45-200 Club Dr., Suite B Indian Wells, CA 92210
(760) 777-7698
45-200 Club Dr., Suite B Indian Wells, CA 92210 (760) 777-7698Call us. We’d love to talk with you in more detail. Patients often ask what tests are included. Yes, we do more tests than others. But the whole is greater than the sum of the parts.
It’s more than a list of tests. Because connecting the dots among the results --- of imaging, and the labs, and your family history and genetics, and the physical examination, and any symptoms or medical history that you may have --- is what matters.
And the most important thing that matters is you. You start off by spending an hour with the doctor, reviewing your concerns and your preferences. Our slogan is Make the Process a Pleasure. It can be a little nerve wracking to talk about everything and then take in all the very personal information. (We don’t have to “go there” but if you want to talk about bowel movements, or sexual issues, or a sore toe, then that is important. And we have time. You will be surprised that we know a lot about it, and we have a whole spectrum of potential treatments.
We spend the first day gathering data. With results in hand, we have another meeting with you: to listen, to explain the results and then share with you and your doctor a plan. If you’re out of town, this meeting can be by Teams or Zoom or just a telephone call. Don’t wait until you’re nearby and have lots of free time.
If you are comparing this program to any other one, share that with us. It doesn’t cost you to find out what you might be missing.
I have created a $6400 “package” that has the most important tests, and can be completed in one day. If you’re looking for other tests or have specific concerns, we can add to this “core” program if needed.
One-on-one consultation with Dr Daniel Cosgrove allows ample time to discuss your concerns. He will review and update your personal medical history as well as your family history. There is detailed screening for symptoms relating to all of your body’s systems, including neurological, respiratory, cardiovascular, gastrointestinal, genitourinary and endocrine.
Cosgrove and Bryan Young complete a detailed checklist while conducting your physical examination. Since all of your data is entered into your personal database, this checklist assures that all necessary components are meticulously collected.
12-lead electrocardiogram that measures your heart rate, rhythm, function, and is used as a limited screening tool for cardiovascular disease. If there is any question about palpitations or a change in rate or rhythm at other times, we can set you up immediately with ambulatory monitoring for two weeks if needed.
This test measures baseline function of your lungs, as well as screening for asthma, emphysema, or any obstructive or restrictive lung disease. It includes FEV-1 and FVC (Forced Expiratory Volume and Forced Vital Capacity).
Carotid arteries are the main pipelines of blood to your brain. A silent build-up of plaque can lead to a stroke. If significant plaque is discovered, you then have several options to minimize any further buildup. Our biochemical evaluation dovetails with this test to understand the chemistry processes that cause this plaque. We use precision digital ultrasound and specialized software to quantify the plaque, so your doctors can compare serial studies and see if plaque is increasing or decreasing over time.
To help estimate your risk for cardiovascular disease, we use special software to measure the thickness of the first two layers (the intima and media) of your carotid artery wall. Thickening of an artery is the earliest anatomical evidence of atherosclerosis (hardening of the arteries). In addition to estimating future coronary heart disease risk, we use change in CIMT over time to monitor risk factor interventions, such as lipid-lowering therapy, and their impact on your vascular health.
Uterine endometrium (the lining inside) often thickens prior to cancer forming, and ultrasound allows us to measure it and follow its thickness. We can also see any wall abnormalities or masses.
Ovarian cancer, like cancer of kidneys or pancreas, can be cured if found early, but is usually fatal because it is usually discovered by symptoms, when it is too large, and too late. Monitoring ovary size and density changes, whether or not a woman is on hormones, brings more information and more security. Remember, most women who have the uterus removed do not have the ovaries removed, and it is difficult to palpate ovaries well enough to detect abnormalities that can be found much sooner with ultrasound.
Obtains a baseline study of prostate size, shape and architecture. It screens for prostate cancer. Prostate cancer is the most prevalent cancer found in men affecting 17% of men during their lifetime. With early detection and new treatments, a high percentage of cases can be successfully treated without removing the prostate.
This study includes bladder imaging and a “post-void residual”, i.e. the technician measures the volume of urine remaining in the bladder immediately after voiding. It helps to assess urine retention vs. irritable bladder for men with urinary symptoms.
The thyroid gland sets the metabolic rate for the entire body. Many disease states are secondary to thyroid abnormalities, and thyroid dysfunction is more common than is generally believed. Thyroid can have cancer nodules or benign adenomas that produce hormone independent of the thyroid gland. This ultrasound allows us to assess the size, shape, and texture of this gland, as well as screen for abnormal nodules or cancer.
Ultrasonography is a painless procedure that allows us to visualize your liver, gallbladder, pancreas, kidneys, adrenal glands, and aorta. These areas are viewed using no radiation, unlike X-rays or CT scans. We are able to efficiently screen for diseases often before symptoms appear.
Screening for lung cancer or other abnormalities in the chest is performed at the same time as the Coronary Artery CT. Recent research confirms the markedly improved ability to detect lung cancer in the earliest curable stages with this technology. This has been shown repeatedly to be far more sensitive than the traditional chest X-ray. The rapid spiral approach requires literally a single breath to get all of the digital images, which are then part of your baseline Personal Health Portfolio.™
There are three “levels” of technology to examine your coronary arteries. These are the little arteries that are the size of your little finger but supply oxygen-rich blood to the muscle of the heart. The build-up of plaque in these little arteries and then obstruction is the most common cause of a fatal heart attack, so assessing these arteries is crucial. “Accelerated arteriosclerosis” must be identified and addressed.
A complete blood count (CBC), twenty chemistry measures (also known as Comp Metabolic panel), which includes measures of liver and kidney function, fasting glucose (blood sugar), and electrolytes.
Cardiovascular disease is the number one killer for both men and women. Medical scientists have discovered many modifiable risk markers for heart disease.
Ferritin serves as a general screen for both iron deficiency and iron overload. Problems with iron storage in the body are much more common than previously recognized. If this test is abnormal, a panel of iron measures can be ordered to clarify exactly what the problem is.
Folate is necessary for the production and maintenance of new cells. It also helps prevent changes to DNA that may lead to cancer. If one’s blood level is inadequate, we can look into why levels are low, as well as just supplement this vitamin.
B12 helps maintain healthy nerve cells and red blood cells. B12 is involved in the manufacture of the myelin sheath, which insulates nerves. Deficiencies can lead to subtle neurological changes. B12 is crucial but sometimes levels are unexpectedly low, so we look into why levels are low.
Vitamin D promotes the body’s absorption of calcium which is essential for the normal development and maintenance of healthy teeth and bones. Calcium is also important to nerve cells, including the brain. It also helps maintain adequate blood levels of calcium and phosphorus.
These two tests measure the function of the thyroid gland and its ongoing “dialogue” with the pituitary gland. Thyroid hormones control the body’s metabolic rate.
We can also, at the request of our physician or at your request, measure serum T3 (total and free T3), a different, more active form of thyroid hormone converted peripherally from T4. We often recommend measuring Reverse T3 or thyroid antibodies if needed.
A urinalysis is an examination of the urine by physical or chemical means. Urinalysis comprises a battery of chemical and microscopic tests that help to screen for urinary tract infections, renal disease and diseases of other organs that result in abnormal metabolites (break-down products) appearing in the urine.
WellMax differs from Scripps and Mayo in that we measure hormones in both men and women.
We can show you why it matters. You have options.
The hormone cortisol, which is released in the body during stressed or agitated states, has gained widespread attention as the so-called “stress hormone.” But this hormone is more than a simple marker of stress levels- it is necessary for the functioning of almost every part of the body. Excesses or deficiencies of this crucial hormone also lead to various physical symptoms and disease states.
Cancer is the second most prevalent cause of death in the United States. It affects all ages, often with little or no warning until it’s too late. These markers screen for ovarian cancer, colon cancer, prostate cancer, respectively. “Free PSA” can be added if PSA is even mildly elevated.
There are different “levels” of testing that can start with basic screening for the most important gene variants with just a saliva sample. But we can also easily upgrade to the Nebula whole genome sequencing.
Your results will be entered into a spreadsheet so that you can easily see all of your tests summarized, and see how they change over time, since columns are in place for dates. All the labs are analyzed by the physician and reviewed with you in a comprehensive, individualized letter, and by telephone or telehealth or in person.
This consultation with Dr. Cosgrove provides an opportunity to review, in detail, the findings and implications of the exhaustive body of data gathered about your personal health status. This consultation will occur after all test results are back, and you have received your Personal Wellness Health Report. The physician and the WellMax team give recommendations and work with you to develop a specific strategy to improve your health and wellness based on your goals and desires.
All of our reports and records are stored on a USB card so you have it with you anytime. Any part of it or all of it can be shared with your healthcare providers.
(not included in the One-Day Executive Physical Program)
Below is a partial list of tests available at WellMax. We may recommend some of these, or you can simply opt to add them. Most of these additional tests are conveniently offered here within WellMax. Many other tests are available, but not part of this package (e.g. colonoscopy, either conventional or virtual, or breast MRI). If you decide to add services, your stay can be extended, and we can arrange priority scheduling for these services.
Cardio IQ is the expanded cholesterol and cardiac marker panel that is standard, and included for every patient. There are several additional markers that can be very helpful and are readily available at WellMax.™
A urine test that measures oxidative stress in the body. Elevated levels are seen in increased risk of heart disease and certain forms of cancer.
A score is calculated using fasting insulin, and C-peptide from a blood sample to assess the risk of insulin resistance. Insulin resistance is associated with heart disease, nonalcoholic fatty liver disease, and polycystic ovary syndrome.
Higher levels of Omega 3 fatty acids are associated with a reduction in heart disease risk. Omega Check is a blood test, expressed as a percentage of total fatty acids, in red blood cells.
A white blood cell inflammatory enzyme that measures inflammation in the arterial wall and the presence of vulnerable plaque.
The measurement of protein damage due to oxidation of the LDL-C. Increased levels of OxLDL increase the risk for metabolic syndrome, heart disease and acute heart attacks.
Breast MRI has been demonstrated to be much more sensitive than any kind of mammogram in detection of breast tumors. It has no radiation. We especially recommend it for women with dense breasts or with certain genes present (e.g. BRCA or RAD51C and others).
There are several types of genetic screening. I recommend that everyone do at least one of the panels, if you haven’t already. These can tested without using your name if you prefer.
Basic memory testing with MoCA is standard for all patients. But for some patients we recommend (or you can request) much more:
There are several measures and several therapy options. In almost all cases we can restore a great sex life to patients.
Naturopaths and others have been telling us that gut health matters for overall energy, mood and brain function. Also, some patients have chronic constipatioin or chronic loose stools. We have tests and therapies and can address these issues.
Some patients would like to have the standard recommended colonoscopy. We can fast track this study and get it done, in most cases, right after your visit with us. Normally Medicare or private insurance covers it.
Your results will be entered into a spreadsheet so that you can easily see all of your tests summarized, and see how they change over time, since columns are in place for dates. All the labs are analyzed by the physician and reviewed with you in a comprehensive, individualized letter, and by telephone.
Your WellMax physician reviews and analyzes all of the tests and examination data. The results are compared with both expected normal values and your own test histories. A detailed report of findings is prepared. Recommendations for changes and follow-ups are included. Important changes in your health status can be tracked from year to year.
This consultation with our physician provides an opportunity to review, in detail, the findings and implications of the exhaustive body of data gathered about your personal health status. This consultation will occur after all test results are back, and you have received your Personal Wellness Health Report. The physician and the WellMax team give recommendations and work with you to develop a specific strategy to improve your health and wellness based on your goals and desires.
This consultation with our physician provides an opportunity to review, in detail, the findings and implications of the exhaustive body of data gathered about your personal health status. This consultation will occur after all test results are back, and you have received your Personal Wellness Health Report. The physician and the WellMax team give recommendations and work with you to develop a specific strategy to improve your health and wellness based on your goals and desires.
One-on-one consultation with Dr Daniel Cosgrove allows ample time to discuss your concerns. He will review and update your personal medical history as well as your family history. There is detailed screening for symptoms relating to all of your body’s systems, including neurological, respiratory, cardiovascular, gastrointestinal, genitourinary and endocrine.
Cosgrove and Bryan Young complete a detailed checklist while conducting your physical examination. Since all of your data is entered into your personal database, this checklist assures that all necessary components are meticulously collected.
12-lead electrocardiogram that measures your heart rate, rhythm, function, and is used as a limited screening tool for cardiovascular disease. If there is any question about palpitations or a change in rate or rhythm at other times, we can set you up immediately with ambulatory monitoring for two weeks if needed.
This test measures baseline function of your lungs, as well as screening for asthma, emphysema, or any obstructive or restrictive lung disease. It includes FEV-1 and FVC (Forced Expiratory Volume and Forced Vital Capacity).
Carotid arteries are the main pipelines of blood to your brain. A silent build-up of plaque can lead to a stroke. If significant plaque is discovered, you then have several options to minimize any further buildup. Our biochemical evaluation dovetails with this test to understand the chemistry processes that cause this plaque. We use precision digital ultrasound and specialized software to quantify the plaque, so your doctors can compare serial studies and see if plaque is increasing or decreasing over time.
To help estimate your risk for cardiovascular disease, we use special software to measure the thickness of the first two layers (the intima and media) of your carotid artery wall. Thickening of an artery is the earliest anatomical evidence of atherosclerosis (hardening of the arteries). In addition to estimating future coronary heart disease risk, we use change in CIMT over time to monitor risk factor interventions, such as lipid-lowering therapy, and their impact on your vascular health.
Uterine endometrium (the lining inside) often thickens prior to cancer forming, and ultrasound allows us to measure it and follow its thickness. We can also see any wall abnormalities or masses.
Ovarian cancer, like cancer of kidneys or pancreas, can be cured if found early, but is usually fatal because it is usually discovered by symptoms, when it is too large, and too late. Monitoring ovary size and density changes, whether or not a woman is on hormones, brings more information and more security. Remember, most women who have the uterus removed do not have the ovaries removed, and it is difficult to palpate ovaries well enough to detect abnormalities that can be found much sooner with ultrasound.
Obtains a baseline study of prostate size, shape and architecture. It screens for prostate cancer. Prostate cancer is the most prevalent cancer found in men affecting 17% of men during their lifetime. With early detection and new treatments, a high percentage of cases can be successfully treated without removing the prostate.
This study includes bladder imaging and a “post-void residual”, i.e. the technician measures the volume of urine remaining in the bladder immediately after voiding. It helps to assess urine retention vs. irritable bladder for men with urinary symptoms.
The thyroid gland sets the metabolic rate for the entire body. Many disease states are secondary to thyroid abnormalities, and thyroid dysfunction is more common than is generally believed. Thyroid can have cancer nodules or benign adenomas that produce hormone independent of the thyroid gland. This ultrasound allows us to assess the size, shape, and texture of this gland, as well as screen for abnormal nodules or cancer.
Ultrasonography is a painless procedure that allows us to visualize your liver, gallbladder, pancreas, kidneys, adrenal glands, and aorta. These areas are viewed using no radiation, unlike X-rays or CT scans. We are able to efficiently screen for diseases often before symptoms appear.
Screening for lung cancer or other abnormalities in the chest is performed at the same time as the Coronary Artery CT. Recent research confirms the markedly improved ability to detect lung cancer in the earliest curable stages with this technology. This has been shown repeatedly to be far more sensitive than the traditional chest X-ray. The rapid spiral approach requires literally a single breath to get all of the digital images, which are then part of your baseline Personal Health Portfolio.™
There are three “levels” of technology to examine your coronary arteries. These are the little arteries that are the size of your little finger but supply oxygen-rich blood to the muscle of the heart. The build-up of plaque in these little arteries and then obstruction is the most common cause of a fatal heart attack, so assessing these arteries is crucial. “Accelerated arteriosclerosis” must be identified and addressed.
A complete blood count (CBC), twenty chemistry measures (also known as Comp Metabolic panel), which includes measures of liver and kidney function, fasting glucose (blood sugar), and electrolytes.
Cardiovascular disease is the number one killer for both men and women. Medical scientists have discovered many modifiable risk markers for heart disease.
Ferritin serves as a general screen for both iron deficiency and iron overload. Problems with iron storage in the body are much more common than previously recognized. If this test is abnormal, a panel of iron measures can be ordered to clarify exactly what the problem is.
Folate is necessary for the production and maintenance of new cells. It also helps prevent changes to DNA that may lead to cancer. If one’s blood level is inadequate, we can look into why levels are low, as well as just supplement this vitamin.
B12 helps maintain healthy nerve cells and red blood cells. B12 is involved in the manufacture of the myelin sheath, which insulates nerves. Deficiencies can lead to subtle neurological changes. B12 is crucial but sometimes levels are unexpectedly low, so we look into why levels are low.
Vitamin D promotes the body’s absorption of calcium which is essential for the normal development and maintenance of healthy teeth and bones. Calcium is also important to nerve cells, including the brain. It also helps maintain adequate blood levels of calcium and phosphorus.
These two tests measure the function of the thyroid gland and its ongoing “dialogue” with the pituitary gland. Thyroid hormones control the body’s metabolic rate.
We can also, at the request of our physician or at your request, measure serum T3 (total and free T3), a different, more active form of thyroid hormone converted peripherally from T4. We often recommend measuring Reverse T3 or thyroid antibodies if needed.
A urinalysis is an examination of the urine by physical or chemical means. Urinalysis comprises a battery of chemical and microscopic tests that help to screen for urinary tract infections, renal disease and diseases of other organs that result in abnormal metabolites (break-down products) appearing in the urine.
WellMax differs from Scripps and Mayo in that we measure hormones in both men and women.
We can show you why it matters. You have options.
The hormone cortisol, which is released in the body during stressed or agitated states, has gained widespread attention as the so-called “stress hormone.” But this hormone is more than a simple marker of stress levels- it is necessary for the functioning of almost every part of the body. Excesses or deficiencies of this crucial hormone also lead to various physical symptoms and disease states.
Cancer is the second most prevalent cause of death in the United States. It affects all ages, often with little or no warning until it’s too late. These markers screen for ovarian cancer, colon cancer, prostate cancer, respectively. “Free PSA” can be added if PSA is even mildly elevated.
There are different “levels” of testing that can start with basic screening for the most important gene variants with just a saliva sample. But we can also easily upgrade to the Nebula whole genome sequencing.
Your results will be entered into a spreadsheet so that you can easily see all of your tests summarized, and see how they change over time, since columns are in place for dates. All the labs are analyzed by the physician and reviewed with you in a comprehensive, individualized letter, and by telephone or telehealth or in person.
This consultation with Dr. Cosgrove provides an opportunity to review, in detail, the findings and implications of the exhaustive body of data gathered about your personal health status. This consultation will occur after all test results are back, and you have received your Personal Wellness Health Report. The physician and the WellMax team give recommendations and work with you to develop a specific strategy to improve your health and wellness based on your goals and desires.
All of our reports and records are stored on a USB card so you have it with you anytime. Any part of it or all of it can be shared with your healthcare providers.
(not included in the One-Day Executive Physical Program)
Below is a partial list of tests available at WellMax. We may recommend some of these, or you can simply opt to add them. Most of these additional tests are conveniently offered here within WellMax. Many other tests are available, but not part of this package (e.g. colonoscopy, either conventional or virtual, or breast MRI). If you decide to add services, your stay can be extended, and we can arrange priority scheduling for these services.
Cardio IQ is the expanded cholesterol and cardiac marker panel that is standard, and included for every patient. There are several additional markers that can be very helpful and are readily available at WellMax.™
A urine test that measures oxidative stress in the body. Elevated levels are seen in increased risk of heart disease and certain forms of cancer.
A score is calculated using fasting insulin, and C-peptide from a blood sample to assess the risk of insulin resistance. Insulin resistance is associated with heart disease, nonalcoholic fatty liver disease, and polycystic ovary syndrome.
Higher levels of Omega 3 fatty acids are associated with a reduction in heart disease risk. Omega Check is a blood test, expressed as a percentage of total fatty acids, in red blood cells.
A white blood cell inflammatory enzyme that measures inflammation in the arterial wall and the presence of vulnerable plaque.
The measurement of protein damage due to oxidation of the LDL-C. Increased levels of OxLDL increase the risk for metabolic syndrome, heart disease and acute heart attacks.
Breast MRI has been demonstrated to be much more sensitive than any kind of mammogram in detection of breast tumors. It has no radiation. We especially recommend it for women with dense breasts or with certain genes present (e.g. BRCA or RAD51C and others).
There are several types of genetic screening. I recommend that everyone do at least one of the panels, if you haven’t already. These can tested without using your name if you prefer.
Basic memory testing with MoCA is standard for all patients. But for some patients we recommend (or you can request) much more:
There are several measures and several therapy options. In almost all cases we can restore a great sex life to patients.
Naturopaths and others have been telling us that gut health matters for overall energy, mood and brain function. Also, some patients have chronic constipatioin or chronic loose stools. We have tests and therapies and can address these issues.
Some patients would like to have the standard recommended colonoscopy. We can fast track this study and get it done, in most cases, right after your visit with us. Normally Medicare or private insurance covers it.
Your results will be entered into a spreadsheet so that you can easily see all of your tests summarized, and see how they change over time, since columns are in place for dates. All the labs are analyzed by the physician and reviewed with you in a comprehensive, individualized letter, and by telephone.
Your WellMax physician reviews and analyzes all of the tests and examination data. The results are compared with both expected normal values and your own test histories. A detailed report of findings is prepared. Recommendations for changes and follow-ups are included. Important changes in your health status can be tracked from year to year.
This consultation with our physician provides an opportunity to review, in detail, the findings and implications of the exhaustive body of data gathered about your personal health status. This consultation will occur after all test results are back, and you have received your Personal Wellness Health Report. The physician and the WellMax team give recommendations and work with you to develop a specific strategy to improve your health and wellness based on your goals and desires.
This consultation with our physician provides an opportunity to review, in detail, the findings and implications of the exhaustive body of data gathered about your personal health status. This consultation will occur after all test results are back, and you have received your Personal Wellness Health Report. The physician and the WellMax team give recommendations and work with you to develop a specific strategy to improve your health and wellness based on your goals and desires.
Digital Personal Health Portfolio™ All of our reports and records are stored on a USB card so you have it with you anytime. Any part of it or all of it can be shared with your healthcare providers
Address:
45-200 Club Dr., Suite B
Indian Wells, CA 92210
Office:
(760) 777-7698
Email:
staff@wellmax.com
