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Home The Latest Illness Progression 101

Illness Progression 101

  • By Erika Szumel
  • September 5, 2018
pm pediatrics
Children Specialized Refresh Outpatient

Come the start of a new school year, many parents find themselves at their local urgent care to combat their kids’ favorite things to share — germs. And some may be back just a few days later, frustrated by what they feel is a misdiagnosis. The real culprit, however, is often what doctors consider “illness progression.”

Picture this: Your child wakes up one morning, complaining of ear pain. You bring her in for treatment, only to be told her ear is clear with no signs of infection. Two days later the ears are suddenly red and full of fluid. The doctor made a mistake, right? Not necessarily. Illnesses don’t simply pop into existence in their full stage. Many develop and evolve over time. It actually makes sense that an exam during different parts of the illness’ timeline would result in different diagnoses. That’s why follow-up visits after the first diagnosis are essential, especially if symptoms advance.

Early Treatment Could Be Too Much, Too Soon

Dr. Christina Johns, Senior Medical Advisor at PM Pediatrics and author of the Dear Dr. Christina blog

Why not begin treatment just in case?

Some people assume the biggest downside to illness progression is delayed treatment, when actually, a premature treatment plan can be just as dangerous. Imagine your child has a potential infection and your pediatrician immediately labels it “bacterial” and prescribes order cipro online antibiotics. If that infection turned out to be a simple virus that your child’s body would fight on its own, the unnecessary medication could enable antibiotic-resistant superbugs, in addition to unpleasant side effects. Your rush to make your child better may, in turn, make them worse.

What Can You Do?

Christina Johns, MD, Senior Medical Advisor at PM Pediatrics and author of the Dear Dr. Christina blog, suggests every parent:

1. Ask Questions
When it comes to your child’s health, there is no limit to what information should be made available to you. Talk to your pediatrician about the potential cause of the illness and what you can expect in terms of its progression. While every case is unique, of course, this will help prepare you for what’s to come.

Children Specialized Refresh Outpatient

2. Create a Strategy
This is your opportunity to get ahead of the illness and plan, not just react. During the examination, discuss any potential warning signs that may indicate the situation is worsening, and what your course of action should be if it does.

3. Look to the Future
Don’t limit your information to one possible outcome if there are other potential diagnoses. Find out what else it could be and how the doctor will determine that. Most importantly, find out if the current treatment course will have any effect on other potential diagnoses.

4. Speak Up
You should never be afraid to reach out to your pediatrician with additional concerns and questions. They may ask you to come back in with your child for another evaluation to ensure you’re getting the most up-to-date, relevant feedback, or they may be able to answer your questions over the phone. Either way, they’re there to care for your child.

When in doubt, set up follow-up appointments.

Christina Johns, MD, is the Senior Medical Advisor at PM Pediatrics and author of the blog, Dear Dr. Christina. As a parent, pediatrician and pediatric emergency physician with a master’s in education, she shares her own expertise, plus the wealth of knowledge from PM Pediatrics‘ highly skilled staff, with patients and families everywhere.

Follow Dr. Christina online for everyday health tips, insightful articles and more.
Blog: https://www.pmpediatrics.com/dear-dr-christina/
Facebook: https://www.facebook.com/DrChristinaJohns/
Instagram: https://www.instagram.com/deardrchristina/
Twitter: https://twitter.com/DrCJohns
Pinterest: https://www.pinterest.com/deardrchristina/

Now open in Pompton Plains at 562 Route 23, PM Pediatrics is the specialized urgent care just for kids from cradle through college. Open every day until midnight, the practice’s kid-friendly themed offices are staffed by Pediatric Emergency Specialists and feature on-site digital X-ray and lab. PM Pediatrics treats a broad array of illnesses and injuries—from earaches, fevers, infections and abdominal pain to dehydration, asthma, fractures and wounds requiring stitches. The result is the highest quality specialized pediatric care, delivered with comfort and convenience to patients and their parents. To learn more about PM Pediatrics’ services and locations, visit pmpediatrics.com.

This post is sponsored by PM Pediatrics – where taking care of your kids comes first, while keeping moms happy, too, of course. ?

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Color Factory: Colors in Bloom
10:00 am - 5:00 pm
Tulip & Dinosaur Festival
April 26 @ 10:00 am - 5:00 pm
Tulip & Dinosaur Festival

Tickets are sold online only on our website (Opening mid March). Tickets will be $28 per person (Taxes included) Enjoy this prehistoric fun starting April 9th and goes extinct on…

$28
10:00 am - 5:00 pm
LEGO Star Wars SMART Play Adventures at Target
April 26 @ 10:00 am - 5:00 pm
LEGO Star Wars SMART Play Adventures at Target

What: The LEGO Star Wars SMART Play Adventures experience at Target Where: Target, 100 14th St, Jersey City, NJ 07310-1202 When: Sunday, April 26th, from 10 AM - 5 PM…

+ 6 More

4 events, 27

2026-03-23
Color Factory: Colors in Bloom
Color Factory: Colors in Bloom
10:00 am - 5:00 pm
Tulip & Dinosaur Festival
April 27 @ 10:00 am - 5:00 pm
Tulip & Dinosaur Festival

Tickets are sold online only on our website (Opening mid March). Tickets will be $28 per person (Taxes included) Enjoy this prehistoric fun starting April 9th and goes extinct on…

$28
10:00 am - 8:00 pm
E-Cycling Event at MarketFair
April 27 @ 10:00 am - 8:00 pm
E-Cycling Event at MarketFair

Celebrate Earth Week with MarketFair by recycling your electronics! From April 21 through April 30, community members can responsibly recycle unwanted e-waste during shopping center hours. Blue collection bins will…

+ 1 More

3 events, 28

2026-03-23
Color Factory: Colors in Bloom
10:00 am - 5:00 pm
Tulip & Dinosaur Festival
April 28 @ 10:00 am - 5:00 pm
Tulip & Dinosaur Festival

Tickets are sold online only on our website (Opening mid March). Tickets will be $28 per person (Taxes included) Enjoy this prehistoric fun starting April 9th and goes extinct on…

$28
10:00 am - 8:00 pm
E-Cycling Event at MarketFair
April 28 @ 10:00 am - 8:00 pm
E-Cycling Event at MarketFair

Celebrate Earth Week with MarketFair by recycling your electronics! From April 21 through April 30, community members can responsibly recycle unwanted e-waste during shopping center hours. Blue collection bins will…

4 events, 29

2026-03-23
Color Factory: Colors in Bloom
10:00 am - 5:00 pm
Tulip & Dinosaur Festival
April 29 @ 10:00 am - 5:00 pm
Tulip & Dinosaur Festival

Tickets are sold online only on our website (Opening mid March). Tickets will be $28 per person (Taxes included) Enjoy this prehistoric fun starting April 9th and goes extinct on…

$28
10:00 am - 8:00 pm
E-Cycling Event at MarketFair
April 29 @ 10:00 am - 8:00 pm
E-Cycling Event at MarketFair

Celebrate Earth Week with MarketFair by recycling your electronics! From April 21 through April 30, community members can responsibly recycle unwanted e-waste during shopping center hours. Blue collection bins will…

+ 1 More

5 events, 30

2026-03-23
Color Factory: Colors in Bloom
10:00 am - 5:00 pm
Tulip & Dinosaur Festival
April 30 @ 10:00 am - 5:00 pm
Tulip & Dinosaur Festival

Tickets are sold online only on our website (Opening mid March). Tickets will be $28 per person (Taxes included) Enjoy this prehistoric fun starting April 9th and goes extinct on…

$28
10:00 am - 8:00 pm
E-Cycling Event at MarketFair
April 30 @ 10:00 am - 8:00 pm
E-Cycling Event at MarketFair

Celebrate Earth Week with MarketFair by recycling your electronics! From April 21 through April 30, community members can responsibly recycle unwanted e-waste during shopping center hours. Blue collection bins will…

+ 2 More

8 events, 1

2026-03-23
Color Factory: Colors in Bloom
2026-05-01
American Repertory Ballet presents AMERICANA
American Repertory Ballet presents AMERICANA
May 1 @ 7:00 pm - May 3 @ 4:00 pm
American Repertory Ballet presents AMERICANA

Cue the fireworks! American Repertory Ballet’s 2025/26 season finale at NBPAC will shine bright with AMERICANA — a vibrant mixed-repertoire performance that celebrates the spirit of our country in honor…

$42.00 – $122.00
9:00 am - 4:00 pm
Spring Plant Sale at Van Vleck Gardens
May 1 @ 9:00 am - 4:00 pm
Spring Plant Sale at Van Vleck Gardens

Take a ride to Van Vleck House & Gardens this spring to bask in the blooming wisteria hanging over the courtyard behind historic Van Vleck House. Visit the Butterfly Garden,…

Free
9:30 am - 3:30 pm
Atlantic Visitng Nurse Rummage Sale
May 1 @ 9:30 am - 3:30 pm
Atlantic Visitng Nurse Rummage Sale

The Atlantic Visiting Nurse (AVN) Rummage Sale returns this spring with thousands of gently used treasures at unbeatable prices. Shop clothing, jewelry, antiques, home décor, books, toys, furniture, and more…

Free
+ 4 More

20 events, 2

2026-03-23
Color Factory: Colors in Bloom
2026-05-01
American Repertory Ballet presents AMERICANA
2026-05-02
The New Jersey Reptile & Exotic Animal Show
The New Jersey Reptile & Exotic Animal Show
May 2 @ 9:00 am - May 3 @ 4:00 pm
The New Jersey Reptile & Exotic Animal Show

The NJ Reptile & Exotic Animal Show is back! A unique marketplace and up-close experience for enthusiasts and collectors, and a fun, family-friendly event where kids can discover incredible animals…

$20
8:00 am - 5:00 pm
ECO Fair
May 2 @ 8:00 am - 5:00 pm
ECO Fair

Wheaton Arts and Cultural Center, in partnership with the Authority of Cumberland County, presents the 19th annual ECO Fair: Artful Living, Handmade & Homegrown on Saturday, May 2, 2026, from…

Free
9:00 am - 4:00 pm
Spring Plant Sale at Van Vleck Gardens
May 2 @ 9:00 am - 4:00 pm
Spring Plant Sale at Van Vleck Gardens

Take a ride to Van Vleck House & Gardens this spring to bask in the blooming wisteria hanging over the courtyard behind historic Van Vleck House. Visit the Butterfly Garden,…

Free
+ 15 More

15 events, 3

2026-03-23
Color Factory: Colors in Bloom
2026-05-01
American Repertory Ballet presents AMERICANA
2026-05-02
The New Jersey Reptile & Exotic Animal Show
8:00 am - 5:00 pm
Cherry Grove Farm Milk Fest
May 3 @ 8:00 am - 5:00 pm
Cherry Grove Farm Milk Fest

Sunday, May 3rd, 12pm - 4pm SUGGESTED DONATION: $5 - $20 TICKET PER CAR In Partnership with the NJ Dairy & Cheese Guild A celebration of fresh NJ dairy and…

Free
10:00 am - 5:00 pm
Tulip & Dinosaur Festival
May 3 @ 10:00 am - 5:00 pm
Tulip & Dinosaur Festival

Tickets are sold online only on our website (Opening mid March). Tickets will be $28 per person (Taxes included) Enjoy this prehistoric fun starting April 9th and goes extinct on…

$28
+ 10 More
March 5
March 5 @ 8:00 am - April 6 @ 11:30 pm

Annual Plant Sale

All day

Color Factory: Colors in Bloom

All day

Annual Plant Sale

March 30 @ 2:00 pm - 7:00 pm

Photos with the Easter Bunny at MarketFair

March 30 @ 4:00 pm - 7:00 pm

Pet Photos with the Easter Bunny at MarketFair

+ 2 More
March 5
March 5 @ 8:00 am - April 6 @ 11:30 pm

Annual Plant Sale

All day

Color Factory: Colors in Bloom

All day

Annual Plant Sale

March 31 @ 10:00 am - April 2 @ 3:00 pm

Kids Easter Workshop: Chocolate Bunny Lab

March 31 @ 2:00 pm - 7:00 pm

Photos with the Easter Bunny at MarketFair

March 31 @ 7:00 pm - 9:00 pm

Roxey Ballet’s Journey Back to the 80’s

March 5
March 5 @ 8:00 am - April 6 @ 11:30 pm

Annual Plant Sale

All day

Color Factory: Colors in Bloom

All day

Annual Plant Sale

March 31 @ 10:00 am - April 2 @ 3:00 pm

Kids Easter Workshop: Chocolate Bunny Lab

April 1 @ 10:00 am - 3:00 pm

Opening Day at Fosterfields

April 1 @ 2:00 pm - 7:00 pm

Photos with the Easter Bunny at MarketFair

March 5
March 5 @ 8:00 am - April 6 @ 11:30 pm

Annual Plant Sale

All day

Color Factory: Colors in Bloom

All day

Annual Plant Sale

March 31 @ 10:00 am - April 2 @ 3:00 pm

Kids Easter Workshop: Chocolate Bunny Lab

April 2 @ 10:00 am - 12:00 pm

Play&Swim – Mom’s Group at Five Star Swim School – Eatontown NJ

April 2 @ 10:00 am - 3:00 pm

Opening Day at Historic Speedwell

+ 2 More
March 5
March 5 @ 8:00 am - April 6 @ 11:30 pm

Annual Plant Sale

All day

Color Factory: Colors in Bloom

All day

Annual Plant Sale

April 3 @ 12:00 pm - 1:00 pm

Cup and Canvas: Mindful Art Hour

April 3 @ 12:00 pm - 3:00 pm

New Jersey Hall of Fame – Sensory Sensitive Hours

+ 2 More
March 5
March 5 @ 8:00 am - April 6 @ 11:30 pm

Annual Plant Sale

All day

Color Factory: Colors in Bloom

All day

Annual Plant Sale

April 4 @ 10:00 am - 12:00 pm

Easter Egg Hunt

April 4 @ 1:00 pm - 3:00 pm

IN HER FOOTSTEPS: a celebration of women in history

+ 1 More
March 5
March 5 @ 8:00 am - April 6 @ 11:30 pm

Annual Plant Sale

All day

Color Factory: Colors in Bloom

All day

Annual Plant Sale

April 5 @ 10:30 am - 3:30 pm

Easter Brunch at The Reeds

April 5 @ 1:00 pm - 3:00 pm

IN HER FOOTSTEPS: a celebration of women in history

March 5
March 5 @ 8:00 am - April 6 @ 11:30 pm

Annual Plant Sale

All day

Color Factory: Colors in Bloom

All day

Annual Plant Sale

April 6 @ 4:00 pm - 7:00 pm

Pet Photos with the Easter Bunny at MarketFair

March 23
All day

Color Factory: Colors in Bloom

March 23
All day

Color Factory: Colors in Bloom

March 23
All day

Color Factory: Colors in Bloom

April 9 @ 10:00 am - 12:00 pm

Play&Swim – Mom’s Group at Five Star Swim School – Eatontown NJ

April 9 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

+ 1 More
March 23
All day

Color Factory: Colors in Bloom

April 10 @ 8:00 am - 5:00 pm

Family Pop-Up Choir

April 10 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

+ 6 More
April 11
April 11 @ 10:00 am - April 12 @ 4:00 pm

Live History Weekend at Morven

All day

Color Factory: Colors in Bloom

April 11 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 11 @ 10:00 am - 4:00 pm

Opening Weekend

+ 5 More
April 11
April 11 @ 10:00 am - April 12 @ 4:00 pm

Live History Weekend at Morven

All day

Color Factory: Colors in Bloom

April 12 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 12 @ 10:00 am - 4:00 pm

Opening Weekend

+ 5 More
March 23
All day

Color Factory: Colors in Bloom

April 13 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 13 @ 4:00 pm - 7:00 pm

Pet Photos with the Easter Bunny at MarketFair

March 23
All day

Color Factory: Colors in Bloom

April 14 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

March 23
All day

Color Factory: Colors in Bloom

April 15 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

March 23
All day

Color Factory: Colors in Bloom

April 16 @ 10:00 am - 12:00 pm

Play&Swim – Mom’s Group at Five Star Swim School – Eatontown NJ

April 16 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

+ 1 More
March 23
All day

Color Factory: Colors in Bloom

All day

Beak Week

April 17 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 17 @ 12:00 pm - 1:00 pm

Cup and Canvas: Mindful Art Hour

+ 1 More
March 23
All day

Color Factory: Colors in Bloom

All day

Beak Week

April 18 @ 9:00 am - 4:00 pm

BLOOM – Women’s Health & Wellness Expo – North NJ

April 18 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

+ 6 More
March 23
All day

Color Factory: Colors in Bloom

All day

Beak Week

April 19 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 19 @ 10:00 am - 4:00 pm

The Jersey Shore Spring Comic Book Show

+ 8 More
March 23
All day

Color Factory: Colors in Bloom

All day

Beak Week

April 20 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 20 @ 4:00 pm - 7:00 pm

Pet Photos with the Easter Bunny at MarketFair

March 23
All day

Color Factory: Colors in Bloom

All day

Beak Week

April 21 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 21 @ 10:00 am - 8:00 pm

E-Cycling Event at MarketFair

March 23
All day

Color Factory: Colors in Bloom

All day

Beak Week

April 22 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 22 @ 10:00 am - 8:00 pm

E-Cycling Event at MarketFair

March 23
All day

Color Factory: Colors in Bloom

All day

Beak Week

April 23 @ 10:00 am - 12:00 pm

Play&Swim – Mom’s Group at Five Star Swim School – Eatontown NJ

April 23 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

+ 1 More
March 23
All day

Color Factory: Colors in Bloom

All day

Beak Week

April 24 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 24 @ 10:00 am - 8:00 pm

E-Cycling Event at MarketFair

+ 4 More
March 23
All day

Color Factory: Colors in Bloom

April 25 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 25 @ 10:00 am - 8:00 pm

E-Cycling Event at MarketFair

+ 8 More
March 23
All day

Color Factory: Colors in Bloom

April 26 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 26 @ 10:00 am - 5:00 pm

LEGO Star Wars SMART Play Adventures at Target

+ 6 More
March 23
All day

Color Factory: Colors in Bloom

April 27 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 27 @ 10:00 am - 8:00 pm

E-Cycling Event at MarketFair

+ 1 More
March 23
All day

Color Factory: Colors in Bloom

April 28 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 28 @ 10:00 am - 8:00 pm

E-Cycling Event at MarketFair

March 23
All day

Color Factory: Colors in Bloom

April 29 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 29 @ 10:00 am - 8:00 pm

E-Cycling Event at MarketFair

+ 1 More
March 23
All day

Color Factory: Colors in Bloom

April 30 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

April 30 @ 10:00 am - 8:00 pm

E-Cycling Event at MarketFair

+ 2 More
March 23
All day

Color Factory: Colors in Bloom

May 1 @ 7:00 pm - May 3 @ 4:00 pm

American Repertory Ballet presents AMERICANA

May 1 @ 9:00 am - 4:00 pm

Spring Plant Sale at Van Vleck Gardens

May 1 @ 9:30 am - 3:30 pm

Atlantic Visitng Nurse Rummage Sale

+ 4 More
March 23
All day

Color Factory: Colors in Bloom

May 1 @ 7:00 pm - May 3 @ 4:00 pm

American Repertory Ballet presents AMERICANA

May 2 @ 9:00 am - May 3 @ 4:00 pm

The New Jersey Reptile & Exotic Animal Show

May 2 @ 8:00 am - 5:00 pm

ECO Fair

May 2 @ 9:00 am - 4:00 pm

Spring Plant Sale at Van Vleck Gardens

+ 15 More
March 23
All day

Color Factory: Colors in Bloom

May 1 @ 7:00 pm - May 3 @ 4:00 pm

American Repertory Ballet presents AMERICANA

May 2 @ 9:00 am - May 3 @ 4:00 pm

The New Jersey Reptile & Exotic Animal Show

May 3 @ 8:00 am - 5:00 pm

Cherry Grove Farm Milk Fest

May 3 @ 10:00 am - 5:00 pm

Tulip & Dinosaur Festival

+ 10 More
View Calendar

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