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.
The
WellMax Core Program includes:
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 as well as a ThinPrep™ pap smear.
The ThinPrep™ Pap test is a very sensitive
test of cervical epithelial cells and is highly accurate
in detecting abnormalities. This component also includes
an extensive summary of gynecologic findings. (Note:
There is a separate laboratory fee for the ThinPrep™ pap
smear, that must be paid directly to the lab by
state law.)
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 WellMax 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
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
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 Two reference books: What Color
is Your Diet by David Heber, M.D. and Dr. Shapiro’s
Picture Perfect Weight Loss 30 Day Plan. A wallet
reference guide for fast foods, restaurants and
snacks is also included.
Audiomety
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.
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
(whole body MRI and MRA is available for additional cost; click here to learn more…)
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
(whole body MRI and MRA is available for additional cost; click here to learn more…)
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
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
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
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.
Basic Hormone Panel
Serum DHEA-S, estrogen (estradiol extraction),
testosterone ("free," total, and "bioavailable")for
both men and women.
Cardiovascular Risk Panel = VAP 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.
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 & TSH
These two 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 can also, if needed, measure serum total and free T3, a
different, more
active form of thyroid hormone converted peripherally from T4.
Results and Recommendations
Summary Phone 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. The physician and WellMax team gives
recommendations and works with you to develop
specific strategies to improve your health and
wellness based upon 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.
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
stay at the La Quinta Resort 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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