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05/10/2004 07:31 7146397043 PULMONARY CONSULTANS PAGE 03 Page 2 Proposal for City of Sanut Ana Fie Dept. HazMat Medical )examinations t nttsnrehensive Blood Analysis: Includes a lipid (cholesterol) panel; biochemical profile; thyroid panel; complete blood count; coagulation time. Urinalysis: Self-explanatory Prostate S AlzLigeri FSA : To screen for possible prostate caner. Gri S� self-explanatory r'rade Treadmill Stress Test with Metabolics: Includes oximetry for oxygen saturation. The stress test is potentially diagnostic for heart disease. n Bruce Protocol is utilized. Metabolic testing reveals the inter -relationship of heart and lungs working in tandem. It also provides filncss uuasurements. The technician will spend time following the test to describe the individual's fitness, and explain the uptiunnal exercise heart rates to improve cardiovascular fitness and burn fat. Oximetry is performed while the individual is walking on the treadmill to monitor oxygenation at peak levels of exercige. Vision .Testing: The Titmus H Vision Tester is utilized. Far vision, near vision, binocular vision, !stereo depth, color vision, and vertical and lateral visiun are the different parameters tested. This testing is performed both with and without corrective lenses so uncuxrected and corrceted results are obtained. Ilodv Composition: The Body Comp Scale by American Weights and Measures is utilized. A 4 page print-out is produced which includes health risk assessment. Total body fat (*rcentage and weight); total body water (percentage and weight); fat -free mass; caloric needs are described. me Examination Results: Unless we receive a signed release from the individual we are ethically bound not to release information to anyone other than the individual. Therefore, all the results are scat to the individual's home, along with a summation of each test by the physician. If abnormal results which need to be expeditiously addressed are seen, a telephone call will be immediately placed to the individual for discussion. The department receives notification as to the individual's health and fitness as it relates to the performance of their duties as firefighters. Also each firefighter is encouraged to return to our office to discuss the results of the testing with the physician at no additional charge.