Optimizing Human Performance
Medicine is the art, science, and practice of caring for a patient and managing the diagnosis, prognosis, prevention, treatment or palliation of their injury or disease. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness
- The objective of optimal human performance, resilience and healthy lifespan
- Beginning with the fundamentals of nutrition and lifestyle
- Harmonizing clinical experience with statistical medical research and client goals
- Individualizing diagnosis and treatment
- Making informed risk-reward ratio health choices
- Superseding reductionism with coordination between medicine & exercise, mainstream and complementary medicine
- New solutions to new problems without losing sight of accumulated human experience & wisdom
- The application of neuro-psycho-physiology
- Using objectivity to conquer bias and identify disinformation
- Leveraging technology while maintaining privacy
Personalized medicine clinical services suitable for curious individuals who question:
- what if I was calmer, stronger, faster and with more acuity, for myself and my loved ones?
- does it matter what I eat?
- is it all in the genes or does environment impact upon their expression?
- is health a spectator sport or is it for me?
- can there be health without purpose?
- if I sacrifice freedom for safety, where will I end up?
- if nothing stood in my way, what would I wish for?
- if everything external were to remain unchanged, what would I prioritize?
- how do I work out what questions to research?
- why is there more anxiety, tiredness, obesity, diabetes etc compared to previous generations?
- what motivations and mental models underlie scientific and expert advice?
- can multiple contradictory mental models apply at the same time to the same issue?
- is informed consent informed or consented?
- who gets to decide what diagnoses and treatments are effective, available?
- has public health been hijacked?
- does it matter that the medical ritual and physical examination are in decline?
- is diagnosis and treatment more than a one size fits all flow-chart?
- is corporate telehealth merely heading down the same road faster?
- what are the wider implications of taking a grain of R.I.C.E. with a pinch of salt?
- is the tenth man principle a useful balance for groupthink?
- would I regret growing old without exploring the beauty and strength of which my body is capable?
Adults aged 20+. While acknowledging the role of acute care & emergency medicine, the clinic focus is health prior to the acute stage, with the fundamental that individual choices significantly influence age and disease.
- are questioning & self-motivated to modify lifestyle & nutritional habits to take advantage of new information
- are optimizing their body with movement and exercise
- have initial test results from a GP and have considered 8 Things to do before seeing a Functional MD
- are comfortable (or able to get family support to assist) using an online Patient Portal for routine interactions including payment by credit card
- are seen by Cindy in an appropriately relaxed & personal clinical setting, with appointments spaced to provide punctuality and focus
- seek a qualified & experienced independent doctor to navigate conflicting health information and medical system silos
- seek to identify & address the underlying causes of imbalances or conditions undermining optimal cognitive, physical and emotional health
- seek to take advantage of the latest independently curated medical research & capabilities
- don’t want to be treated as a number and choose to pay explicitly for NZ registered individual medical practice
- understand that clients and registered doctors operate in a regulatory environment in which the doctor is held liable by authorities
- are discharged when they haven’t seen Cindy within the last 2 years
- is focused on understanding underlying causes, to avoid quick fixes daisy chaining the next trigger, and further restriction of diet and lifestyle
- works with all diets and lifestyles and is not beholden to any one mental model or medical modality
- does not receive state funding or profit from the sale of supplements
- cannot know in advance what treatment costs will be
- looks to re-frame past medical experiences with impartial options, from which the client may make their own choices
- uses a personalized-medicine EHR to create the clinical framework for accuracy and managing medical risk
- prefers clinical visits to telehealth where possible
- eschews google, facebook and remarketing intrusions to value individual privacy and self determination
What diagnoses does the clinic treat?
- Thyroid Disease
- Autoimmune Conditions
- Hormonal Issues
- Digestive Disorders
- Menopause symptoms
- Headache and Migraine
- Fatigue, Chronic Fatigue Syndrome, Slow metabolism, Low Energy
- Heart Disease
- Neurological Disorders
- Memory and Concentration loss
- Accelerated Ageing
- Obesity/Weight gain
- Cognitive decline, Head Injuries
- Chronic undiagnosed conditions
What is involved?
Biochemical & BioPhysical: addressing imbalances & deficiencies
Biomechanical: from physical imbalances through to surgical options
Neuro-emotional: from unconscious programming through to electron/ion communication of neurons
Advanced personalized, functional and genetic testing
Targeted lifestyle and advanced nutritional treatment
- Advice on brain health and neuroplasticity
Review of medication
Advanced prescriptions, supplementation, herbals (e.g. GMP, TGA, USP certified pharmaceutical grade)
Supplements are unregulated natural medicinal compounds, usually with side-benefits rather than side-effects
Functional doctors are qualified and experienced in the use of supplementation to address imbalances signposted by advanced testing
- Referrals to specialists where appropriate
A documented wellness plan updated after each consultation
The digitalhealth app is intended to combine wearable data with clinical workup for improved collaboration
What is an example?
A client presents with sleep & energy issues. Diagnosis & treatment might include:
Clinical presentation and investigation (e.g. blood tests) might suggest hormonal or metabolic problems e.g. thyroid, dopamine, insulin, estrogen or testosterone imbalances.
Consideration of progress/relief via direct prescription/supplementation, or indirectly via a related pathway.
- Evaluation of nutrition and gut health.
Deduction of whether a deficiency or imbalance is due to a hormone not being produced, whether it’s not being used effectively (blocked), or whether it is not being metabolized optimally.
As well as blood tests, the combination of an OAT, DUTCH or Gene test might help to clarify e.g. from a urine test, it may be possible to work out whether an iodine insufficiency is contributing to thyroid problems. Perhaps oestrogen dominance (e.g. man boobs or period pain) may be partially due to genetic SNPs combined with lifestyle factors like alcohol consumption, both of which decrease the breakdown of estrogen.
- Evaluation of environmental factors.
Are thought processes and unconscious programming contributing?
Referral to a neuro-cognitive practitioner
- Consideration of the risks and benefits of pharmaceuticals and whether these can be reduced or not.
With an understanding of the underlying factors, a wellness plan can be agreed and progress monitored using the digitalhealth app.
Reset health by optimizing cellular ecology, mitochondrial health and working through the layers of digestion, hormonal balance, cardiovascular health, metabolism and neurological health.
How is it different?
The wellness industry takes one approach and state funded medicine another, so where does Cindy sit?
- There’s no such thing as too much data for those wanting to take investigation and intervention to another level
- The experience of 31 years of registered medical practice in NZ, Australia & South Africa
- Realistic time and resource allocation to safely collaborate around which combinations of treatment modalities to pursue
- The energy & drive to connect dots and recognize patterns
- A pragmatic focus on early wins and then building endurance
- Use of specialty lab testing with current optimal reference ranges
- Assessment of specific genetic SNPs in relation to relevant laboratory/nutritional and blood testing
- Prescribing options include compounding pharmacies in New Zealand and Australia
- Familiarity with conventional and complementary treatments
- Independent and without a reductionist agenda and only the client’s interests are being served
The fees to see an independent NZ registered doctor
The following maintenance fee schedule applies for current clients (seen by Cindy within the last 2 years):
Consultation 60 minutes: $300.00 (if not seen for > 1 year, a minimum 60 min appointment is required)
Consultation 30 minutes: $150.00
Online Medical Inquiry through Online Portal Secure Message: $30.00 / message or per 10 minutes
Repeat Prescriptions: $15.00
Nurse Consult/Injection: $15.00 per 15 minutes
The fees partially recover overheads including premise and staff, multiple medical body registrations, insurances, medical systems, equipment, consumables, CPD and continual research.
What is the cost of prescriptions?
Cindy in her specialized role typically prescribes:
- Non-subsidized medication
- Medication prescribed for non-endorsed conditions
- Compounded medications
Any subsidized medications prescribed by Cindy will cost a maximum of $15 per item from a pharmacy rather than a maximum of $5 per item through a state funded service.
What about my GP?
Clients should be enrolled with a GP for acute and emergency medicine, which the taxpayer funds via the state through your GP. The clinic doesn’t provide acute or emergency medicine.
Treatment for underlying causes cannot begin while clients are in the acute stage e.g. very high blood pressure or intractable distress should be assessed by a GP before looking at advanced treatment options through Cindy. If initial assessment results are not available, diagnosis and treatment will take longer and cost more.
Often Cindy and her colleagues specializing in personalized medicine work alongside GPs for outcomes.
Other times, a GP and Cindy provide clients with more options from which the client may choose what is best for them.