Patients

Hawai’i Volcanoes National Park, Kahuku Section, Hawai’i Island

This page is to serve as a repository of information for patients.

  • General Preventative Health
    • U.S. Preventive Services Task Force (USPSTF)
      • The USPSTF sets the evidence based recommendations for disease screening, counseling and preventative services in the United States.
      • All A&B recommendations must be covered by health insurance.
      • Find out what your recommended services are based on age, gender, smoking status, and sexual activity status: ePSS
        • Click on “Details” on the far right to see specific regarding the recommended item
        • Recommendations are graded based on a A, B, C, D, I recommendation scheme which can be reviewed here
    • Vaccinations
      • ANNUAL – influenza vaccine
      • EVERY 10 YEARS – Tetanus vaccine
      • AFTER AGE 50 – Shingles vaccine (2 shot series)
      • Age 65+ – Pneumonia vaccine(s)
      • Age 19-64 with “risk factors” – Pneumonia vaccine(s)
    • Healthy Eating & Exercise Recommendations
      • The Harvard School of Public Health has great, realistic, and understandable recommendations for healthy eating, exercise, and obesity prevention
      • In general, a BMI of less than 25 is considered “at goal” for most people
        • BMI Table
          • Convert your height to inches (12 x ft tall + inches tall = total), which goes on the column to left
        • Asians have a lower BMI cutoff for being overweight, therefore the “at goal” weight for Asians is a BMI of less than 23

  • Alcohol Use
    • The Centers for Disease Control and Prevention categorizes Excessive Alcohol Use into the following categories
      • Binge drinking (defined as consuming 4 or more alcoholic beverages per occasion for women or 5 or more drinks per occasion for men)
      • Heavy drinking (defined as consuming 8 or more alcoholic beverages per week for women or 15 or more alcoholic beverages per week for men)
    • The 2015-2020 U.S. Dietary Guidelines for Americans recommends that if alcohol is consumed, it should be consumed in moderation
      • Up to one drink per day for women*
      • Up to two drinks per day for men*
        • This is not intended as an average over several days, but rather the amount consumed on any single day

  • Type 2 Diabetes
    • The American Diabetes Association is an amazing repository of information for patients and providers. Below are some recommended pages on the website:
    • Diabetes Checklist
      • EVERY VISIT
        • Hypertension Screening/Treatment
          • Goal blood pressure is less than 140 / 90, closer to 120/80 preferred (changes based on age)
          • An angiotensin-converting enzyme inhibitor (ACE-I) or an angiotensin receptor blocker (ARB) is recommended first-line treatment for elevated blood pressure in diabetics
      • ANNUAL
        • Kidney Disease Screening
          • Urine albumin/creatinine ratio (ACR)*
          • Estimated Glomerular Filtration Rate (eGFR) calculation*
            • *Monitor every 6 months if eGFR <60 or ACR >30
        • Diabetic Retinopathy
          • Eye exam with an ophthalmologist or with a photograph screening
        • Comprehensive Foot Exam
          • Check pulses, for wounds, monofilament testing, and vibration/pin-prick/temperature check
      • IMMUNIZATIONS