PYRALVEX SOLUTION

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

• Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
• Evaluation of symptoms and guidance on further diagnostic testing
• Preventive check-ups and regular health monitoring
• Medical support during travel or after relocation
• Treatment adjustments and lifestyle recommendations based on your personal history

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

• Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
• Family medicine: hypertension, diabetes, cholesterol, chronic disease management
• Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
• Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
• Weight management and wellness: personalised weight loss programmes, lifestyle guidance
• Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
• Pain management: acute and chronic pain, post-surgical care
• Public health: prevention, health screenings, long-term monitoring
• Sick leave (Baixa médica) connected to Segurança Social in Portugal
• IMT medical certificates for driving licence exchange

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

• Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
• Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
• Mental health concerns such as stress, sleep issues, anxiety, and burnout
• Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
• Work-related health questions, sick leave documentation, and medical guidance for returning to work

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

Dr. Ngozi Precious Okwuosa is a Primary Care Physician with over 5 years of clinical experience in Hungary, Sweden, and Nigeria. A graduate of the University of Szeged (cum laude), she offers online consultations for adults in the areas of internal medicine, women’s health, and postoperative care.

Key areas of consultation:

• Preventive and family medicine
• Women’s health, including gynaecology and obstetrics
• Chronic disease management: hypertension, diabetes, and more
• Mental health support, anxiety, and counselling
• Postoperative care and lab test interpretation

Dr. Abdullah Alhasan is a physician specialising in cardiology and general medicine, with international clinical experience and a commitment to evidence-based care. He offers online consultations for adults, focusing on both acute symptoms and long-term health management.

Main areas of consultation:

• Chest pain, shortness of breath, heart palpitations, high blood pressure
• Hypertension control and cardiovascular disease prevention
• Interpretation of ECG, blood tests, and Holter monitor results
• Management of heart failure and coronary artery disease
• General medical issues: infections, fever, fatigue, gastrointestinal symptoms
• Guidance on diagnostics, treatment plans, and medication adjustments

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

• acute respiratory symptoms (cough, sore throat, runny nose, fever)
• viral illnesses such as colds and seasonal infections
• gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
• sudden changes in how a child or adult feels
• questions about existing treatment and whether adjustments are needed
• renewal of prescriptions when clinically appropriate

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

• seasonal and perennial allergies
• allergic rhinitis and chronic nasal symptoms
• asthma and breathing difficulties
• food and medication allergies
• urticaria, atopic dermatitis and skin reactions
• recurrent infections in children
• sports-related health questions
• general family medicine concerns

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance.

His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation.

Patients commonly consult Dr Daniel Cichi for:

• acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
• chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
• digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
• muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
• chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders;
• review and interpretation of lab tests, imaging reports, and medical documents;
• medication review and treatment adjustment;
• medical advice while travelling or living abroad;
• second opinions and guidance on whether in-person care is needed.

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

• assessment of sudden or unclear symptoms
• ongoing care for chronic conditions
• follow-up after hospital discharge
• interpretation of test results
• medical support while abroad

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

Dr. Roman Raevskii is a licensed general practitioner in Spain, offering online medical consultations with a strong focus on prevention, early diagnosis, and personalized care. He combines evidence-based clinical expertise with a patient-centered approach to deliver comprehensive support.

Dr. Raevskii provides medical care in the following areas:

• Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
• Oncological consultations: early cancer detection, risk evaluation, and treatment navigation.
• Supportive care for oncology patients – pain control, symptom relief, and side effect management.
• Preventive medicine and health screenings.
• Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.