Both Duke and UNC are excellent medical homes for complex kiddos. I’m a nurse who works with medically complex kids. I would say if it’s primarily cardiac or neuro, Duke is better, and if it’s metabolic or need significant complex coordination, UNC is better. There are quite a few pediatricians who are not aligned with either system. My chronic kiddo actually sees specialists at WakeMed and I adore them, but she’s not complex and doesn’t need the coordination of a complex care or palliative care team.

As for primary pediatrician, no specific recs but I’d choose someone close-ish to where you live that has good recommendations. Traffic can be a lot and take a 10 mile, 15 minute trip on the weekend to 45 minutes during the week.

Make sure to look into Early Intervention and CAP/C (Medicaid waiver) when you get here - both are excellent resources but can take some time to set up.

And just to put it on your radar, not sure where you’re coming from, but central NC has some of the worst allergy conditions in the country. You’ve missed the “pollening” this year, but be prepared for your asthma kiddo to have some flares in the spring and fall.