"My first concern is whether he could be developing the metabolic syndrome because of his truncal obesity, but he's had a good long life. He might be one of these people who are fit and fat," Dr. Applegate said. "But I wonder whether he might have lung disease like emphysema or COPD.I would want to check his lung function to make sure that coal dust and coming down chimneys is not a problem for him."What would you recommend for Santa? A colonoscopy? PSA? Lipid panel? CT Calcium Scoring? Stress echo? Framingham Risk Scores? Low fat diet? Aspirin every day? Smoking cessation program? Yoga? Reiki?
I'd say, give the guy a break. He's got a big day ahead of him.