Reposting for everyone's benefit. Thanks and full credit to Shah2014 and xXCiscoGuyXx who had originally posted this..
1. The medical is to check illness/disease which can either
(a) Danger to public health i.e. contagious diseases
(b) Danger to public Safety
(c) Might reasonably be expected to cause an excessive deman on health or social services such as cancer, dialyses, kidney transplant etc etc
2. Therefore, no need to be bothered much abt the medical, If God forbid someone has such symptoms nothing much can be done. If an applicant's initial results are not satisfactory, further tests are conducted to rule out issues mentioned in point 1 (above). Following is list of different test conducted in medical and tips to avoid the expenses and tension of additional/confirmatory tests
3. Urinalyses: Dipstick test to check presence of following. The thresholds are +1 for any of these. In case of breach of threshold, Microscopic analysis will be conducted with following thresholds
Blood: Threshold – RBC above 10 RBC/HPF
Protein: Threshold – greater than 0.30 mg/L
Glucose: Threshold: Presence
Blood and protein can be present in healthy person based on activities/food over last 24 hrs. So, to avoid repeat test DO NOT have high protein diet, exercise, s3xual activity (48 hrs), Alcohol (5-7 days), Soft drinks, Caffeinated drinks (Tea, Coffee - also for B.P), raw tomatoes, raw leafy vegetables, or dieting (i.e. very less food). Drink at least 3 - 4 liters of water in 4 hours before the test. Otherwise, you risk incurring the expenses of Microscopic test.
If threshold of microscopic test are also breached then Serum Creatinine will be conducted. The results of this tests will be submitted and analysed by doctors in Canadian medical center, who may accept, rejected, or advise further tests for the candidate.
4. Blood test: for Syphillis and HIV. Both are s3xually transmitted diseases. Syphillis can be treated with medicine and in case of detection, doctor will prescribe the medicine. All details of this treatment will be shared with CIC/VO.
5. X-Ray: Mainly for checking early signs of T.B. Nothing much can be done about it but avoid/reduce smoking 5-7 days prior to the test to minimize chances of chest infection. If you have symptoms of chest infection, discuss it with your physician to take proper antibiotic (to avoid additional cost of repeat X-Ray). However, you should disclose it to CIC physician that that u had minor chest infection recently an took antibiotic for that. CIC is not concerned with ur regular chest infection, they want to check early signs of T.B which can be hidden by infection and first test is marked "INCONCLUSIVE" and repeated at ur cost.
6. Physical examination: Blood pressure is main concern as it may signify hypertension if systolic is above 140 and diastolic is above 90. Avoid high cholesterol and other food which are known to result in high blood pressure. JUST MAKE SURE TO REMAIN CALM, and TAKE DEEP BREATHS, and your B.P will be within normal limits. Avoid getting mad at delays or cost of medical test Shocked. Chewing gum also helps in maintaining normal B.P.
The diseases checked in Physical examination include signs for hepatitis, Cancer, Cardiac diseases, Cognitive Impairment in Adults, Developmental delay in children, Psychiatric conditions (only those which can cause DANGER TO PUBLIC SAFETY and DEMAND ON SOCIAL/MEDICAL SERVICEs, if something remains under control through regular medication and chances of further deterioration are low, it won't be an issue).
Note: If initial tests are satisfactory, usually reports are not shared with CIC/VO but if confirmation tests are conducted or treatment is prescribed then reports of initial and all subsequent tests is shared with CIC/VO. If the diseases is curable for good through medicine, the candidate is not rejected on medical grounds but the candidate is put on hold till complete recovery. The treatment is prescribed and repeated medical test is conducted after prescribed duration.
Last but not least, DO NOT HIDE/MISREPRESENT ANY MEDICAL INFORMATION FROM THE DOCTOR WHEN ASKED ABOUT IT. IN CASE OF ANY ISSUE, THE PERSON WILL BE REQUIRED TO TAKE MEDICINE/CONSULT DOCTOR in CANADA and IF AT THAT TIME IT IS DISCOVERED THAT CANDIDATE MISREPRESENTED IN MEDICAL, IT WILL RESULT IN IMMEDIATE TERMINATION OF PR and DEPORTATION. YOU WILL LOSE ALL YOU HAVE INVESTED IN CANADA IN TERMS OF TIME AND MONEY. The above precautions works only for healthy person to avoid COSTS / TENSION OF REPEAT tests. These CAN NOT HIDE PRESENCE OF ACTUAL/CRITICAL DISEASE.
Important Notes
Note 1: Prefer eMedical center, it speeds up the process. Canada physician panel list at http://www.cic.gc.ca/pp-md/pp-list.aspx does not highlight eMedical facility but u can call the center and check with them. Otherwise Australian website shows eMedical logo in front of such centers on http://www.immi.gov.au/Help/Pages/immigration-panel-physicians.aspx .
Note that all center's are not same, but there is a significant overlap. (credit: ashif_eee)
Note 2: Do ask the doctor to provide eMedical Information Report. It will help CIC to locate your results and also put pressure on physician to send ur medicals earlier otherwise he will do it in his own sweet time. Sending medical test payment receipt is optional. (Credit: Rayj and xXCiscoGuyXx for link to Hanbook)
Note 3: Following medical tests are conducted if everything is normal
Physical Examination: For all applicants
Urinalysis: For 5 year and older applicants
Chest X-Ray: For 11 year and older applicants
Blood pressure and Blood (HIV & Syphilis): For 15 year and older applicants
For Detailed summary chart of applicable tests visit http://www.cic.gc.ca/english/resources/publications/dmp-handbook/index.asp#chap4.7
