Concierge Internal Medicine

A physician-patient partnership restoring what modern medicine often loses: time to think, access to act, and the scientific depth to detect disease early. With a panel limited to 150-200 patients and direct 24/7 communication, Dr. Mona Shawky delivers evidence-based arteriology and precision prevention that protects your long-term health.

Why Concierge Care

Time, Access, and Clinical Precision

Concierge care at Lake Washington Internal Medicine is designed for people who expect medicine practiced at the highest level. By limiting the panel to 150-200 patients (versus 2,500+ in traditional practice), Dr. Shawky offers 60-90 minute consultations, same-day availability, and direct 24/7 communication—then layers on BaleDoneen arteriology protocols and advanced diagnostics. The outcome is care that detects disease early, prevents events, and delivers measurable outcomes.

Direct 24/7 Physician Access

Dr. Shawky's cell phone, secure messaging, or email—no answering service, no triage nurse, no delays. Urgent issues addressed within hours, routine questions same business day.

Same-Day Urgent & Preventive Visits

Chest pain, abnormal labs, or new symptoms? Seen today. Routine follow-ups scheduled at your convenience—early morning, evening, or weekend slots available.

60-90 Minute Comprehensive Consultations

Time to review every biomarker, imaging finding, and genetic result—and explain the clinical significance. Discuss arterial health, metabolic optimization, and personalized prevention protocols without rushing.

Integrated Specialty & Hospital Care

Dr. Shawky personally communicates with subspecialists, reviews their recommendations, and coordinates care. Hospital admissions include daily oversight and post-discharge visits within 48 hours.

BaleDoneen Cardiovascular Assessment

Annual exam including inflammatory biomarkers (hsCRP, Lp-PLA2, MPO), NMR lipid analysis, CIMT arterial imaging, metabolic panels, hormone optimization, and optional genetic testing—detecting disease years pre-symptom.

Ready to Begin?

Experience medicine that places you—fully—at the center.

How It Works

A Membership That Works Around You

This membership model replaces reactive, episodic care with proactive, continuous oversight. You partner directly with Dr. Shawky for access, clarity, and prevention—supported by BaleDoneen arteriology protocols and longitudinal data tracking.

Panel limited to 150-200 patients ensuring immediate access and clinical depth
Direct 24/7 communication with your physician (cell, secure text, email)
Same-day or next-day appointments with minimal wait times
60-90 minute initial consultations reviewing history, genetics, lifestyle, and risk stratification
30-45 minute follow-up visits for unhurried biomarker review and therapy adjustment
BaleDoneen cardiovascular prevention: inflammatory biomarkers, NMR lipids, CIMT/CAC imaging
Metabolic optimization with insulin resistance screening and continuous glucose monitoring
Hormone and cognitive health assessment (thyroid, sex hormones, methylation support)
Coordinated specialty referrals with direct physician-to-physician communication
Quarterly biomarker tracking to measure plaque regression and inflammation reduction
Evidence-based lifestyle medicine protocols for nutrition, sleep, stress, and supplements

Medicine Without Time Limits or Administrative Barriers

If you value 24/7 physician access, 60-minute consultations, and prevention backed by BaleDoneen arteriology—this is medicine at its highest standard. Join a physician-led partnership that detects disease early, prevents events, and delivers measurable outcomes. Membership limited to maintain access and quality.

Our Philosophy

Detect Disease, Don't Just Predict Risk

We believe excellent primary care detects disease early, not just estimates probability. Using inflammatory biomarkers (hsCRP, Lp-PLA2, MPO), arterial imaging (CIMT, CAC, CCTA), and genetic testing, we identify active arterial disease years before symptoms—then apply evidence-based therapies to halt and reverse progression. You remain in charge; we provide the clinical expertise, time, and BaleDoneen protocols proven to reduce cardiovascular events by up to 98%.

Fire Detection Before Smoke

We measure arterial inflammation (hsCRP, Lp-PLA2, MPO) and visualize plaque (CIMT, CAC) to detect disease 10-20 years before symptoms emerge.

Trends Over Snapshots

Single lab values mislead. We track biomarkers quarterly to identify patterns: Is plaque progressing or regressing? Decisions based on trajectory.

Root Cause Analysis

We don't just treat high LDL—we identify why it's elevated. APOE genotype? Insulin resistance? Chronic infection? Therapy targets your biology.

Genetically Guided Therapy

Your APOE, MTHFR, PCSK9, and Factor V Leiden status determine medication selection, supplement protocols, and dietary strategy.

Longitudinal Partnership

Not episodic sick-visits, but continuous oversight tracking biomarker trends, sleep metrics, and blood pressure patterns over months and years.

Measurable Outcomes

Plaque regression on repeat CIMT. hsCRP declining from 3.8 to 0.9 mg/L. HbA1c normalizing. Progress measured, not assumed.