We recommend the following routine well-child visits. Check with your insurance provider to see what visits they cover; you will be responsible for the fees associated with any costs your insurer does not pay.
|1st week||2-3 days after hospital discharge; essential for breast-fed newborns|
|2-4 weeks||Not covered by some insurers|
|2 months||Routine vaccines due|
|4 months||Routine vaccines due|
|6 months||On/after 6-month date; routine vaccines due|
|12 months||On/after birthday; routine vaccines due|
|15 months||Routine vaccines due|
|2 1/2 years||Not covered by some insurers|
|4 years||On/after birthday; routine vaccines due|
|Yearly thereafter||Not covered by some insurers|
We require that all children under age 18 be accompanied by a parent or legal guardian for well visits. An alternate caregiver may bring a child for other visits, if authorized by written permission.
Please plan ahead to schedule any necessary appointments or obtain completed medical forms for your child's school or camp.
Please give us 7-10 days notice to complete these forms and make sure your child has had a recent well visit in our office (within the past year). If your child needs a well visit, you will have to plan farther ahead to make an appointment. Be sure to bring the form with you to the visit. If it has been less than one year since your child’s last well visit, we can complete a form based on the last well visit.
There is a standard service charge of $10 for any form completion. This amount is due at the time the forms are submitted to our office.
Sometimes we may be able to expedite forms (same/next business day if the physician is in the office). Be sure to check with a staff member about whether we are able to accommodate the expedited service at the time you need it, and be aware that there is a $50 expedited service fee.
Antibiotics are powerful tools that can be lifesaving for serious bacterial infections. However, they are only effective against bacterial infections (such as strep throat and many ear infections). They are not effective against viral infections, such as the common cold, even if fever exists.
Antibiotics do pose a risk of side effects or allergic reactions. When they are overused or when you do not finish a prescription, there is a risk of the bacteria developing resistance to the antibiotic.
The pediatricians at Weill Cornell Medical Associates approach each sick child individually, to assess the risk of a bacterial infection and weigh it against the risk of taking the antibiotic, so you can make an informed decision about antibiotic use.
For example, mild ear infections usually resolve without treatment. We do not prescribe antibiotics over the phone (such as for an earache) without examining the child first.
Vaccination is the single most important opportunity to prevent serious illness in your child, including brain damage and death. Leaving your child unprotected against vaccine-preventable illnesses poses a great risk to his or her health.
If you have concerns about childhood vaccines, we would be happy to discuss the risks and benefits of vaccinating versus not vaccinating your child.
If you have chosen not to vaccinate your child, our pediatric practice may not be the right fit for your family. We feel strongly that vaccinating your child is one of the most important things that can be done to safeguard your child's health. Since we will be partners in making sure your children remain healthy, it is important that we have similar philosophies in this regard.
The hepatitis B vaccine may be given at birth. Subsequently, routine vaccines start at the two-month well visit. We will discuss the vaccine recommendations for your child's age at your visit.
We follow the vaccination schedule determined by the U.S. Centers for Disease Control and Prevention.
It depends on the age of the child. If the child is under 6 months of age and has a temperature over 100.4° F rectally, you should call the office right away. If the child is older than 6 months and has a fever over 100.4° F for more than two days or if that fever is accompanied by ear or throat pain, call the office.
We do not recommend using over-the-counter cold medicines in children. Running a cool mist humidifier, having the child exposed to a steamy shower, and using non-medicated saline nasal mist can help relieve symptoms. Call the office if the cold symptoms are accompanied by a fever of 100.4° F or greater, or if your child has difficulty breathing, ear pain, or a change in disposition.
If rash is just red, stop using diaper wipes. Use water and a soft newborn washcloth or the softest paper towels and then let your baby's bottom air dry. If the rash appears blistered or pimply, call us for an appointment; it could be a skin infection.
Give us a call. It's easy now to perform rapid in-office strep throat tests. Definitely call the office if the sore throat is accompanied by a fever of 100.4° F or greater.
Call us and we'll be happy to discuss it with you. If necessary, we can refer you to a sleep specialist.
You should definitely call 911 right away if your child has lost consciousness, is having breathing trouble, or is showing signs of an allergic reaction (such as swollen lips, a hoarse voice, or tongue discomfort) accompanied by difficulty breathing. Of course you should always call 911 for anything you consider a life-threatening or serious emergency.
Call us if you think your child has a broken bone. One of our facilities has an x-ray machine. We will advise you about whether to come to the office or go to the nearest ER.