<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <html> <head> <meta http-equiv="Content-Type" content="text/html; charset=UTF-8"/> <title></title> <base href="."> <link rel="stylesheet" href="../../contentbuilder/defaultcontent.css" type="text/css"> <link rel="stylesheet" href="../../pagelayout/stylesheets/353/sheet.css" type="text/css"> <style> <!-- @import url(../../contentbuilder/defaultcontent.css); @import url(../../pagelayout/stylesheets/353/sheet.css); --> </style> </head> <body class="contentbackground"> <!-- layout style = 2 begin --> <!-- row 0 begin --> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr valign="top"> <!-- column 0 begin--> <td valign="top" width="100%"> <table width="100%" border="0" cellspacing="0" cellpadding="0" valign="top"> <tr> <td><a name="0.0"></a></td> </tr> <tr><td> <!-- content cell0.content0 begin --> <b><u><font face="Arial" size="6"> <p align="center"><font color="firebrick">EXECUTIVE PHYSICAL EXAM PROGRAM</font></p> <p align="left"><font size="5">Physical Exam Components:</font></p></b></u></font><font face="Arial" size="5"> <p><strong><font size="4">A. MEDICAL HISTORY QUESTIONNAIRE</font></strong></p> <p><font size="4"><strong>B. PHYSICAL EXAMINATION: HANDS ON BY M.D</strong></font></p> <ul></font><font face="Arial"> <li>VITAL SIGNS: BP, TEMP, PULSE, RESPIRATORY RATE <li>HEAD, EYES, EARS, NOSE, THROAT <li>NECK <li>CARDIOVASCULAR: EKG, HEART SOUNDS <li>PULMONARY <li>GASTROINTESTINAL: DIGITAL RECTAL EXAM</li></ul> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; MALE: RECTUM & LOWER ABDOMINAL MASSES, PROSTATE</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;FEMALE: RECTUM & LOWER ABDOMINAL MASSES</p> <ul> <li>GENITO-URINARY</li></ul></font> <p><font face="Arial">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; MALE: GENITALIA, PROSTATE</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; FEMALE: PELVIC, BREAST-CLINICAL</p> <ul> <li>LYMPH NODES <li>NEUROLOGICAL: CRANIAL, PERIPHERAL NERVES, MOTOR, SENSORY, REFLEXES </li></ul> <ul> <li>MUSCULOSKELETAL <li>SKIN</li></ul> <p align="left"></font><b><font face="Arial" size="5">&nbsp;</p> <p><font size="4">C. PRE PHYSICAL LABORATORY TESTS</font></p> <ul></b></font><font face="Arial"> <li>CBC: WBC, DIFFERENTIAL, RBC, PLATELETS <li>METABOLIC PANEL <li>LIVER FUNCTION: SGOT/AST, SGPT/ALT, LDH, ALKALINE PHOS., BILIRUBIN</li></ul> <ul> <li>LIPID PROFILE: TRIGLYCERIDES, TOTALCHOLESTEROL; , LDL-C, HDL-C, TOTAL CHOL/HDL-C RATIO</li></ul> <ul> <li>GLUCOSE <li>BUN <li>CREATININE <li>ELECTROLYTES: SODIUM, POTASSIUM, CALCIUM <li>CARBON DIOXIDE <li>TOTAL PROTEIN <li>ALBUMIN <li>URINALYSIS: DIP STICK, MICROSCOPIC, HEMOCULT</li></ul> <p align="left"></font><font face="Arial" size="5">&nbsp;</p> <p><font size="4"><strong>D. SUPPLEMENTAL DIAGNOSTIC EVALUATIONS</strong></font></p> <ul></font><font face="Arial"> <li>BODY COMPOSITION UTILIZING ACCURATE WHOLE BODY </li></ul> <dir> <p>PLETHYSMOGRAPHY, LEAN WT., FAT WT., % FAT, IDEAL WT.</p></dir> <ul> <li>VISION TESTS: NEAR, DISTANT, PERIPHERAL, COLOR <li>HEARING PULMONARY: SPIROMETRY, SPIROGRAM, FEV1, FVC, FEV1/FVC <li>CHEST X RAY <li>MAXIMAL FUNCTIONAL CAPACITY, CLINICAL CARDIAC AND PULMONARY TREADMILL EXERCISE STRESS TEST </li></ul> <ul> <li>CANCER SCREENING</li></ul> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; MALE: PSA.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; FEMALE: MAMMOGRAM, PAP SMEAR</p> <ul> <li>BONE DENSITY</li></ul> <p align="left"></font><b><font face="Arial" size="5">&nbsp;</p> <p><font size="4">E. IMMUNIZATION AND INFECTIOUS DISEASE </font><font size="4">SCREENING</font></p> <ul></b></font><font face="Arial"> <li>VACCINATIONS UPDATES</font><font face="Arial"> <li></font><font face="Arial">TETANUS (10 YRS), <li>DIPTHERIA, MMR ( MEASLES-1957, MUMPS-1957, RUBELLA) <li>HEPATITUS: A&B; SUGGESTED, C; BASELINE ANTIBODY TESTS, <li>VARICELLA: OFFERED, BUT NOT REQUIRED <li>INFLUENZA: OFFERED EACH WINTER, BUT NOT REQUIRED <li>TUBERCULOSIS: PPD-ANNUAL, CHEST X RAY IF POSITIVE <li>HIV TESTING: OPTIONAL, OFFERED CONFIDENTIALLY (PATIENT) </li></ul> <p><font size="4"><strong>F. FOLLOW-UP OR REFERRAL TO HEALTH CARE PRACTITIONER </strong></font></p> <dir></font><b><font face="Arial" size="5"></dir> <ul></b></font><font face="Arial" size="4"> <li><font size="3">ABNORMAL/POSITIVE FINDINGS SHOULD BE ADDRESSED WITH FOLLOW-UPS AND REFERRALS</font> <li><font size="3">REVACCINATION OR INTERVENTION FOLLOWING EXPOSURES<b> </b></font></li></ul> <p><b>G. INDIVUALIZED HEALTH IMPROVEMENT PLAN AND COMPUTERIZED HEALTH RISK APPRAISAL<font face="Arial" size="4"> </font></p> <dir></font><font face="Arial" size="5"></font><font face="Arial" size="4"></dir> <ul></b> <li><font size="3">WRITTEN FEEDBACK CONCERNING HEALTH RISKS AND HEALTH STATUS WITH ACTION PLAN </font></li></ul> <ul> <li><font size="3">CONSULTATION SESSION WITH REVIEW OF ALL FINDINGS AND INTERPRETATION OF RESULTS AND HEALTH PLAN</font></li></ul> <p align="left"></font><b><i><u><font face="Arial" size="6">&nbsp;</p> <p align="center"><font color="firebrick">FIRE DEPARTMENTS AND POLICE DEPARTMENTS</font></p> <p align="left"></b></u></font><font color="#800000" face="Arial" size="7">&nbsp;</p> <p align="center"><font color="midnightblue" size="6"><strong><u>PHYSICAL EXAM PROGRAM</u></strong></font></p> <p align="left"></font><font face="Arial" size="4">&nbsp;</p> <p>*COSTS COVERED BY BENEFITS PLAN </font><font face="Arial">(NON</font><font face="Arial" size="4">-</font><font face="Arial">HMO</font><font face="Arial" size="4">), depending on coverage plan</p> <p align="left"></i></font><font color="#808080" face="Arial" size="4">&nbsp;</p> <p align="center">THIS IS A COMPREHENSIVE EXAM BASED ON THE NEEDS OF THE ACTIVE FIREFIGHTER and POLICE OFFICER FACING CONTINUING MEDICAL AND FITNESS STANDARDS</font><font face="Arial" size="4">.</p> <p align="center"></p><b><i> <p align="center">FIND OUT YOUR CURRENT HEALTH AND FITNESS STATUS AND RECEIVE A COMPREHENSIVE PLAN TO ACHIEVE YOUR GOALS</p> <p align="center"></p></font><font color="#800000" face="Arial" size="4"> <p align="center">BUILDING THE FOUNDATION FOR A HEALTHY AND FIT FUTURE</p> <dir></i></font><u><font color="#800000" face="Arial" size="6"> <p><font size="5">THE PHYSICAL EXAM</font></p></dir> <ul></b></u></font><font face="Arial"> <li>MEDICAL HISTORY <li>PRE-PHYSICAL LABORATORY TESTS</li></ul> <dir> <p>&nbsp;&nbsp;&nbsp;&nbsp; BLOOD / URINE</p></dir> <ul> <li>COMPLETE PHYSICAL EXAM BY M.D. <li>VISION / HEARING / PULMONARY / CHEST X-RAY <li>MAX FUNCTIONAL CAPACITY TREADMILL TEST <li>CANCER SCREENING MALE / FEMALE <li>HEART RISK SCREENING <li>IMMUNIZATI0N UPDATES <li>STRENGTH TESTING FOR SPECIFIC JOB TASKS <li>OPTIONAL BODY COMPOSITION / IDEAL WT* <li>APPROPRIATE REFERRALS FOR M.D. FOLLOW-UP</li></ul> <p align="left"></font><font face="Arial" size="4"></font><b><u><font color="#800000" face="Arial" size="6">&nbsp;</p> <p><font size="5">THE INDIVIDUALIZED PLAN</font></p> <ul></b></u></font><font face="Arial"> <li>REVIEW OF FINDINGS AND HEALTH STATUS <li>WRITTEN / VERBAL FEED BACK ON HEALTH RISKS <li>SPECIFIC ACTION PLAN</li></ul> <p><font size="5"><strong><u>APPROPRIATE REFERRALS FOR M.D. FOLLOW-UP</u></strong></font></p> <p><font size="5"><strong><u>MEDICATION / PRESCRIPTIONS</u></strong></font></p> <dir> <dir> <p>EXERCISE PRESCRIPTION FOR STRENGTH & CARDIOVASULAR IMPROVEMENTS</p> <p>LIFESTYLE CHANGES / MODIFICATIONS</p></dir></dir> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; DIET / NUTRITION / WEIGHT LOSS *</p> <p><font size="2"><strong><em>*BODY COMPOSITION IS OPTIONAL FOR AN ADDITIONAL FEE OF $35.00. This is a state of the art $35,000 system which utilizes whole body plethysmogrophy. It yields fat wt., fat %,. lean wt. , and ideal wt.</em></strong></font></p> <p align="left"></font><font face="Arial" size="4">&nbsp;</p> <p>&nbsp;</p></font> <!-- content cell0.content0 end --> </td></tr> </table> </td> <!-- column 0 end --> </tr> </table> <!-- row 0 end --> <!-- </table> -- > <!-- layout style = 2 end --> <div><img src="../../images/shim.gif" height="20"></div> </body> </html>