Testing and Assessments
One of the central planks in Dr. David Steenblock’s practice of personalized medicine is to cover all the testing and diagnostic bases. The first step in this process is typically to do a complete physical examination, including routine lab work and any specialized testing Dr. Steenblock deems essential.
Given the fact that each person’s bone marrow stem cells play a crucial role in healing damaged or diseased organs and tissues, Dr. Steenblock also tests for things that interfere with stem cell mobilization as well as their vitality and activity. This includes testing to determine the presence and levels of heavy metals such as mercury, lead, cadmium, arsenic, etc. For adults, this is done using Dimercaptosuccinic acid (DMSA), which is an oral chelating agent that binds to heavy metals. A one-time dose of DMSA is taken by the patient, followed by 6 hours of urine collection. A sample is then sent to Doctor’s Data in Chicago for analysis.
Hormone deficiencies and excesses (e.g. hyperthyroidism, hypothyroidism, etc.) can impact stem cells, as well as the tissues into which they engraft. This hormonal imbalance can bring about cellular changes that can dampen or otherwise impede stem cell activity. Dr. Steenblock prescribes hormone panel tests that measure such hormones as DHEA, IGF-1, hGH, estrogen, progesterone and testosterone and prolactin.
Physical stressors including, but not limited to hypoxia (low blood and tissue oxygen levels), intermittent hypoxia, nocturnal hypoxemia (serious drops in tissue oxygen levels during sleep), chronic persistent hypoxia secondary to COPD (emphysema), metabolic acidosis (happens in poorly controlled diabetes) or other noxious tissue conditions are also deterrents for stem cell activity. To detect & measure the extent of these Dr. Steenblock runs tests that measure carbon dioxide (CO2) blood levels, LDH isoenzymes & lactic acid, pyruvic acid levels, salivary and urine pH. In addition, Dr. Steenblock may also order a nocturnal oximetry test, electrocardiogram (EKG), and pulmonary function studies.
Dr. Steenblock looks for active infections whether bacterial, viral, or mycoplasma in nature in gums, sinuses, organs or other tissues, plus smoldering or hard-to-detect low grade infections, especially those caused by certain herpes viruses and retroviruses. Tests that Dr. Steenblock may utilize, when indicated, include a computed tomography (CT) scan of the lungs and sinuses to rule out sinus infections and a Comprehensive Digestive Stool Analysis (CDSA) plus Parasite test to rule out intestinal issues, including disturbances in bowel ecology.
These sorts of infections tend to attract stem cells, including those that would ordinarily wind up supporting the body’s own repair and restoration processes.
Poor nutrition, consumption of unhealthy fats and simple sugars, binge or heavy drinking, consumption of carbonated beverages (especially those that are sugar-laden), overconsumption of caffeine, and so on, can make many medical conditions worse. In addition, lack of certain nutrients, like vitamin D, as well as excess amounts of others, such as vitamins K and A, can all impede or interfere with the viability & activity of stem cells. Generally, Dr. Steenblock conducts a systematic review of a patient’s diet, which may require the patient to keep a food diary for a period of time. In addition, specialized testing may be done to more accurately determine the patient’s nutritional needs.
Drug interactions and excessive or wrong drug choices, including herbal supplements, vitamins and minerals can potentially create medical problems or complicate and negatively impact various diseases and conditions, not to mention adversely affecting stem cell growth, proliferation or function. Therefore, Dr. Steenblock typically reviews each patient’s past & present prescription and over-the-counter (OTC) pharmaceuticals, herbs, herbal teas and supplements, vitamins and minerals, as well as illicit drugs in order to be able to make the safest and most effective decisions for the patient’s regenerative health.
Dr. Steenblock makes use of various highly sophisticated tests to help gauge such things as how a patient is likely to respond to a particular ordered medication, or ascertaining a patient’s risk of developing certain types of chronic diseases in the future. One comprehensive genetics test Dr. Steenblock often orders for his patients is 23andme. This kind of testing makes it possible for him to individualize many aspects of the care he provides.
In addition to the aforementioned tests, Dr. Steenblock may also order some or all of the following labs to help complete his assessment and develop a more personalized treatment plan: Complete Blood Count (CBC), Erythrocyte Sedimentation Rate (ESR), C-Reactive Protein (CRP), thyroid panel, uric acid, ammonia (brain cases), erythropoietin (EPO) test if anemia is present, reticulocyte count, iron, Total iron-binding capacity test (TIBC), oxygen % saturation, copper, ceruloplasmin, Antinu
Charting a Personalized Course
Putting it all together: Creating a Personalized Treatment Plan
Once a patient’s diagnosis is confirmed, modified or even overturned and the results of all tests ordered are in, Dr. Steenblock can then put all the pieces together create a personalized treatment plan. This simply means that therapies and treatments are matched to the individual and their unique biochemical and genetic make-up, as well as other characteristics and features, including those of their particular medical challenges. This process helps increase the patient’s potential for optimal outcomes and significant clinical improvements.
Treatment plans will typically include strategies such as:
In addition to the above listed strategies, treatment modalities such as those listed below may also be incorporated as part of the patient’s personalized care plans:
Some the health challenges for which Dr. Steenblock has produced effective, personalized treatment programs, include:
Stem Cells and Healing
Dr. Steenblock’s personal and medical career can be summed up with one word: Innovation. He has, in fact, spent over four decades doing the sort of in-office exploration and experimentation that has traditionally driven progress in medical science. And, while most doctors adhere to “formulaic treatment approaches” that enjoy official approval, medical innovators like Dr. Steenblock use drugs off-label and employ established & new therapies in unique ways and combinations.
In addition, Dr. Steenblock focuses on creating individualized patient programs that take into account unique variations in each patient’s biochemistry, predispositions, disease & bodily vulnerabilities, deficiencies and more. These are all painstakingly identified and then addressed or otherwise therapeutically exploited.
As part of Dr. Steenblock’s quest to innovate and customize patient care, he found that many chronic and degenerative diseases are slowed, halted and even reversed when nature’s own repair & restoration mechanism, namely adult (nonembryonic) stem cells, is augmented. This makes sense really as disease prods the sufferer’s body to attempt to repair the damage by activating stem cells residing in the affected tissues. This process also results in the mobilization of stem cells from the bone marrow and their attraction to diseased areas. Unfortunately, these stem cells are not always up to the job of repair and regeneration especially when it comes to aging, sedentary or chronically ill people, mainly because their marrow tends to harbor large numbers of senescent (inactive) stem cells. This is where Dr. Steenblock’s penchant to innovate resulted an elegant solution: In-a-word, Neupogen®. He found that by giving these patients injections of the FDA approved stem cell mobilizing drug Neupogen® for five (5) consecutive days, their marrow purged out the senescent stem cells and then created up to ten times as many healthier, more activate stem cells.
Once a patient’s marrow is brimming with new, more active stem cells, Dr. Steenblock removes a small quantity and uses this to produce what is referred to as bone marrow aspirate concentrate (BMAC), which he then administers back to the patient.
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