Personalized prevention programs

Personalized prevention programs for you and your family

Minimize the risk of disease through our personalized prevention programs.

Even if you feel well and think that it is not necessary to visit a doctor, there are various risks for your and your loved ones’ health. Your daily habits or family burden (for example, family members that suffer from diabetes, heart disease, cancer, etc.) play a key role to what health risks you face. That is why it is highly advisable to have regular check-ups, which are vital for the early diagnosis of every disease.

Our prevention programs include:

• Examinations by an experienced team of medical professionals

• Modern equipment that guarantees accurate results

• The results of the examinations are discussed with our specialists in detail

• An Interpreter provided for international patients

• An employee accompanying the patients throughout the process

After completing your screening, the results of all your examinations and tests will be discussed on site by a specialist doctor, who will give you details on a prevention program in order to maintain good health.

Advantages for you:

• Organizing examinations at a time that is convenient for you
• Individual approach and adaptation according to your personal needs and health status
• Personal assistant to take care of the overall organization
• Doctor engaged with your initial assessment of your condition and the final medical conclusion after the prophylaxis
• Separate area with comfortable living conditions, separate access and privacy

Ask your direct questions about our program on Viber (+359895/584 070).

Prevention packages for men:

UNIVERSAL PACKAGE MEN

Name of the service	Specialty
Examination by a specialist in Internal diseases – taking health history and intrusion	Internal diseases
Examination with Echo of the urogenital system	Urology
Examination by specialist cardiologist with EchoCG	Cardiology
Stress test with veloagrometer	Cardiology
Consultation with a specialist	Dietologist
Examination with ultrasound of abdominal organs	Gastroenterologist
X-ray of the chest (lung) - one projection	maging diagnostics
Full blood test with automatic differential counting; Sediment indicative; Lipid profile; Glucose; ASAT; ALAT; GGT; TSH; Creatinine; PSA Total; Occult heamorrhages; Chemical examination of urine with dry tests, complex 11 parameters	Clinical Laboratory

EXPANDED PACKAGE MEN 40 +

Name of the service	Specialty
Examination by a specialist in Internal diseases – taking health history and intrusion	Internal diseases
Examination with Echo of the urogenital system	Urology
Examination by specialist cardiologist with EchoCG	Cardiology
Stress test with veloagrometer	Cardiology
Examination with ultrasound of abdominal organs	Gastroenterologist
X-ray of the chest (lung) - one projection	Imaging diagnostics
Examination by a specialist pneumologist a functional breath test (FID)	Pulmonologist
Examination by a specialist with Echo Doppler	Neurology
Consultation with a specialist	Dietologist
Full blood count with automatic differential counting; Chemical examination of urine with dry tests, complex 11 parameters; Sediment indicative; Glucose; Lipid profile; Creatinine; ASAT; ALAT; GGT; Uric acid; TSH; PSA Total; Vitamin B12; Vitamin D; Total calcium; Magnesium (Mg); Occult hemorrhages.	Clinical Laboratory

Prevention packages for women:

UNIVERSAL PACKAGE WOMEN

Name of the service	Specialty
Examination by a specialist in Internal diseases – taking health history and intrusion	Internal diseases
Ultrasound examination of a small pelvis	Obstetrics and Gynecology
Cytological testing	Clinical Pathology
Examination by specialist cardiologist with EchoCG	Cardiology
Stress test with veloagrometer	Cardiology
Examination with ultrasound of abdominal organs	Gastroenterologist
Consultation with a specialist	Dietologist
Mammography	Imaging diagnostics
X-ray of the chest (lung) - one projection	Imaging diagnostics
Full blood test with automatic differential counting; Sediment indicative; Lipid profile; Glucose; ASAT; ALAT; GGT; TSH; Creatinine; PSA Total; Occult heamorrhages; Chemical examination of urine with dry tests, complex 11 parameters	Clinical Laboratory

EXPANDED PACKAGE WOMEN 40+

Name of the service	Specialty
Examination by a specialist in Internal diseases – taking health history and intrusion	Internal diseases
Ultrasound examination of a small pelvis	Obstetrics and Gynecology
Cytological testing	Clinical Pathology
Examination by specialist cardiologist with EchoCG	Cardiology
Stress test with veloagrometer	Cardiology
X-ray of the chest (lung) - one projection	Imaging diagnostics
Examination by a specialist pneumologist a functional breath test (FID)	Pulmonologist
Examination by a specialist with Echo Doppler	Neurology
Examination with ultrasound of abdominal organs	Gastroenterologist
Consultation with a specialist	Dietologist
Mammography	Imaging diagnostics
Clinical Laboratory	Full blood count with automatic differential counting; Chemical examination of urine with dry tests, complex 11 parameters; Sediment indicative; Glucose; Lipid profile; Creatinine; ASAT; ALAT; GGT; Uric acid; TSH; Vitamin B12; Vitamin D; Total calcium; Magnesium (Mg); Occult hemorrhages.

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GENERAL INSTRUCTIONS:

Please read the general instructions carefully before starting the program.

IF YOU HAVE DIABETES

If you are older than 21 year and you have diabetes, you take medications, shots or insulin, please read the instructions herein, and make sure you understand them before you start the program. These instructions are based on the common diabetic drug program similar to yours.

If you keep track of your blood sugar levels at home, please bring your glucometer, medications, and diabetes diary log when coming for your examinations/tests at Acibadem City Clinic. If you are further scheduled for blood tests in the morning, do not take your morning dose of drugs or shots prior to having your blood test drawn. After having the possibility to eat, you may continue your usual insulin therapy.

CARDIAC STRESS TEST

This test shall determine how well your heart is performing. Changes in blood pressure, heart rate and ECG as well as your physical capacity shall be monitored during the test. Your health consultant shall recommend this test if you have chest pain, fatigue, shortness of breath, high blood pressure, palpitations, risk factors for cardiovascular diseases, family history of certain diseases. This test shall be part of your cardiac examination. Therefore:
• You should not have any food intake one hour prior to the test
• If you take medications, do not stop unless your health consultant has advised the opposite
• Wear comfortable clothes and running shoes
• Do not apply any cream or lotion to your chest prior to the test since it may make your skin too oily for the device patches to stick to your skin

ECG (ELECTROCARDIOGRAPHY)

This is a test to help specialists define heart activity. Using an ECG, the heart electricity activity is transferred to and recorded on paper. Intake of certain medications may change the result of the test. Therefore it is important that you inform your physician of all medications you may be currently taking, no matter if purchased overthe-counter or with a prescription. Before the test, you should take off all neck and wrest jewelry. Should you have any questions related to your preparation for the examination, what the possible risks are and what the interpretation of the results is, please talk to your physician. There is no pain associated with this test. There are no risks either. The duration of this test is around 5-10 minutes

ECHOCARDIOGRAPHY

This is a primary method used in diagnosis of various structural and functional disorders of the heart – in cardiovascular diseases. No preliminary preparation on behalf of the patient prior to the ECG is necessary. It is conducted only in left half-side or left side position taken by the patient. The method is non-invasive and painless. There are no risks or complications described while conducting an ECG.

MAMMOGRAPHY

This is a technique used for years in diagnosing diseases of the mammary glands in both women and men. The digital mammography is an imaging method of low dose X-ray irradiation providing visualization of the breast tissue. This is the most common method in diagnosing breast diseases.
The method is considered the best option in early diagnosis of breast cancer and it shall be conducted for all women – even if they have no complaints or visible changes in their breasts. (IMPORTANT: All women of age 40+ must conduct this yearly prevention checkup and mammography.)
Screening mammographys are performed for asymptomatic patients or those who do not meet the approved criteria of mammographys. These criteria include, but are not limited to age (40+) and family history of breast cancer. Screening mammographys usually include images of both breasts; the number of images depends on the patient. The purpose of this type of testing is to detect breast cancer while too small to be even detected by the patient or her physician during a physical examination. Detection at an early stage of breast cancer – by the means of a screening mammography – significantly increases the chances for successful treatment of the disease.

COLONOSCOPY

This is a device-use examination of observation of the colon lining. Colonoscopy is recommended to be carried out in case of the following symptoms: abdominal pain of unclear origin, blood in the stools, diarrhea, alternation of constipation with diarrhea, previous polypectomy, unspecified diseases of the end segment of the colon
Prior to conducting a colonoscopy, the colon must be thoroughly cleaned: the patient is prescribed a special diet, intake of laxative medications, increasing intestinal motility. In addition, the patient must not take any food 10-12 hours prior to the examination.
Colonoscopy is performed under venous anesthesia (sedation); consulting an anesthesiologist in advance is compulsory Note: driving is not advisable 24 hours post procedure.
If you are a diabetic patient, please consult your physician. If you take anticoagulants (blood thinners), please specify and discuss their intake with your health consultant – whether it will be necessary to stop their intake prior to the procedure, and for how long.

SPIROMETRY (LUNG FUNCTION TEST)

This examination shows the functional capacity of the lungs and the processes of breathing in and out. It is explicitly recommended for the screening of risk patients such as smokers or people with professional diseases.

Prior to conducting the test, it is a must:
• to avoid alcohol intake at least 8 hours prior to the test
• to avoid smoking 12 hours prior to the test
• to avoid huge quantities and heavy food as well as intake of caffeinated drinks • Right before the examination, all tight clothes shall be removed if restricting breathing • Dentures shall be removed if if they restrict/interfere with the test • If a bronchodilator is used or inhaled medications are taken, the patient must consult a physician whether it is necessary to stop their intake • Please inform the physician if you recently have had a heart attack or surgery or if you are allergic to certain medications Functional pulmonary tests are generally safe for most people and rarely cause any complications.

ECHO-DOPPLER OF THE VASCULAR SYSTEM (ARTERIES AND VEINS)

This is an ultrasound examination of the blood vessels – a graphic and sound image of blood pulsations in the arteries and veins. Using this method, specialists can detect the level of occlusion of the vessels, as well as assess the risk of acute ischemia of one’s vital organs. Echo-Doppler is used in diagnosis and assessment of severity of various vascular diseases, among others: arterial thrombosis, arterial embolisms, aneurysms, varicose veins, venous thrombosis, thrombophlebitis, as well as the state of the extracranial and kidney blood vessels and the abdominal aorta. The method is used as diagnosis, screening and prevention of atherosclerosis in patients at risk.
The Echo-Doppler examination is completely safe and can be done as frequently as needed as needed and under the vascular surgeon’s discretion.

LABORATORY TESTS

Blood draw can be done either at the Hospital facility, or on site – at your working place.

Instructions when testing blood counts:

the test must be carried out in the morning (best if done between 07:30AM and 09:00AM), on an empty stomach, including no intake of coffee

Instructions when testing glucose (blood sugar):

the test must be carried out in the morning (best if done between 07:30AM and 09:00AM), on an empty stomach, including no intake of coffee, no intake of anti-diabetic medications or insulin.

Instructions when testing lipid profile:

the test must be carried out in the morning, on an empty stomach, after 12-hour fasting. In addition, 2-3 days prior to the examination the patient must intake food poor in fat. If the patient takes medication affecting fat metabolism, they need to be stopped for a period of two weeks prior to the test.

Instructions when testing thyroid hormones (TSH, FT4, TAT and MAT):

The test is conducted in the morning, before any intake of coffee and other caffeine-containing substances, as well as no medication intake before the blood draw.

Instructions when conducting a total (general) chemical testing as well as urine sediment test:

Middle portion of the first morning urine is to be tested – after a thorough local hygiene.

Instructions when testing tumor markers:

Tumor markers are substances produced by the human body in response to tumor growth or by the tumor tissue itself. Some tumor markers are specific for a certain neoplastic (cancerous) disease while others (the majority of tumor markers) can be observed at various neoplastic diseases as well as in numerous and various non-cancerous diseases. On their own, tumor markers cannot make a diagnosis of a neoplastic disease

Tumor markers can be used when: screening for neoplastic diseases, diagnosis of neoplastic diseases, staging a neoplastic disease, defining the prognosis of a neoplastic diseases, clarifying on the type of treatment, monitoring of treatment, defining relapse occurrence, etc.
СА 125 a cancer antigen, a protein found in increased quantities in the blood steam in conditions and diseases like: myoma, cancer of the uterus, ovaries and tubes, endometriosis, inflammatory pelvic diseases, cirrhosis;
СА 15-3 the tumor marker is tested during or after the treatment of breast cancer in order to define the response to or the effect of treatment;
СА 19-9 the tumor marker is increased by 70-95% in patients of advanced pancreatic cancer, but it can display increased levels in other diseases as well – such as colorectal cancer, lung cancer, gall bladder cancer, and obstruction (clogging) of the biliary tract, pancreatitis, cystic fibrosis and various liver diseases
CA 72-4 a tumor marker of carcinoma of the GI tract, mainly the stomach. PSA - Prostate-Specific Antigen (PSA) is a test that is mainly used in prostate cancer screening. An increase in blood levels of PSA sometimes occurs in inflammation and hypertrophy of the gland. The test is done by taking venous blood and no special preparation is required.

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