Work With Dr. Bismah Irfan, MD

Most specialist websites give you a booking button. I'm asking you to fill in an application instead, and that deserves an explanation.

One-to-one work with me is the deepest thing we offer, and it is not the right starting point for everyone. Some people need it. Many people get everything they came for from a guided program at a fraction of the price, and putting them on my calendar first would cost them money and time they didn't need to spend. The only way to tell the difference is to know your story before anyone books anything. That's what the questions below are for.

Board-certified nephrologist
Board-certified in internal medicine
Trained and practiced inside conventional nephrology, then left the manage-and-medicate model

You've probably heard some version of this.

"Your kidney levels are off. Something's wrong. Drink water, come back in two weeks and we'll recheck them."

"Let's just keep monitoring."

"He would always just say, you know, you better get ready for dialysis. Here's a piece of paper about high phosphorus foods to stay away from."

Real sentences, quoted word-for-word from consultations with patients who came to us afterwards. Nothing identifying, ever.

People who decided to stop waiting.

Jacqueline

Alison

Julie

What working with me directly looks like.

Your full history, read by me personally before we ever speak — labs, medications, what you've tried, and what happened when you tried it.
A root-cause map of your case: which of the six drivers of kidney decline are active in you, in what order, written down.
A written, ordered protocol — what we address first, what waits, and why. Not a supplement list.
My honest answer about what I can and cannot help with in your case, before you commit to anything further.

What we need to know about you

Short answers are fine. Honest answers matter more than complete ones.

1. What's your most recent eGFR or creatinine — and roughly how long has it been where it is?

An approximate number is fine. A photo of the lab report is even better.

Attach your lab report (optional):

2. What stage were you told you are?

3. Has your kidney function dropped noticeably in the last six months?

This changes what we'd do first.

4. What is your single biggest concern right now?

5. What are you most afraid of?

Say it plainly. This is the question people skip, and it's the one that tells us the most.

6. What confuses you most about kidney disease?

What has never been explained to you properly?

7. What have you already tried — and what did it actually do?

8. What have you not tried, that you've wondered about?

9. Do you feel you know why your kidney function is declining?

10. Why is now the right time for you to deal with this?

11. What are your thoughts on holistic and functional medicine?

There's no right answer. We're asking because we want to know how you think.

12. What would have to change in the next twelve months for this to have been worth it?

13. How did you come across our work — and have you read the book?

14. Anything else you want us to know?

If you're on dialysis, at stage five, or you've had a transplant — please still fill this in. Dr. Irfan will read your history personally and tell you honestly what she can and can't help with. What we won't do is put you into a group program.

Your name

Email

Phone (optional)

Company

The moment you press send, your answers go to Dr. Irfan's desk. She reads them herself and decides the path she'd recommend for you — then we come back to you by email, personally.

Working with me directly starts with this page, not with a calendar.

You've probably heard some version of this.

People who decided to stop waiting.

What working with me directly looks like.

What we need to know about you

It's in. Dr. Irfan reads it from here.

What happens next