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  1. 1. Carrollton-Farmers Branch ISD and City of Carrollton 2006 WELLNESS FAIR HEALTH SCREENING ORDER SHEET The 2006 Wellness Fair will be held on Friday, May 5th & Saturday, May 6th, 2006, from 7:00 a.m. until 11:00 a.m. The following health screenings will be offered this year. Descriptions of each screening are listed on the attached sheet to help you determine which screening you might be interested in having done. Please consult your personal physician if you have any additional questions. Test results will be mailed in approximately two weeks. All lab and EKG results will be mailed to you directly – you will need to provide a copy to your physician. Imaging results will be mailed to your primary care physician – if you do not indicate a primary care physician, results will go to the ORDERING PHYSICIAN FOR THE HEALTH FAIR. Please note – the hospital is providing the screening services – final interpretation of the results should be performed/verified by your physician. ***Please have your physician’s complete address available at your imaging tests*** Check below (√) the screenings that you wish to have completed and bring this page to the Benefits Department for pre-registration or take it with you to the Fair. Please have your cash or check ready at the time of registration. Make checks payable to C-FBISD. Charges for C-FB Employees & Dependents Health Screenings Employees & Dependents Not Covered Under C-FB Covered Under C-FB Medical Plans medical plans. CARDIO-PULMONARY DIAGNOSTIC SCREENING  EKG (Electrocardiogram) $ 5.00 $ 25.00  Asthma Spirometry (breathing test) $ 5.00 $ 25.00  Stress Test $ 75.00 $150.00 LABORATORY SCREENING  Complete Blood Count (CBC) $ 1.00 $ 5.00  Comprehensive Metabolic Panel $ 2.00 $ 10.00  Cardiac Risk / Cholesterol Profile $ 2.00 $ 10.00  Thyroid Profile / T3 Uptake $ 1.50 $ 7.50  Total Thyroxine or T4 $ 1.50 $ 7.50  Thyroid Hormone (TSH) $ 5.00 $ 25.00  Prostate Specific Antigen (PSA) Males only $ 5.00 $ 25.00  Homocysteine Level (cardiac test) $ 10.00 $ 50.00  C-Reactive Protein (cardiac test) $ 10.00 $ 50.00  Lipoprotein (a) $ 8.00 $ 40.00 IMAGING / TENETCARE EXAMS  Screening Mammogram $ 17.00 $ 85.00  Bone Density (Weight limit 350 lbs.) $ 13.00 $ 65.00  Cardiac Calcium Scoring $100.00 $200.00 Please see the following descriptions for information regarding each health screening and appointment scheduling. Vouchers can be purchased starting Monday, April 10th. Lab screenings are only available during the fair. For all other services, appointments are available through June 30th, but must be scheduled by June 16, 2006.
  2. 2. Sponsored by: CITY OF Carrollton & Carrollton-Farmers Branch ISD 2006 WELLNESS FAIR DESCRIPTIONS OF HEALTH SCREENINGS REMEMBER: You can start calling to schedule your appointments on April 10th. All appointments must be scheduled by June 16th, and completed by June 30, 2006. ~~~When you call, be sure to identify yourself as a Carrollton-Farmers Branch ISD employee with the City of Carrollton & Carrollton-Farmers Branch ISD Wellness Fair~~~ CARDIOPULMONARY DIAGNOSTIC SCREENINGS ~ These screenings require an appointment. For scheduling, please call the number indicated next to each test. EKG (Electrocardiogram) ($5.00/$25.00) ~ For ages 21 and up. Indications for an EKG: history of chest pain, major coronary risk factors, diabetes, hypertension, hyper-cholesterolemia, immediate family history of heart disease, recent heart attack, having surgery, and over 40 years of age. This test monitors electrical activity of the heart, which can be correlated with heart function. Asthma Spirometry ($5.00/$25.00) ~ A breathing test to measure lung capacity. This is used to diagnose asthma or Obstructive Pulmonary Disease. The patient blows very hard through a mouthpiece 3 times or until we get three tests that match within five percent. Treadmill Stress Test ($75.00/$150.00) ~ This test is completed under the supervision of a board certified cardiologist. The exercise stress test is the most widely used cardiac (heart) screening test. The patient exercises on a treadmill according to a standardized protocol, with progressive increases in the speed and elevation of the treadmill (typically changing at three-minute intervals). During exercise stress testing, the patient’s electrocardiogram (EKG), heart rate, heart rhythm, and blood pressure are continuously monitored. If a coronary arterial blockage results in decreased blood flow to a part of the heart during exercise, certain changes may be observed in the EKG (the electrocardiogram), as well as in the response of the heart rate and blood pressure. Only available by appointment at Trinity Medical Center by appointment. Please call 972-394-2490. LABORATORY SCREENINGS ~ For ages 10 and up. All lab screenings will be performed during the Fair only – No appointment is needed. These tests require that the patient NOT eat or drink anything (except water) after midnight the day prior to the test. All results will be sent directly to the patient – it is your responsibility to forward them to your physician for review and incorporation into your medical files. CBC ($1.00/$5.00) ~ The CBC (Complete Blood Count) is used as a broad screening test to check for such disorders as anemia, infection, fluid volume (dehydration), blood loss, and many other diseases. The CBC is a very common test that used to be ordered on every person during his or her yearly physical. While it is not run quite as frequently now, it is still used routinely to screen for, help diagnose, and to monitor a variety of conditions. Many patients will have baseline CBC tests to help determine their general health status. If they are healthy and they have cell populations that are within normal limits, then they may not require another CBC until their health status changes or until their doctor feels that it is necessary. Significant increases in WBCs may help confirm that an infection is present and suggest the need for further testing to identify its cause. Decreases in the number of RBCs (anemia) can be further evaluated by changes in size or shape of the RBCs to help determine if the cause might be decreased production, increased loss, or increased destruction of RBCs. A platelet count that is low or extremely high may confirm the cause of excessive bleeding or clotting. CMP ($2.00/$10.00) ~ The CMP (or comprehensive metabolic profile) is used as a broad screening tool to evaluate organ function and check for conditions such as diabetes, liver disease, and kidney disease. The CMP may also be ordered to monitor known conditions, such as hypertension, and to monitor patients taking specific medications for any kidney- or liver-related side effects.
  3. 3. Lipid/Cholesterol Profile ($2.00/$10.00) ~ The lipid profile (sometimes called a cardiac risk profile) is a group of tests that are often ordered together to determine risk of coronary heart disease. The tests that make up a lipid profile are tests that have been shown to be good indicators of whether someone is likely to have a heart attack or stroke caused by blockage of blood vessels (hardening of the arteries). The lipid profile includes total cholesterol, HDL- cholesterol (often called good cholesterol), LDL-cholesterol (often called bad cholesterol), and triglycerides. Recommendations are for healthy individuals with no other risks of heart disease to be screened for cholesterol and HDL every five years. You do not need to have a full lipid profile. However, if you have other risk factors or have had a high cholesterol in the past, you should be tested more regularly and you should have a full lipid profile. It is best to fast for 12 to 14 hours before having blood drawn for a lipid profile. T3 Uptake ($1.50/$7.50) ~ A T3 test helps to determine whether the thyroid is functioning properly. It is ordered primarily to help diagnose hyperthyroidism and may be ordered to help monitor the progress of a patient with a known thyroid disorder. The T3 test is usually ordered following an abnormal TSH and T4 test. Either the total T3 or the free T3 may be ordered. Since most of the T3 is bound to protein, the total T3 can be affected by protein levels and protein binding ability, but the free T3 is not. T3 testing may be ordered along with thyroid antibodies to help diagnose Graves’ disease, an autoimmune disorder that is the most common cause of hyperthyroidism. Total Thyroxine or T4 ($1.50/$7.50) ~ A total T4 test is primarily ordered in response to an abnormal TSH test result. Sometimes the T4 will be ordered along with a TSH to give the doctor a more complete evaluation of the adequacy of the thyroid hormone feedback system. These tests are usually ordered when a patient has symptoms of hyper- or hypothyroidism. Sometimes they are ordered as screening tests during routine blood testing, but there is not consensus on this use. In patients with known thyroid disorders, the TSH and sometimes T4 are ordered at intervals to monitor the effectiveness of treatment. In pregnant women with thyroid disorders, the doctor is likely to order thyroid testing early and late in the pregnancy and for a time period following delivery to monitor the mother and baby. Thyroid hormone screening is commonly performed on newborns in the United States as part of newborn screening programs. TSH ($5.00/$25.00) ~ The TSH (Thyroid Stimulating Hormone) test is often the test of choice for evaluating thyroid function and/or symptoms of hyper- or hypothyroidism. It is frequently ordered along with or preceeding a T4 test. Other thyroid tests that may be ordered along with it or following an abnormal TSH result include a T3 test and thyroid antibodies (if autoimmune-related thyroid disease is suspected). TSH testing is used to: • diagnose a thyroid disorder in a person with symptoms, • screen newborns for an underactive thyroid, • monitor thyroid replacement therapy in people with hypothyroidism • diagnose and monitor female infertility problems, • help evaluate the function of the pituitary gland (occasionally), and • screen adults for thyroid disorders as recommended by some organizations, such as the American Thyroid Association Prostate Specific Antigen or PSA ($5.00/$25.00) ~ PSA is used to screen asymptomatic and symptomatic men for prostate cancer, to help determine the necessity for a biopsy of the prostate, to monitor the effectiveness of treatment for prostate cancer, and to detect recurrence of prostate cancer. The PSA is often used in conjunction with a digital rectal exam (DRE) to screen for enlarged prostate or prostate cancer. Homocysteine ($10.00/$50.00) ~ Homocysteine is used to determine if you are at increased risk of a heart attack or stroke; to determine if you are folate-deficient or B12-deficient or to help diagnose a rare inherited disorder called homocystinurina. Recent studies have suggested that people who have elevated homocysteine levels have a much greater risk of heart attack or stroke than those with average levels. It appears to be a better test than cholesterol for predicting heart disease, stroke, and reduced blood flow to the hands and feet. Increased concentrations of homocysteine have been associated with an increased tendency to form inappropriate blood clots. When this happens it can lead to heart attack, strokes, and blood vessel blockages in any part of the body. Hs C-Reactive Protein ($10.00/$50.00) ~ Highly sensitive(hs)-CRP (sometimes called cardio-CRP) is most often used to help predict a healthy person's risk of cardiovascular disease. hs-CRP usually is ordered as one of several tests in a cardiovascular risk profile, often along with tests for cholesterol and triglycerides. It is used as a screening test for predicting a healthy person’s risk of heart attack or other heart conditions. A higher level of CRP is simply a sign of higher than normal inflammation. Because half of heart attacks and strokes happen in patients who do not have high levels of fat in their blood, measurement of CRP, along with a cardiac risk profile may help physicians identify patients who are at risk and may need medical treatment. Lipoprotein (a) ($8.00/$40.00) ~ Lp(a) is an independent risk factor for heart disease. Lp(a) is ordered, along with other lipid tests, to selectively screen for risk factors for coronary artery disease and cerebral vascular disease. Some doctors have started to order Lp(a) and several other emerging cardiac risk markers (such as Apo B, hs-CRP, Apo A, and Homocysteine levels) on patients who have a strong family history of premature coronary artery disease.
  4. 4. IMAGING SCREENINGS ~ For ALL APPOINTMENTS please call the Tenet Call Center at 972-394-1080. If you do not specify a primary care physician for reports to be sent to, they will be sent to Dr. Cynthia Stuart for review – she is your ordering physician for the health fair. Screening Mammogram ($17.00/$85.00) ~ Mammography is an x-ray that creates an image of the breast. The result is called a mammogram. The procedure usually consists of two views of each breast. According to the American Cancer Society Guidelines, women should begin mammography at the age of 40. The exam will take approximately fifteen minutes. You may schedule a screening mammogram with a family history of breast cancer (mother, father, sister, brother) at 10 years before the age your family member was when they were diagnosed. This year we are accepting women who have had a breast augmentation or breast reduction. You must schedule your appointment by June 16, 2006. Note: The screening mammogram is not appropriate for women who have previously been diagnosed with breast cancer. Bone Density ($13.00/$65.00) ~ Weight Limit 350 lbs. This test is an x-ray to determine the density of the bone in the spine and hips. These results will be sent to your physician or the health fair physician, and they will work with you to determine if follow-up is needed. You must schedule your appointment by June 16, 2006. Cardiac Calcium Scoring ($100.00/$200.00) ~ This is a screening CT imaging procedure used to help evaluate the potential for stroke and heart attack by measuring the amount of calcium in your coronary arteries. You will be asked to lie down on your back and will be scanned in a high-speed CT scanner. A special scan is taken of your heart during one breath hold, lasting about 20 seconds. The information obtained will then be subjected to a computer assisted analysis with special cardiac scoring software that measures the amount of calcium in your coronary arteries. PLEASE NOTE THAT Screening CT examinations of the Heart are not intended to take the place of your usual routine doctor’s evaluations, but rather to give you and your doctor additional information on which to base lifestyle change and treatment decisions. Cardiac Calcium Scoring will be available by appointment only at TenetCare, during regularly scheduled business hours, until June 30, 2006. Preparation: no caffeine or working out 4 hours prior to the exam. There is an age requirement of 21 years and up. Vouchers can be purchased starting Monday, April 10th. All appointments must be scheduled by June 16th and completed by June 30, 2006.
  5. 5. The following screenings and services will be available on Friday, May 5th and Saturday, May 6th from 7:00 am – 11:00 am on a first come first serve basis: • All lab or blood draws – You must fast – no food or drink after midnight the night before (water is permitted). • Blood Pressure – provided by Carrollton Fire Department •EKG’s •Asthma Spirometry •Screening Mammograms •Bone Density Ordering physician: Cynthia Stuart, D.O., P.A. Dr. Cynthia Stuart is Board Certified by the American Board of Family Medicine. She received her medical degree from The University of North Texas Health Science Center in Fort Worth and completed her specialty training at the UT Southwestern/Methodist Hospitals of Dallas program where she served as Chief Resident. Dr. Stuart and her family have . resided in the Carrollton area for over 14 years. Dr. Stuart’s practice is now accepting new patients and has same day appointments available. She provides Adult, Adolescent, Pediatric and Newborn care to her patients and offers Annual Physical Exams, School and Sports Physicals, Well Woman Exams/PAP Smears, Preventative Services and Minor Office-Based Surgeries. She also provides care to her patients who are hospitalized at Trinity Medical Center. Her office accepts most major insurance carriers, including PHCS, Cigna, Aetna, First Health, and Blue Cross/Blue Shield. For a complete list, please visit her website at www.doctorstuart.net. Cynthia Stuart, D.O., P.A. 4323 N. Josey Lane Plaza One, Suite 300 Carrollton, TX 75010 972-492-8272 www.doctorstuart.net If you have any questions please contact your Benefits Department
  6. 6. APPOINTMENT SCHEDULING CHEAT SHEET Service Scheduling Locations Locations Before and phone # during Fair After the Fair by Appt Only Screening 972-394-1080 (#3) Tenet Care (#2) Trinity West Mammogram By app’t or walk ins Mon - Fri welcome during the (#3) Tenet Care Fair Mon - Sat Calcium Scoring 972-394-1080 Not available (#3) TenetCare Mon - Fri (#1) Trinity Medical All Lab No Appt Needed Center Not Available South Lobby Collection Sites EKG 972-394-2490 (#1) Trinity Medical (#1) Trinity Medical Center Center Mon - Fri Cardiopulmonary South Lobby By app’t or walk ins welcome during the Fair Bone Density 972-394-1080 (#3) TenetCare (#3)TenetCare By app’t or walk ins Mon - Fri welcome during the Fair Stress Test 972-394-2490 Not Available (#1) Trinity Medical Center By app’t only Mon – Fri 7:00 – 8:30 am only & 12:00 – 1:00 pm only Spirometry 972-394-2490 (#1) Trinity Medical (#1) Trinity Medical Center Center Mon - Fri By app’t or walk ins welcome during the Fair
  7. 7. 4 1 Trinity Medical Center at Hebron & Josey will host the Wellness Fair on Friday, May 5 & Saturday, May 6 from 7:00 a.m.–11:00 a.m. Please call by June 16, 2006 to schedule appointments after fair dates (use the phone numbers listed on the prior page or below). # 1.Trinity Medical Center # 2. Trinity West 4343 N. Josey Lane 751 Hebron Parkway, Suite #110 Carrollton Lewisville 972-394-2490 972-394-1080 # 3. TenetCare 4525 N. Josey Lane Carrollton, TX 75010 972-394-1080 *Please note, the map above is not to scale.