Preventive Health Package

Medical Check-up by Doctor - Precounselling

A doctor explains you about what all tests you will be undergoing & it's importance. He also takes your complete medical history into account and assesses your basic heath profile. Past history for major illnesses if any. Personal history for habits & lifestyle. Family history to know diseases in family.

. Laboratory Work-Up

This includes a set of tests that will detect any disturbance in internal functioning of your body & help you so as to ensure that you live a healthy life. These tests are helpful in providing valuable information about the state of your health. For early diagnosis of onset of these diseases we conduct the following tests:

• Haemogram: detailed assessment of vital parameters of blood
• Blood Group Testing: useful for receiving and donating blood, especially in emergencies
• Urine Test (Routine & Micro) brings to light the presence of infection in the kidneys and urinary tract.
• Blood Sugar Testing (Fasting & post-meal)
• Blood Urea and Serum Creatinine to assess the performance of the kidneys
• SGPT, SGOT, Serum Bilirubins to gauge the performance of the liver
• Lipid Profile for analysis of various types of good & bad fats in the blood, extremely useful in forecasting heart disease
• Australia Antigen: To detect the presence of Hepatitis B (blood borne Jaundice)
• HIV (optional)
• Serum Acid Phosphatase (Chemical Testing for Prostrate Cancer - For males above 55 years of age - indicates the possibility of presence of cancer in the prostrate)

. Chest X-Ray

This is a simple procedure that screens lungs and heart for diseases like tuberculosis, chronic asthma, pneumonia, lung cancer and enlargement of the heart. For a more detailed diagnosis, a PFT / Echocardiography is carried out.

. Electro Cardiogram (ECG)

Electro cardiogram is a simple and routinely conducted test to assess the electrical activity of the heart. An ECG shows changes that may be suggestive of reduced blood supply to the heart, a life threatening condition whereupon, further investigations like stress test or angiography can be done.

. 2D Echo Cardiography (Doppler study of the heart)

Enables the internal structural visualization of our heart. It studies the condition of valves, the four chambers of heart (atria and ventricles), cardiac capacity during the contraction and relaxation also during load/stress, cardiac defects from birth (congenital) like ASD, VSD etc, coronary vessels, pericardial (cover surrounding heart) effusion (collection of water), tuberculosis (TB) etc.

. Total Body Fat Percentage

The fat percentage is the percentage of body fat mass (the weight of the fat) in relation of your body weight.

Source: Clinical Data obtained by Jikei University School of Medicine

The body fat percentage and body fat mass are determined by the following calculation:

Body fat percentage (%) = Body fat mass (kg) ÷ Body weight (kg) x 100
Body fat mass (kg) = Body weight (kg) fat - free mass (kg)

. Gynaecology Consultation

A lady gynaecologist would provide consultation to the ladies for their various problems ranging from menstrual periods to contraception, conception, safe pregnancy & delivery, teaching simple methods to detect in advance presence of certain diseases

. Pap Smear / TVG, USG

Pap smear is a simple means to detect cervical cancer early. If detected, early cervical cancer can be completely cured. Transvaginal ultrasound (Tvg) is done to obtain a complete evaluation of the pelvic area. It is an important test to evaluate fertility concerns in females.

. Ultra Sonography of Abdomen & pelvis

An abdominal ultra sound uses reflected sound waves to produce a picture of the organs and other structures of the abdomen. This helps to determine the abnormal condition of abdominal organs and detect stones and inflammation of the liver, gall bladder, spleen, pancreas and kidneys.

. Pulmonary (Lung) Function Test

The Plumonary (Lung) Function Test is a series of easy-to-perform breathing exercises that give timely warning of the presence and severity of any lung disease. This test helps evaluate the ability of your lungs to receive, hold and use air.

. Screening Audiometry Test

Loss of hearing is a gradual process and discernible to the person himself only at a rather late stage in life. Early detection of this defect can help initiate a variety of effective audio corrective treatments.

. Bone Mineral Densitonetry (BMD)

As our age increases there is always some bone loss and it is more common in women. This age related bone loss is called as osteoporosis. Due to osteoporosis, bone loses its strength, which is the main cause of fractures in old age. Checking of BMD helps us to assess the degree of bone loss and to give appropriate treatment to the patient so that fractures can be avoided. This is one of the essential tests in preventive health checkup

. CT Screening / X-Ray of Lumbar Spine and Cervical Spine

Chronic low back pain is generally the most common complaint among the elderly as well as the general population. This screening process evaluates the condition of the lumbar and cervical spine for any need for physical / Medical care.

. Sono Mammography

Sono mammography is ultra sonography of the breasts and is conducted to detect any lumps in the breast which may be benign or cancerous

. Opthalmology Check up

A routine eye check up is necessary to keep the eyes healthy and to detect the cause of any changes in vision.

. CT Calcium Scoring

Calcium deposition in the vessel walls is a marker of the process called 'Arteriosclerosis' i.e. stiffening which leads to loss of normal elasticity of the blood vessel. This may further lead to multiple medical problems including heart attacks An average calcium score upto 60 is considered to be permissible. Any score above this suggests higher risk of Arteriosclerosis. Depending on the score, medical management can be started. If the calcium score is too high, CT coronary angiography has to be abandoned.

. CT Coronary Angiography (Heart)

This is the latest non-invasive technique of screening for anginal problems. Angio means blood vessels and graphy means study. What gives this scan the edge is its speed. Since the heart is never stationery, often a clear image is impossible to acquire, but this process makes it possible as it takes a picture in 0.4 seconds when the heart relaxes during a beat. The scanner computer uses the images to construct a 3-D image where blockages appear as they would once the heart is opened. The entire process is completely non-invasive, painless and much faster than conventional procedures like cardiac catheterization (angiography).

. CT Screening of Carotid Arteries ( Neck)

The technique is same as CT Angiography of Intracranial vessels. This tells us the status of the blood vessels in the neck. If there is any abnormal narrowing of blood vessels or the inner lining of the vessels wall is rough/eroded, it can cause blood clots ultimately leading to paralytic attacks. By early detection, preventive measures can be taken to avoid complications.

. CT Screening of Intracranial Vessels (Brain)

This test is similar to the above, a dye is injected through the vein and photographs of blood vessels are acquired as the dye moves through these blood vessels. We pick up pathologies like, balloon like growth of the vessels walls called Aneurysm, which burst and can cause brain hemorrhage. Unnecessary network of arteries and veins called 'Arterio-venous malformation' which again can lead to brain haemorrhage. Narrowing of blood vessels either due to calcium deposition or blood clot (thrombus) can lead to attacks of paralysis and haemorrhage.

. CT Brain - Contrast

Total acquisition time for a CT brain scan is 3 seconds. It gives us information about any pathology in the brain tissue like tumors in the brain, hemorrhage etc.

. Counselling by Physician

You will get the added advantage of counselling session with an experienced physician who will not only discuss your problems, if any, but will also guide you as to what changes you may have to within the framework of your lifestyle in order to make it more healthy.

This will include an assessment of all the test reports and advice on methods to improve and maintain health. However, it is advisable to keep a proper follow up of whatever advised, with your family physician.

Note

1. The CT tests listed in the packages are recommended for people above the age of 35 yrs. or with at least one of the following Risk Factors:
. Family history . Smoking . Diabetes . BP problem / Hypertension . Dyslipidemia (elevated cholesterol / triglyceride levels) . Stressful lifestyle . Obesity
CT Scanning is not recommended for pregnant and nursing women and will not be done.

2. This set of Medical Diagnostics and Laboratory Tests have been chosen for early detection of commonly occurring health problems without apparent signs and for scientifically assessing the state of one's body viz. the ideal requirements

3. The results and interpretation of certain tests are age related and may get affected if the age is quoted wrongly. Please therefore ensure that you declare your correct age.

4. The tests are conducted as a screening procedure for early detection and it is made clear that some of the tests will not be conducted if the person receiving the Package Service reports any medical contraindications or with a known medical history.

Medical contraindication means that in the opinion of the doctor, conducting the tests is not advisable.
For example: -
CT tests cannot be done if:

a.       Breath holding is less than 20 seconds

b.       Heart rate is not steady and is not below 70 beats/min.

c.        You have Asthma and Beta Blockers cannot be administered

d.       Your Creatinine levels are found high

e.       You are pregnant or planning your pregnancy

f.         You have any known contraindication for injection of contrast / dye etc.

g.       You have a high calcium score (ASK DOCTOR)

5. CT Cardiac Angio results may not be given (even after undergoing CT Angio Tests) if:

a.       You move while being scanned

b.       You do not hold your breath while being scanned

c.        Your heart rate suddenly shoots up while being scanned (This may happen due to fear, anxiety etc.)

6. Chest X-ray may not be done on women who are in the reproductive age group and have come for the checkup in the "unsafe period" of their menstrual cycle, since radiation is harmful to the foetus in the first trimester and pregnancy cannot be detected before 5 weeks of gestational age.

7. If the nominated person refuses to undergo certain tests for any reason whatsoever, then these tests will not be done again and are nontransferable.

8. No refund claim on any account will be entertained.