Usually last 60 minutes. Prior to your visit, you will have the opportunity to share all your medical records that will be reviewed ahead of time. During your appointment, Dr. Girnita will have time to

• Take a detailed history
• Review end explain your prior medical records (laboratory tests, imaging)
• Order new tests, if needed
• Order treatment, if necessary
• Discuss your questions in detail

Usually last 30-60 minutes, depending on your needs. During this time, Dr. Girnita will review

• Recent clinical data
• Review recent laboratory and imaging tests
• Recommend changes in treatment, if necessary
• Discuss your concerns in detail

Usually last 30 minutes. If you happen to have a flare-up from your arthritis or autoimmune disease, having access to a physician is crucial for the best management of these events.
Having a membership, will guarantee you a SAME DAY or NEXT DAY appointment. If you have a chronic condition like gout, rheumatoid arthritis, psoriatic arthritis consider to enroll in the membership model.

Usually last 60 minutes. Medical therapies are not designed to address the Whole person, but rather targeted molecules that are triggering inflammation in your body. After many years practicing evidence based medicine, Dr. Girnita started to incorporate integrative medicine into her practice. She is a great advocate for

• Proper nutrition and antiinflammatory diet
• Physical activity
• Proper sleep
• Stress relief (breathing techniques, mindfullness)