What is a Paramedical Examination?
A brief Paramedical Examination may be required as a routine part of your life or health insurance application. This exam may be done at your home or office, wherever is most convenient for you. Since most companies require a mild fast before your exam, you'll want to be watching what you eat prior to the exam. Mornings are usually the best time to schedule your exam.
A representative of our company, a certified phlebotomist, nurse or paramedic, will call you to set up your appointment. In order not to delay your application, you should set this appointment as soon as practical. When the nurse calls to schedule the exam, he or she will inform you as to what specific tests will be necessary. Sometimes a blood test is required...almost certainly, a urine sample will be required.
Our nurses are normally professional and prompt. (In the unlikely event you encounter someone who is unprofessional or misses the scheduled appointment, please notify us immediately at (205) 823-9648 or at email@example.com
The exam is usually brief, generally lasting approximately 15-30 minutes. In most cases no undressing required. However you may be asked to remove your shirt or blouse if an EKG is required. We do not allow male nurses to do EKG's on any female clients.
The rest of the exam will consist of a series of questions pertaining to your medical history and doctor visits, and taking your height, weight, pulse, and blood pressure.
What are they testing me for?
The insurance company may require lab work including a blood and urine sample. For the best lab results we suggest fasting a minimum of 4 hours prior to the appointment time and drinking a glass of water about an hour before as well. All that is needed are two small tubes of blood, roughly equivalent to 2 tablespoons. All insurance companies test for different things...below is a sample of what insurance companies may test for:
What can I do to prepare for my exam?
- Glucose or Hemoglobin A1C - measures blood sugar. If these are high, the possibility of diabetes may exist. If normal or low results occur, diabetes is unlikely.
- BUN and Creatinine - measures kidney function. If these tests are high, kidney disease may exists, or other causes are possible. If low or normal results occur, kidney disease is unlikely.
- SGOT, SGPT, LDH, and GGT - are indicators of liver function. If these are high, liver disease or inflammation may exist. If normal or low results occur, liver disease is unlikely.
- Total Protein, Albumin, and Globulin - measures protein in the blood. When these are high, there may be no medical problem, but when low, there can be a problem from a defective production or excess loss of protein from the body.
- Cholesterol and Triglycerides - are fats in the blood. Cholesterol is characterized by total cholesterol, HDL (“good” cholesterol), and (“bad” cholesterol), and their ratios. When LDL is high or HDL is low, there can be a risk of vascular disease.
- Serum HIV Antibody - non-reactive test results indicate no infection with the virus known to cause AIDS.
- PSA - is a measurement of prostrate activity. It can be high if there is enlargement, infection, or cancer of the prostrate. Another test is the CDT, which can be positive if there has been excessive alcohol intake.
- White Blood Cells, Red Blood Cells, Protein - measures kidney and bladder functions. If these are high, it may indicate kidney or bladder abnormalities such as urinary tract infection, inflammation, or disorder. Glucose - when found in urine and with elevations in blood sugar. Continine - a by-product of nicotine.
To save time and ensure the best possible results, here are some suggestions:
Click here for a printable Medical History and Medications information sheet
- Because blood pressure and pulse rates can be artificially stimulated, please try to relax for 15-30 minutes prior to the exam.
- Lower your salt intake. Sodium causes your body to hold fluid, which causes the blood pressure inside the arteries to be higher.
- Steer clear of caffeine for at least 30 minutes before taking your blood pressure. Sources to watch for are coffee, non-herbal tea, soda, chocolate, and some pain relievers (check label to be certain).
- Avoid alcoholic beverages for 1 to 3 days before your appointment. Alcohol constrict the blood vessels and cause blood pressure to rise.
- If a blood test is required, cut back or avoid fried fatty foods, dairy products, red meat, butter, margarine, ice cream, chicken skin and cream sauces for 1 to 3 days prior to the appointment and then be sure to fast 8 to 14 hours prior to the appointment.
- Eat plenty of fresh fruits and vegetables before your exam.
- Avoid vigorous, strenuous exercise for 8 hours prior to and 24 hours after your appointment to minimize bruising.
- If you take prescription drugs, be sure to take them, but inform the examiner of names and dosages.
- Consume water plentifully up to the time of your appointment to help with the urine specimen.
- You should have a valid form of photo I.D. available, such as a driver’s license.
- You will most likely be asked about your medical history. To save time before your examiner arrives, you should have your doctor’s names, addresses, and approximate dates and reasons for visits written down. The insurance company will be most interested in doctor visits and medications taken in the last 3 to 5 years. Having this information readily available when your examiner arrives will cut your exam time in half. It is highly recommended that you fill out the information sheet below PRIOR to your exam.
Generally, the examiner will call you the day prior to your appointment. If you are unable to keep your scheduled appointment, please call our office as soon as possible to reschedule it. Our number is (205) 823-9648 or you may e-mail us at firstname.lastname@example.org