Lake Washington Internal Medicine

The practice limits its panel to 150-200 patients. That limit allows Dr. Shawky to offer 60-90 minute initial consultations, same-day appointments, and direct 24/7 physician access for every member.

Members reach Dr. Shawky directly by cell phone, secure messaging, or email at any time. The practice uses no answering service or triage nurse. Dr. Shawky addresses urgent issues within hours and handles routine questions the same business day.

Initial consultations run 60-90 minutes and cover personal history, genetics, lifestyle, and risk stratification. Follow-up visits run 30-45 minutes for biomarker review and therapy adjustments. The practice also offers early morning, evening, and weekend slots for convenience.

Yes. Lake Washington Internal Medicine offers same-day and next-day appointments for urgent concerns. Scheduling flexibility includes early morning, evening, and weekend availability.

The BaleDoneen Method is a peer-reviewed arteriology protocol that detects and treats active arterial disease rather than estimating statistical risk. Dr. Shawky uses it to identify arterial inflammation, visualize plaque, and apply genetically guided therapy. Published clinical outcomes show up to a 98% reduction in cardiovascular events for patients following the protocol.

Yes. The practice offers multi-cancer early detection through the Galleri liquid biopsy, which screens for signals from over 50 cancer types. Whole-Body MRI is also available. Dr. Shawky also offers targeted screening for patients with known genetic risks such as BRCA1/2 or Lynch syndrome.

The practice operates on a membership model with a panel capped at 150-200 patients. For specific pricing, contact the practice directly to discuss membership options.

Yes. Dr. Shawky provides daily oversight during hospital admissions. She conducts post-discharge visits within 48 hours and personally communicates with subspecialists throughout the process.

The practice focuses on adult patients. Dr. Shawky's clinical work spans preventive medicine, chronic disease management, metabolic health, hormonal optimization, and longevity care for adults at all stages.

Dr. Shawky tracks biomarkers quarterly, monitoring markers like hsCRP, NMR lipids, and HbA1c. She performs annual CIMT arterial imaging to document plaque regression. This longitudinal data reveals trends that single visits cannot capture, allowing therapy adjustments based on trajectory rather than snapshots.