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Genetic Specialties

Specialized medical care can provide deeper insight into complex health concerns and individual clinical needs.

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OUR SPECIALTIES

Specialized Genetic Evaluation for
Complex and Hereditary Conditions

Specialized genetic evaluation to better understand hereditary conditions, support accurate diagnosis, and inform personalized clinical care. Our approach integrates personal and family history, clinical findings, and, when appropriate, specialized genetic testing to provide an individualized evaluation.

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From Genetic Information to Comprehensive Clinical Evaluation

A genetic test does not tell the whole story. Our approach begins with a clinical evaluation that considers each patient’s individual and family context.

Clinical Evaluation

At David Medical, we review your family history, symptoms, and clinical findings to understand your health profile.

Test Selection

We identify genetic tests that may provide relevant information based on your history and clinical findings.

Interpretation

We interpret genetic results within your clinical history, family context, and relevant medical findings for personalized care.

Guidance

We use findings to inform diagnosis, medical follow-up, and appropriate next steps when clinically indicated.

Explore Our Clinical Specialties

Hereditary Cancer Evaluation

We evaluate:

  • Personal and family history of cancer.
  • Cancer diagnoses at an early age.
  • Family patterns that may suggest an inherited predisposition.
  • Syndromes associated with hereditary breast and ovarian cancer, Lynch syndrome, polyposis, melanoma, and others.

The evaluation may include: a review of personal and family history, assessment of genetic risk, and, when indicated, targeted genetic testing or multigene panels.

Connective Tissue Disorders & Ehlers-Danlos

We evaluate:

  • Joint hypermobility.
  • Recurrent dislocations or subluxations.
  • Characteristic skin findings.
  • Musculoskeletal pain.
  • Family history of connective tissue disorders.
  • Certain vascular or systemic manifestations.

The evaluation may include: clinical assessment, review of medical and family history, and, when a specific genetic condition is suspected, targeted testing for genes associated with connective tissue disorders.

Hereditary Cardiovascular Conditions

We evaluate:

  • Cardiomyopathies.
  • Inherited arrhythmias.
  • Family history of heart disease.
  • Unexpected sudden death in the family.
  • Aortopathies and other cardiovascular conditions with a possible genetic component.

The evaluation may include: a review of personal and family history and, when indicated, targeted genetic testing or panels related to cardiomyopathies, arrhythmias, and aortopathies.

Neurological Genetics & Complex Disorders

We evaluate:

  • Certain forms of epilepsy.
  • Neurodevelopmental disorders.
  • Developmental delay.
  • Intellectual disability.
  • Unusual neurological manifestations.
  • Complex or multisystem clinical presentations.

The evaluation may include: a review of medical and family history, clinical characteristics, and selection of appropriate genetic testing based on the individual presentation.

Pediatric Genetics

We evaluate:

  • Developmental delay.
  • Intellectual disability.
  • Congenital anomalies.
  • Growth abnormalities.
  • Rare or unexplained conditions.
  • Clinical findings affecting multiple systems.

The evaluation may include: review of developmental history, medical and family history, and, when indicated, genetic testing selected according to the child’s clinical characteristics.

Metabolic & Mitochondrial Disorders

We evaluate:

  • Unexplained metabolic abnormalities.
  • Multisystem manifestations.
  • Recurrent episodes without a clear cause.
  • Suggestive biochemical findings.
  • Symptoms compatible with certain mitochondrial disorders.
  • Family history of inherited metabolic conditions.

The evaluation may include: clinical and biochemical assessment and, when indicated, targeted genetic testing or metabolic and mitochondrial panels.

Dermatogenetics, Skin, Hair & Related Conditions

We evaluate:

  • Hereditary dermatology conditions.
  • Certain inherited hair disorders.
  • Pigmentation disorders.
  • Skin fragility conditions.
  • Skin and appendage disorders with a family history.
  • Dermatological conditions with early onset or an unclear cause.

The evaluation may include: review of personal and family history, clinical findings, and, when indicated, targeted genetic testing or specialized panels.

Our Laboratory Partners

Variantyx
Oneome
Natera
Myriad
Myome
LabCorp
Invitae
GeneDX
Galleri
Baylor
Ambry

Medical Genetic Counseling, Included

At David Medical, every clinical genetics evaluation includes a consultation with a medical geneticist and comprehensive pre- and post-test genetic counseling, ensuring you understand your testing options, results, and their implications for your health and family, with personalized, expert guidance at every step.

✔ Clear clinical purpose before testing

✔ Defined scope, benefits, and limitations

✔ Interpretation by a physician geneticist

✔ Results understood within your clinical history

✔ Translation into actionable medical decisions

Before testing, the indication, scope, and limitations are carefully defined. Afterward, findings are interpreted within your clinical context, allowing genetic information to be translated into precise, personalized, and actionable care.

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Insurance Plans We Accept

If your insurance plan is not listed or if you have any questions regarding coverage, please do not hesitate to contact our office. We are here to assist you with benefit verification and confirm if your plan is accepted. We do offer affordable out-of-pocket prices and insurance should cover genetic testing if indicated.

Real Stories. Meaningful Transformations.

Maria
After years of joint pain, hypermobility, dislocations, palpitations and confusion, I was finally diagnosed with Hypermobile Ehlers-Danlos Syndrome (EDS). After seeing many specialists, Dr. Margarita David’s personalized approach to genetic testing and expertise in connective tissue disorders finally gave me answers. She confirmed my diagnosis and created a personalized treatment plan including nutritional guidance, physical therapy, and micronutrient therapy. Within months, I noticed significant improvements in my joint stability and energy levels. Dr. David’s clear explanations and compassionate care have given me control over my condition for the first time in years. I am incredibly grateful for her expertise and support.
Emily
With a strong family history of cancer, including my mother’s early breast cancer diagnosis, I wanted clarity about my own risks and how I could protect my future. I turned to Dr. Margarita N. David for guidance. Through a comprehensive genetic evaluation and personalized testing, we discovered a genetic mutation associated with an increased risk of breast and ovarian cancer. Dr. David didn’t just explain the results—she transformed them into a practical, personalized prevention plan. Her approach included regular monitoring, proactive checkups, lifestyle adjustments, nutritional strategies, micronutrient therapies, and hormonal support. Thanks to her expert guidance and early intervention, I feel empowered and more in control of my health and future.
Jessica
When I found out I was pregnant, my husband and I wanted to do everything possible to give our baby the best start in life. Because of our family histories, we were concerned about potential genetic risks and consulted Dr. Margarita N. David for a comprehensive genetic evaluation. Dr. David carefully reviewed our genetic backgrounds, guided us through the appropriate testing, and explained every result in a way that made us feel informed and reassured. While a few markers required monitoring, there were no significant concerns. What stood out was her personalized approach. She went beyond the test results to discuss preventive strategies, potential treatments if needed, and lifestyle adjustments to support our baby’s health even before birth. Thanks to Dr. David’s knowledge and compassionate care, we feel confident and at peace knowing we have taken proactive steps to protect our baby’s future.

FAQ

Yes. We evaluate patients with suspected or established Ehlers-Danlos syndromes (EDS), hypermobility spectrum disorders (HSD), and other hereditary connective tissue disorders.

The evaluation may include medical and family history, joint hypermobility assessment, systemic features, review of previous testing, and genetic testing when clinically indicated.

Currently, there is no single clinically available genetic test that confirms hEDS. Diagnosis is based on clinical criteria and appropriate consideration or exclusion of alternative diagnoses.

Genetic testing may still be recommended when your findings raise concern for another hereditary connective tissue disorder or genetic condition.

Before your appointment, please complete:

  • Your online check-in
  • Required intake questionnaires
  • The Family Health History form sent to you

Please complete these before the appointment date whenever possible, allowing enough time to obtain relevant family information.

On the day of your appointment, please arrive or check in 30 minutes before your scheduled physician visit.

Those 30 minutes are part of the genetics intake process.

Our genetics team may use this time to:

  • Review and complete your family history
  • Review pertinent medical records
  • Complete outstanding intake information
  • Obtain vital signs when applicable
  • Review relevant aspects of potential genetic testing and applicable consent information

Completing your questionnaires and Family Health History beforehand allows us to use this time more effectively for your care.