New Clinic Helps with Diagnostic Dilemmas

Pediatric Pathways

New Clinic Helps with Diagnostic Dilemmas

Pediatric Diagnostic and Consultation Clinic director Jonathan Fliegel, MDA new Pediatric Diagnostic and Consultation Clinic at UW Health’s American Family Children’s Hospital, directed by Jonathan Fliegel, MD, provides evaluations for children of all ages with challenging diagnostic and/or management problems.

“Our goal is to work with the primary care provider and UW Health pediatric subspecialists to find the best path for diagnosis and treatment for children whose symptoms remain puzzling. We see patients whose symptoms do not fall clearly within the scope of another pediatric specialty or when families and their clinicians request a second opinion to have a ‘new set of eyes’ look over a child’s situation,” says Dr. Fliegel, who also is a member of the Division of Hospital Medicine at American Family Children’s Hospital. “In most cases, we expect that only one visit to our clinic will be sufficient before an action plan can be identified.”

Common reasons to consider a referral include complex symptoms, such as poor weight gain or growth, unexplained fevers, persisting pain, fatigue or other problems. Referring pediatricians or family physicians are asked to provide records of visits, labs and studies before a child is seen in the Diagnostic and Consultation Clinic.

After the first appointment, Dr. Fliegel works collaboratively with each patient and family, the child’s regular physician and, when needed, other pediatric specialists at the American Family Children’s Hospital to plan further steps in diagnosis and treatment. Within several days of the consultation, the Diagnostic and Consultation Clinic will complete and send a full report to the referring physician.

Most patients will not require follow-up visits and will be encouraged to work closely with their primary care physician for ongoing care. Dr. Fliegel may also suggest referrals for additional services or specialty evaluations, if necessary.