From the patient’s perspective, one of the greatest deficiencies in the delivery of quality healthcare is the lack of time available to engage and interact with their doctor.

Ryical Medical Consulting was created as a corrective to this systemic inadequacy. Staffed entirely with board-certified physicians and surgeons, our mission is to provide the ultimate concierge medical support service.


About the Founder

Tobi Greene, M.D. FACS

From an early age, I knew that I would become a doctor and surgeon. More a calling than a career choice, for me, being a doctor was as much about helping people as acquiring the scientific knowledge and technical expertise with which to perform surgery on them. As an attending breast oncology surgeon working with a hospital-based group, one area of practice that always left me wanting was the inability to spend more time with my patients discussing their diagnosis, prognosis, treatment, and aftercare. Over time, when the routine of working as an attending surgeon felt more like a factory than a hospital, I left and went into private practice. This allowed me to practice medicine in a more humanistic way, first and foremost benefitting the patient, and then secondarily, the physician.

Years later, upon dealing with my own medical issues, some of which required surgical intervention, followed by my child having medical issues, also requiring surgical intervention, I found myself in the unexpected position of experiencing health care as a patient rather than as a provider.

Fortunately, I was in a position of knowing what questions to ask, whose opinions to solicit, and what various options to pursue.

Ultimately, I was empowered to make a life-changing decision; rather than resume my surgical career, the idea of founding a medical consulting firm greatly appealed to me–a venue through which I could bring physicians and surgeons together to help patients navigate and negotiate their way through the maze of healthcare in a more supportive and empathetic fashion.

The decision to cease practicing surgery was monumental as I defined myself by the word “surgeon.” I fulfilled a passion and I honored the privilege of the profession.  Although I miss operating with all of my heart, I am thankful to have the opportunity to help families through their most vulnerable and emotional times.


When confronted with a serious medical issue, one inevitably submits to a system of institutional healthcare–by design and necessity: bureaucratic, time-constrained, and impersonal. For a self-reliant person who conducts their life in a high-functioning manner, this circumstance only exacerbates the frustration and anxiety of feeling vulnerable, dependent, and alone–of being, in a word, the patient.

  • Created as a corrective to the systemic inadequacy of time in healthcare

Upon receiving a diagnosis and prognosis, the patient is often presented with a course of treatment and plan of action with neither the time nor resource to fully absorb and process what is being prescribed.

How does one manage their illness as they would manage any other area of their life: intelligently, efficiently, and effectively.

Are there options and alternatives to be explored? What is the efficacy of getting a second opinion, and from what type of specialist? What is the latest thinking and research regarding their particular ailment? Are non-western and non-traditional approaches valid and worthy of consideration? What criteria should be employed in selecting a hospital and physician?

So many legitimate and credible questions to be addressed that do not rise to the level of medical emergency yet require a sense of urgency, as well as expertise and experience.

Ryical Medical Consulting – Where a Doctor Always Answers the Phone

Concierge Medical Support Services

Once a course of treatment has been determined, whether surgical or therapeutic, the nature of medical treatment is uniform and programmatic–what is not, is an individual’s experience of that treatment.

When solicited by our clients, our consultants provide this unique service, reflecting the collective expertise and experience of decades of practicing medicine. As such, we are acutely aware and respectful of the legal and ethical lines of demarcation between the privileged relationship of doctor and patient, and our services.

While scrupulously observing these professional boundaries, in our role as cohort patients, we offer an array of services individually tailored to fulfill each client’s desired level of attention and oversight.

Physician consultants will:
  • Accompany clients to medical appointments, procedures, and surgeries
  • Assist with capturing and transcribing crucial information discussed at doctor visits
  • Identify client concerns and recommend questions a client might not know to ask their doctor
  • Accommodate home and hospital visits
  • Provide emotional and intellectual support
  • Facilitate information sharing between a client’s doctors
  • Assemble personal and medical information into a detailed and useful format
We assist with:
  • Navigating medical care challenges
  • Researching medical conditions
  • Appointment scheduling
  • Medical record organization
  • Medical forms
  • Medical terminology clarification
  • Arranging personal concierge services
  • Researching rehabilitation and long term care facilities.
  • Care coordination with ancillary specialists, such as physical therapists, home nursing, and others

Emotional and intellectual support, companionship, and accommodation, can absolutely make a difference and alleviate some of the many challenges every patient must deal with.