Belilovsky Pediatrics

Belilovsky Pediatrics

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Belilovsky Pediatrics information page
includes information about our services
BY APPOINTMENT ONLY
d

Operating as usual

07/20/2021

Перестрелка в Бруклине, школьники в масках, загрязнение воздуха / Дежурный по Нью-Йорку 20.07.21

About 15 minutes of this is an interview with me, in Russian.

[07/12/20]   Seeing a few COVID positives, after about a month's break. Nothing like the April avalanche, but that didn't start with big numbers either.

Seeing big crowds on Brighton. Not everyone is wearing a mask.

Be careful, everyone. It ain't over.

04/13/2020

This morning's batch of results. Orange dots are positive.

twitter.com 04/13/2020

Anatoly Belilovsky on Twitter

Mood: mildly grumpy. https://twitter.com/loldoc/status/1249685209462833160

twitter.com “Dear @questdiag , thank you for informing me by phone about positive COVID-19 results on two of my patients. Could you please explain to my currently sleep deprived brain what possible use I could make of that information at 3 AM and 5 AM respectively?”

babydr.us 04/01/2020

Swine Flu 4.94: what if? | BELILOVSKY.COM

I just stumbled on a post I wrote over 10 years ago, and I've never hated being right more than now. http://babydr.us/wordpress/2009/09/09/swine-flu-494-what-if/

babydr.us Swine Flu 4.94: what if? Posted on September 9, 2009 by Anatoly Still no sign of swine flu in the neighborhood, but the media are busy fanning the flames of panic. Well, why not? We do have a problem, might as well have it be pointed out by something as relatively mild as swine flu. The problem ...

03/29/2020

Knock knock!

Who's there?

Mask.

Mask who?

M'ask me anything.

No, seriously, ask me anything. I'm here, at work.

media.giphy.com 03/28/2020

media.giphy.com

This.

media.giphy.com

[03/24/20]   Staten Island office
645 Bay Street
Staten Island NY 10304

CoVid 19 response

Please note the following changes during the CoVid 19 emergency:

Drs. Sherer and Shindelman are taking leaves of absence.

Drs. Fisher and Belilovsky will cover as many days in the SI office as possible, with reduced hours and staff, subject to availability.

Morning hours (before 2 pm) will be reserved for sick patients. Walk ins must call 718 816 1010 from outside our office, and will be accommodated as soon as possible, without endangering patients already in the office.

In the afternoon, well baby and well child exams will be scheduled, separately from sick patients.

Thank you for understanding.

03/20/2020

Belilovsky Pediatrics

[03/20/20]   HOW WE WORK DURING THE COVID-19 EMERGENCY

For English, read here.
По-русски читайте ниже
desplácese hacia abajo para leer esto en español

So, a few changes, for pediatrics in time of COVID. I'm not pulling any punches; it's too important to get my point across. You think that's harsh? Talk to COVID.

1. No walk ins.
2. We are seeing sick patients at 2964 Brighton 6th st (the basement office) strictly by appointment, as we do not want more than 1 family in the waiting room at any point.
3. Don't be late. This is not the time to stagger in an hour after the appointment time and whine about the child sleeping or eating. If that's more important than being seen, you don't need to be seen.
4. No walk ins.
5. We are seeing well visits at 523 Ocean View Avenue (brick building directly on the corner, next door to 2964 Brighton 6th Street.) Yes, it's still a good idea to come in for routine checks and immunizations, especially children under 2 years of age. Don't be late for those either: the appointment slots are strict, we clean the exam room at specific times for the next family, and we don't want anyone to stay in the waiting room any longer than necessary. Five minutes before the next scheduled patient, your appointment is over and you leave, regardless of when you came in.
6. No walk ins.
7. We do offer telemedicine. My own telemedicine info is:
a. Install and activate Google Hangouts on your phone or tablet. Laptop might work too if you have a camera.
b. send a message IN HANGOUTS to me at [email protected] and mention the child's full name and date of birth. Chief concern is optional in this message, but would be helpful.
c. it will show up in my Invitations tab, and I will call you back when I am free. It will be by video; have the child around - I may need to hear their cough, and/or see their general condition.
d. This replaces most phone conversations with the doctors.
8. No walk ins.
9. We had someone yesterday (a) demand that the doctor, rather than the nurse, give the injection their child needed, and (b) demand that this be done quickly. Please don't be that person; this is not the time to indulge every whim, or spend an hour explaining why we can't. Our priority is getting you, and us, through this state of emergency with as few casualties as possible.
10. No walk ins.

Итак, несколько изменений в правилах нашей педиатрии. Я буду говорить без купюр. Мне очень важно, чтобы вы меня правильно поняли.. Вы думаете, это слишком резко? Возможно, но поверьте, COVID ещё резче.

Итак:

1. Не принимаем без предварительной записи.
2. Заболевшие пациенты принимаются в офисе по адресу 2964 Brighton 6th Сt (офис, который находится в подвале) и только по предварительной записи, потому что мы не хотим, чтобы в приемной была больше чем одна семья в одно и то же время.
3. Не опаздывайте. Сейчас не время приходить на час позже назначенного времени, потому что ребёнок ест или спит. Если это важнее, чем назначенный осмотр, значит, в осмотре нет сильной необходимости.
4,. Не приходите без предварительной записи.
5. Здоровые дети принимаются в офисе по адресу 523 Ocean View Avenue. Да, обычный осмотр и иммунизации все необходимы, особенно детям младше 2 лет. Не опаздывайте. Время осмотра строго установлено, потому что комнаты убираются и подготавливаются для следующей семьи, и мы не хотим чтобы в приемной пациенты задерживались дольше, чем нужно. За пять минут до следующего пациента, по окончании вашего визита вы должны покинуть помещение вне зависимости от времени, когда вы пришли.
6. Не принимаем без предварительной записи.
7. Мы предоставляем телемедицину как опцию. Моя информация для телемедицины: а) Загрузите и активируйте Google Hangouts на телефоне или планшете. Ноутбук может подойти, если есть камера. б) отправьте сообщение через HANGOUTS мне на [email protected] и напишите полное имя ребёнка и дату рождения. Можете уточнить основные жалобы, что не обязательно, но будет полезно. в) Я увижу ваше сообщение в Invitations tab и позвоню вам, как освобожусь. Это будет видеозвонок; ребёнок должен быть с вами - возможно, будет необходимо послушать кашель или посмотреть на общее состояние. г) это заменит обычные разговоры с врачом по телефону
8. Не приходите без предварительной записи.
9. Вчера у нас был пациент, который а) настаивал чтобы доктор, вместо медсестры, сделал прививку, необходимую ребёнку, и б) требовал, чтобы это было сделано быстро. Пожалуйста, не будьте этим пациентом; сейчас не время для капризов, или траты целого часа на объяснения, почему мы не можем их выполнить. Мы стараемся помочь и вам и нам в этом экстренном положении с минимальными последствиями.
10. Не принимаем без предварительной записи.

Aqui algunos cambios para pediatría en tiempo de COVID. Es muy importante y quiero que lo entiendan. ¿Creen que es duro? Digalo a COVID.

1. No entrar sin cita.
2. Estamos viendo pacientes enfermos en 2964 Brighton 6th st (la oficina del sótano) estrictamente con cita previa, ya que no queremos más de 1 familia en la sala de espera en ningún momento.
3. No llegues tarde. Este no es el momento de tambalearse en una hora después de la hora de la cita y quejarse de que el niño duerme o come. Si eso es más importante que ser visto, no necesita ser visto.
4. No entrar sin cita.
5. Estamos atendiendo a los sanos (control niño sano) en 523 Ocean View Avenue. Sí, sigue siendo una buena idea venir a chequeos e inmunizaciones de rutina, especialmente para niños menores de 2 años. Tampoco llegue tarde: los espacios para citas son estrictos, limpiamos la sala de examen en momentos específicos para la próxima familia y no queremos que nadie permanezca en la sala de espera más tiempo de lo necesario. Cinco minutos antes del próximo paciente programado, su cita ha terminado y usted se va, sin importar de cuándo ingresó.
6. No entrar sin cita.
7. Ofrecemos telemedicina. Mi propia información de telemedicina es:
a. Instale y active Google Hangouts en su teléfono o tablet. La computadora portátil también podría funcionar si tiene una cámara.
b. envíeme un mensaje por HANGOUTS a [email protected] y mencione el nombre completo y la fecha de nacimiento del niño. El motivo de la consulta es opcional en este mensaje, pero sería útil.
C. El mensaje aparecerá en la pestaña Invitaciones y te llamaré cuando esté libre. Será por video; debes tener al niño cerca: es posible que necesite escuchar su tos y / o ver su estado general.
D. Esto reemplaza la mayoría de las conversaciones telefónicas con los médicos.
8. No entrar sin cita.
9. Tuvimos a alguien ayer (a) exigiendo que el médico, en lugar de la enfermera,
administre la inyección que su hijo necesitaba, y (b) exija que esto se haga rápidamente. Por favor no seas como esa persona; Este no es el momento de complacer cada capricho, o pasar una hora explicando por qué no podemos. Nuestra prioridad es llevarlo a usted y a nosotros a través de este estado de emergencia con la menor cantidad de víctimas posible.
10. No entrar sin cita.

[03/19/20]   FEVER

For English, read here.
По-русски читайте ниже
desplácese hacia abajo para leer esto en español

Just took a phone call from a patient, and decided it's time to post a few FAQs.

"Emergency or not?"

Fever: 100.5 F, 38 C, or over. Below that, it's not a fever at all. Above that, it's only an emergency below the age of 2 months.

Above 2 months of age, a fever by itself is NEVER an emergency. Urgent, yes: we should see them within 24 hours. But not an emergency.

Over 105 F / 41 C? Still not an emergency, not by itself.

Does not go down with medication? Still not an emergency.

Child is sleeping with a fever? Don't wake them up.

Fever and vomiting? Emergency. Vomiting, no fever? Still emergency.

Fever and diarrhea? Not an emergency.

Fever and not drinking? Emergency.

Fever and not eating? Not an emergency.

Fever and cough and/or runny nose? Not an emergency.

Fever and very rapid or difficult breathing? Emergency.

Rapid or difficult breathing WITHOUT fever? Emergency.

Severe pain (stomach, head, throat, etc) -- emergency, with or without fever.

Cranky/mildly listless -- not an emergency, with or without fever.

Lethargic or unconsolable, with or without fever -- emergency.

With all of these, presence or absence of fever is the LEAST important piece of information. Of you are calling about a fever, be ready to tell me what else is going on beside fever.

Russian version of this rant will be posted later.

Ответив на очередной звонок одного из моих пациентов, я решил, что пришло время опубликовать мои ответы на несколько часто задаваемых вопросов.
Чрезвычайная ситуация или нет?
Температура: 100,5° F, 38° C или выше. Ниже это вообще не температура. Сама по себе температура является чрезвычайной ситуацией только если ребенку еще нет двух месяцев.
После 2 месяцев температура сама по себе НИКОГДА не является чрезвычайной ситуацией. Срочно ли это? Да, в идеале вы должны записаться к нам на прием в течение суток. Но температура сама по себе не является чрезвычайной ситуацией.
Выше 105 F / 41 C? Все еще не чрезвычайная ситуация, не температура сама по себе.
Температура не снижается, несмотря на жаропонижающее? Все еще не чрезвычайная ситуация.
У ребенка температура, но он/а спит? Не будите.
Температура и рвота? Чрезвычайная ситуация. Рвота, но температуры нет? Все еще чрезвычайная ситуация.
Температура и понос? Не чрезвычайная ситуация.
Температура и ребенок отказывается пить? Чрезвычайная ситуация.
Температура и ребенок отказывается есть? Не чрезвычайная ситуация.
Температура, кашель и / или насморк? Не чрезвычайная ситуация.
Температура и очень быстрое или затрудненное дыхание? Чрезвычайная ситуация.
Быстрое или затрудненное дыхание БЕЗ температуры? Чрезвычайная ситуация.
Сильная боль (живот, голова, горло и т.д.)? Чрезвычайная ситуация, с температурой или без.
Ребенок в летаргическом состоянии? Вы не можете его/ее успокоить? чрезвычайная ситуация, с температурой или без.
При всем этом наличие или отсутствие температуры -- наименее важный фактор. Если вы звоните мне с жалобами на высокую температуру у ребенка, будьте готовы рассказать мне об остальных симптомах.

Acabo de recibir una llamada telefónica de un paciente y decidí que es hora de publicar algunas preguntas frecuentes.

"¿Emergencia o no?"

Fiebre: 100.5 F, 38 C o más. Debajo de eso, no hay fiebre en absoluto. Por encima de eso, es solo una emergencia por debajo de la edad de 2 meses.

Por encima de los 2 meses de edad, la fiebre por sí sola NUNCA es una emergencia. Urgente, sí: deberíamos verlos dentro de las 24 horas. Pero no es una emergencia.

¿Más de 105 F / 41 C? Todavía no es una emergencia, no por sí solo.

No baja con la medicación? Todavía no es una emergencia.

¿El niño está durmiendo con fiebre? No los despiertes.

Fiebre y vómitos? Emergencia. ¿Vómitos, sin fiebre? Emergencia.

Fiebre y diarrea? No es una emergencia.

¿Fiebre y no beber? Emergencia.

¿Fiebre y no come? No es una emergencia.

¿Fiebre y tos y / o secreción nasal? No es una emergencia.

¿Fiebre y respiración muy rápida o difícil? Emergencia.

¿Respiración rápida o difícil SIN fiebre? Emergencia.

Dolor intenso (estómago, cabeza, garganta, etc.): emergencia, con o sin fiebre.

De mal humor / levemente apático: no es una emergencia, con o sin fiebre.

Letárgico o inconsolable, con o sin fiebre: emergencia.

Con todo esto, la presencia o ausencia de fiebre es la MENOR información importante. Si ustedes llaman por fiebre, estén preparados para decirme qué más está sucediendo además de la fiebre.

11/23/2019

This is my lab log so far today: one strep throat, one flu A, one flu B. Not quite a flu epidemic yet, but definitely a preview of things to come.

Get your flu shots soon! There is no such thing as too early, not too late -- whatever happens, they are better than nothing.

Flu tests work best after 24 hours of fever. Running to the office at first spike of fever is not a great idea: it's very hard to tell what's going on this early.

06/30/2019

30 years in practice in Brighton, as of today...

nytimes.com 06/18/2019

Frances Oldham Kelsey, Who Saved U.S. Babies From Thalidomide, Dies at 101

Sometimes it's about just doing your job.

nytimes.com Dr. Kelsey became a 20th-century American heroine for sparing the United States from widespread birth deformities, and for inspiring laws that made drugs safer.

05/04/2019

Belilovsky Pediatrics

05/04/2019

Belilovsky Pediatrics's cover photo

[05/04/19]   So, this happened:

A family came in with a two year old missing an MMR, to get an exemption from MMR before going to day care.

Me: "that's a really bad idea --"

Mom: "But he has a runny nose!"

Me: "--in the middle of a measles epidemic--"

Grandma: "There is no measles epidemic! There is only a mafia..."

Me: "There are actually two epidemics. One of measles, and one of idiots who don't believe there is a measles epidemic."

Grandma: "How dare you call us idiots!" Storms out the door, followed by mom and child. Mom at least appears thoughtful. It is not difficult to imagine that this is far from the first idiotic thing grandma has said.

In other news, expecting an epidemic of one star reviews in five, four, three, two, one...

04/08/2019

This applies to words, too.

06/05/2017

Alumni Association of Princeton University

#PrincetonReunions

05/15/2017

ZDoggMD

Saccharine free, guaranteed.

Happy Mothers Day y'all! Here's ZMomm schooling ZDadd. And join us at 4pm Pacific 7 Eastern tonight when Mrs. Dogg MD co-hosts Against Medical Advice and we talk Mommy Docs, maternity discrimination, and more!

http://www.businessinsider.com/r-doctors-who-are-mothers-face-discrimination-2017-5

05/09/2017

sorry about the inconvenience: street closures all around the office. Not our idea.

03/15/2017

Daily Mail

Highly recommended!

This daddy-baby dance class will melt your heart 😍😍😍

01/25/2017

So this just happened...

[12/27/16]   A bit of statistics:

In the last few days, we have seen many sick children. Here are the numbers of CONFIRMED (positive rapid test) diagnoses in the Brooklyn office:

12/23/16: Flu A 6, Flu B 2, Strep 10
12/24/16: Flu A 3, Flu B 0, Strep 11
12/25/16: Flu A 10, Flu B 2, Strep 10
12/26/16: Flu A 19, Flu B 1, Strep 11

Plus a stomach virus of some sort that causes lots of vomiting and dehydration, but there isn't a specific test for that. And the usual suspects.

Strep and flu tests are most useful after 24 hours of fever; they almost never show results before high fever (over 101.5) has begun. The best time to see your doctor is the day after the fever starts.

02/23/2016

Courtesy of Lisa , a cover that makes it unnecessary to turn a single page.

07/23/2015

Swine Flu Reality?

ThrowBack Thursday! http://video.foxnews.com/v/3929587/swine-flu-reality/?#sp=show-clips Has it really been six years?

Dr. Belilovsky with different perspective on H1N1 influenza A

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523 Ocean View Ave
New York, NY
11235
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