WELCOME ADVOCARE ARDMORE CHESTNUT PEDIATRICS AND ADOLESCENT MEDICINE PATIENTS!

Welcome to Advocare Fairmount Pediatrics!

We are a community-based Pediatric and Adolescent Medicine practice established in Philadelphia in 2009 and in Montgomery County in 2023. Our goal is to provide excellent, accessible, comprehensive medical care to infants, children and teens in our community, from all types of families. We care for young people from birth through their 21st year.  


Our philosophy is threefold: 

  1. Excellent medical care is our top priority. We maintain thorough and up-to-date standards of care in all that we do. 
  2. Communication is paramount. We strive to keep open, clear lines of communication with parents and with children in our practice. 
  3. Parents matter. In all that we do, we seek to support our patients’ parents, providing you with the services you need to care for your child. 

Our pediatricians offer same day sick visits, an open access schedule so that you can always get an appointment within 2 weeks for a well visit, telehealth appointments for behavior discussions, and on-site physical therapy, speech therapy and behavior therapy. Vaccinations are encouraged and parent's choice is respected.


The program at Fairmount Pediatrics and Fairmount Pediatrics Montgomery County includes a unique offering: the Affiliate Program, in which a variety of providers care for patients on-site, within each office. These providers include a physical therapist, a speech therapist, a behavioral therapist, a psychologist, a lactation counselor, and a nutritionist. These offerings do not replace high quality pediatric care, but rather add to it, offering a truly holistic approach to health.

Karen S. Wosiski, CRNP

Hello, my name is Karen Wosiski. I am a pediatric nurse practitioner, or CRNP. I first became a registered nurse after graduating from Abington Hospital School of Nursing. I worked for 12 years as a staff nurse and then went on to earn my BSN from Jefferson University College of Allied Health Sciences. I made the decision to specialize in pediatrics and received my MSN in the Nursing of children from The University of Pennsylvania. Since then, I have taught nursing and served as Renal transplant coordinator for St. Christopher's Hospital for children. I went back to The University of Pennsylvania for my Nurse Practitioners license and then spent 3 years in a post-master's program at The Family Institute of Philadelphia, earning a certificate as a family therapist. During my time as a transplant coordinator, I became aware of the need for psychological support for families dealing with childhood illness. I also discovered my love for working with families over time, developing trusting relationships, and watching children grow. Pediatric primary care has been a perfect fit for me. I have been fortunate enough, in my work as a pediatric nurse practitioner, to get to know families from the birth of their infant to their child graduating from College. It has been an honor to help them remain healthy, assist in health crises, and help manage ongoing chronic illnesses. In my last position, I worked in primary care at Laurel Pediatrics for 17 years. Because of my mental health skill set, I was able to do behavioral evaluations, manage ADHD, depression, and anxiety, in addition to the daily sick and well children that I met and cared for each day. I am excited to be part of Advocare Fairmount Pediatrics. It is a dynamic team with three locations. Their impressive facilities include a lab, lactation consultant, psychologist, and nutritionist, as well as experienced and caring providers and accessible staff. I love going to work each day, meeting new children, managing their care, teaching where necessary, and forming bonds with families. It's a joy to be a trusted part of the team that cares for your children. I look forward to meeting you soon.

Meet Our Providers

Karen S. Wosiski, CRNP

Hello, my name is Karen Wosiski. I am a pediatric nurse practitioner, or CRNP. I first became a registered nurse after graduating from Abington Hospital School of Nursing. I worked for 12 years as a staff nurse and then went on to earn my BSN from Jefferson University College of Allied Health Sciences. I made the decision to specialize in pediatrics and received my MSN in the Nursing of children from The University of Pennsylvania. Since then, I have taught nursing and served as Renal transplant coordinator for St. Christopher's Hospital for children. I went back to The University of Pennsylvania for my Nurse Practitioners license and then spent 3 years in a post-master's program at The Family Institute of Philadelphia, earning a certificate as a family therapist. During my time as a transplant coordinator, I became aware of the need for psychological support for families dealing with childhood illness. I also discovered my love for working with families over time, developing trusting relationships, and watching children grow. Pediatric primary care has been a perfect fit for me. I have been fortunate enough, in my work as a pediatric nurse practitioner, to get to know families from the birth of their infant to their child graduating from College. It has been an honor to help them remain healthy, assist in health crises, and help manage ongoing chronic illnesses. In my last position, I worked in primary care at Laurel Pediatrics for 17 years. Because of my mental health skill set, I was able to do behavioral evaluations, manage ADHD, depression, and anxiety, in addition to the daily sick and well children that I met and cared for each day. I am excited to be part of Advocare Fairmount Pediatrics. It is a dynamic team with three locations. Their impressive facilities include a lab, lactation consultant, psychologist, and nutritionist, as well as experienced and caring providers and accessible staff. I love going to work each day, meeting new children, managing their care, teaching where necessary, and forming bonds with families. It's a joy to be a trusted part of the team that cares for your children. I look forward to meeting you soon.

OUR SERVICES

By Alexis Lieberman May 28, 2026
Many years ago, I had a patient with a terrible diaper rash — open, raw skin that looked painful enough to make everyone cringe at diaper changes. The family had used every cream known to man. Fancy creams, prescription creams, zinc creams, all the creams. Nothing was working. Finally, desperate, I sent the baby to dermatology. The dermatologist took one look and said: “Stop everything. Just use Vaseline.” Ever since then, Vaseline has been my go-to treatment for most diaper rashes. The other big lesson I learned is this: when the skin is really irritated, stop wiping. Even “gentle” sensitive wipes will wipe away the new skin cells trying to grow and heal the rash. Instead, use water. You can use a spray bottle, hold the baby under a faucet, or use a handheld showerhead. (Just be careful with flailing little arms and legs — nobody wants an accidental hot-water burn while cleaning baby!) For many babies, severe diaper rash improves with three simple things: * Gentle cleaning with water only * Thick barrier protection * Avoiding friction from wipes The one diaper rash that usually will not improve with just Vaseline is a yeast diaper rash. What Causes Diaper Rash? Diaper rash happens when the skin becomes irritated from moisture, urine, stool, friction, yeast, or bacteria. Some diaper rashes are mild and red, while others become raw, painful, or peely. Different diaper rashes need different treatments. Types of Diaper Rash 1. Smooth Red Diaper Rash (Irritant Diaper Rash) - This is the most common diaper rash. It happens because urine and stool irritate and essentially “burn” the skin. Symptoms include: * Smooth red skin * Tenderness * Irritation in areas touching the diaper Best Treatment for Irritant Diaper Rash Treatment options include: * Vaseline * Desitin * Butt Paste * Zinc oxide diaper creams * Over-the-counter hydrocortisone cream * Prescription hydrocortisone if needed If using hydrocortisone: * Use twice daily for 5 days * Then once daily for another week if needed For many babies, a VERY thick layer of Vaseline works surprisingly well and is all that is needed. 2. Yeast Diaper Rash A yeast diaper rash looks different from a standard diaper rash. It is often: * Dotty * Peely * Bright red * Surrounded by small “satellite” spots Yeast thrives in warm, wet environments, and a diaper is essentially a warm, damp plastic bag — the perfect setup for fungus to grow. Best Treatment for Yeast Diaper Rash Yeast diaper rashes need antifungal treatment, such as: * Lotrimin * Lamisil * Prescription Nystatin These should be applied 3–4 times daily and continued for one full week after the rash appears gone. Many pediatricians feel that if a diaper rash has lasted longer than 3 days, yeast may be contributing and an antifungal cream should be added. 3. Severe Raw Diaper Rash (Erosive Diaper Dermatitis) This is the diaper rash parents dread. The skin becomes: * Raw * Open * Eroded This happens when urine, stool, moisture, and digestive enzymes break down the skin barrier over time. These severe diaper rashes can take several weeks to fully heal. They look terribly painful, but most young babies act normal while they have the rash. Best Treatment for Severe Raw Diaper Rash The goal is to create a barrier so urine and stool cannot touch the damaged skin. This is where Vaseline often works best. And the key is using a VERY thick layer. Other barrier treatments include: * Corona ointment * Xeroform * Phytoplex Z-Guard paste * Cavilon spray * Coloplast barrier cream * Ilex barrier cream * Stomahesive powder mixed with diaper rash ointment Home Remedies for Diaper Rash Some families also find these soothing treatments helpful: * Baking soda baths * Domeboro soaks * Freshly pumped breast milk applied to the skin * Liquid Maalox dabbed on the rash and allowed to dry * Gentian Violet for raw, weepy rashes Gentian Violet can help dry the skin and may help with both yeast and mild bacterial infection. Fair warning: it stains everything purple. Stop Using Baby Wipes on Raw Skin One of the most important diaper rash tips is this: When the skin is raw, stop rubbing it. Even sensitive baby wipes can worsen severe diaper rash. Instead: * Use plain water * Use a spray bottle or rinse the baby under running water * Dab gently instead of wiping * Allow diaper-free time whenever possible Reducing friction is often one of the fastest ways to help the skin heal. When to See a Doctor for Diaper Rash Parents should contact their pediatrician if: * The diaper rash is worsening * The rash is not improving within a few days * The child develops a fever * The rash becomes blistered, crusted, or rapidly spreading A diaper rash with fever may indicate a bacterial infection and should be evaluated promptly. Final Thoughts on Treating Diaper Rash Parents are often surprised that the best diaper rash treatment is sometimes the simplest one. For many babies, the combination of: * Water instead of wipes * Thick Vaseline * Time out of diapers works better than a cabinet full of medicated creams. And if the rash looks dotty and peely instead of smooth and red, think yeast.