Medical Services
Comprehensive internal medicine care enhanced with advanced diagnostic technologies for early detection and proactive health management.
Advanced Diagnostic Services
We utilize cutting-edge diagnostic technologies to detect potential health issues early, when they're most treatable.
CIMT Cardiovascular Screening
Carotid Intima-Media Thickness (CIMT) testing is a non-invasive ultrasound procedure that measures the thickness of the inner two layers of the carotid artery wall. This test can detect atherosclerosis (plaque buildup) years before it causes symptoms or shows up on traditional tests.
- Detects early atherosclerosis
- Predicts heart attack and stroke risk
- Non-invasive, painless procedure
- Results in minutes
- Tracks progression over time
Zio Extended Cardiac Monitoring
The Zio patch is a small, comfortable, water-resistant monitor worn continuously for up to 14 days. It captures every heartbeat, detecting arrhythmias like atrial fibrillation that might be missed during a standard office visit or traditional 24-hour Holter monitor.
- Up to 14 days of continuous monitoring
- Detects atrial fibrillation (AFib)
- Identifies other arrhythmias
- AI-powered analysis
- Comfortable and discreet
BrainCheck Cognitive Assessment
BrainCheck is an FDA-cleared digital cognitive assessment tool that evaluates multiple aspects of brain function. It establishes your baseline cognitive health and tracks changes over time, enabling early detection of potential cognitive decline.
- FDA-cleared cognitive testing
- Establishes personal baseline
- Tracks changes year-over-year
- Evaluates memory and processing
- Early detection of decline
Galleri Multi-Cancer Early Detection
Galleri is a blood test that screens for a signal shared by many types of cancer, including a number that have no routine screening test of their own. When a signal is found, the test also predicts where in the body it originated, which focuses the diagnostic workup that follows. Galleri is designed to complement — never replace — recommended screenings such as mammography, colonoscopy, and lung CT, and any positive result is confirmed with standard diagnostic testing before a diagnosis is made.
- Single blood draw, no preparation required
- Screens for a signal shared by many cancers
- Predicts the likely tissue of origin
- Complements standard screening, does not replace it
- Positive results always confirmed diagnostically
In-Office Diagnostics
These tests are performed during your visit, so you get answers without a referral or a second trip to another facility.
ECG (Electrocardiogram)
A quick, non-invasive recording of your heart's electrical activity, performed right here in our office. An ECG helps us evaluate your heart rhythm and rate, and can show evidence of strain on the heart muscle or a prior cardiac event. Because we run it in-house, we can review the tracing with you during the same visit rather than sending you out for testing.
Cleveland HeartLab Testing
Advanced cardiovascular blood testing that looks at markers of vascular inflammation rather than cholesterol alone. Many people who go on to have a heart attack have normal cholesterol numbers, and these inflammation markers help us identify risk that a standard lipid panel can leave hidden—so we can intervene earlier and more precisely.
InBody Body Composition Analysis
A body composition scan that separates your weight into muscle mass, body fat, and body water. This gives a far more meaningful picture of your health and your progress than the scale or BMI alone, and it lets us confirm that a weight management plan is preserving muscle while reducing fat.
Spirometry (Lung Function Testing)
A simple breathing test that measures how much air you can move and how quickly you can move it. Spirometry is used to evaluate and monitor asthma, COPD, and unexplained shortness of breath, and it helps us tell apart the respiratory and cardiac causes of similar symptoms.
Audiometry Hearing Screening
An in-office hearing screening across the frequency range that matters most for understanding speech. Hearing loss develops so gradually that most people do not notice it themselves, so we screen for it as part of preventive care and refer for a full audiology evaluation when the results warrant it.
Vision Screening
A check of your visual acuity performed as part of your preventive exam. It is not a substitute for a dilated eye exam, but it catches changes in vision that should be evaluated by an eye specialist—and it is especially important for patients with diabetes or high blood pressure.
Comprehensive Care Services
From preventive care to chronic disease management, we provide full-spectrum internal medicine services tailored to your needs.
Vaccinations & Immunizations
Flu shots, COVID-19 vaccines, and pneumococcal (pneumonia) vaccines administered right in our office, plus personalized guidance on shingles, Tdap, and travel vaccinations following CDC guidelines and your health profile.
In-Office Lab Draws
Skip the trip to an outside lab. Blood draws are performed right in our office as part of your visit, with results reviewed personally by Dr. Tirmal and discussed with you promptly.
Rapid In-Office Testing
Feeling under the weather? We offer rapid point-of-care testing for flu, COVID-19, and strep throat with results in minutes—so you get an accurate diagnosis and can start treatment the same day.
Weight Management
Comprehensive weight management programs including GLP-1 medications (when appropriate), nutritional counseling, and lifestyle modification strategies. We address the root causes of weight gain for sustainable results.
Men's Health & Testosterone Therapy
Comprehensive men's health care including evaluation and treatment of low testosterone. Lab-confirmed diagnosis, individualized therapy, and ongoing monitoring to safely restore energy, strength, and vitality.
Diabetes Management
Expert management of Type 2 diabetes and prediabetes including medication optimization, continuous glucose monitoring guidance, lifestyle interventions, and A1c monitoring to achieve and maintain target glucose levels.
Cardiovascular Care
Comprehensive heart health management including hypertension treatment, cholesterol management, advanced lipid testing, and cardiovascular risk reduction strategies.
Sleep Disorders
Evaluation and management of sleep disorders including sleep apnea screening, insomnia treatment, and optimization of sleep hygiene for better rest and overall health.
General Internal Medicine
Complete primary care services for adults including acute illness treatment, chronic disease management, health screenings, and coordination of specialty care when needed.
Prevention is Our Priority
As an MDVIP-affiliated practice, we focus on preventive care rather than just treating illness. Our comprehensive annual wellness exam evaluates over 150 health markers, giving us a complete picture of your health and identifying risks before they become problems.
Learn About MDVIP WellnessTake Control of Your Health
Schedule an appointment to discuss your health concerns and learn how our comprehensive medical services can help you achieve optimal wellness.