GUIDE TO APPLICANTS GOING TO UNDERGO MEDICAL EXAMINATION (PLEASE EXCUSE FOR SUCH A LONG POST)
All applicants seeking permanent residence in Canada, and certain applicants applying for temporary residence, are required to complete an immigration medical examination.
Conducting an Immigration Medical Examination.
In conducting a Canadian immigration medical examination, the DMP performing the examination will undertake the some important following activities.
• Provide a routine appointment for Canadian IMEs
• Verify that the person presenting for examination is the person pictured in Medical Report and ensure that the applicant, or parent/guardian, completes and signs Medical Report
• Carefully review and provide details on the applicant's responses to the questions regarding functional inquiry in Medical Report: Section B (IMM 5419).
• Perform a comprehensive physical and mental examination.
• Provide appropriate age-defined laboratory investigations /Laboratory Requisition
a. urinalysis (protein, glucose and blood by dipstick—if blood positive, then microscopic report required) for applicants five years and over;
b. serological test for syphilis for applicants 15 years and over.
• HIV testing for applicants 15 years of age and over, as well as for those children who have received blood or blood products, have a known HIV-positive mother, or have an identified risk. An ELISA HIV screening test should be done forHIV 1 ,2
• Serum creatinine if the applicant has hypertension (resting blood pressure greater than 140/90 mm Hg), a history of treated hypertension, diabetes, autoimmune disorder, persistent proteinuria, or kidney disorder.
Provide an adequately labeled postero-anterior chest x-ray film for applicants 11 years and older, and for those under 11 years of age if there is any relevant history or clinical.
• Have the radiologist complete the Chest X-ray Interpretation, the Record of Special Findings Noted.Unless otherwise advised, ensure that the radiologist provides the labeled image of the chest x-ray either on CD (in an envelope, not a jewel case) or film.
• Ensure that the radiologist provides sufficient detail in the examination report to substantiate a definitive diagnosis or a requirement for additional investigation.
• Complete a summary of abnormalities and provide an opinion as to prognosis in the summary blocks of Medical Report: Section A (IMM 1017) and Section C (IMM 5419) for each applicant based on the history, mental/physical examination and diagnostic tests.
• Collate the completed Medical Report forms (in order) with laboratory reports and chest x-ray(s), and then arrange for the direct and timely transmission of these documents, by mail or courier, to the RMO
Additional/Supplementary Tests
• Provide or arrange for the provision of such supplementary reports or diagnostic tests as may be requested or required by standing instructions issued by a CIC medical officer. These supplementary reports and/or diagnostic tests should be sent directly from the laboratory or consultant to the DMP for collation and transmission to the RMO.
• Personally conduct all clinical activities with respect to the medical examination of the applicant. When further medical reports are requested by a medical officer, these reports must be provided by a specialist of the DMP's choosing. Reports provided by a physician of the applicant's choosing are not acceptable, although the applicant's previous medical records can be provided in addition to the currently requested report.
o Specialists or consultants preparing additional reports requested as part of the IME should be advised that their reports should be objective, detailed and limited to the question posed. They should not include comments about their impressions regarding suitability for immigration or fitness for travel.
o These reports should be complete and contain a thorough clinical review, discussion and interpretation of clinical findings. Prognostic determination should be based on the anticipated clinical course and likely need for intervention or treatment (medical and/or surgical) over the following several (five) years.
o It is the DMP's responsibility to select specialists and consultants who are able and willing to provide complete reports.
Medical Exam Tips
Some simple Medical Exam Tips to help you get the best results
(Note. Consult your doctor before following the tips)
Be in reasonably good physical condition. If you have high blood pressure, diabetes or high cholesterol or if you are required to undergo for a surgery let these things fixed and under control prior to exam.
Be prepared to answer all questions honestly to the best of your knowledge. Honesty is both asked for and appreciated
Don't drink any alcohol at least 72 hours before the exam.
Practice a healthy diet the week prior to your medical exam. Minimize the use of salt and avoid excess fatty, greasy, heavy or generally unhealthy foods before the exam
Limit intake of caffeine ,black tea.
Avoid to use pain killers unnecessary.(ask your doctor)
Avoid strenuous activities including jogging, weight lifting or swimming.
Do not smoke or chew tobacco.
Get a good night's sleep.
Consider scheduling your exam in the morning, preferably upon waking, your body is most relaxed in the morning.
Be at DMP office about 30 minutes early
Make sure that you are clean and well-groomed for the physical exam. It can make it more difficult for a doctor to accurately check you out if you are much less than clean. For example, the condition of your fingernails can tell a doctor something about your bone health, but it can be hard to tell if your nails are mistreated and dirty
Spend a few days before your exam as stress-free as possible. Try to take it easy and to relax.. Take the time while waiting at the doctor's office to calm yourself and distress. Take a few deep breaths, chew gum, read, anything to help you relax. You're likely to have a blood pressure and heart rate that is closer to normal.
Functional inquiry guidance(IMM 5419 – Section B)
1) OPERATION OR HOSPITAL TREATMENT
When the applicant has had an operation or hospital treatment, the details from the applicant should include the date and reason for the admission and/or the operative procedure that was done and pathology reports if available.
If the applicant is NOT excessive demand exempt, the discharge summary and any pathology report from admissions for serious illnesses within the last 5 years should be included if available. For all neoclassic disease treated within the past five (5) years, the relevant operative and pathology reports, with a current specialist's report, are always required.
2)CONVULSIONS, BLACKOUTS, OR EPILEPSY
With a history of convulsions, blackouts, or epilepsy, the details from the applicant should include the type of disorder, the age of onset, any precipitating factors, current drugs taken, and the frequency of attacks, severity and squeal
3)ANXIETY, DEPRESSION, OR NERVOUS PROBLEMS
With a history of mental illness, which might include depression, psychosis, schizophrenia, eating disorders, or drug and alcohol abuse, the details should include the specific diagnosis, with details of the type and duration of treatment
any history of non-compliance with treatment or of relapses, and an assessment of potential for self-harm or harm to other
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4)CARDIOVASCULAR & RESPIRATORY DISEASE
If there is a history of hypertension, the details obtained from the applicant should include date of diagnosis, current treatment, and whether there is, or there is not,any history of renal, cardiovascular or cerebrovascular disease.
If there is a history of ischemic heart disease, the details obtained from the applicant should include date of diagnosis, current treatment, the frequency of angina, and the activities that provoke angina. If there is a history of congestive heart failure, the details obtained from the applicant should include date of diagnosis, current treatment, and current symptoms.
If there is a history of lung disease, such as pulmonary fibrosis, asthma, COPD, orchronic cough, the details obtained from the applicant should include history of
symptoms, current treatment, and current impact of the respiratory disease on
occupational and leisure activities.
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5: Recurrent or chronic joint pain
With a history of chronic recurrent muscular pain, arthritis or joint pain, the details from the applicant should include the severity of pain at rest and in motion, any functional limitations in activities of daily living, the distance that the applicant is able to walk, and the medications that are used.
6: Digestion problems, stomach pains, etc.
Any applicant who gives a positive history should undergo additional questioning to determine cause. Attention should be given to those with chronic, persistent or recurrent symptoms (weight loss or gain, gastrointestinal bleeding, varices, for example).
7)TUBERCULOSIS, SEXUALLY TRANSMITTED DISEASES, etc.
When there is a past history of tuberculosis, the details from the applicant should include the date of diagnosis, duration and type of treatment. In all applicants,whether excessive demand exempt or not, copies of previous treatment reports, xrays, and other relevant information should be obtained if possible. If there is any suspicion of tuberculosis, history, clinical, bacteriological and radiological examination will determine the activity of the disease.Where there is an abnormal chest film but no history of previous active tuberculosis or there is a history of previous tuberculosis with or without previous adequate treatment, the case will be furthered until:
a minimum of two chest films, taken at a minimum interval of three (3)months, have a stable appearance and;
three sputum cultures taken at least 24 hours apart, examined for acid-fast bacteria (smear), and incubated for 6 to 8 weeks for tubercle bacilli by standardculture methods are negative.
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http://www.canadavisa.com/canada-immigration-discussion-board/medical-furtheranceneed-expert-opinion-t117697.0.html.
8. Hepatitis
When there is a history of hepatitis, the details from the applicant should include the date and type of hepatitis.
Note: If the applicant is NOT excessive demand exempt, then the results of serum AST and ALT should be provided. If these are abnormal, then a specialist's report including hepatitis C antibodies and hepatitis B surface antigen should be
provided.
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9) KIDNEY OR BLADDER DISEASE
When there is a history of urinary tract or renal disorder, the details from the applicant should include the date of onset, the diagnosis, treatment, and the current status.
Note: If the applicant is NOT excessive demand exempt, a serum creatinine must be performed. If elevated, a repeat serum creatinine, along with a 24 hour urine collection for protein and creatinine clearance, must be performed.
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10) DIABETES
When there is a history of diabetes, the details from the applicant should include the date of onset, the type of treatment, the history of complications, and the
presence or absence of symptoms related to target-organ damage - such as nephropathy, neuropathy, ischemic heart disease, peripheral vascular disease or retinopathy.
Note: If the applicant is NOT excessive demand exempt, a serum creatinine must be performed. If elevated, a repeat serum creatinine, along with a 24 hour urine collection for protein and creatinine clearance, and an ECG must be performed.
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11: Other illness
When there is a positive response to the question, provide details.
12: Medication or medical treatment
When there is a positive response to the question, details including the type of treatment and description of drugs used should be provided. The chemical or pharmaceutical name of the medication should be provided, not the proprietary or generic name.
13: Alcohol/drug abuse or addiction
When there is a positive history of alcohol and/or drug abuse or addiction, the details should include the history of any social or occupational consequences of the abuse or addiction, any history of detoxification or rehabilitation programs, and the duration of abstinence or if there is current use of alcohol or drugs.
14: HIV or AIDS
If there is a positive history of HIV or AIDS, include the date of diagnosis, whether the applicant has ever been prescribed, or advised to take, or taken, anti-retroviral drugs, and provide an assessment of the applicant's understanding of, and compliance with, practices necessary to prevent transmission of the disease.
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15: Pension for medical/psychological reasons
When there is a positive response to the question, provide details.
16: Autism, developmental delay, dementia, etc.
If there is a history of autism, mental retardation or developmental delay, and if the applicant is not excessive demand exempt, provide a specialist's report from a pediatrician, clinical psychologist or child psychiatrist, as appropriate
18: Pregnant
If a female applicant is pregnant, record the date of the last menstrual period as well as the expected date of delivery.
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19: Previous immigration medical examination
If there is a history of a previous immigration medical examination, the details from the applicant should include where and when the examination was done.
MISCLANEOUS THREADS
Medical Insurance
http://www.canadavisa.com/canada-immigration-discussion-board/if-you-dont-have-medical-insurance-for-first-3-months-in-ontario-please-contact-t68533.0.html
Medical Report missing
http://www.canadavisa.com/canada-immigration-discussion-board/medical-reports-missing-from-london-officeurgent-help-needed-t104679.0.html
Protein in urine
http://www.canadavisa.com/canada-immigration-discussion-board/2-protein-in-my-daughters-urine-analysis-t125146.0.html
Dengue Virus
http://www.canadavisa.com/canada-immigration-discussion-board/can-dengue-affect-medicals-t122693.0.html
Lost Medical Form
http://www.canadavisa.com/canada-immigration-discussion-board/lost-my-sons-medical-form-t119594.0.html
http://www.canadavisa.com/canada-immigration-discussion-board/medical-forms-lost-by-post-share-the-experience-please-t114243.0.html
Fatty liver and high cholesterol triglycerides acid
http://www.canadavisa.com/canada-immigration-discussion-board/medical-test-for-pr-canada-t118537.0.html
http://www.canadavisa.com/canada-immigration-discussion-board/-t40737.0.html
Obesity
http://www.canadavisa.com/canada-immigration-discussion-board/can-obesity-cause-rejection-t95214.0.html
medical-inadmissibility
http://www.canadavisa.com/canada-immigration-discussion-board/medical-inadmissibility-t113825.0.html
Tattoo
http://www.canadavisa.com/canada-immigration-discussion-board/-t105313.0.html
http://www.canadavisa.com/canada-immigration-discussion-board/-t114645.0.html
Typhoid
http://www.canadavisa.com/canada-immigration-discussion-board/can-history-of-typhoid-fever-cause-problem-in-medicals-t101734.0.html
Advance Medical
http://www.canadavisa.com/canada-immigration-discussion-board/advance-medical-t101827.0.html
http://www.canadavisa.com/canada-immigration-discussion-board/medical-call-t125856.0.html
GOOD LUCK
