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Frequently Asked Questions

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Hospital & Delivery General Questions Office Policies Infant Nutrition Well & Sick Visits Credentials

 

Welcome to our "Virtual Prenatal Visit"

We understand the importance of choosing the right pediatrician and right practice for your new baby. The purpose of this “Virtual Prenatal Visit” is to allow you to pre-screen our practice before calling for an appointment. This “Visit” was not intended to substitute personal interaction with our doctors and office staff, so feel free to call us for an appointment at a time convenient for you. At the end of this virtual tour you will also be given an opportunity to contact us via secure e-mail with questions and suggestions.

Alla Gordina MD, FAAP
Iosif Goldman, MD, DO


** Please print and fill out the following registration form before you visit our office. **


CLICK TO DOWNLOAD REGISTRATION FORM

 

 

OFFICE – GENERAL QUESTIONS

How old is the practice? Dr. Gordina opened her East Brunswick office in July of 1996 and Dr. Goldman did join us in July of 2002.
Office hours

Our office is open from 9 AM to 7 PM Monday, Tuesday, and Thursday, 9 AM to 5 PM Friday and 9 AM to 12 Noon on Saturday.


From September to June we have one Saturday per month off and from June to August we are open every other Saturday.


We ask to call the office for all appointments, even if you are coming as an emergency, we have to be prepared for such changes in schedule and sometimes doctors can be out of the office for a part of the day. There are no walk-ins, but again, we will accommodate patients needing emergency care.


This office offers flexible hours to satisfy most patients' schedules. For your convenience, evening and weekend appointments are available.

Children/ adult hours We do not have separate hours for children and adults, but they are seen by different doctors and in different exam rooms. Many do find it convenient that several members of the same family can be seen in the same office within a short period of time.
Infection control.

In order to better protect your family from infections, we have implemented the following infection control policy.

- Only fully immunized children are accepted in our practice.

- We do not overbook appointments to decrease the wait time

- We offer downloadable registration forms to decrease the wait time

- Special examination room is dedicated for healthy infants,

- Sick and healthy patients are separated by time as much as possible,

- Potentially contagious patients must enter and leave the office through the back door.

- There are almost no magazines and toys in the waiting room.

- Oversized waiting room is spacious enough to separate families awaiting their appointments

Separate waiting and examination rooms for sick and healthy children

During major office reconstruction in 1999 we consciously decided against creating separate waiting areas for sick and healthy children. This decision was based on the fact that some kids do come for a well child appointment sick and many kids coming for “sick” appointments are not contagious at all.

We continue to implement our initial infection control policy, which is successfully protecting our patients since we were open in July 1996.

Appointments (types and length)

The average length of a routine visit is 15-30 minutes.

Depending on the reason, the length of a visit can be as short as 5-10 minutes (if you are coming just for bloodwork, immunizations or blood pressure check) or as long as 2 hours (post-adoption consultation).

Make sure to specify what type of appointment you are scheduling. Our staff will be able to assist you during your call.

Fees for anything not covered by insurance Some services (like ear piercing or laser treatments) are never covered by insurances. Some services are covered by certain insurances and not paid for by others. It is subscriber's responsibility to know what procedures are covered by their specific insurance plan and with what frequency. When possible, we will advise you if you will request or if your child will need a non-covered procedure. If your insurance does not cover a particular service as a separate procedure a payment in full will be required at the time of service.
Do I have to pay co-pay every visit? According to your insurance regulations subscribers are responsible for deductibles, co-payments and not covered services.
Payment is expected at the time of your visit unless other arrangements have been made in advance with the office manager.
Lab. work We draw the blood in the office and transfer all specimens to a laboratory required by your insurance (LabCorp or Quest). Some tests (like rapid strep, urinalysis and others) can be performed in the office if covered by your insurance. 
Telephone protocols

Please make all non-urgent calls (medication refills, appointments, billing questions, referrals, etc) during regular office hours.

Doctors are usually returning non-urgent calls in the early afternoon after the morning shift and in the evening after closing the office

Answering service

After-hours telephone calls are handled by an automated on-call system.

After calling the main office line 732-432-7777 you will have an option of leaving non-urgent messages for the office staff (like medication refills, appointments, and so on) or contacting doctors regarding a medical emergency.   You will be immediately forwarded to them directly or to their pager.

If you do not get a return call within 10-15 minutes, please call again. Problems such as incorrect relaying of telephone numbers can occur.

Even doctors and office staff can call you from other office lines, make sure not to save those numbers on your “speed dial”, as only the main number 732-432-7777 is forwarded to the secretaries during the day and to the on-call system after our office is closed.

Emergency calls (nights and holidays) Doctors are available to answer your questions 24/7, but we will appreciate if all non-emergency calls will be placed during the regular business hours.  

Coverage by other doctors

Drs. Gordina and Goldman do take all their after-hours calls themselves.

Cross-coverage with reputable local doctors is always arranged in rare cases when doctors are not available.

Directions to the office
  • From the North (New Brunswick, NJ Turnpike). Take Rt. 18 South to ARTHUR STREET. Turn right onto Arthur Street and at the next traffic light turn left onto SUMMERHILL ROAD (Rt. 613). After second traffic light turn right into the brick gates of WILLIAMSBURG COMMONS. The third building on your right – Building #7 - is ours.
  • From the South (Marlboro or Matawan) Take Rt. 18 North to RUES LANE. Turn left on Rues Lane, go to the next traffic light and turn right on SUMMERHILL ROAD (Rt. 613). At the next traffic light make a U-turn. Second turn on your right -- WILLIAMSBURG COMMONS (see above).
  • From CRANBURY ROAD . Take RYDERS LANE to intersection with SUMMERHILL ROAD turn left on Summerhill Road (Rt. 613). At the next traffic light make a U-turn. Second turn on your right -- WILLIAMSBURG COMMONS (see above).
Has Dr. Gordina treated infants with special needs and/or multiples? While most of our patients are healthy, we do specialize in care for special needs children, including multiples (twins, triplets, etc), premature infants, kids with developmental disabilities, behavioral problems, chronic diseases and other conditions. We do understand the strain such conditions put on the whole family including siblings and we adjust our care for them accordingly.

 

HOSPITAL AND DELIVERY

Affiliation with the hospitals

Our doctors are members of the hospital staff at Saint Peter's University Hospital. Dr. Goldman also sees patients admitted in Robert Wood Johnson University Hospital.

If you are planning to deliver in the Robert Wood Johnson University Hospital make sure to specify that you baby will be seen by family practitioner Dr. Iosif Goldman (sometimes admitting nurses can confuse him with pediatrician Dr. Goldman from another local practice.)

When the child is seen for the first time in the hospital

You do not need to call our office before going to the hospital or immediately after the baby is born. When you will be checking in the hospital, you will be asked about the name of your pediatrician. 1-2 hours after delivery a nurse from the hospital will call the office and report to us baby's weight, Apgar score and baby's condition.

Doctors will see the baby during the first 24 hours of life and then daily until discharge (2-3 times for the vaginal birth and 3-4 times for babies born via cesarean section).

When the child is seen for the first time in the office

We prefer to see all newborns within 2-3 days after discharge from the hospital.

If needed, the discharging doctor can ask you to come in the office as early as next day after discharge to check for jaundice or other problems.

If the infant is born at a hospital where the pediatrician is not on staff.

If you are planning to give birth in maternity center other then St. Peter's or Robert Wood Johnson University Hospitals, make sure to notify us within the first 24 hours after your delivery. Before discharge from the hospital ask for copies of doctor's notes and other important information (laboratory results, consultations, etc).

While different doctors have different rules regarding the timing of the first visit, we will prefer to see your baby with 1-2 days after delivery (note the shorter interval as we did not see you in the hospital).

 

CREDENTIALS

Meet the doctors

 

Our doctors are highly trained and dedicated professionals with many years of experience both in the Former Soviet Union and United States.

Dr. Alla Gordina is a Diplomat of the American Board of Pediatrics and a Fellow of the American Academy of Pediatrics. She attended the Moscow Medical School and practiced pediatrics and pediatric dermatology in Moscow, Russia before coming to the United States. Dr. Gordina completed her pediatric residency at Monmouth Medical Center, Long Branch, NJ. She has special interests in routine pediatric care, adoption and foster care, developmental pediatrics, and bronchial asthma.

 

Dr. Gordina teaches general pediatrics and pediatric dermatology to residents and students in local medical schools. She has presented her research at sessions of the American Academy of Pediatrics and other meetings. During her many humanitarian missions to the Former Soviet Union, Dr. Gordina provided consultation services in pediatric clinics and orphanages in Russia and Ukraine.

 

In 2006 The Congressional Coalition on Adoption named Dr. Gordina “Angel in Adoption”. The same year WMGO-Magic98.3 recognized Dr. Gordina as “Woman Who Make Magic”.

 

Doctor Iosif Goldman is a Diplomat of the American Board of Osteopathic Family Physicians. After graduation from the Pediatric Medical Academy in Kiev, Ukraine he worked for many years in Emergency Departments and Intensive Care Units there. Dr. Goldman received his second doctoral degree from New York College of Osteopathic Medicine and completed his family practice residency in St. John Episcopal Hospital in Far Rockaway, NY.

 

Dr. Goldman is a Clinical Assistant Professor of Family Medicine of New York College of Osteopathic Medicine.

 

 

OUR OFFICE POLICIES ON...

… practice of medicine We emphasize preventive care and patient education as per the guidelines of the American Academy of Pediatrics and American College of Osteopathic Family Physicians. Our philosophy is to make office visits as comfortable and non-threatening for everybody as possible.
… alternative medicine and treatments, While both doctors are well versed in alternative treatments, we do emphasize the healthy balance of traditional and conventional approaches to medicine, as well as use of reliable sources for medications, not controlled by the Federal Drug Administration (medications coming from other countries, homeopathic and herbal remedies, supplements and over the counter drugs, to name a few.) Make sure to advise doctors on any over the counter medication and/or supplement your child is taking, as well as any treatment modality (chiropractic, acupuncture, etc) you are using, so we will be able to adjust out management accordingly.
… antibiotics Antibiotics are powerful medications that can save lives and stop spread of the bacterial diseases. Unfortunately antibiotics were and still are used for “fever”, “sore throat” or even “just in case”. That creates a problem commonly known as “antibiotic resistance”. We adhere to recommendations of American Academy of Pediatrics, American College of Family Physicians and Centers for Disease Control emphasizing the judicial use of antibiotics, using preparations that are really necessary only when they are really needed.
… childcare

We understand that in some situations parents do not have any other choice then to utilize out-of home facilities early in the child's life. We will advise you on ways of keeping your baby as healthy as possible despite of early exposure to the childcare and if needed, will provide support for you and guidance for your child care provider.

At the same time we usually discourage use of a childcare for the purpose of pure “socializing” in children less than 2 years of age, especially in the middle of the cold and flu season.

…circumcision

The question of circumcision is extremely personal and every family is making the decision based on their beliefs and on information available though health professionals and in special parenting literature.

According to the American Academy of Pediatrics Policy Statement (1999) “Existing scientific evidence demonstrates potential medical benefits of newborn male circumcision; however, these data are not sufficient to recommend routine neonatal circumcision. In circumstances in which there are potential benefits and risks, yet the procedure is not essential to the child's current well-being, parents should determine what is in the best interest of the child.”

Most of the times the decision is more cultural, religious, and/or politically based, then medically warranted. There are people who strongly believe in it, there are people who strongly oppose it and there are people who medically need it to be done - either as a preventive measure or as treatment for some condition. We will provide you with answers to your questions and with support after your decision will be made.

… medications for common problems – colds, vomiting, diarrhea We promote holistic approach to the health of your child, treating the whole person rather than just the symptoms of a disease; working with the body's defense mechanisms rather then aiming to control “inconvenient” symptoms in expense of the well being of your child. (see articles “Clearing Confusion Over Congestion”, “Hot Questions About Fevers” and others.) Make sure to advise doctors on any over the counter medication and/or supplement your child is taking, as well as any treatment modality (chiropractic, acupunture, etc) you are using, so we will be able to adjust out management accordingly.
…vaccines

We do emphasize the importance of prophylactic vaccinations for adults and children.

Only fully immunized children are accepted in our practice.

We respect parents' right to refuse immunizations for religious, philosophical or any other reason, but we consider un-immunized children a potential risk for the spread of infectious diseases. Therefore all children in our practice have to be immunized according to the recent recommendations of the Centers for Disease Control and the American Academy of Pediatrics.

If you child is lacking some vaccinations we will develop individual catch-up immunization plan according to recommendations of American Academy of Pediatrics and Centers for Disease Control.

We also do stock the full line of vaccines routinely recommended for teenagers and adults.

 

WELL AND SICK VISITS

Is the child seen by the same doctor each time? Yes. In the office children are usually seen by Dr. Gordina and only as an exception - by Dr. Goldman. Pediatric hospital rounds are divided equally between both doctors,
How often are the “well visits” We follow general recommendations of American Academy of Pediatrics with visit 2-3 days after discharge from the hospital to check for feeding problems, excessive weight loss, jaundice, and to answer questions, followed by the well care visits at 2 weeks, 1, 2, 4, 6, and 9 months. After the 1 st birthday baby will visit us less frequently – at 12, 15, 18, 24, 30, 36 months and then annually. (If parents will request to administer less then 4 vaccinations per visit, we can schedule additional visits at 3, 5, 7 and 16 months of age, but some insurances can refuse to cover such visits). As your child will grow older, not every visit will require vaccinations, but it is still important to keep well care appointments, as this will assure control over your child's growth, development and overall well being.
Sick visits We do offer same day appointments for sick children. We trust your parental judgment and are ready to see your child every time you will feel it is needed. It is also important to keep your child's follow-up appointments, because that will give us opportunity to detect early complications or the need for additional treatment.

 

INFANT NUTRITION

Breastfeeding

Breastfeeding should be a happy and relaxing experience of convenient providing perfect “ready to use” protective nutrition to your child. And breastfeeding should not be an act of heroism or sacrifice. As with everything else in life, there are more then just 2 choices (“to do” or “not to do”) in breastfeeding. Most of the times under the right conditions, mother's body will be able to produce as much milk as needed to keep your baby growing. Many women are successfully combining breastfeeding and work – some using pumped breast milk, some supplementing with the formula.

If needed, we will be happy to provide you with the advice on lactation and supplementation. We offer additional breastfeeding support for special situations (working mothers, mothers of multiples, special needs infants and so on)

Bottle vs. breast feeding

While the breast milk is the best nutrition for any baby, situations do occur when either mother or baby are unable to breastfeed partially or completely.

We will offer you all available instructions and will support the decision you will make regarding your child's nutrition.

If necessary, we will guide you though formula and bottle selection, geared to your child's individual needs.
“Nipple confusion” and pacifiers

We strongly believe that nipple confusion is more a scare then an actual threat. When pacifiers and/or bottles are introduced properly they are not interfering with breastfeeding, but help with it.

And, recent research shows that pacifiers can actually protect from such condition as SIDS (Sudden Infant Death Syndrome).

Vegetarian families Dr. Gordina is trained in nutrition of healthy and sick children    and is familiar with the specifics of care for vegetarian families. We will be able to assist you in breastfeeding and nutrition of a healthy infants, toddlers, and older children.
How soon can we feed solid foods/baby foods? That will depend on what will happen in the first 3-4 months of your baby's life. We routinely advise not giving your new baby anything except for breast milk or formula in the first 4-6 months of age. It is not recommended to introduce anything (including water, juices and/or cereal) before 4 months of age unless recommended by your pediatrician