PRESENT FUTURE HEALTH
Don't wait for your labs to turn red.
Precision Care for Lifelong Independence. Physician-led telemedicine for Wisconsin adults who want a real medical strategist — not another prescription
Board-certified Internal Medicine and Obesity Medicine. Cash-pay. Direct access. Care plans built for the next 30 years of your health, not the next 15 minutes.
A New Standard for Telemedicine
You don’t need another prescription. You need a strategist.
Most patients managing more than one condition end up bouncing between three or four specialists.
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The cardiologist adjusts a medication. The nephrologist doesn’t see the change. A side effect from one prescription gets attributed to a different drug. Your blood pressure isn’t controlled — but nobody is sure why, because no single physician is holding the whole picture.
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That’s not a failure of your specialists. They’re excellent at what they do, within their scope. It’s a structural failure of how American medicine delivers care to complex patients.
I built Present Future Health to be the strategist that’s been missing. I read every specialist’s notes. I track every medication change. I manage what’s within my scope as an internist, and I refer to specialists when their judgment is genuinely needed — not as a reflex. I attend endocrinology, cardiology, and other specialty conferences to stay current on what’s possible in prevention, so my patients aren’t seeing those specialists for the first time after a problem
has already developed.
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If you’ve ever left an appointment thinking “I didn’t get to say half of what I came in to say” — or “none of my doctors know what the others are doing” — you understand exactly what I mean.
The Three Principles
Whether you’re healthy and proactive or managing complex conditions, care here is guided by the same three principles.
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Longitudinal Analysis
Risk trajectories, not snapshots.
Your health isn’t a single moment in time. It’s a 30-year trend line. I look at how your numbers are moving — not just where they sit today. By the time a single lab turns “red,” the damage has often been quietly accumulating for years.
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Medication Stewardship
The right medication when it earns its place. Not a default.
Some patients need more medications. Many need fewer. I’m willing to start a medication when the evidence is clear, and equally willing to deprescribe one that’s no longer serving you.
Every prescription is a decision — not a reflex.
3
Functional Longevity
Decisions made for how you live, not just how your labs look.
The goal isn’t a perfect lab panel at 50. It’s walking independently at 85. Lifting your grandkids at 70. Traveling at 75. Care here is built for the next 30 years of your life, not the next quarter.
Why I built this
When I was finishing medical school, I pushed my dad to get labs.
He'd never smoked. He stayed active throughout his day. He was slightly overweight — the kind of patient most doctors would look at and call low-risk.
We found hyperlipidemia and diabetes. His A1C was just under 7 — not dramatic. The kind of result a busy primary care doctor might monitor and recheck in six months.
Two months later, he had a stroke that left him with paralysis on one side. The MRI revealed it was actually his second stroke. We had never known about the first.
Looking back, the facial weakness we'd called "Bell's palsy" and the limping we'd blamed on "sciatica" were almost certainly earlier strokes that nobody investigated.
That's the cost of waiting for labs to turn red. Of practicing reactive medicine. Of treating "borderline" numbers as "fine."
How Care Works
A full 60 minutes. Medical history, focused symptom review, physical exam when appropriate via telehealth, individualized risk assessment, and a clear plan. This is the entry point for every patient.
Follow-Up Strategy Sessions
30 minutes. Frequency decided together based on your stability and goals — typically quarterly, biannual, or annual. Adjusted as your needs change.
Acute Care Visits (Established Patients)
15 minutes. Available to established patients for new, focused concerns like infections, symptom flares, or medication questions. Care that already knows your context.
For patients managing multiple complex conditions who need ongoing intensive oversight, a limited Comprehensive Care Membership is available — discussed during your initial visit if it’s clinically indicated. Learn more →
Transparent pricing. No insurance games.
Most patients compare a cash-pay physician visit to a $30 copay and stop there. Here’s the honest comparison.
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Insurance-based primary care delivers about 15 minutes of physician time per visit. Concierge medicine often runs $2,500–$10,000 per year on top of insurance. Most longevity-focused telemedicine practices charge significantly more than what you’ll pay here.
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At Present Future Health:
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You’ll know exactly what every visit costs before you book
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HSA and FSA accepted
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Superbills available if you want to submit for out-of-network reimbursement
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You can still use insurance for labs, imaging, and prescriptions sent to your local pharmacy
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Discounted cash-pay lab pricing is also available for patients who prefer not to bill insurance — typical comprehensive workups run under $100
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No surprise bills. No insurance games. No billing codes dictating your care.
Initial Comprehensive Consultation — $350 (60 minutes)
Follow-Up Strategy Session — $200 (30 minutes)
Acute Care Visit — $115 (15 minutes, established patients only)
Is this practice right for you?
This practice is built for adults who:
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Want a physician who takes prevention seriously — well before symptoms show up
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Are managing chronic or complex conditions and need someone who coordinates across cardiology, nephrology, endocrinology, and other specialists rather than leaving you to integrate their advice yourself
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Want evidence-based weight management as part of comprehensive medical care — not a GLP-1 prescription from a med-spa
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Value an unhurried 60-minute initial visit and ongoing strategic guidance
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Are Wisconsin residents comfortable receiving care via secure telemedicine
This practice isn’t the right fit if you:​
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Need emergency or urgent care (please call 911 or visit your nearest ER)
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Need inpatient or hospital-based care
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Prefer an insurance-based low-copay model (we don’t bill insurance)
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Need a physician who can see you in person for procedures
One more thing
I lift weights. I take whey protein and creatine every day. I also watch what I eat. Diabetes and hyperlipidemia run on both sides of my family.
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I didn’t grow up exercising — none of my family did. I started strength training as an adult, the same way most of my patients have to learn it. So when I tell you that protein and strength training matter for your independence at 80, I’m telling you what I do every day for my own.
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I practice the medicine I prescribe.
Ready to know what’s actually going on with your health?
The Initial Comprehensive Consultation is a full hour. We’ll review your history, your labs, your medications, and your family pattern. You’ll leave with a clear plan — and a real understanding of where your risk actually sits.