Before your first visit, please complete this detailed questionnaire on all aspects of your health and current life style. We also welcome any available medical records; labs, imaging studies, and procedure results.
Credit card is required to secure your appointment.
Prepare for payment (see “Fees and Insurance”, below).
Your first visit will take 2.5 hours. You will have Dr. Kremen’s undivided attention as she listens to your complete story, conducts a physical exam, reviews the information you provide, and initiates a treatment plan.
If necessary, Dr. Kremen will order additional tests.
Fees and Insurance
Monarda Integrative Medicine will be out of network for any insurance. This means that you can either:
Submit a superbill (which Monarda Integrative Medicine will provide) to your insurance for partial or full reimbursement
Pay from your Flexible Spending Account
Payment is expected by check/cash or credit card at the time you receive your services:
|Osteopathic treatment:||$245 (1 hour; in person)|
|Initial visit for holistic evaluation||$825 (2.5 hours in person)|
|Follow up visit for holistic evaluation||$265 (per hour in person or by phone)|
|Sick visit:||$150 (per 20 minutes)|
Modalities of treatment
Osteopathy is a system of “manual medicine”, focused on the whole person, grounded in anatomy and physiology. A gentle manipulative technique is used to evaluate and treat tissue dysfunction. The imprinted history of various traumas, illnesses, and surgeries may be readily perceived. Palpation (touch) reveals restrictions and vitality is restored to the dysfunctional structures.
Functional Medicine is a science-based, natural way to become healthy again. Functional Medicine is patient-centered medical healing. Instead of looking at and treating health problems as isolated diseases, it treats individuals who may have bodily symptoms, imbalances and dysfunctions.
Like an iceberg, a named disease such as diabetes, cancer, or fibromyalgia might be visible above the surface, but according to Functional Medicine, the cause lies in the altered physiology below the surface. Almost always, the cause of the disease and its symptoms is an underlying dysfunction and/or an imbalance of bodily systems.
Named diseases are just the tip of the iceberg. Below the surface, according to Functional Medicine, are the real causes of a patient’s health problems.
To battle chronic health conditions, Functional Medicine uses two scientifically grounded principles:
Remove anything that impedes the body from moving toward this optimal state of physiology.
Add what’s lacking in the body to nudge its physiology back to a state of optimal functioning.
Functional Medicine first identifies the factors responsible for the malfunctioning. Then it deals with those factors in a way appropriate to the patient’s particular situation.
Very often Functional Medicine practitioners use advanced laboratory testing to identify the root cause or causes of the patient’s health problem. Old-fashioned medical diagnosis helps too, in the form of listening carefully to the patient’s history of symptoms and asking questions about his or her activities and lifestyle.
For treatment, Functional Medicine practitioners use a combination of natural agents (supplements, herbs, nutraceuticals and homeopathics), nutritional and lifestyle changes, spiritual/emotional counseling, and pharmaceuticals, if necessary to prod a patient’s physiology back to an optimal state. In addition, educating the patient about their condition empowers them to take charge of their own health, ultimately leading to greater success in treatment.
Herbal Medicine – also called botanical medicine or phyto-medicine — refers to using plant’s seeds, berries, roots, leaves, bark, or flowers for medicinal purposes. Herbalism has a long tradition of use outside of conventional medicine. It is becoming more mainstream as improvements in analysis and quality control along with advances in clinical research show the value of herbal medicine in the treating and preventing disease.
Homeopathy – also known as homeopathic medicine is a whole medical system that was developed in Germany more than 200 years ago and has been practiced in the United States since the early 19th century. Homeopathy is used for wellness and prevention and to treat many diseases and conditions.The term homeopathy comes from the Greek words homeo, meaning similar, andpathos, meaning suffering or disease. Homeopathy seeks to stimulate the body’s ability to heal itself by giving very small doses of highly diluted substances. This therapeutic method was developed by German physician Samuel Christian Hahnemann at the end of the 18th century. Hahnemann articulated two main principles:
The principle of similars (or “like cures like”) states that a disease can be cured by a substance that produces similar symptoms in healthy people. This idea, which can be traced back to Hippocrates, was further developed by Hahnemann after he repeatedly ingested cinchona bark, a popular treatment for malaria, and found that he developed the symptoms of the disease. Hahnemann theorized that if a substance could cause disease symptoms in a healthy person, small amounts could cure a sick person who had similar symptoms.
The principle of dilutions (or “law of minimum dose”) states that the lower the dose of the medication, the greater its effectiveness. In homeopathy, substances are diluted in a stepwise fashion and shaken vigorously between each dilution. This process, referred to as “potentization,” is believed to transmit some form of information or energy from the original substance to the final diluted remedy. Most homeopathic remedies are so dilute that no molecules of the healing substance remain; however, in homeopathy, it is believed that the substance has left its imprint or “essence,” which stimulates the body to heal itself (this theory is called the “memory of water”).
Homeopaths treat people based on genetic and personal health history, body type, and current physical, emotional, and mental symptoms. Patient visits tend to be lengthy. Treatments are “individualized” or tailored to each person—it is not uncommon for different people with the same condition to receive different treatments.
Homeopathic remedies are derived from natural substances that come from plants, minerals, or animals. Common remedies include red onion, arnica (mountain herb), and stinging nettle plant.
Bach Flower Essences
There are 38 remedies in the Bach Remedy System. All of them were discovered in the 1920s and 1930s by Dr Edward Bach, a well-known bacteriologist, physician and pathologist. Each remedy is associated with a basic human emotion. Mimulus, for example, is the remedy for when we are anxious or afraid about something specific. Taking the remedy helps us overcome our fear and face it with courage.
Harmonizes body and mind with simple techniques of body-mind medicine.
Internal medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness