Bright Horizons Pediatrics

Patient Portal

LC

Lily Chen-Garcia

DOB: March 15, 2012 · Female · MRN: 0050-0088

Active Diagnoses

CodeDiagnosisDateProvider
J45.30Moderate Persistent AsthmaSep 2020Dr. Kevin Liu
J30.1Allergic Rhinitis (perennial + seasonal)Apr 2019Dr. Kevin Liu
F90.0ADHD, Predominantly Inattentive TypeOct 2022Dr. Amy Nakamura
M41.114Adolescent Idiopathic Scoliosis, Thoracic (mild)Nov 2025Dr. Amy Nakamura
L70.0Acne Vulgaris, Mild-ModerateJan 2026Dr. Amy Nakamura
H66.91Recurrent Otitis Media (resolved, tubes placed 2015)Mar 2015Dr. Amy Nakamura
J21.0RSV Bronchiolitis (resolved)Dec 2012Dr. Amy Nakamura
S52.501ALeft Distal Radius Buckle Fracture (resolved)Jul 2021Dr. Kevin Liu
B07.9Common Warts, Bilateral Hands (resolved, treated)May 2023Dr. Amy Nakamura
K21.0Infant GERD (resolved by 12 months)Jun 2012Dr. Amy Nakamura

Current Medications

MedicationDirectionsPrescriberRefills
Fluticasone/Salmeterol 100/50 DiskusOne inhalation twice dailyDr. Liu5
Albuterol HFA 90mcg Inhaler2 puffs every 4-6 hours as needed for wheezing or before exerciseDr. Liu3
Montelukast 10mgOne tablet at bedtimeDr. Liu5
Methylphenidate ER 27mg (Concerta)One tablet every morning before schoolDr. Nakamura0
Cetirizine 10mgOne tablet dailyDr. Liu5
Adapalene 0.1% Gel (Differin)Apply thin layer to face at bedtimeDr. Nakamura2
Benzoyl Peroxide 5% WashUse on face once daily in the morningDr. Nakamura0

Care Plan

StatusGoalTargetCurrentNext Step
ActiveAsthma ControlWell-controlled (ACT ≥ 20), rescue use ≤ 2x/weekACT 18 — exercise-triggered symptoms increasingAsthma visit + spirometry · Apr 8
ActiveADHD ManagementVanderbilt scores in normal range, grades stableDoing well on Concerta 27mg, teacher reports improved focusMed check + Vanderbilt forms · May 20
ActiveScoliosis MonitoringCobb angle stable < 25°Cobb angle 18° — observe onlyRepeat X-ray in 6 months · May 2026
ActiveAcne TreatmentClear skin, minimal lesionsImproving on adapalene + benzoyl peroxide, some closed comedonesReassess at annual physical · Sep 2026
ActiveAdolescent WellnessAge-appropriate development, PHQ-A screeningPHQ-A score 3 (minimal), menarche age 12Annual physical + HPV dose 2 · Sep 2026
ActiveImmunization ScheduleUp to date per CDC adolescent scheduleTdap, MenACWY, HPV dose 1 complete — HPV dose 2 dueHPV dose 2 at next visit
ResolvedWrist Fracture RecoveryFull ROM, pain-freeHealed, cleared for sports Aug 2021No follow-up needed

Upcoming Appointments

DateVisitProvider
Apr 8, 3:30 PMAsthma Management + SpirometryDr. Kevin Liu
May 20, 4:00 PMADHD Medication CheckDr. Amy Nakamura
Sep 15, 10:00 AM14-Year Annual PhysicalDr. Amy Nakamura

Recent Lab Results Feb 10, 2026

TestResultStatus
Spirometry FEV182% predictedLow
Spirometry FEV1/FVC0.79Low
Spirometry FEV1 Post-Bronchodilator94% predicted (15% improvement)Normal
Peak Flow (personal best)340 L/minNormal
ACT Score18High
FeNO (exhaled nitric oxide)38 ppbHigh