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How We Work
Every family comes to us at a different point in their journey. Some are searching for answers and clarity; others already have a diagnosis but aren’t sure what the next steps should be. We begin by understanding your child, your story, and what you’ve been told so far. From there, Dr. Karaviti guides you through a clear, step-by-step process—reviewing past evaluations, filling in any missing pieces, and shaping an evidence-based plan tailored to your child’s needs.
Wherever you are, we meet you there, helping you move forward with expert guidance, compassionate support, and a plan you can trust.
When you are looking for answers...
For your new concerns, unexpected findings, or confusing symptoms.
This is an option if you don’t yet have a diagnosis but know something isn’t right. Whether in person or in the comfort of your home, Dr. Karaviti will listen carefully, will review what’s been done so far, and craft a plan that will help you understand what needs to happen next—whether that’s targeted testing, a clearer explanation, or simply someone to guide you.
"We have a diagnosis, Now what?”
For families with an endocrine diagnosis who need expert guidance and a clear plan forward
A diagnosis can bring relief, but it can also leave you with new questions and uncertainty. You may be trying to understand lab results, make sense of mixed recommendations, or figure out what your child truly needs next.
Dr. Karaviti helps you slow down, breathe, and see the full picture. She reviews past evaluations, explains the diagnosis in clear, compassionate language, and helps you understand what matters most right now.
Whether you’re seeking reassurance, a second opinion, or guidance for growth, puberty, fertility, or long-term care, you’ll have steady support and a plan that finally feels clear.
"We Don't Have Answers Yet"
Getting from Questions to Clarity
When something seems different about your child’s health or development, the uncertainty can feel overwhelming. You may notice changes in growth, signs of early or delayed puberty, unusual lab results, or hormone-related symptoms your pediatrician can’t fully explain. Dr. Karaviti’s process is designed to take you from worry and confusion to answers and a clear plan.
01
Share Your Concerns
- Complete our secure intake form to describe what you’ve noticed and what’s prompting your concerns.
- Upload any past records, labs, or imaging for review.
- This helps Dr. Karaviti prepare before your first appointment.
02
Initial Virtual Evaluation
- Thorough review of your child’s history and any available records.
- Detailed conversation about your observations and questions.
- Visual assessment via secure video when appropriate.
- Clear explanation of possible causes and next steps.
- Recommendations for any additional testing that may be needed.
03
Coordinated Testing
- Lab orders arranged through Quest Diagnostics (available nationwide).
- Genetic or hormone-specific testing coordinated with trusted labs when indicated.
- Imaging set up locally if necessary.
- All results delivered directly to Dr. Karaviti for expert interpretation.
04
Results Review & Care Planning
- Results explained in clear, easy-to-understand language.
- Discussion of diagnosis (if one is made) and what it means for your child.
- Development of a personalized care plan with specific next steps.
- Referrals to local or national subspecialists when helpful.
- Dedicated time to answer your questions and provide reassurance.
05
Ongoing Support
- A detailed written summary shared with you and your child’s pediatrician.
- Secure messaging access for follow-up questions.
- Coordination with any specialists involved in your child’s care.
- Follow-up appointments scheduled to monitor progress and adjust plans as needed.
“We Have a Diagnosis, Now What?”
From Diagnosis to Confident Care Planning
An endocrine diagnosis can feel like both an answer and the beginning of many new questions. You may feel overwhelmed by medical terminology, unsure about treatment options, or confused by conflicting advice from different doctors. Dr. Karaviti helps you cut through the noise and build a clear, actionable plan.
01
Medical Record Review (Before Your Appointment)
- Upload all available medical records, lab results, genetic reports, and imaging studies.
- Dr. Karaviti personally reviews everything in advance, so your consultation begins with your child’s situation already understood.
02
Comprehensive Care Planning Session
- Clear explanation of your child’s specific diagnosis in plain language.
- Review of all results with straightforward interpretations.
- Discussion of treatment options with their pros and cons.
- Timeline for what decisions are urgent versus what can wait.
- Guidance on how to talk with your child about their condition in an age-appropriate way.
- Strategy for coordinating care with your existing medical team.
03
Local Care Coordination
Dr. Karaviti helps connect you with:
- Pediatric endocrinologists and subspecialists she trusts in your area.
- Other specialists (such as urologists, gynecologists, or geneticists) when needed.
- Mental health professionals who understand the challenges families face.
- Support groups and community resources tailored to your child’s condition.
04
Long-Term Partnership
- Regular follow-ups timed to your child’s growth and developmental milestones.
- Preparation for transitions such as puberty, fertility planning, or adult care.
- Updates on new research and emerging treatments.
- Continued access to Dr. Karaviti for pressing questions or concerns.
05
Family Empowerment
- A written care plan to share with your primary care pediatrician and other providers.
- Educational resources specific to your child’s condition.
- Tools to advocate for your child in schools and other settings.
- Connection to networks of families with similar experiences.
What Makes Our Virtual Care Different
More Thorough Than In-Person Visits
At Blue Sky Virtual consultations typically last 90-120 minutes, much longer than most in-person specialist appointments. This allows time for detailed discussions, thorough education, and comprehensive planning that rushed office visits can’t provide.
Comprehensive Record Review
Dr. Karaviti personally reviews all your child’s records before your appointment, a rare occurrence in traditional office visits. This means your consultation time focuses on explanation, planning, and your questions rather than information gathering.
Family-Friendly Environment
Children are often more comfortable and less anxious during video appointments from home. There are no clinical exam rooms, medical equipment, or unfamiliar environments to navigate. This is especially valuable for children who may feel sensitive about medical discussions.
Ongoing Accessibility
Unlike traditional specialist relationships that might involve 6-month waits between appointments, we believe that a virtual care visit can help reduce the anxiety associated with a new diagnosis and give you answers fast and allow for responsive follow-up when questions arise or situations change.
Some Things To Remember
Before Your Appointment:
Complete intake forms (takes about 15 minutes)
Gather any medical records, test results, or photos.
Prepare your questions and concerns
Ensure privacy for sensitive discussions.
During Your Appointment:
Both parents/caregivers are encouraged to participate.
Teens may join part or all of the conversation (your choice)
Take notes or ask for key points to be repeated.
Ask for clarification on anything unclear.
Frequently Asked Questions About Virtual Care
IS VIRTUAL CARE AS GOOD AS SEEING SOMEONE IN PERSON?
Telehealth appointments are often better than traditional office visits. From the comfort and familiarity of your own home, you and your child can take the time you need—appointments are never rushed, and your time is fully reserved. Virtual care often allows for a more thorough evaluation, since Dr. Karaviti can focus on detailed history-taking, record review, and visual assessment via secure video without the distractions of a busy clinic. And when a hands-on exam is necessary, you can come into Dr. Karaviti’s Denver office at Rocky Mountain Children’s Hospital or she will, if you are far away, coordinate seamlessly with trusted local providers to make sure every aspect of your child’s care is covered.
What if my child needs a physical exam?
Dr. Karaviti will determine if physical examination is necessary and can coordinate with a local specialist she trusts. Many DSD evaluations can be completed through medical history, lab results, imaging, and visual assessment via secure video.
How do you handle medical records and privacy?
All consultations use HIPAA-compliant video platforms and secure document sharing. Your family’s privacy and medical information are protected with the same standards as any medical office.
Can you prescribe medications or order tests?
Yes, Dr. Karaviti is licensed to practice telemedicine and can order appropriate testing through national laboratories like Quest Diagnostics. She coordinates with your local providers for any prescriptions or treatments.
What if we need urgent follow-up?
For urgent medical concerns, Dr. Karaviti provides clear instructions for local emergency care when appropriate.
Still Have Questions?
Virtual DSD care is new for many families, and it’s normal to have questions about how it works. We’re here to help you feel completely comfortable before scheduling your first appointment.
