Well Visits/Physical Exams And Preventive Screening For Cancer, Heart Disease, Hypertension, Cholesterol And Diabetes
How long does it take to schedule a new patient appointment for a well visit physical exam?
Typically only a couple of days. If you pay out of pocket we can see you the next business day. If you want to use your insurance it may take three-to-five days.
Do you perform executive physical exams?
Yes, we do. An executive physical exam consists of evaluation and examination done by a physical, labs, spirometry, audiometry, ECG plus cardiac treadmill stress test, carotid arteries and abdominal ultrasounds.
Do you do a screening for cancer, heart disease, diabetes, hypertension and cholesterol in your office?
Absolutely! We have all the necessary equipment and tools to perform a very thorough screening for the above-mentioned conditions. We routinely do cancer screening though blood work, urine and stool analysis. Cardiac stress tests, ultrasounds, labs, ophthalmologic and well women exams are done at the office to screen for heart conditions, diabetes, elevated cholesterol, hypertension, peripheral vascular disease, and cervical and breast cancers.
Do you do in office screening for sexually transmitted diseases?
We perform the evaluation and do most of the tests in the office. If extra tests are needed they will be arraigned by the office staff at the diagnostic lab.
Do you perform in office screening for breast and cervical cancer?
For some female patients without insurance, we offer a screening ultrasound of the breasts as a cost-effective alternative to a mammogram. We also do pap smears for patients’ convenience.
Do you do screening for viral hepatitis and chronic liver diseases?
Yes, we do a screening evaluation in the office. It includes a detailed questionnaire, a physical examination done by a physician, a liver ultrasound and a blood test at the lab for in-depth analyses.
Do you do in office screening for H. Pylori infection in patients with heartburns?
Yes, we routinely do a noninvasive H. Pylori breathing test that takes about 15-20 minutes to complete. This test is a great alternative to an invasive endoscopy with biopsy and is a suitable alternative for some patients.
Do you perform a urine drug screen?
Yes, we collect urine samples in the office and send them to a lab for analysis. Alternatively, we may send you to the lab with all necessary paperwork to expedite the process.
Do you perform in-office screening for respiratory and food allergies?
Yes, we perform all the screening for asthma in the office and then send you to a lab for additional blood tests for respiratory and food allergens.
Do you routinely screen patients for dementia and cognitive impairment?
Yes, a mini mental screening test is performed in the office for patients at risk for dementia and upon request.
Do you recommend preventive vaccination?
Yes, we routinely discuss with patients the need for preventive vaccinations and annually administer flu vaccines. We also provide guidance for international travelers and schedule appointments to a traveling clinic if vaccination is warranted.
How do you test for Heart Disease?
If you are at high risk for heart disease or have symptoms such as shortness of breath or discomfort in your chest, your doctor may order certain heart tests. But there’s more to testing than simply finding out if you have heart disease. Your doctor may also want to determine whether the fatty plaques inside your blood vessels pose a high, medium, or low risk for a heart attack. The answer will help determine whether you need treatment, and if so, which type of treatment will be best.
No single test is better than another, and no test is appropriate for everyone. The best test for an individual is the one that provides the information needed to guide management.
There’s a good chance your first test will be noninvasive. This means it may be possible to obtain information without inserting needles or tubes into your body. We usually start with the least complex and least expensive test, and go from there.
A treadmill stress test is often the first test performed. You’ll walk at a brisk pace on a treadmill that’s slowly inclined to offer more resistance. This gets your heart pumping harder and faster. As you walk, an electrocardiograph measures your heart rate and the electrical activity in your heart, and your blood pressure is recorded periodically. A person who cannot walk on a treadmill will be given a drug to mimic the effects of exercise.
The stress test may be combined with echocardiography, a nuclear perfusion study, or magnetic resonance imaging (MRI) to determine whether a flow-limiting blockage is present. These tests reveal how much of the heart muscle is affected by poor blood flow when challenged. An echocardiogram may also show an area of heart muscle that is impaired and not contracting normally after exercise. Nuclear studies and MRI can reveal which parts of the heart are receiving low blood flow, indicating an obstructed artery.
Why is it good to test for Heart Disease?
Timely detection of the Heart Disease will save your heart muscle from damage caused by a heart attack . You will escape the devastation of living with a weak heart and all the consequences associated with this damage.
Since most older people have some degree of artery narrowing caused by coronary artery disease (atherosclerosis), the question is whether the narrowings interfere with blood supply to the heart muscle. If they do, attempts to reduce the narrowings through lifestyle changes or with bypass surgery or angioplasty and stenting may be needed.
Cardiologists react with more concern when a large amount of the heart is in jeopardy. Detecting a certain amount of heart muscle being starved of blood flow can help predict when revascularization is likely to improve symptoms and outcome.
Even after a stress test and angiogram are performed, it is often not clear whether a blocked blood vessel is causing a problem. More testing might be needed.
However, some heart attack-causing plaques narrow an artery by only 30% to 40% and cause no symptoms until they suddenly rupture, causing a heart attack. Finding a way to identify lesions prone to rupture could save countless lives. Although many companies and investigators are trying to find ways to predict the most dangerous lesions, no one has yet shown that this will be able to prevent heart attacks.
What is included in a cardiovascular screening?
An important aspect of lowering risk of cardiovascular disease, also called coronary artery disease (CAD), is managing health behaviors and risk factors, such as diet quality, physical activity, smoking, body mass index (BMI), blood pressure, total cholesterol or blood glucose.