A still from the short film Edifice, 2018, by Ash Thorp, a digital artist based in San Diego, California. Thorp’s works are frequently complex interplays and redesigns of human anatomy. His works have featured in Batman, 2022, and The Amazing Spider-Man, 2014, while his interdisciplinary initiatives feature collaborations with brands such as Richard Mille

We might take perfect care of ourselves – exercising body and soul, eating carefully and mindfully – but our bodies might have other ideas. Now the latest technology means we can literally see inside ourselves for diagnostic purposes with astonishing accuracy. Dare we take a look? One LUX editor did…

When I first started collecting cars, I asked a wise and experienced collector friend where I should get them serviced.

The choice was between franchised official dealers of these prestigious car brands, with their glossy, shiny showrooms, which, however, might lack detailed knowledge about the older cars I was acquiring; or specialist service shops often located in remote and inaccessible places, which might have more knowledge and expertise on classic models.

“If you want a quick look round, a thumbs up and a certificate, go to the official dealers,” my friend said. “If you really want to know what’s wrong, and what might go wrong that you can prevent, go to the specialist.”

I am not, in any way, comparing myself to a classic car (or not in so many ways), but this was an analogy that came to mind when I decided to go through a health check recently.

Humans are even more complicated than classic cars (although it may not seem so at times, if you own one). And while there are many things that can go wrong with us, we might be tempted not to worry about them until they happen.

Unfortunately, when these hidden conditions finally manifest themselves, they can have sudden, catastrophic, tragic results. Think of the unspotted tumours that have metastasised, or the almost completely obstructed blood vessel in a marathon runner that goes unspotted until they drop down dead one day.

Until recently, the technologies simply did not exist to diagnose thoroughly and preventively with a large degree of accuracy. Scans would miss things and pick up worrying false positives. So I was interested to read about the latest CT and MRI imaging technology, which allows highly accurate scans of every key part of the body.

Consulting medical friends, I was told by this usually cynical crowd that, yes, these could be extremely helpful, but with two caveats. First, CT involves radiation, so you don’t want to get this done too often. And second, it’s all about the interpretation of the results: you need somebody looking at each scan who specialises in the relevant part of the body and has done it thousands of times before, so they can interpret through experience.

A certain shape on the spleen does not necessarily mean the same thing as a certain shape on the liver. Or something like that. Then there’s the convenience factor. Who has time to make, understand and fulfil the multiple appointments required in different practices at different times to cover the body from scalp to toenail? The wrong type of mole on either could kill you just as effectively as a blocked aorta.

And then there’s receiving and making sense of the results. Doctor friends profess it’s all too much for them, even though they know preventive healthcare could save their life.

Enter Echelon, a central London-based company offering a one-day service that covers every imaginable test in one location, plus interpretation by specialists and delivery of results by one single medical director.

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Like having someone from the factory that built your car tell you what’s wrong with it. Or nearly. I took the plunge and enlisted for Echelon’s Platinum Assessment.

It involves MRIs, CTs and ultrasounds covering every conceivable body part – including a noninvasive scan of the bowel, a relief as the other way (a rectally entered camera) is not pleasant.

The in Harley Street located clinic, houses a suite of advanced equipment and is staffed with a number of radiographers and radiologists

There would also be a suite of blood tests and physical examinations of moles and anything else that needed investigating, all by relevant specialists.

Read more: Marcus Eriksen on keeping our oceans healthy

After booking myself in over the phone, I had a chat on Teams with an efficient coordinator who took some details, sent me a form online and said she would welcome me at 8am on an agreed date at the clinic in Harley Street, central London.

There was some preparatory work to do the previous day (fasting and ingesting a bitter liquid), but otherwise the convenience factor was supreme. The most remarkable thing about that day is that it didn’t seem remarkable at all.

What would otherwise have been 10 or 12 different appointments – at different clinics, on different dates and times with different specialists, the usual travel to and from, the waiting times and different results delivered on varying dates – all happened seamlessly in the space of a few hours.

Each appointment followed the last with perfect timing, even when we travelled between Harley Street buildings and separate specialisms. There was no waiting, I was accompanied at all times by my hyper-efficient coordinator who knew everyone and had them all responding to her instructions.

Read more: Zahida Fizza Kabir on why philanthropy needs programmes to achieve systemic change

The only time I sat down with nothing to do was at the end, when I was given a recovery suite and my chosen lunch of sushi, before I headed back to the office.

A week later, I met Medical Director Dr Paul Jenkins to go through the results. Each had been interpreted by a consultant in that field, and then reinterpreted by him.

I was fine, but that’s not the point: any one test could have found a potential killer lurking in some part of my body that I would have no idea about: a cancer, a disease of an internal organ, calcification of the cardiac arteries, abnormalities of the lungs.

The clinic offers health assessments packages including full body mole screens, digital mammograms, blood tests, ECG, CTs, MRIs and ultrasounds of all colours and creeds

Dr Jenkins said such discoveries were quite common, and, in each case, discovering it earlier was far preferable to waiting until it manifested itself. So, for less than the price of a secondhand city car, which would you prefer: to bury your head in the sand until, potentially, it’s too late; or to know whether there’s a potential catastrophic engine failure inside your body that you can avoid and treat? Seems like a no-brainer.

The modern health assessment, by Dr Paul Jenkins

“We all accept the concept that prevention is better than cure for so many aspects of our lives, yet so many people ignore this in relation to their most valuable possession – their health.

I have seen the devastating consequences of this approach so often and the desperate attempts to repair the damage when it is sadly too late. Now, modern imaging technology (CT, MRI and ultrasound scans) allows us to see inside the body in incredible detail and to detect the very earliest stages of so many diseases that, if left, would progress to cause serious ill health or death.

Echelon Health Founder and Director Dr. Paul Jenkins ensures clients are equipped with a detailed health analysis and a plan for future healthcare

Undergoing a three-yearly, high-quality preventive health assessment should be a routine for everyone over the age of 50. It amounts to a modest monthly cost that, for many people, is a small price for the life assurance it brings, along with enormous peace of mind”.

Dr Paul Jenkins is a Consultant Physician and Medical Director at Echelon Health, London 

www.echelon.health

ashthorp.art

The Bürgenstock resort complex sits atop a mountain ridge overlooking Lake Lucerne

At the new Bürgenstock resort in Switzerland, medical science meets luxury indulgence. Darius Sanai gets checked out at the spectacular retreat with high-end dining as well as top doctors and testing facilities

Medical spa. Two words to strike fear into the  mind of any traveller; or into my mind, at least.  For in my experience, such places fall into one of two categories. One follows the pseudo- scientific line: where you are ushered into a world of energy types, detox, alkaline cures and naturopathy. That’s not to denigrate mystical and ancient health rites, many of which might have a positive psychological effect in these stressed-out times, but if I want to know if there’s something wrong with me, I want to really know, not be treated by someone who tells me I need to eat spinach to increase my body’s pH and therefore its alkalinity (if our stomachs were not highly acidic, we would be dead).

The other type of medical spa historically employs real doctors, but in a joyless, alcohol-free environment more akin to a prison camp than a luxury retreat, so, while you may emerge genuinely more healthy and with a good idea of what’s gone wrong with you, you’re also likely to decide you’d rather die young than return.

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So it was with fascination that I approached the Waldhotel at Bürgenstock, in Switzerland. Bürgenstock has a place in European history, as a hotel, once beloved of Hollywood stars (Audrey Hepburn lived here), high up overlooking Lake Lucerne. It was recently developed into a series of super-luxe hotels, including what claims to be one of Switzerland’s best medical hotels, and restaurants, by its new owners from Qatar. I decided to check in for a couple of days for a full checkout; like many men, I have no qualms about spending thousands maintaining my collection of classic cars in perfect shape, but have never even had so much as a spark-plug examination on my own body.

Bürgenstock sent me a very thorough, and beautifully presented, programme. I would stay at the five-star Waldhotel for three days; after my blood was taken on the first day, I would mingle a series of tests and scans (the most important one being a full examination by a cardiologist) with feel-good spa treatments, relaxation in the pools, and some dining in their restaurants.

The pool at the Waldhotel, where medical and spa facilities are combined

The resort is a series of buildings, built out and along from the original Palace hotel, along a ridge some 500m above Lake Lucerne. The sharpness of the ridge means you have two completely different perspectives, as if you are on a movie set. In one direction, the mountain drops away almost vertically, through vertiginous forests, into the lake; from the café terrace of the Palace hotel, you can see boats, quays and summer houses far below, like dolls house parts. The lake spreads out with Lucerne itself sprawling at one end, and beyond, numerous ridges of hills behind which other lakes alternate with forest and meadow, all the way to Germany in the distance.

In the other direction, there is almost no drop at all: just a gentle bowl of high Alpine pasture, fluorescent green, cows tinkling their bells, giving way to forest beyond, and then neck-strainingly high peaks, covered with snow even in mid-summer, in the far distance.

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My hotel room had the latter view, which was very relaxing. The room was large, modern and coolly decorated in blonde woods and taupe furnishings, with a big balcony on which you could relax with a cigar at night (having done your lung function test already, of course) and feel the sounds and smells of the meadows.

The medical centre was just a few floors down. My blood was taken efficiently in a lab-like room, and I went off for breakfast on a roof terrace with a wider view of the meadow and mountain side of the resort. There are no hints here that you are in a place where you must deny yourself; the breakfast provided everything from pancakes and omelettes à la carte to home-made cornflakes. I spent the rest of the day swimming in the main pool in the Bürgenstock hotel, a five-minute walk away through the resort, and gaping at the quite astonishing view from its wraparound spa pool which overhangs the cliff face down to Lake Lucerne. Dinner at Sharq, along the ridge, had equally magnetic views, as day turned to dusk and the lights of one of the world’s richest areas popped up all around below us. Sharq serves Persian and Lebanese cuisine, and its khoresh dishes and marinaded grills were as good as any Persian restaurant’s, anywhere. The wine list focuses on Lebanese wine, but you can also order from the main restaurant list.

The entrance to the Waldhotel, newly built in 2017

The next day, Dr Verena Briner, head of the medical centre and one of the country’s most prominent physicians, went through my blood test results with me. Page after page of measurements revealed – nothing at all. I was fine. I didn’t even need an oil change. But that was just the beginning. She handed me over to a consultant cardiologist, who put me through a variety of physical exertions while examining my heart with an echocardiogram. All fine. Next, I was scanned for bone density, and body fat vs body muscle. All fine, despite the Persian meal the previous night. A lung function test was OK also, meaning the cigar was on the cards that night. A full pass, with no red flags, or even yellow lights. After all that effort, I was almost disappointed – but not, of course, and no medical can test for absolutely everything that could be wrong with you – but Bürgenstock did well, all while I was having a fabulous holiday.

On the last night, I celebrated at Spices, the Bürgenstock’s flagship restaurant, which is cantilevered over the cliff’s edge. You could pick between Cantonese and Japanese, and all the lights below added to a Hong Kong vibe. It was astonishing, but true: one of Europe’s most spectacular contemporary luxury experiences is also home to a brilliant medical spa.

Vital Statistics

Dr Verena Briner, Medical Director of the Bürgenstock Resort, on the key elements you have to be aware of to ensure a long and healthy life, and how they are tested

The basic check-up focuses on the most common diseases. The programme includes taking the patient’s history and conducting a clinical examination. We screen for diseases that affect the blood  (eg. anaemia), the liver and kidney, metabolism (such as diabetes and atherosclerosis), and vitamin deficiency. We measure blood pressure, run an ECG, use bone densitometry to identify any risk for osteoporosis and carry out an ultrasound scan of the abdomen. For anyone over 45, a colonoscopy is recommended as carcinoma of the gut becomes more likely as we get older. The lung function test may show signs of smoking-induced damage. Measuring body mass index and body composition is important, too, as obesity often leads to high blood pressure, diabetes, impaired lipid metabolism, sleep apnea (snoring) and arthrosis in the joints.

We check also for cardio-vascular diseases, of which the majority of the population of the Western world die. Since the development of interventional cardiology, people rarely die from a sudden heart attack but are much more likely to have a chronic condition such as atherosclerosis of the blood vessels, which may be treated with drugs, angioplasty, stents or bypass operation. The risk factors that accelerate atherosclerosis include high blood pressure, diabetes, being overweight, smoking, high cholesterol, and little or no physical activity. A history of coronary artery disease in the family increases the chance that the patient will develop it as well. The cardiologist supervises a stress test and uses echocardiography to spot any impaired heart muscle function. If there are signs of reduced blood flow in the coronary arteries, we recommend a coronarography or a heart CT scan.

The Waldhotel works with the Lucerne central hospital where this can be done. Anyone short of time may prefer to come to the Waldhotel Medical Centre where we can organise all the tests during their stay.

Book your stay: buergenstock.ch

This article was originally published in the Winter 19 issue.