February 2019
This Month's Newsletter
This month we experience Leap Year - which only happens once every 4 years! Leap Year means we have 366 calendar days in the month, vs the typical 365. The "extra day" of February 29th is meant to  help synchronize the calendar year with the solar year, or the length of time it takes the earth to complete its orbit around the sun - about 365 ¼ days.

In this month's newsletter, we share an article that discusses the effects of yelling on children and alternate methods of discipline. In recognition of National Children's Dental Health Month, we offer guidance on healthy dental care for all ages. Finally, we talk about heart health in celebration of February as American Heart Month. 

The Pediatric Center is here for all of your urgent medical needs, even when the office is closed. There is always someone on call from our practice. There is no need to visit a separate urgent care facility or doctor that doesn't know your child's health history. All you have to do is call: 908-508-0400.

Our goal is to further develop our relationship with our patients and create an open forum. We welcome your comments and ideas. If you would like to see something included in this newsletter, please email us at  with ideas only, please no medical requests.

As always, we welcome you to share your experience with our practitioners with an online review. 

The Pediatric Center Staff
How to Stop Yelling At Your Kids
An article this past January in the Huffington Post discusses the detrimental impact of yelling as a vehicle for discipline for children.

It states, " The American Academy of Pediatrics says  that yelling can elevate children's stress hormones and lead to changes in the actual architecture of their little brains. And  research also suggests  it doesn't particularly work. It can lead to more of the types of behaviors parents are trying to quell, instead of stopping them."

The article discusses 5 tactics on how to stop yelling at your kids and tools to use instead. Some of those including ways to channel your energy and replace anger with another reaction.

Building a respectful relationship between parent and child is key to a long-lasting relationship.
Keeping That Smile Clean
Did you know that tooth decay is one of the common chronic diseases amoung children in the United States?

If a cavity goes untreated too long, it can cause an infection that can lead to a multitude of problems with speech, eating, playing and learning.

Facts from the Center for Disease Control:
  • About 1 of 5 (20%) children aged 5 to 11 years have at least one untreated decayed tooth.
  • 1 of 7 (13%) adolescents aged 12 to 19 years have at least one untreated decayed tooth.
  • Children aged 5 to 19 years from low-income families are twice as likely (25%) to have cavities, compared with children from higher-income households (11%).
Cavities are preventable and starts with good dental health for all stages - from babies to children to adults and especially for pregnant women. 

Each stage has recommended dental care including:

Babies: Before teeth emerge, wipe gums with a soft, clean cloth morning and night. When teeth start to come in, use a small, soft bristle toothbrush with plain water. Visit a dentist at the one-year old birthday and discuss fluoride varnishes to protect teeth.

Children: Brush 2x/day with fluoride toothpaste and drink water with fluoride if it's an option. Talk to your dentist about dental sealants. 

Adults: Brush 2x/day and floss daily. See a dentist every six months for a check-up.

Pregnant women: Floss and brush daily and see a dentist regularly, especially before you deliver.

Source: Center for Disease Control (CDC)
Heart Facts
In recognition of American Heart Month, we discuss the many well-known health benefits associated with regular participation in physical activity for both children and adults including:

  • Lower risk of heart disease
  • Weight gain prevention
  • Lower risk of type 2 diabetes
  • Lower risk of cancer
  • Reduced level of depression
  • Weight loss
  • Lower risk of high blood pressure
  • Lower risk of stroke

What you might not know is the remarkable capacity of the body to adapt to exercise.  Exercise creates physiological adaptations to the heart, helping it pump blood more efficiently therefore; allowing it to accomplish more, with less exertion. The more you exercise, the more efficient your heart becomes. This is called "adaptation".

Facts about the heart:

  • At an average resting heart rate of 70 beats per minute, the heart can comfortably (average fitness level and no heart disease) perform at twice its resting value. The average adult can train between 122-181 beats per minute.
  • The amount of blood pumped by the heart can increase as much as 50-60% above resting values to meet the demands of exercise.
  • The average adult pumps about 5 liters of blood per minute. When exercising, the amount of blood your heart pumps can increase to almost eight times its resting value. A sedentary person will give a cardiac output of 20-22 liters per minute while an elite athlete will exhibit an output of 35-40 liters per minute.
Stroke Volume
Increased stroke volume (the amount of blood pumped through the heart) is a training effect of aerobic exercise and allows a fit individual to pump more blood per beat, resulting in a lower heart rate during a workout.

In the beginning of starting a training program, you may gasp for breath and be unable to keep up with the intensity. As your program progresses, your breathing and stroke volume becomes more efficient, allowing you to breathe easier, hence maximize your performance.

This is why less fit individuals may have a harder time making it up a flight of stairs or walking across a parking lot while for a fit person - it's just a way of life. For inactive people, their lungs and heart cannot handle the oxygen demands required for performing the exercise. They can't get it to their organs fast enough.

CO2 Output
When you increase maximum blood flow to pump blood more efficiently it saturates your blood with oxygen and removes CO2 efficiently. Removing CO2 at a higher rate increases your performance and gives you greater aerobic power. As your body becomes more efficient with exercise, it is able to extract oxygen from the blood more quickly.

As much as 88% of your blood flow during exercise is directed to the muscles (active tissues)! The more you exercise, the higher the number of capillaries you build in your muscle fiber, which means more oxygen in your muscles (faster!) and increased fuel storage.

So what does this mean?
As your fitness level improves and your rate of breathing becomes more efficient, you are able to deliver more oxygen throughout your body more quickly. You can accomplish more, with less exertion, at a higher level of performance.

Be good to your heart and it will show you the love in return.

We Are Here For You

On-Site Lactation Support Center
T he Pediatric Center's on-site Lactation Support Center and lactation suite are available to you to support breastfeeding your child.  Our modern and private on-site lactation suite provides a warm and relaxed environment for the mother and infant to enjoy a positive breastfeeding experience.  We offer complimentary lactation consultations in our private space.

We also offer a free prenatal class every month, open to the public. 

To schedule your lactation consultation, attend our free prenatal class or make an appointment please call us at 908-508-0400.

Find More Topics On Our Blog
The Pediatric Center's blog is an invaluable resource for pediatric and parenting topics. The blog is right on our website . It includes topics such as "12 Super Foods for Lactation Aid", "Best Winter Skincare Tips" and so much more. 
Patient Portal
The Pediatric Center's patient portal provides personal access  to your family's  medical records. 

You can access information such as immunization records, visit summaries, request appointments, view dates for upcoming appointments and pay your bill.

Sign up is quick from our website. Click here.
Do You Need A Pediatric Specialist?
The Pediatric Center works with a wi de network of doctors we can refer to a pediatric specialist if you need one. 

As part of our practice, we specialize in developmental & behavioral health and focus on positive parenting practices. We can offer guidance on depression, eating disorders, developmental concerns and many other issues.  You are not alone. 

Please call to make an appointment to meet with one of our physicians:  908-508-0400.
The Pediatric Center Online Bill Pay
Online Bill Payment
The Pediatric Center offers the ease and convenience of online bill payment from our Bill Payment & Insurance page on our website.  

Payments Over The Phone
If you prefer, you can still make a payment over the phone by calling The Pediatric Center's billing department, HealthCare Billing, Inc:  
Toll Free:  877-852-9092   or  Local:  908-237-9092
Vaccine Education Center
Did you know our website includes a Vaccine Education Center where you can find the immunization schedule for your child?
Reminder - we offer all students going to college the Meningococcal B vaccine. This vaccine is covered by insurance.  It is recommended it be administered to all students starting college as part of their pre-college physical. Please also discuss the new Gardasil vaccine with your practitioner.
View all the details here.
We Love Your Feedback!

Your feedback is very important to us! We would love to hear about your positive experience with our doctors and nurse practitioners.  You can  write and post a review right on our website or on our Facebook page.  Thank you for your kind words!

Free Prenatal Class
We offer a free prenatal class on the 3rd Thursday of every month with our own
Dr. McKegney!
Click here to learn more.
It's A Partnership
Resources for breastfeeding, immunization schedules, what to do if your child is sick, online references & much more! Click here.
Read Our Blog!
Check out our blog to read about news and current events. Topics are relevant to our practice and patients. Click here.
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Announcements will also be posted on the home page of our website under "What's New".

The Pediatric Center

556 Central Avenue, New Providence, NJ 07974


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