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Posts about Pediatrics

What Clinicians Need to Know About Pediatric COVID, Influenza, and RSV Vaccines This Season

November is here, and with it comes the annual parade of sniffles, fevers, and worried parents in our exam rooms.  But this year, the viral season feels especially layered.  We’re not just worried about bracing for influenza and RSV— we’re also navigating a new chapter in COVID vaccination, including a notable shift in pediatric recommendations from the American Academy of Pediatrics (AAP). 

Jen Janocha, PA-C
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“It Hit Me After the Trip”: Recognizing Chikungunya in Clinical Practice

“It all started a few days after I got back from my trip.”

Jen Janocha, PA-C
By Jen Janocha, PA-C on
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What Are Nicotine Pouches? The Dangerous Trend Hooking Teens

There’s always a new trick up Big Tobacco’s sleeve.  First it was flavored cigarettes, then e-cigs that looked like USB drives.  Now?  It’s minty  little pouches that slide quietly between lip and gum—no smoke, no spit, no smell, no shame.  Just a smooth jolt of nicotine.

Jen Janocha, PA-C
By Jen Janocha, PA-C on
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You Want to Start a Pediatric Private Practice? Here's What to Know

So, you're a general pediatrician dreaming of building your own private practice. No bureaucracy, full creative control, and the joy of shaping a practice that reflects your values. Sounds exciting, right? But then reality sets in: where do you even begin?

Liza Mackintosh, MD
By Liza Mackintosh, MD on
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The Febrile Toddler: Diagnosis and Management of Fever in Ages 3 to 36 Months

Few chief complaints in pediatrics are as common—or deceptively simple—as fever in children. Especially when that fever shows up in toddlers without a clear source.

Karen Hovav, MD
By Karen Hovav, MD on
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Is This Long COVID? A Clinician’s Guide to the Puzzling Symptoms in Kids

When a school-age child comes into clinic with fatigue, brain fog, or vague chest discomfort that just won’t quit, you might hear that little voice in your head: Could this be long COVID? 

Liza Mackintosh, MD
By Liza Mackintosh, MD on
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Adolescent Tdap Vaccine Timing: Why That 10-Year-Old's Vaccine History Matters More Than You Think

If you’ve ever stared at a 13-year-old’s immunization record, wondering whether that Tdap vaccine at age 10 means they still need another now, you’re not alone. Tdap—short for tetanus, diphtheria, and acellular pertussis—is part of both routine and catch-up immunization schedules. And as with all things immunization-related, the details matter.

Jen Janocha, PA-C
By Jen Janocha, PA-C on
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Understanding Otitis Media Symptoms and Treatment in Kids

Ah, otitis media—the classic ear infection in the middle ear. It may be a bread and butter diagnosis in the pediatric clinic, but its management can be nuanced. Do you treat it now or wait it out?  What’s the go-to antibiotic?  And when is it time to loop in the ENT?  Let’s cut through the noise with a back-to-basics review, plus a few pearls that might just change your approach.

Jen Janocha, PA-C
By Jen Janocha, PA-C on
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ADHD in Kids: Clinical Guidelines

ADHD is one of the most common neurodevelopmental conditions we see in practice, and yet, despite its prevalence, its diagnosis and management still generate tons of questions from both clinicians and families.

Jen Janocha, PA-C
By Jen Janocha, PA-C on
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Autism Diagnoses Are Rising. But What Does That Really Mean? A Pediatrician’s Perspective.

You’ve probably seen the headlines: Autism rates are rising. You might have heard it called an epidemic—a term that’s not just attention-grabbing, but also fuels fear and confusion. Parents might be asking you about this in clinic. Many argue that the rise in diagnoses just means we’re getting better at identifying what has always been there. Others feel the alarm bells ringing, wondering what’s causing this apparent surge.

Karen Hovav, MD
By Karen Hovav, MD on
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So You Think You Can Code? A Pediatrician’s Guide to Smarter Coding

Let’s be honest. No one went into pediatrics because they love coding.

Karen Hovav, MD
By Karen Hovav, MD on
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Early MMR Vaccination: Protecting Infants During the Measles Outbreaks

Measles was declaredeliminated in the United States in 2000. Yet, in 2025, it’s back with force. At the time of this writing, theCDC reports outbreaks in 31 states, with 1,001 confirmed cases and two pediatric deaths—96% of those infected being either unvaccinated or have an unknown vaccination status against measles. One-third of U.S. cases this year have occurred in children under age five, including infants under 12 months. 

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