The Spanish established permanent settlements in North America. The first settlement was a Spanish fort called St. Augustine in Florida. It was established in 1565. Its primary function was that of a base camp for explorers who explored the continent. It was also used as a centre to convert the local Native Americans to Roman Catholicism. There were a few settlements established in outlying areas. These did not last. They were either attacked and destroyed by the Native Americans, or they had to close because they could not support themselves economically.
BRO HES SO FINEEEE LIKE UGHHHH
One physician assisted examination, routine, is say a yearly visit to the cardiologist to examine one's heart after heart valve repair and involves talking to the patient, re shortness of breath or heart pain and also listening to the heart with the stethoscope or if necessary getting a cardiogram or ultrasound or stress done.