St. Louis Concierge Medicine
Concierge medicine, also known as retainer medicine and boutique medicine, enables our patients to receive highly personalized healthcare in a comfortable, relaxed
setting for an annual retainer fee. In combination with our wide array of age management and cosmetic services, our patients receive comprehensive, holistic,
individualized healthcare, the kind of treatment that the traditional healthcare system is unable to offer.
Why Choose a Retainer Practice?
The fast-paced bustle of everyday life can rob you of the time to maintain health and wellness. For physicians, constraints and economics require high-volume practices
with a constant flow of patients. So when you finally make time to see your doctor, you often find shorter physician/patient encounters and longer waits for
appointments. To a certain degree, all physicians are at the mercy of the health insurance industry. They face pressure to limit testing essential for aggressive
preventive medicine. Consequently, traditional healthcare sometimes feels like "band aid medicine."
A retainer practice is different. Interaction between physician and patient is relaxed rather than rushed. Appointments are scheduled more flexibly, with less delay. The
focus is long-term prevention instead of quick-fix solutions that alleviate symptoms but don't address the root of the problem. At St. Louis Center of Preventive &
Longevity Medicine, we are committed to patients--not health insurance companies, which frequently use incentives or punitive measures to limit healthcare spending.
What are the Benefits?
We have the time to listen and communicate, two cornerstones of the "art" of medicine. Through an open partnership between doctor and patient, we fully explore the
mind-body bridge and how it impacts health. Your medical history, genetics, lifestyle, and environmental factors provide "clues" for defining treatment options and
We also maximize the "science" of medicine by utilizing progressive diagnostic techniques to detect aging-related deficits and treat for health maintenance and disease
Working hand in hand with patients, we strive to:
Advanced Lipid Testing
Advanced lipid testing may be recommended by your healthcare provider to optimize your cholesterol treatment. Advanced lipid tests are performed because standard
cholesterol tests may not completely represent cholesterol-related risk for heart attacks and strokes. Some people - especially people with diabetes, insulin resistance, or
cardiovascular disease - continue to have progression of cardiovascular disease, even when their low-density lipoprotein (LDL) cholesterol is at goal.
Advanced lipid testing is usually performed in addition to a standard cholesterol test or “lipid panel,” which measures total
cholesterol, LDL cholesterol, high-density lipoprotein (HDL) cholesterol and triglycerides. Two commonly used advanced lipid tests are apolipoprotein B (apoB) and LDL particle number (LDL-P).
Corus CAD (Coronary Artery Disease) Test
Corus CAD is a blood test that can safely and conveniently help primary care clinicians and cardiologists assess whether or not a stable non-diabetic patient's symptoms are
due to obstructive CAD. This enables many patients to avoid unnecessary noninvasive and invasive cardiac procedures and exposure to imaging-related radiation risks, reactions
from imaging dyes or complications with cardiac catheterization. The test involves a routine blood draw that is conveniently administered in the clinician's office. The test
is simple, convenient and, as a sex-specific test for the evaluation of obstructive CAD, accounts for critical biological differences between men and women.
Corus(r) CAD is intended for use in stable patients presenting with symptoms suggestive of obstructive coronary artery disease (CAD) and who:
• Are NOT diabetic
• Have NOT been diagnosed with prior myocardial infarction (MI) nor have had a previous revascularization procedure
• Are NOT currently taking steroids, immunosuppressive agents or chemotherapeutic agents
In December 2008, the New York Times featured a story about a woman from California who had been taking a drug called tamoxifen to help prevent breast cancer. After two
years of taking the drug, her doctor ordered a new genetic test that showed that her genes were preventing the drug from working properly.
Genes provide your body with instructions for making enzymes. Enzymes are needed for your body to break down drugs so your body can get benefit from the medicine. You carry two copies of every gene: one from your mother and one from your father. Differences in these genes can affect the speed of different enzymes you have in your body. This
affects how well your body is able to use medicines and how well drugs work in your body. Differences in your enzymes can affect how your body can metabolize (break down) a
drug and how long the drug stays your body. Based on what type of genes you carry, you may be:
• a poor drug metabolizer
If you are a “poor metabolizer”, you do not break down drugs well. This may result in too much drug in the body which may lead to a dangerous side effect or even death. In
some cases, your body may not be able to break down certain drugs to their working form and therefore the drugs will not work properly.
• an extensive or “normal” drug metbolizer
You metabolize drugs at the normal rate.
• an ultra-rapid drug metabolizer
If you are an “ultra-rapid” metabolizer, this means you break down drugs too fast, causing them to be of no use in the body. If medications do not work properly, conditions
such as high blood pressure, blood disorders, and cancer will be left untreated and may even lead to death.
Ask Dr. Bligh if genetic testing is right for you.
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