Middletown Specialty Office

We diagnose and treat children for a wide range of developmental concerns including all types of developmental delays, attention and hyperactivity disorders, learning problems and behavioral issues.

Our Developmental Pediatric physicians are certified in diagnosing and overseeing treatment for children who need physical rehabilitation services, such as physical or occupational therapy. Because children’s rehabilitation needs can be very different from those of adults, it’s important to have these services provided under the direction of a pediatric clinician.

Our Neonatal Follow-Up Program provides follow-up assessment for babies who may be at risk for developmental, speech or growth delays. These include babies born prematurely, those cared for in the neonatal intensive care unit (NICU), those with heart disease or respiratory or neurological problems, and those exposed to drugs or alcohol.

Through our program, we monitor the development of these at-risk babies to make sure any problems are diagnosed and treated early. We also help parents coordinate any additional services their baby may need and provide a copy of our evaluation to the baby’s pediatrician.

We provide world-class cardiovascular care to children of all ages in the Hudson Valley and western Fairfield county. We use our expertise, developed from over 30 years of experience, to find the best solution for each patient’s unique circumstances.

Our Pediatric Cardiology team has pioneered the use of treatments for a wide range of children’s cardiovascular problems in the Hudson Valley. We continue to develop new strategies to diagnose and treat cardiac conditions in children of all ages – from the prenatal period through young adulthood.

Conditions We Treat

• aortic valve stenosis
• atrial septal defect
• atrioventricular septal defect
• cardiomyopathy
• cholesterol issues
• coarctation of the aorta
• congenital heart disease
• congenital valvular heart disease of all types
• Ehlers-Danlos syndrome
• heart murmur
• hypertrophic cardiomyopathy
• inherited arrhythmia
• Kawasaki disease
• Marfan syndrome
• rheumatic heart disease
• patent ductus arteriosus
• tetralogy of Fallot
• ventricular septal defect

Our Pediatric Endocrinology team includes board-certified pediatric endocrinologists, certified nurse practitioners, certified diabetes educators, nurses and support staff. We are all experienced in handling the intricacies of care for complex medical conditions. We provide 24-hour care that includes inpatient and outpatient services for comprehensive, seamless continuity of care.

Because our team is dedicated to teaching, research and patient care, you can feel confident your child is receiving the best care with the most up-to-date treatments. We are the only designated New York State Newborn Screening Referral Center between NYC and Albany.

Conditions We Treat

• diabetes
• growth problems
• puberty issues (development too early, too late or too fast)
• thyroid conditions (overactive, underactive or nodules)
• genetic syndromes, such as Turner syndrome, Noonan syndrome and Prader Willi syndrome
• small for gestational age (SGA)
• adrenal conditions, such as congenital adrenal hyperplasia (CAH)
• care for cancer survivors
• pituitary conditions
• diabetes insipidus
• polycystic ovarian syndrome
• period problems
• obesity
• bone mineral disturbances
• parathyroid conditions

Boston Children’s Health Physicians’ Pediatric Gastroenterologists are dedicated to providing comprehensive diagnostic and therapeutic services for children from infancy to adolescence with a wide variety of problems of the gastrointestinal tract, liver or biliary system, as well as children with nutritional disorders.

We also strive to educate our patients and their families about their problems as well as training medical students, residents, and fellows in pediatric gastroenterology and nutrition.We are fully equipped to perform a number of diagnostic procedures to help make a definitive diagnosis.

We at the Pediatric Hematology, Oncology, and Stem Cell Transplantation group provide cutting-edge comprehensive hematology, oncology and stem cell transplantation care for children, adolescents and young adults. We offer same-day consultations, and strive to make any necessary accommodations for all of our patients.

Our team of eight pediatric hematologists and oncologists work closely with our dedicated team of pediatric nurse practitioners, social workers and scientists to deliver state-of-the-art, compassionate care for our patients.

Conditions We Treat

• acute lymphoblastic leukemia
• acute myeloblastic leukemia
• anemia and iron disorders
• brain tumors
• hemochromatosis
• hemophilia
• histiocytic disorders
• Hodgkin lymphoma
• myelodysplastic syndrome
• non-Hodgkin lymphoma
• pancytopenia
• sickle cell disease
• solid tumors
• thalassemia
• thrombocytopenia
• thrombosis
• Von Willebrand disease

Childhood infections are one of the most common reasons children see a healthcare provider. While the majority of infections are not serious and children recovery quickly, sometimes children do need to see a specialist for recurrent, prolonged or severe infections. Our Pediatric Infectious Disease specialists are experienced in diagnosing and treating children with infections of all kinds. We commonly see children on an outpatient basis for recurrent or prolonged infections, persistent fevers, Lyme disease and other tick-borne diseases, enlarged lymph nodes, pneumonia and a wide range of other infections.

Our physicians also have expertise diagnosing and treating infections in returning travelers, infants with congenital infections (infected before birth) and in children with weakened immune systems. Children who have severe infections, such as meningitis, encephalitis, bone infections or endocarditis are usually seen in the hospital.

We provide state-of-the art, family-centered care to infants, children, teenagers and young adults who have kidney disease or high blood pressure. We strive to treat the entire child, and not just his or her illness, by providing support for each child’s emotional, social and educational goals. Pediatric Nephrology works together with families to transition our patients into healthy and well-adjusted adults. And we make sure to engage in education and cutting edge research to advance the care and understanding of those with kidney disease.

Our Specialties

We are a major referral center for children of all ages from New York City; Westchester, Putnam, Orange, Duchess and Rockland Counties; upstate New York; and Connecticut.

We provide expertise in all aspects of kidney disease including:

• kidney transplant
• high blood pressure
• acute kidney injury
• proteinuria (protein in the urine) and nephrotic syndrome
• hematuria (blood in the urine)
• urinary tract infections
• hydronephrosis and vesicoureteral reflux
• kidney stones
• autosomal dominant polycystic kidney disease and other cystic diseases of the kidney
• lupus nephritis
• acute and chronic glomerulonephritis
• acid/base and electrolyte disorders
• tuberous sclerosis
• Henoch-Schonlein purpura and IgA nephropathy
• Alport’s syndrome
• cystinuria
• dialysis

Our Pediatric Pulmonologists, Allergists, Immunologists, and Sleep Medicine specialists diagnose and care for more than 12,000 children each year with a wide variety of respiratory problems, including allergies, asthma, sleep problems and complex pulmonary disorders. Our patients are at the heart of our practice. We strive to provide each of our patients and their families with personalized care and excellent customer service.

Conditions We Treat

• aerodigestive disorders
• allergies
• asthma
• bronchiectasis
• bronchitis
• bronchiolitis
• bronchopulmonary dysplasia
• central apnea
• congenital central hypoventilation syndrome
• croup
• cystic fibrosis
• eczema
• food allergies
• insomnia
• interstitial lung diseases
• night terrors
• narcolepsy
• obstructive sleep apnea
• pneumonia
• primary ciliary dyskinesia
• primary immunodeficiency disorders
• pulmonary embolism
• respiratory disease in children with neurological or neuromuscular disease
• tuberculosis
• vocal cord dysfunction

Symptoms We Diagnose & Treat

Some common symptoms parents call us about:

• allergy symptoms (sneezing, runny nose, watery or itchy eyes)
• chronic cough
• concerns about the impact of the environment on their children’s health
• cough tics (habit cough)
• hives
• shortness of breath or chest tightness with exercise
• sleep problems
• wheezing and noisy breathing in babies

If your child has any of these symptoms, or any other symptoms you’re concerned about, give us a call. Our office staff can help determine which type of specialist is most appropriate for your child to see.

We are devoted to caring for children with arthritis, autoimmune diseases, auto-inflammatory diseases, musculoskeletal pain disorders, osteoporosis and genetic diseases. Our goal is to help children with these sometimes disabling conditions grow and develop as normally as possible.