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
November 01, 2018
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From New Jersey Poison Control:

(Newark, NJ) – Warning. During New Jersey’s 2017 – 2018 heating season, the state’s poison control center received approximately 250 calls related to carbon monoxide (CO). Of these, 162 victims were evaluated in emergency departments and many required hospitalization.

Don’t be the poison center’s next statistic. Exposure to carbon monoxide can produce headaches, sleepiness, fatigue, confusion and irritability at low levels. At higher levels, it can result in nausea, vomiting, irregular heartbeat, impaired vision and coordination, and death. During cold and influenza season, symptoms of carbon monoxide poisoning can easily be confused with symptoms of viral illnesses like the common cold and the flu.

“Prevention and early detection are crucial in preventing poisoning injury and death from carbon monoxide,” says Diane Calello, MD, Executive and Medical Director of the NJ Poison Control Center at Rutgers New Jersey Medical School’s Department of Emergency Medicine. The sudden shift in frigid weather forced homeowners and landlords to have to turn on their heating systems earlier than expected; without having them properly serviced beforehand to prevent CO exposure. 

“You want to catch a leak before it turns into a serious problem,” says Calello. Carbon monoxide is called the “Silent Killer” because it is a gas that gives no warning – you can’t see it, smell it or taste it. “Don’t gamble with your family’s health and well-being; CO detectors are a must.” Battery-operated carbon monoxide detectors should be put on every level of the home and near every sleeping area. Always check the batteries of both detectors (fire and CO) when changing the clocks twice a year for daylight savings time. 

Safety tips to help reduce your risk of carbon monoxide exposure:

  1. If you do not have any carbon monoxide detectors, install them right away. If your detectors are old and/or not working properly, replace them immediately.
  2. Don’t remove the batteries from detectors to use somewhere else. The detector can only save lives if it works.
  3. Gas appliances must have adequate ventilation. If need be, keep a window slightly cracked to allow airflow.
  4. Open flues when fireplaces are in use. Have chimneys inspected periodically to prevent blockage.
  5. Never use the stove to heat your home/apartment. 
  6. Only use generators outside. Keep them more than 20 feet from both you and your neighbor’s home, doors, or windows.
  7. Do not bring generators, pressure washers, grills, camp stoves, or other gasoline, propane, natural gas or charcoal-burning devices inside your home, basement, garage, carport, camper, boat cabin, or tent – or even outside near an open window or door.
  8. DO NOT cook with charcoal indoors.
  9. DO NOT idle a car in a closed garage. Once you pull in, immediately turn off the engine. Be extra careful with “remote start” engines which may be on without your knowledge.

 

If you suspect a carbon monoxide exposure, take immediate action:  

  1. If someone is unconscious or unresponsive, get him or her out of the house and call 9-1-1 immediately.
  2. Exit the house/building immediately. Do not waste time opening windows. This will delay your escape and cause you to breathe in even more dangerous fumes.
  3. Contact your local fire department/energy provider.
  4. Call the NJ Poison Control Center at 1-800-222-1222 for immediate medical treatment advice. Do not waste time looking for information on the internet about carbon monoxide poisoning.  Call us for fast, free and accurate information.

 

Carbon monoxide poisoning is serious. If you have questions or concerns about carbon monoxide or suspect CO exposure, call the medical professionals at the NJ Poison Control Center. If someone is unconscious, not breathing, hard to wake up, or seizing, call 9-1-1 immediately.  Poison control centers are a great resource for information and emergencies. Call, text, or chat with a health professional for free, 24/7.  Save the Poison Help line, 1-800-222-1222, in your phone today to be prepared for what may happen tomorrow, (www.njpies.org).   

By contactus@steppingstonepediatrics.com
October 05, 2018
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Still unsure if your child should get the flu shot? We've compiled a few articles and sources for our readers to convince you, yes, you and your children should get the flu shot! Call us today at (732) 280-6455 to schedule!

TIME Magazine

http://time.com/5415276/flu-shot-2018/

CDC

https://www.cdc.gov/flu/about/season/flu-season-2018-2019.htm

American Academy of Pediatrics

https://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/AAP-Issues-Flu-Vaccine-Recommendations-for-2018-2019.aspx

NY Times

https://www.nytimes.com/2018/09/06/well/live/kids-get-your-flu-shot.html

By contactus@steppingstonepediatrics.com
August 31, 2018
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From the American Academy of Pediatrics. - HealthyChildren.org

Question

How long should my child ride rear-facing?

Benjamin Hoffman, MD, FAAP

Answer

Rear facing is not just for babies! The American Academy of Pediatrics (AAP) has long recommended that―infants ride in rear-facing car seats, and in 2018 the AAP updated that recommendation to encourage rear facing for as long as possible, until a child reaches the highest weight or height allowed by the manufacturer. Most convertible car safety seats have limits that will permit children to ride rear-facing past the second birthday.

Why the Change?

This recommendation was based not only on motor vehicle crashes in which children died or were injured, but also from what we know about the anatomy of young children. Young children have large heads compared to their body size, and a high center of gravity. The vertebrae in their spine are more shallow, and their ligaments are looser. All of these factors increase the risk of a spine injury in a crash. In a sudden, violent stop, a rear-facing seat will cradle a child's entire back and spread out the force of the crash, reducing the risk of serious injuries to the neck and spine.

More Evidence:

Children in other countries routinely ride rear-facing until age 4. Deaths and serious injuries to these children are extremely rare. While differences in car seats, vehicles, and driving conditions make it tricky to compare, data from those countries suggest that children in the U.S. are also best protected by riding rear-facing for as long as they can.

The Good News:

Over the years, car seat manufacturers have increased the weight and height limits on their rear-facing seats. This means that more children can ride rear-facing as they grow well into the toddler and preschool years.

No matter which direction your child faces in the car, though, it is important to read and follow the instructions from your car seat manufacturer. A certified child passenger safety technician can help you figure out what is best for your child and your vehicle. Find one online from the National Highway Traffic Safety Administration or Safe Kids Worldwide.

By contactus@steppingstonepediatrics.com
June 13, 2018
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From NJ Poison Control:

(Newark, NJ) – Warning. Allergy sufferers must err on the side of caution when driving under the influence of allergy medicines. Many legal (prescription and over-the-counter/OTC) drugs including oral antihistamines make driving unsafe due to side effects like sleepiness, loss of focus/attention, blurred vision and decreased coordination.

 

Case: A 17-year-old male suffering from seasonal allergies decided to take a non-prescription antihistamine prior to leaving for tennis practice. Approximately thirty minutes afterwards, he began feeling drowsy and dizzy. His parents noticed his altered state and prevented him from driving. His father called the NJ Poison Control Center to find out how long the side effects would last.

 

NJ Poison Control experts remind consumers that all medicines have side effects associated with them even when they are taken according to the directions. Experts suggest using caution when taking allergy medicines or giving them to children. Many may assume non-prescription (OTC) medicines do not carry risks because they are sold without a prescription. NJ Poison Control experts disagree:  they answer daily calls for help involving OTC products (side effects, drug interactions, overdose, etc.). Many non-prescription medicines can produce serious side effects which may cause harm to those taking them.

 

Before you reach for allergy medicine, either OTC or prescription, we recommend the following tips to prevent problems related to medication use:

 

  • Select medications that treat ONLY the symptoms you have.  For example, use a decongestant if you are congested, but only use decongestants with cough suppressant if you have a cough as well. 
  • Be mindful that many medicines contain more than one ingredient, and some may even contain alcohol.  Many ingredients used in medicine can interact dangerously with alcohol causing side effects like nausea, vomiting, drowsiness, fainting, and/or loss of coordination.  Keep in mind that these interactions can still occur even if they were not ingested at the same time. 
  • Watch for duplicate active ingredients in products taken at the same time.  Many medications contain the same active ingredients, even if they have different names and/or intended purposes.  Taking these together, even if each is in the intended dose, can result in serious overdose.
  • More does not mean better.  Don’t take medicines longer or in higher doses than the label recommends.  If symptoms persist, it is time to see a doctor. 
  • Be very careful about dosage recommendations especially with children.  With liquid medications, it is best to use a measuring spoon or dosing cup. Do not use a kitchen spoon.
  • Avoid adverse drug interactions.  If you are currently taking any prescription or non-prescription medications, ask your pharmacist or health care provider for assistance in choosing non-prescription medications. If unavailable, contact the health professionals at the NJ Poison Control Center anytime day or night for fast, free, medical advice 1-800-222-1222 www.njpies.org




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