Our Approach to Executive-Physicals Treatments

Executive-Physicals Evaluation & Treatment

Screenings

Screening tests and diagnostic evaluations are individualized for each patient.

Routine diagnostic screening
- Mammogram
- EKG ( electrocardiogram )
- DEXA bone density scan
- Colonoscopy
- Ultrasound of the abdomen, pelvis, prostate
- Pulmonary function testing (current or past smoker)

Technologically progressive diagnostics
- Electron-beam coronary CT scan - measures the amount of atherosclerotic
plaque in the coronary arteries supplying the heart
- Doppler scan of the carotid arteries - detect narrowing of the main arterial
pipelines to the brain
- Doppler flow peripheral vascular index testing - assess blood flow to the
extremities
- Lung CT scan - screen for lung cancer or other chest abnormalities. This
technology detects lung cancer in the earliest curable stages.
- Whole body MRI (magnetic resonance imaging) - allows visualization of the
interior of the body, the brain, liver, pancreas - everything in 3D without
radiation
- Whole body MRA (magnetic resonance angiography) - a MRI study of the
blood vessels looking at the health of all blood vessels, including the
brain, carotid arteries supplying the brain, the aorta, kidney arteries and
femoral arteries supplying the legs without needles or probing

Laboratory testing

Diagnostic laboratory and screening tests are individualized for each patient.

Routine Laboratory tests
- Chemistry 24
- CBC
- Cholesterol profile ( total cholesterol, HDL, LDL, triglycerides )
- Blood type
- Urinalysis
- Thyroid function tests ( TSH, free T4 )
- Thin-prep Pap (for women)
- Hemoccult

Further biochemical & hormonal profiles
- Upgraded cardiac risk panel ( homocysteine, hs-crp, fibrinogen )
- Gender-specific hormone levels ( estrogen, testosterone, DHEA,
prolactin, cortisol )
- Tumor markers ( PSA, CA-125, CEA, AFP )
- Blood iron and vitamin levels

STD testing (if requested)
- HIV antibody
- Herpes blood test
- Chlamydia
- Gonorrhea
- Syphilis
- Trichomoniasis
- Hepatitis B test
- Hepatitis C test
- HPV typing

At the Executive-Physicals Institute, physicians examine and monitor each patient through careful examination, extensive blood analysis, and further diagnostic testing, as needed. Patients receive a thorough examination of the blood to measure the concentrations of key hormones and other chemicals in the body. Depending upon the age and medical condition of each patient, referrals are provided for tests such as ECG & exercise tolerance tests, prostate, testicular and pelvic ultrasound tests, colonoscopies, mammograms, bone density testing, and others. If deficiencies or imbalances of hormones are discovered, then medications or hormone treatments can be initiated. Blood measurements are repeated frequently to help ensure that the hormones stay in optimum balance. Concurrently, patients are counselled about making choices in their diet and lifestyle which may help optimize their health, well-being, and longevity.

The field of Executive-Physicals is very complex and rapidly evolving as new discoveries are made and research is conducted. Especially in the areas of nutritional supplements, vitamins, minerals, and herbs, many differences of opinion exist, with different researchers and clinicians advocating different combinations of supplements and nutrients. As scientists, we are not yet fully convinced of the superiority of any one particular combination of nutrients, supplements and vitamins. We therefore do not dvocate or prescribe any fixed regimen of these compounds to our patients. Many variables exist, which we believe cannot yet be adequately controlled and tested for. Thus, we offer general nutritional guidelines to our patients, and let our patients make their own particular dietary choices. We concentrate on the medical, measureable hormone treatments that we can accurately a
monitor with current technology.

In general terms, good health, longevity, and ultimately, happiness, rest on a foundation of the following:

Nutrition: Carefully chosen fresh, unpreserved foods, along with the judicious use o:
multi-vitamins and minerals to ensure that all nutritional needs are being met, especi
needs usually increase with age.
Lifestyle: Our health is mostly determined by the lifestyle we lead. We make choice
consciously or subconsciously, in the manner in which we live. The majority of heal
choices are simply common sense. For example, the importance of not smoking, drii
alcohol only in moderation, avoiding narcotics, exercising regularly, avoiding stress
situations, eating fresh fruits & vegetables as part of a balanced diet, drinking clean ]
and avoiding radiation, heavy metals, pollution etc. is obvious to most of us, but rela
people live their lives by these simple principles.
Body Chemistry / Hormone Maintenance: The carefully supervised use of hormones
precursors to ensure that important body chemicals remain at appropriate levels may
improved mental and physical capabilities.
Genetics: While our genetic makeup is pre-determined, lifestyle, nutrition, and othe
controlled by us can radically affect the way our genes are expressed.