 I'm Dr. Tamara Hill, I'm an acute care pediatric nurse practitioner at the University of Maryland and I specialize in children with kidney problems. I'm originally from Birmingham, Alabama and we didn't have a medical doctor, we had a nurse practitioner and I really like the focus of her being holistic and just like not looking at a medical diagnosis or a clinical textbook picture of me as a patient, but also understanding where I was at my point in my life and how she can help me meet that goes and so that's kind of what led me on this journey. I see patients at three locations. I see patients at our Midtown campus, upper Chesapeake and Hanover location. I see kids that have protein in their urine. I see kids with hypertension. I see kids that have blood in their urine. I see kids in transplant and dialysis. Very fond of patients that have pediatric hypertension especially with obesity as a secondary diagnosis. When those kids see us in clinic, we start by talking about their diet, about what their access is to nutritious foods in the community and access to exercise and we work with them daily, monthly. Our nurses are good with reaching out to find out what activity levels they have and how we can meet their needs and accommodate them where they are. We also do a blood urinalysis work up for them. We also will explore any type of image needed to identify if their hypertension is related to a kidney problem or if it's a cardiovascular problem. There is an extreme serious update into kids with hypertension. Since COVID, kids have been home. There's increased anxiety. There's increased weight gain that's causing hypertension. The majority of the hypertensives that we see now are related to obesity and we can track that back with studies back from when COVID happened when they're just at home being isolated. The best part about what I do is the reward, the patient smiles on their face, knowing that I'm helping a child who may not have been able to get a service that could have provided them in their area or meeting them if they didn't have special insurance needs and just being able to look at them holistically, looking at their background and taking into account where they come from to meet them where they are to take care of them.