contactyour visitresourcespressour productsemrblog

    

 

TESTS

During your visit, Dr. Kroner will order the tests that are appropriate for your medical condition. The tests are customized to help understand your diagnosis and condition better. They may include blood, urine, and/or stool studies. These studies may be done through a regular lab next to your home, at Dr. Kroner's office, or a lab that Dr. Kroner refers you to. We are happy to send your tests out to labs that participate with your insurance company. Below are special tests that Dr. Kroner may choose to perform in select cases.

  1. Hormones
    1. Dr. Kroner has a special interest in the assessment and treatment of hormonal imbalances.  When needed, Dr. Kroner will thoroughly investigation one’s hormonal profile, in effect assessing for    subclinical hypothyroidism, adrenal, menopausal and andropausal imbalances, insulin resistance, as well as many other states of hormonal imbalance. 

      back to top

  2. Neurotransmitters
    1. In very select cases, assessing one’s levels of neurotransmitters, specific amino acid therapy can be initiated accordingly.  This process entails laboratory assessment of the body’s chemical messengers.  This test can help those who under the guidance of a psychiatrist are trying to taper off a psychiatric medication, quit smoking, deal with mild depression, anxiety, or stress.  This is adjunctive therapy and is not meant to supplant proper psychiatric care. 

      back to top
  1. Comprehensive Stool Analysis
    1. In select cases, Dr. Kroner may recommend that a comprehensive stool analysis be done utilizing either Genova Diagnostics or Jetti Katz Tropical Medicine Lab.  Jetti Katz is run by Dr. John Asher, at 800 A Fifth Avenue, Suite 203, New York, NY 10021, T 212.207.4923.   Jetti Katz performs stool testing for intestinal parasites, bacteria, candida, pinworms, fat, leukocytes, and toxins.  Stool kits may be mailed with results available in 24 hours.

      back to top

  2. Essential Fatty Acid Analysis
    1. The Metametrix Fatty Acid analysis Profile can guide patients and physicians to the correct balance of fatty acid intake.  Being that inflammation has now been shown to be associated with a variety of diseases, understanding the pro- and anti- inflammatory ratios of essential fatty acids is key to prevention and health optimization. 

      A blood test done at ADVANCED MEDICINE but processed at Metametrix (metametrix.com) can provide the physician and the patient with this valuable information.   Improper fatty acid intake affects the balance of anti- and pro-inflammatory markers, altering one’s state of health.  Consumption of polyunsaturated fatty acids (PUFAs) without increasing antioxidant intake will cause increased production of free radicals.  Some research points to the idea that excessive consumption of omega-3 fatty acids can suppress immune function.  Recent research has shown that HMG-CoA reductase inhibitors ("statins") can increase the amounts of pro-inflammatory arachidonic acid. 

      back to top

  3. Whole Body Scans
    1. Upon special request.

      back to top
        
  4. Coronary Calcium scores or Heart Scans
    1. Coronary calcified plaque build-up is an indicator of heart disease. This is commonly called "hardening of the arteries." Dr. Kroner has chosen Inner Imaging in NYC as the premier center to obtain a coronary calcium score. The center uses the Imatron Ultrafast EBT scanner which exposes patients to significantly less radiation than other traditional machines. 

      A coronary calcium score reflects the total amount of calcium deposits found in coronary arteries, based on size and density. The higher the score, the greater the risk of coronary disease.  Based on the results, the next steps could range from behavior and lifestyle modifications, to appropriate medications or further diagnostic procedures. 

      Inner imaging is located at 307 East 63rd St., New York NY 10065, 212-777-8900, www.innerimaging.com.

      back to top

  5. Preventive Cardiology Blood Panel
    1. There is more to assessing one’s risk for coronary artery disease that simply checking a regular cholesterol level.  Over the last five years, new tests that assess cardiovascular risk have gained recognition in the cardiac and internal medicine community. 

      Dr. Kroner will stratify you in terms of cardiovascular risk based on these novel markers and assess the need for further workup.  Then, modification of risk factors via lifestyle, nutrition, medication, or possibly invasive measures will be decided upon.

      back to top

  6. Toxic Metal Analysis
    1. As part of a detoxification program, in select cases, a proper assessment of heavy metal burden will be undertaken.  As needed, a safe and effective heavy metal detoxification program will be clearly outlined for you. 

      Please note that Advanced Medicine will not use intravenous DMPS to diagnose or treat toxicity.  The company that we use is Doctor’s Data (www.doctorsdata.com, 800.323.2784).

      back to top
  1. Nutritional Deficiencies
    1. Dr. Kroner will key in on some of your nutritional deficiencies by assessing them via blood work.  She will then discuss potential causes of the nutritional depletions such as malabsorption, medication induced, etc.

      back to top


  2. Rapid Screening Tests
    1. Influenza A and B, Mono, as well as the “Rapid Strep” test for pharyngitis will give results in minutes after which therapy can be decided upon during the same visit. 

      back to top

  3. Glucose Tolerance Testing
    1. Advanced Medicine’s medical staff also has the capability to perform a proper glucose tolerance test in a comfortable setting with hourly insulin levels.  This test will be able to determine if one has insulin resistance, hypoglycemia, pre-diabetes, or diabetes.

      back to top

  4. Radiologic Testing
    1. If necessary, we will gladly arrange for you to have radiologic testing at East River Medical Imaging (www.eastriverimaging.com, 212-288-1575), Park Avenue Radiology (www.parkavenueradiologists.com,   212-888-1000), Lenox Hill Radiology, or any other site of your choosing.  Tests may include mammography, bone density, X-rays, sonograms, MRIs, PET scans, CT scans, etc.

      back to top

  5. Genetic Testing
    1. Genetic mutations dramatically increase the risk of developing cancer.  Fortunately it is possible to test for certain genetic markers in order to establish if you are at heightened risk.  Knowing what your genetic predisposition is allows you to take steps early on to help with prevention planning. We have the capability to test for the following genetic predispositions:

      1.      Colorectal Cancer: Lynch Syndrome(also known as Hereditary Nonpolyposis Colorectal Cancer syndrome) Attenuated Familial Adenomatous Polyposis, MYH-Associated Polyposis, Familial Adenomatous Polyposis.

      2.      Breast/Ovarian Cancer (BRCA1 or BRCA2 genes).

      3.      Skin Cancer (Melanoma)/ Pancreatic Cancer.

      back to top

  6. Referrals
    1. We are happy to provide referrals to a highly qualified group of specialists an as needed basis.  They are affiliated with Weil Cornell Medical Center, NYU, Beth Israel, or Lenox Hill and include cardiologists, gastroenterologists, pulmonologists, neurologists, endocrinologists, dermatologists as well as others.

      back to top