Have a Health Screening once a year!

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1 Have a Health Screening once a year! It is everybody s wish to be healthy in body and mind. A full Japan Green Medical Centre Health Screening can support you in attaining this goal by comprehensively reviewing your physical condition as well as your lifestyle. Our assessments focus on the early detection, or avoidance of diseases or metabolic conditions that may occur. So even if you currently have no symptoms, a regular health screening may offer peace of mind by working to ensure your continued health and wellbeing in the long term. Conducted in a comfortable and stress-free environment by our experienced and effective staff, a variety of methods will be used to compile a clear and detailed picture of your health. A Japan Green Medical Centre Health Screening then enables you to take full control of your health for the future. We offer a wide range of health screenings and while each one caters for different needs, all are provided on the principle that early detection of illness can mean easier management of the problem and a more successful treatment. COMPACT Approximate duration (1-1.5H) The Compact course comprises of the basic tests required to be in accordance with the provisions of the Industrial Health and Safety Act. These tests include blood tests (liver and kidney function, diabetes, hyperlipidomia, anemia), urine and stool analysis, ECG, chest X-ray and consultation. STANDARD Approximate duration (1.5-2H) The Standard course includes all tests carried out in the Compact course plus a Barium Meal Gastrointestinal test, Hepatitis B tests. EXECUTIVE Approximate duration (2-2.5H) The Executive course includes testing relating to diseases associated with adulthood. For example if undertaken yearly it will facilitate early diagnosis of cancers. The Executive course also includes all tests in the Standard course in addition to Tumour Marker, Hepatitis C blood testing and abdominal ultrasound. PREMIUM Approximate duration (2.5-3H) In addition to the procedures available in the Executive course, the full Premium course comprises of the blood tests associated with Thyroid (Thyroxine) testing, full blood work and the option of either a carotid artery ultrasound or a Thyroid ultrasound. We are expecting to finish your course within half a day. However, the duration of each course will be affected by any optional course and when accompanied by small children. Child A Suitable for 6-18 years, this course includes visual acuity, ECG, urine and stool analysis. Child B Targeted at children from 2-5 years, this course comprises of body measurements and a physical examination. Baby For ages from 6 months to 1 year, the course also comprises of body measurements and a physical examination.

2 Adult courses PREMIUM EXECUTIVE STANDARD COMPACT Consultation Physical examination Measurement Height, Weight, Standard Weight, BMI Blood Pressure Diastolic pressure, Systolic blood pressure Urine Analysis ph, Urinal Sugar, Urinal Protein, Occult Blood etc. Microscopic sediment Stool Occult Blood Haematology White Blood Cell count (WBC) Red Blood Cell count (RBC) Haemoglobin Platelets Haematocrit MCV MCH MCHC Total Cholesterol Triglyceride HDL-Cholesterol LDL-Cholesterol BUN Creatinine Blood Chemistry Analysis Uric Acid Serum Iron Amylase Total Protein Albumin, Globulin A/G Sodium (Na), Potassium (K), Chlorine (CI) Blood Sugar Fasting Blood Sugar HbA1c GOT (AST) GPT (ALT) Liver Function g -GTP Analysis ALP LDH Total Bilirubin Hepatitis B surface Antigen (HBsAg) Hepatitis Hepatitis B surface Antigen (HBsAb) Hepatitis C Virus Antibody (HCV) Alpha feto protein (AFP, Liver cancer etc) Tumour Marker CEA (Gastrointestinal cancers etc) PSA (Prostate cancer) Male Male CA125 (Ovarian cancer etc) Female Female Thyroid Thyroid Hormone (FT3, FT4, TSH) Serology CRP ESR Hearing 1000Hz 4000Hz Visual Acuity Uncorrected visual acuity, Corrected visual acuity Eye examination Ocular fundus, Ocular pressure E.C.G. Electrocardiogram (Cardiac Function test) Ultrasound Liver, Gallbladder, Pancreas, Spleen, Kidney X-Ray Chest X-Ray Oesophagus, Stomach and Duodenum (Barium meal) Ultrasounds (others) Choose one from: Bilateral carotid artery ultrasound/ Thyroid ultrasound Metabolic Syndrome Score Based on special health screening test Report in Japanese and English s (Weekday) s (Weekend)

3 Optional Tests/Examinations (Adults General) Male AFP, CEA, PSA 75 Tumour-maker Female AFP, CEA, CA Serology Others CA Infectious disease testing Serological test (others) Hepatitis A Hepatitis A immunity (IgG) 30 Hepatitis B Hepatitis B Surface Antigen/Hepatitis B Surface Antibodies 90 Hepatitis C Hepatitis C Virus Antibodies 40 Syphilis TPHA (EIA), VDRL (RPR) 50 HIV HIV Antibody, P24 Antigen 40 Vitamin D Vitamin D (25-OH) 45 Rheumatoid arthritis Rheumatoid Factor 30 Thyroid hormone FT3, FT4, TSH 50 Blood type Blood type ABO-Rh blood group 35 Upper gastrointestinal tract - H.ylori Colon cancer screening Ultrasounds Physiological test H. Pylori Helicobacter Pylori Antibody (Blood) 40 Helicobacter Pylori Antigen (Faeces) 40 Upper gastrointestinal X-ray examination (Barium meal) Oesophagus, Stomach and Duodenum 140 Gastric cancer risk screening Pepsinogen I, Pepsinogen II, I/II ratio, Helicobacter Pylori Antibody 130 Occult Blood Faecal Occult Blood Test 30 Colon cancer screening (DNA) Noninvasive colon cancer screening test based on the latest advances in stool DNA science. * The kit will be sent you before the day of medical check-up. Domestic Shipment Only 385 Abdomen Liver, Gallbladder, Pancreas, Spleen, Kidney 200 Thyroid gland Thyroid gland 160 Carotid artery Bilateral carotid artery 160 ECG Electrocardiogram 50 Lung function Spirometer 80 Eye examination Eye examination Ocular fundus, Ocular pressure 80 Endoscopy Endoscopy Gastroscopy n.a. Colonoscopy n.a. MRI MRA MRI MRA Brain MRI 980 Brain MRI and MRA 1130 * Gastroscopy carried out by referral to the London Clinic or London Bridge Hospital. Prices available via contact by telephone ( ) or checkup@japangreen.co.uk. If circumstances require immediate remedial action be taken, at the Doctor s discretion, this may lead to fee increases. ** MRI carried out at 31 Old Broad Street (3 minutes walk from JGMC) Child courses Child A Child B Baby 6-18 yrs 2-5 yrs 6 mth - 1 yrs Consultation Physical examination Measurement Height, Weight, Standard Weight, BMI ph, Urinal Sugar, Urinal Protein, Urine Analysis Occult Blood etc. Microscopic sediment Stool Analysis Parasite Ova, Cysts, Bacterial Culture Visula Acuity Uncorrected visual acuity, Corrected visual acuity E.C.G. Electrocardiogram Report in Japanese / English s (Weekday) s (Weekend) Optional Tests/Examinations (Children) Stool Analysis Parasite Ova, Cysts, Bacterial Culture 20 Urine Analysis ph, Urinal Sugar, Urianl Protein, Occult Blood etc. 20 Blood Type ABO Rh blood group (over 6 years old) 35 Haematology WBC, RBC, Haemoglobin, Platelets, Hct, MCV MCH MCHC 50 Lipid Cholesterol total, HDL-cholesterol, LDL-cholesterol, Triglyceride 40 Visual Acuity (over 6 years old) 15 Hearing 1000Hz 4000Hz 15

4 Female Health Screening l Uterine and Cervical Cancer Screening Through early screening as a part of our recommended yearly check-up it is possible to identify gynaecological conditions and begin their treatment. If you would like to consult a female doctor please contact us in advance. Gynaecological Screening 1 Consultation, PAP Smear (Cytology Test) 60 Gynaecological Screening 2 Consultation, Transvaginal Ultrasound 140 Gynaecological Screening 1+2 Consultation, PAP Smear, Transvaginal Ultrasound 200 HPV DNA Cervical cancer risk factor 80 Can be carried out at Acton lady s clinic as well. Booking for any Female Health Screening course alone will incur a consultation charge of 80 and on Saturdays booking will incur an additional charge of 50. l Breast Cancer Screening Breast cancer can strike as early as your 20s, although the risk peaks between the ages 40 and 50. Early and regular yearly screening facilitates detection which greatly increases the chances for successful treatment. Breast Cancer Screening 1 Breast Ultrasound 100 Breast Cancer Screening 2 *Mammogram digital (over 40) 210 Breast Cancer Screening 1+2 Breast Ultrasound, *Mammogram digital 280 Please only request if over 40 and you haven't had a mammogram in the preceding year. * Mammogram will be arranged with another medical institution located 3 minutes from the City clinic. Dental Check-up Dental Check-up Visual inspection of facial distortion due to dental problems, lumph glands or jaw (mandibular) joint. Oral soft tissue check. Tongue condition check. Gum disease, Cavities, Chipped teeth, Lost filling or crown, Mismatched bridge, Infection. Bite-wing X-Ray Tooth condition x-ray, e.g. cavity depth Inter-tooth condition, presence of cavities under fillings. (Does not show the root of teeth) Descaling Patients with a high risk of gum disease or significant tartar buildup may need multiple visits. l s and Prices A B C Check-up and Exam only 55 A + Scaling 145 Exam + Bite-wing X-Ray + Scaling 175 Scaling Scaling only 90 Dental check-ups are carried out at the Keith Cohen Dental Clinic. Keith Cohen Dental Clinic City Branch (1 minute walk from Japan Green Medical Centre) Address : 8 Angel Court, Copthall Avenue, London EC2R 7HP Telephone : Mayfair (Nearest station: Oxford Circus/Bond Street) Address : 23 Harley Street, London W1G 9QN Telephone :

5 How to Book Booking by Telephone, FAX or Pre-booking available by phone. Confirmation of pre-booking is completed when a booking form is received. Contact will be made with you once this has been received and checked. Important information Fasting When requested, please complete fasting as specified so that test results are accurate. Morning Medical Check-up For patients undertaking the Barium meal Abdominal ultrasound (Premium, Executive or Standard courses) Fasting is to take place from midnight of the night before the testing day. For patients not undertaking the Barium meal Abdominal ultrasound (Compact course) Please do not eat on the day of the check-up. However, water can be imbibed. Afternoon Medical Check-up For patients undertaking the Barium meal (Premium, Executive or Standard courses) Fasting is to take place from midnight of the night before the testing day. Children and Pregnant Women: No fasting is reqired. For patients not undertaking the Barium meal (Compact course) Please do not eat lunch on the day of the check-up. However, breakfast (before 9am) can be consumed. Other Pregnant women cannot undergo X-rays. Women currently menstruating will see effects of this on urinalysis testing. We advise you to avoid booking your health screening on likely menstruation dates. Patients with pre-existing metabolic or urinary conditions (hyperlipidmia, diabetes) should undertake fasting with care, in discussion with their GP. Please remember to bring the following, if requested Patient ID If you have been to our clinic before please bring your patient ID with you. Mammography If you have retained the resultant film/cd from a previous mammography, please bring it with you to the clinic. Stool Sample Please collect sample not more than 72 hours before medical check-up date. Sample bottles can be collected from the clinic. Menstruating women should wait until after menstruation is complete before collecting the stool sample. Maternity passbook If you are undertaking the Baby course then please bring your passbook with you. Medical status forms If specific checks are being carried out for entry on a form (visa, employer, educational institution) please provide the form by before booking and then bring it on the day.

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