Primary Care Diagnostics

12/13/2025

The COGNISION® System captures electroencephalographic activity and event-related responses during a brief auditory task. These physiologic signals reflect how the brain processes information related to attention and working memory. Because chronic disease often affects these domains, ERP and EEG results offer valuable insight into how a patient’s cognitive function is evolving over time. The system produces standardized reports that can be integrated into the medical record and trended across visits.

12/09/2025

The TM Flow System integrates ankle-brachial index, autonomic testing, and sudomotor assessment into a single, in-office session. This combination allows clinicians to evaluate large-vessel perfusion, sympathetic skin response, and autonomic balance in the same clinical context. Because these systems are frequently affected by chronic cardiometabolic disease, the TM Flow System helps identify complications earlier and provides quantitative data that support personalized care.

12/06/2025

Cognitive decline often emerges gradually in patients with chronic conditions such as diabetes, cardiovascular disease, and depression. These conditions contribute to subtle changes in processing speed, attention, and working memory that may not be apparent on screening tools alone. Chronic Care Management programs rely on consistent monitoring, structured documentation, and early detection of change. The COGNISION® System provides in-office ERP and EEG data that help clinicians document cognitive stability, identify decline earlier, and support comprehensive long-term care.

Cognitive health as a core component of chronic care Cognitive decline often emerges gradually in patients with chronic conditions such as diabetes, cardiovascular disease, and depression. These conditions contribute to subtle changes in processing speed, attention, and working memory that may not b...

12/01/2025

Chronic conditions such as diabetes, hypertension, dyslipidemia, and metabolic syndrome develop gradually, often long before clinical symptoms emerge. As these conditions progress, vascular and autonomic dysfunction begin to affect long-term outcomes, yet early physiologic changes often go unmeasured in primary care. The TM Flow System provides an efficient way to incorporate objective vascular and autonomic data into chronic disease management, helping clinicians refine risk assessments, adjust treatment plans, and improve documentation for longitudinal care.

The need for physiologic data in chronic care Chronic conditions such as diabetes, hypertension, dyslipidemia, and metabolic syndrome develop gradually, often long before clinical symptoms emerge. As these conditions progress, vascular and autonomic dysfunction begin to affect long-term outcomes, ye...

11/14/2025

The TM Flow System is designed for efficient in-office use. Setup typically takes less than five minutes, and testing can be performed by trained staff between routine wellness evaluations. Reports are generated immediately and can be inserted into the chart before the patient leaves. This real-time availability supports same-day counseling, care planning, and documentation for quality metrics.

11/10/2025

The COGNISION® System is FDA-cleared and clinically validated, with more than 30,000 tests performed across a range of patient populations. It is listed on the Alzheimer’s Association website as a recognized medical device and is supported by the American College of Occupational and Environmental Medicine for use in concussion evaluation. This strong clinical foundation gives primary care providers confidence that ERP/EEG data can be interpreted within a credible medical framework.

11/07/2025

Annual Wellness Visits are designed to identify early signs of disease and promote preventive care. For many adults—particularly those with diabetes, hypertension, or metabolic syndrome—vascular and autonomic dysfunction develop silently, often before symptoms emerge. The TM Flow System provides a practical, in-office way to measure these changes and translate preventive care into quantifiable, actionable data.

Supporting Prevention with Objective Physiology Annual Wellness Visits are designed to identify early signs of disease and promote preventive care. For many adults—particularly those with diabetes, hypertension, or metabolic syndrome—vascular and autonomic dysfunction develop silently, often bef...

11/03/2025

Mild forgetfulness, slower recall, or reduced multitasking ability are common concerns in aging patients. Distinguishing normal aging from early cognitive decline can be difficult, especially when symptoms fluctuate or depend on patient and family interpretation. The COGNISION® System provides objective data that helps clinicians track cognitive stability over time and document physiologic changes directly from the exam room.

The Challenge of Tracking Cognitive Change Mild forgetfulness, slower recall, or reduced multitasking ability are common concerns in aging patients. Distinguishing normal aging from early cognitive decline can be difficult, especially when symptoms fluctuate or depend on patient and family interpret...

10/16/2025

Setup with the COGNISION® System takes only five to ten minutes, and the test is completed in about an hour in any standard exam room. Reports are generated immediately, so results can be reviewed and documented during the same encounter. Because the headset is comfortable and technician training is straightforward, repeating the test at intervals is feasible without disrupting patient flow. This enables trending results across months or years.

10/07/2025

The TM Flow System incorporates ankle-brachial index into its multimodal physiologic testing. By integrating plethysmography-based ABI with sudomotor and autonomic assessments, it allows clinicians to capture large-vessel perfusion data in the same session that evaluates neuropathic contributions. This integration is particularly valuable in patients with diabetes or metabolic syndrome, where neuropathy and vascular disease frequently coexist.

10/04/2025

Cognitive complaints often emerge gradually, with patients or families describing memory lapses, reduced concentration, or slower thinking. Distinguishing normal age-related change from evolving impairment is difficult at a single visit. Screening instruments are useful but can be influenced by mood, education, or patient effort. Longitudinal monitoring is essential, yet many primary care practices lack objective tools to track change over time.

The challenge of monitoring cognition Cognitive complaints often emerge gradually, with patients or families describing memory lapses, reduced concentration, or slower thinking. Distinguishing normal age-related change from evolving impairment is difficult at a single visit. Screening instruments ar...

10/01/2025

Peripheral arterial disease often progresses silently until patients present with advanced ischemic symptoms. Many cases remain undiagnosed because claudication is subtle or absent, and physical exam alone lacks sensitivity. Missed detection carries serious consequences: PAD is a marker of systemic atherosclerosis and is strongly associated with elevated cardiovascular morbidity and mortality. Identifying disease before it becomes symptomatic allows clinicians to intervene earlier with medical therapy, lifestyle modification, and risk reduction.

Why hidden PAD matters Peripheral arterial disease often progresses silently until patients present with advanced ischemic symptoms. Many cases remain undiagnosed because claudication is subtle or absent, and physical exam alone lacks sensitivity. Missed detection carries serious consequences: PAD i...