Primary Care Diagnostics

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...

09/12/2025

For aging patients with early cognitive concerns, the COGNISION® System provides a standardized, in-office ERP/EEG assessment that augments clinical judgment. Results support documentation, guide follow-up decisions, and track changes over time. With brief setup and a technician-friendly workflow, testing can be incorporated into routine visits or dedicated cognitive evaluations without disrupting patient flow.

09/08/2025

By consolidating vascular and neuropathic testing into a single, noninvasive protocol, The TM Flow System helps clinicians resolve diagnostic uncertainty more quickly. It supports a structured approach to lower extremity complaints, clarifies when to escalate vascular or neurologic evaluation, and improves documentation. In patients where neuropathy and vascular disease overlap, it encourages parallel management and prevents under-recognition of either pathology. In short, it provides the clarity necessary to separate neuropathic pain from vascular insufficiency and to guide care on the first encounter.

09/05/2025

Early cognitive complaints often present as slowed thinking, reduced mental stamina, or difficulty with divided attention. Screening tools are useful, yet they are influenced by education, language, and patient engagement. In a primary care clinic, you need objective physiology you can obtain in the exam room and integrate directly into the chart. The COGNISION System delivers ERP and EEG testing that translates subjective complaints into actionable data for diagnosis and ongoing care.

FDA-cleared ERP/EEG testing that helps primary care clinicians assess brain function with objective, reproducible data. Early cognitive complaints often present as slowed thinking, reduced mental stamina, or difficulty with divided attention. Screening tools are useful, yet they are influenced by ed...

09/01/2025

Patients with chronic conditions often present with leg discomfort that may reflect either neuropathy or vascular disease. Numbness, burning, tingling, or exertional pain can arise from small fiber neuropathy or peripheral arterial disease (PAD). The overlap is especially common in diabetes and metabolic syndrome, where microvascular compromise and neuropathy frequently coexist. Distinguishing between these conditions is clinically important: PAD carries major implications for cardiovascular morbidity and mortality, while neuropathy reflects neural injury that requires a different management approach.

The Clinical Challenge of Overlapping Symptoms Patients with chronic conditions often present with leg discomfort that may reflect either neuropathy or vascular disease. Numbness, burning, tingling, or exertional pain can arise from small fiber neuropathy or peripheral arterial disease (PAD). The ov...