Longevity Handbook

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Health Screenings you should get done in 2016


Blood Pressure Screening: If the top number (systolic number) is between 120-139, or the bottom number (diastolic number) is between 80-89 mm HG, you should have it checked every year.

  • Watch for blood screenings in your area. Ask your provider if you can stop in to have your blood pressure checked. Or check your blood pressure using the automated machines located at grocery stores and pharmacies.
  • If the top number is greater than 140 or the bottom number is greater than 90, schedule an appointment with your provider.
  • If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to have your blood pressure checked more often.
  • To schedule an appointment with your provider, go to https://ezdoctor.com , and search a doctor by location, specialty or the doctor’s name.

Cholesterol Screening:  If you are between the ages of 20-45, you should be screened if you have higher risk for heart disease.

  • If you have diabetes, heart disease, kidney problems or certain other       conditions you may need to be monitored more closely.

Diabetes Screening: If your blood pressure is above 135/80 mm Hg, your provider will test your blood sugar levels for diabetes.

  • If you have a body mass index (BMI) greater than 25 and have other risk factors for diabetes, you should get screened. Having a BMI over 25 means that you are overweight.

Dental Exam: Go to the dentist every year for an exam and cleaning.

To schedule an appointment with a dentist, go to https://ezdoctor.com , and search for a dentist by location, specialty or the doctor’s name.

Eye Exam: If you have eye problems, have an eye exam every 2 years.

Immunizations: You should get a flu shot every year.

After age 19, you should have one tetanus-diphtheria and acellular pertussis (TdAP) vaccine as one of your tetanus-diphtheria vaccines. You should a tetanus-diphtheria booster every 10 years.
Your provider may recommend other immunizations if you are at high risk for certain conditions, such as pneumonia.
Ask you provider about the Human Papilloma Virus (HPV) is you are between age 18- 26 and you have:
Not received the HPV vaccine in the past ( you will need 3 shots)
Not completed the full vaccine series (you should catch up on this shot)

Physical Exam: You should have 2 physical exams in your 20s and 30s. Your height, weight and BMI should be checked at every exam.

During your exam, the provider may ask you about:

Diet and exercise
Alcohol and Tobacco use
Safety issues, such as using seat belts and smoke detectors.

Breast Self -Exam and Mammogram:  The American Cancer Society (ACS) states that a monthly breast self-exam is optional.  The U.S Preventive Services Task Force (USPSTF) recommends against teaching women how to perform self- exams.

Screening mammogram is not recommended for women under age 40.
If you have a mother or sister you had breast cancer at a younger age, or you have other risk factor for breast cancer, your provider may recommend a mammogram, breast ultrasound or MRI scan.
To schedule an appointment or research a primary care doctor, gynecologist or OB/GYN, go to https://ezdoctor.com and find any doctor, in any location and/ or specialty.

Pelvic Exam and Pap Smear: Beginning at age 21, women should have a pelvic exam and pap smear every three years to check for cervical cancer.

If you have had your uterus and cervix removes (total hysterectomy), you no longer need to have pap smears.
Women who are sexually active should be screen for chlamydia infection up until age 25. Women 26 years and older should be screened if at high risk. This can de done during a pelvic exam.
Your provider will tell you how to prevent and/or treat sexually transmitted infections or diseases (STIs) (STDs)

Skin Self -Exam:  The ACS recommends a skin exam as part of a periodic exam by your provider, if it is indicated.
Other Exams: You should be screened for colon cancer only if you have a strong family history of colon cancer or polyps, or if you have an inflammatory bowel disease or polyps yourself.


Blood Pressure Screening:  Have your blood pressure checked every 2 years unless the top number (systolic number) is between 120-139 or the bottom number (diastolic number) is between 80-89 mm hg or higher. Then have it checked every year.

Watch for blood pressure screenings in your neighborhood or workplace. Ask your provider if you can stop in to have your blood pressure checked. Or check your blood pressure using the automated machines located at grocery stores or pharmacies.
If the top number is greater than 140, or the bottom number greater than 90, schedule an appointment with your provider.
If you have diabetes, heart disease, kidney problems, or certain other conditions, you may need to have your blood pressure checked more often.
To schedule an appointment to have your blood pressure checked with your provider, head over to https://ezdoctor.com and search for any doctors by name, specialty or location.

Cholesterol Disease and Heart Disease Prevention: Men over age 35 should be checked every 5 years.  

If you have risk factors for heart disease, such as diabetes, start getting screened earlier at age 20.
If you have diabetes, heart disease, kidney problems, or other conditions you may have to get checked more often.

Diabetes Screening:  If you have a body mass index (BMI) greater than 25 and have other risk factors for diabetes, you should be screened. Having a BMI over 25 means that you are overweight.
Dental Exam: Go to the dentist every year for and exam and cleaning.
Eye Exam: If you have vision problems, get an eye exam every 2 years.
Immunizations: After age 19, you should have a tetanus-diphtheria and acellular pertussis (TdAP) once as part of your tetanus-diphtheria vaccines. You should have a tetanus-diphtheria booster every ten years.

You should get a flu shot every year.
You should get a human papilloma virus (HPV) vaccine series if you have not already had it.
You should receive two doses of varicella vaccine if you were born after 1980, and never had chickenpox or the varicella vaccine. You doctor may recommend other immunizations if you have certain medical conditions, such as diabetes.

Infectious Disease Screening: Depending on your lifestyle and medical history, you may need to be screened for infections such as syphilis, chlamydia, and HIV, as well as the infections.
Physical Exam: You should see your provider for preventative health exams every 2 years.

Your height, weight and BMI should be checked at every physical exam.

During your exam your provider may ask you about:

Diet and Exercise
Alcohol and Tobacco use
Safety, such as use of seat belts and smoke detectors.
Make sure you make an appointment to see your doctor through ezdoctor.com. You can search for doctors and filter by specialty, name and insurance plan. Before booking your appointment, make sure you get an EZDoctor Report. EZDoctor Reports contain important information about doctors such as; malpractice claims, criminal offenses, and board actions. Go to ezdoctor.com now to get started.

EZDoctor and April Partner to Offer Virtual Doctor Visits to International Travelers

EZDoctor, the leader in healthcare transparency and April, a global travel insurance provider have recently partnered to offer telemedicine services to patients traveling abroad that are in need of medical assistance.

The alliance between EZDoctor and April, allows patients to remotely consult with a U.S. board certified physician while traveling abroad.

With EZDoctor's support, April will be connecting their travelers from around the world with doctors anytime, anywhere needing only a webcam enabled device and a reliable internet connection.

These virtual physician consultations are not intended to treat emergency medical conditions/situations. Patients will receive primary care services, treatment for common ailments like the flu, allergies, rashes etc. and educational and informative medical advice from a trained and thoroughly screened professional.

EZDoctor and April are working together to improve the doctor-patient experience by providing on demand consultations and with doctors readily available to treat patients 24 hours a day, 7 days a week. To serve the needs of April's global travelers patients are connected with U.S. physicians within 15 minutes and can currently request doctors that are fluent in English, Spanish, French, or Portuguese.

According to the American Telemedicine Association, approximately 10 million patients benefited from using telemedicine last year. The telemedicine industry is developing quickly and becoming more prominent in societies around the world. EZDoctor and April are two leaders expanding quality telemedicine services worldwide.

"We're very excited about this partnership, we believe patients should have access to a board certified physician anywhere and anytime. As telemedicine continues to be a rapidly growing component of healthcare in the United States, we want to provide patients an accessible way to treat their healthcare needs when they are away from home," said David Marsidi, EZDoctor's founder and CEO.

"April & EZDoctor are both convenient, progressive thought leaders in the way we prioritize the patient's needs and that is what we want to deliver through this new service by offering a fast, easy, reliable and secure doctor consultations," continued Marsidi. "Together we will deliver the world-class healthcare service that patients deserve."        

EZDoctor and April patients will:

  • Have access to telemedicine services 24/7.
  • Resolve unexpected medical problems when traveling.
  • Receive virtual physicians consultations from any location worldwide.
  • Connect with a physician within 15 minutes of their request.
  • Have better outcomes because of timelier access to a physician.
  • Reduce unnecessary admissions, save time and money.
  • Receive primary care services on the go.

About EZDoctor
EZDoctor, healthcare technology business located in Florida, provides healthcare services nationwide. As an advocate for healthcare information transparency, EZDoctor developed a Carfax type of report but for doctors called EZDoctor Reports, to help patients make better decisions when it comes to choosing a doctor. With their rapid growth in the healthcare technology industry and over 1.5M+ doctor profiles, EZDoctor has radically transformed the industry by connecting healthcare consumers with the best doctors and equipping them with accurate information to make an informed healthcare decision.

About April
April has been a leading brand providing quality Travel and other Specialty Insurance programs providing services in Europe, Latin America and the U.S.
April offers comprehensive travel insurance & assistance plans covering multiple trips for frequent travelers. 

Quick Tips for Choosing a Doctor

When you choose a primary care doctor for yourself or a loved one, make sure to choose a doctor you can trust. A primary care doctor can help you make important decisions, like which screening tests and shots to get, treat many health problems, refer you to a specialist when you need more help with a specific health issue.

Here are some things you should know before selecting a physician

  • Listens to your opinions and concerns
  • Encourages you to ask questions
  • Explains things in ways you can understand

When you and your doctor work together as a team, you’ll get better health care. Try the following tips to find a doctor who’s right for you.

Research your doctor.

If you have health insurance, you may need to choose a doctor in their network. Some insurance plans may let you choose a doctor outside the network if you pay more of the cost.

What you should know about your doctor:

  • Contact information, Locations and Gender. 
  • License Information. It is important to know if your doctor is licensed to provide the care that you need.
  • Education. To learn more about your physician’s background EZDoctor Reports contain information regarding where they studied, graduation date, board certifications, as well as their internship, residency and fellowship. This will help you make an educated decision regarding your doctor’s training and ability.
  • Hospital Affiliations/Privileges.  Its common practice for a doctor to have their office in one location and perform treatment in a separate location. For example, you could go to a doctor’s office for a consultation regarding your knee and that doctor might provide treatment and/or surgery at a hospital that he is affiliated with or has privileges. By having this information before hand, it can help you in deciding whether this doctor would be the most convenient for you.
  • Procedure Pricing Information. When taking care of any health concern, one of the main things we consider is the cost associated with any procedures that might be necessary. An EZDoctor report will display an average charge for procedures performed by the physician you are reviewing.
  • Patient Referral Summary.  Primary care physicians, when needed, refer patients to a specialist. Especially when they face a diagnosis that is beyond their Scope of Practice. With an EZDoctor report you will see the  physicians referral pattern.
  • Pricing/Prescribing Habits. Is your  doctor more likely to prescribe a name brand versus a generic drug? Despite your preference, by seeing a breakdown of the most common prescriptions a physician orders you can get a clear view of his prescribing tendencies and average price per prescription.
  • Disciplinary Actions. Finding out if a physician has been sanctioned or not by a state medical board can be very useful when it comes to selecting a doctor to visit. Equally important is to know  what those infractions were related to.
  • Criminal Offenses. While federal criminal records are not available to the public, EZDoctor reports include state government records that indicate whether a physician has ever been charged or convicted of a crime. Allowing you to have this information prior to any consultation and/or treatment.
  • Malpractice Claims. You have the right to know if your physician has been involved in any incidents regarding his medical care. From surgical and medication errors to misdiagnoses, EZDoctor will provide the information you need.
  • Patient Reviews. It’s always good to know what other patients are saying about a physician. EZDoctor reports collect patient reviews from multiple sources.

Other important questions to ask about the doctor:

  • Is the doctor taking new patients?
  • Is the doctor part of a group practice? Who are the other doctors?
  • Who will see you if your doctor isn’t available?
  • Which hospital does the doctor use?
  • If you have a medical condition, does the doctor have experience treating it?
  • What languages does the doctor speak? 

You can find all the information you need on a physician by obtaining an EZDoctor Report. Go to ezdoctor.com now to get started! 

Source: healthfinder.gov

Intermittent Fasting Might Help You Live Longer

Intermittent fasting (IF) is an umbrella term for various diets that cycle between a period of fasting and non-fasting. Intermittent fasting is one form of calorie restriction.

Fasting induces oxidative stress within the body as it produces a surge in free radicals, the molecules most associated with aging. This stimulates the SIRT3 gene to increase production of sirtuins, protective proteins associated with longevity. 

Intermittent fasting has a range of beneficial effects. These range from improving insulin sensitivity, your body's ability to make use of its natural secretion of insulin, to activating longevity genes such as SIRT1 and SIRT3. While few people will tolerate the drastically reduced calorie intake required to produce longevity in mouse studies, simply implementing one or two super-low-calorie days each week can provide many of the same benefits.

Here are some changes that occur in your body when you fast:

  • Human Growth Hormone (HGH): The levels of growth hormone skyrocket, increasing as much as 5-fold. This has benefits for fat loss and muscle gain, to name a few.
  • Insulin: Insulin sensitivity improves and levels of insulin drop dramatically. Lower insulin levels make stored body fat more accessible.
  • Cellular repair: When fasted, your cells initiate cellular repair processes. This includes autophagy, where cells digest and remove old and dysfunctional proteins that build up inside cells.
  • Gene expression: There are changes in the function of genes related to longevity and protection against disease.

These changes in hormone levels, cell function and gene expression are responsible for the health benefits of intermittent fasting.

How to do Intermittent Fasting

Intermittent fasting has been very popular for many years and several different methods have been used.

All of them involve splitting the day or week into “eating periods” and “fasting periods.” During the fasting periods, you eat either very little or nothing at all. These are the most popular methods:

  • The 16/8 Method: Also called the Leangains protocol, it involves skipping breakfast and restricting your daily eating period to 8 hours, for example from 1 pm to 9 pm. Then you “fast” for 16 hours in between.
  • Eat-Stop-Eat: This involves fasting for 24 hours, once or twice a week, for example by not eating from dinner one day until dinner the next day.
  • The 5:2 Diet: On two non-consecutive days of the week, only eat 500-600 calories. Eat normally the other 5 days.

By making you eat fewer calories, all of these methods should make you lose weight as long as you don’t compensate by eating much more during the eating periods.

Health Benefits of Intermittent Fasting

Here are the main health benefits of intermittent fasting:

  • Weight Loss: As mentioned above, intermittent fasting can help you lose weight and belly fat, without having to consciously restrict calories.
  • Insulin resistance: Intermittent fasting can reduce insulin resistance, lowering blood sugar by 3-6% and fasting insulin levels by 20-31%. This should protect against type-2 diabetes.
  • Inflammation: Some studies show reductions in markers of inflammation, a key driver of many chronic diseases.
  • Heart Health: Intermittent fasting may reduce LDL cholesterol, blood triglycerides, inflammatory markers, blood sugar and insulin resistance. These are all risk factors for heart disease.
  • Cancer: Animal studies suggest that intermittent fasting may help prevent cancer
  • Brain Health: Intermittent fasting increases a brain hormone called BDNF, and may aid the growth of new nerve cells It may also protect against Alzheimer’s disease
  • Anti-aging: Intermittent fasting can extend lifespan in rats. Studies showed that fasted rats live as much as 36-83% longer.
Source: bbc.com, authoritynutrition.com