Like the pediatric rheumatology consult, an individualized plan of care is crafted after a discussion of treatment goals between Dr. Singla and patient/parent. Management of diseases outside of rheumatology will be directed by the child's primary care doctor and/or subspecialist. Discussion of integrative care with Dr. Singla will focus on complementary approaches to address the primary complaint such as diet modification, supplements if needed, sleep habits, mind-body strategies, and exercise/therapy suggestions. Trying to address each one of these approaches can be overwhelming, so we will focus on one or two goals after the initial consult. The plan of care will be re-evaluated during follow-up visits where goals can be readdressed or changed.