A: The first visit lasts 75-90 minutes. You will have a one-on-one consultation with Dr. Tighe and she will review your chief complaint and other ailments and take a thorough history. Dr. Tighe may use Chinese medicine diagnostic tools such as tongue and pulse diagnosis to get a more clear picture of your current health. She will spend time explaining the overall goals of natural medicine, which center around treating the underlying condition and restoring physiology. She will review any supplements or medicines that you are already taking. If applicable, she will review lab results brought in by the patient. An individualized treatment plan will be devised that aims towards helping the patient achieve their health goals. It often includes detailed nutrition recommendations, herbal medicine, homeopathic remedies, hydrotherapy treatments, acupuncture, mind-body approaches and lifestyle modifications.