YOUR PERSONAL HEALTH SUMMARY Date of Birth Gender Primary Care Physician Report Date Group CONFIDENTIAL INFORMATION 3/17/1975 Female Jane M Smith 07/02/2013 Mercy - Main Your Increased Risks Blood pressure category is Hypertension Stage 1 Cholesterol level is Borderline High HDL level is Increased Risk LDL level is Borderline High Triglyceride level is Borderline High Lack of exercise Unhealthy body composition Stress symptoms Seasonal allergies Headaches Reports high blood pressure but not taking medication Have not had a pap smear since 3/1/2009 Have not had a mammogram recently Screening Blood Pressure Total Cholesterol HDL LDL Triglycerides Glucose (Fasting) PSA Heel Bone Density Weight Height Screening Results Result 134/90 231 40 159 161 74.0 N/A N/A 157 5'3" Computation BMI Body Fat Percentage Waist Circumference Body Composition Result 27.8 N/A 35 Health Conditions Asthma Arthritis Frequent Stress Felt Depressed Lost Interest Seasonal Allergies Headaches/Migraines Heartburn Heart Disease Diabetes High Blood Pressure (taking medication) Screening History Blood Pressure Yes Cholesterol Yes Glucose Yes Physical Exam 03/01/2013 Mammogram No Pap Smear 03/01/2009 Range Hypertension Stage 1 Borderline High Increased Risk Borderline High Borderline High Desirable N/A N/A Range Overweight N/A Increased Risk No No Sometimes No No Yes Frequently Never No No Yes (No) Family History Cancer N/A Heart Disease N/A High Blood Pressure N/A Stroke N/A Diabetes N/A Osteoporosis N/A Lifestyle Characteristics Smoke Cigarettes No Use Smokeless Tobacco No Exercise Sometimes Wears Seatbelt Frequently [2] Confidentially Prepared for: Jane M Smith | July 2, 2013 CHOLESTEROL Cholesterol is a soft, waxy substance found in your cells and bloodstream. Although some cholesterol is necessary to develop cell membranes, hormones, and serve other bodily functions, too much cholesterol may lead to heart disease. There are two types of cholesterol: high-density lipoprotein, or HDL, and low-density lipoprotein, or LDL. HDL is known as the "good" cholesterol. It works to remove cholesterol from artery walls protecting you from heart disease. LDL is known as the "bad" cholesterol. When too much LDL circulates in the blood, it can gradually build up in the arteries that deliver blood to the heart and cause a heart attack. Total blood cholesterol is the most common measurement of cholesterol levels in the blood. However, many doctors use the ratio of total cholesterol to HDL cholesterol instead of the total blood cholesterol measurement. Triglycerides are a type of blood fat. High levels of triglycerides are often found in people who have diabetes or heart disease. Low HDL cholesterol, high LDL cholesterol, or high triglycerides may increase risk for heart attack and stroke. Your total cholesterol is 231. However, it is important to note that LDL cholesterol is a more accurate indication of heart disease risk. Mrs. Smith, according to your results, your LDL cholesterol is 159, a reading in the borderline high range. We recommend that you contact a physician now to determine if you need to take cholesterol-lowering medication in addition to making changes in your lifestyle that will reduce your risk for heart attack and stroke. Your HDL cholesterol is 40, a level in the increased risk range. Because HDL is the "good" cholesterol, having low HDL is a risk factor for heart disease. Your triglycerides are 161. High triglycerides may increase risk for heart attack and stroke. Being overweight, having diabetes, smoking cigarettes, being physically inactive, and high carbohydrate intake can contribute to elevated triglycerides. [6] Confidentially Prepared for: Jane M Smith | July 2, 2013 Total Cholesterol Risk Category Range High 240 or Greater Borderline High 200 to 239 Desirable Less than 200 Previous Current 231 LDL Risk Category Range High 160 or Greater Borderline High 100 to 159 Desirable Less than 100 Previous Current 159 HDL Risk Category Range Desirable 60 or Greater Moderate 50 to 59 Increased Risk Less than 50 Previous Current 40 Triglycerides Risk Category Range High 200 or Greater Borderline High 150 to 199 Desirable Less than 150 Previous Current 161 STRESS Stress is a physical and psychological response to situations you perceive as demanding, threatening, unpleasant, or otherwise challenging. Even happy occasions, such as a wedding or the birth of a child, can be stressful. Stress is a normal, necessary, and even useful part of life. However, an abundance of negative stress in your life can contribute to health problems including heart disease, weakened immune system, gastrointestinal problems, weight gain, headaches, insomnia, and concentration and memory problems. Mrs. Smith, you indicated that you experience stress. It is important that you eliminate any unnecessary negative stress and learn to effectively manage the negative stress that cannot be eliminated. Symptoms that you think might be caused by stress may actually be warning signs of a more serious problem. For example, feelings of stress may overlap with depression or a group of medical disorders referred to as anxiety disorders. In addition, some of the physical symptoms of stress, such as headaches, upset stomach, or feeling on edge, may be caused by problems with your thyroid, gastrointestinal tract, neurological system, or other medical conditions. Talk to a medical professional about whether or not to seek help from a mental health professional for stress. It is particularly important that you and your physician consider professional help for your stress if you constantly feel anxious, you experience intense periods of panic or anxiety, you have experienced a traumatic event, you are experiencing potentially stress-related health problems, or if stress is interfering with your work or the way you interact with others. Managing stress is particularly important for people with particular conditions. You have high blood pressure. Stress may aggravate high blood pressure in some people. In addition, periods of high stress often prompt individuals to stress-eat leading to weight gain and obesity, which often do contribute to high blood pressure. Research indicates that stress may play a role in migraine headaches. Because you suffer from headaches or migraines, it could be especially beneficial for you to reduce or eliminate the stress in your daily life. Symptoms of Stress PHYSICAL SYMPTOMS Upset stomach or indigestion Muscle tension Changes in appetite Headache Fatigue BEHAVIORAL SYMPTOMS Snapping at people Procrastinating Overeating or skipping meals Escape strategies (excessive TV or internet surfing) Turning to alcohol or cigarettes MENTAL SYMPTOMS Feeling irritated or angry Worrying or feeling nervous Feeling sad or overwhelmed Feeling "wiped-out" Feeling isolated or alone It is important to note that these symptoms can be caused by problems other than stress. Remember that not all symptoms of stress are "negative"; while one individual may feel overwhelmed by stress, another may feel energized by it. [22] Confidentially Prepared for: Jane M Smith | July 2, 2013
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