BlueJay Pediatrics

BlueJay Pediatrics Direct Primary Care: Commitment to pediatric care through investment in time, trust and transparency

The first screening test is for tuberculosis. This is to make sure that any one residing in the US does not have latent ...
08/09/2021

The first screening test is for tuberculosis. This is to make sure that any one residing in the US does not have latent or active TB. The TST is a skin test that you can get done - on the forearm- and need to return to the doctor to have it read in 48-72 hours. If the induration is less than 4mm, then it is considered negative. The T-spot and Quantiferon gold test are blood tests, and more specific than the skin test. CXR is required if you have a positive result on any of the tests to make sure that you don’t have active infection. If you have a positive CXR or are symptomatic, you will be referred to the health department for proper treatment. If you have any questions, feel free to reach out at 571-206-4774.

Before you head out for an immigration physical, take a look at the Form I-693 and it’s requirements, which I will revie...
08/09/2021

Before you head out for an immigration physical, take a look at the Form I-693 and it’s requirements, which I will review next. It’s not necessary for you to fill it out before the exam. It can be fully completed by the physician. www.bluejaypeds.com 571-206-4774

Call us today if you are in need for an immigration physical exam! We know that the process can be confusing and tiring;...
08/06/2021

Call us today if you are in need for an immigration physical exam! We know that the process can be confusing and tiring; therefore, we are eager to make it as simple and easy for you! In the next few posts, I will highlight what happens in an immigration physical so that you are more prepared for your visit! Visit www.bluejaypeds.com for more information or call us 561-206-4774 for an appointment. Best of luck!

If you are looking for an Immigration Physical Exam that is reliable, answers your concerns and provides excellent servi...
08/02/2021

If you are looking for an Immigration Physical Exam that is reliable, answers your concerns and provides excellent service, then look no further than BlueJay Pediatrics, where you will have the topmost experience in this journey of yours- no long waits, hassle free, and cost-effective! Call us at 571-206-4774 to book an appointment or for any inquiries !

I’m so excited to announce that Bluejy Pediatrics is able to perform Immigration Physical for all ages! Please contact Liz if you are spanish speaking and would like more information. Or contact directly at 571-206-4774 for more details! We are located in Leesburg, inside Metromed Urgent Care. 952 Edwards Ferry Road NE, Leesburg, VA 20176.

Since We know that the process can be difficult and confusing, we try our best to make it simple and easy for you, and answer all your questions. We have a friendly and knowledgeable staff to assist all of your needs! So call us today for an appointment!

I’m so excited to announce that Bluejy Pediatrics is able to perform Immigration Physical for all ages! Please contact L...
07/23/2021

I’m so excited to announce that Bluejy Pediatrics is able to perform Immigration Physical for all ages! Please contact Liz if you are spanish speaking and would like more information. Or contact directly at 571-206-4774 for more details! We are located in Leesburg, inside Metromed Urgent Care. 952 Edwards Ferry Road NE, Leesburg, VA 20176.

Since We know that the process can be difficult and confusing, we try our best to make it simple and easy for you, and answer all your questions. We have a friendly and knowledgeable staff to assist all of your needs! So call us today for an appointment!

07/09/2021

I’m so excited to announce that I am now a civil surgeon. So if you are looking for an Immigration Physical, please reach out to us! Availability is open now to accommodate your needs. We would love to help you reach your goals with less hassles on this long journey! You are almost there- stay strong, smile along!

Now I know what it feels like to do a mobile clinic 😁 haha. A new experience, which was fun and very impromptu!
05/14/2021

Now I know what it feels like to do a mobile clinic 😁 haha. A new experience, which was fun and very impromptu!

For those picky eaters, there is the option to give the balanced vitamins and minerals in a soluble tab rather than the ...
04/30/2021

For those picky eaters, there is the option to give the balanced vitamins and minerals in a soluble tab rather than the sugary gummy chewable! No sugar, better tasting. Worth a try to get the right amount of iron, b complex and vit d into a growing child.

Finally! One step towards getting more children vaccinated!
04/19/2021

Finally! One step towards getting more children vaccinated!

National Walking Day!  Let a walk boost your immune system,  overall health, and weight loss.  Even a 10 minute brisk wa...
04/07/2021

National Walking Day! Let a walk boost your immune system, overall health, and weight loss. Even a 10 minute brisk walk everyday is heart healthy- anywhere, anytime. If you want to do it at the comfort of your home, I personally love doing "WALK" by Leslie Sansone on Youtube; or you can do any program that you love!

To appreciate the outdoors, we are in DC for the Cherry Blossoms. We did our 10,000 steps that day, unknowingly! Beautiful day, wonderful times :)

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04/01/2021

The clinic is Now Open on Saturdays from 9am-2pm, starting April 10! Walk-ins available! Call us 571-206-4774

April is Autism Acceptance Month!  1 in 60 child is diagnosed with autism.  Thus, screening is very important in identif...
04/01/2021

April is Autism Acceptance Month! 1 in 60 child is diagnosed with autism. Thus, screening is very important in identifying at risk children so that they receive the proper diagnosis and treatment.

If you have a child between the ages of 2months old to 5years old, and are wondering about their developmental milestones, then you can fill out the ASQ form (ages and stage questionnaire). Another screening form for autism is the MCHAT - done specifically at 9mo, 18mo, and 24mo or 30mo of age.

Free ASQ form online: https://asqonline.com/family/993-screening-family-access-open-asq-3-english/start
Free MCHAT form:https://cms.m-chat.org/LineagenMChat/media/Lineagen-M-Chat-Media/mchatDOTorg.pdf

These forms are often completed at the Pediatrician's office during the well child visits to assess for risk for autism or any other developmental concerns. If you have any concerns, then please talk to your health care provider!

“Happy Doctor’s Day to all the doctors who always put their patients first and do their best to gift health to their pat...
03/31/2021

“Happy Doctor’s Day to all the doctors who always put their patients first and do their best to gift health to their patients.”

Dialysis is a life saving option for many children, but it does take a toll on the children and their families.  I have ...
03/29/2021
Andy M. Herrera Reyes help me complete my miracle!, organized by Karen Reyes

Dialysis is a life saving option for many children, but it does take a toll on the children and their families. I have seen it firsthand how they must deal with dialysis and how it affects their school, development, social skills and growth. They must be vigilant about their fluid intake, food restriction of sodium/potassium/phosphorus intake, along with taking various medications so that their iron levels are up, acid/base and electrolytes are in balance, blood pressure is close to normal, and they continue to have linear growth, amongst so many other issues.

While at Univ of Florida, in Gainesville, FL, I had the opportunity to take care of many children on dialysis. These children are very vibrant and strong-willed, who struggle everyday for a "normal" life. While at UF, I had the opportunity to take care of Andy. He had come to the pediatric ICU in heart failure and required intensive care and therapy. He required ECMO (artifical heart/lung machine) and dialysis for over 1 year!! He was in the ICU for almost 2 years, and with the care of many doctors, nurses and therapists, he was able to leave the hospital and be with his family! However, during that time, Andy had to receive a heart transplant since his heart never recovered. Even though he had the heart transplant, his kidneys were damaged to the point of no return. He continues on dialysis today, 3 times a week, for about 3-4 hours.

To get off dialysis and have any resemblance of normal childhood life, his only option is to have a kidney transplant. However, kidney transplant is a very expensive procedure and difficult process. His family has set up a GoFundMe page: https://gofund.me/71e3bf43
to raise money for his kidney transplant medical expenses.

I hope that you will take the time to read and contribute, any amount is greatly appreciated! Thank you!

Help me to complete my miracle! Andy Herrera Reyes Story UF Health … Karen Reyes needs your support for Andy M. Herrera Reyes help me complete my miracle!

"Ouch! my side hurts! it's too painful to bare "...it comes and goes, and lasts until it passes through, which may take ...
03/22/2021

"Ouch! my side hurts! it's too painful to bare "...it comes and goes, and lasts until it passes through, which may take a few hours...ever experienced this type of pain? Some say it's like having a baby, but instead you just might be passing KIDNEY STONES!

Did you know that there are 5 types of kidney stones, of which, calcium oxalate is the most common, followed by calcium phosphate stones, uric acid stones, struvite stones and cystine stones. So it's a good idea to save those stones when they pass for analysis.

What can you do to help prevent kidney stone formation?
1. FLUIDS, FLUIDS, FLUIDS. I can't emphasize the importance of fluids. Drink at least 2-3 liters (64oz+) a day.
2. Avoid dark sodas such as coke/pepsi (they contain PHOSPHORUS, a major component of stone formation). Drink lemonade (or citrus things as they contain CITRATE, helps to decrease stone formation). I wouldn't drink too much lemonade as it may cause dental cavities though, so be cautious.
3. Decrease salt intake to < 2g a day. Salt intake increases the production of stone formation.

For more information, a quick read: https://www.kidneyfund.org/kidney-disease/kidney-problems/kidney-stones/

If you like these tidbits, please share, and like below. You may also leave a comment below if you want me to post something about any range of topic relating to health/wellness/kidneys/pediatrics as well!

03/21/2021

A quick glimpse of who we are! Like this page!

03/21/2021

Got my Moderna vaccine yesterday, finally!! Feeling great so far 👍🏻🙏🏼❤️

03/21/2021

After hours or weekend calls was something I never looked forward to in the past. It wasn’t necessarily about what , but rather WHO was going to call. It was always harder if you had never met the family in the practice or didn’t have prior continuity of care. That level of trust and understanding wasn’t always present then. However With my new practice, I can now meet the needs of my families more effectively, Because I have built a relationship with them. I know the WHO. So when I had to meet a mom in the hospital parking lot just to give a Rx I didn’t mind it! And for this reason, I love my job! ❤️.

March is Kidney Awareness Month: Today's topic is Nephrotic Syndrome.  Nephrotic syndrome is a disease of the kidneys, w...
03/14/2021

March is Kidney Awareness Month: Today's topic is Nephrotic Syndrome. Nephrotic syndrome is a disease of the kidneys, which causes protein to be lost in the urine. The loss of protein in the urine (proteinuria) leads to swelling (edema), high cholesterol (hyperlipidemia), and low albumin levels in the blood.

Over the years, I have met some of the most amazing families whose kids have/had nephrotic syndrome. It is a disease that is relentless, unpredictable, and difficult to manage at times. The children who have it, endure a lot of difficulty and struggle. However, they are the most resilient and beautiful children to work with! Their optimism is contagious, and that in itself helps them overcome many of their hardships!

Read more about nephrotic syndrome on: https://www.kidney.org/atoz/content/nephrotic

03/11/2021

How often is it that you can go to the doctors office and get a screening ultrasound done on the spot?? Not at all. Never seen it down before until I met Dr Beckwith in Leesburg-who runs an urgent care and a primary care clinic. With her today I did an ultrasound on a 9 year old girl with abdominal pain. For her story, it was most likely gastritis or even heartburn. But how reassuring and peace of mind it must have given the mother to know that her thyroid, bladder, liver, kidney, pancreas, ovaries and uterus were all normal! Without even having to be referred to the radiology center or having to wait for a read- which may have taken a few days if not weeks to arrange and get results from. To not have to be anxious or concerned after a doctors visit, it’s a relief! So This is why I love medicine. We get to utilize the tools we have at hand and deliver the best care to our patients- all with convenience and easy access!

Urinary Tract Infection in Children:Normal urine has no bacteria in it but still, bacteria may get into the urine throug...
03/09/2021

Urinary Tract Infection in Children:

Normal urine has no bacteria in it but still, bacteria may get into the urine through the urethra and travel up into the bladder. Once it colonizes the bladder, it can then multiply and cause inflammation/infection. Symptoms and signs of UTI in children depend on their age. Infants may have fever and irritability, whereas older children may have abdominal pain and back pain.

Here are some signs of a UTI:
Pain, burning, or a stinging feeling when urinating
Urinating often or feeling an urgent need to urinate, even without passing urine
Foul-smelling urine that may look cloudy or have blood in it
Fever
Pain in the lower back or abdomen/pelvis

There are 2 basic types of UTIs: bladder infection (cystitis) and kidney infection (pyelonephritis). Kidney infections are more serious than bladder infections, since they have a higher chance for causing permanent renal damage (scarring - loss of nephrons can lead to decline in kidney function, and an increase in its biomarker, the serum creatinine).

Many children who get urinary tract infections have normal kidneys and bladders, but abnormalities should be found as early as possible in life to help protect the kidneys. Renal ultrasound (helps to identify any structural renal/bladder abnormalities), VCUG (helps to identify vesico-ureteral reflux or VUR), and DMSA scan (helps to identify renal scar and localization of inflammation) are some of the modalities used in the management of UTI.

Diagnosis is based on urine culture (> 50K of one organism), of which most common is E.coli, but there are many others as well. Urine should be obtained by mid-stream clean catch or catheterization if possible; urine bag specimens are not advised due to high rates of contamination. Treatment involves antibiotics. Some of preventive measures include: proper hygiene, double voiding, avoiding urinary retention and bubble baths.

You should see a kidney specialist for the prevention/management of UTI/kidney disease and to ensure that your kidney function is closely followed. If there is a surgical correction that is needed, then a Urologist should also be involved.

Ever wondered what the difference between DPC (direct primary care, which BlueJay Pediatrics is) and Your typical insura...
03/08/2021

Ever wondered what the difference between DPC (direct primary care, which BlueJay Pediatrics is) and Your typical insurance Service is?? This post will help to clarify those differences!

The kidneys are obviously the best organs in the body ---I know, I know---I am just a little biased.  But honestly, with...
03/08/2021

The kidneys are obviously the best organs in the body ---I know, I know---I am just a little biased. But honestly, without a functioning kidney (or 2), our lives can be miserable. Think about the luxury of not thinking how much salt your body can handle, which drink has too much phosphorus, how much water can you limit per day, or which food you can or can not have. We don't think much about it, because our wonderful kidneys do the thinking for us. So I thank my Kidneys, and You should too!

March is Women’s History Month: I thought I would share a tidbit on Dr. Virginia Apgar (1909-1974), who is best known fo...
03/07/2021

March is Women’s History Month: I thought I would share a tidbit on Dr. Virginia Apgar (1909-1974), who is best known for the APGAR score. Every parent must have heard the APGAR score at some point in time - especially post-delivery, at the first newborn visit at the pediatrician's office, or written on the newborn discharge paperwork. Reading about her life brought on a new meaning to the APGAR score and appreciation for her work.

Dr. Virginia Apgar went to medical school in 1929, and trained as a surgeon at Columbia University College of Physician & Surgeons (P&S). With the influence of her mentor, Dr. Alan Whipple, she pursued anesthesiology and trained in Wisconsin and New York. In 1938, she returned to Columbia to become the first director of the anesthesia department. From here she focused her interests in obstetric anesthesia - the effects of anesthesia on the newborn when it is given to mothers during labor. In 1952, she created the APGAR score, the first standardized tool to assess newborn health immediately after delivery. The scores were given to a newborn 1 min and 5 min after birth, with a max score of 10.

In 1959, Dr. Apgar earned her master’s degree in Public Health from Johns Hopkins. She also led research in birth defects (teratology) for March of Dimes, and in 1967 she became the vice president and director of basic research at the National Foundation- March of Dimes. During the rubella epidemic of 1964-1965, she advocated for universal vaccination to prevent mother to child transmission of rubella. Congenital rubella was associated with high rates of infancy deaths, blindness, deafness, cataracts, and intellectual disability. Apgar was also a lecturer (1965-1971) and then clinical professor (1971-1974) of pediatrics at Cornell University School of Medicine, where she taught teratology.

She passed away in 1974.

This article beautifully sums up why I decided to start direct primary care.  We as physicians are too often undervalued...
03/04/2021
We need to stop blaming the doctors

This article beautifully sums up why I decided to start direct primary care. We as physicians are too often undervalued and overworked, working more than 60hrs/week and sacrificing our family life. Unless you live with a significant other who is physician, you may never realize that we still work even when the clinic doors are closed- taking after hour calls or pages at night, finishing charts, and lab reports,etc. We do this all behind the scenes with a smile on our face the next day; we smile because we love what we do, but just not in the system or environment we have been trained to do it in. So value your physician relationship!

We need to see this for what it is: a broken system. A system in the process of breaking the very doctors who make up its framework. Please let’s call it like it is, and let doctors take back medicine for the sake of the patients who need them, and for the doctors who care for them.

Check out the new blog: COVID-19: Vaccine, Sports and School for Children https://www.bluejaypeds.com/blog      If you w...
03/03/2021
BlueJay Pediatrics - Blog

Check out the new blog: COVID-19: Vaccine, Sports and School for Children https://www.bluejaypeds.com/blog



If you would like to give me topics to blog on, then feel free to comment below and like this page!

COVID-19: Vaccine, Sports and School for Children 3-3-2021

Address

952 Edwards Ferry Road NE
Leesburg, VA
20176

Opening Hours

Monday 9am - 4pm
Tuesday 9am - 4pm
Wednesday 9am - 4pm
Thursday 9am - 4pm
Friday 9am - 4pm
Saturday 9am - 2pm

Telephone

+15712064774

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