Second Opinions for
Complex Cases
When you've seen multiple specialists without answers, or when the diagnosis doesn't seem right, a fresh perspective from physicians with time to listen can make all the difference.
Currently available as part of concierge membership
Discuss Your CaseWhen to Seek a Second Opinion
We specialize in cases where standard approaches haven't provided clarity.
Undiagnosed Symptoms
Persistent symptoms that multiple specialists have been unable to explain, or diagnoses that don't seem to fit.
Conflicting Opinions
Different specialists recommending different approaches, leaving you uncertain about the best path forward.
Complex Multi-System Conditions
Health issues involving multiple organ systems that require someone to look at the whole picture, not just individual parts.
Treatment Not Working
Current treatment plans that aren't producing expected results, suggesting the underlying diagnosis may need reassessment.
Our Evaluation Process
A systematic approach to finding answers.
Comprehensive Record Review
We obtain and systematically review all relevant medical records, imaging, and laboratory data from your previous care.
Extended Consultation
An unhurried appointment—typically 90 minutes or more—to hear your full story and conduct a thorough examination.
Fresh Diagnostic Thinking
We approach your case with fresh eyes, questioning previous assumptions and considering diagnoses that may have been overlooked.
Written Assessment
A detailed written report summarizing our findings, differential diagnosis, and recommended next steps.
Why We're Different
Time to Listen
Unlike rushed specialist appointments, we allocate the time needed to truly understand your situation.
Team Collaboration
Complex cases are discussed between Dr. Abramson and Dr. Padula, bringing complementary expertise to difficult problems.
Institutional Access
When specialized testing is needed, we coordinate with UCSF, Stanford, and other leading institutions.
Currently Available Through Membership
Second opinion consultations are currently offered as part of our concierge membership tiers. This ensures we can dedicate the time and attention these complex cases require. We are exploring a standalone second opinion service for the future.