The Big Physical: Where to Go, What to Get. While getting old may beat the alternative, living in denial is a comfortable choice—and a lot more pleasant than your first colonoscopy. The annual checkup at your doctor’s office covers the basics, but a truly thorough medical exam will involve trips to several offices, with the usual long waits and patients stacked up like planes over Chicago’s O’Hare. Two years ago one of my closest friends died from a coronary that absolutely could have been prevented had he only taken the time from his crazy work schedule and family obligations for a checkup. With baby boomers starting to age, there has been a proliferation of facilities offering comprehensive .
Having just turned 5. I figured this might be a good time to see how the exams—and my body—have evolved. Among the best- known options, the Mayo and Cleveland clinics, along with the Johns Hopkins, Duke, UCLA, and Stanford units, are all associated with major hospitals—which is useful should serious complications be found or immediate treatment be recommended.
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According to the Mayo Clinic, less than 5 percent of its exams revealed potentially life- threatening conditions and almost half exposed risk factors for serious illness. These centers draw patients from all over the world and focus not just on medical needs but a lifestyle approach as well. The Cleveland Clinic even offers programs through the Canyon Ranch spa resorts. Also available are a number of private diagnostic centers that only perform physical exams, such as the Princeton Longevity Center in New Jersey and Texas’s Cooper Clinics.
I chose the PLC strictly for its convenience, but some might be more comfortable going to a hospital. Others prefer to go the true luxury route and turn their physical into a spa holiday or fit it into a resort vacation.
To me, though, the chance of getting some bad medical news before my kelp facial could be a real buzz kill. As at most centers, the day in the PLC started at the scanning facility, replete with state- of- the- art, 6. CT machines. Some centers recommend full- body CT scans for patients over 4.
While they can be lifesavers, they are also controversial. Reginald Munden, interim chair of the department of Diagnostic Radiology at the University of Texas M.
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Anderson Cancer Center, says, . There is also the issue of false positives: Up to 8. Munden calls a spiral of expensive and anxiety- provoking follow- up scans with few meaningful results. Interestingly, just as risky can be false negatives—being told the scan shows no problems to be concerned about. This can lead some people to continue damaging behavior, such as smoking, or to ignore new symptoms.
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- The Big Physical: Where to Go, What to Get. Duke, UCLA, and Stanford.
Of course, there are many stories of serious problems being caught. Doctors at the clinics have received numerous e- mails from patients whose renal cancer or developing aneurysm was detected early, possibly saving their lives. In fact, the day I was at the PLC an ex–investment banker discovered, after 5.
Balancing the risks against the benefits of a scan is a personal decision, and any clinic should provide you with plenty of information to allow you to make an educated evaluation. Lang, who heads the section of preventive medicine at the Cleveland Clinic, explained that while .
Every aspect of your medical history will be checked—you will be asked to send copies of all available reports in advance—and any issues, aches, or pains considered. I then had a challenging cardiovascular stress test and gym session with senior exercise physiologist Chris Volgraf.
A highly educated trainer and professional strength coach, he completely changed my perspective on my own workout regimen and showed me a series of warm- ups and exercises designed to make my gym time safer, more efficient, and more effective. Lunch was followed by a vision and hearing test, a bone density and body composition scan, and a meeting with a nutritionist, who evaluated the three- day food log I had been asked to keep.
When all the tests were done, the biggest difference between a full day at one of the clinics and a quick routine maintenance check became clear: A senior doctor sits down with you and reviews the results of every test in detail and their implications. Seeing rotating, 3- D, full- color computer images of your internal organs can be disquieting. David Fein, medical director and founder of the PLC, told me that one of the most effective tools in convincing patients to modify their unhealthy lifestyle is showing them their blocked arteries or the vascular fat wrapped around their vital organs in high- definition splendor.
I left the PLC with a hefty binder, complete with test results and a disc containing copies of my scans, to give to my personal physician. In my opinion anyone who can afford it, or whose employer or insurer will pay, should immediately sign up for a visit to one of the top clinics and return at reasonable intervals. The Mayo Clinic quotes studies showing that companies can save as much as 2. It’s unlikely you have ever gotten so complete and detailed a review of not just the results but also the meaning of routine medical tests, as well as specific and practical advice on diet and exercise. While affiliation with a hospital or a major medical clinic is obviously a plus, the most important thing a diagnostic center can do for you is get you in the door. So if traveling makes you less likely to go, pick a center nearby. Center for Partnership Medicine at Northwestern Memorial Hospitalcenterforpartnershipmedicine.
Location: Chicago, ILProgram: 1 day. Approx. Cost: $3,0. Cleveland Clinicclevelandclinic. Location: Cleveland, OH; Weston, FL; Toronto; Canyon Ranch (AZ, MA)Program: 1–3 days. Approx. Cost: from $3,0. Cooper Cliniccooperaerobics. Location: Dallas and Mc.
Kinney, TXProgram: 1 day. Approx. Cost: $1,8. Duke Executive Health Programdukeexechealth.
Location: Durham, NCProgram: 1 day. Approx. Cost: $2,8. Executive Health Program at Menlo Clinic (Stanford University)execmd. Location: Menlo Park, CAProgram: 1/2 day. Approx. Cost: $2,0. Johns Hopkins Executive Health Programhopkinsmedicine. Cost: $1,8. 00–$2,2.
Executive Health Program at Mayo Clinicmayoclinic. Location: Rochester, MN; Scottsdale, AZ; Jacksonville, FLProgram: 1–2 days. Approx. Cost: $1,5. Princeton Longevity Centertheplc. Location: Princeton, NJProgram: 1 day. Approx. Cost: $3,2. UCLA Comprehensive Health Programexechealth.
Location: Los Angeles, CAProgram: 1 day.
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Craig Geiler leads the Program's Executive Health team. The nearly 2. 0 additional program physicians received their training in some of the top medical schools in the country, including the University of California, San Francisco, Stanford, Yale, Case Western and Mount Sinai School of Medicine. The Program's top physicians come from various backgrounds and specialties to grant patients access to a wide variety of experts and services. The Monterey Program is located on the campus of top- rated Community Hospital of the Monterey Peninsula (CHOMP), which is nestled in the lush Del Monte Forest.
Experienced, licensed professionals evaluate the status of patients' nutrition and fitness levels and work with the physicians to create tailored lifestyle suggestions that integrate seamlessly into their often busy daily routines. The client and doctor will then work together to develop a personalized wellness plan that includes a discussion of risk factors and illness prevention. When the evaluation is complete, the client receives an extensive, customized medical report with a health profile, results, interpretations and recommendations for follow- up care. This detailed report of the patient's evaluation is conveniently stored as a digital file on a small flash drive. As an additional service, the Monterey Program offers corporate packages for businesses to provide to their top executive officers. The program can turn essential preventative care into a productive and relaxing corporate retreat. The Monterey Program is unlike any other executive health program, as it offers more than just a superior medical evaluation—it offers an invaluable wellness experience.
From the moment a client arrives at the Monterey Regional Airport, their personal concierge provides transportation to one of our outstanding hospitality partners. On the day of their executive physical, the client's personal concierge escorts them to the hospital and remains their guide throughout their day of wellness. Not only does the friendly team on concierge and the Monterey Program manage all aspects of the executive evaluation, they are eager to make clients' retreats memorable by helping them discover the splendor of the Monterey Bay Area. This stunning region, where the mountains taper down to the shore, provides an abundance of hiking trails, bicycling paths and other recreational activities such as golfing, kayaking and diving. If golf is a priority, The Monterey Program is a proud partner of Pebble Beach Golf Links, the site of the AT& T Pebble Beach National Pro- Am, and one of the most visually stunning courses in the world. The Monterey Program For Executive Health.
The Facts: The Monterey Program for Executive Health is an innovative comprehensive medical evaluation for clients who want exceptional preventative care completed in an efficient, personalized and relaxing one- day visit. The Program offers world- class facilities and state- of- the- art technology uniquely situated in the serene setting of the Monterey Bay. Medical services provided: Comprehensive diagnostic screening, imaging and physical examination, in addition to thorough fitness and nutritional assessments by experienced, licensed professionals. Elite physicians and specialists trained in the top medical schools in the country. The Monterey Program for Executive Health is located on the beautiful campus of Community Hospital of the Monterey Peninsula (CHOMP) at 2. Holman Highway, near the scenic coastal Highway 1. CHOMP earned a Gold Seal of Approval for quality care from the Joint Commission, and holds numerous accreditations Healthgrades accolades for CHOMP include: Patient Safety Excellence Award for two years in a row (2.
America's 1. 00 Best Hospitals for Cardiac Surgery (2. Orthopedic Surgery (2. Spine Surgery (2. The Hospital Consumer Assessment of Healthcare Providers and Systems rated CHOMP in the top 1.
Accommodations provided at the award- winning Pebble Beach Resorts, Bernardus Lodge, Monterey Plaza Hotel & Spa, Carmel Valley Ranch and Holman Ranch. Our concierge specialists can make all travel and medical arrangements for our clients. Conveniently located near the Monterey Regional Airport. Minutes away from Big Sur, Pacific Grove and Carmel. The Monterey Program For Executive Health Contact: SOURCE Monterey Program For Executive Health.