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Physician-led health coaching is a structured, strategic process designed to help you interpret early signals and build clear, long-term health goals.

Grow through Health Coaching

I’ve spent years inside health care systems and have an intimate understanding of where they work — and where they often fall short. Too often, we respond only when symptoms are advanced. By then, meaningful change is harder. Proactive people who want to understand early signals — subtle shifts in function, emerging patterns, or urinary and pelvic health symptoms that feel “off” — don’t always have a clear place to go. Early concerns are often dismissed and incorrectly normalized as aging. Younger people may be told they’re “fine” or even labeled as “anxious,” when in reality they are thoughtful and forward-looking.

I call this space presymptomatic — the space between perfect function and diagnosable illness. It is within this middle ground that the greatest opportunity exists to shape long-term health. When we act earlier — not just pay attention, but respond strategically — we can influence resilience, clarify risk, and build a more intentional health portfolio for the long game. Health coaching provides the structured process that helps people interpret early signals and translate them into a clear, personalized strategy. This work is for people who feel generally well, but want to stay ahead — and stay that way longer. If this sounds familiar, you’re exactly who this work was designed for.

Common Questions

  • Health coaching is a structured strategy process focused on early interpretation, planning, and prevention. It is not a replacement for medical diagnosis or treatment. Traditional medical visits are often centered on identifying disease and prescribing interventions once symptoms are advanced. Health coaching works earlier — helping you interpret urinary, pelvic, and whole-body signals before they become disruptive. When appropriate, I help you prepare for productive conversations with your local physicians.

    In my work, we build what I call a health portfolio — a structured set of small, strategic health investments made early to protect long-term function, resilience, and quality of life.

  • This work is designed for people who feel generally well but want to stay ahead. It is especially helpful for those who notice early urinary or pelvic changes, have a family history of chronic disease, or simply want a clearer long-term strategy for health. You do not need to be “sick” to benefit. In fact, the greatest impact often happens before illness develops.

  • Early urinary and pelvic health signals can include frequency, urgency, nocturia (waking at night to urinate), leakage, pelvic pressure, changes in stream, recurrent urinary tract infections, or subtle shifts in comfort and control. These symptoms are common — but common does not always mean optimal. We review patterns, bladder diaries when appropriate, and broader lifestyle context to understand what your body may be communicating.

  • No. Bladder and pelvic health often serve as early windows into broader physiology — including sleep quality, metabolic health, cardiovascular risk, hormonal shifts, neurologic conditions, and stress patterns. While many people begin with urinary concerns, our work integrates those signals into a whole-body strategy and long-term health portfolio.

  • My training in urology and urogynecology has always been broader than most people realize. Urology sits at the intersection of bladder health, kidney function, cardiovascular risk, neurologic disease, pelvic floor dynamics, and hormonal transitions. I chose it because it was both surgical and deeply medical — a field that allowed me to see how systemic health expresses itself through the urinary tract.

    Over time, I recognized that many of the bladder problems treated later in life begin much earlier. Subtle urinary frequency, urgency, sleep disruption, pelvic changes, and blood pressure shifts are often dismissed until they become disruptive. Traditional surgical practice addresses problems once they require intervention. Coaching allows me to work earlier — in a more accessible, structured, and proactive way — while still drawing on decades of medical training. It expands the window of opportunity rather than replacing medical care.

  • Sessions are focused, strategic conversations. We may review bladder patterns, lifestyle factors, sleep, stress, screening history, and family risk. Together, we identify practical next steps and build a clear, personalized health plan. The goal is organization and direction — not to overwhelm.

  • If you have been diagnosed with overactive bladder, recurrent urinary tract infections, pelvic floor dysfunction, prostate-related urinary symptoms, or other conditions, coaching by a urologist can complement your care by helping you better understand patterns, triggers, and long-term prevention strategies. It does not replace medical treatment, but it can enhance your ability to manage symptoms intelligently and proactively.

  • Yes. Health coaching is private and independent of insurance networks. It is not part of your medical record. This allows for thoughtful, exploratory conversations without creating formal diagnostic documentation. When needed, I help you prepare for conversations with your treating physicians.on