At HilbertMD, located in San Antonio, we pride ourselves on offering a concierge medical practice that provides truly comprehensive care. We go beyond the basic online diagnostic services or the cattle call you might experience at a typical overworked and stressed internal medicine office. Our personalized care will take your health to the next level.
Dr. Douglas Hilbert is a board-certified internal medicine physician and Fellow of the American College of Physicians (FACP). His dedication to evidence-based medicine means every patient receives in-depth evaluations.
Why Choose HilbertMD Instead of Online Diagnostic Services?
Online diagnostic services like Ways2Well may offer basic testing options, but they lack the personal care that comes with an in-person exam with Dr. Hilbert.
Our annual physical includes up to 62 lab tests – more than the 58 offered by online services – and most are covered by insurance. If not, our in-house pricing is often more affordable than external labs like Quest or LabCorp. This broad testing approach helps us identify potential health concerns early and ensures nothing is overlooked.
Each new patient spends at least an hour with Dr. Hilbert, allowing us to understand your health history, concerns, and goals in detail.
Advanced Diagnostics All in One Place
Everything is done in our office, so you don’t have to travel elsewhere for additional testing. Unlike online services that rely on limited testing, our standard physical exam is completed in our state-of-the-art laboratory. Everything is done in our office, so you don’t have to travel elsewhere for additional testing. This allows us to deliver quick, accurate results.
When additional testing is needed, we work with outside labs and coordinate directly with your insurance to ensure coverage whenever possible.
Comprehensive Physical Examination
Your exam at HilbertMD includes more than lab work. We also conduct:
-
EKG to check your heart health
-
Chest X-ray to assess lung and cardiac conditions
-
DEXA Scan to measure bone density and quality through trabecular bone mass analysis
These tests allow us to detect conditions early, even those that might not show up in basic online testing. We typically begin bone density testing at age 40 for women and 50 for men (or earlier if there’s a medical need).
Our DEXA-based body composition analysis also evaluates:
-
Body fat percentage
-
Visceral fat (around your organs)
-
Muscle mass (relative skeletal muscle index)
-
Resting metabolic rate
These details provide actionable insights into your overall health, offering a much deeper understanding than any online test kit can provide.
Our Tests
Here’s a breakdown of what we check during your annual physical:
Blood Health
We perform a detailed blood count to evaluate overall health, including:
-
White and red blood cell counts
-
Hemoglobin and hematocrit (indicators of anemia)
-
Platelets (important for clotting)
-
Detailed analysis of different types of white blood cells (e.g., lymphocytes, monocytes, and neutrophils)
Chemistry and Electrolytes
These tests check liver and kidney function, as well as your body’s electrolyte balance, including:
-
Sodium, potassium, and chloride
-
Blood urea nitrogen (BUN) and creatinine (kidney function)
-
Glucose (blood sugar)
-
Proteins like albumin and globulin (markers of overall health)
-
Liver enzymes such as AST, ALT, and alkaline phosphatase
Thyroid Function
We evaluate your thyroid health through tests like:
-
TSH (thyroid-stimulating hormone)
-
T4 and T3 uptake
Heart Health
Our heart health panel includes:
-
Lipid panel (LDL, HDL, triglycerides, and total cholesterol)
-
Advanced tests like Apolipoprotein B and Lipoprotein (a), if needed
Men’s Health
For men, we check testosterone levels and PSA (prostate-specific antigen) for those over 40 or as clinically indicated.
Iron Studies
We test for iron levels and storage, including:
-
Serum iron
-
Ferritin
-
Iron-binding capacity
Inflammation and Rheumatology
We identify signs of inflammation or autoimmune conditions with tests such as:
-
Rheumatoid factor
-
Sedimentation rate (ESR)
-
Uric acid
Vitamins
We check essential vitamin levels, including:
-
B12
-
Vitamin D
Glucose and Diabetes Screening
To monitor for diabetes or prediabetes, we measure:
-
Blood glucose
-
Hemoglobin A1C (average blood sugar over three months)
Urine Studies
Our Urinalysis checks for signs of kidney issues or other abnormalities, including:
-
Protein levels
-
Microalbumin and creatinine
Customized Follow-Up When Needed
If initial results show abnormalities, we perform additional testing as needed, including:
-
Hormone evaluations for men (free testosterone, FSH, LH, and more)
-
Rheumatoid markers for autoimmune concerns
We handle these specialized tests seamlessly by sending samples to trusted external labs, ensuring you get the answers you need.
The HilbertMD Difference
Dr. Douglas Hilbert is a trusted internal medicine doctor with years of experience and a personalized approach to care. As a board-certified physician and Fellow of the American College of Physicians (FACP), he’s known for using advanced, evidence-based tools to thoroughly evaluate the health of his patients. Dr. Hilbert takes the time to listen and build long-term relationships with every patient he works with.
With training from top institutions and leadership roles in hospital medicine, Dr. Hilbert combines expertise with compassion. He explains health concerns clearly and makes sure nothing gets overlooked. Choosing Dr. Hilbert means choosing a doctor who truly puts your health first.
Frequently Asked Questions
Comprehensive testing at HilbertMD is valuable for anyone who wants a deeper understanding of their health, but it can be especially beneficial for:
- Individuals 40+ who are at higher risk for chronic conditions.
- Men and women with a family history of serious illnesses.
- Those experiencing unexplained symptoms like fatigue, weight changes, or chronic pain.
- Athletes or individuals seeking detailed body composition analysis.
Routine comprehensive exams are typically recommended annually, but the frequency may vary based on your health history and risk factors. You may need more frequent testing if:
- You have a chronic condition like diabetes, heart disease, or thyroid issues.
- You have a family history of significant medical concerns.
- Your lab results indicate areas needing closer monitoring.
For most individuals, yearly exams provide the necessary monitoring to stay proactive about health. Dr. Hilbert can guide you on the best testing schedule for your specific needs.
Comprehensive testing at HilbertMD is designed to catch health issues early and help prevent more serious conditions down the line. Some examples of what these tests can help diagnose or manage include:
- Heart Disease: Early identification of cholesterol and lipid imbalances.
- Diabetes and Prediabetes: Glucose and A1C levels to assess blood sugar control.
- Thyroid Disorders: Hypothyroidism, hyperthyroidism, or autoimmune thyroid conditions.
- Osteoporosis: Bone density measurements for early intervention.
- Vitamin Deficiencies: Addressing low levels of B12 or Vitamin D that can lead to fatigue, bone weakness, or other issues.
- Kidney and Liver Problems: Early detection of organ function abnormalities.
- Autoimmune Disorders: Rheumatology tests to detect inflammation and immune system issues.
Schedule Your Exam Today
Don’t settle for the limited scope of online diagnostic services. Take charge of your health with HilbertMD’s Annual Comprehensive Physical Exams. Contact us today at 210-614-4000 or team@HilbertMD.com to schedule your appointment and experience the unparalleled care that only Dr. Hilbert can offer.
