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    <lastmod>2021-05-09</lastmod>
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    <lastmod>2021-05-09</lastmod>
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    <lastmod>2021-05-09</lastmod>
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    <lastmod>2021-05-09</lastmod>
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    <loc>https://bloomdpc.com/new-blog/2021/2/27/51iuulojman3uyw0mc5y7u2ldczq2g</loc>
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    <lastmod>2021-05-09</lastmod>
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  <url>
    <loc>https://bloomdpc.com/bloom-at-clinic-old</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-11-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1620591367445-78WCJKZ906R0E1I2YOA9/House+call+image.png</image:loc>
      <image:title>Membership - House Calls</image:title>
      <image:caption>Our physicians understand what it’s like to be a new parent. Don’t stress about packing up to go to the pediatrician, let us come to you. We provide house calls for all families for the first two checkups for no additional fee. • Enjoy an unhurried appointment to answer all new parent questions • Lactation support is included Once your child turns 1 month old, house calls are available for Bloom at Clinic members for an additional fee. All visits occur in your home with the Bloom at Home membership.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1620592576702-NPETDR40DNTDIAWJB6P9/House+call+image+%281%29.png</image:loc>
      <image:title>Membership - Same or Next Day Sick Visits</image:title>
      <image:caption>We know that kids always seem to get sick when traditional doctor’s offices aren’t open. We will always accommodate families who need to be seen quickly. Your membership includes: •Stitches •Staples •Strep tests •Flu tests •COVID tests •RSV tests •Everything else we do in office. Anything that is sent out (labs or imaging), we discuss the cash price, such as $13 for a lead test or $30 for a chest xray, before ordering or it can be billed through your insurance! Don’t stress about your child getting sick again. Our physicians will ensure they’re well taken care of.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1620593413545-LHDU34LD4H9GDKG2439H/House+call+image+%283%29.png</image:loc>
      <image:title>Membership - Wellness Checks</image:title>
      <image:caption>Because there will be no other patients scheduled with your physician during your visit, you can trust that our office will be a calm and safe place for your child, no matter their temperament or diagnosis. At each checkup, our physicians will explore your concerns (including sleep issues, parenting strategies, behavior concerns, and potty training - just to name a few!), and discuss the most effective ways to prevent and minimize disease. During and between wellness checks, we will manage long term conditions like diabetes and ADHD. Wellness checks include: •A thorough history and physical while going over all health issues in detail •Developmental screenings at specific ages according to the AAP •Routine or customized immunizations* though we always recommend the CDC schedule We will see all patients according to the AAP schedule until they reach the age of 22 years and then assist them in transitioning to the adult healthcare world. *Vaccines will be billed to your insurance through VaxCare if they are in network. If they are not in network, we will work together for the most cost effective solution. We are also members of the VFC Program for children who are uninsured, on health sharing plans, or on Medicaid.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1620593860086-OVHUTV9BUEPYIIF90HQQ/House+call+image+%284%29.png</image:loc>
      <image:title>Membership - Lactation Support</image:title>
      <image:caption>As both an MD and IBCLC, Dr. Hughes can provide unparalleled lactation support. She can not only manage most breastfeeding issues, but diagnose and treat complex issues as well. Some common conditions she sees and treats are: •Mastitis •Low milk supply •Vasospasm •Tongue tie In addition, she can revise a tongue tie if needed.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1620595733995-NM3R9CW3NP166CH2R7TU/House+call+image+%286%29.png</image:loc>
      <image:title>Membership - Pricing for our practice</image:title>
      <image:caption>Bloom At Clinic Birth to 2 years: $150 a month *all visits until 1 month wellness check are in your home for no additional cost 2 to 5 years: $110 a month 5 and older: $75 a month Max family price: $450 a month Bloom At Home Birth to 2 years: $300 a month 2 to 5 years: $200 a month 5 and older: $150 a month Max family price: $900 a month There is a 20% discount on the total fee for a family of 3 or more Additionally, there is a one time non-refundable enrollment fee of $100 for a single child or $150 total for a family (2 or more children)</image:caption>
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      <image:title>Membership - Ready to join?</image:title>
    </image:image>
  </url>
  <url>
    <loc>https://bloomdpc.com/lactation-visit</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-08-03</lastmod>
  </url>
  <url>
    <loc>https://bloomdpc.com/frenotomy-information</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-08-03</lastmod>
  </url>
  <url>
    <loc>https://bloomdpc.com/404-error</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-04-15</lastmod>
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      <image:title>404 error - OOPS! This link is broken!</image:title>
      <image:caption>We’ll put a bandaid on it and get it fixed right up!</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1558554595566-H4L5NEBHE6HBPVNKMDOV/band-24298.png</image:loc>
      <image:title>404 error - OOPS! This link is broken!</image:title>
      <image:caption>We’ll put a bandaid on it and get it fixed right up!</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://bloomdpc.com/circumcisions</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-11-07</lastmod>
  </url>
  <url>
    <loc>https://bloomdpc.com/vis</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-03-12</lastmod>
  </url>
  <url>
    <loc>https://bloomdpc.com/contact</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-11-10</lastmod>
  </url>
  <url>
    <loc>https://bloomdpc.com/ear-piercing-bloom</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-08-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1621557380892-KWRC4K1ZX2LNKDKJC735/IMG_4999.jpg</image:loc>
      <image:title>Ear Piercing - Medical Grade Ear Piercing</image:title>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1621557473830-5SNNIHXGZHF93ESAT8R6/IMG_4991.jpg</image:loc>
      <image:title>Ear Piercing - Ear Piercing</image:title>
      <image:caption>Ear piercing is available to anyone 2 months or older who have had at least their first set of immunizations! •The Blomdahl Medical Ear Piercing System is available only to physicians •Only medical grade plastic or medical grade titanium piercing studs are used. No risk of nickel allergy •Two piercings can be done simultaneously Please note that after 10 months children are more prone to picking at earrings which make them more susceptible to infection. •Our doctors will only pierce earlobes in infants and young children. We will pierce cartilage for individuals age 15 years and over. We cannot pierce two piercings right next to each other at the same visit in order to accurately place each piercing and allow for proper healing. •The cost is $100 for a pair and $50 for each additional piercing. This includes the piercing and studs. •Numbing cream is available for an additional $10. •Piercing can be done in your home for an additional $100 Extra earrings available for purchase Payment is due in full prior to the procedure. We accept Venmo, cards, or cash. Consent form for minors (17 years and under) Consent form for adults (18 years and older)</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1621557538181-EY63ZZWJR8TOOUPU1W93/IMG_4989.jpg</image:loc>
      <image:title>Ear Piercing - Risks</image:title>
      <image:caption>•Infection--There is a risk of infection anytime the skin is broken. We reduce this risk significantly by using sterile technique. The Blomdahl Medical Ear Piercing System utilizes sterile, single-use piercing cassettes. This also eliminates any cross-contamination because only the sterile, single-use part of the equipment ever comes in contact with the skin at the piercing site. We also provide specific After-Care Instructions to keep the piercing clean and healthy during the healing process. •Pain--Even without numbing cream the pain is brief and similar to a vaccine injection using the Blomdahl system. Some patients may complain of a warm, flushed feeling on their earlobes after the procedure. Numbing cream is available to further reduce the pain if so desired for an additional $10. •Bleeding--There is a risk of bleeding anytime the skin is broken. However, the earlobes do not contain significant blood vessels so that this risk is minimal. •Nickel Allergy--Allergic Contact Dermatitis is an itchy rash that occurs when your skin comes in contact with a typically harmless substance. Nickel is one of the most common causes, and once you develop a nickel allergy, you will always be sensitive to it. Nickel is commonly used as a metal hardener and most metals used for ear piercing contain or "leak" enough nickel to trigger a potential allergic reaction. Fresh piercings allow direct and constant contact between a minor open wound and the metal which contains the nickel. However, the Blomdahl Ear Piercing studs utilize only medical grade plastic or medical grade titanium, the most superior non-allergenic metal, thereby eliminating this risk. •Keloids--Keloids are shiny, smooth and rounded skin elevations, which are a type of scar tissue, which can form at the piercing site in some patients after the earlobe piercing because of altered wound healing. Keloids tend to run in some families, are more likely to occur in patients with darker skin pigmentation, and generally occur in people 10 to 30 years of age. Please inform us if your child has any health conditions that could cause excessive bleeding, difficulty fighting infections or keloid scar formation. •It is recommended to keep the piercing studs in earlobes for 2 months before changing and 3 months in cartilage. The ear piercings studs we use are thicker (1.3 mm) than the standard earring post (1.0 mm). The larger piercing hole makes it easier to switch to normal earrings after the healing period and reduces the risk of repeatedly re-injuring the ear-piercing site when replacing earrings, which should therefore reduce the risk of piercing site infection. •We recommend avoidance of swimming for at least 72 hours, but preferably 2-3 weeks as this can delay healing and increase risk for infection.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1621557380892-KWRC4K1ZX2LNKDKJC735/IMG_4999.jpg</image:loc>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1621557473830-5SNNIHXGZHF93ESAT8R6/IMG_4991.jpg</image:loc>
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    </image:image>
  </url>
  <url>
    <loc>https://bloomdpc.com/prenatalvisit</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-05-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1620615400145-MCQ0DNWZOGJWFJPO1LWQ/prenatal.png</image:loc>
      <image:title>Prenatal Lactation Consultation</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1620615600567-L2EXMPETNR1T6HGWEUH7/preg.png</image:loc>
      <image:title>Prenatal Lactation Consultation - What’s included</image:title>
      <image:caption>Dr. Hughes recommends completing this visit around 36 weeks of pregnancy. •A 1 hour virtual or in person visit •A thorough maternal health history •Overall benefit of breastfeeding •How to prepare for breastfeeding during pregnancy, whether with one baby or multiples! •How delivery can affect breastfeeding •What to expect in the first few days after delivery from birth the parent and pediatric/medical perspective •How to best latch a newborn •What position to latch a newborn depending on mode of delivery •Red flags to watch out for •Any additional questions! Cost is $50 per 15 minutes rounding to the nearest quarter hour</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1620615400145-MCQ0DNWZOGJWFJPO1LWQ/prenatal.png</image:loc>
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    </image:image>
  </url>
  <url>
    <loc>https://bloomdpc.com/community-milk-sharing</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-04-15</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/6392e2e2-30b3-4a61-a294-b2a54c1110aa/Copy+of+prenatal.png</image:loc>
      <image:title>Community Milk Sharing</image:title>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/8480c6c1-92f5-4ff0-8b1a-d02bdd535d05/Calvin%2C+Nolan%2C+and+Sloane.png</image:loc>
      <image:title>Community Milk Sharing - What is community milk sharing?</image:title>
      <image:caption>•Bloom Community Milk Sharing is an informed choice model of human milk sharing that facilitates donor lab testing, safety education and health screening, and accessibility to local infants, with priority given to those under 3 months of age. •Donors are screened with bloodwork to evaluate for illnesses that could pass through human milk. If donor’s have had pregnancy labs drawn (which does not include HTLV I/II) within a year of pumped milk, those will also be accepted •Medications are disclosed and evaluated for safety in human milk utilizing The Infant Risk Center database •This is a place to donate your milk that you know will be used by infants who need it •This is a place for parents to get breastmilk for their child in a much safer way •The breastmilk is age matched as much as possible to provide appropriate nutrients for your child •See what milk is available here</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/fe34e052-eef3-462e-8d41-eb5b9ef46b51/Calvin%2C+Nolan%2C+and+Sloane+%281%29.png</image:loc>
      <image:title>Community Milk Sharing - How does it work?</image:title>
      <image:caption>•It starts with filling out the form below. You may have an over-full freezer, over-supply, under-supply, personal illness or be experiencing tragic loss. Maybe you're waiting for your milk to come in and your baby needs supplementation. •Dr. Hughes will contact you about your request. Read through all documents that apply to you and sign all consents and waivers. •If you are a donor, Dr. Hughes will provide you with an order for the lab testing and the donor health screening form. Labs are performed at Labcorp or Quest and are processed through insurance. If you are uninsured but would still like to donate, please choose “uninsured” below. We cover lab costs for all donors. •If you are a recipient, milk is available on a first-come, first-served basis and infants under 3 months are prioritized. Dr. Hughes does try to age match donor milk to the age of the recipient infant. Supply always depends upon availability - please help by spreading the word! •In order to cover the costs of labs, time, and materials of maintaining the community milk sharing, there is a charge of $0.75 per ounce to be paid by recipients prior to or at the time of pickup. •Community milk is NOT pasteurized. You can pasteurize donor milk on your stove-top by following these easy flash-heat pasteurization instructions.</image:caption>
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    </image:image>
  </url>
  <url>
    <loc>https://bloomdpc.com/top-5-tips</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-12-12</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1539612f-0712-480f-af49-1e7bc99f34b4/Dr.+Hughes%E2%80%99s+top+five+tips+for+getting+a+great+latch.jpg</image:loc>
      <image:title>Top 5 tips for latching a newborn - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/1539612f-0712-480f-af49-1e7bc99f34b4/Dr.+Hughes%E2%80%99s+top+five+tips+for+getting+a+great+latch.jpg</image:loc>
      <image:title>Top 5 tips for latching a newborn - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://bloomdpc.com/newborn-tracker</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-04-15</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/73d4ed43-c5ae-4f1f-b40f-8cc731b8b9a1/Checklist+photo+stack+%283%29.png</image:loc>
      <image:title>Newborn tracker - Make it stand out</image:title>
      <image:caption>Checklist is best used with Google Drive app but you do not need a google account to access it</image:caption>
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  </url>
  <url>
    <loc>https://bloomdpc.com/single-visit</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-04-15</lastmod>
  </url>
  <url>
    <loc>https://bloomdpc.com/adults</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2024-04-15</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5b7315037c9327d5a3ef8589/54721d7c-0942-47a7-bf53-014bef084482/Screenshot+2024-04-07+at+5.29.19+PM.png</image:loc>
      <image:title>Adult Care - Meet Dr. Porter</image:title>
      <image:caption>Meet Dr. Porter, a third generation family medicine physician. He's originally from a small town in southeast Kansas and is the oldest brother of Dr. Hughes! Dr. Porter spent over two years in Uganda with the Peace Corps, where he got a fresh perspective on what medicine looks like around the globe and met his wife, Olivia. After getting his undergraduate degree at the University of Kansas, he graduated from Tulane University School of Medicine in New Orleans, a place known for diving deep into community health. At his home in North Carolina, Dr. Porter is all about the outdoors. He and his wife, along with their two daughters, are often found getting their hands dirty in the garden, chasing around their giant dog, wrangling their chickens, or just enjoying the fresh air. It's this love for nature that ties into Dr. Porter's approach to medicine. He's big on integrative medicine, which means he's always looking to mix the best of Western medicine with herbal remedies and other alternative treatments. For him, it's all about getting to the bottom of things, finding out the why behind the what, and not just slapping a band-aid on health issues. Plus, he can help manage your tomato plants along with your blood pressure.</image:caption>
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  </url>
  <url>
    <loc>https://bloomdpc.com/home-old</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-11-10</lastmod>
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