Taking Charge of Your Health. Geetha Pillai, MD and Amy Emery, NP

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1 Taking Charge of Your Health Geetha Pillai, MD and Amy Emery, NP

2 Loudoun Internal Medicine Associates group of 6 providers Part of Loudoun Medical Group Accepts most insurances Accepting new patients Offices conveniently located in Lansdowne and Purcellville

3 Factors that Influence Your Health that you can control Blood Pressure Weight BMI and Waist to Hip Ratio Blood tests cholesterol, blood sugar Immunizations Maintenance exams based on your age Mental health Bad Habits smoking, alcohol, lack of exercise, diet

4 Factors that Affect your Health that you cannot control Genetics /Family history Race and Ethnicity Age Gender

5 Obesity

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7 Overweight/Obesity Causes Inactive Lifestyle Environment Genetics Health conditions and medications Emotional factors Smoking Lack of Sleep

8 Obesity-related Health Risks Heart Disease Stroke Diabetes Hypertension High cholesterol Metabolic Syndrome Cancer

9 Body Mass Index

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11 Obesity Epidemic in the US affects 70% of the population

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13 Waist to Hip Ratio

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16 Treatment Set a goal with your health care provider Lifestyle changes exercise and calorie balance Healthy eating plan

17 Hypertension

18 Hypertension Affects 75 million Americans It is a silent disease with deadly consequences Easy noninvasive test

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20 Blood Pressure Blood Pressure Category Systolic mm Hg (upper #) Diastolic mm Hg (lower #) Normal Less than 120 And Less than 80 Prehypertension Or High Blood Pressure Stage 1 High Blood Pressure Stage Or or higher Or 100 or higher Hypertensive Crisis Higher than 180 Or Higher than 110

21 Complications of Hypertension Heart attack or stroke Aneurysm Heart Failure Weakened and Narrowed blood vessels in your kidneys Damage to blood vessels in the eyes/vision Loss Metabolic syndrome Trouble with memory

22 Controlling Hypertension Weight loss Low salt diet 2 gms No smoking Limit alcohol Regular exercise Diet rich in potassium, calcium and magnesium Medication

23 Heart Disease

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25 Heart Disease warning signs Chest pain or discomfort Pain in arm, upper chest, jaw, back and upper abdomen Shortness of breath Light headed Nausea Cold Sweats

26 Diabetes

27 Diabetes Diabetes affects 26 million adults Fasting blood sugar above 126mg/dl Prediabetes - fasting blood sugar between 100 to 125

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30 + Blood Sugar

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33 Cholesterol

34 High Cholesterol Has no symptoms or signs Major contributor to MI Stroke Heart Disease Erectile dysfunction PVD Risk factors you can control diet and exercise

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40 Treatment TLC Therapeutic Lifestyle Changes Healthy Diet Weight Management Physical Activity Medications

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42 Kidney Disease

43 Kidney Disease 1 in 9 adults have kidney disease Common causes - HTN and DM 3 simple tests to check for kidney disease Hypertension Urine Analysis for protein and blood in urine GFR estimates how well your kidneys are working to remove waste from your body

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45 How to reduce risk of Kidney Disease Reduce sodium intake Limit red meat Avoid soda Give up processed foods Reduce sugar intake Limit NSAIDS Quit smoking

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47 Stroke

48 Stroke 3 rd leading cause of death in the US Major cause of disability Symptoms of stroke Face Arms Speech Time

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50 Mental Health

51 Mental Health Depression is the leading cause of disability in the US Suicide is the 10 th leading cause of death in the US Includes your emotional, psychological and social well being Effects your physical health

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54 CPR

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56 + CPR

57 Staying Healthy

58 Tips For A Healthy Life Well-balanced and healthy diet Regular exercise Healthy weight No Smoking Regular visits to your healthcare provider check up, screening test, vaccines

59 Tips for Physical Activity Set a regular time for activity Pick activities that you like and fit into your life Set short term goals Vary activities to avoid boredom Have a workout friend Use the right safety gear Talk to your healthcare provider

60 Ways To Improve Your Diet Small portions Fill half your plate with fruits and vegetables Plenty of whole grains Limit salt and sugar Read food labels

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63 Getting Recommended Screening Tests Find problems early Allow for early treatment and possible cure Helps you live a longer, healthier life

64 Recommended Screening Tests Colon Cancer - Colonoscopy- Start at age 50 Breast Cancer- Mammogram - Start at age 40, end 75 Cervical Cancer - PAP Start at 21, end at 65 Bone Density Testing - Start women after age 65, men > 70 Hepatitis C - if born between Prostate Cancer - Discuss need for screening with PCP

65 Your insurance won t pay for an expensive procedure, so I ll be doing your colonoscopy with my cell phone camera.

66 Getting Recommended Vaccines Prevents many diseases Protects you from unvaccinated people Saves lives Reduces health care costs

67 Immunization Tdap every 10 years Pneumovax - Between 40 to 65 1 to 2 doses if high risk after age 65 once Influenza yearly Zoster after age 50

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69 Medications Safety Keep a list of current meds Include prescriptions,over the counter medications,vitamins, supplements and herbs Medicines can help but no drug is totally safe Talk to your health care provider

70 Keep A Personal Record Name and contact of primary health care provider List of medication and allergies Chronic health problems Major illnesses and surgeries with dates Test results Living will or advance directive

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