Effective 1/1/2023 refills will only be done either through the patient portal or calling your pharmacy. Please be sure you have an active patient portal for your refills.

12/1/2021-We are giving the Covid-19 Moderna vaccine for children 6 months & up and also have Covid-19 Moderna booster vaccine available at our office-call to make an appointment.

Revised Covid-19 Practice Information (August 2022)

MASKS are REQUIRED for all entrants aged 2 years and older in all areas of the office at all times… even when the doctor is not in the exam room with you.

The waiting room is open, but please call the office (ext. #4) from your car to let us know when you have arrived for your appointment.

Patients with appointments for communicable, infectious illnesses are directed to enter through the side door on the left side of the building.

Well visits/physicals and non-urgent appointments are rescheduled if a patient has any Covid-19 symptoms. Your child may be seen for a sick visit that day, but we need to know in advance, so we can direct you to enter through the proper entrance per above.

Refer to the Erie County DOH website for information about the latest isolation recommendations. (Note that the new, less strict guidelines may not apply to a patient who cannot mask because of their age (<2 years) nor to patients who cannot consistently/reliably wear a KN95 [or better] mask.)

https://www2.erie.gov/health/index.php?q=coronavirus

The American Academy of Pediatrics and all our doctors recommend Covid-19 vaccinations and updated boosters for all children aged 6-months and older. You may call us to book an appointment for the vaccine.


CARDIAC CLEARANCE after Covid-19 Infection
Your child needs a cardiac clearance exam for sports participation after infection with Covid-19 if they meet any of the criteria below:

  • ≥12 years of age and engaged in varsity sports or high intensity/highly competitive sports (regardless of symptom severity)
  • For children ≥5 years of age(including non-athletes ≥12years)
    • they had Covid-19 illness with any of the following:
      • fever (≥ 100.4) for 4 days (96 hours) or more
      • chills, severe muscle aches, or severe fatigue for ≥7 days?
      • chest pain or shortness of breath
      • hospitalization
    • since the Covid infection:
      • they passed out or felt as if they were going to pass out
      • they mentioned anything strange about their heart beats
    • they have a cardiac condition that requires periodic follow up with a cardiologist

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Colic

Reviewed 6/24/2011
By Daniel Feiten MD
Greenwood Pediatrics

Colic can be one of the major stresses in child rearing. The colicky infant usually cries for at least several hours a day, more often in the late afternoon and early evening hours. It begins in the first few weeks of life, peaks in the fourth to sixth week, and then typically resolves by the third or fourth month of life. Your child may display sudden and intense crying which is accompanied by stiffening, drawing up of the legs, and passing of gas.

Cause

The cause of colic is unknown. Although many people assume that it is a result of intestinal pain, the cause seems to vary with each infant. Air swallowing, immaturity of the intestinal tract, immaturity of the nervous system, a hypersensitivity to a protein in cow's milk, a sensitivity to environmental stimuli, and low progesterone have all been suggested as possible factors.

What to do about Colic

Don't Blame Yourself. It is natural to become frustrated and angry over a child who won't stop crying. Some parents will begin to question their parenting skills, thinking that " I must be doing something wrong !" Try to relax. Fortunately, colic usually resolves by itself over time.

Never Shake your Baby! Anxiety and frustration have led parents to shake their baby in an attempt to make them stop crying. Shaking can lead to bleeding in the brain and it must be avoided at all times! Call us immediately if you have just shaken your newborn or if you feel the urge to harm your infant.

Feed your Baby Calmly. Feedings should be quiet and not hurried. Handle your baby gently. Avoid distractions by discouraging telephone calls and well-meaning visitors, especially during the peak periods of colic.

Try a Variety of Calming Methods. Each baby responds to these methods differently. Try to find the right one for your child: gently rocking or walking, swaddling, "shooshing", an infant swing, soft music, "white noise" from the TV/radio, taped uterine sounds, auto rides, and pacifiers. A child carrier (eg. "Snuggly") has been shown to be of benefit when used consistently. Try bathing your baby or simply undressing her. Some parents have found success with putting their child in a car seat and putting it on top of the dryer when it is running. (Be sure to hold on !)

Minimize Air Swallowing. Use frequent burping and proper bottle position. If your baby is bottle-fed, make sure that the hole in the nipple is big enough. If your baby tends to pass a lot of gas, you may try Mylicon drops, an over-the-counter remedy which is harmless.

Avoid Cows Milk. A few studies have shown that a small percentage of infants are sensitive to a protein found in cow's milk.If you are bottle feeding, try changing from a cow's milk -based formula to a soy-based formula or a lactose-free formula. For nursing mothers, it may be necessary to avoid all milk products for one week to see if your child's colic diminishes. Some doctors will also recommend avoidance of other types of food such as chocolate, spicy foods, and "gassy vegetables" like cucumbers and broccoli. If these don't help, call us during office hours to consider further formula changes.

Plan Ahead. If your child is fussy during dinner time, prepare the meal earlier in the day so that you can devote all of your time to your baby. Housework may have to wait.

Take a Break. Many people feel reluctant and guilty about giving their child to another to take care of. Spouses, partners, friends and relatives can each take their turn with a colicky child. Don't try to do it alone!

Consider Probiotics A recent study in Italy evaluated 50 babies with colic...some were given Lactobacillus Reuteri while others received a placebo. The infants who received the probiotic had a significant reduction in crying. This study needs to be repeated in other centers. Keep in mind that the FDA does not regulate OTC probiotics and so the quantity of bacteria may vary among OTC products.


 

Transit Office Hours

4899 Transit Road Depew, NY 14043

Monday – Friday: 8am-4pm
Saturday: 8am-12pm

(716) 558-5437