Advanced medical testing and screening

Advanced Testing & Screenings

We take a groundbreaking approach to preventive care by combining advanced screenings, innovative diagnostic tools, and personalized attention.

Advanced Screenings: Your First Line of Defense

Preventive care begins with identifying risks before they become problems. At Three Rivers, we elevate the screening process with tools and tests that offer comprehensive accuracy and breadth, helping us uncover potential health concerns early.

Our goal is to empower patients with insights that go far beyond what traditional practices provide. By focusing on early detection and actionable strategies, we ensure your health stays ahead of potential concerns, creating a foundation for long-term wellness.

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In-Office Ultrasound: Immediate Results for Precision Care

Gone are the days of waiting weeks for imaging results or juggling referrals to external imaging centers. At Three Rivers, we provide in-office ultrasound technology, allowing us to perform real-time imaging during your appointment.

Ultrasound is an invaluable tool for diagnosing and monitoring conditions such as:

  • Thyroid Issues: Quickly assess lumps or nodules for further evaluation.

  • Abdominal Pain: Identify gallstones, liver issues, or other causes of discomfort.

  • Vascular Health: Evaluate circulation and detect issues like blood clots or varicose veins.

By offering immediate results, we eliminate delays in diagnosis and provide you with the clarity and confidence to move forward with your care plan on the same day.

Physician uses an ultrasound machine on a patient.

Early Cancer Detection & Consults

What if cancer could be detected early enough to change the outcome? The Galleri™ Multi-Cancer Early Detection Test identifies over 50 types of cancer with a simple blood draw—including many not typically screened for today.

  • Detects cancers often overlooked by current screening methods, enabling earlier intervention.
  • Easily integrated into routine healthcare visits with a quick blood draw.
  • If a cancer signal is detected, the results accurately indicate its location in the body, helping your healthcare provider determine the next steps.

InBody Analysis: A Holistic View of Your Health

Traditional scales tell only part of the story. At Three Rivers, we utilize InBody analysis to provide a detailed understanding of your body composition, including:

  • Muscle Mass: Gain insight into your strength and metabolic health.

  • Body Fat Percentage: Track your progress and assess your risk for chronic diseases like diabetes or cardiovascular issues.

  • Hydration Levels: Ensure optimal fluid balance for overall health and performance.

This data allows us to create customized nutrition and fitness plans tailored to your specific needs, whether you’re focused on weight management, recovering from an injury, or enhancing athletic performance. InBody analysis isn’t just a screening—it’s a roadmap to your wellness goals.

Three body composition analyzers with digital screens and foot platforms.

Tempus xG+ Genetic Testing: Unlocking the Future of Personalized Care

Preventive care has entered a new era with the advent of genetic testing. The Tempus xG+ test offers a detailed analysis of your genetic predispositions to conditions such as:

  • Heart disease

  • Diabetes

  • Certain types of cancer

By understanding your genetic risk factors, we can design a care plan tailored to your unique biology. For example, if you have a higher risk of cardiovascular disease, we can recommend targeted lifestyle changes, medications, or screenings to mitigate that risk.

Floating digital screens on white background, displaying Tempus Genetic Test results.

Tempus Depression Genetic Testing: Precision Mental Health Care

Mental health is an integral part of overall wellness, and traditional “trial-and-error” approaches to medication can be frustrating and time-consuming. The Tempus Depression Genetic Test takes the guesswork out of treatment by analyzing how your genes affect your response to certain medications.

  • Faster Results: Identify the most effective medications sooner, reducing the time it takes to feel better.

  • Tailored Treatment: Ensure your mental health care is as personalized as your physical health plan.

By integrating genetic testing into our mental health services, we provide a level of precision that helps you achieve meaningful, lasting relief.

Hand holding a phone displaying a list of antidepressants and dosage guidelines.

Why Advanced Screenings Matter

Screenings aren’t just about catching diseases—they’re about empowering patients with information to take control of their health. Studies show that early detection improves outcomes for most chronic and acute conditions, often reducing the need for invasive treatments and improving survival rates.

At Three Rivers, we go beyond routine tests to offer comprehensive, state-of-the-art screenings that ensure you’re always one step ahead. These tools are seamlessly integrated into your care plan, making prevention a natural part of your healthcare experience.

The Bigger Picture: How Screenings Fit Into Proactive Care

While advanced screenings are critical, they’re only one piece of the puzzle. At Three Rivers, we take a holistic approach to prevention that combines:

  • Chronic Disease Management: Helping patients with conditions like diabetes or hypertension stay on top of their health through regular monitoring and expert care.

  • Lifestyle Coaching: Offering guidance on nutrition, fitness, and stress management to complement medical treatments.

  • Continuous Support: Providing direct access to your care team and same- or next-day appointments to address concerns as they arise.

This integrated model ensures that screenings are not standalone events but part of a broader strategy to keep you healthy and thriving.

The Three Rivers Difference: Time and Attention

Traditional healthcare often leaves patients feeling rushed, with little time to discuss concerns or fully understand their health. At Three Rivers, we prioritize giving you the time and attention you deserve. Our extended appointments and personalized consultations allow us to dive deep into your health history, discuss your goals, and collaborate on a proactive care plan.

With our unhurried approach, we ensure that every screening is followed by a clear explanation of results and actionable next steps. Whether it’s adjusting your lifestyle, consulting with a specialist, or beginning a treatment plan, we’re with you every step of the way.

Take Control of Your Health Today

Screenings are more than just tests—they’re a gateway to better health and peace of mind. At Three Rivers Concierge Medicine, we combine advanced technology, personalized care, and a commitment to prevention to ensure you stay ahead of potential health concerns.

Don’t wait to take charge of your health. Call us today at (314) 744-5914 to schedule your first screening and experience the Three Rivers difference.

Frequently Asked Questions

What is the Galleri multi-cancer early detection test?

The Galleri test detects over 50 types of cancer from a single blood draw — including many that have no standard screening today, like pancreatic, liver, and ovarian cancers. The PATHFINDER study, published in The Lancet in 2022, validated its ability to detect cancer signals and predict the tissue of origin with high accuracy. Three Rivers Concierge Medicine in St. Louis offers Galleri as part of our advanced screening program for patients who want the most comprehensive early detection available.

What is InBody body composition analysis?

InBody analysis goes far beyond what a scale can tell you — it measures muscle mass, body fat percentage, visceral fat, and hydration levels with clinical-grade bioelectrical impedance. This data allows Dr. Shoemaker to create targeted nutrition and fitness recommendations and track changes over time that a simple weight measurement would miss. It's available in-office at Three Rivers in Creve Coeur, with results reviewed during your appointment.

Do you offer genetic testing?

Yes — Three Rivers offers Tempus xG+ genetic testing, which analyzes hereditary predisposition to conditions like heart disease, diabetes, and certain cancers across hundreds of clinically relevant genes. Understanding your genetic risk allows Dr. Shoemaker to design a prevention strategy tailored to your biology rather than relying on population-level guidelines alone. We also offer Tempus pharmacogenomic testing for depression, which identifies which medications are most likely to work based on your genetic profile.

Why do you have ultrasound in the office?

In-office ultrasound eliminates the delays and referral hassles of external imaging centers — Dr. Shoemaker can perform real-time imaging during your appointment for thyroid evaluation, abdominal concerns, or vascular health and discuss results immediately. This means faster answers, fewer appointments, and no waiting weeks for results from a separate facility. It's one of the ways Three Rivers in Creve Coeur delivers the kind of responsive care that traditional practices can't match.

What advanced screenings are included in my membership?

Your concierge membership covers the extended visit time, in-office diagnostics (InBody analysis, ultrasound), and the clinical expertise to interpret results in context. Specialized tests like Galleri multi-cancer detection and Tempus genetic testing may involve separate lab fees depending on your insurance coverage. Dr. Shoemaker will recommend which advanced screenings are appropriate for your risk profile — we test purposefully, not indiscriminately.

How are your screenings different from what I'd get at a hospital system?

Hospital-system physicals follow standardized protocols designed for population-level efficiency, not individual precision. At Three Rivers, Dr. Shoemaker selects diagnostics based on your specific risk factors, family history, and health goals — then reviews results with you in a dedicated consultation, not a portal notification. The difference is between running a checklist and building a strategy.

When should I consider advanced screening?

Advanced screening is especially valuable for adults over 40 — the age when the American Cancer Society recommends expanded screening for several cancers — and for anyone with family histories of cancer, heart disease, or metabolic conditions. If you've ever been told "your labs are normal" when you knew something felt wrong, advanced diagnostics often reveal what standard panels miss. Schedule a consultation at Three Rivers in St. Louis to discuss which screenings make sense for your situation.

Healthcare designed around you.

  • Personal approach
  • Around-the-clock access
  • Care without compromise

Concierge medicine means more time with your doctor, same-day availability, and a proactive plan built around your goals — not a waiting room. Three Rivers Concierge Medicine serves those who expect more from their healthcare.

Call (314) 744-5914 or schedule a complimentary consultation to get started.

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