1. 1. For those with a cancer or hematologic diagnosis, Dr. Levandovsky offers ongoing cancer (or hematology care) with access to the doctor via office visits, phone, and email. Unlimited coordination and discussion with all involved medical specialists and team members. A comprehensive evaluation of your specific tumor molecular composition with a goal of offering personalized treatment. Support and navigation through all stages of your cancer treatment (e.g., infusions, radiation, surgery/interventions, and clinical trials, as needed). Additional support emphasizing caring for the whole person, that addresses concerns ranging from your psycho-emotional health to recommendations for clinical trials or internal medicine issues. A collaboration, review, and “virtual second opinions” with international thought leaders in the field, as appropriate for your cancer diagnosis. The Program includes:

2. Imaging

3. • MRI, CT and PET Scan

   • 3D Mammogram and Ultrasound of the Breast— a more advanced version of a traditional mammogram that creates more detailed, refined images with targeted ultrasound examination of potentially concerning areas

   • Breast MRI— a non-invasive, radiation-free imaging procedure, designed to detect early changes in the breast tissue, with over 90% sensitivity for early breast cancer detection.

   • CT of the Lungs— a non-invasive form of imaging, uses a specialized form of X-ray, coupled with computer technology, to produce cross-sectional images (slices) of soft tissue, organs, bone and blood vessels in any area of the body. CT lung cancer screening has revolutionized medical imaging by providing more detailed information than conventional X-rays, improving lung cancer diagnostics

   • MRI of the Ovaries/Uterus or Prostate—a non-invasive and painless form of imaging that helps create detailed cross-sectional images of pelvic organs and internals structures without the use of potentially harmful ionizing radiation.

   • MRI of the Abdomen and Pelvis — a non-invasive and painless form of imaging that helps create detailed cross-sectional images of the organs and internals structures without the use of potentially harmful ionizing radiation.

   • PET Scan— a positron emission tomography (PET) scan is an imaging test that helps reveal how your tissues and organs are functioning. A PET scan uses a radioactive drug (tracer) to show this activity. This scan can sometimes detect disease before it shows up on other imaging tests.

4. Molecular and genetic screening

5. • Genetic testing— extensive analysis of the 80+ genes associated or linked to cancer and other critical illness

   • HPV oral screening— a new painless type of test that helps to establish presence of HPV virus in the saliva which may increase one’s risk for oral cancer

   • Complete microbiome testing and analysis— a comprehensive evaluation of one’s gut bacterial flora, inflammatory and metabolic markers, linked to various forms of gastrointestinal cancer, as well as inflammatory and autoimmune conditions.

   • Cancer liquid biopsy—A test done on a sample of blood to look for cancer cells or tumor DNA that maybe circulating in the blood; if detected, these pieces of tumor DNA can further predict cancer’s site of origin for further testing and evaluation. This way a liquid biopsy may be used to help detect cancer at a very early stage.

   • Urine biopsy— a new screening modality that is successful in screening for prostate cancer, and soon bladder and kidney cancers, by using a urine sample.

   • Complete genome sequencing—this is the most comprehensive picture of your entire genetic code, that includes an analysis of 22,000+ expressed genes (exome), with an advanced profiling of over 1000 genes associated with cancer predisposition, genes related to cardiovascular, autoimmune and neurological conditions. This test may be of additional help for patients with atypical, difficult-to-diagnose symptoms, by focusing our attention on your top genetic/molecular predispositions.

6. Primary care

7. • In-depth personal and family history

   • Stroke risk assessment and prevention 

8. • Cardiovascular health, focused on heart attack, high blood pressure and organ damage prevention

   • Medication review

   • Lung function testing that examines how well the lungs work

   • Skin cancer screening and examination

   • Breast exam (women)

   • Prostate Exam (men)

   • Abdominal and pelvic organ health, aimed to screen for and detect early evidence of organ stress/damage or cancer

   • Endocrine health and lipid profiling, in addition to standard-of-care screening, we also look at early markers of cholesterol and thyroid elevation, inflammation and oxidation, which can be elevated before the traditional ones suggest a problem

   • Liver metabolic function and kidney function, examining liver inflammation, swelling, and ability to metabolize/excrete toxins

   • Markers of systemic inflammation and cell turn-over and their effects on cardiovascular disease, hematologic and liver health

   • Urinary function and composition, looking at blood, stones/crystals, protein, inflammation and infection.

   • Screening for anemia (low red blood cells) and other blood abnormalities

   • Prostate screening for men 40+ (PSA)

9. Lifestyle and wellness

10. • Personalized overall lifestyle assessment with guidance to achieve your personal health-related goals.

11. • Detailed evaluation of the extent and type of lifestyle choices and their impact on cancer.

    • A comprehensive nutritional assessment; discussing the role of food as medicine and its impact on cancer.

    • Fitness evaluation

    • Stress management and mindfullnessrecommendations

    • Sleep health assessment

    • Vitamin and supplement review

Get a comprehensive assessment of your health, with a specific focus on cancer. Our 4-hour evaluation covers your medical, genetic and molecular health, as well as environmental and nutritional exposures. Dr. Levandovsky incorporates 3-generations of family genetic history with environmental exposures and lifestyle. A comprehensive nutritional, exercise and mindfulness evaluation complete the assessment.

Dr. Levandovsky incorporates appropriate imaging with a combination of Ultrasound, CTs and MRIs for initial screening and subsequent monitoring. He also uses cutting-edge technology with tumor biomarkers, liquid biopsies of saliva, blood and urine to get an in-depth look at your risk. As a results, we are able to provide a personalized risk assessment for 12 most common cancers in the United States – head and neck, lung, breast or prostate, upper gastrointestinal (eg, esophagus, stomach, liver and pancreas), colorectal, bladder/kidney, ovarian/uterine and melanoma). Based on this individualized risk evaluation, each person will understand their unique health cancer profile and undergo a screening program designed specifically for them; with the goal of cancer prevention and early detection. The Program includes the following:

Personal and family health history

• An in-depth review of your maternal and paternal medical and genetic history.

• An evaluation of your personal cancer history and cancer-related conditions (environmental, infectious and medical).

Occupational and exposure factors review

• Assessment of environmental exposures related to inhalation, ingestion or tactile contact with known carcinogens and irritants.

• Assessment of and screening for infectious agents associated with cancer.

Lifestyle and wellness evaluation

• Personalized overall lifestyle assessment with guidance to achieve your personal health-related goals.

• Detailed evaluation of the extent and type of lifestyle choices and their impact on cancer.

• A comprehensive nutritional assessment; discussing the role of food as medicine and its impact on cancer.

• Fitness evaluation

• Stress management and mindfullness recommendations

• Sleep health assessment

• Vitamin and supplement review

  
  

MRI, CT scan and Ultrasound imaging (some imaging is included in the price of the program)

• Low dose CT of the Chest, intended to minimize radiation exposure and screen for lung nodules and lung cancer.

• MRI of abdomen and pelvis, eliminates radiation exposure altogether and screens for cancers of the upper abdomen and pelvic structures with very high accuracy.

• MRI of the breast and prostate, again eliminates radiation exposure, while being able to detect early breast/prostate cancer with over 90% accuracy.

• Carotid ultrasound to determine cardiovascular health

Tumor biomarkers and molecular screening

• Screen for early signs of clot formation and inflammation, which are often associated with more aggressive cancers.

• Screen for metabolic and hormonal changes that are associated with cancer risk.

• Genetic testing— extensive analysis of the 80+ genes associated or linked to cancer and other critical illness

• HPV oral screening— a new painless type of test that helps to establish presence of HPV virus in the saliva which may increase one’s risk for oral cancer and has been linked to early head and neck cancer

• Complete microbiome testing and analysis— a comprehensive evaluation of one’s gut bacterial flora, inflammatory and metabolic markers, linked to various forms of gastrointestinal cancer, as well as inflammatory and autoimmune conditions.

• Cancer liquid biopsy—A test done on a sample of blood to look for cancer cells or tumor DNA that maybe circulating in the blood; if detected, these pieces of tumor DNA can further predict cancer’s site of origin for further testing and evaluation. This way a liquid biopsy may be used to help detect cancer at a very early stage.

• Urine biopsy— a new screening modality that is successful in screening for prostate cancer, and soon kidney and bladder cancers, by using a urine sample.

• Complete genome sequencing—this is the most comprehensive picture of your entire genetic code, that includes an analysis of 22,000+ expressed genes (exome), with an advanced profiling of over 1000 genes associated with cancer predisposition, genes related to cardiovascular, autoimmune and neurological conditions. This test may be of additional help for patients with atypical, difficult-to-diagnose symptoms, by focusing our attention on your top genetic/molecular predispositions.

Genetic Screening and Assessment

• Screening for inherited genetic changes by sampling blood or saliva.

• Screen for breast/ovarian or prostate cancer, using prostate specific bio-markers in the blood and urine.

• Screen for colorectal cancer, using your stool to detect abnormal/cancer DNA, blood and inflammation.

• Collaboration with genetic counselors.

Primary Care

• In-depth personal and family history

• Stroke risk assessment and prevention 

• Cardiovascular health, focused on heart attack, high blood pressure and organ damage prevention

• Medication review

• Lung function testing that examines how well the lungs work

• Skin cancer screening and examination

• Breast exam (women)

• Prostate Exam (men)

• Abdominal and pelvic organ health, aimed to screen for and detect early evidence of organ stress/damage or cancer

• Endocrine health and lipid profiling, in addition to standard-of-care screening, we also look at early markers of cholesterol and thyroid elevation, inflammation and oxidation, which can be elevated before the traditional ones suggest a problem

• Liver metabolic function and kidney function, examining liver inflammation, swelling, and ability to metabolize/excrete toxins

• Markers of systemic inflammation and cell turn-over and their effects on cardiovascular disease, hematologic and liver health

• Urinary function and composition, looking at blood, stones/crystals, protein, inflammation and infection.

• Screening for anemia (low red blood cells) and other blood abnormalities

• Prostate screening for men 40+ (PSA)

Is our program for patients with cancer who have a primary oncologist but want to be proactive about other options. We ensure that they are getting the best treatment by utilizing unlimited guidance from Dr. Levandovsky. We emphasize a comprehensive evaluation of your specific tumor genetics, personalizing care based your tumor molecular and genetic signatures. Additional support emphasizing caring for the whole person, that addresses concerns ranging from your psycho-emotional health to recommendations for clinical trials.

Dr. Levandovsky would work with your current oncology team (or may suggest alternatives) to help you navigate through the complexities of our medical system — to ensure appropriate and timely treatment while optimizing patents’ experience. As appropriate, Dr. Levandovsky collaborates with top international thought leaders in the field to offer “virtual second opinions” without patients need to travel to our finest Cancer Centers. Cancer navigating includes psych-oncological support, nutritional and lifestyle evaluation and guidance.

Patients facing a difficult diagnosis are very often worried and often uncertain if they are making the best decisions. A comprehensive second opinion can guide patients toward appropriate treatment decisions or, in some cases, identify other possibilities they might want to consider. In his Second Opinion Program, Dr. Levandovsky reviews all of your prior records, imaging and pathology, followed by a 2 hour long appointment to discuss the current treatment options. Dr. Levandovsky would further discuss current treatment options and may advise additional testing, as needed. In addition, Dr. Levandovsky connects with top experts in the field to get personalized recommendation on your specific condition.

• Recommendations from top experts in the field, as indicated

• Review of the newest oncologic developments, as pertinent to the patents’ condition.

• Review of pertinent clinical trials

• Genetic counseling, as indicated

• Outlining treatment options and addressing patient/family priorities

• Psych-oncologic support to counsel for both the psych-oncological and physical aspects of the diagnosis

• Nutritional and lifestyle evaluation

ADDITIONAL AVAILABLE SCREENINGS:

• Cardiac stress test—In a stress test, a patient walks on a treadmill that makes their heart work progressively harder. An electrocardiogram (ECG) monitors patient’s heart's electrical rhythms. The doctor also measures blood pressure and monitors whether a patient has symptoms like chest discomfort or fatigue. Abnormalities in blood pressure, heart rate, or ECG or worsening physical symptoms could point to coronary artery disease (CAD): fatty deposits (plaques) that reduce the flow of oxygen-rich blood to the heart muscle.

• Colonoscopy— is a procedure that is used to look for cancer of the colon (bowel cancer) or colon polyps, which are growths on the lining of the colon that can sometimes be cancerous or may grow to be cancerous.

• Upper and/or Capsule Endoscopy— is a procedure used to visually examine your upper digestive system with a tiny camera on the end of a long, flexible tube or a special bullet-like camera. A specialist in diseases of the digestive system (gastroenterologist) uses an endoscopy to diagnose and, sometimes, treat conditions that affect the esophagus, stomach and beginning of the small intestine (duodenum).

• Bone density test— a non-invasive test that measures bone mineral density to assess the risk of fracture or osteoporosis and bone strength.

• Audiometry— a painless, noninvasive hearing test that measures a person's ability to hear different sounds, pitches, or frequencies.

• Coronary Calcium Score — a CT imaging to examine your coronary arteries to identify early signs of atherosclerosis.
  
  
  
  

COMPREHENSIVE IMAGING

• 3D Mammogram and Ultrasound of the Breast— a more advanced version of a traditional mammogram that creates more detailed, refined images with targeted ultrasound examination of potentially concerning areas

• Breast MRI— a non-invasive, radiation-free imaging procedure, designed to detect early changes in the breast tissue, with over 90% sensitivity for early breast cancer detection.

• CT of the Lungs— a non-invasive form of imaging, uses a specialized form of X-ray, coupled with computer technology, to produce cross-sectional images (slices) of soft tissue, organs, bone and blood vessels in any area of the body. CT lung cancer screening has revolutionized medical imaging by providing more detailed information than conventional X-rays, improving lung cancer diagnostics

• MRI of the Ovaries/Uterus or Prostate—a non-invasive and painless form of imaging that helps create detailed cross-sectional images of pelvic organs and internals structures without the use of potentially harmful ionizing radiation.

• MRI of the Abdomen and Pelvis — a non-invasive and painless form of imaging that helps create detailed cross-sectional images of the organs and internals structures without the use of potentially harmful ionizing radiation.