NO: These are one and the same. It is reserved for the yearly visit to check wellness or lack of it and not for your laundry list of things. You shold have individual appointments for illness and medical problems. The yearly wellness or physical is to promote wellness and good health and preventative issues.
The Pear Street Bistro is a nice restaurant in the heart of Historic Downtown Pinole. It's upscale and has a wide variety in the menu. I would recommend the owner at least consider noise dampening inside the dining areas. When full which it usually is it's very loud.
Chop pears into chunks, bigger for chunky jam, smaller for a smooth batch. Combine pears, lemon zest, lemon juice, and sugar in a large bowl. Stir well to combine and cover. Let the mixture sit on the counter at least one hour, but preferably 8 hours, or overnight. After letting the mixture sit, stir well, scraping any sugar that may have collected on the bottom of the bowl.