Primary care the way it was meant to work

Most people don't have a doctor anymore. They have a system: a rotating cast of providers, seven-minute appointments booked weeks out, and a portal that answers when it answers. My practice is the opposite of that. It is personalized, membership-based primary care: one physician, a deliberately small panel, and the time to practice real medicine.

Primary care with time to think

Prevention is the actual agenda here: risk assessment, screening done on schedule, blood pressure, cholesterol, glucose, sleep, and the habits that quietly decide the next thirty years. And the judgment behind it is hospital-grade. I practice as an internal medicine attending at Yale New Haven Hospital, caring for medically complex patients, and that clinical depth comes with me into every office visit. What membership itself includes is laid out on the membership page.

The cherry on top: obesity medicine, built in

Here is what makes this practice genuinely different. I am double board-certified, in internal medicine and in obesity medicine, which means metabolic health and weight are not a referral to a stranger or a program down the street. They are part of your primary care, handled by the physician who already knows your whole story.

If weight is something you want to work on, we treat it the way medicine should: as a chronic disease with real biology, never as a willpower failure. That starts with a comprehensive metabolic evaluation (a careful history, a review of medications that promote weight gain, screening for diabetes, sleep apnea, fatty liver, and thyroid disease, and the right labs), and continues with every evidence-based tool, discussed honestly:

• Nutrition. Not a printed diet sheet, but a strategy that fits your biology, preferences, culture, and schedule, refined over time.
• Behavioral support. Sleep, stress, movement, and the patterns around eating, addressed as medicine rather than as lectures.
• Modern pharmacotherapy. Today's anti-obesity medications, including the newer incretin-based therapies, are the most effective medical treatments we've ever had. I discuss them in plain terms: who benefits, what the evidence shows, what side effects and costs look like, and what happens long-term. No hype, no pressure in either direction.
• Referral when appropriate. That includes honest conversation about bariatric surgery for patients who may benefit from it.

And if weight is not on your agenda at all, that is completely fine. It simply means your primary care physician happens to carry an extra board certification you may never need.

What you will never find here

No rotating providers. No seven-minute medicine. No before-and-after photos, no promised numbers, and no judgment about how you got here. If a practice sells certainty, it isn't practicing medicine.

The practice is currently being established, and membership will be limited by design. If this approach sounds like the doctor you've been looking for,get in touch. I'd be glad to let you know when doors open.