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.
This syrup is made by simmering boiled, mashed, and strained prickly pear fruit in sugar. Lemon is added for tartness. Use this syrup on pancakes, on top of other fruit, or in any dessert recipe that calls for syrup. When you look for prickly pears, remember that mature ones are a darker green, or blackish purple. Ripe fruits tend to be redder at the base.