< Back Measles Measles is a highly contagious disease caused by the measles virus. The infection can lead to serious and sometimes fatal complications. Fortunately, measles is a vaccine- preventable illness. 🦠 Measles: What Parents Need to Know Symptoms, Prevention & How to Protect Your Family At Jefferson Pediatrics and Family Medicine, your child’s health is our priority. Measles is a highly contagious virus that can cause serious complications—but the MMR vaccine makes it preventable. 🤒 What Is Measles? Measles spreads through coughs, sneezes, and airborne droplets that linger up to 2 hours. It's extremely contagious: 9 out of 10 unvaccinated people exposed will become ill. Contagious window: 4 days before and after the rash appears. 🔍 Symptoms (8–12 days after exposure) High fever -Cough, runny nose, red/watery eyes -Koplik spots (tiny white spots in the mouth) -Rash starting on the face and spreading -Possible diarrhea or ear infections -Serious risks: Pneumonia, brain swelling (encephalitis), hearing loss, or even death. 💡 Home Care There's no cure, but you can help your child recover: 🛌 Rest & fluids ❄️ Fever relief (acetaminophen/ibuprofen, as directed) 🏠 Stay home for at least 4 days after the rash begins 🌍 Planning to Travel? Measles remains common in many countries. Check CDC alerts before you go. Vaccination guidelines for travel: 👶 Under 6 months: Too young to vaccinate—avoid outbreak areas 👶 6–11 months: One early MMR dose (still needs 2 routine doses later) 👧 12+ months: Ensure both routine MMR doses are complete 🏫 If There's a School Outbreak Unvaccinated kids stay home MMR within 72 hrs of exposure? May return Vaccinated after 72 hrs? Stay home for 21 days Not exposed? Can return after getting the shot Medical exemptions? Ask us for guidance 🛡️ MMR Vaccine: Safe & Effective 1st dose: 12–15 months 2nd dose: 4–6 years Travel/outbreak doses may be needed earlier Protection stats: ✅ 1 dose = 95% effective ✅ 2 doses = 97–99% effective Vaccination protects your child—and helps shield those who can’t be vaccinated. 📞 Questions or Travel Plans? Call us to review your child’s vaccine status or if there’s a concern about exposure. We’re here to keep your family healthy and informed. Previous Next

Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM Privacy Policy PRIVACY STATEMENT We are committed to protecting your privacy and providing a safe online experience. This Privacy Statement applies to our Practice's website and governs our data collection and usage practices. By using this website, you consent to the data practices described in this Privacy Statement. Collection of your Personal Information This Practice collects personally identifiable information provided by you, such as your e-mail address, name, home or work address or telephone number. This Practice also collects anonymous demographic information, which is not unique to you, such as your ZIP code, age, gender, preferences, interests and favorites. There is also information about your computer hardware and software that is automatically collected by this website. This information can include: your IP address, browser type, domain names, access times and referring website addresses. This information is used for the operation of the service, to maintain quality of the service, and to provide general statistics regarding use of this website. Please keep in mind that if you directly disclose personally identifiable information or personally sensitive data through public message boards, this information may be collected and used by others. This Practice encourages you to review the privacy statements of websites you choose to link to from the website so that you can understand how those websites collect, use and share your information. This Practice is not responsible for the privacy statements or other content on any other websites. Use of your Personal Information This Practice collects and uses your personal information to operate the website and deliver the services you have requested. This Practice also uses your personally identifiable information to inform you of other products or services available from this Practice and its affiliates. This Practice may also contact you via surveys to conduct research about your opinion of current services or of potential new services that may be offered. This Practice does not sell, rent or lease its customer lists to third parties. This Practice may share data with trusted partners to help us perform statistical analysis, send you email or postal mail, provide customer support, or arrange for deliveries. All such third parties are prohibited from using your personal information except to provide these services and they are required to maintain the confidentiality of your information. This Practice does not use or disclose sensitive personal information, such as race, religion, or political affiliations, without your explicit consent. This Practice will disclose your personal information, without notice, only if required to do so by law. Use of Cookies The website uses "cookies" to help this Practice personalize your online experience. A cookie is a text file that is placed on your hard disk by a webpage server. Cookies cannot be used to run programs or deliver viruses to your computer. Cookies are uniquely assigned to you, and can only be read by a web server in the domain that issued the cookie to you. Security of your Personal Information This Practice secures your personal information from unauthorized access, use or disclosure. This Practice secures the personally identifiable information you provide on computer servers in a controlled, secure environment, protected from unauthorized access, use or disclosure. When personal information (such as a credit card number) is transmitted to other websites, it is protected through the use of encryption, such as the Secure Socket Layer (SSL) protocol. Changes to this Statement This Practice will occasionally update this Privacy Statement to reflect company and customer feedback. We encourage you to periodically review this Privacy Statement to be informed of how this Practice is protecting your information. Contact Information Please contact us by phone at 260-450-1313 or by mail at 3919 W Jefferson Blvd. , Ste. 200, Fort Wayne, IN 46804.

Cupcakes By The Dozen Cupcakes Our cupcakes are homemade with care. Please message us if you have an questions or have a specific allergy not listed. We can accommodate most allergy-friendly combinations. Default pick up is at the Jackson R. Lehman YMCA. Alternative pick up at Jefferson Pediatrics & Family Medicine can be arranged (please mention in the special request box) Delivery for custom orders is available depending on time and location of the event. Please message us for details or fill out the custom order form below. Please Note: We are ServSafe certified and have strict protocols for avoiding cross contamination, but we are not a certified gluten free space. Our gluten free products may not be safe for celiac disease. We take every precaution to provide allergen-free cupcakes, but due to the nature of our small home-based kitchen, cross contamination of dairy, gluten, eggs, soy, and nuts may occur. Reach out to us if you have any concerns or question. Chocolate Cupcakes 12 chocolate cupcakes. Choice of Frosting, toppings, and Major allergy-friendly options are listed below. All cupcakes and frostings are dairy free. Major allergy-friendly options are listed below. Message us for a custom quote if other allergy accommodations are needed. (Please note: gluten free products may not be suitable for celiac.) Traditional (contains: wheat, egg) $25 Gluten Free (Contains: egg) $30 Vegan $30 Vegan & Gluten Free $35 Vegetarian Vanilla Cupcakes 12 Vanilla Cupcakes Choice of Frosting, toppings, and Major allergy-friendly options are listed below. All cupcakes and frostings are dairy free. Message us for a custom quote if other allergy accommodations are needed! (Please note: gluten free products may not be suitable for celiac.) Traditional (contains: wheat, egg) $25 Gluten Free (Contains: egg) $30 Vegan $30 Vegan & Gluten Free $35 Vegetarian Confetti Cupcakes 12 Vanilla cupcakes with Dye-free sprinkles inside. Choice of Frosting, toppings, and Major allergy-friendly options are listed below. All cupcakes and frostings are dairy free. Message us for a custom quote if other allergy accommodations are needed! (Please note: gluten free products may not be suitable for celiac.) Traditional (contains: wheat, egg) $25 Vegan $30 Gluten Free (Contains: egg) $30 Vegan & Gluten Free $35 Vegetarian Lemon Cupcakes 12 Fresh Lemon cupcakes with a hint of almond. Choice of Frosting, toppings, and Major allergy-friendly options are listed below. All cupcakes and frostings are dairy free. Message us for a custom quote if other allergy accommodations are needed! (Please note: gluten free products may not be suitable for celiac.) Traditional (contains: wheat, egg) $25 Vegan $30 Gluten Free (Contains: egg) $30 Vegan & Gluten Free $35 Vegetarian Pumpkin Spice 12 Pumpkin Spice cupcakes. Choice of Frosting, toppings, and Major allergy-friendly options are listed below. All cupcakes and frostings are dairy free. Major allergy-friendly options are listed below. Message us for a custom quote if other allergy accommodations are needed! (Please note: gluten free products may not be suitable for celiac.) Vegan $30 Gluten Free (Contains: egg) $30 Vegan & Gluten Free $35 Traditional (contains: wheat, egg) $25 Vegetarian Cupcakes By The Doz... Event Rentals

Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM

Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM Actual photos of my son's results! Tonque-Tied A Patient's Experience Almost a year after my son's diagnosis and laser frenectomy with Dr. Veerula, I decided to explore my own tongue-tie situation. I inquired if he performed the procedure on adults. After a quick yet thorough assessment of both my physical and mental symptoms (including anxiety related to speech!), Dr. V scheduled me for the procedure. I was familiar with the physical aspects from my son's experience, but I was eager to understand how it felt personally. The laser procedure was completely painless. The aftercare was a bit uncomfortable, but Dr. V prepared us well and supported us throughout the process. As a parent, it was tough to hear my son cry during the procedure, but I was grateful that his tears weren't from pain. He was in excellent hands with Dr. V, and I wouldn't trust my children with anyone else. About a year later we took our youngest child to Dr. V for a frenectomy. Their speech exploded alongside their peers. We are very grateful for his expertise and being able to quickly diagnose our youngest! AFTERCARE: Choosing a doctor with a strong aftercare protocol was important to us. Dr. Veerula checked every box. Mouth wounds heal very quickly, and the aftercare procedures are designed to slow healing to prevent thick scar tissue that could cause reattachment. DO WHAT YOU CAN As a parent, I know it's challenging to follow protocols perfectly! Hearing our children in discomfort is heartbreaking. My son struggled with the stretches due to what we later learned was a sensory processing disorder, which made it difficult for us to adhere to the original recommendations. Dr. Veerula was quick to assist! He provided us with a new, personalized aftercare plan that was more manageable for my sensory-sensitive child and offered encouragement as both a parent and physician. Dr. Veerula genuinely cares about the well-being of you and your child, and he works diligently to ensure the best outcomes. I've never encountered a physician as dedicated and compassionate. Pain Management: Dr. Veerula's individualized pain management approach is incredibly effective! I experienced no pain when following his recommendations. He was very understanding of our sensory needs and our desire for more natural pain management. There were definitely tears from both of us along this journey, but the results were well worth it! The Results: My speech improved significantly! (I had a lisp and struggled with the letters "S" and "Z.") My social anxiety related to speech has nearly vanished (no more stuttering!) I sleep better! I've noticed a remarkable improvement in my sleep quality. I used to experience jaw pain while chewing, but now my jaw doesn't overcompensate. I also had difficulty swallowing thick foods and large pills, but that's no longer an issue. After my son's procedure, he was able to nurse painlessly! He gained weight and went from "failure to thrive" to thriving! Following his revision at 3 years old, we saw almost immediate improvements in his speech. We enrolled him in speech therapy to retrain his now fully released tongue and lip. His speech is now clear and on par with his peers. He is thriving socially and academically, all thanks to Dr. V and his laser. If you haven't considered a frenectomy for yourself or your child due to fear of the procedure or doubts about its effectiveness, I urge you to get an evaluation! This experience was life-changing for both me and my son! -A Patient and Mom of Two 9/15/2024

Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM Terms & Conditions JFPM (“we,” “us,” or “our”) provides this website (“Site”) subject to your acceptance of its terms and conditions. We reserve the right to modify these terms. Links to third-party sites are provided for convenience, and we are not responsible for their content. Users must not engage in unlawful activities or submit inappropriate content. We may review and remove non-compliant materials and can terminate access to communication services without notice. The site may contain inaccuracies, and we disclaim all warranties regarding the information and services offered. All content is copyrighted by Savi Design Co., and trademarks belong to their respective owners. 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Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM Osteopathic Manipulative Treatment OMT is a hands-on therapy that relieves pain, improves movement, and enhances overall body function. Gentle techniques are used to treat issues like back pain without relying only on medication. OMT integrates with other treatments for improved long-term outcomes, offering personalized pain relief and well-being. Types Cranial osteopathy: osteopathic therapy that involves gentle pressure on the head and spine. It is based on the idea that it can balance the nervous and immune systems. encourages healing, improves mobility, and stimulates the body's natural healing processes Suboccipital release: helps with headaches and migraines Lymphatic pumping technique (LPT): improves the immune defense against microbial infections High-velocity low-amplitude (HVLA) manual manipulation: A technique that treats pain or loss of motion in a joint Joint mobilization and muscle energy techniques: helps with muscle soreness and joint pain The cost of Osteopathic Manipulative Treatment (OMT) can vary depending on insurance coverage, but most sessions cost around $100. we offer discounts for booking multiple sessions at once. Out of pocket costs: Initial appointments cost $250–$300, follow-up appointments cost $185, and 30-minute sessions cost $100. Osteopathic Medicine Osteopathic medicine emphasizes a holistic approach to healthcare. It focuses on the relationship between the body's systems and the importance of the musculoskeletal system in overall health. Osteopathic physicians (DOs) are trained to consider the whole person, not just specific symptoms, and often use hands-on techniques to diagnose and treat various conditions. This approach aims to promote the body's natural ability to heal itself. Ask us about OMT or Laser Therapy for Chronic Pain! Our Services Well Child Examinations Prenatal Visits Circumcisions Lip & Tongue Tie Evaluation Laser Frenectomy Sick Child Visits Chronic Conditions Lactation New Born Care ADHD & Autism Support School & Sports Physicals Osteopathic Manipulatative Treatment (OMT) In-office Xrays Diet & Nutrition

Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM Frenectomy Information At JFPM, we use a diode laser for in-office treatment of lip & tongue ties, avoiding general anesthesia to reduce complications. Comfort is ensured with appropriate numbing methods. The diode laser aids healing and minimizes bleeding, with trained physicians providing local outpatient aftercare for better outcomes. What Is A Frenectomy: A frenectomy is a minor surgical procedure that removes or alters the tissue (frenulum) connecting the lips or tongue to the gums. While everyone has these connections, their tightness can vary, with labial (lip) and lingual (tongue) ties being the most common needing revision. At JPFM, we use a Diode Laser for frenectomies instead of scalpels or scissors. Common Types of Oral Ties: Labial (Lip) Tie : a too short or stiff maxillary labial frenulum can restrict the upper lip's movement. and cause a gap between the two front teeth in older patients. Lingual (Tongue) Tie: an unusually short or thick lingual frenulum, a membrane that connects the tongue to the floor of the mouth. Anterior tongue tie: Near the tip, easily diagnosed, with lower risk of reattachment and need for revision. Posterior tongue tie: Located in the middle or back, often hidden and harder to diagnose, may require multiple procedures. A laser frenectomy can reduce reattachment risk, but children may still need a second revision around ages 2 or 3 if speech issues arise. Benefits of Laser Frenectomies: A diode laser targets specific tissue, preserving healthy areas and minimizing complications. It causes minimal bleeding compared to scissors, enhancing visibility for a more complete frenectomy and reduces reattachment risk. The laser also cauterizes tissue to lower infection risk and can be adjusted quickly to suit the patient's anatomy. Symptoms (Infants): Oral ties in infants can cause nursing or bottle-feeding difficulties, often resulting in "failure to thrive." Lip ties often affect latching, while tongue ties complicate swallowing, leading to reflux and poor weight gain. A consultation is always advised if these symptoms arise: Painful latch Nipple or bottle refusal Clicking sound during feeding Clamping or biting Frequent or prolonged feeds leading to dissatisfaction Nipple pain or trauma (flattened, blistered, or cracked nipples) Poor weight gain Colic or reflux Inability to take a pacifier Leaking milk or dribbling during feeding Frequent plugged ducts Symptoms (Toddlers, Children, and Adults): Lip and Tongue ties can cause painful brushing and increase cavity risk and may lead to speech issues and decay. In older children and adults, lip ties can create gaps between teeth, needing correction before orthodontics, Tongue-tie can cause several issues, including: Speech problems (difficulty with sounds like "t," "d," "z," "s," "th," "n," and "l," speech delays, and lisping) Oral health issues (difficulty removing food, leading to tooth decay and bad breath) Challenges with oral activities (eating certain foods, playing instruments) Neck and shoulder tension Increased headaches or migraines Sleep problems (snoring, teeth grinding, sleep apnea) Swallowing difficulties (pills and food) Mouth breathing (poor sleep quality and dry mouth) Why choose us: At JFPM, we perform in-office procedures using a diode laser and numbing agents, avoiding general anesthesia to reduce complications. Numbing cream or an injection of anesthetic depending on the age of the patient is used to ensure comfort. The diode laser promotes efficient healing and minimizes bleeding. Local, outpatient treatment by trained physicians has been shown to improve patient outcomes. Dr. Giridhar Veerula has surgically treated tongue-ties since 1992 and specializes in laser treatment since 2016, while staying updated on research. His son, Dr. Vijay Veerula, has also been performing frenectomies since 2021, incorporating a holistic approach to treatment and follow-up care. Dr. Vijay Veerula recommends OMT and cranial sacral therapy as part of the frenectomy aftercare that helps alleviate any remaining oral tie symptoms. For moderate to severe oral ties, surgery is often necessary, but Osteopathic Manipulative Treatment (OMT) can alleviate mild symptoms like headaches and jaw tension if surgery is declined. It's advised to seek Osteopathic care before and after surgery for better recovery. Trained Osteopaths assess tongue function, release tight muscles, and help identify the need for surgery. Post-surgery, addressing underlying issues can effectively relieve symptoms and improve overall well-being. At JPFM, Dr. Giridhar Veerula and Dr. Vijay Veerula collaborate on oral tie cases, ensuring patients receive the most comprehensive and effective aftercare! What to Expect: Before the procedure, we will have a consultation to evaluate the severity of the oral ties, discuss options, and prepare you with a personalized aftercare plan. For newborns with feeding or nursing issues, our physicians recommend performing the procedure the same day as the consultation to benefit both the newborn and mother. Especially if the symptoms indicate the need for immediate action: nipple or bottle refusal, low weight gain, or painful latch. Delaying the procedure when symptoms indicate its necessity can only cause more stress and harm to newborns or the breastfeeding relationship. The procedure is quick, lasting under a minute , and is generally well-tolerated by infants and children. Numbing cream or anesthetics are used to minimize pain and stress, with oral anxiety medication available for older children and adults upon request. Parents and guardians must wait outside for safety during the procedure. Your child will be away for 5-10 minutes; safety protocols for laser use necessitate this. We understand this can be difficult for both you and your child and will do everything to ease the uncertainty and separation anxiety. Crying is very typical but usually due to separation anxiety or the unfamiliarity of the procedure not than pain. The procedure itself is painless and quick; less than a minute of laser use. Staff will bring you back immediately to offer comfort measures to your child . Nursing or bottle-feeding can be tried immediately. Some mothers find instant results! Others may need the support of a lactation consultant. At JPFM, we ask our patients to diligently follow their personalized aftercare procedures which includes stretching exercises, lactation consults, OMT , cranial sacral therapy, and speech therapy if applicable. This provides improved patient outcomes, less risk of reattachment, and a more thorough elimination of symptoms. If a patient is hesitant about a frenectomy, we can consider alternatives like OMT and cranial-sacral therapy sessions to alleviate some of the symptoms while you decide. However, it's important to note that severe oral ties may cause recurring symptoms if not fully addressed through surgery. Preparation for the Procedure: We recommend having the necessary medications ready for post-procedure care and to have your lactation consultant on-call the day of the procedure for troubleshooting and feeding issues. For Tylenol, administer every 6-8 hours post-procedure at 160mg/5mL concentration, using the following dosages: 6-11 pounds: 125mL 12-17 pounds: 2.5mL 18-23 pounds: 3.75mL 24-35 pounds: 5mL For children 6 months and older, ibuprofen can be used as directed. Homeopathic remedies or no medications are also options, and we can discuss your specific needs at your first appointment! Familiarize your child with aftercare stretches before their frenectomy appointment. Starting these tolerance exercises early helps them adapt to the sensation and supports recovery. To increase oral tolerance, we suggest: Gently Rubbing the lower and upper gumline side to side. Let your child suck your finger while playing tug-of-war. Apply gentle pressure to the palate while they suck your finger. Massage the cheeks to reduce tension. and incorporate playing together with a teething toy or baby safe teething brush into your daily routine. (using teething brush on your baby's gums daily is great practice for future toothbrushing tolerance) Performing these activities multiple times daily will enhance tolerance and make aftercare easier.. Post-Procedure: The anesthetic will wear off in 1-4 hours; monitor your child to prevent self-biting. Afterward, they may experience some soreness. It's common for children to be fussy post-procedure. For younger children, nursing or offering a bottle can be comforting, while cold teething toys may help. Older children should start with a cold, soft diet, gradually adding solids and avoiding spicy or acidic foods. Administer Tylenol and Motrin as prescribed and remind them to keep hands away from their mouth. Although the infection risk post-laser frenectomy is low, maintain clean hands during stretching exercises and contact us with any concerns. You can begin the prescribed stretches at home, ideally 4-5 times daily for 4-6 weeks to reduce reattachment risk. Parents are encouraged to reach out if their child struggles with the aftercare. OMT, Cranial-Sacral therapy and Consultations with a lactation consultant or speech therapist are strongly recommended. Follow-up appointments for a frenectomy (tongue tie) can be scheduled anytime; just inform the front desk to ensure proper booking with Dr. Veerula. We recognize that this procedure may appear daunting; however, we are committed to providing you with support every step of the way!

< Back Rubella Rubella is a contagious virus that causes a red rash, low-grade fever, and swollen glands. It spreads through respiratory droplets when an infected person coughs or sneezes. Thanks to the MMR (measles, mumps, rubella) vaccine, rubella is now rare—but outbreaks can still happen, especially among unvaccinated individuals. Symptoms to Watch For: A red or pink rash that starts on the face and spreads Low-grade fever Swollen lymph nodes (especially behind the ears or at the back of the neck) Headache Runny nose Mild conjunctivitis (red eyes) Aching joints (more common in teens and adults) If your child develops these symptoms, especially if they've been exposed to someone with rubella, give our office a call before coming in. 💡 Caring for Your Child at Home Rubella usually goes away on its own within a few days, but you can help your child stay comfortable with supportive care: 🛌 Rest Encourage rest to help the body recover naturally and reduce fatigue. 💧 Fluids Keep your child hydrated with water, juice, or broth—especially if they have a fever or decreased appetite. 🧊 Cool Compress If your child has a mild fever or joint pain, a cool compress can be soothing. 🍲 Light Meals Offer light, easy-to-digest meals and snacks—comfort foods like soup, crackers, and fruit are great options. 💊 Fever Relief Use acetaminophen or ibuprofen (as recommended by your child’s doctor) to ease fever and discomfort. 👨⚕️ When to Call Us Reach out to Jefferson Pediatrics and Family Medicine if: Your child has a fever over 102°F Symptoms last longer than a week You suspect rubella exposure during pregnancy Your child is unusually sleepy, irritable, or dehydrated 🛡️ Prevention is Key The MMR vaccine is the best protection against rubella. It's given in two doses—typically at 12-15 months and again at 4-6 years. This vaccine not only protects your child but also helps prevent the spread of rubella to others, including pregnant women, for whom the virus can be very serious. Not sure if your child is up to date? Contact us—we’ll be happy to check their vaccine records and get them on track. 📞 Questions? We’re Here to Help. Previous Next