Exercise is a form of good medicine with no side effects.
It is proven in medical literature that 150 minutes of exercise per week improves the quality and length of life. As an added benefit, it likely delays the onset of Alzheimer’s disease.
Weight loss of 3 lbs per month will yield you a 30 lb weight loss in a year year (assuming a 6 lb break for Christmas etc).
Cholesterol Your bad cholesterol (LDL) should be below 100; your good cholesterol (HDL) should be above 50.
Statins It has been proven again and again that are very good medications for the heart. Please don’t resist when your doctor suggests taking them.
Sleep – Good, relaxing sleep is important. If you partner complains that you snore and stop breathing while asleep, you may have sleep apnea. Please report this to your doctor. Alcohol worsens your sleep, as does having a television, computer in your bedroom. Your bedroom is a place only for sleeping and intimate activities.
Diabetes is a problem for our civilization, but fortunately it can be controlled with diet exercise and medications. If you have a family history of diabetes, be more careful and let your doctor know. Fasting sugar is above 100 mg and your Hemoglobin A1C (gives an estimate of your glucose in the prior three months) is above 6%, are warning signs. Diabetes plays havoc with all your arteries.
Colonoscopy once every ten years after age 50, unless there is family history or symptomatology. If you want to have only one colonoscopy, do it at age 65.The CEO of McDonald’s died of colon cancer at the peak of his career – there was no family history.
Smoking is the worst possible thing you can do for yourself.
Osteoarthritis the most common cause of joint pain is. Advil and Tylenol are good starting pain medications. Do not be alarmed, no one dies of osteoarthritis.
Fish oil, multivitamins, and most things sold at health food stores are not proven to be of any benefit in many scientific studies. Make your own judgment here.
Do not get X-rays and MRIs done because your neighbor or cousin suggested so. All tests have some liability: radiation, confusion, waste of time, costs, unnecessary doctor visits, etc. We spend twice per capita on health care in the US than in any other advanced industrialized society, yet we have worse outcome data.
Medicare is one of the best and most comprehensive insurances we have. We need to use it responsibly so that we can leave it for our children and grandchildren. If you cannot afford the Medicare supplement, consider a joint HMO. Medicare assigns 14% more funds for HMOs. While you will have some restrictions, their quality of care is good.
Above all, be happy with what you have. Live and love. See, feel and enjoy our bountiful country and this earth.
Rohit Dandiya, MD Phone 561 622 7661