The Early Edit

™

As in early detection, early prevention.

Wouldn’t you want to know early… 

  • When there’s a better chance of beating it with less suffering? 

  • When catching it early could mean an easier, less expensive treatment? And not going bankrupt or losing your house over a prolonged, exhausting, late-stage treatment?  

  • When early survival means you still have time to fulfill your purpose in this life? And to still be there for your family and live the best life you were meant to live?

  • When JAMA reports that the incidence of cancer in young adults has risen in the last decade?

Yes, it’s scary to subject yourself to this kind of testing. 

But at the same time, what is the price of peace of mind to you?

We live in a world where practically anything we eat, touch, inhale, and unknowingly absorb can influence the risk of cells going rogue. (What doesn’t have a California Prop 65 warning on it?) But we’re also built to be resilient biological machines with internal auto-correct mechanisms to keep precancerous cells in check while quietly neutralizing the daily toxic assaults, clearing up cellular debris, and continuously self-repairing so we can live a normal life. Hence, why the foundations of health are so important. 

The Early Edit will help you audit your risks, assess for screening gaps, and look for edits in your life that will help decrease the risk of the big C. 

Did you know most health plans only cover screening for FIVE (5) out of over a hundred possible cancers?

Breast, colon, cervical, prostate, and lung cancer in certain populations. That’s it.

Okay, maybe add skin if you kindly ask for a skin cancer screen. Otherwise, it’s not in the guidelines for everyone.

While the aforementioned 5 are amongst the most common and very important cancers to screen for, there are no medical guidelines to screen beyond these cancers, like ovarian, pancreatic, stomach, bladder, endometrial, uterine, liver, thyroid, kidney, lung cancer in non-smokers, brain, lymphomas, you name it. Many of these cancers generally aren’t caught until they have progressed to the point of causing more expensive problems, and not uncommonly caught in advanced stages.

In addition to making sure you’re on schedule with your regular screenings, The Doctor’s Edit has partnered with Galleri, Prenuvo, and Ezra to take your cancer screening to the next level.

Galleri detects over 50 different types of cancer with liquid biopsy. 

Liquid what? 

It’s a simple blood draw that detects DNA fragments from cancer brewing in your system anywhere from the neck down. It uses next-generation sequencing and machine learning to detect cancer signals and predict their origin. You’ll get a binary result; either “cancer signal detected” or “cancer signal not detected” (and a sigh of relief). If a cancer signal is detected, the test will tell you where the signal is most likely coming from. Dr. Ng will walk you through the next steps to confirm the result and get you to the right specialist.

Screen for several cancers that we don’t otherwise have screening for, including cancers that might not show symptoms until it’s advanced, such as pancreatic, ovarian, and many others. 

Galleri is available as an annual screen for over 50 cancers for peace of mind.

Full Body MRI helps to capture not only early tumors, but anatomical anomalies.

Full Body MRI Scan

Add another layer of comprehensive whole-body screening for early cancers and other abnormalities. Detect tumors as small as 1 to 1.5cm. Radiation-free and non-invasive. 

The Doctor’s Edit has partnered with: 

You can tell that little voice in your head to chill the f out.

✔︎ Included are four consultations (5 hours total) with the doctor to audit, analyze, and edit your foundational health and early risk factors.

✔︎ Your genomic profile is continually updated by AI with new evidence-based research and will be available for all of your future consults onward.

Editor’s Note: Self Decode, which is included with all of our Foundations and Advanced Edit packages, does not sequence for cancer gene mutations and does not include pharmacogenomics. If these are important features for you, we recommend upgrading to New Amsterdam Genomics at checkout. See The Early Edit FAQ below for more information.

✔︎ No recurring membership fees.

✔︎ Use your PPO insurance for Quest or Labcorp.

✔︎ HSA/FSA accepted.

The Foundations Audit

    • An easy saliva test kit will be sent to your home before or around the time of your initial appointment. Please do this as soon as possible to have results for the follow-up visit.

    • Grab a cup of coffee and get comfortable! Meet & greet with the doctor on Zoom to discuss your health situation and your health goals. Dr. Ng will help you assess and take stock of what’s been going on with your life that’s affecting your health.

    • Let’s audit for any risk factors and gaps in screening.

    • Are you on top of your breast, colon, cervical, lung, and prostate cancer screenings?

    • Get orders and referrals necessary to fill in your screening gaps that should be covered by most insurances.

    • Learn more about the the Galleri test and Full Body MRI.

    • Want a second pair of eyes on your recent labs? Included is a complimentary in-depth review and discussion of up to 5 lab reports completed within the last 12 months. (Optional)

    • Discover what other Advanced Health Edits may make sense for you.

The FDX Lab Analysis

    • Log into Zoom and get ready to dive into your comprehensive lab results with the doctor.

    • A detailed summary of your recommended health edits based on your new data to achieve your health goals.

      Included are:

    • Actions needed to address any lab abnormalities, including a treatment plan where applicable.

    • A timeline of when to monitor labs and what biomarkers to keep a close eye on, if any.

    • Recommendations to streamline or augment your current medication and/or supplement routine based on your new data.

The Early Edit

    • Meet with Dr. Ng to review your Galleri and/or full body MRI results, plus any other new screening results if applicable (such as mammogram, colon cancer screen, etc)

    • Discuss your next steps, whether it’s on the preventive side or the diagnostic side.

    • Appropriate referrals will be made, if needed.

    • Get your preventative screening schedule for the next 10 years.

The Genomics FDX Edit

    • Get ready to explore the secrets in your genomic data with Dr. Ng.

    • Discuss any significant findings, including the areas pertinent to your goals and ongoing health issues.

    • Learn evidence-based recommendations based on your unique genomic profile.

    • Revisit any relevant areas in your health history and lab data to help connect the dots.

    • A summary of pertinent recommendations based on what we’ve learned from your unique profile.

    • This can include lifestyle edits, science-backed complementary therapies, supplement and/or medication changes based on your genomic x lab data.

You’ll also benefit from…

✔︎ Access to Pop-Up Consults with the doctor.

✔︎ Priority scheduling for follow-up Edits with the doctor, as needed.

✔︎ Your genomic data integrated into all future consultations to help inform decision making.

The Early Edit FAQ

  • A: Self Decode and IntellxxDNA do not screen for or sequence cancer gene mutations, such as the BRCA gene.

    New Amsterdam Genomics does whole exome sequencing of all 22,000 genes and includes mutations in cancer genes. This test option is an upgrade that you may choose during the checkout process.

    However, please note that referral to a genetic counselor to perform a confirmatory test must be done before deciding to take any action about the gene.

    Please visit New Amsterdam’s FAQ section for more information.

    Also please remember, genes are not your destiny. Presence of any gene variation or mutation does not guarantee development of disease. You cannot screen for cancer with a genomic test. It only checks for gene variations that may be linked to an increased risk of certain cancers or other diseases, if the conditions in your life promote it.

  • A: We wish it did, but insurance companies are not that progressive.

    We get special rates through The Doctor’s Edit which we pass onto our patients. The full-body screening MRIs are packaged into The Early Edit for first time patients and available a la carte with a dedicated follow-up visit for all returning patients.

  • A: Great news! There is no radiation involved with MRI. It is magnetic resonance imaging.

    There is no contrast dye used in these screening MRIs.

  • A: The full body MRI takes about 60 minutes.

    At Prenuvo, you will have Netflix to watch while inside the scanner. You’ll be equipped with a helmet-like device over your face (not touching your face) with a mirror and studio headphones to watch the TV while in the machine.

    There will be lots of loud jack-hammer-like and construction-like noises while the machine is operating. This is normal. But you’ll have Netflix to distract you and a call button in hand, in case you need help.

  • A: Prenuvo and Ezra have their own trained radiologists to review the images, complete your report, and provide their recommendations.

    Both Prenuvo and Ezra have complimentary consultations with their clinical team to review your MRI with you. However, they do not take over management of your results.

    The Doctor’s Edit also provides a 60 minute follow-up to review the MRI findings with you and design a plan to address any significant findings. The doctor will consult with the radiologist when necessary.

  • A: It depends.

    Titanium metal implants are generally okay, but the imaging company will double check with your manufacturer.

    If you have history of exposure to metal fragments (such as with metal working), you may need an x-ray of your eyes or other body parts affected by metal shards to be cleared for an MRI.

    Those who CANNOT enter an MRI machine are those who:

    • Have a pacemaker or defibrillator implanted.

    • Have known metal shrapnel or fragments lodged in their body.

    • Are currently pregnant.

    Other things to know:

    • You must remove any continuous glucose monitors before doing MRI.

    • Wait at least 1 month after any vaccines to prevent false positive readings of inflamed lymph nodes.

  • A: Please note the exclusions.

    Galleri is not available for those who are…

    • Pregnant.

    • Actively being treated for cancer. Those in remission may use the test.

    • Age 21 and younger. Minimum age is 22. Recommended age is 50+ or those at high risk of cancer.

  • A: Right now, the list price is $949, paid directly to Galleri. Galleri offers monthly payment plans for up to 12 months, interest-free. This test is available by prescription only.

    Insurance does not cover this test currently, but FSA or HSA coverage or reimbursement may be available. Contact your FSA or HSA provider to confirm.

  • A: Important Notes:

    • Galleri is not a genetic test. It looks for cancer DNA fragments.

    • Galleri is done as an add-on expansion to your standard cancer screenings, not a replacement for them.

    • Galleri only screens and detects cancer signals, but does not formally diagnose cancer. If you receive a positive signal, it will require further workup to confirm it; just like a suspicious finding on a mammogram would need additional workup to either confirm or rule out the diagnosis. You’ll be guided on every step of the way.

    • Galleri cannot detect brain cancer. However, MRI can.

    • Galleri is more sensitive at detecting fast-growing cancers. Speak with the doctor if you have a specific cancer concern.

    • Visit Galleri to learn more.

  • A: Once Galleri receives the physician’s order, they will mail a test kit to your home. Galleri partners with local labs, such as Quest or CPL, to draw your blood at no extra cost to you. Bring the test kit to the lab.

  • A: Cologuard is only eligible for individuals who are age 45+ and not already at high risk for colorectal cancer due to family history, suspicious symptoms, inflammatory bowel disease, or personal history of colorectal cancer or any polyps.

  • A: A positive Cologuard result will mean you need to do a colonoscopy to confirm the test. Cologuard is 92% sensitive for detecting colorectal cancer. (No screening test is perfect and false positives do occur.) You will be referred to a gastroenterology specialist if you do not already have one.

  • A: Yes, PSA is an option offered with foundational labs if appropriate (only if you have a prostate). This is optional and by personal choice. It is only a screening marker for potential prostate cancer and not diagnostic. False elevations can occur with prostate inflammation, infection, or injury. PSA can also naturally rise with age. An elevated PSA will warrant a referral to a urologist for further evaluation.

    Click for guidelines for prostate screening from the American Cancer Society.

  • A: NOPE, sorry. You still need to get those done, where applicable.

    MRI and Galleri does not replace any regular breast, cervical, colon, or lung screening methods. MRI and Galleri are meant to be an addition to your regular screenings to expand upon things that are not regularly screened for.

  • A: No. Thermography does not replace mammograms and falls below the standard of care for breast cancer screening. It also does not detect early stage breast cancer like a mammogram can.

  • A: No, the role of The Doctor’s Edit is prevention and proactive screening. Most screening tests are not diagnostic and must be confirmed with further testing. If a positive cancer screen occurs, Dr. Ng will walk you through on the next steps to take to have the result confirmed or ruled out and refer you to the appropriate specialist to manage your care.

  • A: You may opt out of genomic testing during checkout.

    In the “Genomic Test Option” at checkout, choose “No Genomic Tests”.

  • A: It depends. Was it a direct-to-consumer test? Did it give you the answers you need? We partner with companies that provide clinical-grade data and require a professional medical license.

    Generally speaking, direct-to-consumer companies cannot give you information that requires a doctor to be in the room.

    If you’re satisfied with the information from your previous test, you may choose to opt out of re-testing during checkout. In the “Genomic Test Option,” at checkout choose “No Genomic Tests”.

    If you have already completed either Self Decode, IntellxxDNA, or New Amsterdam Genomic testing, you may choose to share your profile with us, if you wish. Also choose “No Genomic Tests” during checkout.