Hypertension & cardiology risk
Ongoing management of high blood pressure, arrhythmia monitoring, and cardiovascular risk reduction — coordinated with echocardiography and stress testing as needed.
A small internal medicine practice in West Palm Beach — built around forty-minute visits, in-house labs, and the quiet conviction that listening is the first instrument of diagnosis.
Dr. Barish · Clinic interior
For sixteen years, Dr. Efrosini Barish has practiced internal medicine the way it was meant to be practiced — slowly, deliberately, and with the same patient returning across decades rather than quarters. The clinic sits two blocks from the Intracoastal in West Palm Beach, in a single suite small enough that the front desk remembers your name by the second visit.
Appointments here run forty minutes, not fifteen. Labs are drawn on-site. Results are reviewed together, on a screen, with the chart open and the lights on — not phoned in between other patients. The practice is intentionally small: a few hundred families, a steady schedule, and a waiting list that rarely stretches past three weeks.
Dr. Barish is board-certified in internal medicine, trained at Mount Sinai, and a Fellow of the American College of Physicians. She does not concierge. She does not double-book. She does take insurance, and she returns her own calls before the end of the day.
Scroll sideways through the conditions Dr. Barish manages most often. Each is treated in-house, with labs and imaging coordinated through the clinic — not handed off to a stranger.
Ongoing management of high blood pressure, arrhythmia monitoring, and cardiovascular risk reduction — coordinated with echocardiography and stress testing as needed.
Continuous glucose monitoring setup, A1c tracking every ninety days, and a medication strategy that fits the way you actually eat — not the way a pamphlet says you should.
Diagnosis and long-term management of hypothyroidism, hyperthyroidism, and Hashimoto's — with ultrasound-guided biopsy available when a nodule needs a closer look.
A full head-to-toe preventive exam with EKG, comprehensive metabolic panel, lipid panel, and a conversation about what actually changed since last year.
History, physical, EKG, and any labs your surgeon requested — typically turned around within forty-eight hours, with a signed clearance letter sent directly to the surgical office.
Annual well-woman exams, bone density screening, menopause management, and the kind of unhurried conversation about hormones, sleep, and mood that a fifteen-minute slot cannot hold.
Transparent pricing for patients paying out of pocket or with high-deductible plans. The clinic accepts most major PPO insurance, Medicare, and self-pay. No surprise bills — every estimate is confirmed in writing before the appointment.
A sixty-minute first visit — full history, review of prior records, medication reconciliation, and a physical exam. We do not book new patients into a fifteen-minute slot. Bring your questions; there will be time for them.
Thirty minutes for an existing patient — chronic condition review, medication adjustment, lab review, or a new acute concern. Long enough to think, short enough to fit a lunch hour.
Comprehensive metabolic panel, complete blood count, lipid panel, TSH, A1c, and a twelve-lead EKG — drawn and performed on-site, with results reviewed together within twenty-four to forty-eight hours.
A twenty-minute video visit for established patients — medication refills, lab review, or a quick check-in between in-person appointments. Available to patients physically located in Florida at the time of the call.
Labs drawn in-suite — no separate trip to a Quest or LabCorp across town.
Most routine labs reviewed with you within twenty-four to forty-eight hours.
Dr. Barish returns her own messages — never an answering service maze.
Most major PPO plans, Medicare, and transparent self-pay pricing.
Tell us a little about what you need and a preferred window. The front desk will confirm within one business day — typically the same morning. New patients are welcome; we keep a small number of slots open each week for urgent same-week visits.