Patients ask me, \u201cWhat about those wellness exams my health insurance company says I\u2019m entitled to every year at no cost?\u201d<\/p>\n\n\n\n
Bad news. Let\u2019s review one of life\u2019s basic rules: you get what you pay for.<\/p>\n\n\n\n
What you receive during your short wellness visit (what many consider a sacrosanct ritual that boosts longevity) is little more than a quick look at the obvious. Your weight, heart rate, blood pressure; a glance into your eyes, ears, nose, and mouth; some prodding at your neck and tummy; a quick listen to your heart and lungs; sometimes a genital check; a look to ensure that your extremities are moving and that\u2019s that.<\/p>\n\n\n\n
But it\u2019s the blood tests that provide the real information about me, you think.<\/p>\n\n\n\n
Again, just the basics: a blood count, a metabolic and cholesterol profile, sometimes a thyroid check (TSH), and occasionally vitamin D (depending on your plan). Oh, and women are entitled to a Pap smear and mammogram.<\/p>\n\n\n\n
But at least you didn\u2019t have to pay for it.<\/p>\n\n\n\n
Here\u2019s what you actually get Blood count<\/u> Very high numbers of white or red cells could mean the test is revealing an early-stage blood cancer. Despite doing hundreds of these, my experience is that something serious appears roughly every five years or so.<\/p>\n\n\n\n Blood chemistries<\/u> High blood glucose (sugar) means you may have diabetes or be developing it or you forgot and ate a chocolate scone before your exam; high BUN and\/or creatinine may mean something\u2019s off with your kidneys; abnormal electrolytes (sodium, potassium, etc.) may reflect internal fluid imbalances; abnormal liver enzymes might mean something\u2019s amiss with that organ.<\/p>\n\n\n\n Cholesterol<\/u> High levels of certain types may mean you\u2019re more susceptible to heart disease than other people.<\/p>\n\n\n\n At this point with your doctor, you\u2019ll receive some well-intentioned advice that most of you know already. \u201cLet\u2019s work on that weight\u201d or \u201cHere\u2019s a statin for your cholesterol\u201d or \u201cLay off the Jack Daniel\u2019s and let\u2019s check your liver in a month.\u201d<\/p>\n\n\n\n Just about every primary care provider, whether an internist, family practitioner, nurse practitioner, naturopath, or chiropractic physician, is aware that this examination, including the labs, provides low-level information.<\/p>\n\n\n\n It\u2019s better than nothing, but this type of wellness check is very 20th century. Although most old paper medical records were shredded years ago, if you could ever locate a primary care doctor\u2019s office records from, say, 1960, the wellness check (and follow-up advice) would be pretty much the same.<\/p>\n\n\n\n Here\u2019s what you want from a wellness exam in 2018 When patients arrive at WholeHealth Chicago for their initial visit, they\u2019ll often bring a shopping bag (or at least a list) of nutritional supplements they\u2019re taking. Sometimes they\u2019ve done their homework and know exactly why they\u2019re taking them, but many people are just hazarding guesses.<\/p>\n\n\n\n It\u2019s somewhat ironic many people are taking supplements their primary physician should be prescribing: anti-inflammatories like fish oil and turmeric, antioxidants, and detoxifiers. They often, and quite accidentally, are covering future health risks. But they also may be taking supplements they simply don\u2019t need. Likely harmless, but a complete waste of money.<\/p>\n\n\n\n Which brings me to the usefulness of genetic testing, which (fortunately for you) has plummeted in price in recent years.<\/p>\n\n\n\n Precision medicine –A painless scraping of your inner cheek is couriered to a lab in Copenhagen, Denmark, for an analysis of the DNA on your chromosomes. ADNA Health profile examines 44 separate SNPS that are subdivided into: For example, let\u2019s say your SNPS show that you\u2019re a poor detoxifier and are chronically inflamed. Many studies have shown that such individuals have a higher incidence of chronic illnesses including cancer, Alzheimer\u2019s, and early heart disease. You now have hard evidence that you need to start on a low-inflammation diet, take detoxifying and anti-inflammatory supplements, and live where you\u2019re not inhaling toxic sludge.<\/p>\n\n\n\n Other genetic tests available include DNA Sport, which determines the best type of exercise for your body, how susceptible you are to injuries, and how quickly you\u2019ll heal.<\/p>\n\n\n\n DNA Diet will help determine the right diet for you. It may also explain why you\u2019re not losing weight despite your best efforts.<\/p>\n\n\n\n Finally, DNA Mind examines your risks for neurodegenerative disorders, like Parkinson\u2019s and Alzheimer\u2019s, so you can take steps to minimize your risk for them<\/a>.<\/p>\n\n\n\n What to do next You\u2019ll be notified when your results are back, though be assured we will neither file these in your chart nor release them to anyone except you. Click here for a sample report<\/a>, which you\u2019ll quickly note requires a helping hand to interpret.<\/p>\n\n\n\n When you\u2019re notified, schedule an appointment with one of our four practitioners who can walk you through your results: Marla Feingold, Olivia Wagner<\/a>, Dr. Caley Scott<\/a>, or Dr. Alaina Gemelas.<\/p>\n\n\n\n Each test–Health, Mind, Sport, Diet–costs $350. (If you decide on just one test, choose DNA Health. It provides an astonishing amount of information.) Given the amount of data you\u2019ll receive, these tests are one of the last actual bargains in healthcare.<\/p>\n\n\n\n Your health insurance will not cover them and, really, you wouldn\u2019t want them to. If they pay for it, they\u2019re entitled to a copy and you simply do not want your genetic test results released to the healthcare system because you can\u2019t know what it will do with that information.<\/p>\n\n\n\n You\u2019ll receive your copy and that\u2019s it. If you wish, we can file a second copy at our office, though you can always retrieve additional copies from the lab.<\/p>\n\n\n\n If you\u2019re not a WholeHealth Chicago patient, schedule a lab-only and we\u2019ll send out your sample. When the results are back you can pick them up and have your personal physician interpret them.<\/p>\n\n\n\n Be well, Patients ask me, \u201cWhat about those wellness exams my health insurance company says I\u2019m entitled to every year at no cost?\u201d Bad news. Let\u2019s review one of life\u2019s basic rules: you get what you pay for. What you receive during your short wellness visit (what many consider a sacrosanct ritual that boosts longevity) is little […]<\/p>\n","protected":false},"author":2087,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[352,28,2,139,195,398,203,50,226,296,130,2331,3,34,2334,43,216,2332],"tags":[],"class_list":["post-12826","post","type-post","status-publish","format-standard","hentry","category-aging","category-alternative-therapies","category-blog","category-cardiovascular-health","category-diseases","category-fitness-exercise","category-health-insurance-issues","category-healthy-lifestyle","category-immune-system","category-inflammation","category-integrative-medicine","category-internal-medicine","category-knowledge-base","category-mental-health","category-naturopathic-medicine","category-nutrition-nutritional-supplements-vitamins-herbal-remedies","category-p","category-preventive-medicine"],"yoast_head":"\r\n
<\/strong>Patients are puzzled by blood tests. They see a lot of meaningless line items and don\u2019t understand that they\u2019re little more than a snapshot of certain substances in your blood at the very moment of the blood draw. Could these results change over the next day? Sure. Are the results useful in predicting future illnesses? Not often.<\/p>\n\n\n\n
<\/strong>You want to know what you, as a unique individual, might be facing, healthwise, in the future. Not the future of tomorrow or next week, but in the decades ahead (and we hope there will be plenty of them).<\/p>\n\n\n\n
<\/strong>You\u2019ve probably seen the term \u201cprecision medicine.\u201d It means preventive medicine designed for you and only you. Here\u2019s a brief overview of how precision medicine works:<\/p>\n\n\n\n
–A geneticist examines pieces of your DNA called SNPS (not surprisingly pronounced \u201csnips\u201d), full name single nucleotide polymorphisms.
–Having a lot of good SNPS is good and reduces your risk for long-term illnesses.
–Having bad SNPS means you\u2019d better undertake some significant lifestyle changes (eat more of this, take that supplement, move to a less polluted city, seriously reduce your stress levels, etc.) if you want to prevent your bad SNPS from snipping you in the rear and shortening your life.<\/p>\n\n\n\n
(1) Lipid metabolism
(2) Methylation
(3) Detoxification
(4) Inflammation
(5) Oxidative stress
(6) Bone health
(7) Insulin sensitivity<\/p>\n\n\n\n
<\/strong>If you\u2019re a WholeHealth Chicago patient, call and schedule a lab-only and we\u2019ll collect the cheek scraping specimen when you arrive and send it to the lab in Copenhagen.<\/p>\n\n\n\n
David Edelberg, MD<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"