Blood Pressure Record

Medicare and Preventive Health Care

You may have heard something lately about “preventive health care.” What does that mean, exactly?

At its most basic level, preventive health care means living a healthy lifestyle. Eat a balanced diet. Exercise regularly. Maintain a healthy weight. And stop smoking.

People with Medicare can benefit from these healthy living habits as much as anyone. But Medicare also covers a wide variety of screenings and tests to help detect preventable and chronic diseases early, when they’re at their most treatable and curable stages.

The federal health reform law made significant improvements to Medicare’s preventive health benefits by eliminating cost-sharing requirements for many of them. The idea was to encourage people with Medicare to get more preventive screenings and counseling to help them lead healthier and longer lives.

For example, there are no longer any out-of-pocket expenses when you get a “Welcome to Medicare” physical exam. This one-time exam is offered during the first 12 months after you’ve enrolled in Medicare Part B.

During the exam, your doctor will record your medical history and check your height, weight, and blood pressure. He or she will also calculate your body mass index, give you a simple vision test, and give you advice on preventing disease and staying healthy.

In addition, the health reform law makes it possible for people with Medicate to get a free annual wellness exam.

When you get this exam, your doctor will go over your medical and family history and develop or update a personalized prevention plan for you. Your doctor also will check for any cognitive impairment and risk factors for depression, and review your functional ability and level of safety.

During the first two months of this year, more than 150,000 people with Medicare got a wellness exam.

Medicare also covers shots for flu, pneumococcal disease (which can cause pneumonia and meningitis), and Hepatitis B. Flu, pneumococcal infections, and Hepatitis B can be life threatening for older people, and we recommend that all people over age 65 get flu and pneumococcal shots. Most people only need the pneumococcal vaccine once in their lifetime.

And remember: these shots are free for Medicare beneficiaries.

Beneficiaries also can get screened for cardiovascular disease and for several kinds of cancer, including breast, prostate, cervical/vaginal, and colorectal cancer.

Low Blood Pressure: Medical Log [June2] | The (Mis)Adventures of ...

I was taking a shower two Sunday nights ago when I suddenly felt like I was about to collapse . I called on M to help me get to our bed and he rushed downstairs to get my blood pressure monitor. My reading recorded 84/44 (it's digital, so I'm rounding off to the nearest 10s) hence, 80/40. We repeated the reading after 5minutes and it was still the same. (We checked every 30minutes until I felt too weak, and fell asleep.) We're equipped in dealing with high blood pressure since my chemotherapy days but not on low BP. All I know is that I should lie down with my legs elevated to help pump back the blood to my head/brain . M made me drink lots of water as we knew that dehydration is one possible factor why people get low blood pressure. I told M that if it gets lower or I'll look paler, he better bring to the nearest ER. I was extra cautious on the succeeding days as M commented that I was still looking pale and weak . I went on with my usual household routine and monitored my blood pressure throughout the day. I am not taking any medications and definitely not dehydrated (as I made a conscious effort to keep myself hydrated - just to eliminate the dehydrated factor in identifying the cause of my hypotension.) Another thing that bothers me is that I feel tired easily . I remember the days when I had really low hemoglobin , and that is how I feel right now. I am having shortness of breath especially when going up and down the stairs. Good thing, that my recent blood test show that I my hgb is still within the normal range, and as my doctor would put it, "Perfectly fine." Since she (my doctor) thinks that everything's fine with my blood, she asked me to undergo a 2D Echocardiogram with Doppler to check my heart . I scheduled the test in St. Luke's Medical Center in E.Rodriguez and I had to break the bank to pay Php6600+ for it. I got the results the day after and based on the reading, my heart is okay except for some mild regurgitation .

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JAMA., The Journal of the American Medical Association