EKG screening:
Yearly EKG screening is in general, advocated by many primary care physicians.
Adult vaccination schedule:
Influenza vaccination is given each year in October (2). For requirements of other adult vaccines and for more information see the Centers of Disease Control Website (7): http://www.cdc.gov/vaccines/schedules/hcp/imz/adult.html. In this age group, consider vaccination for Hepatitis A & B, Pneumococcus, Herpes zoster (shingles), tetanus, Haemophilus influenzae, Meningoccocal, and Varicella
Chest X-ray:
Chest X-ray screening may be indicated by your primary care physician.
Tobacco abuse:
Avoid substance abuse and tobacco abuse. Quit tobacco use as soon as possible by using a combination of several methods to assist in cessation. For instance, combine nicotine replacement with at least one additional method such as an exercise program, hypnosis, or formal counseling such as support groups. The recommendation to counsel patients to stop smoking, stop using tobacco products, and provide methods of cessation is reinforced by the USPSTF (25). Many resources are available to assist in smoking cessation such as the online sites http://smokefree.gov/, http://www.cdc.gov/tobacco/campaign/tips/quit-smoking/ and the phone number for free help 1-800-QUIT-NOW.