EVIDENCE-BASED PRIMARY CARE · SAN DIEGO
Sonal Pannu, MD
Internal Medicine · Pulmonary · Critical Care
Did COVID change you — and no one can tell you why?
Are you exhausted by symptoms no one can explain?
Do your tests show normal results despite your actual pain?
Are you breathless doing nothing at all?
"Where evidence meets the patient in front of you."
Concierge primary care · Cash Pay. Telehealth available
Medicine as it should be.
Evidence-guided.
Deeply personal.
My philosophy
Modern medicine has extraordinary science, but the realities of today's healthcare system often leave too little time to apply that science thoughtfully to each individual. Complex symptoms are compressed into short visits, and patients can leave with unanswered questions or fragmented care. Medicine is both a science and a relationship. Scientific evidence guides every recommendation we make, but evidence alone is not enough. Every patient has a unique story, goals, and life circumstances that deserve thoughtful consideration.
This practice was built to restore those essentials—time, partnership, and thoughtful, evidence-based medicine.
Whether your goal is preventing disease, managing chronic illness, or finding answers after months or years of uncertainty, we are committed to helping you navigate your health with clarity, compassion, and scientific rigor.
Submit Records
90-minute comprehensive
consultation Diagnostic review
Personalized
testing strategy
Treatment and
recovery plan
Follow up meetings
How the Practice Works
Every service is built around one principle: you deserve a physician who stays with you until the answer is found. Full transparency on what you receive — and what it costs.
Initial Consultation
- 90 MINUTES in person or telehealth
A deep-dive evaluation unlike anything you have experienced in a standard appointment. Your complete history, every prior record, your symptoms mapped in full — with a personalized investigation plan at the end,
- Full symptom and history review
- All prior records reviewed
- Detailed assessment
- Personalized investigation plan
- Written clinical summary provided
$499
One-time • Non-refundable
Urgent Consult
- 15 MINUTES . SAME OR NEXT DAY
Something came up between appointments. A new symptom, a confusing result, a question that cannot wait. Program members get same-day or next-day access — because your health doesn’t run on a schedule.
- Same-day or next-day availability
- Urgent symptom assessment
- Plan or medication adjustments
- Peace of mind between visits
Included
Members only
Second Opinion
- 30-90 MINUTES • ONE-TIME
Already have a diagnosis but something doesn’t feel right? Get a thorough, unhurried second opinion from a Mayo-trained pulmonologist who will read everything — and tell you the truth.
- Full interpretation of labs and imaging
- Review of existing diagnosis and treatment
- Independent clinical assessment
- Fee applicable toward membership within 30 days
$599
One-time • Applies to membership
Test Review Session
- 30 MINUTES IN-PERSON or TELEHEALTH
A focused session dedicated entirely to interpreting your results — Labs, tests, imaging — in the context of your full clinical picture. Not a quick summary. A real conversation.
- Full symptom and history review
- All prior records reviewed
- Detailed assessment
- Personalized investigation plan
- Written clinical summary provided
Included
Care Coordination
- ASYNCHRONOUS ONGOING
The work that happens between your visits reviewing records, writing letters of medical necessity, coordinating with specialists, advocating on your behalf. You should never have to fight the system alone.
- Letters of medical necessity
- Specialist referral coordination
- Record review and synthesis
Included
Members only
Exit Policy
- Exit policy
- Opt out anytime
Still Looking For Answers?
Begin your path to answers.
If you remain short of breath despite normal testing or despite persistent symptoms affecting the quality of your life, I’d be honored to help.
