Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.
Clinical history: Updating information on your chart or medical record is important. Some of the items you will likely be asked about include the following:
Dates and results of previous preventive procedures (such as prior immunizations, Pap tests, mammograms, cholesterol levels, and blood pressure readings)
A complete and updated family history of diseases: This will give your health care professional an idea about which diseases are common in your family.
Your past medical history,
including a review of all medications you take and previous surgeries
Information about your workplace and leisure and living conditions at home
Your habits such as recreational drug use, alcohol use, smoking, exercise, sexual practices, and seat belt use
Information about your normal body functions such as eating, sleeping, urination, bowel function, vision, and hearing
Physical examination and diagnostic tests
The number of physical examination maneuvers your doctor performs and tests that are ordered will vary depending on your gender, age, and information obtained from the clinical history.
The physical exam is most useful in identifying disease in people who already have symptoms, but it is often of little use as a screening test in people who have no complaints.
The U.S. Preventive Services Task Force has developed age-specific charts for periodic health screening for the general population, with special interventions for high-risk populations. See more detailed information in the next section.
Procedures no longer done routinely: Unless there is a specific reason for these tests to be done, the U.S. Preventive Services Task Force does not advocate routine testing of the following: