On July 15, 2013, The 23andMe Blog featured our patient’s story about her discovery the part the genetic test offered by 23andMe played in her diagnosis of celiac disease.
The blog article tells how, “For Dr. Costa the approach starts with detailed discussions with his patients about their lifestyles and health history. As he develops a wellness program for each of his patients, Dr. Costa said he is thinking about prevention particularly for diseases that his patients might be at most risk.” Upon hearing about his patient’s symptoms, Dr. Costa suggested that she look into the genetic test, and her results showed that our patient had a high than average risk for the “autoimmune condition that affects the small intestines and is triggered by the gluten found in wheat, barley and rye. It can sometimes be hard to diagnose. In [our patient’s] case, her years of stomach problems had been diagnosed as nothing more than “irritable bowels,” she said.”
“After seeing her red flag for Celiac, Dr. Costa performed a simple blood test that pointed to Celiac. He then did an endoscopy and provided the final diagnosis. A change to a gluten-free diet can alleviate the painful symptoms of Celiac and allow the damage to the small intestines to heal.
Because the disease is genetic, Kristen thought to have her three children tested. She learned her five year-old, who had battled her own stomach pain, had Celiac as well.
The simple diet change also changed her daughter’s life.”
Read the rest of the post here and learn more about the genetic testing here!
The article “The Race to a $100 Genome” on CNN Money posted June 25, 2013 talks about the economics behind human genome sequencing. Dr. Costa was quoted about how genetic testing gives him a better understanding of a patient’s health which in turn assists him in teaching them about lifestyle medicine and prevention.
“Mark Costa has a higher-than-average risk of stomach cancer, a lower-than-average risk for Alzheimer’s, and he metabolizes caffeine very slowly. “Now I don’t wonder why I can’t sleep if I have coffee at 2 p.m.,” he says.
Afternoon jitters, though, were not the reason Costa, a primary care physician, decided to have his DNA sequenced last year. He wanted to find out if he was predisposed to certain illnesses and see if the test he took — priced at just $99 — might be useful for his patients.”
The 23andMe Blog post on July 8, 2013 called “Planning for Wellness with 23andMe” told the story of Enhanced Medical Care and our focus on our patients’ wellness. One of the tools Enhanced Medical Care utilizes in optimizing our patients’ health is the genetic test offered by 23andMe.
Read an excerpt from the article below:
“Instead of a stacked patient-load that left them rushing from one case to another, their concierge practice limited the number of people they treated. This gave the couple time to tailor wellness plans for the people they treated.”
“It’s a little bit more of the old family doctor routine,” Dr. Costa said.
“With each patient, he and his wife delve into their medical chart; they look through their charts and even the person’s home and work life. Although family medical history is considered a cornerstone, Dr. Costa said most people don’t remember those details well. Many patients can’t give him accurate information about their family medical history, he said.’
“It’s often extremely vague or misleading,” Dr. Costa said.
“So at some point, his wife suggested looking at getting genetic tests done as a way to fill in the gap.”
“There is a lot of evidence that, interpreted correctly, genetic testing can be extremely powerful,” he said. “Traditional medicine is very reactive. You come in with symptoms, a diagnosis is made, and treatment is made. With genetic testing, you can be more proactive. You can pick up diseases earlier and you might be able to prevent them.”
“He and his wife have started incorporating the test into their practice and they’ve already seen a handful of patients benefit from the test.”
Read the rest of the post here and learn more [...]
On September 16, 2008, Dr. Costa and Enhanced Medical Care were featured in a segment on Boston’s Channel 5 News by Amalia Baretta about the doctor shortage in Massachusetts. Baretta reported that Dr. Mark Costa is not going to take the Primary Care rat race anymore and have opened a concierge or membership practice to offer the patient care he believes in.
Dr. Costa was quoted saying, “the patients leave here saying this was the best office visit they have ever had.”
In the August 20, 2012 issue of Time Magazine, the article “Good Genes” featured our patient and her struggle with a lifelong battle with undiagnosed Celiac Disease until Dr. Costa recommended she look into genetic testing with the company 23andme.
As explained in the article, “some experts worry that too much information will prove overwhelming, particularly in cases when the technology outpaces our understanding. What good is knowing you’re predisposed to get Alzheimer’s, for example, if there’s no way to stop it from happening? But medical knowledge is evolving every day…
“That’s why most physicians don’t routinely recommend genetic testing. But [Dr. Costa] did; he called it an integral part of medical care…”