Welcome to North Scottsdale Pediatrics!

Thank you for visiting the website of North Scottsdale Pediatrics, a leader in pediatric medicine in Scottsdale, Arizona. Established in 1988, we strive to provide excellent care to our patients – from infancy to young adulthood!

Our mission is to create:

  • Confidence... that your child will receive the very best health care without unnecessary tests, procedures or medicines.
  • Comfort... in a warm, attractive atmosphere where you and your child will feel comfortable.
  • Understanding... through open and direct communication with our experienced staff, who take the time to help you understand your children’s health, development, behavior and illness.
  • Convenience... through our location, office hours, accessible parking, and nearby pharmacy, X-ray and laboratory.

Among the best pediatricians in the nation, our providers obtained their degrees from top schools and training programs in the country. They share a passion for caring for patients and have dedicated their careers to treating children. In fact, our providers are proud to be consistently voted by their peers as “Top Docs” in Phoenix Magazine multiple times over many years.

We love our families, and we even provide services for parents before your baby is born! Once you’re expecting, we encourage you to schedule a prenatal visit and tour our office. We can provide you with hospital and delivery information as well as recommended readings to help you prepare for your special delivery. Once your baby arrives if you are struggling with breastfeeding, Dr. Caplan, an official lactation consultant, can help and schedules lactation visits for any babies in our practice. And of course we are experts at newborn care.

We know that choosing the right pediatric practice is an important decision, and we appreciate your confidence in us. Welcome to our practice!

RSV: Myths vs. Facts

Written by  Dr. Matthew Barcellona

Respiratory Syncytial Virus, or RSV,  is a common childhood illness. The spread of RSV peaks seasonally typically during winter months, and by age 2 years most people have suffered an infection from RSV.

Many people have heard of RSV, but most families have questions if they suspect their child is infected with RSV. Here are a few common questions about RSV in a fun way: Myth or Fact?

For further questions about RSV infections please visit the CDC website.

Myth or Fact: RSV only infects infants and young children.

Myth! It is a common belief that RSV is a disease specific to premature babies, infants, and small children. It turns out RSV infects people of all ages, and if your child had RSV chances are you got sick too.

What is true however is the disease process of RSV in infants and young children is especially recognizable; this process is called bronchiolitis. In bronchiolitis, the smallest airways of the lungs become swollen, inflamed, and produce much mucus. This inflammation leads to a classic hacking chest cough, wheezy breathing, and profuse amounts of mucus secretions. The process typically peaks around day 4 or 5 and resolves over another 1-2 weeks.

Myth or Fact: RSV causes common cold symptoms, but can become life threatening.

Fact! Most people, especially healthy older kids and adults, suffer mild common-cold type symptoms that resolve without complications. However in high risk children (i.e. children less than 1 year, chronic lung disease, congenital heart disease, or immunodeficiency) and the elderly it can be downright deadly.

Thankfully pediatric death is relatively uncommon from RSV, but it does happen. So for any infant or child suffering from RSV or another respiratory infection, it is most important to know the warning signs and symptoms of when to seek immediate medical attention. If you see any of the following signs or symptoms, seek medical help IMMEDIATELY:

  • Increased work of breathing: Infants and children will begin to use “accessory” muscles to help breathe when they are struggling. This extra effort with each breath may cause deep belly breathing movements, visible rib movements with each breath (retractions), head bobbing, nostril flaring, and making a grunting sound after each breath.
  • Increased respiratory rate: In addition to working harder to breathe, sick children will increase their respiratory rate. A loose guideline for breathing that is too fast for infants is > 60 breaths per minute and for children over 1 year > 40 breaths per minute. Of note, infants and children with fever typically have faster breathing rates, so if your child otherwise seems okay, first get the fever down then assess the respiratory rate.
  • Cyanosis: Pale or bluish color to lips, face, chest, or nail beds

Myth or Fact: RSV requires antibiotics to get better.

Myth! RSV is a viral infection that does not respond to antibiotic therapy. The body’s own immune system needs to fight the infection. Supportive measures may help your child improve more quickly such as adequate rest and hydration. Infants may benefit from breathing humidified air, suctioning of the secretions from their nasal cavity, and application of saline in the nose to reduce mucus.

What is true however is that RSV can lead to secondary bacterial infections, such as ear infections, sinus infections, and pneumonia that may require an antibiotic. If you are concerned your child may have a secondary bacterial infection, we recommend an office visit to evaluate your child.

Myth or Fact: Once you get RSV, you cannot get it a second time.

Myth! In any given year, several strains of RSV are circulating in the community. Unfortunately, some people are unlucky to get RSV more than once, even in the same year!

Myth or Fact: The best way to prevent RSV is to get an “RSV shot”.

Myth! The best way to prevent RSV is by taking the following precautions:

  • Good hand washing with soap and water for 20 seconds.
  • Covering coughs and sneezing with a tissue or upper shirt sleeve.
  • Avoid touching your face, eyes, nose, and mouth with unwashed hands.
  • Avoid close contact (i.e. kissing, sharing cups, talking closely) with sick individuals.
  • Clean and disinfect contaminated surfaces such as counters and door knobs.

Unfortunately a universal RSV vaccination is not yet available. There is an injectable preventative medicine, palivizumab, reserved for high risk children who meet the qualification criteria. This monthly shot reduces the severity of RSV infections for those most vulnerable to having a severe outcome.

Myth or Fact: Contracting RSV increases your risk of developing asthma.

Unknown! This is a hotly debated topic. What seems to be true is that those who experience clear wheezing during an RSV infection have a slightly higher risk of developing asthma later in life. However it is unclear if the development of asthma is caused by the RSV infection or if wheezing with an RSV infection is a predictor of people already at risk.

RSV: Myths vs. Facts
02/09/2019
Dr. Barcellona shares information on RSV in a fun quiz format.
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Energy Drinks
01/10/2019
Dr. Cesal discusses the risks of energy drinks for youth.
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Teething Tips
12/05/2018
Dr. Cropp shares some guidance on teething.
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Ironwood Office

9827 N. 95th St., Suite 105
Scottsdale, AZ 85258

Deer Valley Office

21807 N. Scottsdale Rd.
Scottsdale, AZ 85255

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Award-Winning Pediatricians

Our providers are some of the best pediatricians who earned their degrees from top schools and training programs in the country. They also have a passion for caring for children. They have proudly been recognized by their peers multiple times over many years as “Top Docs”

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What Our Patients are Saying

We’ve created a warm, friendly environment to help families feel comfortable in our office. We use the most up-to-date, accurate information to help parents make the best decisions for their children. Choosing a pediatric practice is an important decision, and we appreciate your support!

North Scottsdale Pediatrics

  • Ironwood Office - 9827 N. 95th St. Suite 105, Scottsdale, AZ 85258 Phone: (480) 860-8488 Fax: (480) 860-8498
  • Deer Valley Office - 21807 N. Scottsdale Rd., Scottsdale, AZ 85255 Phone: (480) 860-8488 Fax: (480) 860-8498

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