Cayman Medical - Early Screening Program

Interesting article that highlights for me that obesity is likely the USA’s (and Cayman’s) biggest public health problem.

Preliminary results of Cayman’s 2023 STEPS survey showed an obesity rate of 33%! (with an additional 37% being overweight).

As we know, obesity leads to diabetes and hypertension, which both contribute to the number one killer of humans: heart disease.

How Healthcare Works in the Five Healthiest Countries — Halle Tecco Comparing the healthcare systems of Spain, Italy, Iceland, Japan, and Switzerland

Golden Sands vibes

Tune in to Radio Cayman tonight at 7:00 pm to hear Dr. David Kwinter, Cayman Medical's Clinical Chief of Concierge Medicine and Primary Care discuss his approach to family medicine and healthy longevity.
The show also replays on Saturday, Aug. 26th at 9:30 am.
Find out what else we can do for you at www.medical.ky or call us at 623-1000

Depending on your genetic background, screening for Type 2 Diabetes Mellitus may need to begin as early as 25 years of age!

Don't miss the chance to detect and reverse diabetes early!

For your reference, Diabetes Screening Guidelines from the UK, USA, and Canada:

NICE (National Institute for Health and Care Excellence--UK) (1)
o Risk assessment everyone 40+
o Risk assessment 25-39 of South Asian, Chinese, African-Caribbean, black African and other high-risk black and minority ethnic groups

USPSTF (US Preventative Services Task Force) (2)
o Screen adults 35-70 who are overweight or obese
o Consider earlier screening in high prevalence populations including American Indian/Alaska Native, Black, Hispanic/Latino, Native Hawaiian/Pacific Islander); and at a lower BMI (≥23) if the patient is Asian American

CTFPH (Canadian Task Force on Preventative Health) (3)
o CANRISK Risk assessment and A1c if Medium to High risk

1) https://www.nice.org.uk/guidance/PH38/chapter/Recommendations -people-to-have-a-risk-assessment
2) https://www.uspreventiveservicestaskforce.org/webview/ #!/recommendation/1934
3) https://www.diabetes.ca/resources/tools---resources/my-risk-for-developing-diabetes

"Screening all U.S. residents over 35 for chronic kidney disease would increase life expectancy, reduce the number of people requiring dialysis or transplant, and provide good value in health care spending, Stanford Medicine researchers have found."

https://med.stanford.edu/news/all-news/2023/05/chronic-kidney-disease-screening.html

Cayman Medical - Early Screening Program Personalized program for proactive, healthy longevity with Dr. Kwinter at Cayman Medical.

If you need a family doctor who is proactive in screening and up-to-date with the latest developments in healthy longevity research, Dr. Kwinter has recently joined Cayman Medical and is accepting new patients.

Call today to book an appointment: 623-1000 or WhatsApp: 324-2424

Atherosclerotic plaques in coronary arteries grow slowly occasionally rupturing and causing myocardial infarctions (heart attacks). They begin forming **decades** before any symptoms develop. These plaques--made of tiny lipid particles--can now be detected noninvasively and it has been convincingly demonstrated that intensive lipid-lowering therapy halts plaque progression.

Cardiologists are now proposing that early lipid and coronary artery screening approaches replace conventional primary and secondary prevention paradigms.

Earlier screening and intervention should prevent a lot of heart attacks and complications including heart failure and death. However, it will take a long time for this to be proven with longitudinal studies.

If you are interested in healthy longevity, make it a priority to see your family doctor and ask what screening they recommend.

Reference:

From Subclinical Atherosclerosis to Plaque Progression and Acute Coronary Events: JACC State-of-the-Art Review It has been believed that most acute coronary events result from the rupture of mildly stenotic plaques, based on studies in which angiographic inform…

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The supraspinatus (the muscle shown in green) is the most commonly injured of the four rotator cuff muscles. This often occurs with eccentric overhead movements and slip-and-fall accidents. This muscle is particularly vulnerable due to its small cross-sectional area at its insertion on the humerus (right side of the image).

Unfortunately, supraspinatus tears often heal imperfectly resulting in a chronic limitation in range of motion due largely to the impracticality of bracing the arm in abduction after an injury.

For the supraspinatus, prevention is key. This requires regularly abducting the shoulder with resistance as shown in this video: https://www.youtube.com/watch?v=tGmSLzR6uds

While the resistance bands demonstrated are great, I would suggest progressing to small dumbbells (10-15 lbs) so that abduction can be taken through the full arc (180 degrees) finishing with internal rotation of the shoulders so that there is strengthening through the full range of motion.

With resistance exercises, remember to start low and go slow. Avoid jerky movements that could cause harm, especially with a muscle like the supraspinatus.

Cayman Medical is pleased to introduce Dr. David Kwinter to the medical community.
Dr. Kwinter's educational background includes degrees from the esteemed University of Kentucky College of Medicine and Memorial University's Department of Family Medicine. Having completed his training and certification in both family medicine and emergency medicine, he ran his own family practice in Canada while simultaneously working ER shifts, OR assisting, running a hospital-based special procedures clinic, and caring for the residents of a local retirement home. With over 8,000 hours of high-volume, high-acuity emergency room experience, Dr. Kwinter is adept at managing complex medical workups as well as minor surgical special procedures. Having run a solo private practice of over 1,000 patients for nearly a decade he gained experience in managing nearly all common chronic diseases and many uncommon and rare diseases as well.
Feel free to call 623-1000 to book an appointment or learn more about Dr. Kwinter's clinical services.
Find out what else we can do for you at www.medical.ky or call us at 623-1000