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  • Dr. Natalie Bruce
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    • Functional Pediatrics
    • PANS and PANDAS
    • Ear Piercing
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    • Home
    • Dr. Natalie Bruce
    • Services & Fees
      • Functional Pediatrics
      • PANS and PANDAS
      • Ear Piercing
    • FAQs
    • Clinic Info
  • Home
  • Dr. Natalie Bruce
  • Services & Fees
    • Functional Pediatrics
    • PANS and PANDAS
    • Ear Piercing
  • FAQs
  • Clinic Info

Pans, PANDAS, AND NEUROINFLAMMATORY CONDITIONS

Welcome! We understand your journey to this point has likely been hard.

If you suspect that your child has PANS or PANDAS (diagnosis and treatments discussed here), you likely have many unanswered questions. You may also be incredibly worn out, as the burden of caring for a child with a neuroinflammatory disease has been noted to be higher than that of caring for a parent with dementia.  We know how consuming and life-altering these conditions can be.


At Nurturing Pediatrics, we provide thoughtful and comprehensive care for children with complex conditions, including PANS/PANDAS. These cases require time, attention, and a deep understanding of each child’s unique history. To ensure the best possible outcomes, medical guidance is only provided within an established clinical relationship where we can devote the care and time each child deserves.

Nurturing Pediatrics is out-of-network for all insurers, meaning we do not handle insurance claims. This enables us to spend the time necessary to address medical problems. You can use HSA and FSA cards, and we can issue a receipt for services if needed.

Pediatrician specializing in PANS and PANDAS

Pre-Consultation (required first step)

$150

This visit is designed to help families understand the structure and scope of services offered by Nurturing Pediatrics, to describe their general areas of concern, and to determine whether a formal consultation is a good fit. No medical advice or recommendations will be provided. This meeting is limited to 30 minutes. If, at the conclusion of the pre‑consultation, both parties wish to proceed with a formal consultation, the fee will be credited toward the first month of services.

Complex Care Consultations

Starting at $1000/mo

This includes:

  • Reviewing medical records, discussing responses to questionnaires, and developing a comprehensive understanding of the issues (~0.5-10hrs)
  • Meeting with you and your child in person (first in-office meeting is usually 1-1.5hrs), over the phone, and/or on video as needed
  • Ordering, reviewing, and discussing labs (~1-2 hours)
  • Developing, discussing, and implementing a personalized plan for your child (time variable)

Two month commitment required. Payment plans and sliding scale available.

Continued Consultation

Starting at $150/mo

If desired, we can continue working together to monitor progress, conduct follow-up lab tests (lab costs not included), and adjust the plan accordingly. 

Please send an email to support@nurturingpediatrics.com if you are interested but the fees are outside of your means.

Root Causes

Root Causes

Root Causes

Image of root network of tree symbolizing functional medicine that looks at root causes of problems.

Before prescribing medications, dietary changes, or nutritional supplements, we will work together to determine root causes of your child’s symptoms so that we know which treatments will most effectively address problematic symptoms and restore health.

Lab Testing

Root Causes

Root Causes

Drop going into beaker symbolizing lab tests, studies, and investigations of root cause medicine.

After getting a comprehensive history, we will use targeted labs to identify factors that may be affecting your child’s overall health.  These can be as simple as routine tests to look for iron deficiency to more complex testing. We will work together to find the most cost-effective way to get tests done.

Nutrition

Root Causes

Nutrition

Vibrant and diverse foods demonstrating that good nutrition is vital to health and well-being.

We will get a detailed history of your child’s past and current nutrition and determine if any diet alterations might help address root causes of your child’s issues. Though we will always aim to use real food to fill in gaps, there may be times when we will need to use dietary supplements.  

Sleep

Physical Activity

Nutrition

Sleeping face emoticon with Zzz symbolizing the critical role quality sleep plays in good health.

Good sleep is critical to well-being.  We will dig into what is and isn’t working and come up with a plan to hopefully get your child (and you!) sleeping better so that everyone feels rested.

Physical Activity

Physical Activity

Physical Activity

6 children of various ages and ethnicities holding hands and running on the beach.

Moving our bodies is not only important for physical health but is also vital to our mental health.  We will assess your child’s physical activity and work together to create a plan that includes activities they love and enjoy and that work for your family.

Gut Health

Physical Activity

Physical Activity

See through image showing the GI tract and symbolizing the role gut health plays in well-being.

We will assess factors that may be resulting in poor absorption of nutrients and work to improve gut health, which goes hand-in-hand with physical and emotional health.

Integrative PANS/PANDAS Pediatrician

After reviewing the information above, please complete the form below if you are interested in scheduling a pre-consultation.

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1415 W NC-54 Suite 124, Durham, NC 27707

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