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).

Capnography:

This specialised piece of equipment is used for measuring (non invasively) the following:

  • ETCO2 levels
  • breathing rate
  • heart rate
  • heart rate variability

It is the most scientific method of diagnosing Breathing Pattern Disorder (BPD). It also evaluates an individual’s autonomic nervous system response.This is cutting edge technology and gives the clinician great insight into not only respiratory behaviour and function (which influences many chemical reactions in the body and mind including cellular oxygenation and control of pH) but evaluation of the autonomic nervous system, which controls all of our body systems.

Diagnostic Testing: Tests help with the diagnostic process to eliminate the presence of suspected disease processes or to help with the patients’ management / treatment strategy.

The diagnostic tests included in the Individual Health Screen are:

  • Holter 24hr ECG Analysis
  • Comprehensive blood analysis, EQ2 and EQ6, including haematology (Full blood count & 5 part differentials & ESR) & biochemistry (24 parameters) & CRP –
  • Includes lipid profile & blood glucose, and  thyroid function (TSH, FT4 & FT3)
  • Urine analysis
  • Faecal Occult Blood over age 45

You will fitted with a Holter device for 24 hours to record the electrical activity of your heart. This will need to be dropped back to the practice to be uploaded online to the laboratory in order for the technician to reproduce the 24 hr ECG analysis report.

There are literally thousands of markers that can be tested for using blood samples.
We have chosen a screening blood panel (EQ2) for the Individual Health Screen which is a Haematology (Full blood Count & 5 part differential/ Biochemistry (24 parameters) screen. This looks at red blood cells, white blood cells, and inflammatory markers ESR/CRP, kidney function, liver function, blood glucose, lipid profile, uric acid, calcium, phosphate and iron markers. We also test for thyroid function (EQ6) using TSH, Free T4 and Free T3.

It is very useful to use screening panels of blood tests, that cover the major body systems in the first instance, rather than just choosing individual parameters, especially as a screening test, when patients may not actually have any significant symptoms.

Functional Blood Analysis

We also use cutting edge software from the USA, to analyse your blood results, Functional Blood Analysis. Most clinicians interpret blood results using “medical reference ranges” provided by the laboratories. Which means if there is no obvious pathology, patients are told they are “normal”. Now this can be a good thing, but sometimes when results are lower end of normal or higher end of normal we can give a “functional” interpretation of these results, offering very useful advice to patients. It certainly has helped us being more accurate in advice, treatment & management for many patients who had previous being told “there is nothing wrong with you”.

The report is quite comprehensive and comes as part of your health screen.

  • Functional Blood Analysis
  • Functional Nutritional Assessment (indication of nutritional status)
  • Functional Index Report (indication of the level of dysfunction that exists in the various physiological systems of the body)

Urine analysis helps with detection of infection in the genitourinary tract or kidneys, kidney problems, diabetes, dehydration, prostate problems, metabolic problems affecting pH amongst others. Abnormal urine analysis results may require further lab investigations at additional cost.

The FOB test detects small amounts of blood in your faeces, which you would not normally see or be aware of.

Why is the faecal occult blood (FOB) test done?

There are several disorders, which may cause bleeding into the gut (intestine). For example, gastric or duodenal ulcers, ulcerative colitis, bowel polyps, and bowel(colorectal) cancer. If these bleed heavily then your stools (faeces) would be obviously bloody or a very black colour. However, sometimes these disorders only bleed with a trickle of blood. If you only have a small amount of blood in your faeces then the faeces look normal. However, the FOB test will detect the blood. So, the test may be done if you have symptoms in the tummy (abdomen) such as persistent pain. It may also be done to screen for bowel cancer before any symptoms develop (see below).

Note: the FOB test can only say that you are bleeding from somewhere in the gut. It cannot tell from which part. If the test is positive then further tests will be arranged to find the source of the bleeding – usually, endoscopy and/or colonoscopy.

You will be given an FOB test kit to do the stool sample at home, to be posted back to TDL, the laboratory.

For men

• Prostate Profile (Total PSA and Free OSA) from age 50 or earlier if requested.

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.

Additional 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.

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 and FRAX Fracture Risk Assessment via NOGG.

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.

Individual Health Screen Example Report
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.
Dr Robert Kissner, Lifelogix Inc.
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.
Dr Mark Vanderpump MB ChB MD FRCP, President British Thyroid Association Consultant Physician & Endocrinologist
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.
Ms Alsion Lynn DO, Osteopath, Sydney, Australia