Hello and welcome to
"Health for a Lifetime"
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I'm your host Don Mackintosh
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and today we're
going to be talking about
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women's health issues.
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And so, if you're a lady or
have friends that are ladies,
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this is the time to tune in.
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And today, joining us to
talk about women's health issues
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is Dr. Eric Shadle and
we're happy that you're
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with us today and we're
glad that you can join us
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to talk about
women's health issues.
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Now I understand you've
been in practice for about
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15-16 years.
That's correct, yes.
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In obstetrics and gynecology,
so you see all kinds of
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women's health issues.
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What do people or what do women
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perceive as their
largest health concern
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especially when they
reach the age of menopause.
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Well the #1 cause for concern
that women have is cancer.
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Actually, a study was done
where they questioned menopausal
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women and 40% were
concerned about breast cancer,
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and another 15% were concerned
about other types of cancer
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as the #1 cause
of death in women -
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at least that
was their perception.
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So breast cancer
being the big concern?
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Their biggest concern...
Actually, they asked them
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what do you think
you will die from,
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and 40% said breast cancer.
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But actually, that's NOT
the most important problem of
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women's health,
though breast cancer
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is a very significant one.
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Of cancers, of women's
cancers, breast cancer is only
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the second leading cause of
death - second to lung cancer.
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So smokers and lung cancer.
That's right, that's right
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Okay, so then what
IS the leading cause of
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problems in women;
the leading cause of death
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for people or
ladies after menopause?
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Well the leading cause of
death is cardiovascular disease.
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It's actually
responsible for more deaths than
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all other causes combined.
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So it's the #1 killer,
just like it is with men.
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It's the #1 killer just like
it is with men, that's right.
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It's the biggest public
health problem that we face
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in this country is
cardiovascular disease.
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The incidence of heart
attacks rise with age with both
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men and women and 40%
who have a heart attack,
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the first symptom
is sudden death...
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so it is certainly a
scary issue and problem,
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but I find it very interesting
that women are still more
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afraid of breast
cancer than they are
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of cardiovascular disease.
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They seem to just be
able to live with that
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because everybody
has that problem but...
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I think that's right -
I think they just see that
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cardiovascular disease is
something that we just live with
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in this society, but
cancer, the word itself brings
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certain emotions
to bear, I think.
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Back to this issue of
cardiovascular disease;
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however, you know, some people
or ladies that I hear talking
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say that they've gone on
estrogen replacement therapy
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so that they will
decrease their risk of
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cardiovascular
disease or because, I guess,
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their physician
says... "That's changing now"
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Is that something
we should talk about?
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Absolutely! You've
brought up a very good question.
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We should look at
estrogen replacement therapy
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and the traditional risk
factors that are talked about
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in the medical community.
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And, let's just list
those risk factors...
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These are the traditional
risk factors that physicians
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use today to give
estrogen replacement therapy,
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and the first is a
personal history - a history of
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heart disease;
and increasing age.
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As we get older,
we have more risk.
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Estrogen deficiency.
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Dyslipidemia which
simply means lipid disorders,
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high cholesterol - we could say.
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There are additional
risk factors such as:
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diabetes, smoking,
high blood pressure,
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peripheral vascular
disease - that would be like
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atherosclerosis -
hardening of the arteries.
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Now what I find
interesting about this list...
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This is the list that is
published in all of our journals
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It would be a list
that is in our textbooks...
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I find it very interesting that
there are no lifestyle issues
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there other than smoking.
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Smoking is the only one
that's a lifestyle issue
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that they talk
about as a risk factor.
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And when you say
"lifestyle issue," you mean
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something they could do
something about. That's right
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That the patient themselves,
that the person would take
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primary responsibility
for their own health,
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and I think the reason for
that is that physicians today,
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we are not trained to
involve the patient themselves
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in their own health and yet
we all have, in our own power,
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well the power to
control our health.
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To choose what is good to eat.
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To choose to make
the right choices.
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In terms of lifestyle - so
let's then talk more about that.
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What kind of lifestyle
things should we be doing,
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or another way to put it is -
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How does this
relate to estrogens?
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Can we eat foods that
are high in estrogens?
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Well, I do want to get to that
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maybe a little
later in the program,
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but first of all, what we
eat has the most important thing
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to do with heart disease
and that is our cholesterol.
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We know that high
cholesterol is one of the basic
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foundation points
for heart disease,
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for cardiovascular disease,
for hardening of the arteries.
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And if you don't have
a high cholesterol level,
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you're not going to get
hardening of the arteries,
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and then you're not
going to have a heart attack.
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So you don't have to replace,
supposedly, your estrogen...
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You're really addressing a more
fundamental issue. That's right
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Is that what you're
talking about? That's right
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It's a much more
fundamental issue.
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Which I think - you talk about
this or we've talked about this
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is primary versus
secondary prevention. Yes
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And what do you
mean exactly by that?
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Well primary prevention
of heart disease is someone
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who has never had
any known disease;
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they've never had a heart attack
and never had any symptoms,
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and so you want to
help that person prevent
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heart disease from occurring...
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Whereas secondary
prevention of heart disease is
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a person who has
already had a heart attack,
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but now you're trying to help
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them prevent
another heart attack.
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Of course the second
group would probably be
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more highly
motivated. Absolutely!
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Since they already had a
heart attack. Absolutely!
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And the other ones, they
probably are just looking
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at you like you're from the
planet somewhere - you know.
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They've had their heart attack;
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they've had their wakeup call,
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and knowing that
40% will actually die
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during their first heart attack.
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So they're part of
that 60% obviously,
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and now we're very interested
in secondary prevention.
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Let's go back for a minute
to PRIMARY prevention though.
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What role does
estrogen replacement therapy
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have in primary prevention?
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In other words, they
haven't had a heart attack yet,
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and they want to avoid it.
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Well let me answer
that by saying that the
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pharmaceutical
companies, the drug companies
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in this country market
estrogen very heavily as a way
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to prevent heart disease
and they make those claims
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based on retrospective studies;
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that is studies that look
back at a patient's history,
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and they don't have
good control groups...
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And so they've looked at
these retrospective studies
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that have indicated as much as a
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50% reduced risk of heart
attack, primary prevention,
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in women who take
estrogen replacement therapy.
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And so they use
that data and say...
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"Wow, all women need to be on
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estrogen in order to
prevent heart disease. "
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And it gets a lot of press;
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it gets in the
Ladies Home Journal,
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and Time Magazine
and all these things,
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Good Housekeeping and all those,
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and then we have
women coming in and saying,
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"Well, I think I need
to take estrogen because
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there is heart
disease in my family. "
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But interestingly enough,
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there are a couple of very
good studies that are ongoing
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right now and one of them is
the Women's Health Initiative.
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"WHI" Study that has actually
changed the recommendations
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for estrogen in association
with primary prevention,
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and as a result of that study,
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the American Heart
Association does not recommend
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HRT which is
hormone replacement therapy
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or ERT - that is
estrogen replacement therapy,
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just estrogen by
itself - for the prevention of
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coronary heart
disease or heart attacks.
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So that's completely different
than what they're saying...
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That's exactly right!
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So they're not recommending...
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they don't think it
really has any primary role in
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preventing.
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Absolutely... The American
Heart Association does not,
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and that's because
this was a large prospective
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placebo-controlled
study designed to impact
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on women's use of
both unopposed estrogen,
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and that is estrogen
where you take it by itself,
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as well as hormone replacement
therapy which would be
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estrogen plus progesterone.
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Okay, so in other words,
when you say - double-blind
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and all controlled
placebo and all that,
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that means - they've
looked at everything,
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and now they're really getting
real data instead of just
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looking back and
anecdotally maybe saying...
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"Well, we THINK we see
this," as a marketing tool
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the drug companies were using
that but now there are real
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studies saying - "No,
there is not really a role in
00:10:54.85\00:10:58.04
preventing
cardiovascular disease. "
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Not only is there not
a role, but they actually
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found that there is a
small increase in the number of
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cardiovascular
events in those women taking
00:11:06.54\00:11:09.68
hormone replacement therapy.
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Now it's not
enough to stop the study,
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the study is still
ongoing, it's not due to be
00:11:12.97\00:11:15.34
completed until the year 2005.
00:11:15.37\00:11:18.06
But, you have to be concerned
about those kind of findings.
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Okay, so in other words, instead
of finding that it prevents it,
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it could even
potentiate it or make it worse,
00:11:25.80\00:11:29.08
but it's not to the
level where they had to stop
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a study because it's really
a dangerous thing. That's right
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Okay - Wow, so
that's completely different.
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So again,
everything you see on TV,
00:11:36.85\00:11:40.35
and, of course,
we're on TV right now -
00:11:40.38\00:11:42.55
it kind of shoots us in the foot
but everything you see on TV
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or everything you
hear on the radio,
00:11:45.39\00:11:46.45
or everything you read in
whatever magazine or journal,
00:11:46.48\00:11:48.80
it doesn't
necessarily match with the facts
00:11:48.83\00:11:53.45
if you're trying to
avoid the #1 killer of women
00:11:53.48\00:11:55.49
which is heart
disease. That's right
00:11:55.52\00:11:57.48
There is the
Nurses' Health Study
00:11:57.51\00:12:01.13
which is another prospective
study with over 70,000
00:12:01.16\00:12:05.99
postmenopausal women.
00:12:06.02\00:12:07.46
That study did show
a small decrease in the
00:12:07.49\00:12:11.08
risk of coronary events;
however, it wasn't enough
00:12:11.11\00:12:16.61
that the American Heart
Association is convinced,
00:12:16.64\00:12:20.85
and that study is ongoing
as well and we're going to see
00:12:20.88\00:12:24.44
what that has to say
about some of these risks.
00:12:24.47\00:12:27.18
It looks like that the women
that actually have a decreased
00:12:27.21\00:12:32.16
risk in coronary events
in the Nurses' Health Study
00:12:32.19\00:12:36.66
are those who are
also seeking medical care
00:12:36.69\00:12:40.97
and have better
lifestyle as well,
00:12:41.00\00:12:43.86
and so there may be
some confounding factors that
00:12:43.89\00:12:48.55
are making it difficult
to tell whether estrogen
00:12:48.58\00:12:52.97
is having that much of an effect
on cardiovascular disease or not
00:12:53.00\00:12:56.89
So the one study says
- Absolutely no effect.
00:12:56.92\00:12:59.58
This next study says
- Well there may be some
00:12:59.61\00:13:01.59
kind of increase or
decrease but it's probably
00:13:01.62\00:13:03.94
related to some
other kind of factor.
00:13:03.97\00:13:05.63
That's what they're
saying. Yes, that's right
00:13:05.66\00:13:08.82
So the bottom line
then and there is no
00:13:08.85\00:13:11.79
bottom line yet, is
what you're saying... Yes
00:13:11.82\00:13:13.46
You can't give
a bottom line yet,
00:13:13.50\00:13:14.85
but it appears to be
that this is not really
00:13:14.89\00:13:19.44
estrogen replacement therapy
in preventing heart disease
00:13:19.47\00:13:23.65
is not really the
right tree to be barking up.
00:13:23.68\00:13:26.72
Yes and really,
you think about it,
00:13:26.75\00:13:29.29
it doesn't make that
much sense to be looking
00:13:29.32\00:13:32.97
at that anyway because
there are so many other
00:13:33.00\00:13:36.05
lifestyle factors
that we probably should be
00:13:36.08\00:13:39.42
talking about at some point,
00:13:39.45\00:13:41.53
but estrogen, I'm not
sure is really one of those
00:13:41.56\00:13:45.77
lifestyle factors that
we need to be looking at
00:13:45.80\00:13:48.19
certainly for
cardiovascular disease.
00:13:48.22\00:13:49.98
So nobody, watching the
program, needs to go out
00:13:50.01\00:13:52.61
and buy those pills and
start taking them to prevent it.
00:13:52.64\00:13:54.93
Not to prevent heart
disease, that's right.
00:13:54.96\00:13:56.78
Now what about secondary?
00:13:56.81\00:13:58.23
We were talking
about primary prevention,
00:13:58.26\00:13:59.82
what about secondary prevention?
00:13:59.85\00:14:02.85
Should we be taking
some hormones then or...
00:14:02.88\00:14:05.47
You know, you would think
that secondary prevention,
00:14:05.50\00:14:08.62
if estrogen is going to decrease
the risk for heart disease,
00:14:08.65\00:14:12.76
it would decrease it
for secondary prevention
00:14:12.79\00:14:16.18
more certainly than primary...
00:14:16.21\00:14:18.76
Because, if you look at
these lifestyle live-in programs
00:14:18.79\00:14:23.42
that affect how we eat and they
teach us... exercise, cooking,
00:14:23.45\00:14:32.71
decreased fat intake
and that kind of thing,
00:14:32.74\00:14:35.25
what you want to find
are the sickest people.
00:14:35.28\00:14:38.63
The people that
have the heart attacks,
00:14:38.66\00:14:40.60
the people that
have the most weight,
00:14:40.63\00:14:42.38
the people that have the
worst cholesterol and diabetes
00:14:42.41\00:14:46.00
and all that - and
you see dramatic change.
00:14:46.03\00:14:49.42
So you would expect to see
the same thing with estrogen.
00:14:49.45\00:14:52.32
You want to find the sickest
people to see the biggest change
00:14:52.35\00:14:56.74
if there is something
that's going to affect it.
00:14:56.77\00:14:59.03
And so with estrogen,
we certainly expected to
00:14:59.06\00:15:03.20
see that in
secondary prevention studies,
00:15:03.23\00:15:05.99
and there is something
called... "The HERS Study"
00:15:06.02\00:15:11.36
with a little over
2700 postmenopausal women
00:15:11.39\00:15:17.08
under the age of 80 who already
had coronary heart disease,
00:15:17.11\00:15:23.86
and what we found with this
study - was that they actually
00:15:23.89\00:15:30.48
had an increased risk for
coronary events if they were
00:15:30.51\00:15:34.58
taking hormone replacement
therapy during that first year.
00:15:34.61\00:15:37.92
So the women who were taking
hormone replacement therapy
00:15:37.95\00:15:41.94
in the HERS Study, they've
already had a heart attack,
00:15:41.97\00:15:45.14
you put them on
hormone replacement,
00:15:45.17\00:15:47.44
that's estrogen
and progesterone,
00:15:47.47\00:15:49.80
and you find that there is
an increase in the number of
00:15:49.83\00:15:53.53
heart attacks
in that first year!
00:15:53.56\00:15:55.48
Wow! So in other
words, what does that mean?
00:15:55.51\00:15:58.87
It could mean, if playing
off of what we said about
00:15:58.90\00:16:01.83
primary
prevention, it could mean that
00:16:01.86\00:16:03.57
these are the type
of people that think -
00:16:03.60\00:16:05.39
"Hey, I'm just going to take
a pill - instead of changing
00:16:05.42\00:16:08.15
my lifestyle"
That's right, that's right.
00:16:08.18\00:16:11.37
Is that the
conclusion you're drawing? YES
00:16:11.40\00:16:13.27
We'd much rather take a pill
00:16:13.30\00:16:15.46
than have to
change our lifestyle
00:16:15.49\00:16:17.68
because sometimes that
seems too difficult to do.
00:16:17.71\00:16:22.07
And so, physicians shy
away from talking about
00:16:22.10\00:16:25.95
those kind of things
and certainly people -
00:16:25.98\00:16:27.49
if they can just take a
pill, and still be having
00:16:27.52\00:16:29.93
whatever they want to
eat, they're going to do that.
00:16:29.96\00:16:32.01
I think so...
Physicians don't talk
00:16:32.04\00:16:34.35
about it much because -
first of all most physicians
00:16:34.38\00:16:38.47
need to change their lifestyle,
to be honest with you...
00:16:38.50\00:16:41.53
And so it's kind of hard
to tell your patient to change
00:16:41.56\00:16:45.65
a lifestyle factor when you're
not living that way yourself.
00:16:45.68\00:16:51.55
That's right, yes.
00:16:51.58\00:16:52.73
So it becomes very difficult.
00:16:52.76\00:16:55.71
So then what role does
diet play in the prevention
00:16:55.74\00:16:59.48
of cardiovascular
disease? What have you seen?
00:16:59.51\00:17:02.44
Well to me, diet is really
the lifestyle factor that we
00:17:02.47\00:17:08.27
need to be talking about
with cardiovascular disease,
00:17:08.30\00:17:11.87
and it affects so
many parts of our lives,
00:17:11.90\00:17:15.64
and obviously it affects
so many different diseases
00:17:15.67\00:17:20.68
that we might have.
00:17:20.71\00:17:22.02
We really need a
cholesterol of under 160,
00:17:22.05\00:17:25.73
maybe even under 150
to reduce plaque that is
00:17:25.76\00:17:30.58
already in our arteries and to
prevent cardiovascular disease,
00:17:30.61\00:17:36.49
and yet in this
country, what we find is that
00:17:36.52\00:17:42.07
we actually have
levels of 190 or 200 that is
00:17:42.10\00:17:49.50
considered
normal in this country.
00:17:49.53\00:17:51.76
But we have multiple studies
that definitely demonstrate
00:17:51.79\00:17:55.32
a link between diet
and cardiovascular disease.
00:17:55.35\00:18:00.59
So you really then
focus in on that...
00:18:00.62\00:18:04.54
You know, you can take
drugs now, like your statins,
00:18:04.57\00:18:08.12
and all these different things;
00:18:08.15\00:18:09.71
statin medications that
they make your cholesterol just
00:18:09.74\00:18:13.85
go down - that's another
pill and it's not estrogen,
00:18:13.88\00:18:16.72
but it's another pill
and are there any hazards
00:18:16.75\00:18:20.25
to just saying - "Hey, I took
care of the problem that way"
00:18:20.28\00:18:22.31
Well, taking these statin
medications which do lower
00:18:22.34\00:18:28.17
our cholesterol, does
appear to decrease one's
00:18:28.20\00:18:32.50
cardiovascular risk.
00:18:32.53\00:18:33.56
You would expect it
to if you can get your
00:18:33.59\00:18:36.96
cholesterol down.
00:18:36.99\00:18:39.26
The concern that I
have, first of all,
00:18:39.29\00:18:43.49
it doesn't make much
sense to be taking a medication
00:18:43.52\00:18:46.54
to lower
cholesterol - when we're eating
00:18:46.57\00:18:49.57
a lot of cholesterol and
when we're eating a lot of
00:18:49.60\00:18:51.76
saturated fats
and animal proteins,
00:18:51.79\00:18:55.08
it is going to
raise our cholesterol.
00:18:55.11\00:18:57.94
It seems to me
much wiser to lower our
00:18:57.97\00:19:02.37
cholesterol by making a
few simple changes in our diet.
00:19:02.40\00:19:08.29
We're talking
with Dr. Eric Shadle
00:19:08.32\00:19:11.14
We've been talking
about women's health issues.
00:19:11.17\00:19:13.08
We've been talking
about cardiovascular disease;
00:19:13.11\00:19:15.52
talking about
estrogen replacement therapy,
00:19:15.55\00:19:18.31
and the doctor has just said,
00:19:18.34\00:19:20.05
"Look, we need to take a
closer look at lifestyle issues"
00:19:20.08\00:19:22.65
And when we come back,
we're going to look at some
00:19:22.68\00:19:25.06
practical things about
what you can do to decrease
00:19:25.09\00:19:28.19
your risk of the #1 killer
of women, #2 killer of women,
00:19:28.22\00:19:31.63
all those are related together,
so join us when we come back.
00:19:31.66\00:19:35.45
Have you found yourself wishing
00:19:40.74\00:19:42.06
that you could
shed a a few pounds?
00:19:42.09\00:19:43.75
Have you been on a
diet for most of your life,
00:19:43.78\00:19:45.86
but not found anything that
will really keep the weight off?
00:19:45.89\00:19:49.22
If you've answered "yes"
to any of these questions,
00:19:49.25\00:19:52.02
then we have a
solution for you that works.
00:19:52.05\00:19:54.60
Dr. Hans Diehl and
Dr. Aileen Ludington
00:19:54.63\00:19:57.65
have written a
marvelous booklet called...
00:19:57.68\00:19:59.82
"Reversing Obesity Naturally"
00:19:59.85\00:20:02.03
and we'd like to send
it to you free of charge.
00:20:02.06\00:20:04.67
Here's a medically
sound approach successfully
00:20:04.70\00:20:07.27
used by thousands who were
able to eat more and lose weight
00:20:07.30\00:20:10.63
permanently without
feeling guilty or hungry
00:20:10.66\00:20:13.38
through lifestyle medicine.
00:20:13.41\00:20:15.26
Dr. Diehl and Dr. Ludington
have been featured on 3ABN
00:20:15.29\00:20:18.80
and in this booklet, they
present a sensible approach
00:20:18.83\00:20:21.77
to eating, nutrition and
lifestyle changes that can
00:20:21.80\00:20:24.79
help you prevent heart disease,
diabetes and EVEN cancer.
00:20:24.82\00:20:28.12
Call or write today
for your free copy of...
00:20:28.15\00:20:30.26
"Reversing Obesity Naturally"
00:20:30.29\00:20:32.18
and you could be on your
way to a healthier, happier YOU!
00:20:32.21\00:20:35.34
It's ABSOLUTELY free of
charge, so call or write today.
00:20:35.37\00:20:40.12
Welcome back, we've been
talking with Dr. Eric Shadle,
00:20:46.49\00:20:49.66
and we've been talking
about women's health issues.
00:20:49.69\00:20:51.46
We've been talking
about heart disease;
00:20:51.49\00:20:52.93
we've been talking about how
00:20:52.96\00:20:54.11
estrogen replacement
therapy relates to that...
00:20:54.14\00:20:56.74
And you kind of shocked
me but what you suggested,
00:20:56.77\00:21:00.86
and you've had the
studies and whatnot is that
00:21:00.89\00:21:02.71
although the bottom
line is not yet known,
00:21:02.74\00:21:05.12
it appears that it's not
as helpful as we've been led
00:21:05.15\00:21:07.50
to believe over the last
couple of years. That's right
00:21:07.53\00:21:09.75
And so we need to look at
more than just taking a pill
00:21:09.78\00:21:12.61
because there maybe are
some problems with pills.
00:21:12.64\00:21:16.38
Are there problems with pills?
00:21:16.41\00:21:17.44
I mean, one of the things
you do a lot as a physician,
00:21:17.47\00:21:19.79
is help people access
what's behind that nice little
00:21:19.82\00:21:23.36
counter at the
pharmacy. That's right
00:21:23.39\00:21:25.22
Are there any
problems with that?
00:21:25.25\00:21:26.61
And part of it is that patients
have an expectation for that...
00:21:26.64\00:21:29.52
So they come in - they're
not expecting me to tell them
00:21:29.55\00:21:32.96
"well maybe you could eat
more fruits and vegetables"
00:21:32.99\00:21:36.05
They're wanting me to take out
00:21:36.08\00:21:37.77
my prescription
pad and write them...
00:21:37.80\00:21:39.52
And help you get
behind that counter!
00:21:39.55\00:21:40.65
And then all their
problems will be solved,
00:21:40.68\00:21:43.87
but the problem with medications
is that every single medication
00:21:43.90\00:21:47.51
has side
effects and the statins,
00:21:47.54\00:21:51.05
the medication that you
were talking about earlier
00:21:51.08\00:21:54.01
that lower our cholesterol
certainly have problems
00:21:54.04\00:21:57.65
with our liver and
perhaps the kidneys,
00:21:57.68\00:22:01.08
and they really should be
taken as the very last resort.
00:22:01.11\00:22:05.44
I've got to tell you that
I had many of the same views
00:22:05.47\00:22:10.11
about 5 years ago as
most of my medical colleagues
00:22:10.14\00:22:13.90
do in town and that
is that you give every
00:22:13.93\00:22:19.92
menopausal woman
estrogen and you'll help her
00:22:19.95\00:22:22.60
with heart disease and all this
00:22:22.63\00:22:24.42
until Dr. Diehl came
to Rockford, Illinois
00:22:24.45\00:22:27.10
and put on the CHIP Program;
00:22:27.13\00:22:29.27
the "Coronary
Health Improvement Project"
00:22:29.30\00:22:31.54
and I can just give a personal
testimony that it absolutely
00:22:31.57\00:22:35.38
changed my life and as
I have looked at research
00:22:35.41\00:22:40.54
looked at these studies, I
just am absolutely convinced
00:22:40.57\00:22:45.88
that what we need to be
doing is changing our lifestyles
00:22:45.91\00:22:49.83
particularly in
the area of our diet,
00:22:49.86\00:22:53.62
and we need to be eating
less fat, less animal protein.
00:22:53.65\00:22:57.92
We need to eat the
grains and the vegetables,
00:22:57.95\00:23:02.82
and the fruits, nuts
- those types of things
00:23:02.85\00:23:09.06
And we're going to get
everything that we need,
00:23:09.09\00:23:12.90
and it's going to impact
so many different levels.
00:23:12.93\00:23:16.01
Here today, we're talking
about cardiovascular disease,
00:23:16.04\00:23:18.96
and it definitely impacts
that, but it also impacts
00:23:18.99\00:23:24.37
so many other areas
of our health as well.
00:23:24.40\00:23:26.61
So instead of
just taking the pill...
00:23:26.64\00:23:28.21
I mean what we've
talked about so far is women
00:23:28.24\00:23:32.02
#1 think that the thing
that's going to get them is
00:23:32.05\00:23:35.20
breast cancer. That's right
00:23:35.23\00:23:36.54
But if you take these
plant foods and whatnot,
00:23:36.57\00:23:39.48
that has been shown
to have protective things
00:23:39.51\00:23:41.52
even against cancer.
00:23:41.55\00:23:42.66
Even against
breast cancer, absolutely!
00:23:42.69\00:23:44.61
And then the second
one, we talked about
00:23:44.64\00:23:46.68
cardiovascular
disease as it relates to
00:23:46.71\00:23:48.74
estrogen replacement
therapy and you're saying...
00:23:48.77\00:23:51.15
"Hey, the things are
not behind the counter,
00:23:51.18\00:23:53.99
they are down the aisle and
they're all different colors"
00:23:54.02\00:23:56.78
That's right! That's right!
00:23:56.81\00:23:58.47
And so Dr. Hans Diehl -
tell me a little bit more
00:23:58.50\00:24:01.76
about this - the "Coronary
Health Improvement Project"
00:24:01.79\00:24:05.74
or they sometimes call it "CHIP"
00:24:05.77\00:24:08.27
And this has been really now
effective in helping patients
00:24:08.30\00:24:12.24
in your practice. That's right
00:24:12.27\00:24:14.06
Actually, our church - we
are currently doing our third
00:24:14.09\00:24:18.75
CHIP Program and I'm
involved in it because I like
00:24:18.78\00:24:22.64
to refer my
patients to the CHIP Program.
00:24:22.67\00:24:25.42
I have patients that have
concerns about heart disease;
00:24:25.45\00:24:29.21
they have menopausal symptoms;
00:24:29.24\00:24:30.80
they have all these
issues; they're overweight;
00:24:30.83\00:24:34.85
they might have
high blood pressure...
00:24:34.88\00:24:36.42
And instead of
just giving them a pill,
00:24:36.45\00:24:39.07
I can sit down and
talk to them about -
00:24:39.10\00:24:41.03
There might be some
changes that they could do
00:24:41.06\00:24:44.05
to simplify their lives...
00:24:44.08\00:24:45.81
And I can send
them to the CHIP Program
00:24:45.84\00:24:49.09
which is a program that we
do over the course of 30 days -
00:24:49.12\00:24:54.80
that changes peoples
lives in ways that I've never
00:24:54.83\00:24:58.95
seen before in
my medical career.
00:24:58.98\00:25:01.18
So it's addressing - you
mentioned these things...
00:25:01.21\00:25:03.59
You mentioned hypertension,
high blood pressure,
00:25:03.62\00:25:06.19
you mentioned overweight,
you mentioned diabetes,
00:25:06.22\00:25:09.08
you've mentioned all
those different things
00:25:09.11\00:25:10.49
which I guess the
reason you're mentioning those
00:25:10.52\00:25:12.80
is because this
program we've been saying...
00:25:12.83\00:25:14.40
Hey, estrogens are supposed
to protect us from this,
00:25:14.43\00:25:16.90
and they don't really
protect us from heart disease,
00:25:16.93\00:25:19.70
and these other things,
but if you really want to
00:25:19.73\00:25:22.33
get a handle on
what to do about that,
00:25:22.36\00:25:24.09
these are the things
to do and the CHIP Program
00:25:24.12\00:25:25.92
sort of covers
that. That's right
00:25:25.95\00:25:27.27
That's right and in
our particular program,
00:25:27.30\00:25:30.17
we find 20% decrease
in cholesterol levels
00:25:30.20\00:25:34.43
in just 4 weeks.
00:25:34.46\00:25:35.73
So here we are having
people come in to the program
00:25:35.76\00:25:40.18
and in 4 weeks, by making a
few simple lifestyle changes
00:25:40.21\00:25:45.35
including cutting out the meats
and the high fats, the dairy,
00:25:45.38\00:25:50.06
and some of that that
we so readily consume,
00:25:50.09\00:25:53.35
their cholesterol goes
down, their weight comes down,
00:25:53.38\00:25:59.02
they find the pounds coming off,
00:25:59.05\00:26:00.99
and they all have
so much more energy,
00:26:01.02\00:26:03.72
and it's just a
tremendous program.
00:26:03.75\00:26:05.95
That's really quite a
testimony and really it puts
00:26:05.98\00:26:08.21
the individual in the
driver's seat when you address
00:26:08.24\00:26:10.55
these major
components of heart disease
00:26:10.58\00:26:13.65
like a CHIP Program or other
programs mentioned here on 3ABN.
00:26:13.68\00:26:17.68
They can really be
involved! That's right
00:26:17.71\00:26:19.76
That should reduce their stress
00:26:19.79\00:26:21.57
which is one thing I
want to ask you about...
00:26:21.61\00:26:23.10
What's the role of stress in
00:26:23.14\00:26:24.54
cardiovascular disease
and how can we reduce it?
00:26:24.57\00:26:26.90
Well, that's an interesting
question because a study at
00:26:26.94\00:26:30.44
Duke University which involved
patients who had heart disease
00:26:30.47\00:26:34.38
found that negative
emotions such as tension,
00:26:34.41\00:26:38.65
sadness, frustration
actually could triple
00:26:38.68\00:26:42.14
the risk of significant
decreases in blood supply
00:26:42.17\00:26:45.53
to the heart muscle and
thus cause more heart attacks.
00:26:45.56\00:26:50.25
Whereas positive
emotions could actually improve
00:26:50.28\00:26:53.87
blood supply to
the heart muscle...
00:26:53.90\00:26:55.63
And so, I think the
spiritual life - here's another
00:26:55.66\00:26:59.35
example of where
one's spiritual life
00:26:59.38\00:27:01.80
getting in connection with God,
00:27:01.83\00:27:03.45
can actually have a
positive physiologic effect
00:27:03.48\00:27:06.95
on our beings and
actually make us healthier.
00:27:06.98\00:27:13.40
I think what you've
shared with us today,
00:27:13.43\00:27:15.19
in terms of women's
health, has HOPEFULLY REDUCED
00:27:15.22\00:27:18.29
the STRESS of a
lot of people watching
00:27:18.32\00:27:20.10
because, really,
what you're saying is...
00:27:20.13\00:27:22.30
We so often want to take
pills and potions and lotions
00:27:22.33\00:27:26.14
and this and that, but
really, God has provided
00:27:26.17\00:27:28.63
all kinds of
things for us to help us -
00:27:28.66\00:27:30.72
that are not behind a
counter in some sort of
00:27:30.75\00:27:33.94
most holy place,
but they are out there
00:27:33.97\00:27:36.57
in the supermarket
where you can be involved
00:27:36.60\00:27:38.70
and as you come to know
Him and His plan for your life
00:27:38.73\00:27:42.86
both in diet and
in stress reduction,
00:27:42.89\00:27:45.72
and all these different things,
00:27:45.75\00:27:47.99
you can live longer
and healthier as a result.
00:27:48.02\00:27:51.05
Thank you so much
for being with us,
00:27:51.08\00:27:53.30
and thank you for
being with us at home.
00:27:53.33\00:27:55.48
We hope you join us on the
00:27:55.51\00:27:56.68
next episode of
"Health for a Lifetime"
00:27:56.72\00:27:58.79