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.
W e l c o m e t o E x e c u t i v e H e a lt h S e r v i c e s
Welcome to Troy Internal Medicine Executive Health Services
he corporate executive is a unique individual with special talents.
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-onone 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 stateof-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.
T h e E x e c u t i v e H e a lt h S e r v i c e s A d v a n t a g e
We believe this type of person requires, and deserves, special
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.
UNASOURCE Troy Internal Medicine is affiliated with UnaSource Healthâ€”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.
Physicians / UnaSource
U n a s o u r c e T r a v e l H e a lt h – F o r G l o b a l T r a v e l e r s
Unasource Travel Health Medical Care for the World Traveler 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-todate vaccine therapy. Current vaccines available include: • Hepatitis A
• Hepatitis B
• Japanese Encephalitis
• Yellow Fever
• Varicella (Chickenpox)
Note: Medication therapy is often required 6-8 weeks prior to traveling. Plan early in order to ensure proper
ADDITIONAL IMMUNIZATION SERVICES: Students: Pre-entrance immunizations including meningococcal—required by many colleges
WORKERS EXPOSED TO CERTAIN 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 PREVENTATIVE IMMUNIZATIONS: 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.
Pr e -V i s i t I n f o r m at i o n / D i r e c t i o n s
What to Expect On Your First Visit 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
Soon the executive is escorted to the exam room, where an
the waiting time is brief, the executive waiting room offers a
internist will begin the medical history, followed by the physical
calm and relaxing environment. Our guests can enjoy a variety
exam. A variety of tests and procedures are conducted including:
of beverages while viewing our flat screen television or reading a magazine or newspaper. We also provide internet, phone,
• Complete blood count, urinalysis, and chemistry profile
and fax services.
• 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 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.
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.
MAKING AN APPOINTMENT (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
DIRECTIONS 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.
Schedule of Fees
Troy Internal Medicine Executive Health Services BASIC CHARGE THAT INCLUDES THE FOLLOWING 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:
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.
• PSA (in men above age 40):
• Pap smear (for women) laboratory charges:
X-RAY CHARGES: • Mammogram (in women above age 40)
Schedule of Fees
OPTIONAL TESTS: (Per company policy only) • DEXA bone mineral density:
• DEXA body fat analysis:
• Treadmill stress test:
• Rest echocardiogram:
• Carotid duplex Doppler:
• Coronary calcium scoring
• Virtual Colonoscopy (every 3-5 years after age 50)
• Stress echocardiogram with doppler:
• Premium executive blood panel which includes the following: Homocysteine, HsCRP, Serum B12, Helicobacter Pylori IgG • Ultrafast High Resolution CT Scan of chest:
EXAMINATION / PROCEDURE CHARGES: (Per company policy only) • Eye examination by ophthalmologist:
• Hearing examination by certified audiologist
• Dietary/Nutritional consultation:
• Flexible Sigmoidoscopy:
(Plus the costs of vaccine if not covered by insurance) Interpreting Service Charges: • Use of interpreting service: (1 hour minimum)
$250.00 per 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.
TROY INTERNAL MEDICINE
employer /occupation male female sex:
m s w d sep. marital status:
date of birth
PAST MEDICAL/ SURGICAL HISTORY:
SOCIAL HISTORY: no smoker:
yes packs per day
alcohol: average # of drinks per week exercise: minutes per
# of years sleep habits:
days per week
other questions you would like to discuss:
HEA LT H
S E RV IC E S
Date Name Address City, State, Zip 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 it to the Medical Assistant upon your arrival. Upon your return from the lab, please make yourself comfortable in our waiting area, where you will 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 your appointment to see if it can be arranged. We hope youâ€™ll find the experience with us convenient, comprehensive and pleasurable. Sincerely,
TROY INTERNAL MEDICINE 248-312-0030 fax 248-312-0031 4550 Investment Drive, Suite 240 Troy, Michigan 48098
TIM executive health brochure