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Dr. Holtan

Five Lifesaving Things You Can Do For You and Your Family

1. Avoid tobacco use.
2. Eat right for life -with five or more servings of vegetables and fruits every day.
3. Get moving! Be physically active most days of the week.
4. Talk to a doctor about cancer screening test that could save your life.
5. Understand your personal risk for cancer and what you can do about it.

 

INTERVENTIONS FOR THE GENERAL POPULATION

Injury prevention

Child-safety car seats (age <5years)
Lap-shoulder belts (age> 5years)
Bicycle helmet; avoid bicycling near traffic
Smoke detector, flame-retardant sleepwear
Hot water heater temperature <120°F 10 130°F
Window/stair guards, pool fence .
Safe storage of drugs, toxic substances, firearms &matches
Syrup of ipecac, poison control phone number
CPR training for parents/caretakers

Diet and exercise

Breast-feeding, iron-enriched formula and foods (infants)
Limit fat & cholesterol; maintain caloric balance;
emphasize grains, fruits, vegetables (age> 2 years)
Regular physical activity*

Substance use

Effects of passive smoking*
Anti-tobacco message*
Dental health
Regular visits to dental-care provider·
Floss, brush with fluoride toothpaste daily·
Advice about baby-bottle tooth decay·

Immunizations

Diphtheria (DTP)*
Poliovirus (IPV)*
Measles-mumps-rubella (MMR)*
Haemophilus influenza type b (Hib) conjugate
Hepatitis B
Chicken Pox
Meningitis

American Cancer Society Checkup Guidelines

Test or Procedure

Sex

Age

Colonoscopy M/F Over 50
Prostate Specific Antigen M Over 50
Bone Mineral Density F Over 50
Digital Rectal Examination M/F Over 40
Pap Test F 20-65; under 20 if sexually active
Pelvic Exam F Over 20
Mammography F Over 40
Chest X-ray Not Recommended

Goals

Smoking:

Goal: Complete Cessation

Blood Pressure Control:

Goal: <140/90 mm Hg or
<130/85 mm Hg
if heart failure, renal
insufficiency or diabetes

Cholesterol Management:

Primary Goal: LDL <160 mg/dL
if 0-1 risk factors or
LDL <130 mg/dL
if >2 risk factors
Secondary  Goal: HDL >35 mg/dL;
TG <200 mg/dL
Weight Control

Diabetes:

Goal: <150 mg/dL
hemoglobin R1C ,7.0

Limit Alcohol & Sun Exposure

NQTES:
Men, 40 and over: One aspirin daily.
Women, over 50: 1200 Calcium, 800 Vitamin D
Over 60 (or with respiratory problems): Flu shot annually.
Pneumonia shot every six years.
Cardiac Stress Test: At 50 or if you are considered "at high risk", i.e. have family history of heart disease, high blood pressure, obesity, etc.
All: Tetanus shot every ten years.
Cholesterol and blood sugar test every five years.
Copyright © 2010, John M. Holtan M.D. All rights reserved.