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Based on my training and experience in general internal medicine and the sub-specialty of kidney diseases, teaching medicine from the medical student to post-graduate level, researching the most up to date practices and technologies in my own practice, and developing interactive educational and communication programs, I am able to provide a high level of care to patients who have chosen to have me as their physician. I listen to my patients and take a detailed and thorough history, complete a physical examination, and utilize the appropriate laboratory and diagnostic testing. I emphasize prevention and protection from illness and disability, and, since modifying my practice to a smaller one, I am now able to provide the earliest possible appointments, typically within the same or next day. I am also available by phone or e-mail. This is mutually beneficial: to my patients to have access to me, and for me to be able to help earlier and prevent any worsening of a medical condition, injury or illness. It also helps to synchronize my patients with me in our very busy world.