In the age of Covid, people often forget that cancer and cardiovascular diseases are still here and often lose sight of the need to screen and protect against these other deadly diseases. Before this webinar, I was, to be honest, confused about which executive checkup package to get, but now I’m more confident about taking charge of my own health destiny.
Here are my key learnings, together with the highlights of The Mu Sigma Phi Sorority of the UP College of Medicine’s webinar on “Taking Control of Your Health: Why ‘Executive Checkup’ Matters.”
✅ Mid-40s is the critical age to start cancer screening and to focus more on your periodic health checkup strategy while you are asymptomatic. It gets more difficult during this pandemic to go to hospitals and clinics in person, but make sure to put cancer screening tests in the same priority as getting a Covid-19 vaccine. Do this on your birth month as a gift to yourself.
✅ Design your own Health Checkup & Cancer Screening in partnership with a doctor you trust who will determine the right tests based on your risk factors and interpret the results. The one-stop shop executive checkup packages in hospitals and clinics are designed for the executive who has the money but doesn’t have the time to canvass or look for good value screening tests and at-home testing options.
✅ For foodies, start screening for colon cancer via colonoscopy aside from focusing on lowering your body mass index and checking for diabetes and hypertension because colon cancer is now #3 in the list of malignancy in the country with higher rate among younger individuals (probably because of the way we eat).
About Executive Checkup:
The Mu Sigma Phi Sorority of the UP College of Medicine’s inaugural webinar of the MUla Kay Doktora: The Dr. Julita Ramoso-Jalbuena Memorial Women’s Health Forum, co-presented by InLife Sheroes:
“Taking Control of Your Health: Why ‘Executive Checkup’ Matters“
(Ang Inyong Kalusugan ay Nasa Inyong Kamay: Bakit Mahalaga ang ‘Executive Checkup’)
July 13, 2021, Tuesday from 12-1 PM Manila Time!
Speakers: Dr. Alexandra Laya-Zinampan and Dr. Monica Therese Cabral
Reactor: Nizza Regalado, RPm
Moderator: Dr. Anna York Cristina Bondoc
There are a lot of one-stop executive checkup packages in hospitals and medical institutions that it is quite confusing to choose. They are also expensive.
The best executive checkup is the one that you design and personalize according to your lifestage.
Prevention and screening are two of the most difficult areas of medicine and there is no single source of recommendations.
Recommendations are constantly changing with new information, research and innovation.
The more apt term for Executive Checkup is Periodic Health Checkup & Cancer Screening.
(44:00 – 56:30 minute mark)
Cancer Screening by Dr. Alexandra Laya-Zinampan, MD
Dr. Alexandra Laya-Zinampan, MD
• University of the Philippines College of Medicine (Class 2001)
• Fellowship, Gastroenterology, University of Missouri – Kansas City Graduate School of Medicine, Missouri
• Consultant, St. Luke’s Medical Center Global City
Cancer Screening is for asymptomatic and average-risk individuals. For patients with symptoms, the approach is more case finding and diagnosis.
Skin Cancer – Visual inspection for those with a large number of moles or those who are out in the sun often.
Cervical Cancer – Pap Smear Test every 3 years starting at age 21 and Co-testing of Pap Smear + HPV every 5 years starting age 31 until 64.
Breast Cancer – Do a baseline screening at age 40, do yearly mammograms at age 45 and downgrade to every two years at the age of 55.
Colorectal Cancer – Starting at age 45, do a colonoscopy every 10 years or a Flexible Sigmoidoscopy every 5 years + Annual Immunohistochemical Test (FIT).
At age 45-75, focus on Individualized Surveillance Protocols using screening history, overall health condition and patient preference.
Lung Cancer – Annual Low Dose Chest CT for those who belong to the high-risk category, 50-80 years old.
Prostate Cancer – Routine Screening is recommended for healthy men starting age 55-69 using Prostate Specific Antigen (PSA) Blood test or Digital Rectal Examination.
(56:40 – 1:05:00 minute mark)
Periodic Health Checkup by Dr. Monica Therese Cating-Cabral, MD
Dr. Monica Therese Cabral, MD
• University of the Philippines College of Medicine (Class 2001)
• Fellowship, Endocrinology, Diabetes and Metabolism, UPCM-PGH, Philippines
• Consultant, Asian Hospital Medical Center, Makati Medical Center, St. Luke’s Medical Center Global City
Periodic Checkup is recommended every 3 years for adults less than 49 years old without chronic conditions and annually for adults more than 50 years old.
All adults should be assessed every doctor’s visit for the major modifiable risk factors for cardiovascular disease.
Hypertension – You are at risk if your day time blood pressure is 130-139/ 80-89 mmHg.
Generally, healthy individuals do not need a routine electrocardiogram (ECG) because it has low sensitivity for detecting the presence of coronary heart disease.
Generally, exercise stress test is not recommended for asymptomatic patients.
Diabetes Screening – Test for the following markers: Fasting Blood Sugar => 126 mg/dL, 2-hour blood sugar => 200 mg/dL, or Random Plasma Glucose => 200 mg/dL.
Note: HBA1C is not the screening test of choice because this is the average blood sugar for the past 3 months.
Lipids/Cholesterol Screening – Do a Fasting Lipid Profile for men age > 35 years old and women age > 45 years old.
Osteoporosis Screening – Bone Mineral Density test for women for > 65 years old and men > 70 years old with no risk factors or family history.
Note: There is no symptom for osteoporosis and you can only detect it when you have your first fracture.
Anticipatory Guidance – Check for Body Mass Index, Exercise and Psychosocial issues.
Immunization – Make sure your family is up to date with immunization boosters if needed.
The most recommended are the Flu, Pneumonia and Covid-19 immunizations and make sure to get Human Papilloma Virus (HPV) vaccine.
Thank you to Dr. Alexandra Laya-Zinampan, MD and Dr. Monica Therese Cating-Cabral, MD for sharing the latest information and strategies on Periodic Health Checkup & Cancer Screening. I’m now more confident to design and take charge of doing preventive strategies for the family. In this age of Covid, we have become more aware of boosting our immune system and being more proactive in checking for cancer markers and health risks.
(Note: Mental Health is not covered in these periodic checks and screenings. Make sure to check on and ask your family and friends if they are OK during this pandemic and do it consistently.)
Join the next MU Webinar this 2nd Tuesday of August:
“Ready, Get Set, Go Surgery!“
August 10, 2021, Tuesday from 12-1 PM Manila Time
Register for FREE to all webinars of the series at: https://tinyurl.com/MuWebReg2021.
Live an Awesome Life with Christ,