In is simplest form, FM seeks to find the root cause of disease. At Zuza’s Way we take an extensive history and spend a great deal of time discussing lifestyle factors such as sleep, exercise, nutrition, genetics, and stress. We order personalized lab testing including conventional labs like thyroid tests, cholesterol panels, and hormones levels, as well as more complex functional testing such as stool analysis, adrenal profiles, and nutritional panels. Our goal is to find any excesses and remove them, and uncover any deficiencies and replace them. Dagmara uses all her tools and integrates aspects of conventional medicine with a holistic approach.
Everyone. The goal of Functional Medicine is not only to improve your health if you have a chronic illness, but to prevent future health issues. It’s a patient-centered approach, where we address the whole person not just your isolated set of symptoms.
We spend about an hour and a half with you on your initial visit, taking a comprehensive history and addressing all of your concerns. We ask lots of questions and take a detailed nutrition history. Our treatment plan involves a much more holistic approach including a prescription diet, exercise plan, stress management techniques, targeted supplements, and pharmaceuticals if needed. Dagmara practiced conventional medicine for several years, and one of the biggest frustrations was the lack of time to address the whole patient. In our office, we strive to allow every patient ample time to tell their story, and have all their questions answered.
The first office visit typically lasts an hour and a half. We will discuss your symptoms, health concerns, medical, family, and social history, childhood, diet, exercise and sleep habits, among other information that will help create your treatment plan. We will also review any previous lab testing and/or medical records from your primary or specialty physicians. You will also have a physical exam as well as ample time to ask any questions you may have. At the end of the visit, we will determine which laboratory tests you should proceed with. We typically start with conventional labs to assess your thyroid, blood chemistries, hormones, and cholesterol. Functional testing is also important. Hormone and nutritional testing are two of our most common tests, as they give use lots of useful information about what is going on, and how to move forward with treatment.
We operate as a self-pay clinic and payment is expected at the time of your visit. We accept cash, check, or credit card. Functional Medicine consultation services may or may not be covered by your insurance plan. We are considered “out of network” so it will depend on your individual insurance policy and the coverage of that policy as to the services and amounts they may reimburse.
Our office does not bill your insurance directly but we will gladly provide an invoice at your visit with your diagnosis codes, treatment codes and all pertinent provider information to you so that you may send it to your insurance company for reimbursement of billable services. IV infusions or the purchase of supplements are not billable services. We are not a participating provider in Medicaid or Medicare.
Many new and prospective patients have asked why I do not bill insurance directly when other medical providers do. I fully understand the financial challenge this presents to some patients, and I wish there were a way for me to bill patients’ insurance companies. Unfortunately, at this time, there is not. In the following paragraphs, I explain why.
When medical practices bill health insurance companies directly, the doctors are required to become participating providers. The doctors must sign a contract that allows the insurance company to determine which services they will and will not provide and how much they can charge for those services. In general, insurance companies are not focused on preventive or wellness services. They are heavily invested in the conventional model of health care that too often relies on drugs, procedures, and surgeries. As a medical provider who practices integrative medicine, I am firmly committed to prevention, wellness and natural solutions to health problems. My goal is to address the underlying causes of your symptoms with specific nutritional and lifestyle recommendations—interventions that are generally not reimbursed by insurance companies.
A participating medical practice must agree to accept the fees the insurance company establishes, regardless of whether the fees are reasonable or applicable to that practice. In general, these established fees cover the actual cost of the briefest (and I believe the lowest quality) care.
Doctors who are participating providers are required to accept discounted fees for their services, and they cannot bill the patient for the difference between their fee and what the insurance company will pay. Therefore, the practice must write off the difference, often as much as 50% or more of the doctor’s fee for service.
At the same time, the participating provider’s office overhead costs have to increase dramatically because of the staff, time, and equipment necessary for processing and tracking insurance claims. Most doctors and clinics cope with the requirements of being participating providers by keeping their office visits very brief so that they can see many patients within a given time frame.
Ironically, some of my patients complain about their extremely brief and unsatisfactory office visits at other medical practices, while at the same time expressing frustration that I do not accept insurance. Unfortunately, I have found that I cannot be a participating provider in the insurance networks and provide the time-intensive and well-researched care that I do.
Typically, any blood work that is requested from a lab that is on your insurance plan is covered. However, you may also take Functional Medicine tests. These include urine, stool, saliva, and blood tests, some of which you may do at home. Generally, these things are not covered by insurance. Prices vary depending on which test you take, and reimbursement depends on your insurance.
Due to the amount of time set aside in our schedule for each patient, cancellations must be made 48 hours prior to your appointment time. This helps ensure that we are able to meet the needs of all our patients who are waiting for an appointment time. A credit card will be required for your appointment to be reserved and you will be charged a $100 fee for cancellations made less than 48 hours in advance or in the case of a noshow.
I am a Functional Medicine Practitioner and Masters Physician Assistant. My post Masters education and training is in Functional Medicine and Integrative Medicine. I have received complete training in the biological sciences such as anatomy, physiology, pathophysiology, epidemiology, histology, blood chemistry, neurology and pharmacology, as well as conventional medical diagnosis and treatment. In addition, I have received extensive training in clinical nutrition, botanical medicine and lifestyle counseling.
No, I am a Physician Assistant. I received my Masters from Marquette University. My post Masters education and training is in Functional Medicine and Integrative Medicine through Kresser Institute, Institute of Functional Medicine and Functional and Integrative Medicine Professional Training Program by Dr. Aviva Romm.
Yes. I can both prescribe prescription medications and diagnose.
Yes, I offer long-distance consultations (national and international) via telephone or webcam (Zoom) for those who live outside of the Wisconsin Area. For long distance consultations I act as a consultant only and do not replace your primary care provider.
This depends on several factors, including the complexity of your condition, how long you’ve had it, how much time, energy and attention you’re willing to devote to treatment, and how well you respond to treatment. In general, health programs for chronic illnesses last between six and twelve months, but most patients start seeing improvement within the first month.