Tailored Pediatric Medicine

05/04/2026

As a reminder, PANS is pediatric acute onset neuropsychiatric syndrome. It involves a very fast, dramatic, and sudden onset of OCD or restrictive eating. There are also other symptoms such as separation anxiety, ticks, bed wetting, depression, and a whole range of additional challenges.

What we need to do is recognize it, support the family and patient, and address the inflammation and the infection.

Anyone who is experiencing these sudden symptoms should see a healthcare provider, talk to them about the sudden onset, and ask what can be done about it.

04/06/2026

Night terrors usually happen in the first 1/3 of the night, during non‑REM sleep. Kids may cry, scream, talk in their sleep, or look terrified 😢. Their eyes might be open or closed, but they’re not aware of what’s happening — and they won’t remember it the next day. Gentle reassurance is helpful, but don’t try to wake them; just keep them safe and soothed.

Later in the night, during REM sleep (lighter sleep when the eyes move quickly), kids are more likely to have bad dreams. They wake more easily, seek comfort, and usually remember what scared them 🌙.

You only need to worry about night terrors if safety becomes a concern. For example, if your child gets out of bed or sleepwalks. In those cases, consider gates or extra safety measures.

Let your pediatrician know if your child is vomiting in the morning or waking with frequent headaches. Otherwise, night terrors are very common in toddlers, preschoolers, and even early grade‑schoolers. Most kids outgrow them, and they’re not harmful ❤️

03/31/2026

03/23/2026

I’ve been talking a lot lately with families about practical ways to cut down on prescription costs 💊💸, so I pulled together a few places to start:

- GoodRx
- Asking your pharmacist about available coupons
- Checking Cost Plus Drugs

…And no, I don’t get any royalties for saying that! But I’d happily accept them if anyone’s offering 🤣💸!

03/06/2026

Honored to speak with pediatric therapists at a local hospital about PANS/PANDAS and the growing need for awareness around neuroinflammatory conditions in children.

March’s newsletter is almost ready, filled with education, updates, and resources.
Send me a direct message if you’d like to be added to the newsletter!

03/02/2026

When it’s icy ❄️, dark earlier, and everyone’s climbing the walls, structure saves the day. Obstacle courses, kitchen science, dance parties, strength training, quiet recharge time… and yes, more screens. Balance > perfection. ✨

01/12/2026

Hi everyone! I wanted to share a wonderful community event for neurodivergent kiddos here in Portsmouth. It’s a great opportunity for connection, support, and fun.

11/14/2025

Last night, the TPM team had the pleasure of attending a hands on wood sign workshop at Board & Brush in Portsmouth!✨

From distressing and sanding to drilling and painting 🎨, we got to customize our projects every step of the way! A special thank you to Kami for your guidance and support throughout the workshop 🙌.

Thank you 🙌this was a wonderful evening of creativity, teamwork, and appreciation. We truly enjoyed spending this time together as a team! 🤩🩷

11/07/2025

We are so excited to welcome Melissa to the TPM team as a nurse 👩‍⚕️ practitioner! Melissa values a holistic approach that considers the whole patient, addressing not only medical needs but also overall well-being.

After working as a pediatric nurse from 2010–2015 👶, she began her career as a nurse practitioner and has since worked at Boston Children’s Hospital, Mass General for Children, and, more recently, with MaineHealth in pediatric primary care. 🏥 These experiences have strengthened Melissa’s commitment to delivering high-quality, individualized care for each child and family that she sees daily. ✨

Outside of her professional role, she enjoys spending time with her husband, son, and her Vizsla ❤️. She also enjoys running 🏃‍♀️, yoga 🧘‍♀️, hiking, and exploring the outdoors throughout the Seacoast. 🌲🌊

09/10/2025

For all the moms who feel like they’re drowning or have lost themselves, I did my first triathlon with these amazing mamas 10 years ago. Some of our little ones were still in strollers, but now they’re big—and we’re still at it! You will find yourself again. ✨

06/09/2025

Gather and the Music Hall are participating in an event called the “Fill the Hall Food Drive”! This food drive helps benefits Gather’s meals for kids program. They provide a free farmers market distribution to over 500 kids each week of summer.

To support this effort, I’ll be collecting canned food items at TPM until Friday, June 20th. If you have any appointments at TPM between now and then, we’d be grateful to accept any donations from the list below to help contribute to this meaningful cause.

We’re currently collecting the following items, and every donation makes a difference:

• Granola Bars, Peanut Butter Crackers
• Juice Boxes
• Peanut Butter & Jelly (low sugar, squeeze bottles preferred)
• Canned Tuna or Chicken
• Rice, Non-Baked Beans, Cereal, Oatmeal
• Canned Vegetables, Tomatoes & Tomato Sauce (low sodium preferred)
• Pancake Mix, Ready-to-Serve Soups
• Gluten-Free Items
• Shelf-Stable Milk Alternatives
• Personal Care Items (Deodorant, Soap, Shampoo/Conditioner)

Don’t hesitate to reach out if you have any questions!

05/12/2025

These two 🦒 had an amazing time soaking up the sun at Universal Studios🌞 and exploring all the excitement Universal has to offer! 🎢along the way, they were a big hit with the kids, collecting compliments and smiles 😄 everywhere they went. 💛

They also took a skiing trip out west 🏔️🎿—this was them making their way through TSA at the airport! ✈️

From cozy nights by the fire 🔥 to snowy mountain adventures ⛷️ and taking in the stunning winter views ❄️, Tailor and Sophie had an unforgettable time!

Their latest adventure? Soaking up the sun and sailing the crystal-clear waters of the BVI ☀️⛵️