TEST

WHY NOT INCLUDED

General comprehensive physical examination

Not shown to be beneficial. Normally a waste of money. We do a limited physical examination (skin, mouth, breast), plus whatever is indicated because of symptoms and complaints.

Chest x-ray

No evidence annual or routine chest x-rays change the course of any disease. Being re-evaluated for lung cancer, but no evidence so far.

Electrocardiogram

Not useful for detecting coronary heart disease. We focus on coronary heart disease risk factors (blood pressure, cholesterol, weight, smoking). Can justify exercise cardiogram before starting an exercise program.

White blood cell count

Not useful in healthy persons.

Urinalysis

Only for pregnant women. Not helpful in people with no symptoms.

Chemical screen (blood tests for calcium, urea, liver function, etc

Not shown to make a difference in persons with no symptoms. Too many false positives.

Routine pelvic examination

We do PAP smears. Thus far, there is no evidence that a pelvic examination in a woman with no symptoms changes the course of any disease, including ovarian cancer.

Digital rectal examination

Not needed in asymptomatic persons. We screen for bowel cancer with other tests. Does not change course of prostate cancer.

Prostate blood test (PSA)

We will not include until there is clear evidence that the test saves lives or significantly prolongs good quality life. (The Healthful Life newsletter will have details on this).

Screening for overactive or underactive thyroid

Under consideration. The issue is how important value in a person with no symptoms.

Depression screening

See newsletters. Included in Healthful Life Program, not yet in Health Wellness Promotion Act.