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.
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.
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.