Thomas Paluska, MD


Dr. Thomas Paluska is dedicated to helping patients achieve long-term health and vitality through a combination of clinical expertise and longevity-focused care. With over 30 years of experience in emergency medicine and a distinguished career as a physician and veteran, he brings a depth of knowledge rooted in precision, leadership, and service.

A graduate of Georgetown University, Dr. Paluska completed his medical training at the Naval Medical Center and the National Capital Consortium. His background in high-acuity medicine informs a thoughtful, safety-first approach, ensuring every treatment is delivered with the highest level of care and professionalism.

Passionate about proactive health and longevity, Dr. Paluska emphasizes optimizing how patients feel and function — not just addressing symptoms, but supporting long-term energy, resilience, and overall well-being. Through his role as Medical Director, he helps guide Base State’s clinical approach, ensuring each client receives personalized, science-backed care designed to support a more vibrant, elevated life.

  • Proactive, lifestyle-driven health.


  • Sunset walks with my pup.

  • Health should support your lifestyle — not interrupt it.