Advocare Pediatric Arts

01/26/2026

THE LAST SNOW UPDATE: Our offices will be opening at noon today. If you need your child to be seen but can't make it to us, we can always do a televisit. Please be careful shoveling and watch for black ice while driving. ❄️❄️❄️❄️❄️❄️

01/26/2026

LATEST SNOW UPDATE: We will have a delayed opening tomorrow and can be available for telehealth if needed. Call through our service. Stay safe. Be careful shoveling and don't overdo it. ☃️❄️

01/25/2026

SNOW UPDATE: Appointments for tomorrow morning are canceled. We will see how things unfold regarding the afternoon. Stay safe! ☃️❄️

01/25/2026

SNOW DAY! Our office is closed. Dr Weinstein is available by phone for anything you need. Call our main number. Stay home. Stay safe. And shovel out your doors. ❄️☃️

01/23/2026

Please prepare now for the snow so you aren't scrambling Saturday. Make sure you have formula if you use it, and bottled water to mix it with, just in case. We are open tomorrow and Saturday as usual. Sunday is looking like we won't be open, but we shall see how this storm plays out. We are always available by phone. Stay safe!

01/20/2026

Good luck to everyone starting their spring semester today!

01/19/2026

Honoring MLK today.

01/17/2026

Sharing from a fellow pediatrician.
Day 2
Rotavirus
Type of infection: RNA virus
Transmissibility: fecal-oral route and very contagious
Incubation: very short, less than 48 hours
Clinical manifestations: Acute onset of vomiting followed 24 to 48 hours later by watery diarrhea; up to one third of patients will have high fevers. Symptoms usually last for 3 to 7 days but improve over time. In moderate to severe cases or with prolonged diarrhea, additional sequelae including dehydration, electrolyte abnormalities, and acidosis.
Diagnosis: Stool enzyme immunoassays (EIAs)
Treatment: Supportive measures only - oral rehydration therapy or IV fluids.
Prevention: Rotavirus vaccine (2 or 3 dose versions for infants only). While the vaccine doesn't prevent all cases, it generally keeps kids out of the hospital.

01/15/2026

To clarify, while our practice is pro-vaccine and continues to follow the AAP vaccine schedule, we do recognize that there are differing viewpoints on vaccines and will continue to work with those families who choose to not vaccinate or use an alternate schedule.

01/13/2026

Sharing this information from a fellow pediatrician about vaccine preventable diseases with which you may be not so familiar.
Day 1: Meningococcemia
Type of infection: bacteria
Transmissibility: Close contact with droplets or respiratory particles
Incubation: Many people are colonized, but when infection starts incubation period is usually less than 4 days (range 1-10)
Clinical manifestations: Septicemia (35%–40% of cases), meningitis (~50% of cases), or both. The median time between onset of symptoms and admission to the hospital was ≤22 hours. Children get very sick very fast with rash (petechiae or non-blanching spots), fever, neck stiffness, seizures, low blood pressure, and often limb necrosis leading to amputations.
Mortality: 10-15%
Diagnosis: Blood culture and lumbar puncture (spinal tap) growing the bacteria
Treatment: Early antibiotics and blood pressure support
Prevention: Meningococcal vaccine - 3 types ACWY, B and ACWYB which was just approved. The incidence has dropped from 1/100,000 to 0.11/100,000 since the 1970s
Infection control: Contacts of patients should be treated with prophylactic antibiotics (most often rifampin)
Long term sequelae: Up to 20% of survivors can get hearing loss, neurologic disability, digit or limb amputations, and skin scarring.

01/12/2026

https://www.google.com/amp/s/pix11.com/news/local-news/cheese-recalled-nationwide-for-listeria-contamination-things-to-know/amp/

WEST CALDWELL, N.J. (PIX11) — One of the largest importers and distributors of specialty cheese from Italy has issued recalls for seven different products after they tested positive for Liste…

01/09/2026

We are fielding a lot of questions from parents who are concerned that we will be changing our vaccine schedule. We will not be doing so. We are continuing to follow guidelines set forth by the AAP that are rooted in science. We still believe that vaccines are one of our best tools to combat disease and keep your children healthy. They prevent illnesses that really do not have adequate treatments/cures and they generally keep people out of the hospital. Please ask us if you have questions.