Who We Help
You have a cardiologist, an endocrinologist, a sleep specialist, and a primary care physician. Each one is excellent at what they do.
But none of them are talking to each other.
Your labs come back "normal" but you don't feel normal. You're managing your own care between appointments. You're the only person with the full picture, and you're not a doctor.
Aligness was built for people like you.
We are a physician-led health advisory founded by Dr. Heather Skeens (ophthalmologist and functional medicine practitioner) and Dr. Vladimir Pastouk (integrative dentist and airway specialist). Together, we bring over 55 years of combined clinical experience.
We don't replace your doctors. We coordinate them. We find what they're missing. And we build the unified health strategy that should already exist.
What Makes Us Different
Most health advisories look at one system at a time. We look at three that are almost always connected and almost never checked together.
Your airway. Tongue restriction, jaw positioning, and breathing patterns that affect your sleep, your energy, and your cognitive performance. Most sleep specialists never look here.
Your eyes. The retina is the only place in your body where a doctor can see blood vessels without surgery. Dr. Skeens uses this to identify early signs of inflammation, diabetes, and cardiovascular risk that bloodwork alone can miss.
Your whole-body inflammation. Chronic low-grade inflammation from your mouth travels through your bloodstream to your heart, your brain, and every organ in between. Your dentist checks for cavities. Your doctor doesn't check your mouth. Nobody connects the two.
When these three systems are evaluated together, we find patterns that individual specialists miss.

Step 1: Comprehensive Assessment
A full evaluation that goes far beyond a standard physical. We assess your airway, oral-systemic health, ocular indicators, metabolic function, inflammation markers, and existing specialist reports. Everything your doctors have, we review.
Step 2: Connect the Dots
We map your health across every specialist and every system. Where are the gaps? What's being duplicated? What's being missed? We identify the connections your current team isn't making.
Step 3: Your Health Strategy
You receive a personalized health blueprint. Not a PDF of lab results. A clear, prioritized plan that coordinates your existing specialists and addresses what they've overlooked.
Step 4: Ongoing Advisory
As your health evolves, so does your strategy. We stay in your corner, coordinating care, monitoring progress, and adjusting as needed.
The Aligness Standard
Physician-led, not clinic-run. You work directly with Dr. Skeens and Dr. Pastouk. Not a nurse practitioner. Not a health coach. Your physicians.
Coordination, not just testing. We don't just run labs. We make sure every specialist on your team is working from the same playbook.
Prevention, not reaction. We find problems upstream, before they become diagnoses.
Prevention, not reaction. We find problems upstream, before they become diagnoses.
Discrete and private. Your health information stays between you and your physicians. Period.

Your Physicians
Dr. Heather Skeens, MD
Board-certified ophthalmologist and corneal surgeon. 25+ years of surgical experience. Certified Functional Medicine Practitioner. Author of Unshackled. Published in Ophthalmology, Cornea, and American Journal of Ophthalmology. Former Assistant Professor of Ophthalmology, MUSC. As seen on FOX 5 San Diego and PIX11 New York.
Dr. Vladimir Pastouk, DMD
30+ years in implant, cosmetic, and biological dentistry. Developer of a patented tongue-tie surgical technique. Founder of Glossodontics. Silver Medal recipient, European Congress of Implantologists. Board-certified in Naturopathy and Biological Dental Medicine. International lecturer and 15+ years of dental mission work.
Book a Consultation
Tell us about your situation and what you're looking to address. Dr. Skeens or Dr. Pastouk will personally review your inquiry and respond within 48 hours.




