The Individual Health Screen
The Individual Health Screen is conducted by our Diagnostic Consultant-Complementary Medicine, Mr Gerry Gajadharsingh DO and has several parts to it.
The Diagnostic Consultation:
- a case history (exploring any current symptoms)
- past medical history
- family medical history
- general health and a review of systems (such as cardiovascular, respiratory, gastrointestinal, genitourinary, neurological, Osteopathic neuromuscular-skeletal/orthopaedic, dermatological, psychological etc).
• Prostate Profile (Total PSA and Free PSA) from age 50 or earlier if requested.
We do not offer a DRE (digital rectal examination) to men as many clinicians are now questioning its usefulness in screening, please see my blog post on 30.5.18
Prostate-specific antigen (PSA) is a glycoprotein that is produced by the prostate gland and the urethra. Normally, very little PSA is secreted in the blood. Increases in glandular size and tissue damage caused by benign prostatic hypertrophy, prostatitis, or prostate cancer may increase circulating PSA levels.
Higher total PSA levels and lower percentages of free PSA are associated with higher risks of prostate cancer.
The percentage of measured prostate-specific antigen (PSA) existing in the free form (free: total PSA ratio) is useful in assessing the risk of prostate cancer in patients with borderline or moderately increased total PSA (4.0-10.0 ng/mL) and has been used to help select men who should have follow-up prostate biopsy or further investigations.
The NHS offers comprehensive screening for breast and cervical cancer, therefore we do not offer mammogram or cervical smears as part of womens’ health screening.
As the likelihood of getting breast cancer increases with age, all women aged from 50 to their 71st birthday, and registered with a NHS GP, are automatically invited for breast cancer screening via mamogramme every 3 years.
You may be eligible for breast screening before the age of 50 if you have a very high risk of developing breast cancer
Cervical screening isn’t a test for cancer, it’s a test to check the health of the cells of the cervix.
Most women’s test results show that everything is normal, but for around 1 in 20 women the test shows some abnormal changes in the cells of the cervix.
Most of these changes won’t lead to cervical cancer and the cells may go back to normal on their own.
But in some cases, the abnormal cells need to be removed so they can’t become cancerous.
All women who are registered with a NHS GP are invited for cervical screening:
- aged 25 to 49– every 3 years
- aged 50 to 64– every 5 years
- over 65– only women who have recently had abnormal tests
Other additional parameters can be requested depending on the clinical picture and the results of initial screening, such as, rheumatology markers, osteoporosis markers, male and female hormonal function, tumour markers, antibodies, sexual health screening, HIV testing etc. These follow on tests are at an additional cost and will only be carried out if deemed clinically necessary or if patients specifically request certain tests.
Patients are increasingly asking about blood tests relating to screening for cancer, these are called tumour markers. There are pros and cons about running these tests, which can be arranged at an additional cost. Please see the information below.
Additional investigations, if clinically indicated, such as x-rays and other imaging, Coronary calcium scan, Carotid US etc will be arranged at one of our local hospitals/clinics, usually on a drop-in basis and are charged separately.
The Individual Health Screen will last approx 75 minutes and will include a comprehensive written report (usually at least 32 pages), this will include all your results, any follow up investigations or opinions from Medical Specialists suggested and lot of advice to help you be proactive about your health. It also includes a Cardiovascular Risk Assessment via JBS3, FRAX Fracture Risk Assessment via NOGG and a Smokers Lung Cancer Risk Assessment.
Patients may also request a 15 minute follow up consultation, in person or by phone, if they need clarification on certain aspects of their report or for follow up advice.
Gerry embodies what science tells us about the very best clinicians…he is professional, he is empathetic, he is patient, he is experienced, he is knowledgeable and up to date, he is conscientious and persistent, he takes your input seriously and works with you…he is forthright and honest
He holds my highest recommendation for the very best practice that you can completely trust and know you have seen the very best.
Gerry is an excellent opinion as an alternative therapist and my patients speak very highly of his service. He achieves results in those with very complex and challenging symptoms.
Gerry, is a soft spoken Osteopath with a fast and extraordinary ability to seek out relevant information , sift through it to reach a diagnosis or at least an excellent working diagnostic hypothesis.