One-day Executive Physical

• THE WELLMAX ONE-DAY EXECUTIVE PHYSICAL INCLUDES - CLICK TO VIEW

  • Extensive Medical Interview

    One-on-one consultation with your WellMax physician allows ample time to discuss your concerns. The physician reviews and updates your personal medical history as well as your family history. There is detailed screening for symptoms relating to all of your body’s systems, including neurological, respiratory, cardiovascular, gastrointestinal, genitourinary and endocrine.

  • 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. o
    
    For women, 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.
    
    For men, a digital rectal exam of the prostate is included.

  • Nutritional Evaluation

    Forms are given to you to document everything you eat for 5 days. Practical and individual recommendations are made to increase the ‘nutrient density’ of your diet and regulate optimal caloric intake.

  • Musculoskeletal Evaluation & Fitness 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. 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)

    12-lead electrocardiogram that measures your heart rate, rhythm, function, and is used as a limited screening tool for cardiovascular disease.

  • Cardiac Treadmill Test

    This test requires a continuous electrocardiogram --- which screens for signs of heart disease or palpitations --- as you walk 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. It is a good measure of changes in your coronary health.

  • 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).

  • Vision Screening

    We measure visual acuity at near, intermediate and distant vision, and screen for color discrimination, heterophorias, and more.

  • Pure Tone Hearing Screening

    You will be asked to place a set of headphones over your ears. The headphones will deliver a series tones into your ears. A device called an audiometer electronically generates these "pure tones" which vary in tone and volume. This test helps to determine the threshold at which a patient hears different frequencies. Each ear is tested individually. You will indicate when you hear a tone by raising your hand or pushing a button. If further evaluation is needed, you will be referred to an audiologist.

  • Stress Assessment

    Because we are concerned with every aspect of your total health, part of our program includes an evaluation of your personal "stressors" and general outlook on life. The ESSI StressMap evaluates you on 21 stress-factor scales.

  • Cosmetic Skin Consultation

    Enjoy an in-depth consultation to determine your individual skin care needs and address your cosmetic concerns. We utilize a diagnostic and therapeutic approach to skin care for both men and women of all ages and skin types. Here, we combine state-of- the-art treatments with a caring and healing touch to create a pleasant secure environment as well as beautiful results for each patient. A comprehensive treatment program can be provided and may include various prescription-only products and specific nutrients for ongoing skin care maintenance at home.
  
  PLUS:

• IMAGING TESTS - CLICK TO VIEW

  • DEXA Body Composition and Bone Densitometry

    This non-radiation screening shows any tendency, in both men and women, toward osteoporosis. Bone is measured in the entire body, as well as special images of the hips and the lumbar spine. The lumbar spine is always included since it is the primary source to measure de-mineralization and re-mineralization following intervention treatment.
    
    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 composition of your body’s muscle, fat, and bone density naturally change with age. Maintaining lean muscle mass helps slow aging and has a positive impact on your overall health. The DEXA scan provides an accurate measure of your lean muscle mass and body fat.

  • Ultrasound of the 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. We use precision digital ultrasound and specialized software to quantify the plaque, so your doctors can compare serial studies and see if plaque is increasing or decreasing over time.

  • Carotid IMT

    To help estimate your risk for cardiovascular disease, we use special software to measure the thickness of the first two layers (the intima and media) of your carotid artery wall. Thickening of an artery is the earliest anatomical evidence of atherosclerosis (hardening of the arteries). In addition to estimating future coronary heart disease risk, we use change in CIMT over time to monitor risk factor interventions, such as lipid-lowering therapy, and their impact on your vascular health.

• LABORATORY TESTS - CLICK TO VIEW

  • CBC

    A complete blood count (CBC), including differential of the types of white blood cells.

  • Comprehensive Metabolic Panel (“Chem 20”)

    has twenty chemistry measures which include total protein, albumin, calcium, bilirubin, sodium, potassium, glucose (blood sugar), other measures of liver and kidney function, and other electrolytes.

  • Lipid Panel

    Cardiovascular disease is the number one killer accounting for 39% of deaths in the United States. 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.

  • Ferritin

    Ferritin serves as a general screen for both iron deficiency and iron overload. Problems with iron storage in the body are much more common than previously recognized. If this test is abnormal, a panel of iron measures can be ordered to clarify exactly what the problem is.

  • Thyroid Screening –TSH (thyroid stimulating hormone)

    This test measures the function of the thyroid gland and its ongoing “dialogue” with the pituitary gland. Thyroid hormones control the body’s metabolic rate.

  • Urinalysis

    A urinalysis is an examination of the urine by physical or chemical means. Urinalysis comprises a battery of chemical and microscopic tests that help to screen for urinary tract infections, renal disease and diseases of other organs that result in abnormal metabolites (break-down products) appearing in the urine.

  • Testosterone

    for both men and women. This hormone falls with aging, but with great variability. Undetected low levels have been associated with a tendency toward osteoporosis, loss of overall muscle in the body, less sex drive, and low mood. (Be aware that most executive physicals currently do NOT include any hormone testing or provide expertise in hormone therapies.)

  • Tumor markers

    NMP is “Nuclear Matrix Protein” which is often present in the urine in patients with cancer of the kidney, ureter or bladder. This simple urine test can provide early detection. •
    
    PSA is “Prostate Specific Antigen” which is often elevated in men with prostate cancer.
    
    CA125 is a tumor marker for cancer of the ovaries.
    
    All of the tests above are included in the One-day Executive Physical. Many other tests are offered at WellMax, and any of these may be requested by patients or recommended after the physician’s evaluation.

• OTHER VALUABLE COMPONENTS - CLICK TO VIEW

  • Detailed Review, Analysis, and Report of Findings and Recommendations

    Your WellMax physician reviews and analyzes all of the tests and examination data. The results are compared with both expected normal values and your own test histories. A detailed report of findings is prepared. Recommendations for changes and follow-ups are included.

  • Personal meeting to review of your health status

    Your WellMax physician personally reviews your results with you in person or on the phone. Your examination, test results and overall health status are reviewed. Your questions are answered. Follow up recommendations for current health problems and preventive health is explained.
    
    

• OPTIONAL TESTS - CLICK TO VIEW

  This is a partial list of tests available at WellMax. Our board certified physicians can discuss options for additional testing conveniently offered here within WellMax.
  
  
  

  • Sleep study

    Comprehensive 17-lead polysomnography is available on site at WellMax Clinic. We can screen for sleep apnea, parasomnias and much more. We can assess the amount of REM (dream) sleep vs. deep slow wave sleep. Insomnia issues are a specialty at WellMax.

  • Heart CT with Coronary Artery Calcium Score

    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, a higher calcium score indicates a 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. The latest research indicates that the prevalence of Lung Cancer in those who never smoked is much higher than ever imagined.

  • Women’s Ultrasound of the 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, just like cancer of the kidneys, 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.

  • Men’s Ultrasound of the Prostate

    Obtains a baseline study of prostate size, shape and architecture. It screens for prostate cancer. Prostate cancer is the most prevalent cancer found in men affecting 17% of men during their lifetime. With early detection and new treatments a high percentage of cases can be successfully treated without removing the prostate.
    
    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 vs. irritable bladder for men with urinary symptoms.

  • Ultrasound of the Thyroid

    The thyroid gland sets the metabolic rate for the entire body. Many disease states are secondary to thyroid abnormalities, and thyroid dysfunction is more common than is generally believed. Thyroid can have cancer nodules or benign adenomas that produce hormone independent of the thyroid gland. This ultrasound allows us to assess the size, shape, and texture of this gland, as well as screen for abnormal nodules or cancer.

  • Ultrasound Screening of the Abdomen

    Ultrasonography is a painless procedure that allows us to visualize your liver, gallbladder, pancreas, kidneys, adrenal glands, and aorta. These areas are viewed using no radiation, unlike X-rays or CT scans. Using our high technology equipment, we are able to efficiently screen for diseases often before symptoms appear.

  • Brain MRA

    Brain MRA to screen for aneurysms in the brain. These are now often correctable so the risk of bleeding is markedly diminished.

  • Genetic studies

    Genetic studies, including BRCA for breast and ovarian cancer, genes associated with dementia risk, melanoma risk, and many others. Genes do not determine your future! Knowing your genetic profile empowers you to make priceless changes before symptoms.

  • Medical Aesthetics / Skin rejuvenation

    Medical Aesthetics / Skin rejuvenation including laser IPL (photofacial), skin tightening, Botox, Restylane, etc. (Complete Medical Spa)

  • Individual tests

    Many other tests and consultations are available, such as:
    • Comprehensive Digestive Stool Analysis
    • Human Growth Hormone (HGH) assessment
    • Menopause hormones (and therapy options)
    • Various tests of oxidative stress
    • Food allergy testing
    • Neuropsychiatry evaluations and therapy (e.g. anxiety, depression)
    • Sexual function optimization for men and women

• Fee for WellMax One-day Executive Physical: Contact us