Comprehensive physical examination, also simply known as a "physical", is a process in which the physician examines various organ systems and parts of the patient's body. "Physical" is the cornerstone of preventive medicine.
It is far better to prevent disease than to treat it, and better to treat it early before it becomes worse.
Screening patients at regular intervals help physicians to detect disease before the presence of symptoms and create good doctor patient relationship.
Physical examination in our office is EXPRESS.
Electrocardiography (ECG)
Electrocardiography (ECG) is a transthoracic (across the thorax or chest) interpretation of the electrical activity of the heart over a period of time, as detected by electrodes attached to the outer surface of the skin and recorded by a device external to the body. The recording produced by this noninvasive procedure is termed an electrocardiogram (also ECG). The ECG device detects and amplifies the tiny electrical changes on the skin that are caused when the heart muscle depolarizes during each heartbeat. The ECG device measures your heart rate, rhythm and function.
Pulmonary Function Tests (PFTs)
Pulmonary function tests are a group of tests that measure how well the lungs take in and release air and how well they move gases such as oxygen from the atmosphere into the body's circulation. You breathe into a mouthpiece that is connected to an instrument called a spirometer. The spirometer records the amount and the rate of air that you breathe in and out over a period of time. For some of the test measurements, you can breathe normally and quietly. Other tests require forced inhalation or exhalation after a deep breath.
Doppler Studies of Lower Extremities
The most common manifestation of lower extremities poor circulation is caused by Venous Thrombosis or blockage of the vein, more commonly known as Thrombophlebitis. Symptoms at a chronic stage are, pain or soreness when standing or walking and relieved only on rest and elevation of the leg. There can be tenderness over the calf and the patient complains of a feeling of fullness in the lower leg. The condition can become serious if left untreated and the results can be disastrous. An evaluation may require different tests.
Venous Insufficiency Diagnostic
More severe clinical manifestations of chronic venous disease including edema (which may be unilateral), skin changes, and venous ulceration are often sufficient to establish a diagnosis of chronic venous insufficiency. However, objective testing may be needed to confirm the diagnosis, determine the etiology (reflux, obstruction, or reflux and obstruction), localize the anatomic site and severity of disease, or identify concurrent peripheral artery disease.
NCV - Nerve Conduction Velocity
Nerve conduction velocity study (NCV) measures basic parameters of the nerve function - strength and speed of how an electrical signal (action potential) spreads through the nerve. We have an express NCV testing which can diagnose: carpal tunnel syndrome, sciatica and tarsal tunnel syndrome within an hour (coverage is limited.)
Cholesterol Level
The Cholestech LDX is a small, portable analyzer and test cassette system. It is easy to use, and gives fast and reliable results. To run a test, just add a sample to the cassette and place it into the Analyzer. In a few minutes the results will appear on the screen. You will know your cholesterol level within 7 minutes. You won't need to come back to my office 2nd time to find out the results.
Thickness Blood - Coumadin Level
Coumadin is an anticoagulant. It is most likely to be the drug popularly referred to as a "blood thinner," yet this is a misnomer, since it does not affect the thickness or viscosity of blood. Instead, it acts on the liver to decrease the quantity of a few key proteins in blood that allow blood to clot. Coumadin was found to be effective and relatively safe for preventing thrombosis and embolism (abnormal formation and migration of blood clots) in many disorders.
The CoaguChek S System allows coagulation testing with a finger-stick capillary blood sample or non-anticoagulated venous whole blood.
Prothrombin time testing helps physicians monitor their patients on oral anticoagulation therapy in order to adjust their medication levels to the prescribed therapeutic or target range. Patients who are taking coumadin know that it needs frequent testing. The finger-stick testing is very convenient for our patients.
Fluoroscopy: Hands / Feet
Fluoroscopy is particularly helpful for diagnosis of conditions in the hands, feet and smaller joints. It completely substitutes XR.
Liver Function Tests
Liver function tests (LFTs) are groups of clinical biochemistry laboratory blood assays designed to give information about the state of a patient's liver. These tests can be used to (1) detect the presence of liver disease, (2) distinguish among different types of liver disorders, (3) gauge the extent of known liver damage, and (4) follow the response to treatment. Some or all of these measurements are also carried out (usually about twice a year for routine cases) on those individuals taking certain medications- anticonvulsants are a notable example- in order to ensure that the medications are not damaging the person's liver.
Express Diagnostic of Heart Attack
During a heart attack, heart muscle cells die and release proteins into the bloodstream. Blood tests can measure the amount of these proteins in the bloodstream. Higher than normal levels of these proteins suggest a heart attack.
An echocardiogram is similar to an ultrasound scan in that it uses sound waves to build up a picture of the inside of your heart. This can be useful to identify exactly which areas of the heart have been damaged and how this damage has affected your heart's function.
Express Diagnostic of Heart Failure
To diagnose heart failure, your doctor will take a careful medical history and perform a physical examination. Your doctor will also check for the presence of risk factors such as high blood pressure. Using a stethoscope, your doctor can listen to your lungs for signs of congestion. The stethoscope also picks up abnormal heart sounds that may suggest heart failure. The doctor may examine the veins in your neck and check for fluid buildup in your abdomen and legs. After the physical exam, your doctor may also order some of these tests:
* Blood tests. Your doctor may take a sample of your blood to check your kidney and thyroid function and to look for indicators of other diseases that affect the heart. A blood test to check for a chemical called brain natriuretic peptide (BNP) can help check the pressure in your heart and help in diagnosing heart failure.
* Echocardiogram. An important test for diagnosing and monitoring heart failure is the echocardiogram. An echocardiogram also helps distinguish systolic heart failure from diastolic heart failure, in which the heart is stiff and can't fill properly. An echocardiogram uses sound waves to produce a video image of your heart. This image can help doctors determine how well your heart is pumping by measuring the percentage of blood pumped out of your heart's main pumping chamber (the left ventricle) with each heartbeat. This measurement is called the ejection fraction. The echocardiogram can also look for valve problems or evidence of previous heart attacks, as well as some unusual causes of heart failure.
Osteoporosis
Also by a quick image of your hand, we can determine if your bones need calcium. No lines in diagnostic centers. No 2-week wait for the results.
Cosmetic Services
Doctor also does cosmetic Botox injection and has her own line of antiaging cosmetic products.
 
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