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.
Common additional tests that may be recommended by the physician or requested by you:
- Prostate cancer screening (PSA test)
- Testosterone levels
- Cervical cancer screening (Pap smear)
- Breast cancer screening (mammogram)
- Osteoporosis assessment (DEXA scan)
- Hormone levels
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.
- Any lab test can be obtained: Some of those most commonly ordered include testing for rheumatoid arthritis, lupus, hemochromatosis, clotting disorders, vitamin deficiencies (such as B12 and folate) and illnesses with a specific genetic association.
- 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
- Ultrasound: Ultrasound imaging uses high-frequency sound waves to view inside the body. It is most commonly used to look at and detect abnormalities in the arteries (such as the aorta or carotid arteries), heart, liver, gallbladder and pancreas.
- Coronary calcium scanning: A coronary calcium scan is a test that 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. (This requires a referral to another location).
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.