Private consultations at your residence with a specialist double board-certified in Internal Medicine and Endocrinology. No waiting rooms, no queues, no rushed ten minutes. A full, unhurried consultation in the comfort of your own home, by secure video anywhere in Spain, or at a private partner clinic on Avenida Ricardo Soriano, Marbella.
Consultations are conducted in English or Dutch.
A planned service, not urgent care. This is elite, by-appointment specialist medicine, not an emergency or urgent-care service, and not general medicine on demand. In a medical emergency, call 112 or go to the nearest hospital.
Instead of travelling to a clinic and waiting to be seen, I arrange everything around you.
A thorough, unhurried consultation at your residence with a double board-certified specialist in Internal Medicine and Endocrinology. Your history, your questions and your health plan, taken seriously and given the time they deserve.
Performed at your residence, by me. Thyroid ultrasound, and nutritional ultrasound: a precise look at visceral fat and the quadriceps muscle, two of the most telling markers of metabolic and nutritional status, with the findings explained to you in plain language on the spot.
The same specialist attention wherever you are in Spain, by encrypted video. Ideal for follow-ups, second opinions and consultations when you are travelling.
Comprehensive blood analysis arranged at your home. I review the results personally and explain them in a language you actually understand.
When surgery is on the table, one doctor on your side: an independent second opinion, help choosing the right surgeon, and personal guidance from first question to recovery.
The full page on surgical coordination, including the client review that describes it better than I canFor established clients, home visits by a physiotherapist I selected personally. Availability is extremely limited and offered by arrangement only, which is precisely why it is coveted.
The equipment travels with me. Each examination stands on its own. Choose the one that answers your question, or more than one, and I read and explain it in the room, the moment it is done. No radiation, no clinic, no waiting for a report.
Three separate examinations. You choose which one you need.
Reported nodule prevalence, palpation against imaging. Blood values describe how the gland works. The image describes what is in it. Most are benign, and you are told so plainly. It matters most if you have an abnormal thyroid function test, a swelling you can see or feel, a known nodule under follow-up, previous radiation to the neck, or a family history. Reported in the structured international format, by an endocrinologist.
Haugen BR et al, American Thyroid Association guidelines, Thyroid 2016. Tessler FN et al, ACR TI-RADS, J Am Coll Radiol 2017. Ask about thyroid ultrasound
Weight, BMI and the mirror describe the fat you can see. Ultrasound measures the deep fat directly, in millimeters, in minutes. CT and MRI remain the reference standard, and both mean a hospital and a wait.
Neeland IJ et al, Lancet Diabetes Endocrinol 2019. Powell-Wiley TM et al, American Heart Association scientific statement, Circulation 2021. Ask about visceral fat ultrasound
In the Health ABC cohort it was strength, not mass, that tracked with mortality, and a 2023 meta-analysis put low skeletal muscle mass index against all-cause mortality at a pooled relative risk of 1.57. So both are measured here: grip strength by hand dynamometer, the way the cohort studies did it, and the muscle itself on ultrasound at the quadriceps, thickness and structure, at your own table. Both repeat over time, which is how you see whether anything you do is working.
Wang Y et al, PLoS One 2023. Newman AB et al, J Gerontol A Biol Sci Med Sci 2006. Ask about muscle ultrasoundUltrasound is an examination, not a substitute for clinical assessment. Findings are interpreted individually, and further investigation is advised only where it is clinically indicated.
Ultrasound measures how much muscle is there. It cannot tell you whether that muscle works, and it cannot watch you over time. Two further assessments do. Each is requested on its own, and I perform each of them at your residence.
Structure is one half of the answer. Function is the other.
An umbrella review from Newcastle, Manchester, Cambridge, North Carolina, Alberta and Freiburg pooled 34 studies covering 1,855,817 people. Higher grip strength at baseline carried a relative risk of death of 0.72 (95% CI 0.67 to 0.78). Across 15 studies it was 0.84 for cardiovascular death, and across 7 studies 0.76 for becoming disabled. The authors grade all three as highly suggestive rather than proven, and say so plainly. Calibrated dynamometry, performed to protocol, recorded against your own previous readings and reported alongside the muscle ultrasound. Repeated at each assessment, the trajectory becomes the finding.
Soysal P, Hurst C, Demurtas J et al, umbrella review of systematic reviews, J Sport Health Sci 2021. doi:10.1016/j.jshs.2020.06.009 Ask about grip strength assessment
A bedside patient monitor, not a fingertip clip from a pharmacy. Oxygen saturation, pulse rate, perfusion index and the plethysmographic waveform they are read from, followed continuously rather than glanced at once. This is the assessment for a chest infection you would rather not take to a hospital, for the days after a procedure, and for anyone whose oxygenation and circulation should be watched by a specialist in their own room. Requested on its own, or added to a consultation at your residence.
Performed and interpreted by me at your residence. Available as a single assessment or across consecutive days. Ask about monitoring at your residenceGrip strength is a functional measurement, not a diagnosis. Published reference values are derived from research dynamometers and do not transfer directly between devices, so the reading is used to follow change over time on the same calibrated instrument rather than to place you on a published percentile.
Concierge medicine is bought on trust, so it is worth knowing how I got here.
Board certified in Endocrinology and Nutrition, the specialty that exists for hormones, metabolism, the thyroid and the glands. Full specialist training in the Spanish hospital system, in the field this work actually sits in.
Board certified in Internal Medicine, the specialty of complex adult disease and the one other doctors call when a case does not fit. It is why your heart, your kidneys and your medication stay in the same conversation, and why what turns out not to be hormonal still gets recognized.
Master's degree in Morphofunctional Assessment of Disease-Related Malnutrition, Universidad de Málaga, 60 ECTS, 2025. Bioimpedance and phase angle, nutritional ultrasound, DEXA, dynamometry and functional testing. The formal training behind every measurement offered here.
Expert courses in infectious diseases in emergency medicine and in tropical infectious disease. An international practice sees people who travel, and fever after a trip is not a hormone problem.
Trained in andrology, fertility and sexual medicine with ASESA, the Spanish association for the field, across the 2025 and 2026 editions of its national course. Most doctors never train in this at all.
Expert-course trained in bedside ultrasound and years of daily use through hospital medicine. Every ultrasound offered on this page is performed and read by me, in the room, not sent away to a report queue.
Best academic record of my medical school class, then six years as a general practitioner in a Dutch-organized system before any specialty. General medicine first is why nothing about you gets treated in isolation.
Northern European patients arrive with expectations shaped by a different system: direct answers, evidence before hierarchy, no theatre. I know both systems from the inside. Cultures also differ in how illness is discussed and how directly news should be delivered; I pay attention to how you prefer to be spoken to. Consultations are conducted in English or Dutch.
A WhatsApp message or the form below, in English or Dutch. You receive a personal reply, usually the same day.
I agree a time around your schedule, at your residence or by secure video. No queues, no referrals, no waiting rooms.
A full consultation, and any agreed diagnostics, in the comfort and privacy of your own home. Follow-up is personal and direct.
Tell me briefly what you need and how to reach you. Your enquiry comes straight to me, in confidence, and I usually reply personally the same day.
5.0 on Google from 17 reviews
Unedited Google reviews of this practice, on the verified profile I manage. You can read every one of them there.
