Firefighter Services

This service includes onsite delivery, detailed reports from both a Radiologist and a Cardiologist, and a consultation with a Nurse Practitioner if any positive results are found. We also offer follow-up care coordination for any abnormal findings.

Areas Examined:

• Heart (Echocardiogram)
• Carotid Arteries
• Aortic Aneurysm
• Thyroid
• Liver
• Spleen
• Kidneys
• Bladder
• Gallbladder
• Pelvic ultrasounds for women
• Testicular ultrasounds for men.

Hands-on Physical Examination

• Vital Signs: Head, neck, eyes, ears, nose and throat
• Cardiovascular: Inspection, auscultation, percussion and palpation
• Pulmonary: Inspection, auscultation, percussion and palpation
• Gastrointestinal: Inspection, auscultation, percussion and palpation
• Genitourinary: Hernia exam (see cancer screening)
• Lymph Nodes: The examination of organ systems must be supplemented with an evaluation of lymph nodes in the cervical, axillary and inguinal regions.
• Neurological: The neurologic exam for uniformed personnel must include a general mental status evaluation and general assessment of the major cranial/peripheral nerves (motor, sensory, reflexes).
• Musculoskeletal: Includes an overall assessment of range of motion (ROM) of all joints. Additionally, observation of the personnel performing certain standard office exercises or functions is helpful in assessing joint mobility and function.

Blood Analysis

The following are components of the blood analysis:

• White Blood Cell Count, Differential, Red Blood Cell Count (Hematocrit) and Platelet Count
• Liver Function Tests, which includes SGOT/AST, SGPT/ALT, LDH, Alkaline Phosphatase and Bilirubin
• C-Reactive Protein and Triglycerides
• Cholesterol, which includes APOB, Lp(a), Total Cholesterol, Low Density Lipoprotein (LDL-C) level, High Density Lipoprotein (HDL-C) level, and Total Cholesterol/ HDL Ratio
• Glucose, if over 120 then HbA1c
• Blood Urea Nitrogen, Creatinine, Sodium, Potassium, Carbon Dioxide, Total Protein, Albumin and Calcium
• APOE4-Alzheimer’s disease screening. 

Urinalysis

• Dipstick: Includes pH, Glucose, Ketones, Protein, Blood and Bilirubin
• Microscopic: Includes WBC, RBC, WBC Casts, RBC Casts and Crystals

Vision Tests

Assessment of vision must include evaluation of distance, near, peripheral and color vision. Evaluate for common visual disorders.

Pulmonary (Spirogram)

• Every year for smokers
• Every three years for nonsmoker

Chest X-Ray

Stress EKG* With VO2 Value Calculated

• Members 30-years-old and under will be tested on treadmills every third year.
• Those 30 to 39-years-old will be tested on treadmills every other year.
• Those 40 and older will be tested yearly.

* Abnormal Cardiac Follow-up — Electron Beam Tomography (EBT) 

Oncology Screening Elements

• Prostate Specific Antigen (PSA), fecal occult blood testing and skin exam
• Additional screenings based on need or at the request of the patient may also be provided during the base-line exam.
• Cancer Antigen 125 (CA-125)-Screens for Ovarian Cancer

Cancer Screening

• Testicular exam
• Clinical breast examination
• Pap smear

Immunizations And Infectious Disease Screening

• Tuberculosis Screen (Annual PPD)
• Hepatitis C Virus Screen
• Hepatitis B Virus Vaccine
• Tetanus/Diphtheria Vaccine (Booster)
• Measles, Mumps, Rubella Vaccine (MMR)
• Measles Vaccine, Mumps Vaccine
• Rubella Vaccine, Polio Vaccine, Hepatitis A Vaccine
• Varicella Vaccine, Influenza Vaccine
• HIV Screening (required to be offered)

Heavy Metal And Special Exposure Screening (As Needed)

Arsenic (urine), Mercury (urine), Lead (urine), Lead (blood), Aluminum, Antimony, Bismuth, Cadmium, Chromium, Copper, Nickel, Zinc – Organophosphates (RBC cholinesterase), Polychlorinated Biphenyls (blood)

1. A work history and medical history with special attention to skin, respiratory and gastrointestinal systems, and those nonspecific symptoms, such as headache, nausea, vomiting, dizziness, weakness or other central nervous system dysfunctions that may be associated with acute or chronic exposure to AN. 
2. A physical examination giving particular attention to the central nervous system, gastrointestinal system, respiratory system, skin and thyroid.
3. A 14″ x 17″ posteroanterior chest x-ray.
4. Further tests of the intestinal tract, including fecal occult blood screening and proctosigmoidoscopy, for all workers 40 years of age or older, and for any other affected employees for whom, in the opinion of the physician, such testing is appropriate.

This innovative blood-based test detects DNA markers associated with cancer and identifies the tissue of origin, demonstrating impressive results in detecting early-stage cancers, including those challenging to diagnose through conventional screening methods.

How Galleri Works

• Cell-Free DNA Methylation Analysis: The Galleri test employs next-generation sequencing to detect specific methylation patterns in cell-free DNA (cfDNA), indicating the presence of cancer. This advanced technique analyzes the natural process of methylation, which regulates gene expression and often exhibits abnormal patterns in cancer cells.
• High Specificity and Sensitivity: Galleri offers exceptional sensitivity for numerous cancer types while maintaining a low false-positive rate. Its ability to predict the tissue of origin aids in guiding follow-up testing and diagnosis, enhancing the overall efficiency of cancer detection.

Benefits of Choosing Galleri

1. Comprehensive Screening: Unlike traditional cancer screenings that target single cancer types, Galleri screens for over 50 different cancers in one test. This comprehensive approach provides a more thorough evaluation of an individual’s cancer risk.
2. Potential for Improved Outcomes: Early cancer detection is crucial for successful treatment and improved survival rates. Galleri’s ability to detect cancer at early stages plays a pivotal role in potentially saving lives by enabling timely interventions.
3. Seamless Integration: Our partnership allows for the seamless integration of the Galleri test with our existing diagnostic services, offering a comprehensive early detection solution that combines advanced blood-based screening with traditional imaging techniques.

By incorporating the Galleri test into our service offerings, we aim to provide our patients with cutting-edge cancer screening technology, potentially improving outcomes through early detection and targeted follow-up care.