Pediatric Rheumatology Only

Opinions

Second (or Third)

How It Works: Your Roadmap to Gain & Maintain

Remission

Initial 2 Hour Consult

with Dr. Singla

Roadmap to Remission with a "Rheum-Mate"

As Needed Follow Up Care

Membership (Coming Soon!)

Model

What You Get From this Care

Better understanding of your child's diagnosis, future expectations & potential complications

Learn how to symptom track & predict disease flares

Discussion of various treatment options & side-effects

Realistic coping strategies to build resilience

Less reliance on pharmaceuticals

Community

Step 1

2-Hour Consult with Dr. Singla

The

Process

before

Before your visit, Dr. Singla carefully reviews your child's medical records, including notes from their primary care provider and any specialists they’ve seen—especially previous rheumatology evaluation and testing.

during

In addition to a review of their diagnosis, clinical course, and medications, Dr. Singla takes a deep dive into your child's current symptoms, and performs a thorough physical exam. She also reviews your child's nutrition patterns, exercise, sleep, stress, emotional/self-regulation abilities, and social support.

Auricular acupressure is applied as indicated (if desired).

Dr. Singla reviews the diagnosis and expectations of your child's illness as well as potential complications and side-effects associated with their diagnosis and medications.

After discussion of the diagnosis and treatment goals, a customized Game Plan is crafted blending conventional and complementary therapies. Don't worry, we won't make you do this alone (see Step 2)!

Labs are collected in the office using pain reduction techniques including numbing cream, ice, the Buzzy Bee, breathing techniques, and aromatherapy based on individual needs. Labs are billed to your insurance company. If you don't have insurance, we have discounted cash pricing as well.

Orders for appropriate imaging, medications, and referrals are placed.

after

Dr. Singla communicates your child's diagnosis and plan of care with their primary care provider and specialist(s).

Dr. Singla calls you about 2 weeks after the initial consult to discuss lab/imaging results and adjusts the Game Plan/Roadmap as needed. Additional questions are also addressed at this time.

Step 2

Implementing the Roadmap to Remission with a "Rheum-mate"

The treatment plan and overall goals will be mapped out using a customized Roadmap. It will differ from individual to individual, but may include various elements such as:

Starting disease or symptom specific medications and supplements
Incorporating movement, exercise, physical therapy, or occupational therapy
Working with our nutritionist to determine the right calorie and macronutrient balance based on your child's lifestyle and condition.
Partnering with our nurse to explore breathwork techniques, meditation, Reiki, or Multi-Vibrational Therapy (MVT).

To help you implement your child's Roadmap, you work with our "Rheum-mate," or integrative health coach, who works with you and your family to provide practical, customized solutions to fit your unique lifestyle, challenges, and schedule. This may include getting guidance on:

How to adjust your child (and family's) diet
Meal planning and preparation strategies to reduce flare-ups
Finding the best way to give them supplements
Managing injection anxiety
Creating calming nighttime routines

The Roadmap concludes with a follow up visit with Dr. Singla to assess your child's progress and make any necessary adjustments to their treatment plan.

Step 3

Follow-Up Care

Once completing the Roadmap (including the follow up visit with Dr. Singla), you have 2 options to continue ongoing care with Dr. Singla and the Rheum to Grow team:

Follow up care as clinically indicated, can be every 6 months (maybe even as needed) OR
Monthly Membership (coming summer 2025!)

Conditions

Juvenile idiopathic arthritis or JIA (formerly known as juvenile rheumatoid arthritis or JRA).
Rheumatoid arthritis
Systemic lupus erythematosus (SLE)
Neonatal lupus erythematosus (NLE)
Juvenile dermatomyositis (JDMS)
Chronic recurrent multifocal osteomyelitis/chronic non-bacterial osteomyelitis (CRMO/CRNO)
Sjogren's syndrome
Localized Scleroderma
Periodic fever syndromes (also known as autoinflammatory conditions)

Henoch-Schonlein purpura
Chronic uveitis
Evaluation and management of non-inflammatory joint pain (such as growing pains)
Transient synovitis
Diagnosis and management of a positive ANA
Hypermobility syndrome (including Ehlers-Danlos Syndrome)
Chronic pain
Amplified Musculoskeletal Pain Syndrome
Chronic fatigue
Raynaud's syndrome

Treated

Ideal

For

Confirmation of your child's rheumatologic diagnosis
Patient/parent have concerns or need clarification with their current pediatric rheumatology care
Discussion of different medications/therapies for your child’s care

Pricing

$749

Price* varies depending on child & family's needs.

*Discussed during initial 2 hour consultation

$299