Sports Physicals A separate visit for a Sports Physical is typically not necessary and such forms can be completed by your PCP so long as your child is up to date on his/her check ups (i.e. if he/she has had a check up in the past year).  A Sports Physical is not as comprehensive as a well check up as it primarily focuses on any cardiac, respiratory, neurologic or musculoskeletal problems that may affect your child's ability to safely participate in athletics.  Physician forms for Sports Physicals, Camp Physicals, School Physicals, etc., can easily be completed in 24 hours or less for any patient who is enrolled in Comprehensive Care.  For non-members, Dr. Stef On Call can perform a basic sports physical, back-to-school physical, or camp physical and complete the necessary form if, for some reason, your child is in need of and you are unable to get him/her in to see your regular PCP in a timely manner.  Just send me an e-mail and we'll see what we can arrange.

Well Check Ups Dr. Stef On Call is equipped to perform comprehensive well check ups for all ages: from newborns to teens.  Well check ups are preventative care visits that focus on wellness.  For infants and toddlers the focus is on growth and development, sleep habits, eating habits, and behavior.  In older children and teens the focus is on lifestyle habits (exercise, nutrition, sleep), mood, school success, peer relationships, etc. Age-appropriate safety tips and accident-prevention are also discussed at well check ups.

    During the first 2 years of life, well check ups are scheduled at regular intervals.  After 2 years of age, well check ups are recommended annually.  Dr. Stef will provide all the routinely recommended well child care services for all patients who are signed up for Comprehensive Care.     

Miscellaneous There is no way to list all of the possible things you may want to consult a pediatrician about.... Whether it be temper tantrums, sleep problems, night terrors, bedwetting, constipation, potty-training issues, stomach aches, urinary symptoms, speech delay, learning problems, allergies, eczema, acne, bug bites, hives, or other rashes, menstrual irregularities, mood concerns, weight concerns, falls/ injuries, cuts, scrapes, sprains, etc.  If you're a member, you can feel free to call me about any concern you have anytime.  If you're not a member but would like to discuss a concern, please review A la Carte services and send me an e-mail to set up a time to discuss your concerns.

Asthma, Allergies and Eczema often run hand-in-hand, i.e. if your child has one, he/she is more likely to have one or both of the others.  To some degree, all of these things can be managed by a general pediatrician, including Dr. Stef On Call.  However, more severe cases may require a referral to a pulmonologist or an allergist for lung function tests or allergy testing (Dr. Stef On Call can run blood tests to evaluate for specific allergies, but a referral to an allergist may be necessary for skin-prick testing).  Children with severe or multiple food allergies are also typically referred to an allergist for on-going management.  And lastly, children with severe eczema that is unresponsive to traditional topical treatments may be referred to a dermatologist and/or allergist for further evaluation and management.

    Because all of these things tend to be chronic or recurrent conditions, it is best that they are managed by the same PCP or specialist with regularly scheduled follow-ups.  As your PCP, Dr. Stef On Call will be sure to follow up with you on a regular basis to insure that your child's condition, whether it be asthma, allergies and/or eczema, is being appropriately managed and well controlled.  If you have another PCP, Dr. Stef can help as needed for intermittent flare ups, but you will need to follow up with your PCP or specialist for on-going care.

Acute Illnesses: The most common cause of illness in children is a viral infection.  As there are seemingly an endless number of viruses, there are a variety of symptoms they can present with, including: fever, lethargy, malaise, body aches, headache, stomach ache, nausea, vomiting, diarrhea, rashes, sore throat, cough, congestion, runny nose, etc.  Upper respiratory infections, the flu, gastroenteritis (the "stomach bug"), "Hand Foot Mouth", Roseola, bronchiolitis, bronchitis, laryngitis, croup and Mono are all common viral infections in children, just to name a few. The good news is that viral infections are self-limited and typically resolve on their own after 3-5 days.  Of course, part of the doctor's job is to determine if it is a viral infection that requires anything more than just symptomatic care, or if it is something else that may require more specific treatment. 

    Common childhood illnesses that often (but not always) require treatment with an antibiotic include: ear infections, sinus infections, pneumonia, Strep throat, external otitis ("swimmer's ear"), conjunctivitis ("pink eye"), impetigo or other skin infections, and urinary tract infections.

    The good news is that all of the above can be diagnosed and treated in the comfort and convenience of your own home by Dr. Stef On Call.

 ADHD ADHD, aka Attention Deficit/Hyperactivity Disorder, or sometimes referred to as just ADD, Attention Deficit Disorder, is estimated to affect 5-10% of U.S. children.  Because of this prevalence, over the past 15 years in private practice I have become very familiar with ADHD/ ADD and am very comfortable discussing this topic with concerned parents.   There are many factors to consider when trying to determine the most appropriate treatment approach or intervention to help children (and their families) who are struggling with ADHD/ ADD.   Sometimes a referral to a psychologist, a psychiatrist, a neurologist, or a behavioral therapist may be recommended, but many cases of ADHD/ADD can be diagnosed and treated by a general pediatrician.  Dr. Stef On Call will be happy to discuss  your concerns related to ADHD.  For on-going management of ADHD/ ADD, your child must be enrolled as a subscribing member for ADHD/ADD management or for Comprehensive Care Plus ADD/ADHD management.