physical exams

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The most successful preventive health care depends on annual physical exams that identify medical problems before they become serious. David “Dr. Dave” Larson at SourceMD: Integrated Wellness Solutions provides concierge medical care that includes extended physical exams, special exams like sports physicals, and executive physical exams designed to meet the needs of busy professionals. To schedule your physical exam, call the office in Encinitas, California, or book an appointment online.

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What should I expect from a physical exam?

There are numerous types of physical exams designed to accomplish different goals. Some physical exams, like a pre-employment physical or a sports physical, follow specific protocols and evaluate aspects of your health that a typical yearly exam may not include.

All types of physical exams, however, include the basics, like your vital signs, a review of your medical history, and a discussion about the medications you take. Cancer screening, immunizations, and issues like the quality of your sleep and stress levels are also important.

Otherwise, Dr. Larson at SourceMD: Integrated Wellness Solutions always customizes your physical exam to meet your health needs.

What makes a concierge physical exam different?

SourceMD: Integrated Wellness Solutions offers concierge care, which means you pay a set fee in return for specific services. When you receive concierge care, Dr. Larson devotes more time to your annual exam than what you’d normally expect from a routine physical.

He takes extra time to talk with you, learn about your concerns, and answer your questions. He also focuses on detecting the health and lifestyle factors that increase your risk for chronic diseases, including your diet, nutrition, exercise, stress, and mental health.

All concierge membership plans include the full comprehensive executive physical (as described above) each year. They also include an updated wellness summary action plan after each visit, constantly updating your wellness roadmap with the latest data.

In addition to a comprehensive physical examination, the team at SourceMD: Integrated Wellness Solutions offers services like:

• In-office ultrasound screenings
• Pulmonary function testing
• Remote blood pressure and EKG monitoring
• Heart rate variability testing
• Screening for chronic disease

You can also count on learning the practical steps you can take to improve any lifestyle problems identified during your exam. Whenever possible, you’ll use new technological tools to make wellness medicine more collaborative and precise.

Whether you need help with a relationship, need to reduce stress, or start a fitness regimen, Dr. Larson can help.

What is an executive physical exam?

Executives spend long days under intense stress, which means their health is at risk, and they don’t have time to get a comprehensive physical and health care screenings from several specialists.

To protect the health of their executives, companies can contract with Dr. Larson to provide executive physicals.

An executive physical exam is an intensive exam that’s conveniently arranged around your work schedule and personalized for your health needs.

Executive physicals are also quite extensive so that multiple assessments of your health are measured at one time. During your 3-4 hour annual executive physical exam at SourceMD: Integrated Wellness Solutions you will receive specialized testing such as:

Precise measurement of your hearing at all ranges using pure tone audiometry.

• Pulmonary function testing to evaluate for any early signs of lung damage from smoking or other toxic exposures in your past.
• Visual acuity testing
• Body composition testing by 3D analysis including very accurate and precise measurements of body fat percentage, resting metabolic rate, waist circumference, and more.
• Electrocardiogram to evaluate for heart health and detect any arrhythmias.
• Physician performed bedside ultrasound screenings to evaluate for

• Thyroid diseases such as cancer and cysts
• Carotid artery plaque (a risk factor for stroke which can be reversed and prevented)
• Abdominal aorta aneurysm screening (a deadly disease that can be managed safely if detected but rapidly deadly at the time patients develop symptoms)
• Liver and Gallbladder disease
• Vascular health -screening for atherosclerosis, which is the most common root cause of heart disease, stroke, and chronic kidney disease.

• Remote blood pressure and EKG testing personally monitored by Dr. Larson
• Heart rate variability testing to evaluate your ability to cope with stress and relax on demand.
• Dermoscopy testing of moles to help prioritize which moles need to be biopsied to check for skin cancer.
• Evaluation of gait and posture.
• Evaluation of flat feet and need for orthotic shoe inserts.

After your visit, comprehensive labs will be ordered targeted to your unique health history such as:

• Genetic testing for clotting disorders, Alzheimer’s disease risk, how you respond to different medications (pharmacogenetics), and MTHFR genotype variations.
• Advanced cholesterol testing including cholesterol synthesis and absorption, Lipoprotein analysis by NMR, Lipoprotein(a), Apolipoprotein A & B, and markers of vascular inflammation such as myeloperoxidase and LpPLA2.
• Advanced micronutrient testing including testing for Vitamin D, Magnesium, homocysteine, B12, folic acid, omega 3 fatty acids.
• Comprehensive hormonal evaluation testing for sex hormones, adrenal hormones, pituitary hormones relevant to your health history.
• Advanced metabolic testing for early detection of diabetes and insulin resistance, Leptin (hunger hormone) testing, and risk factors for difficulty losing weight.
• Assessment of inflammation, both in general in your body and specifically in your blood vessels.
• Testing for infectious diseases.
• Testing for immunity from prior immunizations to guide the need for new or updated vaccinations.
• Testing for toxins such as mercury and other heavy metals.
• Additional functional medicine testing (see the section on Functional Medicine) if indicated.

Dr. Larson will use the information collected during your exam and laboratory testing and read over all of your medical records and provide you with a written Wellness Summary report, which he will review with you one on one about 2 weeks after your exam. This is your personalized road-map for wellness going forward

When you need a physical exam, call Source MD: Integrated Wellness Solutions, or book an appointment online.

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