart-smart food choices:

  • Fruits and Vegetables – Provide fiber, vitamins, and antioxidants to support a healthy cardiovascular system.
  • Whole Grains – Swap white bread and refined grains for whole grains like oatmeal, brown rice, and whole-wheat bread.
  • Lean Proteins – Opt for lean meats, fish, beans, and nuts for protein without excessive saturated fats.
  • Healthy Fats – Avocados, nuts, and olive oil are great sources of good fats that support heart health.
  • Limit Sugar and Processed Foods – Reducing added sugars and processed foods helps maintain healthy weight and prevent heart-related issues.

3. Prioritize Restful Sleep and Stress Management

Sleep and stress levels directly impact heart health. A well-rested child is better equipped to maintain a healthy weight, regulate blood pressure, and handle daily stress. To ensure proper rest:

  • Establish a consistent bedtime routine to support quality sleep.
  • Keep screens and electronic devices out of the bedroom before bedtime.
  • Encourage open communication about stress and teach simple relaxation techniques like deep breathing or mindfulness.

By focusing on these three simple strategies—staying active, eating well, and prioritizing sleep and stress management—you’re setting your child up for a lifetime of heart health.

At Concierge Pediatrics, we’re here to support your family in achieving optimal wellness. Unlike other pediatric offices, we do annual EKGs on checkups, read by a pediatric cardiologist, starting at age 6. Schedule a check-up today to ensure your child’s heart is as healthy as can be!

New Year, Healthier Kids: Setting Family Health Goals for 2025

By on January 15th, 2025

The start of a new year is the perfect time to focus on your family’s health and well-being. As parents, setting family health goals for 2025 not only benefits your children’s physical and emotional development but also lays the foundation for lifelong healthy habits. Whether it’s healthier kids, better nutrition, or more active routines, small changes can lead to lasting benefits. Here are some actionable steps to ensure 2025 is your family’s healthiest year yet.

Prioritize Balanced Nutrition

Good nutrition is key to your child’s growth and overall well-being. Start the year by:

  • Planning meals together: Involve your kids in healthy meal planning and grocery shopping to teach them about balanced diets.
  • Incorporating more whole foods: Focus on nutrient-rich fruits, vegetables, whole grains, and lean proteins while limiting processed snacks and sugary drinks.
  • Setting family meal times: Regular meals together encourage better eating habits and strengthen family bonds.

Encourage Regular Physical Activity

Staying active is essential for maintaining a healthy weight, improving mood, and building strong bones and muscles. Aim for:

  • Daily movement: Encourage at least 60 minutes of physical activity each day. This could include outdoor play, bike rides, or joining a sports team.
  • Family fitness activities: Take walks, go hiking, or have family-friendly workout sessions at home.
  • Limiting screen time: Balance technology use with active play to keep your child engaged and moving.

Foster Good Sleep Habits

Quality sleep is essential for children’s physical and mental health. Improve your child’s sleep hygiene by:

  • Establishing a bedtime routine: Consistent sleep schedules help regulate their internal clock.
  • Creating a sleep-friendly environment: Keep bedrooms cool, dark, and quiet, and minimize screen time before bed.
  • Prioritizing rest and relaxation: Encourage mindful activities like reading or taking a warm bath before bed.

Emphasize Emotional Wellness

Mental health is just as important as physical health. Support your child’s emotional well-being by:

  • Encouraging open communication: Create a safe space for your child to express their feelings.
  • Practicing mindfulness: Teach breathing exercises or introduce kid-friendly yoga to reduce stress.
  • Modeling self-care: Show your children that taking care of mental well-being is a priority for the whole family.

Schedule Regular Checkups

Preventive care is crucial for catching potential health issues early. Stay on top of:

  • Annual wellness visits: Routine pediatric checkups ensure your child’s health and development are on track.
  • Vaccinations: Keep up with recommended immunizations to protect against serious illnesses.
  • Dental checkups: Routine visits to the dentist help maintain strong teeth and oral health.

Set Family Goals Together

Making health a family affair keeps everyone motivated and accountable. Consider:

  • Creating a family health challenge: Track steps, eat more vegetables, or cut back on sugary treats together.
  • Celebrating milestones: Reward progress with fun activities like a family outing or movie night.
  • Involving everyone: Let each family member set a personal health goal to stay engaged.

Starting the year with clear health goals can transform your family’s lifestyle and set your children up for long-term success. Remember, small changes lead to big results—whether it’s healthier eating habits, more exercise, or better sleep, every step counts toward a healthier 2025.

If you’d like personalized guidance on your child’s health journey, our Concierge Pediatrics team is here to help. Schedule an appointment today to start the year strong!

Concierge Pediatrics welcomes Dr. Debra Semel Goldenring, MD

By on December 12th, 2024

Hello. I am Dr. Debra Goldenring, and I am excited to join the team at Concierge Pediatrics as the lead doctor in our Short Hills location. Born and raised in northern New Jersey, medicine has been my life as long as I can remember. Growing up as the daughter of a well-known pediatrician, Dr. William Semel, I was fortunate to begin my pediatric career working side by side with him in our Livingston practice. While my formal training at Williams College and my medical degree from New Jersey Medical School taught me the technical side of pediatrics, learning from my father allowed me to see firsthand the importance of being compassionate, empathic, and a great communicator. These skills, along with my overall desire to build relationships, have led to an incredibly rewarding career in Essex County for nearly 30 years. I love what I do, and it has been my pleasure and honor to care for so many patients over the years—and now many of these patients’ own children as well. My success has been built on my belief that my job is not only to care for the child but also to support the parents as they navigate the numerous challenges their child may face from birth to well beyond their college years. I seek to help minimize the worries that come with parenthood and take great pride in helping a mom or dad with whatever support they need along the way.

On a personal note, I have a wonderful and supportive family. I have been married for 35 years to my husband, Steve, and we have two sons, Sam and Jake, and recently added my daughter-in-law (Jake’s wife), Rachel, to our family. In my free time, I enjoy being with friends and family, exercising, baking, walks with my fur baby, Palmer, and spending time on Long Beach Island.

I look forward to meeting you soon and encourage you to reach out with any questions that you may have about Concierge Pediatrics, which I strongly believe is the future of pediatric care.

A great way to learn more is to visit the FAQs section of our site!

Keeping Kids Healthy During the Holiday Travel Season

By on November 24th, 2024

The holiday season is a time for family gatherings, festive celebrations, and often, long-distance travel. While these moments create cherished memories, they also bring unique health challenges, especially for children. Crowded airports, changing time zones, and exposure to new germs can put your little ones at risk of illness. At Concierge Pediatrics, we’re here to help you navigate the season with confidence. In this blog, we’ll share practical tips to keep your kids healthy and happy while traveling this holiday season.

1. Prepare for Travel with a Pre-Trip Checkup

Before embarking on your holiday journey, consider scheduling a wellness checkup for your child. A quick visit to Concierge Pediatrics can help ensure your little one is in good health and up to date on necessary vaccinations, such as the flu shot. If your child has a chronic condition, we can provide personalized recommendations for managing their health while on the go.

2. Pack a Health Essentials Kit

A well-stocked travel health kit is a must for holiday trips. Be sure to include:

  • Hand sanitizer and disinfectant wipes
  • Over-the-counter fever reducers (e.g., acetaminophen or ibuprofen)
  • Any prescription medications your child may need
  • Band-aids and basic first-aid supplies
  • A thermometer
  • Extra masks, especially when traveling in crowded spaces

Having these essentials on hand ensures you’re prepared for minor health concerns that may arise while away from home.

3. Keep Germs at Bay

Travel often means exposure to new environments, and with that comes the risk of encountering germs. Here’s how to minimize exposure:

  • Encourage Handwashing: Teach your child to wash their hands frequently, especially before meals and after touching surfaces in public places.
  • Sanitize Surfaces: Wipe down airplane tray tables, armrests, and hotel room surfaces with disinfectant wipes.
  • Wear Masks When Needed: Masks can provide extra protection in crowded places like airports or on public transportation.

By practicing good hygiene, you can significantly reduce the risk of illnesses like colds, flu, and stomach bugs.

4. Maintain Healthy Routines

Travel often disrupts regular routines, but maintaining consistency can help your child stay healthy:

  • Stick to Sleep Schedules: Try to align your child’s sleep schedule with your destination’s time zone a few days before traveling to prevent jet lag.
  • Stay Hydrated: Dehydration can weaken the immune system, so encourage your child to drink plenty of water, especially during flights.
  • Prioritize Nutrition: Pack healthy snacks like fruits, nuts, and granola bars to avoid the temptation of unhealthy travel food.

By keeping routines as stable as possible, your child will feel more comfortable and less stressed during the journey.

5. Keep Kids Entertained and Stress-Free

Travel can be stressful for children, especially during long trips. Pack entertainment options like books, puzzles, and games to keep them occupied. Stress can lower immunity, so creating a calm and enjoyable travel experience is just as important as taking physical health precautions.

6. Take us with you

While no one wants to think about illness while traveling, it’s important to be prepared. We recognize the importance of having high quality care and access to your pediatrician at all times. When you are on vacation, we will be there for you through our state-of-the art Nonagon telehealth device. Using this convenient device, paired with your smartphone, our pediatricians will be able to conduct multiple, clinically-accurate physical exams that will provide them with the information they need to accurately diagnose your child’s illness and swiftly provide the support you need.

Traveling during the holiday season doesn’t have to compromise your child’s health. With a little planning and preparation, you can keep your family safe, happy, and ready to make the most of your holiday adventures. If you have any health concerns before your trip, the team at Concierge Pediatrics is here to help. Schedule a pre-travel checkup today and set off on your holiday journey with peace of mind.

Here’s to a happy, healthy, and memorable holiday season!

From Fall Back to Spring Forward: How to Make Time Changes Easier for Your Family

By on November 1st, 2024

The time change (whether it’s moving forward in spring or back in fall) can be challenging for parents and kids. Here are some tips to help ease the transition:

1. Gradual Adjustment

  • Start adjusting bedtime gradually: In the days leading up to the time change, shift bedtime and wake-up time by 10-15 minutes earlier (for “spring forward”) or later (for “fall back”) each day. This eases the impact on sleep.
  • Adjust naps: If your child still naps, shift their nap time in the same gradual manner.

2. Consistency in Routines

  • Maintain bedtime routines: Stick to familiar bedtime routines (bath, stories, quiet time) so kids know it’s time to wind down, even if the clock has shifted.
  • Keep mealtimes steady: Align meal times with the new schedule to help their internal clocks adjust faster.

3. Natural Light Exposure

  • Morning light for earlier wake-ups: After the time change, open blinds and let in natural light as soon as your child wakes. This helps reset their internal clock.
  • Limit evening light: As bedtime approaches, dim lights to encourage the production of melatonin, the sleep hormone.

4. Physical Activity

  • Encourage daytime activity: Physical activity during the day can help children feel tired and ready for bed at the appropriate time.
  • Avoid late-day overstimulation: Keep stimulating activities earlier in the day to prevent difficulty winding down in the evening.

5. Be Patient and Flexible

  • Understand sleep disruptions might occur: It can take a few days or even a week for kids to fully adjust, so be patient with extra fussiness or sleep resistance.
  • Be flexible: While you work towards the new schedule, be understanding if they take a little longer to adjust.

6. Extra Comfort

  • Comfort items: If your child is struggling to fall asleep or wakes up early, offer extra comfort like their favorite blanket or stuffed animal to help soothe them back to sleep.

7. Limit Screens Before Bedtime

  • Screen-free wind-down: Avoid screens (phones, tablets, TVs) at least an hour before bedtime, as the blue light can interfere with melatonin production.

These tips can make the time change easier for both parents and children!

Managing Fall Allergies in Kids: Causes, Symptoms, and Treatment

By on October 23rd, 2024

As the leaves begin to change and cooler temperatures set in, fall brings its own set of challenges for children with allergies. While many associate seasonal allergies with spring, autumn can be just as troublesome for little ones sensitive to allergens. At Concierge Pediatrics, we understand how frustrating fall allergies can be for children and their families. In this blog, we’ll explore the common causes of fall allergies, the symptoms to watch for, and how to manage and treat these allergies to help your child enjoy the season to the fullest.

1. What Causes Fall Allergies in Children?
Fall allergies are primarily triggered by three main allergens:

  • Ragweed Pollen: Ragweed is one of the most common fall allergens. This plant releases pollen from late August through November, with peak levels in mid-September. Even if your child doesn’t live near ragweed plants, wind can carry the pollen for miles, causing symptoms in children who are allergic.
  • Mold Spores: As leaves fall and decay, they create the perfect environment for mold growth. Mold spores can become airborne and trigger allergic reactions in children who are sensitive to them. Mold can also thrive indoors, especially in damp basements or bathrooms.
  • Dust Mites: As we start using our heating systems again, dust mites that have built up in air ducts or carpets over the summer can become airborne, triggering allergy symptoms in kids.

2. Common Symptoms of Fall Allergies in Kids
Recognizing the signs of fall allergies can help you differentiate them from a common cold or other illnesses. Keep an eye out for the following symptoms in your child:

  • Runny or Stuffy Nose
  • Itchy, Watery Eyes
  • Sneezing or Coughing
  • Scratchy Throat
  • Wheezing or Trouble Breathing
  • Fatigue or Irritability (caused by disrupted sleep due to nasal congestion)

If these symptoms persist for more than a week and coincide with exposure to allergens like ragweed or mold, it’s likely your child is dealing with fall allergies.

3. Managing and Treating Fall Allergies
While you can’t eliminate all allergens, there are several steps you can take to reduce your child’s exposure and ease their symptoms.

  • Limit Outdoor Exposure During Peak Pollen Times
    Ragweed pollen is most prevalent in the early morning and late afternoon. Encourage your child to play indoors during these times, especially on windy days when pollen levels are high.
  • Keep Windows Closed
    As tempting as it may be to let in the cool fall breeze, open windows can allow allergens like pollen and mold spores into your home. Keep windows and doors closed, especially during peak allergy hours.
  • Wash Up After Outdoor Activities
    After playing outside, make sure your child washes their hands and face to remove any pollen that may have settled on their skin. A quick shower and a change of clothes can also help prevent allergens from spreading around your home.
  • Use HEPA Air Filters
    Consider using HEPA air filters in your home, particularly in your child’s bedroom, to reduce airborne allergens like dust mites and mold spores. Regularly changing your HVAC system’s filters can also minimize allergen buildup.
  • Medications for Allergy Relief
    Over-the-counter antihistamines, nasal sprays, and eye drops can be effective in reducing allergy symptoms. However, it’s always best to consult with your pediatrician before giving any new medication to your child. At Concierge Pediatrics, we can recommend the safest and most effective treatments based on your child’s age and symptoms.
  • Allergy Testing
    If your child’s allergies seem severe or persistent, allergy testing may be necessary to identify specific triggers. This will allow for more targeted treatment, including prescription medications or immunotherapy (allergy shots) if needed.

Fall allergies can be uncomfortable for children, but with the right prevention and treatment strategies, they don’t have to dampen your child’s enjoyment of the season. If you suspect your child may be suffering from seasonal allergies, please let us know.

Contact us today to schedule an appointment or to learn more about allergy management options tailored to your child’s needs. By taking proactive steps, you can help your child breathe easier and enjoy all the wonderful activities fall has to offer—minus the sneezing and sniffles!

Stay Healthy!

#FallAllergies #ChildDevelopment #ConciergePediatrics

The Benefits of Outdoor Play for Child Development

By on September 24th, 2024

In today’s fast-paced world filled with screens and structured schedules, it’s easy to overlook the importance of outdoor play in a child’s daily routine. At Concierge Pediatrics, we believe that outdoor play isn’t just a fun way to burn off energy—it’s crucial for a child’s physical, mental, and emotional development. As the weather cools down and fall approaches, there’s no better time to get outside and encourage your child to enjoy the great outdoors. In this blog, we’ll explore the many benefits of outdoor play and why it’s so vital for your child’s overall well-being.

1. Physical Development: Building Strong Bodies Outdoor play provides children with the opportunity to run, jump, climb, and explore—all activities that contribute to physical fitness. From strengthening muscles to improving coordination and balance, regular outdoor activities help children develop gross motor skills. Additionally, being outdoors allows children to soak up vitamin D from sunlight, which is essential for bone health and immune system function. Fall is the perfect time to get outside, as the cooler temperatures make it comfortable for longer periods of active play.

2. Mental and Cognitive Benefits: Enhancing Focus and Creativity Spending time outdoors can have a profound impact on a child’s mental and cognitive development. Unstructured outdoor play fosters creativity and problem-solving skills as children explore their environment, invent games, and engage in imaginative play. Studies show that spending time in nature can also improve attention spans and focus, especially in children who may struggle with concentration in a classroom setting. At Concierge Pediatrics, we encourage parents to allow their children to engage in open-ended outdoor play to stimulate their minds and foster creative thinking.

3. Emotional Health: Reducing Stress and Anxiety Outdoor play is also a powerful tool for improving emotional well-being. Nature has a calming effect on children, helping to reduce stress and anxiety. Whether it’s a walk in the park, playing in the backyard, or exploring a hiking trail, spending time outside provides children with a sense of peace and connection to the world around them. For children dealing with the pressures of school or social situations, outdoor play can serve as a healthy outlet for releasing pent-up energy and emotions.

4. Social Skills: Building Friendships and Cooperation Playing outside with other children offers valuable opportunities for social development. Whether playing team sports, participating in group games, or simply running around with friends, outdoor play helps children learn important social skills like cooperation, sharing, and communication. These interactions teach children how to navigate relationships, resolve conflicts, and develop empathy—all critical skills for their emotional and social development.

5. Encouraging Healthy Habits for Life One of the greatest long-term benefits of outdoor play is the promotion of lifelong healthy habits. Children who engage in outdoor activities are more likely to develop a love for physical activity, which can help prevent obesity and other health issues later in life. Encouraging children to spend time outside instead of relying on screens for entertainment sets the foundation for a balanced, active lifestyle as they grow.

With cooler weather and changing leaves, fall is an ideal time for children to enjoy outdoor play. Whether it’s visiting a local park, taking a nature walk, or organizing outdoor games in your backyard, the possibilities for fun and development are endless. At Concierge Pediatrics, we understand the vital role outdoor play plays in your child’s growth, and we encourage families to make time for it as part of a healthy routine.

If you have any questions about your child’s physical or emotional development, our team at Concierge Pediatrics is here to help. Contact us today to schedule an appointment or learn more about the services we offer to keep your child happy and healthy.

#OutdoorPlay #ChildDevelopment #ConciergePediatrics

Back-to-School Health Checklist: Preparing Your Child for a Healthy School Year

By on August 26th, 2024

As the back-to-school season approaches, parents and children alike are gearing up for a fresh start. While shopping for school supplies and new clothes is often top of mind, ensuring your child’s health is just as important for a successful school year. At Concierge Pediatrics, we believe that a healthy child is a happy learner. This back-to-school health checklist will help you prepare your child for the new school year, ensuring they are physically and mentally ready to thrive.

  1. Schedule a Back-to-School Physical: An annual physical exam is a crucial step in preparing your child for the school year. This check-up allows your pediatrician to assess your child’s overall health, monitor growth and development, and address any concerns. Whether it’s checking for vision or hearing issues, discussing nutritional needs, or updating immunizations, a back-to-school physical ensures your child is ready for the year ahead.
  • Stay Up-to-Date on Immunizations: Keeping your child’s immunizations current is essential for their health and the safety of others. Vaccines protect against preventable diseases such as measles, mumps, and whooping cough, which can easily spread in school settings. Review your child’s vaccination records and consult with your pediatrician to ensure they are up-to-date with all required vaccines.
  • Focus on Healthy Nutrition: A balanced diet is key to keeping your child energized and focused throughout the school day. Plan nutritious breakfasts that include protein, whole grains, and fruits to give them a strong start each morning. Prepare healthy lunchbox options with plenty of vegetables, lean proteins, and whole grains. Don’t forget to pack healthy snacks and encourage your child to stay hydrated by drinking water throughout the day.
  • Establish a Consistent Sleep Schedule: Adequate sleep is vital for your child’s physical and mental development. With the new school year approaching, gradually adjust your child’s bedtime and wake-up time to align with their school schedule. Aim for 9-11 hours of sleep per night for younger children and 8-10 hours for teenagers. Consistent sleep patterns will help your child stay alert, improve concentration, and perform better academically.
  • Teach Proper Hand Hygiene: Schools can be a breeding ground for germs, making hand hygiene essential for preventing the spread of illness. Teach your child the importance of washing their hands thoroughly with soap and water before eating, after using the restroom, and after coughing or sneezing. Consider packing a small hand sanitizer in their backpack for situations where soap and water aren’t readily available.
  • Review Emergency Contact Information: Ensure that the school has the most up-to-date emergency contact information for your child. This includes your phone number, the contact information of a trusted relative or friend, and details of your child’s healthcare provider. It’s also a good idea to discuss with your child what to do in case of an emergency.
  • Address Any Emotional Concerns: Returning to school can be a source of anxiety for some children, especially after long breaks or during transitions to new schools or grades. Open a dialogue with your child about how they’re feeling as the school year approaches. Address any concerns or fears they may have and reassure them that these feelings are normal. If necessary, seek the guidance of a pediatrician or counselor to help your child manage stress or anxiety.

A new school year is an exciting time filled with opportunities for learning and growth. By following this back-to-school health checklist, you can help ensure your child is physically and emotionally prepared for success. At Concierge Pediatrics, we’re here to support your child’s health every step of the way. Schedule a back-to-school physical today and take the first step toward a healthy, happy school year.

Wishing you and your child a safe and successful school year!

#BackToSchool #ChildHealth #PediatricCare #ConciergePediatrics