While this program can be completed in one day, it does require at least 7- 8 hours of scheduled time, which is more pleasantly completed over two days. Many clients request additional tests, and these are more easily included during a two-day period.
Extensive Medical Interview
One-on-one consultation with a board-certified physician allows ample time to discuss your concerns. The physician reviews your personal medical history as well as your family history and any medications or supplements that you use. There is detailed screening for symptoms relating to all of your body's systems, including neurological, respiratory, cardiovascular, gastrointestinal, genitourinary and endocrine. The physician also inquires about stress, sexual concerns, psychosocial issues, and more.
Comprehensive Physical Examination
The physician completes a detailed checklist while conducting your physical examination. Since all of your data is entered into your personal database, this checklist assures that all necessary components are meticulously collected.
Comprehensive Gynecologic Evaluation - for Women
The physician takes a comprehensive gynecologic and obstetric history. The physical examination includes ---at the patient's option --- breast and pelvic examination.
Biomechanical and Musculoskeletal Assessment
Your assessment includes measures of body composition, joint range of motion as well as flexibility and strength of the adjoining soft tissue structures. A postural assessment will be performed with recommendations to decrease the effects of degeneration on joints and muscles. Gait analysis is used to determine structural abnormalities and muscle asymmetry. With correction and retraining you will be able to help decrease the stress on your body and slow the degenerative process. Specialized software is used to gather this data, which is stored to your Corporate Wellness Solution Health Portfolio. We provide you with an extensive personalized report that includes your measurements, our recommendations and a program designed with your personal goals, interests and schedule in mind.
EKG (electrocardiogram)
This test is a 12-lead electrocardiogram that measures your heart rate, rhythm, function, and is used as a limited screening tool for cardiovascular disease.
Cardiac Exercise Stress Test (Optional based on history)
This test requires a continuous electrocardiogram, which screens for signs of heart disease or palpitations as one walks on a treadmill that gradually slants uphill. This provides a cardiovascular fitness baseline, and screens for early coronary heart disease before you are aware of symptoms.
Pulmonary Function Test (Optional based on history)
This test measures baseline function of your lungs, as well as screening for asthma, emphysema, or any obstructive or restrictive lung disease. It includes FEV-1 and FVC(Forced Expiratory Volume and Forced Vital Capacity).
Nutritional Evaluation
You are given record forms to document everything you eat for 2-5 days. Practical, individual recommendations are made to increase the ‘nutrient density’ of your diet and regulate optimal caloric intake. The evaluation includes education on a low glycemic diet. A reference guide for grocery shopping, meal planning, and a one month meal plan is provided.
Audiomety (optional based on history)
This hearing test screens for hearing loss at several frequencies in the conversational range.
Vision Screening
We measure visual acuity of near, intermediate and distance vision, and screen for color discrimination, peripheral vision, heterophorias, and more.
Well-Scan
This 45-minute test uses a computer, a microprocessor, and several instruments to assess 12 "biomarkers of aging". These markers include visual accommodation, auditory and visual reflexes, high frequency hearing, pulmonary function, vibrotactile sense, memory and other functions. Regression analysis is used to compute your "biologic age". If significant problems are discovered in one or more areas, further testing may be done.
Body Age Assessment
This computerized assessment measures your body composition, blood pressure, body measurements, strength, flexibility, and endurance as well as evaluates your risk of chronic disease. It provides you what your real age is in comparison to your chronological age as well as an obtainable age. From this, we can customize your exercise program for you.
IMAGING
Carotid Arteries
Carotid arteries are the main pipelines of blood to your brain. A silent build-up of plaque can lead to a stroke. If significant plaque is discovered, you then have several options to minimize any further buildup. Our biochemical evaluation dovetails with this test to understand the chemistry processes that cause this plaque. |
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Women’s Ultrasound of Uterus and Ovaries
Uterine endometrium (the lining inside) often thickens prior to cancer forming, and ultrasound allows us to measure it and follow its thickness. We can also see any wall abnormalities or masses.
Ovarian cancer, like cancer of kidneys or pancreas, can be cured if found early, but is usually fatal because it is usually discovered by symptoms, when it is too large, and too late. Monitoring ovary size and density changes, whether or not a woman is on hormones, brings more information and more security. Remember, most women who have the uterus removed do not have the ovaries removed, and it is difficult to palpate ovaries well enough to detect abnormalities that can be found much sooner with ultrasound.
Men’s Ultrasound of Prostate
Obtains a baseline study of prostate size, shape and architecture. It screens for prostate cancer. This study includes bladder imaging and a “post-void residual”, i.e. the technician measures the volume of urine remaining in the bladder immediately after voiding. It helps to assess urine retention due to larger prostates.
Bone Density Testing (optional based on history)
This non-radiation screening shows any tendency, men or women, toward osteoporosis. Bone is measured in the entire body, as well as special images of the hips and the lumbar spine. Our state-of-the-art equipment simultaneously measures the percent of lean muscle and fat in each of several body areas, and measures total body fat composition. The lumbar spine is always included as it is the primary source to measure de-mineralization and re-mineralization following intervention treatment.
Coronary Artery CT (optional based on history)
Specialized computer software is used in conjunction with detailed imaging of the coronary arteries of the heart, to determine a "calcium score." This score correlates with the amount of atherosclerotic plaque in the coronary arteries. In general, the higher the calcium score, the greater risk of a heart attack. It does not require any needles or probing.
Lung CT (optional based on history)
Screening for lung cancer or other abnormalities in the chest is performed at the same time as the Coronary Artery CT. Recent research confirms the markedly improved ability to detect lung cancer in the earliest curable stages with this technology. This is especially important in any patient who smokes or who once smoked.
LABORATORY TESTS
CBC and Chem 20
The following tests are performed on your blood: a complete blood count (CBC), twenty chemistry measures (Chemistry 20 panel), which includes measures of liver and kidney function, fasting glucose (blood sugar), and electrolytes.
Hormone Panel
The following labs are rarely done in primary care, but there is a 1-3% decline per year in our critical hormones after 30. Our comprehensive evaluation includes, serum DHEA levels, testosterone ("free," total, and "bioavailable")for both men and women, cortisol levels, thyroid stimulating hormone, free thyroid levels (Free T3 and Free T4), Luteinizing Hormone, and Human Growth Hormone (HGH). For women, we draw estrogen, progesterone, as well as follicle stimulating hormone. For men, we also draw dihydrotestosterone and estrogen which are the breakdown products of testosterone.
Cardiovascular Risk Panel = Cholesterol, CRP, Homocysteine, and Fasting Insulin
Medical scientists have discovered many modifiable risk markers for heart disease. Cholesterol is just the tip of the iceberg. Our basic cardiac panel includes the usual lipid panel of cholesterol, HDL, LDL, and triglycerides. In addition, the type of HDL and LDL are checked, since it makes a big difference in your individual rate of arteriosclerosis. Lipoprotein (a), highly sensitive C-reactive protein, homocysteine and fasting insulin are routinely checked as they are independent risks for cardiovascular disease. Fibrinogen and others can be added for high-risk individuals. Together these many tests provide your individual and unique pattern of risk markers. These may be modified to meet individual needs.
Folate (AKA folic acid)
Folate is necessary for the production and maintenance of new cells. This is especially important during periods of rapid cell division and growth such as infancy and pregnancy. Folate is needed to make DNA and RNA, the building blocks of cells. It also helps prevent changes to DNA that may lead to cancer. Both adults and children need folate to make normal red blood cells and prevent anemia. It is essential for cell growth and reproduction throughout the body especially in the nervous system.
B12
It helps maintain healthy nerve cells and red blood cells, and is also needed to make DNA, the genetic material in all cells. It is essential for the metabolism of fats, carbohydrates and synthesis of proteins. It is also needed for the transport and storage of folate in cells and for conversion to it’s active form. B12 is involved in the manufacture of the myelin sheath, which insulates nerves
Cortisol
The hormone cortisol, which is released in the body during stressed or agitated states, has gained widespread attention as the so-called "stress hormone." But this hormone is more than a simple marker of stress levels- it is necessary for the functioning of almost every part of the body. Excesses or deficiencies of this crucial hormone are also lead to various physical symptoms and disease states.
Ferritin
Ferritin serves as a general screen for both iron deficiency and iron overload. Problems with iron shortage and iron storage in the body are much more common that previously recognized. If this test is abnormal, a panel of iron measures can be ordered to clarify exactly what the problem is.
Thyroid Screening –T4 Free, Free T3, & TSH
These tests measure the function of the thyroid gland and its ongoing “dialogue” with the pituitary gland. Thyroid hormones control the body’s metabolic rate. We measure serum Free T4, Free T3 and thyroid stimulating hormone for a thorough picture of your thyroid gland.
Tumor Markers (CA125, CEA, PSA, NMP)
These markers screen for ovarian cancer, colon cancer, prostate cancer and bladder cancer, respectively.
Comprehensive Laboratory Summary
Your results will be entered into a spreadsheet so that you can easily see all of your tests summarized, and see how they change over time, since columns are in place for dates. All the labs are analyzed by the physician and reviewed with you in a comprehensive, individualized letter, and by telephone.
Personal Health Notebook
A personalized, comprehensive notebook is prepared for you with details of all of your studies,
copies of reports, and our recommendations. You may have this information summarized onto a personalized CD.
Results and Recommendations
· Follow-up
Six weeks of follow-up including prescription refills, supplement assistance, referrals, outside scheduling, remote blood draws and general information assistance
· Summary Consultation
This consultation with our physician provides an opportunity to review, in detail, the findings and implications of the exhaustive body of data gathered about your personal health status. This consultation will occur after all test results are back, and you have received your Personal Wellness Health Report. The physician and the Corporate Wellness team give recommendations and work with you to develop a specific strategy to improve your health and wellness based on your goals and desires.
Personal Health Portfolio
A personalized, comprehensive notebook is prepared for you with details of all of your studies, copies of reports, and our recommendations.
- Absolutely necessary "in clinic" time: 8 hours
- Recommended time allotment for program*: 1 to 2 days
- Fee for Corporate Wellness One-Day Program: contact us
Note: This package contains limited ultrasound imaging and laboratory tests - other tests and procedures may be recommended and added with your approval.
* We recommend taking more time when you visit Shanti Medical Spa & Wellness so that we can enrich your experience by using the resort's specialized fitness classes, sports programs, and specific spa therapies, thus making the whole experience even more pleasant
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