Advanced Pediatrics
The Time and Attention You Deserve
 
Andrew L. Satran, M.D.
Board Certified by the American Board of Pediatrics
(845) 364-9800
Medical Information

 

Evidence-Based Medicine
This office practices evidence-based medicine based on current American Academy of Pediatrics guidelines. As new medicines become available and new studies are done, our success in treating and eradicating disease continues to improve. We strive to keep up-to-date with new policies and incorporate new scientific evidence as it becomes available.

 

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Immunizations
The importance of immunizations can not be overstated. They are the single most important pediatric advance of the 20th century. Immunizations have nearly eradicated many harmful diseases. They enhance the body’s own immune system to be able to fight the disease naturally. While we don’t enjoy giving multiple shots to infants and children, the benefits of immunization greatly outweigh the risks of not giving them.

 

We live in a world where global travel is easy. If we stop immunizing our children and these diseases are brought in from a third world country, these conditions that are so uncommon in America can quickly become epidemic.

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Medicine

As a doctor’s office, we obviously believe in and employ medicine when it is needed. Medical studies are being performed all the time and some of these have shown the ineffectiveness of old-fashioned medicines. On the other hand, there are times when the older medicines work better than the newer, expensive medicines being produced today. We will alert you to the facts involved so that you can participate in making the best choice for your child. Please realize that the best treatment for many pediatric conditions is simple observation.

   
Antibiotics
Antibiotics are an important part of treating bacterial infections which can cause major illnesses and complications in children. However, many of the illnesses in childhood are caused by viral infections. Antibiotics can not kill viruses and will have no effect on the course of a viral illness.

 

The indiscriminate use of antibiotics by physicians and well-meaning parents can lead to a number of problems. Therefore, antibiotics will not be prescribed without an office examination.

The possible complications of Antibiotics are:

Masking Symptoms. Do not give your child a leftover antibiotic from a previous illness without being examined by a physician. The medicine may alter some of the important signs and symptoms that we have to look for, and even change lab test results, without curing the underlying illness.

Resistance. If antibiotics are over-prescribed, they may lose their ability to work in the future.

Allergies. An allergic reaction to a medicine can manifest as a rash, swelling, or trouble breathing. If you believe your child is having an allergic reaction to an antibiotic, it is important to have him seen by a physician.

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Cough and Cold Medicines

Medical studies have shown that over-the-counter cough and cold medicines are essentially ineffective in relieving the runny nose and congestion of a common cold. They can offer some relief from a nagging cough, but are not recommended for children under the age of four. It is the Dextromethorphan (DM) which helps relieve the cough and a store brand cough medicine that contains this will be just as effective as the name brand. Lozenges or sucking candies (if age-appropriate) can also help with the cough.

   
Alternative Medicines (Herbal)
There has been an increase in the number of Americans using alternative medicine. This is also known as complementary, or Eastern medicine. Asian cultures have been using this medicine for thousands of years and they believe that it is effective. As doctors we must always keep an open mind to new ideas that may improve the quality of life and care of our patients. In general, this office endorses some of the complementary beliefs. We will work with you if you believe in these techniques and herbal remedies.

 

Note: Please keep in mind that many alternative medicines are not tested. While the majority of these herbs are safe, they are not subject to the same rigorous testing and FDA approval as are other medicines. Just because a medicine comes from an herb or is “natural” doesn’t mean it is harmless. Many poisons come from plants and heroin, cocaine, and marijuana are all derived from plants!!!

Do not use any alternative medicines without checking with our office first. We will research them to ensure their safety . Remember that any substance that has an effect on the body is a medicine. Many of the medicines that we prescribe originally came from plants, but the dangerous chemicals have been removed.

Vitamins are essential for the proper functioning of the body. We encourage a daily multivitamin but, in extreme quantities, they can be harmful or even fatal.

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The Internet
We want our parents to be well informed and to be able to participate in medical decision-making concerning their children. The internet has put a tremendous amount of information at our fingertips. Warning: Anyone can publish information on the internet whether it is accurate or not. We encourage you to discuss any information you read with us.

 

One source on the internet that we have found reliable is E-Medicine (www.emedicine.com), although it is written more for doctors than parents.

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Poisoning
Poison Control is an invaluable resource for all types of poisoning. As doctors, we rely heavily on their expertise and routinely contact them when we are treating any poisoning or overdose. Their phone number is: 1-800-222-1222

 

Syrup of Ipecac is an old-fashioned medicine that induces vomiting in cases of poisonings and overdoses. It has fallen out of favor recently as studies have shown its ineffectiveness and potential complications. Do not give Syrup of Ipecac unless instructed to do so by poison control.

Note: The best treatment for poisoning is prevention. Most overdoses can be avoided by locking up medicines, chemicals, cleaning supplies, etc.

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Accident Prevention
Similarly to poisoning, accidents can be avoided by common sense. Cover outlets, use baby gates, protect your children from hot stoves, and monitor for choking hazards.

 

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Diet and Exercise
A healthy diet and exercise program is essential to the overall physical and mental health of children. People of all ages should follow the American Heart Association (AHA) diet.

Simply put, this consists of a low-fat, low-cholesterol diet with stress on complex carbohydrates (starches), fruits, vegetables, and foods with fiber. The diet should be low in red meat since it contains saturated fatty acids. We have handouts that specify foods to consume and avoid if you need them.

Habits are formed early in childhood and the best way to encourage a healthy diet is to start early. It is also hard to reinforce healthy eating habits in your children if you are not practicing them yourselves; therefore, the whole family should strive to improve their eating habits. You will look and feel better.

A note about milk: Milk is a food, not a drink. An 8 oz. glass contains 160 calories. You should use skim milk or at least cut down to 2% milk (whole milk is 4%).

Children under 2 years old are an exception to the AHA diet. They need fat for brain cell development and should consume whole milk unless instructed otherwise by the doctor.

Obesity in children has been on the rise for years and it is reaching epidemic numbers. Remember that although unsaturated fatty acids, such as those found in nuts, do not contribute to heart disease, they still contain a lot of calories and will contribute to obesity.

Exercise is another important way to battle obesity and to stay in shape. Whether it is playing sports or just simply outside playing, be sure that your child is getting the exercise he or she needs.

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Infant Formula
Do not change your baby’s formula without consulting us first. Our recommendations are based on experience, nutritional knowledge and awareness of your baby’s needs.

 

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Mental Health
Mental health is as important as physical health for a child’s happiness and well-being. We strive to incorporate this into the well child check-up. There are many stressful issues that children have to deal with and we would be happy to discuss these with you in the office and, if needed, refer you to a counselor.

 

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Important Downloads
Download important info about your child\'s development

 
Diet and Exercise 1
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Diet and Exercise 2 
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Newborns 
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2 Months Old 
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4 Months Old 
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6 Months Old 
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9 Months Old 
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1 Year Old 
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