All adults over the age of 18 are recommended to have an annual lipoprotein analysis. This includes total cholesterol, LDL,
HDL, triglyceride measurement.
All adults over the age of 18 are recommended to check their blood pressure every one to two years.
- Colon cancer:
All adults over the age of 50 are recommended to have a colonoscopy every ten years, or as recommended.
- Prostate cancer:
All adults over the age of 50 are recommended to have digital rectal exam and PSA test every year.
- Breast cancer:
Mammography is recommended every one to to two years starting at age 50 (optional starting at age 40).
- Cervical cancer:
All women over the age of 18 should have base line PAP-smear and then a follow up PAP test every two to three years, or as required.
Patients with diabetes should be monitored for Hemoglobin A1C level, microscopic proteinurea and blood pressure every 3 months.
Patients should be screened for peripheral neuropathy and retinopathy on an annual basis. Also, cholesterol measurements
should be evaluated at least, annually.
- Coronary Artery Disease:
Patients with CAD, PVD and Stroke should be monitored and treated for Hypertension, High cholesterol, and Diabetes on a 3 months
basis. Therapeutic management includes diet, exercise and medications when appropriate.
Due to high risk of cardiovascular disease, hypertension and diabetes, obese patients should be treated with weight loss and dietary modification, medications when needed, and surgery as a potential option.