Word: clinically
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Dates: during 1990-1999
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Which is why I am at the Cleveland Clinic Foundation. Today I will undergo an all-day physical examination designed to ferret out the body's early warning signs, nascent failings and pending catastrophes. Dozens of similar executive health programs have sprung up around the country, prompted by the proliferation of HMOs, which generally restrict physicals to bare-bones essentials, and by a rapidly aging population in need of greater care. The cost of these thorough examinations can run high--from $1,200 to $2,500--and is generally not reimbursable by insurance companies. Rather, employers often insist that their...
Like most of the middle-aged men and women being examined today, I appear entirely healthy on the outside. Yet, warns internist Dr. John Campbell, a staff member of the clinic's personal-health-management program, which administers the physical, "no one who comes through here is really healthy." That vague feeling of foreboding, that they will discover something seriously wrong with me, returns...
...After many vials of blood have been taken from my arm, I am dressed in my patient's uniform--white polo shirt sporting the Cleveland Clinic logo and loose blue trousers--and seated across a desk from Dr. Richard Lang, section head of preventive medicine at Cleveland Clinic and my internist for the day. With unexpected deliberation, given the harried pace of American medicine, he spends the next hour questioning me--work, family, stresses, satisfactions, diet, diseases, sex life--progressing from the general to the specific. The goal of his detective work is to elicit hints of any underlying conditions...
...have just discovered that my hearing is compromised, red spots are beginning to decorate my parched skin, and now Cindy Moore, the clinic's dietitian, informs my that my total cholesterol is too high. It has jumped to 222 from the previous year's 195. Cholesterol, the fatty substance crucial to cell functioning, contributes to atherosclerosis, a narrowing of the arteries, which is a major cause of heart disease. My level is not alarmingly high, but vascular disease is rampant among males in my family, resulting in generations of heart attack and stroke...
...largest purveyor of rapid detox is the Center for the Investigation and Treatment of Addiction, which pioneered the technique and opened its first clinic in Israel in 1993. It has since expanded and changed hands several times, franchising clinics in several countries and treating thousands of addicts--to a drumbeat of criticism. The British medical journal Lancet, for one, has blasted CITA for exploiting "the hopes and fears of opioid addicts and their families [and] for making exaggerated claims...