Precision medicine
I combine laboratory research with everyday clinical practice to find the biological cause behind persistent symptoms. Each consultation lasts 45 minutes, includes a written report, and results in a plan built around your own biology — not around an average patient.
Figures updated January 2026. Publication list and congress participation available on request.
About me
I am a physician with biomedical training, which means I spend my time in two places: the consulting room and the laboratory. That combination shapes how I work — instead of treating a symptom in isolation, I look for the molecular mechanism that produces it, because that is what determines whether a treatment will actually work for you.
Every consultation begins by listening. Before ordering a single test, I want the full history: when the symptoms started, what has already been tried, and what previous results showed. Technology and biomarkers are tools; the clinical decision always starts with the story of the person in front of me.
I see patients in person and by video call, and I regularly work with people who live abroad or who have spent years without a clear diagnosis. If your case falls outside my areas of expertise, I will tell you so directly and refer you to a colleague who is better placed to help.
Specialties
These are the areas I work in every day. If you are not sure which one fits your situation, choose the closest match when booking — I will review your case before the appointment and redirect it if needed, at no extra cost.
For persistent symptoms that previous tests have not explained. I review your full history and select high-sensitivity testing aimed at the underlying cause rather than repeating what has already been done.
If you have had a genetic test done — or are considering one — I interpret the result in your clinical context and explain in plain language what it does and does not mean for you and your family.
Diagnosis and long-term management of conditions where the immune system is over-reacting, under-reacting, or attacking the body's own tissue.
Laboratory panels chosen and read in clinical context. A value slightly outside the reference range is not automatically a problem — and a value inside it is not automatically reassuring.
I design and take part in clinical trials. Where a study is relevant to your condition, I will explain what participation would involve — including the risks — so you can make an informed decision.
An independent review of a diagnosis or proposed treatment, by secure video call. Available internationally, in English, Portuguese or Spanish, with a written summary afterwards.
Why choose me
A ten-minute appointment cannot resolve a complex case. This practice is built around fewer patients and longer consultations, so that each case gets the attention it actually requires.
Approximate share of consultations by area over the last three years.
How it works
So there are no surprises: this is exactly what happens from the moment you send a request until your treatment plan is in place.
You send the form below. Within 24 business hours you receive an email with available times, the consultation fee and a secure link to upload any previous test results.
I read your documents before the appointment, in my own time. That way the consultation starts with your questions rather than with paperwork.
In person or by secure video call. We go through your history, I explain what I think is happening and why, and together we decide which tests are actually worth doing.
Within 72 hours you receive a written report: findings, reasoning, test requests and next steps. Follow-up check-ins are included while the plan is being adjusted.
Research
Research is not a side activity — it is what keeps the clinical work current. Below is a selection of peer-reviewed publications; the full list is available on request.
A cohort study showing that a blood-based marker panel can identify autoimmune activity months before conventional criteria are met.
Journal of Translational Medicine · Lead author
A review of when genomic sequencing changes clinical management in adults — and, just as importantly, when it does not.
Clinical Genomics Review · Co-author
Development and validation of a model that estimates how likely a patient is to respond to a given treatment before it is started.
European Journal of Precision Medicine · Co-author
A systematic review of 74 studies examining what actually prevents large-scale molecular data from reaching the consulting room.
Biomedical Research Letters · Lead author
Also: 12 presentations at international congresses, peer reviewer for two journals in the field, and supervision of doctoral students in translational medicine.
Testimonials
Published with the written consent of each patient. Names are shortened at their request.
Online booking
This form is a request, not a confirmed booking. Once I have reviewed it you will receive an email within 24 business hours with available times, the fee, and instructions for sending any previous test results securely.
Blog
Articles written for patients, not for colleagues. Each one answers a question I get asked repeatedly in consultation.
Direct-to-consumer tests promise a lot. This article explains the difference between a risk variant and a diagnosis, why "positive" rarely means certainty, and which results genuinely warrant a follow-up with your doctor.
Read more →
When every test comes back "normal" but you still feel unwell, the problem is often the question being asked rather than the answer. A practical guide to what to document, what to ask for, and when to seek a second opinion.
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More tests do not mean better care — over-testing produces false alarms that lead to unnecessary procedures. Which screenings are worth doing at each age, and which ones you can safely leave out.
Read more →Contact
For appointments, please use the form above — it reaches me faster and with the information I need. Use the details below for administrative questions or urgent matters.