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Welcome to Troy Internal Medicine

Executive Health Services

Today’s highly competitive business environment has led to an

alarming increase in physical and mental stress within the workplace.

This is especially true for the corporate executive. Without question,

maintaining the health of the executive team is paramount to the

success of any company. For this reason, we’re proud to offer

Troy Internal Medicine Executive Health Services.

Developed specifically for the time-constrained executive, our

program features a comprehensive physical examination administered

with great efficiency. Our board-certified physicians utilize the

most recent advances in diagnostic medicine and applied

technology. Working in unison with a professional, highly qualified

support staff, they can render a profile capable of outlining an

executive’s current health status while identifying any potential

compromises to future health.

Our commitment to provide executives with the highest level

of health care is evidenced by our personal approach to evaluation.

We believe offering a private, stress free environment in which

the executive can express personal health concerns will prove

very beneficial for both the individual and his or her employer.

To learn more about Troy Internal Medicine Executive Health

Services, we encourage you to review the additional literature

provided as well as the enclosed CD-ROM.

The corporate executive is a unique individual with special talents.

We believe this type of person requires, and deserves, special

attention in regard to health evaluation. With this in mind, we

designed our Executive Health Services with a wide variety of

features and benefits. Highlights of the program include:

• Complete History and Physical Exam: The program begins

with a complete medical history conducted by a board-certified

internist. The executive expresses current concerns, lifestyle

concerns, past medical history, family history and symptoms.

A complete physical exam will follow. During this session we

encourage the executive to discuss executive/ job related

issues and other important issues including exercise, diet,

sleep quality, and family.

• Personal Attention: The executive will experience one-on-

one interaction throughout the entire procedure. Following

the physical exam, a physician will discuss initial results,

suggest lifestyle changes, and answer questions.

• Gender Specific Examinations for Women: In addition to

the standard program, women will receive gender specific

examinations. Testing will include clinical breast

examination, mammography, pap-smear, menopausal

hormonal screening*, and bone densitometry using state-

of-the-art DEXA assessment.*

• Summary Report: A full report including final results and

findings will be mailed to the executive within a week

after the physical.

• Expedited Service: In most cases, all testing is

conducted under one roof—in one day.

• Additional Testing: Testing and/or consultations as

needs are identified during the initial examination or

upon request.

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UNASOURCE

Troy Internal Medicine is affiliated with UnaSource Health—a

mini-complex that encompasses essentially every sub-specialty

in internal medicine. Services of UnaSource Health include a

wide range of outpatient surgeries as well as cosmetic surgeries

and procedures. Should an Executive Health Services patient

require follow-up care, he or she would have the option to see

a UnaSource Health specialist within the campus.

To learn more about Troy Internal Medicine Executive Health

Services, we encourage you to review the enclosed CD-ROM.

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PHYSICIANS

All physicians at Troy Internal Medicine are board certified and

are members of the staff at William Beaumont Hospital - Royal

Oak. The majority of our staff maintains local ties to the area,

having completed their medical school at Wayne State University

and the University of Michigan. Throughout their residency

training, many of our physicians have held significant positions

including Chief Resident. Additionally, our physicians hold

affiliations with several medical organizations including Michigan

State Medical Society, American Medical Association, and

American College of Physicians.

Recognized for their innovative style of comprehensive medical

care, our physicians have become leaders in the field of internal

medicine.

When planning your next trip, make plans for Unasource

Travel Health—the international traveler’s one-stop source

for information, immunizations, and consultation. Our

international health professionals will evaluate your individual

needs, prescribe and administer immunizations and medications,

and provide precautionary information for dietary and

recreational activities as they pertain to your destination.

With assistance from the Center for Disease Control,

UnaSource Travel Health will continuously provide up-to-

date vaccine therapy. Current vaccines available include:

Note: Medication therapy is often required 6-8 weeks

prior to traveling. Plan early in order to ensure proper

treatment.

• Hepatitis A

• Hepatitis B

• Influenza

• Japanese Encephalitis

• Measles-Mumps-Rubella

• Meningococcal

• Pneumococcal

• Poliomyelitis

• Rabies

• Tetanus/Diphtheria

• Twinrix

• Typhoid

• Yellow Fever

• Varicella (Chickenpox)

Unasource Travel HealthMedical Care for the

World Traveler

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ADDITIONAL IMMUNIZATIONSERVICES:

Students: Pre-entrance immunizations including

meningococcal—required by many colleges

WORKERS EXPOSED TOCERTAIN HAZARDS:

Exposure to blood-borne pathogens or ticks may require

Hepatitis B or Lyme vaccines Immigration and Naturalization:

A full line of vaccines required for Immigration and Naturalization

with appropriate documentation

ROUTINE AND PREVENTATIVEIMMUNIZATIONS:

Flu, Pneumococcal, Tetanus/Diphtheria, Varicella, MMR,

Tuberculosis skin testing and other immunizations are available

To learn more about Unasource Travel Health, please call

248-312-0030.

What to Expect On

Your First Visit

Soon the executive is escorted to the exam room, where an

internist will begin the medical history, followed by the physical

exam. A variety of tests and procedures are conducted including:

At the conclusion of the executive physical, the physician is

available to discuss initial results, suggest lifestyle changes, and

answer questions. A full report detailing final results and findings

will be mailed within a week.

• Complete blood count, urinalysis, and chemistry profile

• Prostatic Specific Antigen performed on men over 40

• Electrocardiogram to assess heart function

• Visual acuity and audiometry exam

• Hemoccult testing for unrecognized gastrointestinal bleeding from ulcers, polyps, and tumors, or other causes

• Review and update of immunizations

• Additional laboratory studies of cholesterol, metabolic coronary vascular risk factors

The average length of an office visit for the executive examination

ranges from 90 minutes to two hours. We strive to make the

experience as comfortable and convenient as possible. Although

the waiting time is brief, the executive waiting room offers a

calm and relaxing environment. Our guests can enjoy a variety

of beverages while viewing our flat screen television or reading

a magazine or newspaper. We also provide internet, phone,

and fax services.

When a physical is scheduled, we recommend fasting. No

food or drink (other than water, black coffee, or plain tea)

10-12 hours before blood is drawn. Morning medications

which do not need to be taken with food should be

taken as well.

(1) Examinations are performed between 7:30 a.m. –

11:00 a.m., Monday – Friday.

(2) To make an appointment, please call 248-312-0030

or visit ExecutiveHealth@TroyInternalMedicine.com

4550 Investment Drive, Suite 240,

Troy, Michigan 48098

Troy Internal Medicine Executive Health Services is

located in the UnaSource II building on the second

floor on the east end of the UnaSource campus.

(MAP)

PRE-EXAM INSTRUCTIONS

MAKING AN APPOINTMENT

DIRECTIONS

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Troy Internal Medicine

Executive Health Services

LABORATORY CHARGES FOR TESTS DONE:

• Basic executive blood panel which includes the following: Electrolytes,

BUN,Creatinine, AST, ALT, Alkaline Phosphatase, LDH, Albumin, Globulin,

UricAcid, Calcium, Phosphorous, HgA1c, TSH, CBC with Platelets,

Cholesterol Profile, Bilirubin, Glucose, Iron and TIBC. $220.00

• PSA (in men above age 40): $ 55.00

• Pap smear (for women) laboratory charges: $ 42.00

• Urinalysis: $ 8.00

X-RAY CHARGES:

• Mammogram (in women above age 40) $150.00

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BASIC CHARGE THAT INCLUDES THEFOLLOWING SERVICES:

• Premium office ambience with continental breakfast

• Scheduling, reminding and other needed communication

• Age and sex appropriate history and physical examination by the physician

• Collection of blood and urine specimens and basic processing of specimens

• Electrocardiogram with detailed interpretation

• Pulmonary function test with interpretation

• Screening visual acuity and audiometry exam

• Stool Hemoccult cards and their processing

• Detailed report and an extra copy of all findings mailed to the Executive

• Follow up call with the physician and lifestyle counseling as needed

• Chest x-ray (above age 40)

Total charges for the above: $575.00

OPTIONAL TESTS: (Per company policy only)

• DEXA bone mineral density: $210.00

• DEXA body fat analysis: $200.00

• Treadmill stress test: $210.00

• Rest echocardiogram: $900.00

• Carotid duplex Doppler: $400.00

• Coronary calcium scoring $300.00

• Virtual Colonoscopy (every 3-5 years after age 50) $650.00

• Stress echocardiogram with doppler: $815.00

• Premium executive blood panel which includes the following:

Homocysteine, HsCRP, Serum B12, Helicobacter Pylori IgG $150.00

• Ultrafast High Resolution CT Scan of chest: $500.00

EXAMINATION / PROCEDURE CHARGES:(Per company policy only)

• Eye examination by ophthalmologist: $100.00

• Hearing examination by certified audiologist $ 75.00

• Dietary/Nutritional consultation: $ 85.00

• Flexible Sigmoidoscopy: $200.00

Vaccines: $35.- 70.00

(Plus the costs of vaccine if not covered by insurance)

Interpreting Service Charges:

• Use of interpreting service: (1 hour minimum) $250.00per hour

We also offer many additional studies that can be customized

per your corporate requirements. Please contact us for your

specific requests.

It is to be understood that any of the above testing modalities

may reveal underlying disease status, which mandates further

evaluation. This should be done in consultation with the company

policies as many of these investigations may fall beyond the

scope of a customary executive physical examination. If the

executive does not have a personal physician, we can arrange

additional care with a Troy Internal Medicine physician.

Please note that rates are subject to change periodically due to

factors beyond our control.

Schedule of Fees

name date

address city

state zip phone (w) phone (h)

employer /occupation

sex: date of birth marital status:

PAST MEDICAL/ SURGICAL HISTORY:

DRUG ALLERGIES:

FAMILY HISTORY:

mother father

sister/brother grandparents

SOCIAL HISTORY:

smoker: packs per day # of years year quit

alcohol: average # of drinks per week sleep habits:

exercise: minutes per day days per week diet:

other questions you would like to discuss:

male female m s w d sep.

no yes

TROY INTERNAL MEDICINEX E C U T I V E H E A L T H S E R V I C E SE

CURRENT MEDICATIONS:

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Dear_________:

Thank you for your interest in the Troy Internal Medicine Executive Health Services.

Enclosed you will find the pre-visit form we ask you to complete prior to your visit. Please present itto the Medical Assistant upon your arrival.

Upon your return from the lab, please make yourself comfortable in our waiting area, where youwill find a juice bar, newspapers, internet access, and more.

If there is anything you need to make your visit more accomodating, please call prior to yourappointment to see if it can be arranged.

We hope you’ll find the experience with us convenient, comprehensive and pleasurable.

Sincerely,

X E C U T I V E H E A L T H S E R V I C E SE

TROY INTERNAL MEDICINE

248-312-0030 fax 248-312-00314550 Investment Drive, Suite 240 Troy, Michigan 48098