Archive for the ‘Community Clinical Services (CCS)’ Category

The Truth about Teething

Friday, June 12th, 2015

By Suzanne Stevenson, APRN, MSN, NP-C

CCS Pediatrics, Lewiston

Teething is one of the many celebrated “firsts” of a child’s first year of life.  Parents often wonder if their baby’s low grade fever, diarrhea, or sleepless nights are a result of erupting teeth.  There are many myths surrounding teething symptoms and treatments.  The American Academy of Pediatrics (AAP)  has recently published two studies showing that the only symptoms associated with teething are biting and mouthing, drooling, gum rubbing and irritability.  Parents and caregivers often attribute fever, diarrhea, red cheeks and rashes to teething, however, they are often times associated with illness and may warrant evaluation by your child’s pediatric provider.

There are many remedies both safe and unsafe for treating the discomfort associated with teething.  Amber teething necklaces are becoming increasingly popular as parents look for alternative ways to relieve baby’s sore gums.  These necklaces, however, pose a significant risk to infants.  They can easily break if they are able to get into baby’s mouth, and just one small bead can pose a choking hazard.  Teething necklaces can also cause strangulation.  Most teething necklace distributors have a disclaimer that necklaces should only be used under adult supervision, though many parents keep them on infants 24 hours a day.  Though these necklaces are thought to emit oils that relieve pain there are no studies supporting this claim.  Topical “gum numbing” medication can be harmful as well and has not been shown to be beneficial in alleviating pain from teething.

Teething toys are generally safe  as long as they are large enough to not fit inside a toilet paper or paper towel roll.  Anything smaller should not be given to a child under the age of three.  Teething rings are a great way to sooth sore gums.  They should be chilled in the refrigerator, not the freezer, and should never be boiled or placed in the dishwasher.  Mesh fruit traps can hold frozen vegetables or fruit which baby can chew on.  Other safe ways to help ease your infant’s pain are freezing wash clothes and letting baby chew on it.  Finally, acetaminophen and ibuprofen (for infants over 6 months of age) can be helpful in relieving teething discomfort, but should only be used when necessary.  You should talk to your pediatrician about appropriate dosing.  Teething can be a trying time for both parents and babies.  Always ask your pediatric provider for advice when you are unsure of symptoms or treatment options.


Suzanne Stevenson, APRN, MSN, NP-C

suzanne stevenson webSuzanne Stevenson is a Certified Nurse Practitioner at CCS Pediatrics in Lewiston.   Suzanne has a wide range of clinical experience in pediatric care. She has worked in emergency departments, newborn nurseries, transitional NICU, and a primary care office setting.  She earned her Master of Science in Nursing, Family Nurse Practitioner specialty at Yale University in New Haven Connecticut and her Bachelor of Science in Nursing at the University of Connecticut in Storrs, Connecticut.

Suzanne is a member of the American Academy of Nurse Practitioners and Sigma Theta Tau International Honor Society of Nursing.








The Vaccination Dilemma – A Free Presentation

Monday, March 9th, 2015

The recent measles outbreak that infected more than 150 people in the U.S. cast the spotlight on the debate over childhood vaccinations.  While the debate hit its peak with the Disneyland outbreak, many parents have been teetering on the vaccination fence for decades.

On Thursday, March 19, 2015, Dr. Gerard Rubin of CCS Pediatrics will explore the immunization dilemma some parents face, weigh the pros and cons of the shots, and talk about potential side effects, during a presentation at Lepage Large Conference Room at 99 Campus Avenue in Lewiston. The talk will begin at 5:30 pm and will follow with a question and answer session. Seating is limited so register today by calling 777-8481.

gerard rubin hsDr. Rubin is the Lead Physician at CCS Pediatrics at 100 Campus Avenue in Lewiston.  He performed his residency at Albany Medical Center in New York after receiving his Doctor of Osteopathic Medicine from the University of New England College of Osteopathic Medicine in Biddeford, Maine. His areas of special interest include behavioral pediatrics, child advocacy, integrative medicine, and osteopathic manipulation treatment.

Dr. Rubin is a member of the American Academy of Pediatrics, the American Academy of Osteopathy, and the Child and Adolescent Psychiatry Education Support.  He is general pediatric board certified as well as certified in neonatal resuscitation and pediatric ALS.

He is accepting new patients.  For an appointment, please call 755-3160.



A School-Based Health Success Story

Monday, September 26th, 2011

By: Kim Foster, Administrative Secretary

A teacher approached me and asked if I could help a student who had a pair of broken glasses.  I told the teacher I would assist in any way I could.   I met with the student to enroll them in the Health Center. Once enrolled, I scheduled an appointment with an eye doctor only to find out that this student only has MaineCare for emergency services. This started a whole process of me trying to find someone to donate glasses, as well as an eye exam. I was determined to get help. After making numerous phone calls I found an organization (Mile Stone Foundation) who was willing to donate a voucher for glasses at Lens Crafters in Portland. Then, my search continued to find an optometrist who would be willing to perform an eye exam for free. Dr. John Lonsdale (Central Maine Eye Care) graciously agreed!  With assistance from the school principal, we were able to arrange the student’s transportation to Portland for glasses.  The school allowed us to borrow their van and a school staff member agreed to drive!  So, after about 3 weeks worth of phone calls, scheduling, and collaborating, this student now has a new pair of eye glasses!