Health screening, basicly works for  early diagnosis of disease. If we detect a disease early, we may have an advantage in a spectrum of saving a life and treating it with minor intervention. This allows for less effort, lower cost, more comfort, and more effectiveness.

Many disease start silently or with mild symptoms. In order to define the disease and plan the life style regulations and the treatment, one needs to suspect the presence of the disease. Sometimes you can do it by yourself if you are familiar with the symptoms ( you may have your parents or siblings have the same symptoms) Sometimes no symptoms occur: we evaluate the risk and do the physical examination, so then we may have a suspicion about the disease. In general you need to be evaluated in a multitask aspect and we do it through the guidelines which USPTSF (United States Preventive Services Task Force) suggests.

You will probably have a chance to know that you are healthy, or you will have chance to  have the advantage of an early diagnosis.  You may save your life  or you may be blessed from the negative consequences of a clearly defined diabetes mellitus which may have already created the end organ damage. You can have advisory knowledge about your familial risks and check periods for those.

We have created the check list according to your risks related to your age and gender. These are the predictable risks. You may need an additional bunch of tests covering your individual, environmental and familial risks, and risks pertaining to your complaints and physical examination findings.

Screening covers only the diagnosis. After your screening, we define a proposal for solving your problem areas. We may treat some of or all of your problems, we may suggest further tests and refer to another specialist, we may offer to follow you depending on the problem you have. Sometimes we give advisory and create a link between the beauty and health.

Screening gives the possibility of early diagnosis and treatment. I have had many patients experienced the advantages of treatment of an early stage of cancer (thyroid, endometrium, prostate, colon, breast, stomach, ovary, and renal cell carcinoma) who are continuing to live healthy. Also I have numerous patients caught in the early stages of hypertension, diabetes, hyperlipidemia, and have treated with lifestyle changes or with small doses of drugs.

If everything is ok and you are healthy, you need to have a check up yearly starting with 35 years of age. Disease follow up differ from this as it may need to be controlled more often.

A family medicine specialist does the check up and organises the health needs in collaboration with the other specialities.

In Kent Hospital, we have a unique check up unit in which the process is fully structured. We have the sample withdrawal, ECG and the exercise ECG unit, ultrasonography ..The test packages which we created,  rely on the guidelines of USPSTF (United States Preventive Services task Force). (Some of the panel contents exceed the minimum suggestions of USPSTF. ) Also if you have a default test package which your insurance or company supplied, we contemplate it to coverage of all health risks and give you a chance to have a complete screening.
You only Schedule your appointment and come to the unit with 12-14 hours preliminary fast. All the other details are arranged in a comfortable environment in an evidence based manner.
Our motto is: There will come a time when people make their screening done yearly as the norm.

Gentest draws your genetic formula and your genetics-related disease risks using advanced medical, gene and information technologies to ensure maintenance of your health and wealth for a long time based on a personalized healthy life plan. Remember that hereditary diseases can be the weakest link of your genetic chain.
What is gentest?
We all have unique genetic features when we are born. Our skin color, height and many other characteristics vary. Although we have unique genetic features, some characteristics are influenced by genetic structure and environmental factors. For example, our eye color never changes, but a person with potential of being tall may not reach the genetically coded height, if Vitamin D and calcium are not taken suciently. Diseases may not only secondary to genetic factors, but they may also be triggered by combination of genetic and environmental factors.
Gentest is a screening test that is awarded “Best Medical Practice in Europe” and developed with high-cost R&D and long-run investigations and that is designed to prolong healthy longevity by preventing or delaying onset of diseases secondary to combination of genetic and environmental factors.
Your detailed history of lifestyle is processed together with your genetic details in the Gentest software and measures required to be taken to delay aging, prevent particular diseases, such as heart attack (myocardial infarction), stroke, diabetes mellitus, osteoporosis and lung, prostate, stomach, colon and breast cancers and to boost quality of life are reported.
Gentest gives personalized information beyond the literature or guidelines. For example, guideline says “colon cancer in first-degree family members requires starting colonoscopic screening ten years before onset age of the disease in the next generation”. In other words, for a person with a first-degree family member who was caught colon cancer at age of 48 years, colonoscopy screening should be started when the person is 38 years old. Well then, may colon cancer develop in this person, who is at high risk, before age of 38 years? Unfortunately, yes. The condition can be at precancerous polyp phase. If the patient presents to us at age of 28 years and Gentest demonstrates predisposition, colonoscopy may ensure early diagnosis or prevention against the disease. (US Multisociety task force on Colorectal cancers). If we have no information about predisposition, what we can recommend to the patient is a colonoscopy screen at age of 38. Moreover, gentest may show absence of predisposition and in this case, the patient does not need to bother with material and moral burdens of colonoscopy screen in the age range of 38 to 50 years (age of 50; Grade A recommendations made by United States Preventive Services Task Force (USPSTF) for colorectal cancer screening)

New trend of modern medicine is to avoid onset of a disease by eliminating inactive findings of the disease that may probably develop, rather than treating the disease. Prevention implies eliminating the onset or otherwise minimizing the damage by administering lower doses and modifying lifestyle to manage symptoms. This concept extends to preventing recurrence or minimizing damages of the previous event. (These are referred as primary, secondary and tertiary prevention in medical language).

Persons with mother and/or sisters who have been diagnosed with coronary artery disease or vascular stenosis or occlusion before the age of 55 years or with father, elder brother, brother and grandfather who have been diagnosed with same conditions before age of 50 years (first-degree family members with personal history notable for stent implantation, heart attack or bypass surgery or who have been diagnosed and followed up with medical treatment) may be at risk. Other risk factors are high blood cholesterol, hypertension, smoking, insülin resistance or diabetes mellitus, stressful life, obesity, sedentary life and age >50 years. International risk scales, such as SCORE and Framingham, are available to predict e¬ect of those risk factors on total risk of cardiovascular disease. After risk score is estimated, the prevention program corrects and monitors relevant factors. While primary prevention program is conducted cooperatively by Check-UP Unit and Cardiology clinic, secondary prevention (in other words, an approach used to prevent recurrence after occurrence of a cardiovascular event) is managed by Cardiology Clinic.
If your family history is notable for early-onset coronary artery disease and/or if you have some of risk factors mentioned above, you can protect yourself against coronary artery disease by having “Cardiologic Check-up” within scope of primary prevention program. Even if the condition is about to develop, you can manage it in a controlled manner. It is possible to protect your health.

Life coach is the person who lights the way for and supports you using techniques with proven e¬ect while you plan and realize your dreams. You can facilitate each modification area with a life coach. Sometimes, a modification focuses on correction of problems rather than dreams. When problematic areas are modified and corrected, you can progress faster in a healthy way.

ADLER coaching techniques are commonly used in healthy life program. The intent is to raise awareness. After awareness is achieved, life coach helps protecting mental, physical and emotional integrity of person and changing sense of self and perspective on life. Self-confidence is boosted and healthy life conditions are established by modifying the lifestyle.

Studying health screening programs approximately for 9 years, Demet Karadenizli, M.D., assesses persons regarding physical and mental diseases and focuses on problematic areas in the light of test results. If problem of the patient is already at disease phase, treatment is started or if it has not reached the disease phase, lifestyle modifications are recommended and Check-Up programs in Kent Hospital is modified.
Based on assessment of thousands of patients, problem areas are identified that have not been recognized by patients. In the light of those observations and assessments, your Check-Up program is supplemented by Life Coaching based on the view “a life coach is needed where a change is needed”

Coaching procedures performed in Check-Up Unit aim increasing awareness and off¬ering an opportunity to change based on this epiphany. Sometimes, it may take many years to realize the need to change.
In medical perspective, patients are assessed with a similar discipline. Problems or problematic areas are identified that are not recognized by the patient and means to solve them are offered.

If family history of hypercholesterolemic or hypertensive person is notable for family members with heart disease, the risk of heart disease is very high. Check-Up program informs the patient measures that should be taken to change the condition; sometimes, medications are started or lifestyle modifications are recommended.
From perspective of life coach, the patient is not directly o¬ered a solution, but light is shed on the way to the correct path.
Considering another example; for a person who wants to lose weight, one of the change areas can be self prioritization. If the patient prioritizes needs and requests of others, no time can be spared for exercise or the cake off¬ered by a friend cannot be refused. If the patient is not aware of this order of importance, weight loss process can be challenging or weight loss will be probably followed by weight gain.
Here, life coach training makes us know what should be changed and get a fellow traveler in this journey of change.
Life coach mirrors the patient in many areas of the life and if the patient accepts and consents to this role, coaching interviews are started for change areas identified.
Remember that you can sail to this change by sparing only 45 minutes per week.

If you want someone foresees and even solves your health problems before they develop, we invite you to the Check-up Unit of Kent Hospital in order to manage your health risks in a comfortable way. In our Check-Up Unit, a screening panel is established that takes into account “risks related to your age, gender, environmental conditions, your habits, your family history and complaints” with panels and modules. Since we intent personalized health risk assessment, the panel is completely specific for you. Panels are created with reference to updated versions of international guidelines. Since we add tests that address complaint, family history and physical examination findings, along with age- and gender-related standard risks, patients receive health screening with a personalized approach. A road map is drawn for problems identified and we cooperate with relevant departments to solve them.