Dr Mileham Hayes - Not Decline, Redesign: Mileham Hayes on Building Resilience With Science and Data

This week, on 4-Quarter Lives, we revisit the conversation between Avivah Wittenberg-Cox and Dr Mileham Hayes, author of ‘Live Longer: Revealing Today’s Secrets of Longevity and Wellbeing’ and a specialist in preventative medicine. As he says, “preventive medicine has never realized its promise or potential...until now”. Mileham, who launched the world’s first longevity clinic and has spent nearly six decades in coronary care, shares how much of heart disease—still the world’s top killer - is preventable, yet persistently neglected. He discusses key diagnostic tests such as ApoB, Lp(a), and coronary artery calcium scans, many of which he began using in the 1990s but still remain underused. He advocates a targeted 20-test health screening battery for anyone over 40, customized by age and gender, which is downloadable with the episode.He critiques the broader health ecosystem where profit-driven industries—from pharma to fast food—drown out preventive efforts, leaving doctors and patients with minimal influence. He shares sobering statistics on the top causes of death by decade and gender across the US, UK, and Australia—highlighting suicide as a leading killer of younger men. Rather than obsessing over radical life-extension strategies, Hayes urges a back-to-basics focus on preventing known, measurable threats. Witty, forthright, and deeply experienced, Hayes is a passionate advocate for practical, accessible healthcare that prioritizes staying alive—and healthy—as the first rule of longevity.Dr Mileham Hayes is a Specialist Physician and a Fellow of both the Royal College of Physicians of London and Edinburgh. He was appointed to the world’s first Coronary Care Unit and researched prevention of heart attacks – still the greatest cause of premature death. He has now spent some 50 years in clinical practice and is the author of two medical textbooks and a series of books on living longer through prevention, nutrition and exercise. His most recent book is ‘Live Longer: Revealing Today’s Secrets of Longevity and Wellbeing’. Mileham studied medicine at the University of Queensland. He has five children, played most sports at a high level, farmed, gardens, writes doggerel and cooks. He also had an ABC radio weekly program and two national TV shows presenting and playing jazz. He has the Order of Australia Medal for his services to Jazz.Useful Links:* Download a pdf from Mileham on main causes of death by sex and age, and recommended tests* Buy Mileham’s book ‘Live Longer’* On Amazon.com* On Amazon.co.uk Get full access to 4-Quarter Lives | Elderberries at elderberries.substack.com/subscribe