Opinions
Second (or Third)
Pediatric Rheumatology Only
WHAT YOU GET OUT OF THE VISIT:
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
Less reliance on pharmaceuticals
Realistic coping strategies to build resilience
WHAT'S INCLUDED IN THE INITIAL VISIT:
2 hour consult with Dr. Singla
Labs*
Auricular Acupressure
30-minute follow-up to review results & tweak plan of care if needed
Before
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Prior to your arrival, Dr. Singla thoroughly reviews records from your child's primary care provider/pediatrician and subspecialist(s).
during
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In addition to a review of their diagnosis, clinical course, and medications, Dr. Singla takes a deep dive into 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.
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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.
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A "Game Plan" is crafted after discussion of treatment goals. This includes conventional and complementary therapies such as adjustment of current medications, diet modification, supplements if needed, sleep hygiene, mind-body strategies such as breathwork and guided-imagery, and exercise/therapy suggestions.
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Labs are collected in the office using pain reduction techniques including numbing cream, ice, the Buzzy Bee, breathing techniques, and aromatherapy.
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Orders for appropriate imaging, medications, and referrals are placed.
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Auricular acupressure is applied as indicated (if desired).
after
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During the follow-up appointment (about 1-2 weeks after the initial visit), Dr. Singla communicates with you regarding your child's results and discusses any changes to the "Game Plan." This follow-up appointment can be in-person or virtual.
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Dr. Singla also communicates your child's diagnosis and plan of care with their primary care provider and specialist(s).
expect
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Please block 2 hours of your time for the initial visit, and 30 minutes for the follow up visit to discuss your results. For future follow-up visits, (typically every 3-6 months depending on the illness) please block 1 hour of time.
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If possible, bring your medications (including herbs and supplements) or at least a list/picture of each including the name, dose, and frequency you take it.
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Bring your questions, concerns, and goals for the visit too!
* Most labs are included in the price of the initial consult. Labs that are very specialized (such as genetic testing) will be billed through insurance. If you don't have insurance, we also have special discounted pricing.
COMMON CONDITIONS SEEN FOR 2ND OPINIONS:
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Juvenile idiopathic arthritis or JIA (formerly known as juvenile rheumatoid arthritis or JRA).
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Rheumatoid arthritis
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Systemic lupus erythematosus (SLE)
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Juvenile dermatomyositis (JDMS)
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Chronic recurrent multifocal osteomyelitis/chronic non-bacterial osteomyelitis (CRMO/CRNO)
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Sjogren's syndrome
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Localized Scleroderma
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Periodic fever syndromes (also known as autoinflammatory conditions)
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Henoch-Schonlein purpura
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Chronic uveitis
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Amplified Musculoskeletal Pain Syndrome
IDEAL FOR:
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Patient/parent not satisfied with current pediatric rheumatology care
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Confirmation of your child’s rheumatologic diagnosis
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Discussion of different medications/therapies for your child’s care
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PRICE:
649
$
Second Opinion
Price includes: 2-hour Initial Visit + Labs* + 30-min Follow-up Visit (to review results) + Care Coordination with other doctors
