Our comprehensive and convenient program is designed especially for busy people who want to make the maximum impact on their health in the most effective way possible.
Your evaluation begins before your visit to the office, when you complete a secure online health risk appraisal that establishes your medical history, current risk factors and areas of potential focus for lifestyle modification.
To ensure you are ready for your exam, please review the following instructions:
- Fast for 12 hours before your blood work is obtained.
- Although you are fasting, do drink plenty of water before your blood work to avoid dehydration. Avoid all other liquids, including coffee.
- Take all of your usual medications with water, with the exception of beta blockers, which are used to lower blood pressure and heart rate.
Examples of medications to avoid include: atenolol (Tenormin); propanolol (Inderal); metoprolol (Lopressor); nadolol (Corgard); and nebivolol (Bystolic).
- Do not smoke for four hours before your exam.
- If you are having a treadmill stress test, do not drink any caffeinated beverages.
- Avoid strenuous exercise the day of your exam.
- Wear or bring loose-fitting, comfortable clothing such as a T-shirt, shorts or yoga pants, as well as comfortable tennis or running shoes.
On the day of your visit, your evaluation will typically* unfold as follows:
Welcome/check-in/lab work/vital signs (approximately 30 minutes)
After your information is taken, you may have a light breakfast.
If you prefer, you can have your blood work done in advance. Your results will be available at the time of your visit.
Physician consultation (approximately 60 minutes)
You will meet with our physician one-on-one for a thorough review of your completed health risk appraisal, as well as an in-depth discussion of your current health concerns. A complete physical exam will be performed, as well.
This time with the physician is a very important component of your visit. Feel free to bring any questions you may have so they can be addressed.
Comprehensive Health Assessment* (approximately 60 minutes)
- Laboratory evaluation, including complete blood counts, liver and kidney function, the presence of diabetes or pre-diabetes, electrolytes, thyroid function, expanded lipid (cholesterol) analysis, presence of inflammation, vitamin D level and urinalysis
- Vision assessment, including visual acuity, peripheral vision, color vision and glaucoma check
- Hearing assessment
- Pulmonary function testing to assess lung capacity and lung function
- Physical fitness testing to assess muscular strength, endurance and flexibility
- Body mass and body fat analysis via Bioelectric Impedance Analysis
- Colon cancer screening, if indicated
- Resting electrocardiogram (ECG)
- Stress electrocardiogram (stress test)
*Specific tests are recommended and performed based on your age, medical and family history, as well as employer coverage for those receiving a company provided evaluation.
Additional tests that may be recommended by your physician or requested by you:
- Treadmill exercise stress test: This thorough and rigorous fitness evaluation, under the supervision of a physician, assesses both physical fitness and cardiovascular health. Specifically: 1. Is there an underlying blockage capable to reducing blood flow to your heart, thus increasing your risk of heart attack? 2. How fit are you relative to the general population, and what is your 10-year risk of death based on your fitness level? 3. How does your blood pressure respond to exercise? An abnormal drop or increase can indicate a serious problem that needs to be addressed.
- Carotid ultrasound: This radiation-free advanced imaging can be performed in our office during your visit. It lets us look for plaque or abnormal thickening of your arteries, which are known risk factors for stroke or heart attacks.
- Boston Heart® advanced cardiovascular blood profile: This robust screening goes beyond traditional medicine. Many people with silent cardiovascular disease — which predisposes them to stroke and heart attack — actually have normal basic blood panels. This laboratory assessment allows us to find predisposing factors for heart disease or stroke through advanced metabolic, lipid (cholesterol), inflammatory and genetic profiles.
- Functional Movement Screen™: To maintain an active lifestyle, you should be injury-free. This tool looks for abnormal patterns or pain in 7 fundamental movements. Once identified, these can be addressed with corrective exercises under the guidance of a physical therapist or personal trainer.
- Prostate cancer screening (PSA test)
- Testosterone levels
- Cervical cancer screening (Pap smear)
- Breast cancer screening (mammogram)
- Osteoporosis assessment (DEXA scan)
- Hormone levels
- BRCA1/BRCA2: Although not common, specific inherited changes to BRCA1 and BRCA2 increase the risk of breast and ovarian cancers in women. They are also associated with an increased risk of several additional types of cancer. BRCA1 and BRCA2 testing is recommended for some patients with individual or family histories suggestive of the presence of a harmful mutation.
- Colon cancer screening: Colonoscopy is recommended beginning at age 50 for most, although it may be recommended earlier if you have a family history of colon cancer.
- Sleep study for sleep apnea and other sleep disorders.
- Coronary calcium scanning: This test looks for specks of calcium in the walls of the coronary (heart) arteries. These specks of calcium are called calcifications and are an early sign of coronary artery disease.
Any lab test can be obtained. Some of those most commonly ordered include testing for:
- Rheumatoid arthritis
- Clotting disorders
- Vitamin deficiencies (such as B12 and folate)
- Illnesses with a specific genetic association
During your follow-up visit, you and the physician will review all of your results, as well as the overall assessment of your health. The assessment includes predictions for your risk of certain diseases, such as:
- Heart disease
The assessment also provides an evaluation of your lifestyle in terms of:
- Stress management
- Weight management
There are two options for reviewing your results and creating an action plan for improvement:
- You can return for an in-person follow up appointment about two weeks after your physical to review results
- If you get your blood work done in advance, we can finalize your report during your visit and discuss your results at that time
We can also discuss your results by phone or mail a report to you, if you prefer.
Lifestyle coaching is part of our philosophy of prevention. Our team will partner with you to help you set and achieve your health goals.