First Visit For Precision Medicine Services
12 Initial Services Provided by IPMA on Day 1 (out-patient)
1) Precision Medicine-based Medical/Health History and Physical Exam
2) Extensive Functional and Precision Medicine-based and Other Laboratory Assessments will be ordered (covered by most insurance plans)
3) Coaching Assessment and Personalized Recommendations regarding Lifestyle Factors (sleep, exercise, stress management, water quality and quantity, macro-nutrients (whole foods) and diet, etc.)
4) Baseline Supplements prescribed – Basic Supplements (e.g., B vitamins, probiotics, enzymes) recommended for all patients
5) Assessment of Medication (if any) from a Precision Medicine (Pharmaco-genomic) Perspective
6) Refills of Medication (if any)
7) Prescribed Medications may be recommended on 1st visit (e.g., yeast treatments)
8) Instructions for setting up Precision Medicine Genetic testing
9) Neurofeedback Optimizer (no charge) or Mapping (separate charge)
10) Intravenous (IV) treatments can be initiated (separate charge)
11) Informatics reconstruction of lab results (past lab tests and new labs) in easily readable and teachable formats
12) Free educational videos and other information
Based on this initial assessment, referrals may also be made for Dental Assessments, Neurofeedback Mapping, Psychological Assessment, Sleep Apnea testing and treatment, Exercise Physiology, Chiropractic, Physical Therapy, Colon Hydrotherapy, Hyperbaric Oxygen, Energy Work, Massage/Lymphatic Drainage and other Integrative Medicine Treatments.
2nd Visit – Services Provided by IPMA usually within 21 days
A Precision Medicine assessment of current laboratory data and comparison to previous data (if available) will be presented in an Informatics easily readable and teachable format. The initial treatment plan from the 1st visit will be modified based on the new laboratory data to address the following 7 kinds of problems:
1) Metabolic (e.g., blood sugar imbalances)
2) Immune, inflammatory and autoimmune factors (e.g., arthritis)
3) Allergic factors (e.g., food allergies)
4) Toxicity-related results (e.g., heavy metals, plastics)
5) Infectious disease problems (e.g., Lyme and other tick-borne factors, candida)
6) Nutritional Deficiencies
7) Genetic – single nucleotide polymorphisms (if available)
Based on the additional Precision Medicine data above, the following interventions may be added to modify the treatment plan. Some of these may have an additional charge.
1) Coaching Assessment of Lifestyle Factors (sleep, exercise, stress management, water intake, macronutrients and diet, etc.) will be reviewed, assessed for progress and integrated with laboratory test data.
2) Additional Orders for Additional Laboratory Assessments may be ordered (mostly covered by most insurance plans).
3) Mindfulness-based Psychotherapies may be introduced.
4) Continued reassessment of Medication (if any)
5) Intravenous nutritional treatments and chelation therapies
6) Dental Assessment – Referrals made if necessary
7) Neurofeedback Mapping
8) Psychological Assessment – Referrals made if necessary
9) Referrals may be necessary for Sleep Apnea testing and treatment, Exercise Physiology, Chiropractic, Physical Therapy, Colon Hydrotherapy, Hyperbaric Oxygen, Energy Work Massage/Lymphatic Drainage, other Interventions
3rd Visit – Services Provided by IPMA usually within 10 days to several months after the second visit
Because of the “Precise” information now available, a financial estimate of additional costs of IPMA services can be estimated. These interventions are usually achieved within a 2 week to 6 month window after the second visit, depending on their severity of causalities, and they are usually designed to address the following:
1) Lyme and co-infection assessments and treatments using (in the following orders of preference):
a. Homeopathic Treatments
b. Herbal Treatments
c. IgG Human Immunoglobulin Treatments (IV and SQ)
d. Colloidal Silver Treatments
e. Other Treatments such as Saunas and IV ozone and other IV Therapies
f. Medication (last resort)
2) Genomic analysis
3) Unanticipated complications in Rx, necessitating an extensive reappraisal of the treatment plan, such as the emergence of new medical of psychiatric symptoms
4) Confusion about treatment objectives or motivational problems, often requiring additional coaching support
5) Symptom non-resolution
Fourth Visit for Services Provided by IPMA usually within 3 to 6 months
Improvements are reviewed and the need for further visits is assessed. If symptoms have resolved to the satisfaction of the patient, further treatment at the in-depth level of a Precision Medicine intervention is not required.
Many patients will continue to return for “tune-ups” which is reasonable as the Precision Medicine technologies are rapidly becoming more sophisticated. Symptoms may recur, especially if the long term recommendations which address the genetic and metabolic causes of symptoms are not adhered to. New stressors appear in life, which can exacerbate health problems. IPMA expects to be available for long term care at all phases of life for the patients that IPMA serves.