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  • Dr. Natalie Bruce
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    • Functional Pediatrics
    • PANS and PANDAS
    • Educational Posts
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    • About Functional Medicine
    • About Direct Primary Care
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  • More
    • Home
    • Dr. Natalie Bruce
    • Services & Fees
      • Functional Pediatrics
      • PANS and PANDAS
      • Educational Posts
      • Direct Primary Care
    • FAQs
      • About Functional Medicine
      • About Direct Primary Care
    • Contact
  • Home
  • Dr. Natalie Bruce
  • Services & Fees
    • Functional Pediatrics
    • PANS and PANDAS
    • Educational Posts
    • Direct Primary Care
  • FAQs
    • About Functional Medicine
    • About Direct Primary Care
  • Contact

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.

Functional and Integrative Pediatrician

Meet and Greet

$100

This is the first step in understanding your child’s entire picture. This visit allows us to briefly discuss your child’s challenges and estimate the time needed for consultation. No medical advice will be given during this encounter. If you choose to proceed with the consultation, this fee will be applied to the first month.

Complex Care Consultations

Starting at $1000/mo

This includes:

  • Evaluating and discussing responses to  questionnaires (~0.5-5hrs)
  • Reviewing past medical records and creating a timeline(~0.5-8hrs)
  • Meeting with you and your child in person (first in-office meeting is typically 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 $100/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.

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.

Conditions Treated

Conditions Treated

Conditions Treated

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

We look for the root causes of ADHD, anxiety, depression, OCD, autism spectrum disorder, and PANS/PANDAS/BGE as well as for symptoms like sleep disturbances, irritability and anger, difficulty focusing or concentrating, hyperactivity, impulsivity,  fatigue, and restlessness.

Lab Testing

Conditions Treated

Conditions Treated

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

Conditions Treated

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.

If you are interested in scheduling a meeting after reviewing the consultation outline above, please complete this form.

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FUNCTIONAL AND INTEGRATIVE PEDIATRIC CONSULTATIONS

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.

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

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Support@nurturingpediatrics.com