HealthQuest - Hawaii News Now - KGMB and KHNL

HealthQuest

Dr. Albert Honda Dr. Albert Honda

HealthQuest's Philosophy:  HealthQuest offers a program to reverse hardening of the arteries.  Over four hundred thousand people, four out of every ten, in Hawaii will eventually die of this disease, mostly because of heart attacks and strokes. The American Heart Association, AHA, has known for over twenty years how to stop and even reverse hardening of the arteries without surgery. Many treatments are generally not used except for patients who are considered by the AHA to be at high risk or very high risk.  These patients include those that have already had a heart attack or stroke or other serious medical problems. Many treatments that would clearly benefit patients are not included in the AHA recommendations because of cost considerations. This quote is from the a statement endorsed by the AHA:

"Nonetheless, the costs of drug therapy are the dominant factor determining cost-effectiveness of the clinical approach to cholesterol reduction."  ATP III 2002 p. 3217

Cholesterol lowering medications include generic formulations. For example two generic formulations are already available without insurance coverage for as little as $3.33 per month here in Hawaii thru pharmacy programs at Walmart and Target.  There are also many blood pressure medications to select from within these program. For those without drug coverage HealthQuest specializes in using generic drugs whenever drug costs are a concern. Clients are also informed about brand name medications. This allows clients to choose from different options. The information includes the risks, benefits and costs of treatment.  Financial considerations are recognized and discussed.  HealthQuest concentrates its efforts on a patients blood pressure and cholesterol levels. 

The number one risk factor for hardening of the arteries is elevated cholesterol levels, although blood pressure plays a critical role in cardiovascular health.  The American Heart Association and the CDC tell us that about one in five people have hypertension. Two out of every three patients are not reaching AHA target blood pressure goals of 140/90. The AHA tells us how important it is to control blood pressure. Having a blood pressure of 140/90 verses 120/80 doubles the risk for heart attack and stroke. We now know that the top number of the blood pressure is the important number, the systolic pressure. For each twenty points above 120 systolic the risks of heart attacks and stokes doubles. In other words the risk associated with a blood pressure at 160 systolic verses 120 is four times greater. HealthQuest has a program to achieve a healthier blood pressure number for its clients.

What does your cholesterol level mean?  The AHA says that "bad cholesterol" or LDL-cholesterol is the single largest risk factor for the formation of hardening of the arteries.  The medical term is atherosclerosis.  Any LDL of 100 or greater makes a person likely to develop atherosclerosis. The medical term for this is atherosclerotic progression, the formation of atherosclerosis.  An LDL just below 100 stops the formation of atherosclerosis.  This would be atherosclerotic cessation.

       In the United States, because of diet and lifestyle, the average LDL cholesterol level is about 130. This number corresponds to a 40% probability of death from some form of atherosclerosis, mostly because of heart attack and stoke. With an average LDL of 130 unless your medical history is complicated by a heart attack, stroke, or diabetes you would generally not qualify for treatment with cholesterol lowering medication under AHA recommendations.  Even if your LDL-cholesterol number were as high as 159 without some other complicating medical history you would still not qualify for treatment by medication under the AMA recommendations.  The probability of eventually dying from some form of atherosclerosis with an LDL of 159 is about 60%.  Here is the AHA statement on treating levels of LDL cholesterol.

       "...an LDL-cholesterol goal of <160 mg/dl is allowable.  Although a lower level (<130mg/dl) is nearer to optimal, introduction of drug therapy to treat LDL-cholesterol levels of 130-159 mg/dl ...is unrealistic."                        ATP III page 3199

HealthQuest's Program:  HealthQuest's program is one year long.  The goal for each client is stopping and reversing atherosclerosis and to maintain a controlled blood pressure. The basis of the program is educating clients about treatments that are available to fight cardiovascular diseases. It allows each client to make an informed decision about his or her own health care. It explains the available choices and their costs in regards to financial and/or lifestyle changes. The program starts with an assessment.  Based on the medical history of the client HealthQuest uses American Heart Association information to assess the level of cardiovascular risk. Once the risk is defined and understood, meaningful goals can be set with each client. Reducing cholesterol levels and blood pressure can be quickly effective for decreasing the risk for heart attack and stroke.  

       A fully functioning plan with reversal of atherosclerosis can be reached within one year.  HealthQuest's techniques include effective options recognized by the American Heart Association.  Their studies have shown that diet/lifestyle or medication alone can induce the reversal of hardening of the arteries. Dr. Honda guides and treats clients with the choices each client decides to use. HQ uses frequent office visits, education and testing to monitor progress. This allows faster and more positive results. HealthQuest is dedicated to assisting people in improving cardiovascular health succeeding in their quest for cardiovascular health.

HealthQuest is located at 1100 Ward Avenue, the First Insurance Center.  The web site is HealthQuestHawii.com.  The phone number is 888-3994. Please call Dr. Honda for a consultation to learn about reversing atherosclerosis and creating better cardiovascular health. 

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