Milestones Pediatrics

01/30/2026

01/28/2026

Group Triple P: Positive Parenting Program will be offering new classes beginning this February!

Triple P gives parents practical tools to raise confident, healthy children, strengthen family relationships, and effectively manage challenging behaviors.

Two class options will be offered: Group Standard Triple P and Group Stepping Stones.
• Group Standard Triple P is designed for parents of children ages 3–12 with behavioral challenges such as inattention, noncompliance, or difficulty following directions.
• Group Stepping Stones is designed for parents of children with disabilities who developmentally function between ages 3–12.

Classes will be held at The Valley Hospital Kireker Center for Child Development, located at 140 East Ridgewood Avenue in Paramus, and include a combination of group sessions and individual phone support. Space is limited.

If you have questions or would like to register for one of the classes below, please send an email to TripleP@valleyhealth.com and indicate which class you would like to participate in. You will be sent a registration packet. Completed registration packets need to be returned by February 13, 2026.

01/26/2026

That was a lot of snow! We will have a late opening today at 1:30 pm to allow the roads to be cleared and safe. Our office will start answering the phone at 11:15 am.

01/19/2026

We explore five meaningful activities to celebrate Martin Luther King Jr. Day.

01/17/2026

Fever is the #1 reason pediatricians get called at night, and yes, your baby will have one. When it happens, anxiety is completely normal. This flow chart is here to help you think clearly in the moment.

First, let’s define fever:
👉 100.4°F or higher taken rectally

🚨 Critical age rule:
Birth to 28 days: Any fever of 100.4 or greater is an emergency. Call immediately.

Most fevers are caused by infections. When that happens, the immune system kicks into high gear raising temperature, heart rate, and breathing rate to help fight it off. Important reminder: fever itself is not bad. It’s often the first sign your baby’s body is doing its job.

Babies from birth to 28 days of life with a fever are universally admitted to the hospital for evaluation and monitoring.

Babies from 1-3 months of age still need to be evaluated urgently if they have a fever to figure out what’s going on.

Babies from 3-6 month of age with higher fevers of 102 F or there is no obvious cause (a new runny nose or cough) should check in with their healthcare provider.

After 6 months of age, it’s usually not how high the fever is that matters most, but rather how your baby looks and if it is obvious that your baby has a garden variety virus of the week (runny nose, cough, etc). If your baby still looks unwell after fever-reducing medicine, that’s your cue to call the doctor.

Save this, share it, and use the flow chart when you need a clear next step.

01/08/2026

Kids in grades 6-12 can compete by creating a logo to promot helmet use. See the post for details!

01/07/2026

Although the CDC may be loosening their "recommendations" for childhood vaccines, the NJ Health Commissioner reassures parents that insurance companies will continue to cover the cost of vaccines as per the schedule recommended at the end of 2025.

While the federal HHS’s announcement today continues to sow confusion among patients and providers alike, New Jersey is taking action to provide equitable access to vaccines, achieve community protection, and build sustained trust in vaccination. Vaccines are, unequivocally, our most effective de...

01/07/2026

There have been over 60 confirmed cases of salmonella in 22 states as of the end of last month (the actual number is probably much higher). About 75% of patients had recently consumed raw oysters. Symptoms may include fever, diarrhea > 3 days, possibly bloody diarrhea.

Investigation into multistate outbreaks of Salmonella linked to raw oysters.

01/06/2026

12/25/2025

Merry Christmas to our families who are celebrating today! Our office is closed, but we will be open again tomorrow.

12/19/2025

We will be having an indoor flu clinic on Wednesday, January 7th, 9 AM-5:45 PM

Respond by email to agiokas@milestonespediatrics.com if you would like to schedule an appointment with the name/s of your child/ren and the approximate time you are looking for. We will do our best to get you as close to that time as possible. You will receive a response within 48-72 hours to confirm your appointment and time.

Electronic copy of Vaccine Information Statement as no hard copies will be given out on the day of immunization:

https://www.cdc.gov/vaccines/hcp/vis/vis-statements/flu.pdf

By agreeing to an appointment, you are certifying that:

(1) your child has never had a serious reaction to a previous dose of flu vaccine,
(2) your child has never had Guillain-Barre Syndrome within 6 weeks after receiving a flu vaccine,
(3) your child is not moderately or severely ill on the day of vaccination (mild illness or head cold are OK), and
(4) your child does not have any known allergies to components of the vaccine which include: 4 killed flu virus strains; inactive ingredients include formaldehyde and octylphenol ethoxylate; the packaging does not contain latex and is safe for latex-allergic patients.

12/11/2025

Pediatricians weigh in to address the latest misinformation by providing clear, science-backed messaging to support children and families.