House calls
Care in your home across Greater Hartford. No waiting room. No parking garage. Time enough for a real exam.
Concierge lifestyle medicine · Greater Hartford, Connecticut
A physician who has time. A plan that starts with how you live.
Knotmedicine is a membership practice for a few dozen patients. House calls and virtual care. Strength, cardiovascular training, and fewer medications — on purpose.
- A few dozen patients
- The panel stays small so access stays real.
- House calls + virtual
- In person when it matters. Remote when it doesn’t.
- Training first
- Lift, condition, sleep, food — then medication.
The practice
Most medicine starts with a prescription. We start with the work.
Conventional primary care is built for volume. Seven minutes, a refill, a referral. There is no time to coach a squat, look at sleep, or take a medication away.
Knotmedicine keeps a panel small enough that your physician can do those things. Membership is the structure. Lifestyle is the method. Medication is what remains when the method is not enough.
Knotmedicine ties typical modern medical care — the exam, the diagnosis, the medicines that earn their place — to the way of living that actually makes a person healthy. Strength work, cardiovascular training, sleep, and food are part of the medicine, not a pamphlet you get after the visit.
Virtual visits
When the visit does not need a room, it does not get one. Video when it is the better tool.
Direct access
Encrypted messaging to your physician. Questions answered by the person who knows you — not a triage tree.
The method
Lift. Condition. Recover. Eat. Then, if needed, a pill.
Training is not a wellness extra here. It is the first-line treatment. Every member gets an individualized plan for strength and cardiovascular work, reviewed the way other practices review labs.
- 01
Lift
Strength work as a clinical plan. Loads, frequency, and progression written for your body — not a generic printout.
- 02
Condition
Cardiovascular training with a target. Zone work, intervals, or long easy miles — whatever the evidence and the calendar support.
- 03
Recover
Sleep and stress treated as vital signs. If they are broken, the rest of the plan will not hold.
- 04
Eat
Practical food you can live with. No protocol theater. Protein, produce, and the habits that actually stick.
If a medication can come off, we try. If it must stay, you will know why.
The physician
Michael Kellner, MD
Board-certified, emergency medicine
Dr. Kellner trained at Columbia University’s Vagelos College of Physicians and Surgeons and completed emergency medicine residency at the University of Connecticut. He has practiced in the Greater Hartford hospitals that take the region’s sickest patients.
That background is the point of a home-visit practice: the judgment used when minutes matter, applied with hours instead. Acute assessment in the living room. A training plan in the follow-up. A smaller medication list over time.
- →Columbia University Vagelos College of Physicians and Surgeons
- →Emergency medicine residency, University of Connecticut
- →Board-certified, emergency medicine · Licensed in Connecticut
Membership
Three annual memberships.
Connect
$2,500/ year
Direct access and a training plan. House calls when they are clinically needed.
- Encrypted messaging to your physician
- Virtual visits as the default for follow-up and training review
- Individualized strength and cardiovascular plan
- House calls when you are unwell and an in-home exam is the right tool (not the routine visit)
- Same small panel; room to take you well.
House Call
$3,500/ year
Care in your home as the standard. Virtual when a room is not required.
- House calls and virtual visits as ordinary care — not exceptions
- Full training-first plan: lift, condition, recover, eat — reviewed like clinical work
- Direct encrypted access to your physician
- Same-day or next-day visits when you are unwell
- Deprescribing with intent when a medication can come off.
Premier
$5,000/ year
House Call care, with priority scheduling and a deeper annual review.
- Everything in House Call
- Priority same-day / next-day access when the calendar is tight
- Higher visit intensity when the plan needs closer follow-up
- Annual deep-dive review: exam, labs discussion, training plan reset for the year ahead
- Still a solo small panel — intensity comes from time reserved for you, not a second clinic.
Membership is annual and discussed in a private conversation. It is not insurance and is not billed to insurance. Keep your insurance for hospitals, specialists, imaging, and labs. We take the next member when there is room to take them well.
Inquire · November 2026
Five new members. Any given month.
The panel stays a few dozen by taking people slowly. Five new members in a month is the limit — not a number we stretch. New members are not named here. A taken seat shows a mark and the first letter of a first name. An open seat is an asterisk.
All five are open. If you want one of them, write below. If the month is full, you can get on the waitlist for the next. Please keep medical details off this form.
Is this health insurance?+−
No. Knotmedicine is a membership practice. Keep your insurance for hospitals, specialists, imaging, and labs. The membership is for the relationship with your physician — access, time, and a plan.
Do you still prescribe medication?+−
When it is the right tool, yes. The aim is fewer medications, used with intent — not none at any cost. If a drug can come off, we try. If it must stay, you will know why.
House calls or virtual?+−
Both. Onboarding and exams happen in person, in your home. Follow-up, training review, and many acute questions happen by video or message. Same-day or next-day house calls when you are unwell and it is clinically appropriate.
How many patients?+−
A few dozen on the panel, and five new members in any given month — not more. That ceiling is the product. It is how your physician can answer, show up, and stay with the plan.
What if I have an emergency?+−
Call 911. Knotmedicine is not an emergency department. After-hours, members have a defined way to reach the practice; life-threatening symptoms still go to emergency care. Call us as you are going — we can walk you through it, and if it is appropriate we may detour you for assessment, testing, or medication.
Who is this for?+−
Adults in Greater Hartford who want a small practice, direct access, and a training-first approach to health. People who would rather lift, run, sleep, and eat well than collect prescriptions.
This month
5/5 open
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5 of 5 seats open this month
Request a conversation
There are a maximum of five new members in any given month. If this month is full, you can get on the waitlist for the next. Tell us who you are and the town you live in — this is an inquiry, not a signup.
Submitting opens your email to knotmedicine@gmail.com. Do not send protected health information. For emergencies, call 911.