Medicine has always focused on treating disease after it occurs, with both treatment and diagnosis based largely on population averages, and patient decisions confined to choices among alternatives provided by their physicians.

We are now poised to transition to a new medical paradigm that is Predictive, Preventive, Personalized, and Participatory (P4).

Reactive. Proactive.
Disease care only. Disease care + wellness care designed to optimize health as well as to identify and reverse transitions to disease before traditional symptoms appear.
Based on application of snap shot testing results to norms derived from population averages. Based on ongoing individualized systems analyses of big data clouds tracking multiple dimensions of each patient's personal health as they live and age.
Physicians act as experts delivering population-based solutions. Physicians deliver personalized expert solutions in collaboration with patients applying their unique expertise in their own lives.


P4 medical care is an ongoing, data-driven journey to health involving all aspects of your life, your environment, your mind, and your body.

This journey is a sustained learning process that effectively engages with the irreducible complexity of patient health, continually enhancing their ability to live healthier, happier, and more productive lives.


1. It is based on continuous monitoring and analysis of multiple dimensions of individual patient health:

Your body is unique, and so is your environment. Further, both are constantly changing as you live and age. To successfully engage with this unfathomably dynamic complexity, 21st century medicine has the tools to monitory key data dimensions, principally through multi-omics testing, imaging, and functional testing.

2.  It is physician-guided:

P4 Physicians provide the professional knowledge and skill necessary to help patients generate and interpret big data about your personal health. But they don’t just hand down cookie-cutter solutions—a major of P4 care is to help patients continually learn to better help themselves and to collaborate with their physicians in devising more effective personalized solutions to health challenges in their daily lives.

3. It requires patient-driven lifestyle experimentation:

Patient participation is critical to the continual experimentation that can produce actionable personal information allowing patients to make significant improvements without trying to make wholesale lifestyle changes that are ultimately unsustainable. For example, a patient may learn that a supposedly healthy habit (e.g. eating a particular brand of granola) actually spikes their blood sugar as much as a serving of ice cream does for most other people. Dropping that one food item could have a significant positive impact on that patient’s heath. When patients make decisions based on personal data as opposed to population averages their ability to take effective action is radically increased.

4. It produces growing self-knowledge that empowers patients to reach their full potential:

Science-based wellness care practiced by P4 physicians does so much more than treat disease after it arises—it can make you fitter, smarter, healthier and happier, adding years of productive life.