Wellness & Prevention
Wellness is a state of optimal well-being, embraces a healthy balance of the mind, body and spirit, is an active process of becoming aware of making choices toward a healthy and fulfilling life. It is known that 7 of 10 deaths among Americans each year are secondary to chronic medical illnesses, and more important one of every two adults is estimated that has a least one chronic illness, most of which can be prevented. Therefore, it is important to achieve an optimal level of wellness to reduce the risk of illness, and also is extremely crucial to live a higher quality life. Our mission as physicians is to enhance lives, our best approach is focusing on prevention to drive improved health and wellness, increasing the quality and years of healthy life. Also with this preventive approach we assure people to life longer, live a productive life and reduce their health care costs, all of this making a positive impact in our community. That's why we empower people to make healthy choices and guide them throughout this process to achieve an ideal balance of life and well-being.
Biophysical Profile: The most comprehensive blood test available in preventative medicine. It allows evaluation of 250 biomarkers to detect a medical condition before symptoms appear.
Cardiovascular Stress Testing and Fitness Evaluation: Allows for assessment of your cardiovascular fitness, anaerobic threshold while identifying the presence of coronary artery disease.
Bioidentical Hormonal Replacement: Aging is associated with a decrease in functional levels of key hormones. We now offer the ability to restore this hormonal balance therefore halting the aging process while increasing longevity and protecting against illness.
Nutritional Support, Weight Management: We use genetic testing in order to guide the nutritional strategy for an individual patient. We provide a spectrum of services aimed at restoring the micronutrient balance to your body. This is coupled with our paleo-based weight management programs.
Single Nucleotide Polymorphism (SNP): The human genome contains 23 chromosomes. The genome is composed of 3 Billion base pairs. The human is almost perfect, cells sometimes make copying mistakes which lead to variations in DNA and are called SNPs. There are about 10 million SNPs in the human genome. The account for the differences among humans but can also be responsible for certain diseases. We can now test your SNPs with a simple cheek swab.
Telomere Testing: This simple blood test provides information about your biological age. This test measures the length of the protective structures located at the tip of your chromosomes. Most chromosomes have telomeres that normally shorten as a person gets older. By analyzing telomere length individuals may gain insights into their health, lifespan and susceptibility to diseases, such as cancer and Alzheimer's. A 35-year-old woman with relatively short telomeres may be considered to have a biological age of 45, meaning she is aging faster than normal and has the telomere length of an average 45-year-old. She may also be at higher risk for cancer, heart disease and early death.
Advanced Lipoprotein Testing and Subfractionation: One of the most comprehensive tests on the market today, the Vertical Auto Profile (VAP) Cholesterol gives an accurate, individualized picture of a person’s potential heart disease and diabetes risk. It measures and reports 22 different components of cholesterol and identifies risks that cannot be seen with a standard lipid panel. While routine cholesterol testing measures total cholesterol, including high-density (HDL) and triglycerides, then calculates the low-density (LDL), the VAP technology provides a range of sub-classes that can serve as a powerful tool in the fight against cardiovascular disease.
Imaging and Non-Invasive Testing
Coronary artery disease is the leading cause of mortality in America and the rest of the world. The high majority of Myocardial Infarctions (MI) known as “heart attacks“ occur in patients with coronary arteries occlusions, most of them happen in persons with no known previous arterial occlusions, previous symptoms , unrecognized illnesses or uncontrolled risk factors. Heart attacks result from what is know coronary artery disease, it is a condition in which a mix of different substances that include cholesterol and calcium builds up inside the arteries forming what is known as plaques. When this plaque’s accumulate in the arteries the condition is called atherosclerosis. The risk of this plaques is that eventually an area of the plaque can rupture causing a blood clot inside the arteries and block the blood flow that the coronary arteries give to the heart muscle.
The same process of plaque build up and atherosclerosis usually occur concomitantly in other arteries of the body outside the heart were obstructions cause to get not enough blood supply an oxygen for proper function. In case of the legs cause symptoms of pain with walking (claudication) or the brain were this plaques can rupture obstructing blood flow and causing strokes.
We use the most state of the art technology among the most common testing modalities to identify persons at risk for these events, diagnose arterial occlusions and treat them improving symptoms and preventing it devastating effects.
Stress Test: A stress test also known as exercise stress test or treadmill stress test is an exam used to find out how your heart handles its workload, it’s a way to find if there is a lack of blood supply because of obstructions in the arteries of the heart.
Nuclear Stress Test: Is a test that uses special nuclear imaging techniques to evaluate the blood flow to the heart, both at rest and during activity. Show areas of the heart that have low oxygen supply because of arterial obstructions or areas with previous heart attacks.
Cardiac CT (Cardiac Computer Tomography): Is a test that uses x ray to make pictures of the heart showing calcium and blockages in the arteries while providing information on the overall cardiac structure.
Echocardiogram: Is an ultrasound test that using sound waves to create pictures of the heart, is used to evaluate its characteristics of motion, muscle and other structures such as the valves.
Echocardiogram stress test: The same echocardiogram is used to assess the heart motion in conditions of activity or stress looking for abnormal movements that can correlate with obstruction in arteries that supply the affected territory.
Cardiac PET (Cardiac Positron Emission Tomography): Is an imaging modality that uses radioactive tracers (radionuclides) to produce pictures of the heart, is used to show areas of arterial obstructions and areas of damaged heart.
Cardiac Catheterization: Is a procedure in which a catheter that is a long flexible tube is inserted through your groin, wrist or arm and director to your heart. Once the catheter is advanced to reach the coronary arteries a contrast dye is injected and with visualization with X-rays shows the dye as it flows through the heart arteries. With this way arterial occlusions (plaques) can be detected, also during this procedure the pressure of the heart can be measured , and also the function of the valves and heart movement can be assessed.
Percutaneous Coronary Artery Intervention (PCI): Also known as coronary angioplasty is a procedure done during a cardiac catheterization to treat narrowing or blockages (stenosis) of the heart arteries by plaques. During the procedure initially a balloon is inflated in the plaque to open the artery, then a stent that is a small mesh tube is placed at the site of the blockage to keep the artery open, this way restoring the blood flow to the heart. We use the latest and highest technology of second-generation stents coated with medications that are demonstrated to be more durable and carry fewer rates of complications.
Transcatheter aortic valve replacement (TAVR): Also known as transcatheter aortic valve implantation(TAVI) is the implantation of a new aortic valve of the valve through the blood vessels without the need of open heart surgery. The procedure is performed by different access sites or approaches: Groin (transfemoral), below the collarbone ( subclavian), through a small incision of the aorta that is the big vessel that comes out of the heart (transaortic), through a small incision of the wall of the heart (transapical) , or with a more recent developed technique through a vein in the upper leg with a temporary connection with the aorta near the belly (transcaval).
Peripheral Vascular Disease Procedures
- Peripheral Angiogram: Thin flexible tubes are used to inject contrast dye into the arteries and with X ray of the leg shows the dye as it flows through the leg. It detects blockages or narrowing of the arteries.
Angioplasty and Stenting: Catheters that are thin hollow tubes are used in the affected artery of the leg. Angioplasty is performed using a balloon that is inflated inside the obstructed artery to open the blocked area and restored the blood flow. Also stent (mesh tube) is expanded in the area to keep the artery open.
Atherectomy: Catheters are used in the affected leg, it has a sharp blade that “shave” away the obstructive plaques removing them from the body. The objective with this procedure is to not leave stents in the artery specially in areas where there is risk of stent fracture.
Varicose Vein Ablation: Many patients suffer from venous insufficiency or varicose veins. This condition can safely be treated using an “in-office” procedure where a tiny catheter is inserted under vascular ultrasound in the target vein and treated with radiofrequency with excellent results and improvement in patient symptoms.