Comprehensive health assessment and follow up for on-going medical issues:
Dr Kefalos can act as a consultant while you stay with your current PCP (primary care physician) or Dr Kefalos can be your PCP.
Your first visit: You will be asked to complete an extensive questionnaire prior to your first visit.
The initial visit with Dr. Kefalos is about 1.5 hours long.This allows a chance for you to fully explain your concerns and for Dr K to ask relevant questions. A comprehensive physical examination follows.
Laboratories might be ordered. These you will have drawn at an outside lab of your choice. Dr K might suggest additional testing at specialty labs, such as saliva or urine tests (for adrenal fatigue, etc) and other hormone levels (for thyroid or male and female menopausal) or stool tests for parasites, labs for gluten and other food sensitivities.
A referral to a specialist or for radiology studies is made when needed for further evaluation. If you are working with other practitioners (medical specialist, acupuncture, chiropractic, naturopathic, physical therapy etc.) Dr K is happy to collaborate with them as well.
After your first visit: If your lab results are all normal and there are no other issues, you will be promptly informed by Dr K or staff by phone or e-mail. If labs are abnormal, you will be asked to return to discuss them. As questions invariably arise, Dr K likes to have the face-to-face chance to discuss and educate.
Also, please see below regarding patient education sessions.
Follow up: Follow up visits are typically 20-30 minutes long.
Our focus is on prevention of illness through health maintenance. 
Although Dr K does use prescription medications when required, she is experienced at aiding people in tapering their dose of and safely stopping prescription medications if they so desire. Not everyone will be able to stop taking prescription medication. If you already feel great and want to maintain your health, Dr K will work with you on preventative issues and facilitate you toward your healthiest future!
If you are experiencing symptoms, we will work together to help re-establish balance in your body and your life. As an Internist, Dr K will be able to assist you with a wide variety of medical concerns. She is very familiar with holistic approaches to: acne, allergies (pollen, foods, environmental), asthma, bowel issues (constipation / diarrhea / bloating/ gas / poor digestion / heartburn / IBS, SIBO), blood pressure (high or low), cardiac, chemical sensitivity, detox issues, fatigue (chronic fatigue, adrenal fatigue), fibromyalgia, headaches, hormonal imbalances (PMS, irregular menstrual cycles, peri-menopause and menopause; male and female; hormone levels are tested, nutritional supplements, herbal remedies are offered and/ or bio-identical hormones can be prescribed), obesity, stress, thyroid (under-active or overactive), recurrent infections (colds/flu/bronchitis), compromised immunity, skin rashes, urinary tract infections, weight gain, yeast overgrowth (bowel, skin or vaginal). This is not a comprehensive list. If you don’t see your ailment listed, please call us!
Many people have food, pollen and environmental sensitivities. Muscle testing can help us determine which foods, pollens, chemicals etc are problematic for you. It can also help us determine which digestive support or detoxifying supplements will be most helpful. Dr K has energy medicine techniques to help the body and energy field clear these sensitivities. Frequently these sensitivities can be cleared in one session. More deeply entrenched patterns might take repeated sessions and/or require simple homework (done for a short time) to maintain the correction. If you prefer a more conventional approach, labs can be ordered to help determine which foods you are best to avoid.
For those without medical insurance the fee for the initial evaluation (which will last about 1.5 hours) is $400.00. Follow up visits are $55.00/15 minutes, $110.00/30 minutes, $165.00/45 minutes and $220.00/hour.
Telephone consultations:
For patients living out of town Dr K is available for telephone consultations. These phone consults can be particularly useful for follow ups. Also, patients whom Dr K has seen in the past who now live in other states may continue to work with her via phone or video call. If you are interested, please contact the office and Dr K will determine if a phone consultation is appropriate. Phone consultations are not covered by insurance. The rate is $250/hour, billed in 15 minute segments.
Wellness Facilitation/Patient education sessions:
Since empowering people with knowledge is a very important aspect of our practice, you will have the opportunity to meet with Dr K by video or face to face to learn more about energy medicine techniques, and healthy diet. You may invite 2 friends to the session (they need not be patients of Dr K). This can be scheduled anytime after your initial visit and will last 30-60 minutes. These sessions are at an additional fee which is not covered by insurance. ($250.00/hour). They are typically held during business hours. Exceptions will be considered.