In The News | Concierge Pediatrics

How to Pay For Concierge Care with an HSA

By Concierge Pediatrics on August 31st, 2026

Reimbursement is the sole decision of your insurer. Concierge Pediatrics is here to provide education and assistance to help connect you with reimbursement opportunities.

HSA, FSA & Insurance: Paying for Concierge Pediatrics with Pre-Tax Dollars

For years, the answer to “can I pay my concierge pediatrician with my HSA?” was no. As of January 1, 2026, that answer changed. Under the One Big Beautiful Bill Act, families can now use Health Savings Account funds tax-free to pay direct primary care membership fees, up to $150 per month for one person or $300 per month for more than one. Here’s what the new rules can mean for your family.

What changed in 2026

Before this year, the IRS treated membership fees for direct primary care and concierge practices as a fee for access rather than for medical care. That meant you couldn’t pay them with HSA funds, and in some cases having a membership could even jeopardize your ability to contribute to an HSA at all.

The One Big Beautiful Bill Act, with IRS guidance issued in Notice 2026-05, changed both problems. Beginning January 1, 2026:

You can stay HSA-eligible while enrolled in a qualifying direct primary care arrangement. Membership no longer blocks you from contributing to your HSA.

You can pay qualifying membership fees with HSA funds, tax-free. The fees are now treated as qualified medical expenses.

For a family in a typical combined federal and New York or New Jersey tax bracket, paying with pre-tax dollars is the equivalent of a meaningful discount on the membership itself.

The fine print that matters

The new rules come with conditions, and an honest practice will tell you about them:

The fee caps. The tax-free treatment applies to direct primary care fees up to $150 per month for an individual, or $300 per month total when the arrangement covers more than one person. These caps are why our core membership is priced at $150 per month per child. Fees above the caps don’t get the same treatment, so families enrolling several children should review how the aggregate limit applies to them with their benefits administrator.

What counts as direct primary care. The arrangement must consist of primary care services provided by primary care practitioners in exchange for a fixed periodic fee. Practices that bill your insurance on top of charging membership fees generally don’t qualify. Our membership model, a flat monthly fee covering your child’s primary care with no insurance billing, is the structure this law was written for.

Not everything is covered by the caps. Optional extras billed separately, like in-home sick visits, are outside the fixed membership fee. Whether those qualify as ordinary medical expenses is a separate question, and usually they do, since they’re direct payments for medical care.

How to actually do it

Confirm your HSA eligibility. You need an HSA-compatible health plan. New for 2026: bronze and catastrophic marketplace plans now count, which expands who can open and fund an HSA.

Pay the membership fee, then reimburse yourself from your HSA (or pay directly with your HSA debit card). Keep your membership agreement and receipts.

Ask your benefits administrator about your FSA. Now that qualifying DPC fees are treated as qualified medical expenses, many FSA plans can reimburse them too, but FSA rules vary by employer, so confirm before counting on it.

When in doubt, a 10-minute conversation with your benefits administrator or tax advisor settles your specific situation. We’re happy to provide the documentation they’ll ask for.

What about insurance?

Membership and insurance work together, not instead of each other:

Keep your insurance for hospital care, specialists, and emergencies. Membership covers your child’s primary care relationship with us.

Superbills for out-of-network reimbursement. Because we don’t bill insurance directly, we provide itemized superbills you can submit to your insurer. Depending on your out-of-network benefits, you may recover a portion of your costs. [INTERNAL LINK: /superbills “insurance reimbursement and superbills”]

The stack, combined: pre-tax HSA dollars for the membership fee, insurance for everything beyond primary care, and superbills where your plan allows. That’s the full picture of what concierge pediatric care actually costs after tax treatment, and it’s considerably less than the sticker price suggests.

A worked example

A family with one child and an HSA-compatible plan pays $150/month for a Concierge Pediatrics HSA “core” membership, $1,800 per year. Paid with pre-tax HSA dollars at a 30% combined marginal rate, the effective cost is roughly $1,260, about $105 per month, for 24/7 communication access to their pediatrician, same-day and next-day visits, comprehensive annual physicals, and as many sick visits as needed.

FAQ

Can I use my HSA to pay for a concierge pediatrician in 2026?

Yes, if the practice qualifies as a direct primary care arrangement: primary care services for a fixed periodic fee, with fees up to $150/month for one person or $300/month for more than one. The change took effect January 1, 2026 under the One Big Beautiful Bill Act.

Does a concierge membership stop me from contributing to my HSA?

Not anymore. As of 2026, enrollment in a qualifying DPC arrangement no longer affects your HSA eligibility, provided fees stay within the monthly caps.

Can I use an FSA for concierge pediatric fees?

Possibly. Qualifying DPC fees are now treated as qualified medical expenses, but FSA coverage depends on your employer’s plan terms. Confirm with your benefits administrator.

What if I have three or more children enrolled?

The $300/month cap applies to arrangements covering more than one individual. How the aggregate limit interacts with multiple separate memberships is a question for your tax advisor; we can provide the fee documentation they’ll need.

Do superbills still matter now that HSA payment is allowed?

Yes. HSA treatment and out-of-network insurance reimbursement are separate. Superbills can recover a portion of costs from your insurer on top of the tax savings, depending on your plan.

The bottom line

For the first time, families can pay for a concierge pediatric membership with pre-tax dollars. The law was effectively written for the model we practice: a flat monthly fee, no insurance billing, just primary care. If you want to understand what your family’s real after-tax cost would be, talk to our team and bring your benefits questions; we’ll give you straight answers and the paperwork your administrator needs.

Still feel confused about how insurance works with a membership model healthcare office, like Concierge Pediatrics? This webinar breaks down out-of-network benefits, reimbursement options, and recent policy updates so you can confidently use both personalized care and your insurance. Learn about how to maximize your insurance benefits to cover your concierge care and more from Shari Resnick and Lindsay Rosen from R Partner in Care Health Insurance Advocates.

Newborn’s First Week: Feeding, Sleep, Diapers & When to Call Your Pediatrician

By Concierge Pediatrics on July 20th, 2026

Congratulations, new parents! You’ve prepared yourselves, experienced the birth of your baby, and it’s time to go home and start your lives as a family. Bringing your newborn home is exciting, but we understand it can also feel overwhelming. During your baby’s first week at home, you’ll likely have questions about feeding, sleeping, diapers, weight loss, umbilical cord care, and what’s considered normal. In this guide, our pediatricians explain what to expect during the first week with your newborn, signs your baby is healthy, warning signs to watch for, and when to call us.

What To Have At Home For Your First Week

Diapers of varying sizes
Diaper wipes
Diaper rash cream, like Desitin Triple Paste, etc.
1% hydrocortisone for inflammation and
Neosporin
Thick moisturizer for baby’s skin, such as Aquaphor or Vaseline
Baby shampoo
Baby bath soap
Baby lotion
Saline mist for clearing nasal congestion
Boogie Wipes which are gentle to wipe a baby’s nose and prevent skin irritation
Vitamin D drops (if exclusively nursing)
Natural Tears, to help gently rinse out eyes and prevent them from getting crusty if they become mucousy
Infants Tylenol (acetaminophen) to be used ONLY under the direction of your pediatrician
Infant thermometer – we prefer the digital readers with rectal probes
Infant moisturizer for body and face
Alcohol pads pre-packaged (for gentle umbilical care)
Nail file (buffer version for the first years)
Bottle sets
Bathtub with sling

Feeding Your Newborn During the First Week

Newborns eat every 2-3 hours, 8-12 times a day.
Evening cluster feeding is normal; not a sign of low supply.
Spit-up is common. Forceful or green vomiting is not; call us.

Wet Diapers and Newborn Poop: What’s Normal?

Expect about one wet diaper per day of life (2 on day 2, 3 on day 3), then 6 or more per day from day 5.
Their stools (poop) will start off looking black and tarry before switching over to looking yellow & seedy by days 4-5.

Safe Sleep For Newborns

Remember the ABCs of safe sleep:
- Alone
- on their Back
- in a Crib or bassinet.
Put baby on a firm flat surface, no blankets, pillows, bumpers, or loose items.
It is recommended for baby to sleep in the same room as a parent or caregiver, but baby should have their own sleeping space to keep them most safe.
Sleeping for 20+ hours a day in short stretches is normal. There is no schedule yet, and that’s okay.

What’s Normal During Your Baby’s First Week?

Do their eyes look a little funny? Why does the top of their head look like it has dandruff already? we know you’ve got questions. Let’s unpack some common scenarios to alleviate some of those fears and highlight any need for quick medical attention.

Normal Newborn Behaviors – Don’t Panic!

Sneezing, hiccups, and pauses in breathing (“periodic breathing”) during sleep
Peeling skin, baby acne, bluish hands and feet
Losing up to 10% of birth weight in the first days, regained by 2 weeks
Crossed or wandering eyes
Umbilical stump still attached – keep it clean and dry
- This will fall off naturally in 1-3 weeks of birth

When To Call Your Pediatrician

If you spy any of these things, give your pediatrician a call right away for guidance. These things could signal the need for immediate medical intervention, and you should be in touch with your medical team to help you through next steps.

Rectal temperature of 100.4°F (38°C) or higher — call first, before giving any fever medicine
Trouble breathing, grunting, or blue lips
- Grunting and squeaking can be normal, but signals of difficulty breathing and any facial blueness can be an emergency
Hard to wake, unusually floppy, or inconsolable
Fewer wet diapers than expected, or refusing to feed
Yellow skin or eyes that is worsening or spreading down the body
Redness, bleeding, or foul smell around the umbilical cord

Remember that you should always be able to call your pediatrician in any scenario that gives you concern. We are here to help walk you through any uncertainty, so don’t hesitate to reach out if anything feels off. If you ever believe your baby is experiencing an urgent, life threatening emergency, call 911.

Your Baby’s First Checkup With The Pediatrician

Your baby should be seen 3 to 7 days after birth. At Concierge Pediatrics, here’s what we cover for our members during that first visit:

Full physical exam of baby, head to toe
Mother’s health history
Pregnancy history
Review of what was done at the hospital during birth
Discussion of
- feeding expectations
- bowel movements & wet diapers
- Sleep expectations
- Gastrointestinal (GI) issues
- Developmental milestones
- Fever guidance
- What to look out for during the first 2 months of life

You will be visiting your pediatrician about once a month after baby is born, so you will have lots of opportunity for questions and review with your pediatrician. We’re always here to partner with you.

Already a Concierge Pediatrics family? We’ve got you scheduled. Not yet? Call (855) 543-7337 and we’ll take it from there, including the option for newborn home visits.

Remember How Important it is to Take Care of Yourself

Rest when you can and accept help. Feeling weepy or overwhelmed is common in the first two weeks. If sadness or anxiety feels too heavy or isn’t lifting, tell us at any visit – we’re here for you.

Download this blog as a printable guide!

How Much Does a Concierge Pediatrician Cost in 2026?

By Concierge Pediatrics on July 1st, 2026

What is a Concierge Pediatrician?

Concierge Pediatrics is a membership-based healthcare model that provides personalized and comprehensive medical care for children. Just like concierge medicine for adults, this approach involves a direct relationship between a pediatrician and the patient’s family. At Concierge Pediatrics, families pay a membership fee to access this individualized care and enhanced pediatric medical services for their children.

By doing so, Concierge Pediatrics can provide families with unparalleled access to their medical care, including more time with their doctor, same day sick visits, directing texting with their doctors, in house labs and with no risk of unexpected denials from insurance.

What concierge care costs

Concierge medicine operates on a membership model. Instead of paying per visit, families pay an annual membership fee that covers their pediatrician’s services. These fees vary widely by practice and region, typically ranging from $1,800 to $50,000 per year depending on the level of service and amenities offered.

Concierge Pediatrics Membership Fees

Membership at Concierge Pediatrics starts at $150 per month, per child. A family’s annual fee will depend on the number of children you enroll in our practice. We serve families from our offices on Long Island, NY in Roslyn, Woodbury & Bellmore, and Short Hills, NJ.

What the fee actually buys

At our practice, membership includes:

Direct texting access with your child’s pediatrician, not an answering service

Same-day or next-day appointments with no waiting room

Unhurried visits – 60 minutes scheduled for well visits, 30 minutes scheduled for sick visits

Comprehensive annual physicals: bloodwork (CBC, cholesterol, glucose), EKGs starting at age 6, hearing, vision, and urine screening

A take-home telehealth device called the Nonagon, so your doctor can examine ears, throat, lungs, and heart remotely

First newborn visit at your home

Mental and behavioral health care, allergy and asthma testing and treatment

Care coordination with specialists including Sleep Experts, Nutritionists, Endocrinologists, Orthodontics, Dermatologist, Orthopedists, Psychiatrists, etc.

What it does not buy: hospital care, specialist visits, or emergency care. You keep your health insurance for those.

Do insurance, HSA, or FSA cover concierge pediatrics?

Membership fees traditionally haven’t been covered by insurance. But that changed in 2025. New legislation now allows concierge models to receive insurance coverage up to $1,800 through HSA (health savings account) plans.

Even in practices like ours that don’t bill insurance, families with PPO plans have options. Our pediatricians can provide a superbill, which is a detailed statement of services provided. Our members can then submit the superbill to their insurance plan for potential reimbursement.

The hidden costs of traditional care

Traditional insurance-based pediatrics has no membership fee, but it usually isn’t free:

Copays and deductibles per sick visit add up for children who get sick 8–12 times a year

Urgent care ($75–$200 per visit) and ER visits ($1,000+) for problems a same-day appointment would have handled

The average doctor visit consumes over two hours door to door. For working parents, that’s real money

After-hours questions route through triage lines that default to “go to the ER”

Is a concierge pediatrician worth the cost?

The strongest cases for membership:

Newborns and infants: home visits, direct access for feeding and sleep questions, no waiting rooms during RSV season

Children with chronic conditions: asthma, allergies, ADHD, anxiety — conditions that need coordination, not 12-minute appointments

Frequent sick visits: daycare and elementary years

Kids away from home: our college program and telehealth device cover students who may be hours away at just over $100 a month

FAQ

How much does a concierge pediatrician cost per month?

Concierge Pediatrics memberships start at $150 per month, varying by plan and number of children. Click here for more information.

Does the membership fee replace health insurance?

No. The membership covers your pediatric primary care relationship. You keep insurance for hospitalizations, specialists, prescriptions, and emergencies.

Are there discounts for multiple children?

Pricing varies by plan and number of children enrolled. Contact our team for a quote for your family.

Is concierge pediatric care cheaper than urgent care?

Per incident, often yes for frequent users: a single ER visit can exceed $1,000, while membership runs about $1,500 per year and covers expansive visit access.

Hantavirus Outbreak on MV Hondius: What Parents Want to Know

By Concierge Pediatrics on May 18th, 2026

Originally published on May 13, 2026. This is a developing situation and details may change.

By now, you may have heard news reports and social media discussions about Hantavirus, a virus circulating among guests on a cruise ship called the MV Hondius that has led to serious illness and fatalities. We’re here to break down the information you need to know right now to help you stay informed, not in fear.

What Happened With the MV Hondius Hantavirus Outbreak?

The Hantavirus outbreak originated on the MV Hondius, a cruise ship with 150 passengers, in early April.
Hantavirus is typically transmitted by rodents, but none were found on the ship. Theories emerged of a couple who had been birdwatching in Argentina and Chile and may have been exposed, without symptoms, prior to boarding.
Health officials believe the current outbreak involves the Andes strain of Hantavirus, a rare strain that has shown limited person-to-person transmission in past outbreaks.
The ship reported 11 illnesses and 3 deaths related to Hantavirus.

Where We Are Now.

Passengers have been evacuated from the ship and flown home to their countries of origin.
18 evacuated passengers now in US being monitored at biocontainment quarantine facilities in Nebraska, Kansas, & Georgia.
Passengers may be permitted to quarantine at home, under supervision.
CDC assessments are underway.

What Are Symptoms of Hantavirus?

Hantavirus symptoms include

Fever
Fatigue
Shortness of Breath
Muscle Aches
Headache

These symptoms can take up to 42 days to appear. Families should contact their healthcare provider if they develop concerning symptoms after known exposure.

Do I Need to Worry About Getting Hantavirus?

At this time, no, unless you’ve been knowingly in direct contact with an infected person.
Unlike the start of COVID-19, public health experts are familiar with management of this virus and are closely tracking developments.
The fundamentals of good public health are critical to prevent spread of illness.
Expert sources such as the World Health Organization, CDC, and your local health department are your best place for up-to-date information.

When Should I Call My Pediatrician?

If you still have concerns, it is always a good idea to have a conversation with your pediatrician. News about emerging illnesses can feel overwhelming for parents, especially when information online changes quickly. One of the benefits of concierge pediatric care is having direct access to a trusted pediatrician who can help you understand evolving health concerns, answer questions, and guide your family with evidence-based information. We are here to partner with you and help you remain informed, not in fear!

Does My Child Have the Flu? A Pediatrician’s Guide

By Concierge Pediatrics on December 19th, 2025

Estimated reading time: 8 minutes

Symptoms of the Flu
How To Know If You Have the Flu
Flu Treatment and Medications
How Can I Avoid the Flu?
Is it Too Late to Get a Flu Shot?

As we begin to officially enter the Winter season, may start to feel those telltale signs of respiratory illness – a tickle in your throat, more sniffles than usual, a sharp headache. Could it be the flu? With elevated flu activity across the nation and positive cases growing in our region this month, it just might. Let’s break down everything you need to know about the flu – from symptoms and treatments, to preventative measures.

Symptoms of the Flu

Flu is the short name for Influenza, a virus that affects your respiratory system including your nose, throat, and lungs. There are 4 types of influenza – A, B, C, and D. Flu A and Flu B are what we most commonly see during our “flu season” which is typically during the Fall and Winter, with activity often peaking during the month of February.

Symptoms of flu may look similar to other illnesses, including:

Fever

Chills

Headache

Cough

Fatigue

Body aches

Sore throat

Stuffy nose

Sound familiar? A key difference in deciding if it’s a common cold or the flu is the speed of symptom onset. The common cold may start to give you hints of its arrival in the days before you feel full-blown sick, whereas the flu often gives people very sudden, severe symptoms. A popular description we also hear from patients in clinical practice is when it’s the flu, you feel like you’ve been “hit by a truck”. People infected with influenza are also at greater risk of developing secondary infections, such as ear infections or pneumonia. Consult with your healthcare provider if you are concerned about your symptoms.

How To Know If You Have the Flu

The flu is a virus and can be difficult to distinguish between other seasonal colds we get throughout the year. This is why testing is important for data, although during peak times, healthcare providers in busy environments may diagnose flu based on clinical examination and regional data vs. using a test, because laboratories may be overwhelmed and tests that are sent out may not come back in a timely manner. You may hear the term “influenza-like illness” or “ILI” which is a term used to diagnose the likelihood of flu if a specific diagnostic test wasn’t conducted. However, at Concierge Pediatrics, we will simply conduct a flu test.

A flu test is administered by swabbing deep inside the inside of the nose, called a nasopharyngeal swab. A rapid influenza diagnostic test (RIDT) is an antigen test that will determine flu presence within about 15-20 minutes. The benefit of an RIDT is that you can get results quickly while in the office or at home, but they are not as sensitive as other tests so you can test negative and still have the flu. This type of test is now more common to find over-the-counter at your local pharmacy, unlike in the past. Other tests, like reverse transcription polymerase chain reaction (RT-PCR) tests are done with a similar collection method, and then sent out to a lab for extended testing. This can sometimes only take a few hours, but depending on the time it takes to be picked up and brought to a laboratory, plus volume of total tests received by the lab, it can take up to a few days.

At Concierge Pediatrics, we run a 15-minute PCR test to guarantee quick results. We can also provide an optional respiratory viral panel test to understand what other virus your illness may be, if not influenza.

Current flu data in our region from CDC.gov

Flu Treatment and Medications

For the most part, treatment of the flu is the same as it is for the common cold. It is important to focus on the hallmarks of good self care, including quality sleep, nourishment, hydration, and rest, as well as supportive care methods to treat symptoms. Supportive care methods include a mix of medicine and proven home remedies, such as:

ibuprofen (Motrin, Advil, etc.) and acetaminophen (Tylenol etc.) for pain and discomfort from fever or body aches

honey for a cough in ages 2+ years*

cool mist humidifiers to help loosen mucous

sterile saline rinses to clear nasal passages

The flu is a virus, so antibiotics will not help you recover, as those are targeted to treat bacteria. However, some people may want to opt for a prescription anti-viral treatment, like oseltamivir (i.e.; Tamiflu) or baloxavir marboxil (i.e.; Xofluza). These medications are most effective when taken within 48 hours of symptom onset. Some of the drawbacks of these medications include reported unpleasant side effects, like a strong, bitter taste, nausea, vomiting, and sometimes confusion or bronchitis. For this reason, the drugs are usually recommended for immunocompromised individuals, and those under age 5 or over age 65. The benefit is that these drugs may reduce the duration of your symptoms when taken right away. Discuss the pros and cons with your healthcare provider so you can make the decision that’s best for your family!

How Can I Avoid the Flu?

The flu is an airborne illness, meaning it can spread via droplets from an infected person when they speak, cough, or sneeze. It is also possible to become infected when the droplets of an infected person touch a surface, and the next person touches the surface followed by their nose, mouth, or face.

An infected person can unknowingly spread the virus the day before they start to feel symptoms, and up to a week after becoming sick, but they are most contagious during their first 3 days of symptoms. For the sake of public health, this is why it is very important to stay home if you’re not feeling well, as much as possible, and to mask if you must leave the house when not feeling well. If a person infected with the flu is able to isolate in 1 room or area the house and use a dedicated bathroom, this will help to prevent the spread to other household members. If they’re unable to do so, they can simply follow fundamental public health measures, such as

covering their cough and sneeze into their elbow

good handwashing practices

proper disposal of used tissues
get a flu shot

Other household members should also remember to practice self care measures and frequently wash their hands with soap and water for at least 20 seconds. People with the flu can begin to return to their normal activities once they are feeling better and have been fever-free for 24 consecutive hours.

Clean high-touch surfaces, like doorknobs, light switches, countertops, bathrooms, toys, tv/gaming controls, and phones. Soap and water is usually fine, or you can use a diluted solution of household bleach and water.

Is it Too Late to Get a Flu Shot?

In the 2023-2024 season, a record 200+ pediatric deaths tragically occurred from influenza infection. The very best way to prevent the flu from hitting your household is to get an annual flu vaccine. It’s not too late to get a flu shot! Flu shots are offered at Concierge Pediatrics as part of your membership well care, and usually also for free at local pharmacies.

The flu vaccine has been researched, studied, and tested extensively for 80+ years and we do recommend getting it for ages 6 months and above. We also have the FluMist nasal spray available, so kids don’t have to feel fearful about a needle. The nasal spray is not recommended for people who are immunocompromised, nor those with asthma.

Scientists work hard to determine what the dominant flu strain is likely to be and then try to match that each year’s vaccine to the strain of flu we expect to see for the upcoming flu season. Because the flu is a virus, it means that it can evolve and still infect someone who has already gotten the vaccine. While we recognize this can be a disappointment when you feel like you’ve done the work to prevent falling ill, the important thing we will note is that the symptom severity and illness duration of a vaccinated vs. unvaccinated child with the flu are very different. If you are unsure about vaccination, talk to a trusted healthcare provider, such as any physician at Concierge Pediatrics. We will talk through your concerns and provide you with evidence-based resources to arm you with information so you can confidently make an informed decision.

The flu vaccine takes about 2 weeks to take full protection effect, and it is recommended to get the flu shot each year before Halloween (flu before Boo!), but people can be vaccinated through the month of April to be protected.

At Concierge Pediatrics, we’re here to take care of your family in health, spirit, and education. If you have flu questions, let us know! We’re here to get through flu season together.

*honey and products containing honey should NOT be given to babies under 1 year old. Honey may contain botulism spores, which are harmful to babies under 1 year old. Botulism spores are harmless for babies over 1 year old, as their immune systems and digestive tracts become more mature at that age.

How to Switch Baby Formula

By Concierge Pediatrics on November 25th, 2025

Read the complete article at babylist.com

By Kristine Gill and Briana Engelbrecht | Published on November 18, 2025
Fact Checked by Shannon Vestal Robson

Switching your baby’s formula for any reason (whether it’s not agreeing with their tummy, there’s been a recall or your brand is affected by a shortage) can be stressful, and we know it’s tough to pick the right formula for your baby in the first place. But don’t panic: “The majority of babies actually switch formulas and don’t have any difficulty,” says Dr. Victoria Regan, a pediatrician with Children’s Memorial Hermann Pediatrics.

Whatever reason for the switch, rest assured that you don’t need to worry about picking the perfect alternative—all infant formulas marketed in the US must meet the nutrient specifications listed in FDA regulations.

Below, we’ve got more specific guidance on what to look for when you need to switch, and some tips on how to make the transition go more smoothly.

If You Have to Switch Baby Formulas Quickly

If your baby’s usual formula is affected by a recall—like the recent one from ByHeart—you might need to make a switch sooner than expected. “If there is the potential for a formula contamination, going cold turkey is important to reduce any risk of illness,” says Dr. Jonathan Jassey, a pediatrician at Concierge Pediatrics based in Long Island and New Jersey. While an abrupt change can feel stressful, the good news is that most babies adjust just fine—baby formulas are all very similar due to regulations. Dr. Jassey adds, “Because the ByHeart formulas that are affected by this recall do not appear to be specialized formulas (like hypoallergenic formulas, for example), parents should be confident to just make the switch.”

If you’re switching quickly, you can introduce the new formula all at once. Some babies may experience tummy troubles (think gas or spit-up), but those symptoms usually resolve pretty quickly. If they don’t—or if you see things like blood in their stool or excessive crying—it’s a good idea to check in with your pediatrician.

For the complete article, including more insights like base ingredients, alternate brands, and making the transition, click here to read more on Babylist.com

*Concierge Pediatrics does not endorse any specific brand.

Head Lice in Kids: Facts, Myths, Symptoms, and Treatment Options

By Concierge Pediatrics on October 6th, 2025

Did you know that each year, approximately 12 million people in the United States are afflicted with lice? Lice have been around for thousands of years, even found on the heads of ancient mummies. A nuisance spanning generations of people with hair, these pests have a life cycle of 30 days, but left untreated, will continue to reproduce and cause a maddening itch. We connected with Russ Trichon of Lice Cops to get his take on everything you need to know about lice. Hear it from Russ himself!

About Lice

Lice are wingless insects that live on the hair of humans and feed on very small amounts of blood from our scalp. The lice cannot jump, but they can crawl from head to head, either by touching heads, sharing tools like hair brushes and combs, or possibly by laying on someone else’s pillow if a louse (singular form of lice) is crawling on it.

If I was playing Family Feud and the question was “how do we get lice” the top answer would be hugging because heads often touch during a hug! The second most common answer is selfies with other people, because heads tend to touch then, too. I especially see this from kids at school and summer camp. They may not be sharing brushes, but there sure are a lot of hugs and selfies going around! The origin story of every lice meet-cute is all about people with hair meeting other people with hair.

“Lice can affect anyone with hair. It does not discriminate by age, race, religion, or gender.“

Lice eggs, called nits, do not fall out – the only way for a nit to fall out is if you pluck the actual hair on it. This is because the eggs have a glue-like sheath that attaches to the hair at about ¼ – ½” from the scalp. Nits have a cap called the operculum, which is like a lid on a metal trash can.

Lice can affect anyone with hair. It does not discriminate by age, race, religion, or gender. However, lice is typically more common in girls, because they traditionally have long hair, and girls hug a lot more than boys. The long hair itself is not attractive to lice, but there’s more opportunity for it to latch on to a strand when heads are touching.

The Lice Removal Process

First thing’s first – I like to calm people down during the process and talk them off the proverbial ledge, then handle the situation which luckily is a straightforward solution. A lot of people come to me very worried about their situation and I tell them this: there are things in this world that are fixable and there are things in this world that are not fixable. Lice is fixable!

A lot of people hear wrong information from family and friends and that is what brings them closer to the ledge. My job is to give them the facts and a lot of people are surprised when I don’t come with gloves or a hazmat suit because they’re thinking the worst. I like to remind them that houses do not get infested, only people get infested. More on that later.

The best way to get rid of lice is to manually remove them with a tight tooth lice comb. There are cheap versions which don’t work as well, and good versions. A good lice comb is made of strong, stainless steel with tight teeth.

At Lice Cops, I am certified in a method called the Shepherd Method, a method developed by Katie Shepherd (my hero!). This is a strand-by-strand technique that does not use chemicals nor pesticide shampoos. Lice have become more resistant to these pesticides, which is why this method is the preference of our team. Years ago, shampoos worked pretty well but we have begun to see the resistance in the form of super lice, which are increasingly unresponsive to the shampoo method. The over-the-counter products are designed to kill lice on contact, but I physically take them out. Another thing to consider is that the shampoos are not effective on nits, which use that glue-like sheath to adhere to the hair. My school of thought is that the only way to beat the bug (and their eggs) out is take them out physically.

*Here’s the stainless steel, tight-tooth lice comb I like to use*.

With the Shepherd Method, one treatment is usually all it takes, but I will always encourage a re-check. Although the treatments are highly effective, it is always possible for a residual nit or a baby louse to remain as part of the natural lifecycle of lice. One single louse or nit does not worry me because if they have no opportunity to reproduce, they die in about 30 days, but they may still cause an itch. Post-treatment combing, preventative sprays, and follow ups are encouraged to keep heads lice-free. It is important to remember that overcoming a case of lice is not the same as overcoming a viral illness. You cannot become immune to lice after you’ve had lice. All these things are important to think about, because you may have gotten lice from someone you’re close with, and if they don’t get checked, they may not know that they have it and can give it back to you. This highlights the importance of transparency, quick treatment, and having no shame in a lice diagnosis! The more we know, the better we can do to fight it together.

“It is important to remember that overcoming a case of lice is not the same as overcoming a viral illness. You cannot become immune to lice after you’ve had lice.“

After I give kids a treatment, I let them know that they can go back to school right away. I like to teach the parents to always follow up with the comb, use preventative sprays to reduce the possibility of reinfestation, and monitor their child for itchiness.

Lice Symptoms and How to Spot Them

Once a school sends home a notice about lice in the classroom, I am often asked by parents how to even know if a child has lice. Scalp itchiness is usually the identifying factor. If you see a little bit of redness on the nape of the neck or behind the ears, that can also be an indication of a louse bite. You can also sometimes see the lice on your child’s head. It’s better to use a good lice comb to really tell if what you’re looking at is lice.

Lice have 6 legs and adults can be seen moving with the naked eye. Babies can also be seen but are a lot smaller. Adults can be as large as the size of a sesame seed. Nits will be smaller, found within an inch from the scalp. Picture how a tiny bead of water would look on a strand of hair – that’s almost how an egg would look. It will be on one side of the strand, not wrapped around. If you run your fingers over the strand of hair and feel what is like a speedbump, it’s probably a nit. Remember that nits have a glue-like sheath that adheres them to a hair strand. If it flakes, then it’s just a dandruff flake. As I tell my clients, a flake’s gonna flake (cue Taylor Swift’s “Shake It Off”).

If you’re suspicious of possible lice, look at the scalp up to the first inch or two of hair. Because lice live off human blood, they will be found closer to their food source – the scalp. I am often asked if people should cut their long hair to reduce or prevent future lice, to which I say no. Because lice like to live in the first few inches of your hair from your scalp, cutting hair will not be effective and it will probably make you unhappy. Unless you’re excited about the prospect of a new haircut, in which case I say: do what makes you happy!

Lice Prevention Tips for Families

After someone has been treated for lice, I am often asked about lice living in the house. Since lice are topical creatures only, they will not burrow into mattresses, pillows, or cushions. I am a fan of a vacuum cleaner, which is sufficient for getting rid of possible bugs that could have fallen off hair and on to pillows, mattresses, cushions, clothes, you name it. Whatever you decide put in the washing machine will most likely be eliminated of lice, but a word of caution: as you are transferring things from the wash to the dryer, a single louse could still be alive in there, so be sure to use high heat in the dryer to be sure you’ve killed any remaining bugs. The water temperature does not matter, but the intensity of heat in the dryer will make a difference!

If you can’t put something through the dryer, be sure to separate it from everything else for a few days. A lot of people think they can “suffocate” lice and put everything in a tightened contractor bag. There’s nothing wrong about doing that, but the reality is that lice aren’t suffocated – they’re starved. Remember that lice thrive on human blood so when you have removed their food source, they starve to death in a matter of 2-3 days. You also don’t need to fumigate your home.

Lice don’t like the smell of rosemary, tea tree, or peppermint because of their strong fragrance, but many people find them quite pleasant. I am personally a fan of rosemary. There is not enough rosemary in the world to get rid of lice altogether, but because they do not like the scent, spraying in the hair prior will reduce the odds. While I think the sprays are effective, just because you have spray in your hair doesn’t mean you will never get lice. During the summertime, the sprays are less effective because kids are sweating and swimming more, which dilutes or takes the spray out. Tea tree oil and peppermint can be effective, but I personally don’t like them as much because it often gives a burning sensation to the scalp. But you’ve got choices!

If you have a friend that has lice, do not be unkind to them. Remember, lice isn’t a reflection of cleanliness or character – it’s simply a bug that anyone with hair can encounter. With the right knowledge, tools, and a little compassion, let’s remember that lice is not a crisis, it’s a problem with a solution.

About the Author

Russ Trichon is a lice removal expert and the owner of Lice Cops. Mr. Trichon was trained by head lice expert, Katie Shepherd, and has been certified through The Shepherd Institute. Lice Cops provides a kid-friendly approach, with a goal to serve, protect, and educate. Learn more about Russ Trichon and Lice Cops at licecops.com

Dr. Jonathan Jassey Honored with Excellence in Healthcare Award

By Concierge Pediatrics on September 19th, 2025

**Concierge Pediatrics is proud to share that our Founding Pediatrician, Dr. Jonathan Jassey, has been recognized by the LI Herald with the 2025 Excellence in Healthcare Award.**

The Excellence in Healthcare Award honors individuals on Long Island whose dedication and commitment have made a meaningful difference in the health and well-being of others. Dr. Jassey’s lifelong mission to provide compassionate, personalized, and transformative pediatric care has not only shaped Concierge Pediatrics but has also impacted numerous families across our communities.

We congratulate Dr. Jassey on this well-deserved recognition and remain inspired by his leadership, expertise, and unwavering dedication to the children and families we serve.

Measles FAQ: What Every Parent Needs to Know

By Concierge Pediatrics on August 13th, 2025

What is Measles?

Measles (also called Rubeola) is a highly contagious viral illness that spreads through the air when an infected person coughs, sneezes, or breathes nearby. The virus can linger in the air and on surfaces for up to 2 hours. It’s most recognizable by a red, blotchy rash and often begins with fever, cough, runny nose, and red, watery eyes.

How does Measles spread?

Measles spreads through microscopic respiratory droplets. It is one of the most contagious viruses, with a 90% transmission rate among unvaccinated individuals in close-contact environments.

What are the symptoms of Measles?

Symptoms usually appear 7–14 days after exposure:

High fever
Cough
Runny nose
Red, watery eyes
Tiny white spots inside the mouth (Koplik spots)

The Measles rash usually appears 3–5 days after initial symptoms, starting on the face and spreading downward. Fevers can rise above 104°F.

Is Measles dangerous?

Measles can be dangerous. While many recover without issue, 1 in 5 unvaccinated people in the U.S. who get Measles will be hospitalized. Serious complications include:

Pneumonia
Encephalitis (brain swelling)
Permanent hearing loss
Rarely, death

Infants, pregnant people, and those with weak immune systems are at higher risk.

Who is most at risk for Measles?

Unvaccinated children and adults
Infants under 12 months (too young for routine MMR vaccination)
People with weakened immune systems
Individuals in areas experiencing Measles outbreaks
Those exposed through international travel to areas where measles is more common

Why are we seeing Measles outbreaks again?

Although Measles was declared eliminated in the U.S. in 2000, outbreaks have returned due to:

Decreased vaccination rates
Misinformation about vaccine safety
Increased international travel to areas where measles is more common

Does the MMR vaccine protect against Measles?

Yes. The MMR vaccine (Measles, Mumps, Rubella) is very effective:

1 dose = ~93% protection
2 doses = ~97% protection

Most children in the U.S. receive:

1st dose at 12–15 months
2nd dose at 4–6 years

Can my baby get the MMR vaccine early?

In outbreak situations or before international travel, infants as young as 6 months old may receive an early dose. Talk to your pediatrician to see if early vaccination is appropriate.

What should I do if my child is exposed to Measles?

If your child is unvaccinated and may have been exposed:

Call your pediatrician immediately
You may be advised to get the MMR vaccine within 72 hours of exposure
In some cases, immune globulin may be offered for temporary protection

Vaccinated children who are healthy are unlikely to need any intervention.

Can vitamin A or cod liver oil prevent or cure Measles?

No. Vitamin A cannot prevent or cure Measles. However, for children already infected, a physician may recommend vitamin A to support recovery and prevent complications like blindness. Do not self-administer large doses—excess vitamin A can be harmful.

How can I protect my unvaccinated baby from Measles?

If your baby is too young for vaccination:

Avoid crowded places and public transport during outbreaks
Keep sick visitors away
Ensure all caregivers are vaccinated, including grandparents and older caregivers born before 1957 who may no longer be immune or have waning natural immunity. Your specific circumstances and concerns can be discussed with your pediatrician for tailored guidance.
Practice excellent hygiene: handwashing, disinfecting surfaces, covering coughs/sneezes
Continue breastfeeding if possible for added immune support
Ask your pediatrician about early MMR if travel or exposure risk is high

If I was vaccinated, am I protected from Measles?

Most likely. If you received 2 doses of MMR, you’re considered protected. If unsure, check your records or speak with your doctor. Adults born before 1957 are generally considered immune due to likely natural exposure, but they should speak with their physician to better understand their individual circumstances.

Where can I find reliable information about Measles?

Turn to trusted sources, such as:

Your child’s pediatrician
Centers for Disease Control and Prevention (CDC)
World Health Organization (WHO)
National Institutes of Health (NIH)
Local health departments

At Concierge Pediatrics, our board-certified pediatricians are here to answer your questions and help protect your family. Want more information on Measles? Read our blog.

Need help understanding your child’s vaccination status?

We’re here for you. If you’re a Concierge Pediatrics member or parent seeking guidance, give us a call. Your child’s safety and well-being are our top priority.

FAQ – Strep Throat

By Concierge Pediatrics on August 13th, 2025

Strep Throat FAQ for Parents: Symptoms, Treatment & What to Know

What is strep throat?

Strep throat is a bacterial infection of the throat and tonsils caused by Group A Streptococcus. It leads to a sore, red throat, and is most common in children between 5 and 15 years old.

How is strep throat different from a regular sore throat?

Most sore throats are caused by viruses, not bacteria. Only about 30% of sore throats in kids are strep. Unlike viral sore throats, strep:

Typically does not cause a cough or runny nose
Can be treated with antibiotics
May lead to complications if untreated for long periods of time

What are the symptoms of strep throat in children?

Look for these signs:

Sudden sore throat with red, swollen tonsils
Fever
Pain when swallowing
White patches on the throat or tonsils
Swollen glands in the neck
Stomach pain
Bad breath without explanation
No cold symptoms (like coughing or congestion)

How is strep throat diagnosed?

Diagnosis can only be made through:

A rapid strep test (results in minutes)
A throat culture (results in 24–48 hours if the rapid test is negative)

At Concierge Pediatrics, both tests are done in-house for quick and accurate results.

Should toddlers be tested for strep?

Usually, no. Children under 2–3 years old rarely get strep. Testing may be done if:

They’ve had close contact with someone who tested positive
Symptoms are severe or unusual (rash, high fever, difficulty swallowing)
A pediatrician sees cause for concern during an exam

Is strep throat contagious?

Yes. Strep spreads through respiratory droplets from coughing, sneezing, or sharing utensils. It can take 2–5 days after exposure for symptoms to appear.

How is strep throat treated?

Strep throat is treated with antibiotics, most commonly amoxicillin. Treatment helps:

Shorten the duration of illness
Prevent serious complications like rheumatic fever or kidney problems
Reduce the risk of spreading the infection

It’s critical to finish the entire course of antibiotics even if your child feels better.

Can antibiotics cause side effects?

Yes. Common mild side effects include:

Upset stomach
Diarrhea
Yeast infections

Probiotics (like those in Greek yogurt) can help restore gut balance. Call your pediatrician if symptoms are bothersome — and seek immediate care if your child has trouble breathing, facial swelling, or hives.

When can my child return to school or daycare?

Children with strep throat can return to school or other activities after 24 hours of antibiotics, as long as they’ve also been fever-free for 24 hours and are feeling better.

How can I help my child feel better at home?

In addition to antibiotics, try:

Warm saltwater gargles
Fluids, especially warm drinks
Acetaminophen or ibuprofen for pain or fever
Rest
Soft foods to avoid throat irritation

Can my child get strep more than once?

Yes. Some kids get strep multiple times a year. Children who frequently test positive might be strep carriers (they have the bacteria but no symptoms) or in rare cases, may be candidates for a tonsillectomy. Talk to your pediatrician or an ENT specialist if infections are frequent.

What is Scarlet Fever?

Scarlet Fever is a reaction to strep where, in addition to typical symptoms, your child may develop:

A bright red rash
A “strawberry” tongue

Scarlet Fever was once a worrisome disease but is easily treated with antibiotics today.

What is PANDAS and should I be concerned?

PANDAS stands for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections. 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.

It’s a very rare condition where strep may trigger sudden behavioral changes, such as:

Obsessive-compulsive behavior
Tics
Anxiety or mood swings

Can I test for PANDAS?

There is no specific laboratory test to diagnose PANDAS – it is a diagnosis based on experience and the clinical examination of the healthcare provider, and it remains controversial. At Concierge Pediatrics, we can check 2 strep titers in the blood which, if high, is consistent with recent strep infection. If having new onset behavioral issues, this can help us can point to a possible PANDAS situation. 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.

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. If you notice unusual symptoms after a strep infection, talk with your pediatrician.

How can I prevent my child from getting strep throat?

Teach good hygiene:

Wash hands regularly
Don’t share drinks or utensils
Cover coughs and sneezes with elbows

When should I call the doctor?

Contact your pediatrician if:

Your child has a sore throat with fever or trouble swallowing
Symptoms don’t improve after starting antibiotics
Your child has a severe reaction to medication
Behavioral changes follow a strep infection

Still have questions?

At Concierge Pediatrics, we’re here to provide evidence-based answers and expert support every step of the way. Contact us directly to become a member or book a sick visit for fast, compassionate care. Want more information on Strep throat? Read our blog.