Online consultations

World-class brain health.
Wherever you are.

Dr. Kouka speaks Arabic, Russian, and English fluently. He has lived in the Middle East, Eastern Europe, and America – and is uniquely positioned to serve a global multilingual patient base that no other brain health physician can reach.

How it works

Five steps from booking to your clinical summary.

Book online

Use the booking page. Time zones display automatically.

Secure video

Doxy.me (HIPAA-compliant) or Zoom Health, depending on jurisdiction.

Choose duration

30 minutes or 60 minutes – your choice.

Share your labs

Upload any labs in advance – Dr. Kouka reviews them before your session.

Written summary

Receive a written summary with supplement and lifestyle recommendations by email.

Fee structure by region

Transparent pricing. Region by region.

Pricing reflects regional cost of living. The clinical work is identical for every patient.

Region	Language	30-min fee	60-min fee
Global English-Speaking US, Canada, Australia, New Zealand	English	$150	$250
Gulf States Kuwait, Qatar, UAE, Saudi Arabia	Arabic / English	$120	$200
Eastern Mediterranean Palestine, Jordan, Lebanon, Syria	Arabic	$60	$100
Russia & Eastern Europe	Russian	$70	$120
Other countries (English)	English	$80	$130

Illuminated Islamic Golden Age medical manuscript with anatomical diagram, brass astrolabe, mortar and pestle, and candlelight – evoking centuries of Arab medical scholarship

العربية · Arabic-speaking patients

Arabic health care, by a physician who knows the region.

Dr. Kouka served as a neurosurgeon in Kuwait from 1986 to 1991, including throughout the Gulf War – providing life-saving brain and spinal surgery to patients of all nationalities during one of the most challenging medical environments in the region's modern history.

He speaks Arabic fluently and understands the medical traditions, family health concerns, and preventive care gaps across the Arab world. For patients across the Gulf (Kuwait, Qatar, UAE, Saudi Arabia) and the Eastern Mediterranean (Palestine, Jordan, Lebanon, Syria) – this is access to a trusted Arab-American neurosurgeon-trained brain health physician.

Русский · Russian-speaking patients

Medical care in Russian – by a physician trained in Odessa, Kiev, and Penza.

Dr. Kouka trained in Odessa and Kiev (Ukraine) and Penza (Russia). He was present in Kiev during the 1986 Chernobyl nuclear disaster, treating patients under extraordinary conditions before the full extent of the crisis was known.

He speaks Russian fluently and understands Soviet medical culture and the health concerns of Russian and CIS communities. No other brain health physician in America can offer this connection.

19th-century Russian Imperial medical scene with Cyrillic anatomy atlas, brass microscope, surgical kit, and Imperial Medical-Surgical Academy crest – evoking the Tsarist medical tradition

Global English-speaking patients – US, Canada, Australia, New Zealand

Licensed in Florida and New York. Advisory worldwide.

Available to all US patients via telemedicine under Florida and New York telehealth rules. Global English-speaking patients (US, Canada, Australia, New Zealand) may book advisory consultations.

Note: prescriptions cannot be issued internationally. Consultations are educational and advisory in nature for non-US patients.

Legal notice – please read

For US patients (FL & NY):

Full telemedicine – prescriptions available where licensed.

For international patients:

Consultations are medical education and advisory in nature. No prescriptions. No formal physician-patient relationship under US law. This is clearly documented in the intake form, which every international patient signs before their first session.