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Medical Services

What is the Scope of My Concierge Medical Care?

As a gynecologist, I have often been the only physician a woman saw on a regular basis. This is why over 20 years ago, I expanded my professional medical services beyond gynecology, providing a more comprehensive preventative medical care option that included preventative cardiology, endocrinology, gastroenterology, female urology and my signature lifestyle Longevity Program.

As my patients shared my program and their results with their husbands, they learned such a comprehensive medical evaluation was not being provided for them. As a result, I further expanded my medical services by welcoming their husbands and other male patients into my practice.

My philosophy of the practice of medicine is simple: Provide my patients the best medical care possible. To this end I am continually researching and learning, so as to provide the most current and highest level of medical expertise, a clear understanding of their options and an evolving plan for achieving their health goals.

In addition to my Longevity Program, my professional services include:

Preventive Care

  • Annual Evaluation and Examination
  • Preventative Cardiology
  • Heart and Stroke Risk Assessment
  • Prediabetes Assessment
  • Ultrasound Vascular Screening Atherosclerosis (Plaque)
  • Ultrasound Assessment for Early Disease
  • Ultrasound Body Screening for Early Detection of Tumors

Early Ultrasound Detection of Tumors and Disease

  • Abdomen, including Liver, Gallbladder, Pancreas, Kidneys, Spleen
  • Aneurysm of Abdominal Aorta
  • Bladder
  • Breast
  • Carotid Arteries for Stroke Risk
  • Femoral Arteries for Vascular Disease
  • Pelvic, including Uterus and Ovaries
  • Soft Tissues for Palpable Masses
  • Thyroid (Nodules)

Genetic Testing & Tumor Markers

  • Tumor Markers:
    • CA-125 - Ovarian
    • CA-27-29 - Breast
    • CEA - Colon
  • Blood Clotting Risk:
    • Prothrombin (Factor II) Genotype
    • Factor V Leiden Genotype
    • Clopidogrel (Plavix) Response Genotype
  • Alzheimer's Risk Genotypes:
    • Apolipoprotein E (Apo-E) Genotype Test
  • Cardiovascular Genotypes:
    • SLCO1B1 Genotype Test (Statin Induced Myopathy)
    • MTHFR Genotype Test (Vit B12 & Folate Defects)

Annual Medical Screening Tests by Age:

Ages 18-39

  • Women:
    • Clinical breast exam, yearly
    • Breast self-exam, monthly
    • Pelvic exam
    • STD screening, if sexually active
    • Pap Smear, every 3 years if negative history
  • Men:
    • Testicular Exam (Home self-exams can be done)
  • Men & Women:
    • Annual Physical Exam
    • Weight, Height and Body mass Index (BMI), yearly
    • Blood pressure and heart rate, yearly
    • Clinical skin exam, yearly
    • Sexually Transmitted (STD) Infections, depending on lifestyle
    • Eye exam, every 3-5 years
    • Dental check-up, every 6 months
    • Blood Work:
      • HDL LDL cholesterol
      • Complete Blood Count
      • Complete Metabolic Panel for Diabetes, Kidney, Liver
      • Thyroid Panel
      • Sexually Transmitted Infections: Depending on Lifestyle Tests
    • Immunization: [See Recommended Adult Immunization Schedule below]
      • Tetanus-diphtheria booster, every 10 years
      • HPV vaccine, if not received as an adolescent
      • Hepatitis A and B vaccine, once, if at risk
      • Meningococcal Vaccine
      • Influenza Vaccine, optional
      • COVID-19 Vaccine (frequency to be determined)

Ages 40-49: All the above plus

  • Women:
    • Mammogram: yearly @ age 40
  • Men:
    • Prostate screening (PSA test & exam), if at high-risk
  • Men & Women:
    • Boston Heart Diagnostics Proprietary Cardiovascular Risk screening
    • Carotid Artery Ultrasound: stroke and heart disease risk assessment
    • Electrocardiogram (EKG), every 3-5 years
    • Echocardiogram, if indicated
    • Eye Exam & Glaucoma screening, every 2-4 years, as indicated
    • Fecal occult blood test, yearly @ age 40
    • Colonoscopy @ age 45; repeat every 5 years, or as indicated
    • Osteoporosis screening/DEXA scan baseline, then if at risk, every 1-2 years
    • Lung Cancer Screening: Annually, if a current or past smoker

Age 50 and Over: All the above plus

  • Men & Women:
    • Osteoporosis screening/DEXA scan, every 1-2 years
    • Immunizations: [See Recommended Adult Immunization Schedule below]
      • Shingles Vaccine, Age 50 and up; 2 doses 2-6 months apart
      • Flu Vaccine; annual, optional
      • High Dose Flu Vaccine: (Fluzone) adults 65 & older
      • Pneumonia Vaccine
      • Herpes Zoster Vaccine, age 60, optional
      • Pneumococcal vaccination, age 65

CDC Recommended Adult Immunization Schedule, Ages 19 & Older, United States, 2021

https://www.cdc.gov/vaccines/schedules/hcp/imz/adult-compliant.html