|  | | | Advanced Pediatrics- Home Page | |
Care Philosophy  | | We are conveniently located near the I-271 exits of both Chagrin and Harvard. Advanced Pediatrics is a special place where a commitment to a small practice has been maintained to be sure your children get rapid, responsive, and complete attention in a calm and welcoming office.
Advanced Pediatrics has been recognized locally, nationally, and even across the world for its ability to use innovation to advance the care of your child.
Please feel free to visit. We would be happy to welcome you. |
Office Location | | Advanced Pediatrics See map
3733 Park East Drive Suite 102
Beachwood , Ohio 44122
216-591-1515
216-591-1544 (FAX) |
Specialties | | Pediatrics
Neonatology |
Insurance and Hospital Affiliations | | Aetna
Anthem
Cigna
Medical Mutual of Ohio
Qualchoice
United Health Care
and most other HMO contracts |
Patient Education Resources | |  | Medem Learning Center:
Immunizations During Childhood / Medem | | Medem Learning Center:
Attention-Deficit Hyperactivity Disorder (ADHD) / Medem |
Influenza Immunizations | | Influenza Immunizations 2007 / Dr. Arthur Lavin |
New Patient Information | | The Advanced Pediatrics Registration Form / Advanced Pediatrics | | Release of Information Form / Advanced Pediatrics |
General Information | | Color Blindness / Dr. Arthur Lavin | | AAP designed comprehensive online medical library / WebLink | | The American Academy of Pediatrics, a comprehensive resource / WebLink | | The National Library of Medicine, the largest collection of medical literature in the world / WebLink | | CDC travel guidance, detailed medical advice on travel to anyplace on Earth / WebLink | | Folic Acid in Child bearing Years / Dr. Arthur Lavin | | LabCorp Locations and Hours / Dr. Arthur Lavin | | Acetaminophen and Ibuprofen Dosages / Dr. Arthur Lavin | | A Free AAP e-Magazine from Advanced Pediatrics / WebLink | | A valuable entrance to the realm of Federal resources regarding health and safety of items we buy / WebLink | | Evolution Yoga featuring Pre-natal and Early Childhood Sessions / WebLink | | Parent Soup- A great general site for parenting / WebLink | | Evolution Yoga- Excellent Yoga while pregnant and for kids / WebLink | | Lice: How to Get Rid of Them / Dr. Arthur Lavin | | Our Statement on Autism / Dr. Arthur Lavin |
Information and Advocacy | | Food Allergy Network / WebLink | | Family Voices, great support for families with children with special needs / WebLink | | CHADD, the national ADHD advocacy and support group / WebLink | | Help Me Grow, Cuyahoga County early intervention agency, devoted to responding to any developmental concerns, ages 0-3 / WebLink | | Rare Diseases, a comprehensive resource of information and linkage to support groups for thousands of very rare disorders / WebLink | | Breast feeding, a great set of supportive links / WebLink | | Up with Down's, information and advocacy for Down's syndrome / WebLink | | Asthma / WebLink |
New Articles of Interest | | Marijuana Use May Cause Adult Schizophrenia and/or Depression / WebLink |
Newborns and Infants: Care and Questions | | A Variety of Newborn Issues / Dr. Arthur Lavin | | Introduction of Solids / Dr. Arthur Solids | | Newborn Stooling / Dr. Arthur Lavin | | Newborn Eye Crusting / Dr. Arthur Lavin | | Premature Babies: Special Health Issues / AAP | | Bottlefeeding / AAP | | Infant Sleep Positioning and SIDS / AAP | | Premature Babies: Understanding Their Needs / AAP | | Breastfeeding — Benefits and Getting Started / AAP | | Circumcision Information for Parents / AAP |
Development: Pre-natal and Infancy | | MMR Immunization does not cause autism / Dr. Arthur Lavin | | Guidance on Avoiding Milk Proteins / Dr. Arthur Lavin | | Premature Babies: Growth and Development / AAP |
Development: Childhood | | A visually great site produced by PBS on the function of the Brain / WebLink | | News on Brain function as it relates to education / WebLink |
Development: Adolescence | | Puberty Information For Girls / AAP | | Puberty Information For Boys / AAP |
Staying Healthy | | Immunizations: A Guide / Dr. Arthur Lavin | | Dangers of Alcohol Use / AAP |
Nutrition | | Calcium: Needs and Sources / Dr. Arthur Lavin | | Food and Nutrition Resources from the US government / WebLink |
Success at School | | A wonderful resource on learning and varieties of learning styles / WebLink | | ADHD Medications and the Heart / Dr. Arthur Lavin | | ADHD — Understanding Attention-Deficit/Hyperactivity Disorder / AAP |
Exercise and Sports | | Ortholinks for information on a very broad array of pediatric sports medicine and orthopedic issues / WebLink | | Water Safety / AAP | | Sports Programs / AAP |
Common Illnesses: Causes and Care | | A Brief Introduction to Infections / Dr. Arthur Lavin | | Acne information / WebLink | | Colds / Dr. Arthur Lavin | | Cough / Dr. Arthur Lavin | | Fever / Dr. Arthur Lavin | | Pink Eye / Dr. Arthur Lavin | | How the Flu Is Spread / AAP |
Uncommon Illnesses | | Smallpox: What you Need to Know / Dr. Arthur Lavin | | Hepatitis B / AAP | | Facts About HIV and AIDS / AAP |
Online Forms | | Advanced Pediatrics Registration Form / Advanced Pediatrics | | Release of Information Form / Advanced Pediatrics |
Fun | | Making Bubbles / Dr. Arthur Lavin |
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| | | | Announcements | |  | **EKG NOW RECOMMENDED IF YOU ARE TAKING STIMULANT MEDICATIONS**
Given recent findings, Advanced Pediatrics now recommends that all children taking stimulant medications have an EKG done prior to getting a refill.
Stimulant medications are the most common drugs used to treat ADHD.
They include amphetamine (Adderall, Vyvanse) and methylphenidate (Ritalin, Concerta, Methylin, Metadate, and Daytrana).
All of these medications have been linked to rare instances of sudden cardiac death, and a simple screening EKG appears to offer the hope of preventing many of these tragic events.
So if your child is taking one of these medications, please call your preferred hospital and schedule a simple EKG.
Soon we will not be refilling these medications unless a normal EKG is on file.
For a fuller discussion, please refer to the article "ADHD Medications and the Heart" under the heading SUCCESS IN SCHOOL to the left on our web page.
| | SINGULAIR
A recent notice from the FDA alerts us all to the fact that a person taking Singulair has committed suicide. This fact was actually brought to light by the manufacturer of Singulair, Merck.
Merck, like all drug companies, must monitor side effects after a drug is approved for use since now millions of people will be using it. During this monitoring process, Merck found a question of whether someone taking Singulair may have committed suicide as a side effect, or whether the Singulair just happened to be a medicine the person was taking at the time.
Merck?s statement is at this web site:
http://www.merck.com/newsroom/press_releases/product/2008_0327.html
In response to this report, the FDA now has decided to help find out if Singulair could have a side effect of suicidal ideation. The FDA anticipates it will take 9 months to find the answer. http://www.fda.gov/cder/drug/early_comm/montelukast.htm
At Advanced Pediatrics, we are not aware of any biological reason that Singulair should cause depression or increase the risk of suicide. For those whose normal breathing relies on the use of Singulair, we agree with the FDA that it remains the safe choice to continue using Singulair. Of course, whether you take Singulair or not, if you find your child is thinking about hurting themselves, please contact us ASAP.
| | STATEMENT ON AUTISM
A recent court case as well as numerous high-profile cases have sharply raised the issue of autism in our community.
Advanced Pediatrics has crafted a statement on autism overall, including some comments on the recent court case.
PLEASE REFER TO OUR PATIENT EDUCATION SECTION, UNDER THE GENERAL INFORMATION CATEGORY TO READ, PRINT, AND USE THIS STATEMENT.
| | ANNOUNCING THE OPENING OF THE FIRST
WHO'S THE BOSS? PARENTING EDUCATION CENTER IN GREATER CLEVELAND
Advanced Pediatrics is pleased to announce the opening of an exciting new resource for our community: The Who's the Boss? Parenting Education Center (For more information and appointments, call 216-647-1707).
The center will enable Advanced Pediatrics to be the first to make available to parents the highly successful philosophy and specific guidance featured in Who's the Boss? Moving Families from Conflict to Collaboration and Baby & Toddler Sleep Solutions for Dummies.
The center will provide support and guidance for parents who have questions about their child?s behavior or development. Through private sessions and group workshops, parents will learn specific techniques that will allow them to once again offer loving guidance while they teach their children the skills to find effective, peaceful solutions to their conflicts and allow them to become the boss of themselves.
The center will feature some of our community's most trusted and effective parent educators, Susan Glaser MA and Courtney Evenchik MA.
Collectively, Susan, Courtney and I have counseled more than 10,000 families and have found that these techniques can be successfully applied to virtually any issue that families face, including:
**Potty training
**Sleeping through the night
**Feeding issues**Sibling rivalry
**Child care concerns
**Tantrums **Discipline
**Educational issues, and more
The cost for an hour-long individual appointment is currently available at an introductory rate of $80.
We are also very excited to offer a free introductory consultation for all parents of 12-month-olds. One year of age is at the threshold of emerging consciousness--a critical time to think ahead.
I am certain that families who take advantage of this opportunity will gain confidence and assurance on their exciting, challenging journey of parenting.
| | A NEW STUDY FOR 6-17 YEAR OLDS WITH ADHD AT ADVANCED PEDIATRICS
People with attention deficit disorders typically have abnormal sleep function, too. Recent studies have linked exposure to strong white light after sunset to disruptions in normal sleeping. And so, we at Advanced Pediatrics are curious about whether limiting exposure to light before bedtime might help improve sleep and, in turn, improve attention during the day.
In a study designed in collaboration with scientists at John Carrol we are now able to offer a study that limits the exposure to blue light before bedtime to see what impact this has on your child's attentional abilities.
The interventions are:
1. Taking a 10 minute test of attentional skill with Dr. Weitman.
2. Wearing amber-tinted glasses for some time before bedtime every day, using an amber-tinted nightlight and/or light bulb for middle of the night lights.
3. Keeping a diary of sleep and attention functions
4. Do this for 10 weeks and then repeat the attention test with Dr. Weitman.
We have obtained formal certification from the University Hospitals Institutional Review Board for this study.
There is no cost to participate.
If interested, simply call our office, we will enroll the first 30 who meet the entry criteria of being 6-17 years old and having ADHD. | | NOTICE: TIME TO STOP GIVING YOUR CHILD COLD AND COUGH MEDICINE
We are pleased to announce that the FDA and AAP have come to agreement with a position taken by this office in the early 1980's:
cold and cough remedies do not work in children and can cause great harm.
PLEASE DO NOT PURCHASE COLD AND COUGH MEDICINES FOR YOUR CHILDREN.
The situation is severe enough that the FDA has actually induced manufacturers to take the following products OFF THE MARKET because they do not work and can cause harm, even death:
Dimetapp(R) Decongestant Plus Cough Infant Drops,
Dimetapp(R) Decongestant Infant Drops,
Little Colds(R) Decongestant Plus Cough,
Little Colds(R) Multi-Symptom Cold Formula,
PEDIACARE(R) Infant Drops Decongestant (containing pseudoephedrine),
PEDIACARE(R) Infant Drops Decongestant & Cough (containing pseudoephedrine),
PEDIACARE(R) Infant Dropper Decongestant (containing phenylephrine),
PEDIACARE(R) Infant Dropper Long-Acting Cough,
PEDIACARE(R) Infant Dropper Decongestant & Cough (containing phenylephrine),
Robitussin(R) Infant Cough DM Drops,
Triaminic(R) Infant & Toddler Thin Strips(R) Decongestant,
Triaminic(R) Infant & Toddler Thin Strips(R) Decongestant Plus Cough,
TYLENOL(R) Concentrated Infants' Drops Plus Cold,
TYLENOL(R) Concentrated Infants' Drops Plus Cold & Cough. | | Speech and Language Therapy and
Occupational Therapy at Advanced Pediatrics
Starting June 18, 2007 in the Offices of Advanced Pediatrics
Ms. Ronit Oz, CCC-SLP
Speech and Language Therapist
Ms. Oz can be reached at 216-406-0989 or ozspeech@sbcglobal.net
to help with the following challenges:
For improved pronunciation (articulation)
To improve the ability to understand what is being said (receptive function)
To improve the ability to create and produce language and speech (expressive function)
To help the mind create and execute effective speech (verbal apraxias)
Early intervention
To help children manage the use of their mouth for speech, including strengthening the oral/mouth muscles for speech and oral control (helps with swallowing and aversions to food or aversions to taking medications)
For help with autism or autism spectrum disorders (ABA and TEACCH certified)
For help with augmentive communication devices: pictures, schedules, electronic devices
Affiliations:
* American-Speech- Language-Hearing- Association(ASHA)- member
* Ohio Board of Speech Language Pathology and Audiology
Ms. Rochelle Shiller, OTR/L
Occupational Therapist
Ms. Shiller can be reached at either 216-509-7094 or shilleroch@aol.com
to help with the following challenges:
Evaluations
To see if a motor delays are present (gross or fine motor)
To see if an sensory integration problem might be present
To see if an intervention would be needed or helpful
Therapies
For improved gross motor function
For improved fine motor function, including school-related fine motor function such as handwriting and/or pencil grasp
To help the mind create and execute effective motions (Dyspraxias)
Upper body strengthening and coordination
Sensory integration therapies
Early intervention
To help children manage the use of their mouth, in pa | | THE IEP: TWO GREAT WEBSITES TO HELP YOU PREPARE
The AMERICAN ACADEMY of PEDIATRICS
http://www.medicalhomeinfo.org/tools/school.html
This Web Page from the AAP is a treasure chest of resources to help you help your school deliver the help your child may need. It is also a great entry page for all sorts of help with children with special health care needs.
THE IEP POP-UP
http://www.handsandvoices.org/articles/education/popup/pop_index.html
The IEP Pop-Up is an extraordinary set of very common problems that
parents have to contend with when seeking an EFFECTIVE IEP.
The Pop-Up is a 4 by 4 square of 16 questions. Click on the question and you will get
a great answer with legal citations and other substantiation for a powerful response.
| | DR. LAVIN LAUNCHES PUBLICATIONS ON PARENTING ISSUES: NEW BOOK AVAILABLE NOW
WHO'S THE BOSS: MOVING FAMILIES FROM CONFLICT TO COLLABORATION written by Dr. Arthur Lavin and Ms. Susan Glaser (Former Director of the JCC Pre-School programs and now national consultant on parenting and early childhood education), has been published by Collaboration Press and is now available on Amazon, and in the Advanced Pediatrics office (discounted for members of the practice). The book is also now in Appletree Books (at Cedar and Fairmount), Joseph Beth (at Legacy Village) and Children's Orchard (van Aken near Chagrin).
This book offers an overall approach as well as very specific guidance on how to best manage the most common conflicts with which young children challenge their parents.
Conflict is discussed as a healthy aspect of young childhood. Techniques that Dr. Lavin and Ms. Glaser have seen work time and again are presented to help parents resolve problems with sleeping at night, fights over eating, toilet training, teaching rules with effective discipline, sibling rivalry, and child care struggles.
Some of the concepts will be familiar to families in the practice, some will be new ideas that can either help you solve current challenges, or help friends and family solve theirs. The book also makes an excellent baby shower choice.
You can see us interviewed by Robin Swoboda at http://www.myfoxcleveland.com/myfox/pages/InsideFox/Detail?contentId=2182175&version=1&locale=EN-US&layoutCode=VSTY&pageId=5.7.1
BABY AND TODDLER SLEEP SOLUTIONS FOR DUMMIES
On the strength of this book, Dr. Lavin and Ms. Glaser have been chosen to write the new Baby&Toddler Sleep Solutions for Dummies which will be distributed nationally in July,2007. | | DR. JULIE HERTZER JOINS ADVANCED PEDIATRICS
WE ARE VERY EXCITED TO ANNOUNCE THAT DR. JULIE HERTZER IS JOINING DR. ARTHUR LAVIN AND MS. KELLEY MULDOON RIEGER IN THE PRACTICE OF PEDIATRIC AND ADOLESCENT MEDICINE, STARTING JULY 31, 2006.
DR. HERTZER BRINGS A WEALTH OF EXPERIENCE WITH HER, HAVING PRACTICED FOR 9 YEARS IN THE SOLON AND HUDSON AREA. SHE WAS EDUCATED AT TUFTS AND INDIANA, AND TRAINED AT THE CHILDREN'S NATINOAL MEDICAL CENTER IN WASHINGTON, DC.
DR. HERTZER HAS A SPECIAL INTEREST IN THE BEHAVIORAL CONCERNS OF EARLY CHILDHOOD AND IN WORKING WITH OLDER AND ADOLESCENT GIRLS.
PLEASE JOIN US IN WELCOMING DR. JULIE HERTZER TO ADVANCED PEDIATRICS. | | NEW LICE TREATMENT
NOTICE: A new treatment for lice is now available, is 96% effective, and completely non-toxic. The only substance applied is Cetaphil Gentle Skin Cleanser.
For detailed instructions on this new, most effective, completely safe treatment, please go to our description of the process for details. See on left column of our web page for the lice article. | | FISH MAY BE TOXIC- SEE THIS FDA WARNING:
Fish are a very healthy food, but sadly nearly every fish in all oceans is now contaminated with significant amounts of mercury.
We know mercury can damage the brain, and so the FDA has constructed this guidance for all children and all women who may have children:
EAT NONE OF:
Swordfish, Mackerel, Shark, Tilefish
EAT NO MORE THAN 6oz/WK OF:
TUNA- Steak or Albacore
EAT NO MORE THAN 12oz/WK OF:
ALL Other Fish | | FOLIC ACID ALERT:
All women from their first to last period should take 400 micrograms of folic acid a day.
If you do, you will prevent the development of spina bifida in many newborns. | | ELECTRONIC PARENTS MAGAZINE: The AAP has established a quite impressive resource, an e-Magazine for parents. Check our General Information area and sign up! | | Ms. Kelley Rieger, PNP, APRN:
THE PEDIATRIC NURSE PRACTITIONER (PNP)
Advanced Pediatrics continues to be be excited by the provison of services by Ms. Kelley M. Rieger, APRN, PNP.
PNP's are Advanced Practice Nurses whose special training allows them to combine the nursing philosophy of caring for the patient as a whole with the ability to be outstanding providers of medical care.
At Advanced Pediatrics, Kelley will be available to be your child?s primary provider or as an associate provider to Dr. Lavin, in either case always working in close collaboration with Dr. Lavin. Kelley trained at Rutgers and Yale and has many years of experience as a practicing PNP. She also has experience consulting with pediatric practices across the U.S. We encourage you to get to know Kelley, and would be happy to answer your questions.
| | DR. LAVIN RECOGNIZED AS ONE OF "AMERICA'S TOP PEDIATRICIANS"
Advanced Pediatrics is very pleased to announce that Dr. Arthur Lavin has recently been recognized by the Consumers' Research Council of America in the 2004-2005 Edition of "Guide to America's Top Pediatricians."
| | DANGERS OF VITAMIN SUPPLEMENTS!
The New York Times on April 29, 2003 (http://www.nytimes.com/2003/04/29/health/nutrition/29VITA.html?pagewanted=) reported that most multivitamin supplementation is potentially harmful.
PLEASE DO NOT GIVE YOUR CHILD EXTRA VITAMINS WITHOUT MEDICAL SUPERVISION | | Online Form Availability
Feel free to go to the online forms section of our patient education resources area, at the bottom of this web page.
There you can find and print registration forms to bring to our office at your next visit, or release of information forms that will allow us to obtain records from other offices.
| | E-Mailing Your Doctor
At the far left margin of this web page is a list of other web pages on this site. Near the bottom of the list, click on e-mail, and you will see instructions on how to e-mail your physician.
| | Links to Any Health Care Issue
At the upper left margin of this web page is a search window. Type in your issue of concern and an excellent list of links from the AAP and the CDC will be appear.
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