February is Heart Health Month

by Aaron Hanshaw on February 18, 2014


February is Heart Health Month.  Cholesterol is a big part of heart health, but is only a part of the big picture…

Heart Disease Risk Factors

  • Cholesterol (High levels or low levels of “good cholesterol”)
  • Smoking
  • High Blood Pressure
  • Diabetes
  • Family History of Heart Disease
  • Age (men over 45 and women over 55)
  • Prior History of Heart Disease

What makes up “cholesterol” or “lipids” when your doctor orders it to be tested?

Cholesterol is not just a number.  True, total cholesterol is important, but the breakdown of its parts is possibly more important.  It is made up of three main parts, the triglycerides, the LDL and the HDL.  Think of triglycerides as the “building blocks for cholesterol”.  They can be a problem if alone are too high but usually “follow suit” if other parts are lowered when needed.  The LDL is the “bad cholesterol” and the HDL is the “good cholesterol”.

Numbers to know about LDL

  • LDL level of190mg/dL or higher, and none or one of the heart disease risk factors
  • LDL level of130mg/dL or higher, and two or more risk factors
  • LDL level of100mg/dL or higher, already have heart disease or diabetes, or two or more risk factors
  • LDL level of70mg/dL or higher, have heart disease with multiple risk factors (especially diabetes), and poorly controlled risk factors (like continuing to smoke, low HDL, etc.)

How about HDL?   Basically it should be higher than 40, even better if over 60.  If HDL is lower than 40, it is an independent risk factor for heart disease.

Numbers for Triglycerides?  They should be under 150.

What can you do about your cholesterol?


  • Lifestyle changes
    • Increase fiber intake
    • Healthy fats (such as omega 3 fatty acids)
    • Increase exercise with clearance from physician
    • Reduce fast and fatty foods


  • Medications
    • Statins (Lipitor, Zocor, etc…):   help lower the LDL primarily, side effects include liver issues and muscle pain
    • Fibrates (Tricor, Trilipix):  help lower mainly Triglycerides only
    • Niacin:  helps increase HDL

So, why is this important?  It is integral in the calculation for heart risk.  Look at all the risk factors that you cannot control (age, race, etc…), why not improve one that you can?

Take control of your own health along with your physician.  Make sure you speak to yours and decide the best plan of action for you.  Or, feel free to come see me as a patient at my office at…


8940 Kingsridge Drive

Dayton, Ohio  45458



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New Patients are Welcome!

by Aaron Hanshaw on August 13, 2013

Dr. Aaron Hanshaw and office staff

Hello there.  You may have recently received a mailer from my office telling you a little about what we offer.  I am actively trying to build up my patient base.  I would like to tell you a little about myself and my practice.

Dr. Charles Hanshaw is my father.  He is an internal medicine doctor and has been in practice for over 25 years in the Dayton area.  He allowed me to join the practice in 2009 after I became board certified in Family Medicine.  I have built my practice over the last three years or so off of word of mouth and providing quality medical care for patients in the greater Dayton area.

We are located on Kingsridge Drive by the Dayton Mall.  From Springboro you basically drive up 741 and turn right at McDonald’s.  Few hundred feet and you’re there, on the right.  We foster a small “mom and pop shop” atmosphere.  We have women that work at our office who are basically family to the physicians.   They care for the patients as if they were family as well.

We offer the following, but we are not limited to…

  • Checkups/Wellness Visits (including work physicals, gyn visits, and well child)
  • Orthopedic/Sports Medicine Care
  • Osteopathic Manipulation
  • Chronic Illness Management (diabetes, hypertension, asthma, allergies, etc…)
  • Acute Care (colds, infections, lacerations, injuries, etc…)
  • Dr. Charles performs endoscopies (colonoscopies and egd’s)
  • Flu shots in the Fall
  • We are able to offer same day appointments in most cases (Dr Aaron especially)
  • Overall health management as well as disease treatment
  • We also provide on-site EKG’s, pulmonary function testing, and several other services

I like to partner with my patients in their healthcare.  I will try my best to provide the best care available to each patient.   I will allow the patient to be involved with what occurs with their own body.  I am an osteopathic physician, which, by philosophy, means I believe the body can heal itself if given a chance.  That may often require medication, however, but by no means do I merely treat symptoms when able to do otherwise.

We take most insurance.   For several reasons, however, at this time we are very limited on what we can do with Medicaid insurances (Caresource, Molina, etc…), that may change in the very near future.  We will take appointments on a case by case basis but feel free to call the office at 439-7430.

I look forward to meeting you as a patient.

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