Saturday 4 August 2018

What are the tests that should be in a complete health check up?

Main thing is have a regular health check up every year.
This will help you keep track of your health from the start.

This list covers your entire all the usual tests done in a master health checkup which covers most blood and urine test. Plus below are the extra tests I have compiled based on my experience:

This is like you have covered almost every disease.

FULL BODY SCAN

UPPER BODY SCAN – HEART, LUNGS, RIB AREA – see if any problems are there.

ABDOMEN SCAN - See if all organs are in good condition & no abnormalities.
As I said your blood, urine reports will be normal but tumuors, cancer will grow invisibly and not detected unless pain or symptoms start.

COMPLETE CANCER & TUMOUR TEST
No tumuour or cancer happens suddenly. In most cases it takes some time to develop in a health person. So I am including tests to check for any kind of TUMOURS OR CANCER at the start itself. Please include this as a part of your health check up.

So I have also listed body organs scan – to check if they are fine, any tumours, abnormalities etc. In health check we see our blood reports, scan reports and in some cases heart and other vital organs. However, most of us are healthy and suddenly they are diagnosed with tumours or cancers.

BONE TEST
Then Bones, some of them include but most of us miss the bone test.

BLOOD ELEMENTS PROFILE
Check for harmful chemicals on body like mercury, cobalt, lead due to pollution or accidental exposure etc.

EYE CHECK UP  Need not say much, just check up from the start itself. Don’t wait for power to increase or symptoms to start.
So the tests are:

• Complete Blood Picture with Platelet Count
• ESR
• Fasting Plasma Glucose - Sugar Test for Diabetes. Do this once in 6 months.
• Serum Bilirubin (Direct & Indirect)
• SGOT
• SGPT
• HbA1c
• Alkaline Phosphate
• Total Protein
• Blood Urea
• Albumin & Globulin Ratio
• Serum Creatinine
• Serum Uric Acid
• Hbs Ag
• Lipid Profile
• Blood Grouping with Rh Typing
• Complete Urine Examination
• Pap Smear (For women) – Vaginal/Cervical Cancer test.
• Mammography (For women) - breast cancer test.
• Prostratic Specific Antigen (For men) - Prostrate/Testicle Cancer
FOR HEART:
• ECG
• 2D Echo - Checks for blockage, cheaper and non invasive compared to Angiograph.
You can also go for CT Scan for Heart to test blockages.
I suggest also test for Heart Rate Variability, this is enough.
Blockages don’t always cause heart attack. It is heart rate variability.
But ECG and 2D Echo or CT Scan Heart or Heart Rate Variability is Mandatory.
Along with ECG another test is compulsory to know about heart condition.
I would recommend ECG, 2D Echo & Heart Rate Variability to check heart condition.

Tread Mill Test (TMT)
• T3,T4 & TSH – Thyroid
• Phadia Top Adult(Allergen mix)
• X-Ray of Chest - Upper Body scan to check how your lungs are, heart. Any holes in them etc.
• CT Brain - Check if any cancer or tumours starting. See it’s so simple. Check at the start itself.
• Ultrasound of Whole Abdomen - Scan your intestines, stomach, liver,kidney,pancreas. Check for any tumours, abnormalities etc.
• Blood Elements Profile - Check if there is any chemicals due to the food, pollution exposure.
These days you could take good care but what about pesticides, working in hazardous environment, frozen foods etc we have. .

• Routine Eye Check up - Need not say much, just check up from the start itself.
Don’t wait for power to increase or symptoms to start.

• Physician Consultation – Testing is only half the job done. Consult a doctor with these tests. Keep a track of your health. In two or three years, you will know the health of you and your dear ones like the back of your hand.

Keep the health test like a family vacation, once a year. Least we can do today, and why not use the technology you have.

Roughly you should not spend more 17k per person. You can customize the test but don’t miss out any parameters. It’s like if your Tread mill you can miss if your ECG and 2D Echo is fine.

But don’t miss on any of the tests. Try to negotiate the rates but yes, maximum it should not cross you 9,000 to 17,000 per Indian rupees year.

Try Vijaya Diagnostic Centre Vijaya Whole Body Checkup. This is the only centre where I got all the tests, except the Blood Elements profile. Roughly it came to 7200 rupees for Men and for Women 10,000 with Mammography for breast cancer as 2018 January. It should not cross 10,000 rupees per person Men or Women if you get everything at any diagnostic centre.

Including Blood Elements Profile test – I got it done outside from (Arogyam Diagnostic Centre) 1000 rupees extra. It is not available at Vijaya diagnostic Centre. You can tell the Centre to come and collect at home as well for this one test.

Like you can try at government aided hospitals or big government hospitals. Rates will be even lesser.

I don’t know if they will allow for outpatients. If Lab allows for outpatient tests, pay money for the tests.

They will give a surprise look and in some cases they won’t allow but you just have to say, anyway we pay, do the test. If any problem comes up in results we will see doctor.

But these diagnostic centre rates vary. So it’s upto but whatever, the end result is you save a lot of tension with regard to the health of your near and dear ones and there is no sudden surprises involved. Just takes two years of routine, later this task is nothing for you. Better than running to hospitals and doctors in end moment.

IN FACT EVERY COMPANY, GOVT, PRIVATE, SCHOOLS, COLLEGE, should have a health check up like this.

A Healthy Nation is a Wealthy Nation.

Imagine everyone in the country gets their health check up done like pulse polio campaign.

Only people who have done the test should be marked on their fingers like they do for elections.

And only people who have undergone tests should be allowed to come to school, college, work etc. This should be verified with the reports they bring.
Reports should be generated with a unique bar code and given to person only who has undergone the tests. It’s like the bar code will only be generated for person who has undergone all the tests. Each test, a bar code should be given.

Only if person gives it, the next round of test will happen and only then they will get final bar code.

Again biometric check must be there for tests are every stage or round. Biometric because, urine, blood samples should not be manipulated by local centres.

Finally, the barcode report should come out as acknowledgement for patient. The testing and reports should be done by a Central testing agency.

Only collection should happen in every place. Like SBI or Railways Exam. We go and write exam. No scope for malpractice. Result comes from another authority like TCS. The result can be published online as well. Like how Indian Railways exam is conducted by TCS. A system like this should be in place, so no centres at local level indulge in malpractice.

Onus must be on every school, college, university and respective government organizations.

In fact like credit score, aadhaar card, everyone should be issued a health score. This can be used by government, companies for further rewards, setting fitness benchmarks for jobs etc.
Some nominal amount can be charged and cost can be brought down as it’s done on a large scale.

4 comments:

  1. How much time will take Andhowmuchcostwillhshetopayfor. Manforwholebodycheckup

    ReplyDelete
  2. It should not take more than 2 hours if you have fixed the appointment.
    However, there will be lot of people who might come for check up so based on that, your time can vary.
    So choosing a lab near to your home actually helps.
    I would usually choose a sunday and go early in the morning like 7 AM. So i can come out by 9 AM.
    Or after 7 in the evening during weekdays. So i Can be out by 9 PM.
    Usually these times no one comes for checkup.
    See first is blood and urine test. In fact your blood and urine tests, will cover 70 percent of the check list.
    Hardly will take few mins.
    Then heart test - ECG, 2D Echo or CT scan & Stress TMT. Will take - 30 min.
    Then CT scan for brain - 10 min.
    Then again blood test after food - 2 min.
    Bone density test - 2 mins.
    X Ray Chest - 5 min
    Ultra sound scan for abdomen - 10 min.
    Eye Test - 10 min

    So the tests actually don't take time if you plan and speak to the diagnostic centre.
    Your heart test is what takes 15 - 20 min max, rest all the tests will not take more than 10 mins each.

    Also in most labs, each test is done by a different lab assistant, it will not take time.

    ReplyDelete
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