Executive Check Ups

Body Mass Index and Blood Pressure

The obesity criteria is defined as body mass index of weight for square of height. (Low body weight ,< 18.5 ~ 22.9 18.5 Standard body
weight, 23 ~ 24.9 Overweight, > 25 Obesity, > 30 Morbid Overweight). The ideal range for blood pressure is > 120/80mmHg. If the systolic is 120-139 or diastolic is 80-89mmHg, it is high of normal range (prehypertension) and if the systolic is > 140 or diastolic is > 90mmHg, it is classified as hypertension.

Complete blood count (CBC)

Complete blood count (CBC) is to evaluate hematolo ic diseases. It includes hemo lobin to check anemia, WBC which are responsible for immune function, and platelets which are relayed to hemostasis.

Basic Blood Tests

This is a test to check the number of white blood cells, red blood cells (hemoglobin), and platelets in the blood. If you have anemia (low hemoglobin), iron-related tests (Fe, TIBC, Ferritin) may be helpful in identifying the cause. CRP is an indicator of inflammation and infection in the body.

Tumor markers

AFP is a tumor marker test for liver cancer, CA1-9t9 for pancreatic cancer and biliary tract cancer, CEA for colorectal cancer, CA125 for ovarian cancer, and PSA for prostate cancer. However, tumor markers may rise in cases other than cancer. In particular, the level of CEA may be high in smokers, the level of CA125 may be high during menstruation, and the level of PSA may be high in benign prostatic hyperplasia. Even if the tumor marker is normal, cancer may be present, so this test cannot replace an examination, such as endoscopy, ultrasound, and CT.

Lipid Panel and Cardiac Enzynme Test

Lipid blood tests are total cholesterol, triglyceride, HDL-cholesterol, LDL-cholesterol, Apo A, Apo B, and etc. when LDL-cholesterol, Apo B, and triglyceride increase, the occurrence of cardiovascular diseases is high. When HDL-cholesterol and Apo A increase, the occurrence of cardiovascular diseases is low. LDL-cholesterol is also called as bad cholesterol and high LDL-cholesterol level occur atherosclerosis and can lead myocardial infarction or stroke.

Electrocardiography

ECG test can obtain basic information about irregular heartbeat, heart rate, and heart

Ankle Brachial Index (ABI)

It is a biomarker of cardiovascular risk with both sensitivity and specificity exceeding 90%. In addition to peripheral obstructive arterial disease about 20% of clients seen have an ABI below 0.9 carrying an increased risk of heart attack or stroke.

Stress Echocardiography

In a stress test, you walk on a treadmill that makes your heart work progressively harder. An electrocardiogram (ECG) monitors your heart’s electrical rhythms. The test sheds light on the heart’s chambers, how well the heart is pumping blood, and whether the heart has any damaged or dead muscle.
It is useful to do for a sedentary person who suddenly wants to start exercising. Stress echo is not 100% accurate in detecting silent coronary artery disease; but helps decide what the next step should be and is radiation free. For men with unexplained shortness of breath on exertion, or a woman who is not sure if her pain is cardiac or anxiety related; an abnormal stress test points to a higher risk of coronary disease. An abnormal test is more worrisome in a man or woman who also has risk factors like a family history of heart disease, a heavy smoker, a man older than 40, a woman older than 50, being overweight, or high small LDL cholesterol. Tests take 45 minutes.

CAC: Calcium Scoring

Is a low radiation test using our new super-fast CT scan, that can be recommended by our cardiologist or internist, as a follow up to stress echo testing; usually if you have a strong family

PSA

PSA is a substance made by the prostate. Men normally have low PSA levels in their blood. A high PSA level may be a sign of prostate cancer, the most common non-skin cancer affecting men. But high PSA levels can also mean noncancerous prostate conditions, such as infection or benign prostatic hyperplasia, a noncancerous enlargement of the prostate. Avoid riding a bike or ejaculation for two days prior to the test or you may get falsely high results.

Penile Blood Flow

Most erectile dysfunction (ED) results from vascular obstruction to the penis often as a result of diabetes. ED often occur 5 or more years before cardiac problems begin and is an early warning sign of impeding heart problems (Hence ED also stands for Early Death)

Prostate ultrasound

Prostate ultrasound is an imaging examination that uses sound waves to check for any abnormalities in the prostate. The test consists of inserting a small lubricated probe in the rectum, which creates sound waves that bounce off the prostate and create images by using a special device. This test helps the doctor detect the size of the prostate and diagnose any growth or problem.

Liver fibroscan

Liver fibroscan is to assess liver fibrosis as checking the liver elasticity by ultrasound. It also analyzes quantitatively the amount of fat deposition in the liver.

Serology and Immunology Test

If HBs is negative, hepatitis B vaccination is recommended. If your HCV antibody test results is positive, there is a possibility of a hepatitis C virus infection. However, it may be false and appear to be positive, even if the HCV infection has already been cured. If your HCV antibody test result is positive, an in-depth examination is necessary.

Stool Exam for parasiters

An ova and parasite (O&P) exam is a microscopic evaluation of a stool sample that is used to look for parasites that may infect the lower digestive tract, causing symptoms such as diarrhea. The parasites and their eggs (ova) are shed from the lower digestive tract into the stool. We only need one pea size amount of stool, the fresher the better.

H.Pylori

A positive H. pylori stool antigen that a person’s gastrointestinal pain is likely caused by a peptic ulcer due to these bacteria. A negative test result means that it is unlikely that the individual has an H. pylori infection and their signs and symptoms may be due to another cause.

Undigested fat

Impaired digestion or absorption can result in fatty stools. Possible causes include
salts, which reduces micelle formation, and small intestinal disease producing malabsorption.

Diabetes Test

Blood glucose and glycated hemoglobin (HbA1c) are blood tests to diagnose diabetes mellitus. Fasting blood sugar is a blood glucose test after 8 hours fasting. HbA1c reflects average blood glucose level of the past 2~3 months.

Diabetes is suspected when fasting blood glucose is higher than 126mg/dL or when HbA1c is higher than 6.5 %. In diabetic patients, blood glucose and glycated hemoglobin are also used as an index to evaluate the blood glucose control status.

Thyroid function Test

TSH, T4, and T3 tests evaluate thyroid function. Hyperthyroidism or hypothyroidism can be confirmed.

Thyroid Ultrasonography

Thyroid sonography is a test to detect nodule, inflammation, and mass of thyroid gland. If thyroid nodules with suspected thyroid cancer, it can be confirmed by thyroid biopsy (FNA).

Metabolic Syndrome

Metabolic syndrome is caused by abdominal obesity and insulin resistance. Insulin resistance means that insulin action to control the blood glucose level is disturbed despite of the normal amount of insulin, and it develops various diseases such as hypertension, dyslipidemia, diabetes mellitus, stroke, and myocardial infarction.

When metabolic syndrome is diagnosed in comparison with having a single disease, the risk of type 2 diabetes or cardiovascular diseases such are much higher.

Metabolic syndrome is diagnosed if you have more than 3 out of 5 risk factors

Bone Health

Vitamin D helps calcium absorption which is important for bone formation and maintenance. Vitamin D is produced in response to sunlight hitting skin and rich in fatty fishes with blue back.

DEXA Scan

Is the gold standard and most accurate test to detect bone fragility and prevent osteoporosis. Bone health is improved by quitting smoking and alcohol, weight bearing exercises, hormone rebalancing when necessary, good nutrition and minimizing the use of medications for gastric acidity by accurately diagnosing and fixing the underlying problem. Test takes 15 minutes.

Microscopic urinalysis test

Urynalysis is to see if there is blood, protein, or inflammation cell in the urine and is helpful to diagnose kidney and urology diseases like urinary tract infection, urinary disease, or tumor.
Uric acid increases in relation with alcohol, meat consumption, and obesity and it causes gout, kidney/urinary tract stones, and decreased kidney function.

Kidney Function Tests

Kidney function is evaluated by creatinine test. The elevated creatinine level means the decline in kidney function. If uric acid level is high, it can occurs gouts, urinary tract stone, and decreased kidney function.

Kidney Ultrasonography

Renal ultrasonography is a noninvasive study that requires no contrast and provides useful information about the renal parenchyma. This imaging modality can be performed at the bedside in a hemodynamically unstable patient, and it can help to detect hydronephrosis, pyonephrosis, and perirenal abscess

Bladder Ultrasonography

Measurement of the postvoid residual by bladder scan or ultrasonography should be performed on every patient admitted to the hospital for uraniary tract infection, irritable or nervous bladder, prostate problems, and uraniary incontinance in women.

Chest X-Ray

Simple chest x-ray inspects lungs and detects lung cancer, pneumonia, and tuberculosis. Small lung lesion cannot be detected and there is limitation to observe the lesion overlapped with thorax structure like rib cages. Low-dose chest CT can more accurately observe lung abnormalities than simple chest X ray and is useful for early diagnosis of various lung disease including lung cancer.

Pulmonary function Tests

A spirometry test requires you to breathe into a tube attached to a machine called a spirometer. Before you do the test, your pulmonologist will give you specific instructions. Listen carefully and ask questions if something is not clear. Doing the test correctly is necessary for accurate and meaningful results.The entire process usually takes less than 15 minutes.

Results:
Forced vital capacity (FVC). This is the largest amount of air that you can forcefully exhale after breathing in as deeply as you can. A lower than normal FVC reading indicates restricted breathing. Forced expiratory volume (FEV). This is how much air you can force from your lungs in one second. This reading helps your doctor assess the severity of your breathing problems. Lower FEV1- readings indicate more significant obstruction.

Skin Testing

Is part of your comprehensive exam to detect suspicious skin lesions that can harbor melanomas and an advanced infrared computerized camera to detect accelerated skin aging from smoking, sun damage, poor nutrition, poor sleep or skin laxity from yo-yo dieting. Tests take 20 minutes.

Vision and Tonometry Test

Visual acuity test is divided into the corrected vision which measures when wearing glasses or contact lenses and the unaided vision which measures with bare eyes. The corrected vision is more important since it measures the maximum visual acuity. Therefore, it is recommended to wear the glasses or contact lenses that you normally wear for the visual acuity test.

Intraocular tonometry is to measure the pressure inside of eye and the compressed air is shooting to the surface of eye using non-contact tonometer. If the pressure is high, the chance of glaucoma occurrence is also increased. If it is severely increased, the retest can be done with contact tonometer for more accurate measurement.

Fundus Photo

Fundus photo (retina imaging) test is a test to examine the optic disk, macula, and major retinal vessels by photographing the center of the back of the eye. Through the examination, ophthalmic diseases can be detected early on such as glaucoma, macular degeneration, and diabetic retinopathy, which are major causes of vision loss, and indirectly are signs pointing to the condition of systemic diseases, such as arteriosclerosis, can be obtained.

Audiometry Test

Audiometry is to check hearing threshold by the different frequency and to assess hearing loss. It also offers basic data for an accurate diagnosis, treatment, and rehabilitation.

Laryngoscopy

Laryngoscopy is to check the structural abnormality and tumor of larynx including the vocal

Pap Smear

Pap smears look for cancers and pre-cancers in the cervix. Pre-cancers are cell changes that can be caused by the human papillomavirus (HPV). If not treated, these abnormal cells could lead to cervical cancer. An HPV test looks for HPV in cervical cells. Most women 21 to 65 years old need to get Pap tests and HPV test together. Not all women need to be tested every year.

Head to Toe Ultrasound

An ultrasound scan is a safe and painless test that uses sound waves to rely images in real time of the area which is being assessed such as the abdomen. The images produced show the internal structures of the organ highlighting any abnormalities subsequently resulting in required treatment.

Full Body CT Scan

A full body CT scan provides a clear and detailed snapshot of the body, allowing the physician transparency to examine the anatomy of the body further. The CT scan will only be conducted should the results of the head to toe ultrasound scan indicate the need to do so. There is a risk of high radiation exposure due to the CT scan therefore it is not for everyone and only conducted in extreme conditions.

Liver Function Test (LFT)

Is a blood test which provides information about the state of the liver in a patient, by measuring the enzymes, proteins and other substances made by the liver. LFT is often recommended if there are symptoms of jaundice, fatigue, light colored urine, family history of liver disease and alcohol abuse. The test can determine, diagnose and treat liver diseases.

Blood Urea Nitrogen (BUN)

Is a blood test the shows information about how well the kidneys and liver are functioning by measuring the amount of urea nitrogen that’s in the blood. The test can help reveal if the urea nitrogen levels are higher than normally indicated the kidneys or liver is not working as it should be.

Uric Acid

The uric acid is a blood test that is used to detect high amounts of uric acid in the blood stream helping diagnose gout. It also used to monitor ongoing cancer treatment as radiation or chemotherapy can spike an increase in uric acid levels.

Erythrocyte Sedimentation rate (ESR)

Is a blood test that is used to determine the presence of inflammation which could be due to an underlying cause such as infection, tumors, rheumatoid arthritis and autoimmune diseases. A sample of blood is taken that is used to measure the rate of erythrocyte (red blood cells) falling to the bottom of a test tube. The faster than normal the red blood cells sink, may indicate inflammation of the body.

Potassium (K)

Potassium is one of the most important minerals in the body. Potassium-rich foods maintain an alkaline environment in the body, unlike in acidosis. Only 2% of Americans get enough potassium. Potassium deficiency leads to chronic fatigue and constipation. High-potassium diet may help reduce blood pressure and water retention protecting against osteoporosis, strokes and kidney stones. Potassium helps regulate fluid balance, muscle contractions and nerve signals. Contrary to popular believes, banana is not the best source of potassium.
Ripe banana also contains the equivalent of five teaspoons of sugar. White beans, lima beans, avocados and white potatoes are much better sources. Patients with kidney failure or on potassium sparing diuretics should be careful, as too much potassium can be dangerous (Hyperkalemia).

Sodium (Na)

Sodium is an essential for the proper function of our muscles and nerves. Sodium also helps maintain the balance of water in and around your cells.
Nearly all of us eat too much salt (sodium). Most of the salt comes from eating processed foods (75%) or adding salt to food while cooking or eating (5% to 10%). The more salt a person eats, especially if he or she is African, Asian or Indian, the higher his or her blood pressure. Eating less salt is an important way to reduce the risk of high blood pressure, which may in turn reduce the risk of coronary artery disease, congestive heart failure, stroke and kidney failure.

Alanine Aminotransferase (ALT)

Is an enzyme found in the liver, if the liver cells are damaged, they release ALT into the blood stream. A blood test measures the levels of ALT, high levels of ALT can indicate signs of liver problems before the symptoms begin to take place.

Aspartate Aminotransferase (AST)

A blood test which measures the levels of AST found in the liver, if the liver is damaged it releases AST into the blood stream and can help the physician diagnose liver damage or disease.

Chloride (Cl).

Chloride is the main salt in the water surrounding or outside our cells. High chloride (Hyperchloremia) occurs when we are dehydrated.

Low chloride (Hypochloremia)

Low chloride (Hypochloremia) occurs when there’s a low level of chloride in your body. It can be caused by excessive fluid loss through nausea or vomiting.

Serum Creatine Serum Creatinine

Creatinine is a waste product that comes from the normal daily 2% wear and tear of your muscles. Creatinine has been found to be a fairly reliable indicator of kidney function. As the kidneys become impaired, the creatinine will rise. Abnormally high levels of creatinine are a warning sign of possible kidneys’ malfunction or failure, especially in people with diabetes, high blood pressure or recurrent urinary tract infections. Creatinine rises even before a patient reports a problem. Elderly people with limited muscle mass, produce much less creatinine and hence can have early kidney impairment with normal levels of creatinine.

C-reactive protein

This is a blood test that measures the c-reactive protein (CRP) in the blood stream, that is made in the liver. It is sent into the body as response to inflammation, this is the bodies way of protecting against tissues which may have been damaged or infection. Normally, having low levels of c-reactive protein in your blood is considered normal however high levels may be sign of a serious infection or other disorder.

Homocysteine

Is a test which measures the amount homocysteine in the blood. Homocysteine is a type of amino acid, a chemical that the body uses to produce proteins. If there is high levels of homocysteine in the bloodstream, it may be a sign of a vitamin deficiency, heart disease, or an inherited disorder.

Male and Female hormones

Hormone deficiency can lead to mood swings, weight gain, chronic fatigue, foggy memory, uncontrolled anger, decreased libido, erectile dysfunction, loss of emotional stamina, anxiety, depression or insomnia.
Low testosterone in men and low estrogen levels in women increase the small lipid particles and the risk of heart attacks. As pioneers in this safe and effective protocol, Novomed’s Bio-identical Hormone Replacement Therapy (BHRT) Program is the ideal solution for preserving youthfulness and vitality.
We begin treatment with a round of tests to map out your complete hormone panel. We can check the estrogen metabolism to make sure that the liver can safely handle these estrogens. Once the results are gathered, your program begins, and you can expect to see results in the following areas:
• Improved mood and reduced agitation
• Weight loss and weight management
• Greater muscle tone and growth
• Improved libido
• Better sleep
• Radiant complexion
• Increased energy levels

Lipoprotein (A)

Lipoproteins are substances made up of protein and fat, they carry cholesterol through the bloodstream. High density lipoprotein (HDL), known as “good” cholesterol and Low-density lipoprotein (LDL), referred to as “bad” cholesterol levels are shown in the blood test result.
Lipoprotein (A) is a form of LDL cholesterol high levels of lipoprotein (A) may mean you are at risk for heart disorders.

High vaginal swab (HVS)

High Vaginal Swab (HVS) is a technique used in gynecology to get a sample of discharge from the vagina which is sent to the labs for microscopy, culture and sensitivity.
It is used to diagnose common vaginal conditions such as candidiasis infection, bacterial vaginosis and trichomonas vaginalis.

Electrolyte panel

This is a blood test that measures levels of electrolytes and carbon dioxide in the blood. Electrolytes include sodium, potassium, chloride, and carbon dioxide, these keep the body’s fluid levels in balance, keeping the body working at optimum levels.

SGPT

Serum glutamic pyruvic transaminase, is an enzyme that is present in the liver and heart, it’s released into the blood stream when the liver or heart are damaged. Elevated SGPT levels indicate damage further testing can determine appropriate treatment.

Alkaline Phosphatase (ALP)

Is an enzyme that is found in the body helping to break down larger molecules into smaller parts, or they can help smaller molecules to form larger ones. The ALP blood test is used to help diagnose liver disease and bone disorder, by measuring the amount of enzyme in the blood stream.

GGT

Gamma-Glutamyl Transpeptidase is usually found in the liver. GGT is normally found present in low levels, however when the liver is damaged levels of GGT increase signaling an issue with the liver. A blood test is conducted to test GGT.

SGOT

Serum glutamic oxaloacetic transaminase is an enzyme released into the bloodstream if the liver is damaged or heart is damaged resulting in elevated levels of SGOT in the body. A blood test is conducted, indicating early signs of problems. This test is also conducted to monitor medicated treatment as it can be a side effect to certain medications.

Skin prick tests (for the most common food allergens) or IgE immunoCap food panel:

Food allergy symptoms are often the result of an interaction between a food allergen and the antibody known as IgE. In order to diagnose a food allergy various tests are conducted including:

  • Skin prick tests:This is the most common method of testing for allergens. Small drops of the suspected allergens are placed on the skin of the upper back and the skin is lightly pricked. This is monitored for the next 15 minutes for swelling or redness around the site. This method is used for identifying allergies to pollen, mold, pets, dust and food, and due to the speed and minimal discomfort, it is a good option for children.
  • Allergens injected under the skin:More sensitive than the skin prick test, but also more invasive, its used to check for insect sting allergies as well as reactions to medications, such as penicillin.
  • Patch testing:Drops of the suspected allergen are placed on a patch which is applied to the skin and left in place for 48 hours. This is usually used to identify allergies to latex or medications, as well as some food allergies.
  • Blood testing:Novomed uses the innovative ImmunoCAP and ISAC Multiplex technologies to check for over 400 possible food and environmental allergens using a single blood sample.
  • Elimination testing:The suspected allergen is avoided, and patient monitored to see whether symptoms improve.
  • Provocation challenge:Patient is deliberately exposed to the suspected allergen in a safe clinical environment. This test is done under strict medical supervision, completing a well-defined protocol.

2 follow ups with pediatric allergist

A follow up is conducted if the skin prick test shows positive results. The skin prick test will need to be conducted a few times to establish a true result of the allergy and its reaction.

Sinus X-ray and/or spirometry

A sinus X-ray is a test that uses a small amount of radiation to produce a black and white image of the sinus. It allows the physician to view the structure of the sinus. Most common causes of problems are due to inflammation or fluid build-up in the sinuses, it is a non-invasive test with little pain or discomfort.

Audiogram at 18 months

Hearing test for toddlers are conducted using various tests to determine a result, as toddlers are often un co-operative the tests implemented at Novomed include the following:

  • Ability to fix on and follow objects with their eyes
  • External eye assessment
  • Ocular motility assessment – do the muscles surrounding the eye enable movement
  • Pupil examination – check that they are equal, round and reactive to light
  • Red reflex examination – the reddish reflection of light from the back of the eye.

MCHAT

The Modified Checklist for Autism in Toddlers (M-CHAT-R) is screening test that asks questions about the child’s behavior, is developed for toddlers aged between 16 and 30 months of age. The results indicate if the child requires further assessment.

Routine labs at 12 months (CBC, iron, vitamin D, lead, urine analysis)

A finger prick test is conducted using a tiny needle to prick the babies finger to gain a small sample of blood. This sample is then analyzed, the results may or may not require treatment.

Vision Screen at 3-5 years

Between the ages of 3-5, a child will be fine-tuning their vision ability and developing new abilities. Vision screening helps diagnose an eye or vision problem indicating a need for further evaluation. The screening tests include:

  • Visual acuity measurements – the clarity of vision. If the child is too young to read letters off a chart, then picture cards are used instead
  • Ophthalmoscopy – checks the optic nerve and the back of the eye
  • Distance acuity – looks for short sightedness (an inability to see things clearly at distance)
  • Ocular alignment
  • Cataracts check

Audiogram at 2 years

Hearing test for toddlers may include various tests to determine a result its often due to the toddler being un co-operative the tests implemented at Novomed include the following:

  • Ability to fix on and follow objects with their eyes
  • External eye assessment
  • Ocular motility assessment – do the muscles surrounding the eye enable movement
  • Pupil examination – check that they are equal, round and reactive to light
  • Red reflex examination – the reddish reflection of light from the back of the eye.

Routine labs at 4 years (CBC, iron, vitamin D, lead, TSH, lipids, urine analysis)

A finger prick test is conducted, using a tiny needle to prick the baby’s finger to gain a small sample of blood. This sample is then analyzed, the results may or may not require treatment.

Vision screen at 5 years

Between the ages of 3-5, a child will be fine-tuning their vision ability and developing new abilities. Vision screening helps diagnose an eye or vision problem indicating a need for further evaluation. The screening tests include:

  • Visual acuity measurements – the clarity of vision. If the child is too young to read letters off a chart, then picture cards are used instead
  • Ophthalmoscopy – checks the optic nerve and the back of the eye
  • Distance acuity – looks for short sightedness (an inability to see things clearly at distance)
  • Ocular alignment
  • Cataracts check

Routine labs (CBC, iron, vitamin D, lead, TSH, lipids, urine analysis)

Routine labs include several tests which cover a wide spectrum they are conducted by tests including, a blood test, urine test and blood pressure test. These tests thoroughly analyze all vitamins, enzymes uncovering any deficiencies, infection and even cancer of the blood.

Vaccines at 5-11 years:

At Novomed our pediatricians can provide all the mandatory and optional vaccinations, according to the UAE’s National Immunization Program. The immunization for age ranges include:

4-5 years: Mandatory: DPat, Polio, MMR, Chickenpox

9-5 years: Optional: HPV

10 years: Mandatory: TdaP

T3

When thyroid overactivity (hyperthyroidism) occurs, too much T3 and T4 is produced, which speeds up the body’s processes, causing nervousness, anxiety and rapid heartbeat. A more common condition is underactive thyroid (hypothyroidism). The thyroid produces reduced levels of T4 and T3, resulting in symptoms such as fatigue, weakness, weight gain, depression, constipation, irritability, irregular periods, low libido, feeling cold and memory loss. A blood test is conducted to determine levels of T3 and T4.

TSH

Thyroid stimulation test is conducted to determine if the thyroid is working as it should be it usually involves conducting a blood test. The blood test measures TSH levels that is substance that triggers thyroid hormone release.

Fecal occult blood

Is a blood test used to detect infectious antigens in human faeces helping the diagnosis of different intestinal infections.

Alpha fetoprotein (AFP)

An AFP blood test is a tumor marker test that checks the level of this protein in the blood stream.

CEA Carcino Embryonic Antigen

Carcinoembryonic antigen (CEA) is a protein typically found in very low levels in the bloodstream. The presence of CEA may be increased in certain types of cancer and non-cancerous (benign) conditions. A blood test is conducted if the physician thinks if the doctor suspects there is cancer present, to find out if cancer treatment is working or if cancer has returned post treatment.

CA 125

Is blood test used aa tumor marker test that checks the level of this protein in the blood stream. A CA 125 test may be used to monitor certain cancers during and after treatment.

CA 15.3

Cancer antigen 15-3 (CA 15-3) is a protein that is produced by normal breast cells. The levels of CA15.3 are increased in women who have breast cancer a blood test can detect this increase.

CA 19.9

Is blood test used aa tumor marker test that checks the level of this protein in the blood stream. A CA 19.9 test may be used to monitor certain cancers during and after treatment.

Beta-HCG, Free, Quantitative

Is a blood test that is used as a cancer marker.

 HPV

Human Hapillomavirus is a sexually transmitted disease that includes symptoms such as genital warts. HPV is tested by conducting a PAP test.

APO-A1

Is a test that measures the amount of apolipoprotein A is present in the blood. It helps the physician determine the risk of cardiovascular disease.

APO-B

Is a test used to measure levels of Apolipoprotein B in the blood stream which can help the physician determine the risk of cardiovascular disease.

APO B/A1 ratio

The ApoB/ApoA1 ratio test represents the balance between atherogenic and antiatherogenic lipoproteins.

Consultation with Eye Specialist (Ophthalmology)

Our eye specialists conduct the visual acuity test is conducted in two stages. During the first stage the vision is tested using corrective glasses or contact lenses, the second stage involves reading the alphabet board without the use of glasses or contact lenses. The corrected vision is more important since it measures the maximum visual acuity. Therefore, it is recommended to wear the glasses or contact lenses that you normally wear for the visual acuity test.

Intraocular tonometry test measures the pressure inside of eye, compressed air is blown on to the surface of eye using non-contact tonometer. If the pressure is high, the chance of glaucoma occurrence is also increased. If it is severely increased, the retest can be done with contact tonometer for more accurate measurement.

Consultation with Neurologist

During this consultation our specialist Neurologist will discuss your medical and family history, presence of any symptoms, any current concern you may have and any existing illness. Once this information has been established further tests may be required and treatment plan set in place.

Consultation with Endocrinologist

Our consultant Endocrinologist will perform a physical examination to look for visible evidence of your condition, such as swollen extremities, rashes, skin discoloration, and tenderness in certain areas. After the analysis the results will determine the diagnosis and treatment plan will be advised.

Vit-A, E, K, D2, D:

We use special blood tests to analyze your vitamin and nutritional status, and then prepare a high-quality, carefully controlled formula specifically tailored to your body’s needs. We don’t only give you the exact ingredients you need to help with your condition, but also the exact doses to be effective. We also find the best way for your body to absorb these formulas, whether orally or intravenously, to ensure you are getting exactly what you pay for an effective, tailored supplement to help you achieve optimal health.

Vit-B1, B2, B3, B5, B6, B7, B9, B12:

B vitamin tests are conducted to screen for and detect deficiencies, a blood sample is taken and analyzed. The results can show a low indication of vitamin B showing a deficiency, high vitamin B concentration may be associated with vitamin toxicity.

Anemia profile

Anemia is a deficiency of red blood cells and/or hemoglobin. The Anemia Profile is carried out by taking a CBC test.

Ferritin

This is a blood protein that contains iron. A ferritin test helps our physician understand how much iron your body stores. If the test shows your blood ferritin level are lower than normal, it indicates your body’s iron stores are also low and you may have iron deficiency.

Iron

Iron deficiency is a decrease in the levels of iron stored in the body, a blood test is conducted to determine the levels of iron being circulated in the body.

TIBC

A total iron binding capacity (TIBC) test is a type of blood test that determines if there is too much or too little iron in the bloodstream.

Urine culture

This is a test that detects bacteria in the urine. It can identify the germs that’s cause urinary tract infection (UTI).

Renal function

Also known as Kidney function test, initially a physical examination is conducted as well as blood and urine tests. An ultrasound scan and a kidney X-ray, or a CT scan, are then conducted should there be any problems found during the physical examination, blood and urine test.

Mammogram Bilateral

Breast-imaging services such as a mammogram screening are used to help doctors detect and diagnose breast cancer and are capable of identifying indication of cancer cells or other conditions such as cysts.

X-ray study over age 40

A digital mammogram uses a low-dose X-ray that passes through your breast tissue. It captures a high-resolution, high-contrast image of the inner structures of the breasts. These images can reveal potential tumors or abnormalities before they can even be felt.
Depending on your needs, our specialists might recommend either a screening or a diagnostic mammogram. These preventive tests look for changes in the breast tissue of women who do not show any abnormal signs or symptoms. Diagnostic mammograms give a more comprehensive x-ray of the breasts using specialized techniques.
These signs include lumps being felt during a physical exam, breast pain, nipple discharge, thickening of the skin on the breast, or changes in the size or shape of the breast. The technologist will take the breast X-rays from several angles, and the suspicious area will be magnified to assist in an accurate diagnosis. A diagnostic mammogram may show that an area that looked suspicious on a screening mammogram is normal, or it may lead to the doctor recommending further testing, such as a biopsy.

Ultrasound under age 40

Mammograms are not recommended for women under 40 years of age, due to their breast tissue being dense often resulting in less effective mammograms. However, mammograms may be recommended for younger women who have a family history of breast cancer and several other risk factors.

Family Physician or Internist

Our consultant shall review your medical questionnaire that we ask you to fill prior to your appointment that includes all your medical conditions, previous surgeries, previous medical tests, family history, emotional wellbeing, eating habits, sleep habits, energy pattern and all medications and food supplements you currently take. Upon completing the tests, a complete report shall be generated with a summary of the pertinent findings that shall be explained to you by our consultant. Our consultant may then make further recommendations to tailor the comprehensive tests based on your needs and your preferences.

Cardiologist

Our cardiologist shall review your questionnaire and shall usually conduct a cardiac echo test. Cardiac arrythmias, maximum heart rate achieved and time to recovery gives us a good indication of your cardiac function. The echocardiogram is radiation free. The cardiologist may recommend further testing if necessary.

Ear, Nose, Throat Specialist including laryngoscopy

Our ENT consultant shall review your sleep patterns and any history of allergies, dizziness or hearing trouble. He shall interpret for you your hearing exam (audiogram). He shall also perform a laryngoscopy without any discomfort using a pediatric scope to check your nose for allergies and your throat and vocal cords for any tumors.

Urologist

Our consultant urologist shall perform an ultrasound exam of your kidney, bladder and prostate looking for stones, tumors or other abnormalities. He shall conduct a digital exam of the prostate and a urinary flowmeter test to detect any abnormality in emptying your bladder well before the bladder wall is irreversibly thickened and damaged.

Lungs Specialist (Pulmonologist)

Novomed Specialized Clinics offers consultative, diagnostic and therapeutic services for pulmonary diseases, respiratory problems and sleep disorders in Dubai. As is the case with all of our services, our pulmonologist and sleep experts will work with you to customize a treatment plan to suit you and your lifestyle.

Gynecologist

Our specialized clinic provides gynecological consultations and medical interventions for women in all stages of life. We are leaders in women’s health issues, including fertility treatments and reproductive medicine, cervical and other gynecologic cancers, menopause and urogynecology.
Should you have any concerns or are experiencing symptoms that are unusual for your body this consultation will help you prevent, treat and cure medical problems related to gynecology.

Eye Specialist including Vision and Tonometry

Our eye specialists conduct the visual acuity test is conducted in two stages. During the first stage the vision is tested using corrective glasses or contact lenses, the second stage involves reading the alphabet board without the use of glasses or contact lenses. The corrected vision is more important since it measures the maximum visual acuity. Therefore, it is recommended to wear the glasses or contact lenses that you normally wear for the visual acuity test

Intraocular tonometry test measures the pressure inside of eye, compressed air is blown on to the surface of eye using non-contact tonometer. If the pressure is high, the chance of glaucoma occurrence is also increased. If it is severely increased, the retest can be done with contact tonometer for more accurate measurement.

Pediatrician

Our pediatricians in Dubai provide specialized primary care for your children, from infancy through adolescence. They work with you to keep your child healthy, monitor major developmental milestones, and treat any illnesses. The consultation involves a discussion into your parenting concerns and getting to know your parenting style and family dynamics, they will partner with you throughout your child’s development.
The physicians cover a wide range as disorder such as ADHD, prenatal visits for first-time parents, newborn & infant care and immunization, allergy and asthma conditions and diagnosis and treatment of acute and chronic illnesses
Our aim is to be your trusted partner in ensuring your children’s healthy development.

Dermatologist

An integral part of wellbeing in the new age of the ageing population is to look younger. When they look younger, they keep their jobs, their confidence and their credibility.

A recent article in the most respected medical journal (New England Journal of Medicine) proved that the most productive employees are in the age group 60-70, followed by the age group 50-60 followed by the age group 70-80. (link to article)

We shall check your moles in hard to inspect areas like your scalp or back for skin cancer, but you can also benefit from a consultation with our cosmetic dermatologist to reverse ageing without surgery especially in the face and neck. (link to our landing page- Novomed Aesthetic non-surgical solutions)

Dentist

Dental exam is to diagnose various oral and dental disease through inspection and percussion by a dentist with panoramic dental x-ray. It evaluates gum diseases, tooth decay, abrasions, damaged fillings, broke teeth, wisdom teeth abnormality, soft tissue diseases in the oral cavity or jaw joint disorders.

Dietitian

Our dietitian can offer personalized diet plans, weight monitoring and motivation. Our weight loss clinic will establish the appropriate number of calories you should consume, as well as the best proportion of proteins, complex carbs, and healthy fats.

We will review your lifestyle, diet and body composition (we have a body composition analysis (BCA) machine that measures the proportion and location of fat, muscle and water in your body). We will also discuss your weight loss and health goals.

After this, a personalized plan will be emailed to you within 24 hours. We will monitor you fortnightly initially, and then adapt this according to your progress and weight loss. During the consultation we will review your BCA results, and discuss any modifications that might be necessary.

Genetic Tests:

Conducted in USA- Sent via FedEx- Requires ten days for results- Much less expensive than what it cost in USA because we get a large discount for volume.

Pharmaco-genomic genetic testing

Medication side effects are the third leading cause of death in the USA after heart disease and cancer. Each person may react differently to their medications depending on their liver ability to clear the prescribed drug. Testing allows us to assess the likelihood that an individual will have normal, reduced or enhanced response to certain medications.

This test guides the physician to choose the best medication and the best dose that suits your body (personalized medicine). Better yet, you need to do this test once in your life time. Medicare in the USA recommends that your cardiologist conduct the test before placing you on blood thinners and has been paying for the test for ten years. It is equally helpful when choosing the right antidepressant or right pain killer to improve efficacy and reduce side effects. Insurance companies outside the USA are still not covering this test.

Genetic testing for weight management and nutrition

This test includes complimentary consultation and follow up with our dietitian and analyses 37 genetics markets involved in:

  • Metabolism and sensibility to carbohydrates
  • Type 2 diabetes predisposition
  • Lipid profile
  • Detoxification phase I and II
  • Oxidative stress and antioxidants requirements
  • Vitamin B metabolism, methylation and homocysteine,
  • cardiovascular risk and cognitive decline
  • Vitamin D metabolism and bone health
  • Nickel sensitivity
  • Salt sensitivity
  • Caffeine sensitivity
  • Sleep and Eating behavior
  • Lactose intolerance
  • Gluten intolerance
  • Alcohol sensitivity
  • Inflammation
  • Cardiometabolic health

Genetic testing for all 108 cancer genes

This hereditary cancer panel targets 108 genes and 281 SNPs that have been previously linked to a predisposition to common and rare forms of cancer such as leukemia, ovarian cancer, breast cancer, prostate cancer, pancreatic cancer, lung cancer and skin cancer. Checking for breast cancer genes like BRCA 1 and BRCA 2 frequently cost as much as this whole panel that include these two tests as well.

Genetic testing for all 174 cardiac genes

This panel targets 174 genes with known associations to 17 cardiac conditions including cardiomyopathy, arrhythmia or irregular heartbeats, hypercholesterolemia, hypertriglyceridemia, aortic artery disease and more.

Complete Genome including some 650,000 genetic variations or SNP’s

This genetic dossier will have 650 000 genetic variants equivalent to a whole genome sequencing. You can  get genetic information, your ancestral genetic info in addition to hundreds of thousands of genetic variants for all diseases such as cardiac, coronary, arrythmias, cancer, Alzheimer’s ulcerative colitis,

Telomerase Testing – The Aging Clock

The 194 telomeres in a human cell – 4 telomeres for each of the 46 chromosomes – add up to thousands of DNA bases. Telomeres get shorter each time a cell copies itself, but the important DNA stays intact. Eventually, telomeres get too short to do their job, causing our cells to age and stop functioning properly. Therefore, telomeres act as the aging clock in every cell. Measuring telomeres is very tricky and so is the interpretation. We use a leading institution at the University of San Francisco with a Nobel Price Laureate at the helm of the telomerase research lab.

Our unique Food Intolerance

This is the only test in the world that test for wine and alcohol intolerance in addition to other common intolerance like gluten sensitivity, lactose, shrimp, peanuts, strawberries etc.

Heavy Metal urinary screening after provocation.

We do not recommend this test as a routine. But if you have an unexplained chronic fatigue, autistic spectrum disorder or unexplained anemia, we do recommend this test. Once the offending heavy metal is identified we proceed to intravenous chelation which would also improve insulin resistance, diabetes and heart disease as per the 32 million Dollar TACT study conducted by the National Health Institute in the USA.

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