Pediatrician - Wall
3350 Highway 138 Building 2 Suite 126
Wall, NJ 07719
732-280-6455

View the KidsDoc Symptom Checker from HealthyChildren.org

By contactus@steppingstonepediatrics.com
March 20, 2018
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Poison Prevention from the AAP

Each year, approximately 3 million people— many under age 5— swallow or have contact with a poisonous substance. 

The American Academy of Pediatrics (AAP) offers tips to prevent and to treat exposures to poison. 

To Prevent Poisoning in Your Home:

Most poisonings occur when parents or caregivers are home but not paying attention. The most dangerous potential poisons are medicines, cleaning products, liquid nicotine, antifreeze, windshield wiper fluid, pesticides, furniture polish, gasoline, kerosene and lamp oil. Be especially vigilant when there is a change in routine. Holidays, visits to and from grandparents’ homes, and other special events may bring greater risk of poisoning if the usual safeguards are defeated or not in place.

  • Store medicine, cleaning and laundry products, (including detergent packets) paints/varnishes and pesticides in their original packaging in locked cabinets or containers, out of sight and reach of children. It is best to use traditional liquid or powder laundry detergents instead of detergent packets until all children who live in or visit your home are at least 6 years old. 

  • Safety latches that automatically lock when you close a cabinet door can help to keep children away from dangerous products, but there is always a chance the device will malfunction or the child will defeat it. The safest place to store poisonous products is somewhere a child can't see or reach or see.

  • Purchase and keep all medicines in containers with safety caps. Discard unused medication. Note that safety caps are designed to be child resistant but are not fully child proof.

  • Never refer to medicine as “candy” or another appealing name.

  • Check the label each time you give a child medicine to ensure proper dosage. For liquid medicines, use the dosing device that came with the medicine. Never use a kitchen spoon. Watch the video, The Healthy Children Show: Giving Liquid Medicine Safely, for more information

  • If you use an e-cigarette, keep the liquid nicotine refills locked up out of children's reach and only buy refills that use child-resistant packaging. A small amount of liquid nicotine spilled on the skin or swallowed can be fatal to a child. See Liquid Nicotine Used in E-Cigarettes Can Kill Children

  • Never place poisonous products in food or drink containers.

  • Keep natural gas-powered appliances, furnaces, and coal, wood or kerosene stoves in safe working order.

  • Maintain working smoke and carbon monoxide detectors.

  • Secure remote controls, key fobs, greeting cards, and musical children’s books. These and other devices may contain small button-cell batteries that can cause injury if ingested.

  • Know the names of all plants in your home and yard. If you have young children or pets, consider removing those that are poisonous

Poison Treatment Tips:

If your child is unconscious, not breathing, or having convulsions or seizures due to poison contact or ingestion, call 911 or your local emergency number immediately. If your child has come in contact with poison and has mild or no symptoms, call Poison Help at 1-800-222-1222

Different types and methods of poisoning require different, immediate treatment.

  • Swallowed poison. Take the item away from the child, and have the child spit out any remaining substance. Do not make your child vomit. Do not use syrup of ipecac.

  • Swallowed battery. If your child has swallowed a button-cell battery or a battery is lodged in his or her nose, ear, or throat, seek treatment in a hospital emergency department immediately. Serious tissue damage can occur in as little as 2 hours.

  • Skin poison. Remove the child’s clothes and rinse the skin with lukewarm water for at least 15 minutes.

  • Eye poison. Flush the child’s eye by holding the eyelid open and pouring a steady stream of room temperature water into the inner corner for 15 minutes.

  • Poisonous fumes. Take the child outside or into fresh air immediately. If the child has stopped breathing, start cardiopulmonary resuscitation (CPR) and do not stop until the child breathes on his or her own, or until someone can take over.

By contactus@steppingstonepediatrics.com
January 24, 2018
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CDC Director - Get Your Flu Shot!!!

By Julie Steenhuysen

CHICAGO (Reuters) - Of the 30 U.S. children who have died from the flu so far this season, some 85 percent likely will not have been vaccinated, said Centers for Disease Control and Prevention Director Dr. Brenda Fitzgerald, who urged Americans to get flu shots amid one of the most severe flu seasons in years.

“My message is, if you haven’t gotten a vaccine, please get a vaccine. Also, please get your children vaccinated,” said Fitzgerald, who is urging citizens “to take every advantage that you can to protect yourself.”

The dominant strain during this flu season is an especially nasty type called influenza A (H3N2) that in seasons past has been linked with severe disease and death, especially in the elderly and young. This year’s seasonal flu epidemic is especially severe.

In past flu seasons, between 80 and 85 percent of children who have died from the flu had not gotten a flu vaccine that season, the agency said in an email.

In its latest report, the CDC said the virus is present in every state, with 32 states reporting severe flu activity.

Although the vaccine is only estimated to be about 30 percent effective against the H3N2 strain, it has been shown in studies to reduce severity and duration if people do become infected, said Dr. Dan Jernigan, director of the influenza division at the Centers for Disease Control and Prevention.

Fitzgerald conceded in a telephone interview that reports that the flu vaccine in Australia was only 10 percent effective may have caused people to think the vaccine would not be worth the trouble.

Fitzgerald said the agency’s flu division has been on the job during the three-day federal government shutdown. Senators on Monday reached a deal to keep the government funded through Feb. 8.

Studies have shown that even a vaccine that has lower overall effectiveness can decrease the number of days spent in hospital, duration of the flu and the degree of symptoms.

“That helps support the point of getting a vaccine,” Jernigan said.

Fitzgerald said the flu vaccine and antiviral drugs used to fight the flu are widely available across the country, noting that people can go to the CDC website and enter their zip code to find the nearest flu clinics with vaccines. (here)

Fitzgerald also recommended that people frequently wash their hands or use hand sanitizer, avoid those who are sick or coughing and carry disinfectant wipes.

The CDC does not have numbers for adult deaths from the flu because adult flu is not a reportable disease in all U.S. states. But she said North Carolina, which collects such data, has reported 42 adult flu deaths so far this season.

Official estimates from the CDC are expected at the end of the current season, based on a calculation from hospitals and states reporting data to the agency.

In the 2014/2015 flu season, in which the H3N2 strain was also the leading strain, there were an estimated 35.6 million cases, 710,000 hospitalizations and 56,000 deaths. At this point, it is not clear whether the current flu season will surpass those estimates, Jernigan said. 

https://www.reuters.com/article/us-usa-flu-cdc/u-s-cdc-director-urges-flu-vaccinations-as-pediatric-deaths-mount-idUSKBN1FB36O

Source: https://www.reuters.com/article/us-usa-flu-cdc/u-s-cdc-director-urges-flu-vaccinations-as-pediatric-deaths-mount-idUSKBN1FB36O 

By contactus@steppingstonepediatrics.com
January 02, 2018
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From HealthyChildren.org
The start of the new year is a great time to help your children focus on forming good habits. The American Academy of Pediatrics (AAP) provides the following list of ideas for you to talk to your children about trying, depending on their age. ​

Preschoolers

  • I will try hard to clean up​ my toys by putting them where they belong. 
  • I will let my parents help me  brush my teeth twice a day.
  • I will wash my hands after going to the bathroom and before eating.
  • I will learn how to help clear the table when I am done eating. 
  • I will be friendly to all animals. I will learn how to ask the owners if I can pet their animal first.
  • I will do my best to be nice to other kids who need a friend or look sad or lonely.
  • I will talk with my parent or a trusted adult when I need help or am scared.

Kids, 5 to 12 years old

  • I will drink reduced-fat milk​ and water most days. Soda and fruit drinks are only for special times.
  • I will take care of my skin by putting on sunscreen before I go outdoors on bright, sunny days. I will try to remember to stay in the shade whenever possible and wear a hat and sunglasses, especially when I'm playing sports.
  • I will try to find a sport (like basketball or soccer) or an activity (like playing tag, jumping rope, dancing or riding my bike) that I like and do it at least three times a week!
  • I will always wear a helmet when riding a bike, scooter or skateboard.
  • I will wear my seat belt every time I get in a car. I'll sit in the back seat and use a booster seat until I am tall enough to use a lap/shoulder seat belt.
  • I'll try to be friendly to kids who may have a hard time making friends by asking them to join activities such as sports or games.
  • I will tell an adult about bullying that I see or hear about to do what I can to help keep school safe for everyone. 
  • I will keep my personal info safe and not share my name, home address, school name or telephone number on the Internet. Also, I'll never send a picture of myself to someone I chat with on the computer without asking my parent if it is okay. 
  • I will try to talk with my parent or a trusted adult when I have a problem or feel stressed.
  • I promise that I'll do my best to follow our household rules for videogames andinternet use.

Kids, 13 years old and older

  • I will try to eat two servings of fruit and two servings of vegetables every day. I will drink sodas only at special times.
  • I will do my best to take care of my body through fun physical activity and eating the right types and amounts of foods.
  • When I have some down time for media, I will try to choose educational, high-quality nonn-violent TV shows and video games that I enjoy. I will spend only one to two hours each day – at the most – on these activities. I promise to respect out household rules for videogames and internet use.
  • I will do what I can to help out in my community. I will give some of my time to help others, working with community groups or others that help people in need. These activities will make me feel better about myself and my community. 
  • When I feel angry or stressed out, I will take a break and find helpful ways to deal with the stress, such as exercising, reading, writing in a journal or talking about my problem with a parent or friend.
  • When faced with a difficult decision, I will talk about my choices with an adult whom I can trust.
  • When I notice my friends are struggling, being bullied or making risky choices, I will look for a  trusted adultso that we can attempt to find a way to help.
  • I will be careful about whom I choose to date. I will treat the other person with respect and not force them to do something they do not want to do. I will not use violence. I will expect to be treated the same way in return.
  • I will resist peer pressure to try tobacco-cigarettes, drugs, or alcohol. I will also avoid the use of e-cigarettes
  • I agree not to use a cell phone or text message while driving and to always use a seat belt
By contactus@steppingstonepediatrics.com
December 04, 2017
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Dear Families of Stepping Stone Pediatrics,

I wanted to send you this letter about the recent changes happening at Stepping Stone Pediatrics. First, I would like to introduce you to the latest member of our pediatric team, Jennifer Johansen, our new nurse practitioner. Jen received her Bachelor of Science degree in Nursing from New Jersey City University and her Master's degree as a Family Nurse Practitioner from Rutgers University where she graduated with honors. Jen is board certified through the American Academy of Nurse Practitioners as a Family Nurse Practitioner. Prior to coming to Stepping Stone Pediatrics, Jen was an Assistant Nurse Manager of a Medical/Surgical, Oncology, Neurology and Pediatric EEG unit for several years. Jen is a member of the American Association of Nurse Practitioners, Sigma Theta Tau International Nursing Honor Society, and the Oncology Nursing Society. Jen also holds a national certification as an Oncology Nurse through Oncology Nursing Certification Corporation (ONCC). Jen is married with two children and looking forward to meeting all our Stepping Stone families. Jen is a wonderful addition to our team.

Next, it is with mixed emotions that I am announcing my early retirement from Stepping Stone Pediatrics. When I decided to start Stepping Stone twelve years ago I wanted to build a small, dedicated and friendly practice that catered to family’s needs with an intimate group of doctors. I am very proud of how we at Stepping Stone have managed growth with keeping the needs of our families in mind. It has been my great pleasure to be a resource and advisor in your children’s health.

I have come to a point in my career that I want to be more involved with my family and be able to better enjoy my pre-teen and teenage children’s activities. As you well know, these times are precious and go by way too quickly.

I believe I am leaving you in the capable hands of Dr. Alex Liwag. Many of you have worked with Dr. Alex over the years and Dr. Alex will be staying on with Stepping Stone. With the addition of Jen and the remainder of the Stepping Stone team I believe you will be well taken care of going forward.

Again, it has been my great honor to be such an important part of your family. I am grateful that you have chosen Stepping Stone Pediatrics to be your advisor in your children’s health I wish you all the very best of health and hope that our paths cross again one day.

Thank you, 

Coming soon.





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3350 Highway 138 Building 2 Suite 126,
Wall, NJ 07719