Hello, and welcome to Health for a Lifetime. 00:00:49.31\00:00:50.79 I'm your host Don Mackintosh. 00:00:50.82\00:00:52.41 Today we are going to be talking about deadly plaques. 00:00:52.44\00:00:56.05 This has something to do with heart disease. 00:00:56.08\00:00:58.80 Talking with us today is Dr. Hans Diehl. 00:00:58.83\00:01:02.17 He is from Loma Linda, California 00:01:02.20\00:01:04.11 He is a cardiovascular epidemiologist. 00:01:04.14\00:01:07.85 He is the founder and originator 00:01:07.88\00:01:10.74 of the Coronary Health Improvement Project. 00:01:10.77\00:01:15.20 Welcome, we're glad you're with us today. 00:01:15.23\00:01:17.03 Glad to see you again, Don. 00:01:17.06\00:01:18.26 The CHIP program, I'm kind of emotionally attached 00:01:18.29\00:01:23.15 to this program as well, aside from hosting here. 00:01:23.18\00:01:26.28 I've been a pastor in a local church in Wichita, Kansas 00:01:26.31\00:01:29.45 for the last 13 years, we've actually done 16 programs now. 00:01:29.48\00:01:33.50 I just want to thank you for that program. 00:01:33.53\00:01:36.97 It's turned the health around of my congregation and also 00:01:37.00\00:01:41.81 about a thousand people in my city. 00:01:41.84\00:01:43.71 I'm so glad that you embrace these concepts. 00:01:43.74\00:01:46.99 Today we are talking about deadly plaques. 00:01:47.02\00:01:50.83 What are you getting at here, deadly plaques? 00:01:50.86\00:01:55.52 Well, we want to talk about the number one killer 00:01:55.55\00:01:58.27 in our society today, which is heart disease. 00:01:58.30\00:02:01.56 It is responsible for every second death in our society. 00:02:01.59\00:02:05.82 People wonder why am I getting it? 00:02:05.85\00:02:09.55 Why is it hitting me? 00:02:09.58\00:02:11.75 It's just like a bolt of lightning out of a blue sky. 00:02:11.78\00:02:14.89 It really isn't. 00:02:14.92\00:02:15.89 I want to talk about heart disease 00:02:15.90\00:02:17.17 and the underlying disease process-deadly plaques. 00:02:17.20\00:02:21.04 Where do these plaques come from? 00:02:21.07\00:02:24.94 What are we really talking about? 00:02:24.97\00:02:27.04 We're talking about the heart 00:02:27.07\00:02:28.35 For instance, as you look at this heart here, 00:02:28.38\00:02:30.39 there is usually nothing wrong with the heart itself. 00:02:30.42\00:02:33.02 But the coronary arteries, you see those arteries, 00:02:33.05\00:02:36.91 these are the pipes that are being obstructed. 00:02:36.94\00:02:39.84 They're narrowed down with a plaque build-up. 00:02:39.87\00:02:42.73 I want to show you a roll-in that will illustrate the kind of 00:02:42.76\00:02:49.54 cause of heart disease these deadly plaques create. 00:02:49.57\00:02:52.67 Let's take a look. 00:02:52.70\00:02:53.90 ...woke up so to speak when I was working on the anesthesia 00:02:55.17\00:02:58.32 service learning how to put people to sleep. 00:02:58.35\00:03:00.45 I was seeing my patients for the next day's surgery 00:03:00.48\00:03:03.39 for coronary artery bypass surgery in order to bypass 00:03:03.42\00:03:06.54 clogged arteries in their heart. 00:03:06.57\00:03:08.47 Because it was late at night I drew the man's blood test 00:03:08.50\00:03:12.15 and when I took the blood to the laboratory and had it processed, 00:03:12.18\00:03:15.26 I couldn't believe my eyes. 00:03:15.29\00:03:16.92 Normally, this liquid layer floating on top 00:03:16.95\00:03:20.39 of the blood clot is quite transparent. 00:03:20.42\00:03:22.19 It's yellow but quite clear. 00:03:22.22\00:03:23.41 You can see right through it. 00:03:23.44\00:03:24.75 The blood in this patient's tube however, was anything but clear. 00:03:24.78\00:03:28.97 The serum floating on his clot was thick and greasy white. 00:03:29.00\00:03:32.46 It looked like glue, in fact, it stuck to the sides 00:03:32.49\00:03:35.50 of the blood tube when I shook the tube. 00:03:35.53\00:03:37.59 I went back to the patient. 00:03:37.62\00:03:39.05 I said, Mr. Phillips did you eat 00:03:39.08\00:03:40.78 before you came to the hospital tonight? 00:03:40.81\00:03:42.52 He said, Yes. 00:03:42.55\00:03:43.52 I said, What did you have? 00:03:43.53\00:03:44.52 He said, I had a cheeseburger and a milkshake. 00:03:44.55\00:03:47.08 When he said that I realized that what I was looking at 00:03:47.11\00:03:50.57 in his tube was all the fat in the beef burger, 00:03:50.60\00:03:54.17 all the butter fat in the cheese and the butter fat 00:03:54.20\00:03:56.56 in the ice cream and in the milkshake. 00:03:56.59\00:03:58.52 All this fat had oozed out into his blood and actually turned 00:03:58.55\00:04:02.49 his blood fatty. 00:04:02.52\00:04:03.81 Well, 30, 40, 50 years of keeping your blood very fatty 00:04:03.84\00:04:08.11 creates changes in the blood vessels that are very dangerous. 00:04:08.14\00:04:11.74 Over the years arteries can become clogged 00:04:11.77\00:04:15.25 with fatty material. 00:04:15.28\00:04:16.99 Then a blood clot can form blocking the blood flow 00:04:17.02\00:04:20.08 completely. 00:04:20.11\00:04:21.19 If the artery leads to the heart, the lack of oxygen 00:04:21.22\00:04:25.11 can cause heart muscle to die, that's a heart attack. 00:04:25.14\00:04:28.95 If the clogged artery leads to the brain, the patient 00:04:28.98\00:04:32.34 has a stroke. 00:04:32.37\00:04:33.64 The next morning we took Mr. Phillips to the 00:04:33.68\00:04:38.28 operating room and I put him to sleep and the surgeon 00:04:38.31\00:04:40.52 opened up his chest. 00:04:40.55\00:04:41.80 From these arteries he began pulling out yellow greasy 00:04:41.83\00:04:48.68 deposits of fatty material called atherosclerosis. 00:04:48.71\00:04:52.13 Can just 30 days bring a drastic change for the better 00:04:52.16\00:04:56.84 in your health? 00:04:56.87\00:04:57.99 That is incredible! 00:04:58.02\00:05:02.49 You know the first time I saw that clip in the first 00:05:02.52\00:05:06.57 CHIP program that we did, I couldn't believe it 00:05:06.60\00:05:09.43 and every single time I see it since that time, 00:05:09.46\00:05:12.71 it still is quite shocking. 00:05:12.74\00:05:13.96 All that stuff can build up, and he said that's the fat 00:05:13.99\00:05:18.60 in the cheeseburger and all the different things 00:05:18.63\00:05:20.39 that we are eating. 00:05:20.42\00:05:21.39 - Every time I see it, it really brings home a message too, 00:05:21.40\00:05:24.75 and that is what surgeons see every day who do 00:05:24.78\00:05:27.80 bypass surgeries. 00:05:27.83\00:05:28.80 These are the kind of things that cause obstruction 00:05:28.81\00:05:31.48 and narrowing and hardening of the arteries, 00:05:31.51\00:05:33.10 and that's of course what we call atherolosclerosis, 00:05:33.13\00:05:35.54 or hardening of the arteries. 00:05:35.57\00:05:37.05 - So when does this start, I mean, I don't have worry 00:05:37.08\00:05:39.72 about this until 40 or 50? 00:05:39.75\00:05:41.79 - Well that's what we thought, but we know differently now. 00:05:41.82\00:05:45.88 When it comes to Chinese peasants, they have to worry 00:05:45.91\00:05:51.10 about them when they are about 80. 00:05:51.13\00:05:52.78 - When they are 80. - Maybe 70! 00:05:52.81\00:05:55.10 - So I need to move to China. - That's right! 00:05:55.13\00:05:56.97 - So the Chinese, they don't struggle from this as much, 00:05:57.00\00:06:00.03 but when does this process start? 00:06:00.06\00:06:04.08 - This is basically a Western disease, and we find this today 00:06:04.11\00:06:08.92 in young people by the time they are teenagers 00:06:08.95\00:06:11.68 when some young people have been killed in car accidents, 00:06:11.71\00:06:15.99 autopsies are being done. It's absolutely shocking! 00:06:16.02\00:06:18.90 You see about 20% narrowing, look at the next roll in here: 00:06:18.93\00:06:22.45 You can see a graphic, by the time you are 20 years of age 00:06:22.48\00:06:26.06 you already have 20- 25% narrowing. 00:06:26.09\00:06:28.43 By the time you are 45 years of age, you have more like 00:06:28.46\00:06:31.40 50% narrowing, by the time you are 70 years of age 00:06:31.43\00:06:34.05 there is hardly anything left. 00:06:34.08\00:06:35.07 - Wow, so I am right in between the 20 and the 45 there so I 00:06:35.10\00:06:38.97 am right in the middle. 00:06:39.00\00:06:40.53 But that's a serious thing, so what does this lead to? 00:06:40.56\00:06:45.09 What does this cause? 00:06:45.12\00:06:46.55 - It's a very very serious thing because this is the 00:06:46.58\00:06:49.24 underlying disease process that leads to heart attacks, 00:06:49.27\00:06:51.95 to angina pectoris affecting the heart, it can lead to 00:06:51.98\00:06:56.13 the narrowing of the arteries to the ear, so you have 00:06:56.16\00:06:58.52 hearing loss, visual loss, memory loss, it can lead to 00:06:58.55\00:07:03.36 strokes, it can lead to gangrene, impotence. 00:07:03.40\00:07:07.28 These are all problems that are actually related to 00:07:07.31\00:07:10.45 this underlying disease process called atherolosclerosis, 00:07:10.48\00:07:13.63 that's what you saw there. 00:07:13.66\00:07:14.98 - So it's not something to take lightly, we have to really 00:07:15.01\00:07:19.63 take it seriously. 00:07:19.66\00:07:20.63 - Yes, we do, we do. You know these plaques, 00:07:20.64\00:07:23.70 and they come in two different forms as you see on the 00:07:23.73\00:07:25.72 next one, on the left side on the plaque you begin to see 00:07:26.19\00:07:30.74 a plaque that begins to increase to about 50, 60, 70, 80%. 00:07:30.77\00:07:37.17 By the time it is 80% narrowing the coronary diameter of the 00:07:37.20\00:07:42.22 artery, that's when you developed the first sign of 00:07:42.25\00:07:44.78 often what we call angina chest pain. 00:07:44.81\00:07:47.35 - Ok! - So this is a very common 00:07:47.38\00:07:49.11 plaque that grows in American arteries, 00:07:49.14\00:07:52.22 but there is another kind and that's the next one here 00:07:52.25\00:07:55.05 and this one is not quite as extensive, you can see... 00:07:55.08\00:07:58.18 - It's a smaller on the side there. 00:07:58.21\00:07:59.39 - Yeah, that's right, you can see on the left side there 00:07:59.42\00:08:02.01 it's smaller but it's much more devastating 00:08:02.04\00:08:06.45 because this is what we call a soft plaque. 00:08:06.48\00:08:09.49 It's a vulnerable plaque, it's squishy, and it is filled 00:08:09.52\00:08:13.14 with cholesterol on the inside and that can much easier, 00:08:13.17\00:08:16.82 what shall we say, break open. 00:08:16.85\00:08:19.72 When it breaks open, on the right hand side you'll see this 00:08:19.75\00:08:22.23 formation there of blood clot, when that opens up, 00:08:22.26\00:08:25.89 when that breaks it is usually quite often fatal consequence, 00:08:25.92\00:08:30.39 so that is responsible for 90% of all the heart attacks. 00:08:30.42\00:08:34.83 So the second kind of plaque that you saw is responsible 00:08:34.86\00:08:38.07 for heart attacks, the first one for angina pectoris. 00:08:38.10\00:08:42.49 - So the first one we saw filled up most of the artery 00:08:42.52\00:08:47.04 that's the one where when we looked at the other graphic, 00:08:47.07\00:08:49.49 it wasn't the person at birth or at 20 or 45 but it was 00:08:49.52\00:08:53.05 when they were very old. 00:08:53.08\00:08:54.20 - Correct! - And that is kind of more 00:08:54.23\00:08:56.14 stable and it's kind of calcified, it's kind of hard, 00:08:56.17\00:08:59.67 but the young ones, the little baby ones that we have to 00:08:59.70\00:09:04.69 worry about and so it's probably more dangerous 00:09:04.72\00:09:07.34 for someone younger. 00:09:07.37\00:09:08.63 - Yeah! These are the vulnerable plaques and often times 00:09:08.66\00:09:11.92 they don't even show up on our x-rays on angiograms. 00:09:11.95\00:09:16.09 These are very vulnerable, like you said, they are baby plaques 00:09:16.12\00:09:21.48 but they can break very easily, it depends on the amount of fat 00:09:21.51\00:09:25.15 and cholesterol and the inside, that is why it is so important 00:09:25.18\00:09:28.16 to bring the cholesterol level down in your blood stream, 00:09:28.19\00:09:30.29 because it also brings down the cholesterol inside the plaques. 00:09:30.32\00:09:32.81 - We hear a lot about this, it's on cereal boxes, 00:09:32.84\00:09:36.14 it's on the news, all different types of things, but it seems 00:09:36.17\00:09:40.15 like especially in America where I live, 00:09:40.18\00:09:42.77 everyone knows about it but they don't do to much about it. 00:09:42.80\00:09:45.84 - Yeah its tragic, we could avoid these plaques, 00:09:45.87\00:09:50.58 we could postpone them to be sure, we can even reverse them 00:09:50.61\00:09:55.03 but we haven't always know this, it took about 30 years 00:09:55.06\00:10:00.78 to do this large Framingham Study and here you see 00:10:00.81\00:10:04.97 there is over 1,000 research papers published, 00:10:05.00\00:10:08.69 it took the government about $43 million. 00:10:08.72\00:10:12.64 What they really found is that this disease doesn't just strike 00:10:12.67\00:10:16.95 blindly but there are certain risk factors, the factor 00:10:16.98\00:10:20.90 characteristics that we have that place us at a higher risk 00:10:20.93\00:10:24.35 for this disease. 00:10:24.38\00:10:25.35 - So what are some of those risk factors and how do they 00:10:25.36\00:10:27.92 discover them? 00:10:27.95\00:10:28.92 - Well they observed a whole town near Boston for 50 years 00:10:28.93\00:10:36.53 actually and they began to count the deaths, 00:10:36.56\00:10:40.51 they began to count the heart attacks, then they tried to 00:10:40.54\00:10:44.01 correlate this with certain characteristics, 00:10:44.04\00:10:45.74 and this is what they found, take a look. 00:10:45.77\00:10:48.35 You see this risk arch, and you look at the red and orange 00:10:48.38\00:10:53.74 colored risk factors. - Obesity and diabetes. 00:10:53.77\00:10:56.73 - That's right! That is smoking, cholesterol, 00:10:56.76\00:10:59.98 high blood pressure, triglycerides, inactive 00:11:00.01\00:11:02.88 life style, and stress. 00:11:02.91\00:11:03.88 These are factors that we can change but many of us don't, 00:11:03.90\00:11:08.43 if you go back to this arch you will notice here again 00:11:08.46\00:11:12.23 that the closer these factors are to the center the more 00:11:12.26\00:11:16.16 powerful they are in driving this disease. 00:11:16.19\00:11:18.64 - Ok, so cholesterol is the big thing. 00:11:18.67\00:11:21.26 - Cholesterol is the big thing followed by smoking and 00:11:21.29\00:11:23.52 triglycerides, so these are the big things, if you go back 00:11:23.55\00:11:26.83 one more time to the risk factors you will see something 00:11:26.86\00:11:29.48 very interesting. 00:11:29.51\00:11:30.48 In addition, most of these factors are under control 00:11:30.49\00:11:32.93 of our lips. - Our lifestyle, in other words 00:11:32.96\00:11:36.41 what we can do something about. - Take a look, cholesterol is 00:11:36.44\00:11:38.93 largely determined by what we eat, high blood pressure, 00:11:38.96\00:11:41.70 largely determined by what we eat. 00:11:41.73\00:11:43.04 Triglycerides, diabetes, obesity, so our food supply 00:11:43.07\00:11:49.48 is playing a major role in this kind of a disease 00:11:49.51\00:11:52.15 which is largely found in western society only. 00:11:52.18\00:11:55.40 - Ok, so this is probably your life work, I know it is because 00:11:55.43\00:11:59.61 we have seen in the Chip program that this is really what you 00:11:59.64\00:12:02.12 focus on, helping people understand this risk arch 00:12:02.15\00:12:04.21 and focus on, helping people understand this risk arch 00:12:04.25\00:12:06.31 then recognizing that they have some responsibility 00:12:06.34\00:12:09.86 - Yeah, actually opportunity don't they. 00:12:09.89\00:12:13.57 But you know when you look at the next graphic 00:12:13.60\00:12:14.58 you see on the left hand side, those people who have a high 00:12:14.61\00:12:20.37 cholesterol, take a look, that are suffering from 00:12:20.40\00:12:25.45 high blood pressure, they are smokers, diabetes, and they have 00:12:25.48\00:12:28.69 a positive general test. 00:12:28.72\00:12:29.69 These people in the red column they have 140 times higher 00:12:29.70\00:12:35.08 risk on the next one, as the one in the green column. 00:12:35.11\00:12:38.11 I mean you can determine your chance of a heart attack 00:12:38.14\00:12:42.19 in this extreme illustration by 140 times higher likelihood 00:12:42.22\00:12:47.86 by making some simple lifestyle changes. 00:12:47.89\00:12:49.63 - So in other words if you get your cholesterol down on the 00:12:49.66\00:12:52.74 one side it said it was 310, you get it down to 150 or below. 00:12:52.77\00:12:57.12 - Right! - And that decreases your risk 00:12:57.16\00:13:00.15 - Dramatically! - 140% you say. 00:13:00.18\00:13:02.02 - Well, - Or 100 times. 00:13:02.05\00:13:03.55 - Well if you add all these kind of things. 00:13:03.58\00:13:06.04 If you take the aggregate 140 times. 00:13:06.07\00:13:09.43 - So your blood pressure its 160, you get it down to 120 or 00:13:09.46\00:13:13.75 whatever less. - Yes! 00:13:13.78\00:13:14.96 - This is what happens as you help people through education 00:13:14.99\00:13:18.24 they start seeing these changes? 00:13:18.27\00:13:19.80 - Yes, we begin to realize that heart disease is not just 00:13:19.83\00:13:23.01 a random act, but rather it's something that comes to us 00:13:23.04\00:13:28.04 based on lifestyle habits that we adopt or accept 00:13:28.07\00:13:33.40 or practice. 00:13:33.43\00:13:34.40 For instance when you look at the next graphic you will see 00:13:34.41\00:13:37.15 that many of these risk factors are diet related. 00:13:37.18\00:13:40.17 Here you see a health column, this is a typical food column 00:13:40.20\00:13:43.21 in a developing country, you notice there that most 00:13:43.24\00:13:45.61 of the calories in this kind of a diet comes from starch. 00:13:45.64\00:13:50.34 These are usually corn, beans, grains, simpler foods, 00:13:50.37\00:13:55.42 you have some protein, and some fat, and some sugar. 00:13:55.45\00:13:58.77 - Well this is good, this is good then. 00:13:58.80\00:14:00.80 - This is very good. - This is what they would eat 00:14:00.83\00:14:03.26 in China, and in these countries where you don't see 00:14:03.29\00:14:06.26 heart disease. - That's correct! 00:14:06.29\00:14:07.64 So this is the more ideal diet a simpler diet. 00:14:07.67\00:14:11.20 - Ok, now we're talking with Dr. Hans Diehl, 00:14:11.23\00:14:13.84 when we come back we will look at what's bad, 00:14:13.87\00:14:15.93 you've seen what is good, we'll see what is bad, 00:14:15.96\00:14:18.01 and hopefully you will make the right choice 00:14:18.04\00:14:19.62 so you don't have to have these deadly plaques. 00:14:19.65\00:14:22.38 Join us when we come back. 00:14:22.41\00:14:24.33 Are you confused about the endless stream of new and often 00:14:26.06\00:14:29.80 contradictory health information, with companies 00:14:29.83\00:14:32.97 trying to sell new drugs, and special interest groups 00:14:33.00\00:14:35.66 studies that spin the facts, where can you find a 00:14:35.69\00:14:39.05 common sense approach to health? 00:14:39.08\00:14:40.87 One way is to ask for your free copy of: 00:14:40.90\00:14:43.36 Dr. Timothy Arnott and the Lifestyle Center of America 00:14:46.83\00:14:49.95 produced this helpful book of 24 short practical health tips 00:14:50.02\00:14:53.77 for example, did you know that: 00:14:59.66\00:15:01.36 If you are look for health not hype, then this book is for you 00:15:13.17\00:15:16.09 just log on to: 00:15:16.12\00:15:17.09 Welcome back, we are talking to Dr. Hans Diehl from Loma Linda 00:15:25.27\00:15:29.05 California, he is a cardiovascular epidemiologist, 00:15:29.08\00:15:32.52 which is a big way of saying that he deals with the heart 00:15:32.55\00:15:35.84 and looking at the studies in research to help people 00:15:35.87\00:15:40.13 first of all understand heart disease and hopefully avoid it. 00:15:40.16\00:15:43.32 I might say something else to our listeners as well, 00:15:43.35\00:15:48.24 chiphealth.com, isn't that right, that's your web page 00:15:48.27\00:15:53.35 and you can learn more about what we are talking about today 00:15:53.38\00:15:55.94 about the CHIP Program, about all of these different 00:15:55.97\00:15:58.56 risk factors... I have seen your web page 00:15:58.59\00:16:01.47 you have a lot of different little clips that can be played 00:16:01.50\00:16:04.77 and people can really get an education just by going through 00:16:04.80\00:16:07.54 that web page. You spent a lot of time 00:16:07.57\00:16:09.02 on that, we appreciate that. 00:16:09.05\00:16:10.46 We were talking about deadly plaques in our first half. 00:16:10.49\00:16:17.08 We talked about the fact that in America, or the western 00:16:17.11\00:16:21.21 countries, it's not a matter if whether or not they 00:16:21.24\00:16:25.08 most of them had these plaques because they are eating 00:16:25.11\00:16:27.28 this western diet. 00:16:27.31\00:16:30.44 But you've had good news for us, they don't necessarily 00:16:30.47\00:16:34.12 succumb to the risk factors, there are some diets and 00:16:34.15\00:16:39.72 there are some things they can do that can stop and perhaps 00:16:39.75\00:16:42.96 even reverse these things. 00:16:42.99\00:16:44.17 - Yeah, actually it's true Don, you can turn them on, 00:16:44.20\00:16:46.97 you can turn them off. 00:16:47.00\00:16:48.36 So it all depends on the choices that we make. 00:16:48.39\00:16:50.76 I want to maybe focus on the diet column once more. 00:16:50.79\00:16:55.07 - Ok, go back to what we were looking at. 00:16:55.12\00:16:56.41 Remember what we talked about, what is a good diet? 00:16:56.44\00:16:57.88 A good diet is probably a diet which is high in unrefined 00:16:57.91\00:17:01.69 starch such as corn, brown rice, beans, potatoes, simple foods, 00:17:01.72\00:17:07.82 right, now move to the next graphic and you see the 00:17:07.85\00:17:10.73 dramatic change over time as the income increases, 00:17:10.76\00:17:15.41 from the left to the right side. 00:17:15.44\00:17:18.74 You are no longer eating the corn and the brown rice 00:17:18.77\00:17:24.70 and the beans and the potatoes, but instead on the right hand 00:17:24.73\00:17:28.84 side now you are going to be - eating more sugar, more fat, 00:17:28.87\00:17:32.77 more vegetable fat, animal fat. 00:17:32.80\00:17:34.20 - Let's stay on that graph for just a minute here, 00:17:34.23\00:17:37.06 take a look, from the left side lots of potatoes, 00:17:37.09\00:17:40.28 now we eat Pringles, left side, lots of corn, now we eat Nachos, 00:17:40.31\00:17:46.68 left side, lots of beans, now we eat some steaks. 00:17:46.71\00:17:50.87 With affluent comes a change in our diet, 00:17:50.90\00:17:55.23 we are now engineering our food, we are now eating 00:17:55.26\00:17:58.57 more animal products, we are no longer eating a diet that's 00:17:58.60\00:18:01.49 high in starch, but now it's high in fats and sugar, 00:18:01.52\00:18:04.61 When ever you have this kind of a diet, within ten years 00:18:04.64\00:18:09.23 you find in that society that is adopting this kind of a 00:18:09.26\00:18:12.57 affluent dietary pattern, especially when you smoke 00:18:12.60\00:18:16.72 and you don't exercise, you will see within ten years 00:18:16.75\00:18:19.48 heart disease. 00:18:19.51\00:18:20.59 - So are you concerned about what they call globalization 00:18:20.62\00:18:23.62 about everybody kind of eating the same thing or hearing about 00:18:23.65\00:18:27.41 the same things because of the media. 00:18:27.44\00:18:29.95 - There was a time when heart disease was largely restricted 00:18:29.98\00:18:32.74 to 10% of the world's population, 00:18:32.77\00:18:35.42 that was fifty years ago, now it's probably at 45% 00:18:35.45\00:18:39.62 of the world's population, we see a globalization of 00:18:39.66\00:18:42.14 the western diet. 00:18:42.18\00:18:43.27 Everybody wants to eat like an American, people don't realize 00:18:43.31\00:18:47.76 they also die like Americans. 00:18:47.79\00:18:50.12 We didn't have heart disease 100 years ago, this is a new 00:18:50.15\00:18:53.81 disease, it has to do with not genetics so much, 00:18:53.84\00:18:56.68 as it has to do with our culture and what we are driven to do, 00:18:56.71\00:19:01.66 the choices we make in what we eat, and how we live and diet. 00:19:01.69\00:19:08.01 - So you said something interesting, 100 years ago this 00:19:08.05\00:19:10.96 wasn't anywhere except 10% an how do you know that? 00:19:10.99\00:19:14.30 - Oh, 100 years ago you couldn't find it in North America, 00:19:14.33\00:19:18.41 they've done autopsy studies that were recorded, 00:19:18.44\00:19:21.31 it was difficult to find this atherosclerotic plaque 00:19:21.34\00:19:24.02 in the arteries. 00:19:24.05\00:19:25.02 1950/1960, you began to see it everywhere, 00:19:25.03\00:19:28.72 after World War II major epidemic, 00:19:28.75\00:19:31.26 and today it has come down just a little 00:19:31.30\00:19:33.32 bit, but is still the number one killer in our society. 00:19:33.35\00:19:36.65 - People back then ate these foods that were not good 00:19:36.68\00:19:41.22 for them, what's the difference, the exercise? 00:19:41.25\00:19:43.26 - You mean 100 years ago? - Yea, 100 years ago. 00:19:43.29\00:19:46.72 - Oh no, people used to have some meat, 00:19:46.75\00:19:50.23 they had some of these specialty cakes perhaps 00:19:50.26\00:19:55.27 100 years ago, but it was a minority item. 00:19:55.30\00:19:58.08 You had a big steak probably on Sunday coming out of church, 00:19:58.11\00:20:01.21 today, every day is Sunday in our society. 00:20:01.24\00:20:04.79 - Umhum! - We didn't have those 00:20:04.82\00:20:07.69 candy bars, we didn't have those refined foods, 00:20:07.72\00:20:11.79 we didn't have potatoes coming in little chips, we didn't have 00:20:11.82\00:20:14.68 crinkly bags, this is a new invention. 00:20:14.71\00:20:17.97 This has increased the intake of fat, sugar, and salt 00:20:18.00\00:20:23.25 to the extent that it is now contributing to these 00:20:23.28\00:20:27.47 modern diseases. 00:20:27.50\00:20:28.54 - Ok, so this American diet, the western diet is toxic. 00:20:28.57\00:20:36.73 - That's a strong word but you are right. 00:20:36.76\00:20:41.83 - Ok, so what do you do to address these deadly plaques? 00:20:41.86\00:20:47.37 - Well, what we try to do through education is to help 00:20:47.40\00:20:53.75 people to move towards a simple diet, more foods as grown 00:20:53.78\00:20:58.96 maybe we need to get back to eating more potatoes, more corn, 00:20:58.99\00:21:05.21 more bean, fruits, and vegetables, there would be 00:21:05.24\00:21:09.52 less of these snacky items. Right! 00:21:09.55\00:21:12.38 There would be less of these crinkly bag items, 00:21:12.41\00:21:16.60 maybe we ought to cut back on cholesterol foods, 00:21:16.63\00:21:20.47 the animal products, and maybe use them occasionally 00:21:20.50\00:21:24.52 rather than every day. 00:21:24.55\00:21:25.57 Now in the CHIP program how do you go about doing this? 00:21:25.60\00:21:28.50 I kind of know, but I want our viewers to hear because this 00:21:28.53\00:21:32.71 is a powerful... it's actually, I don't know 00:21:32.74\00:21:37.17 you can probably update me but there are five or six 00:21:37.20\00:21:40.64 scientific studies now done on the CHIP program itself 00:21:40.67\00:21:43.22 that are showing that it is effective, so what exactly 00:21:43.25\00:21:47.48 is happening? 00:21:47.51\00:21:48.48 - Well we talked about these risk factors didn't we? 00:21:48.49\00:21:51.67 We talked about this risk arch. - Umhum 00:21:51.70\00:21:53.56 - So the CHIP program tries to help people through a 40 hour 00:21:53.59\00:21:58.75 education program to begin to make some simple lifestyle 00:21:58.78\00:22:02.54 changes so that your cholesterol drops on the average 15%. 00:22:02.57\00:22:06.49 So when you drop your cholesterol 15%, 00:22:06.52\00:22:08.93 you drop your risk of heart attack in half right there. 00:22:08.96\00:22:11.65 We help people to begin to eat more food of the right kind 00:22:11.68\00:22:15.61 and the weight comes down 6 to 10 pounds in 4 weeks 00:22:15.64\00:22:18.85 without even trying. 00:22:18.88\00:22:19.91 We help people to recognize that maybe we should cut back 00:22:19.94\00:22:23.73 on our salt consumption, and what you begin to see is 00:22:23.76\00:22:28.83 the blood pressures come down. 00:22:28.86\00:22:30.99 We get people into an exercise program and all of a sudden 00:22:31.02\00:22:33.97 they begin to feel muscles they haven't felt in years, 00:22:34.00\00:22:36.47 they began to become more energetic, 00:22:36.50\00:22:38.76 they feel we can do this, and some people that are still 00:22:38.79\00:22:41.72 smokers, we try to help them stop smoking. 00:22:42.29\00:22:44.15 We also do something about the diabetes by increasing 00:22:44.18\00:22:47.87 more of the fiber in the food intake. 00:22:47.90\00:22:51.17 - Now when you say we help them is it through education 00:22:51.20\00:22:54.84 primarily or through example? 00:22:54.88\00:22:57.77 - Yeah, we have groups of thirty people, groups of 500 people 00:22:57.80\00:23:02.98 that meet every night Monday thru Thursday 00:23:03.01\00:23:06.29 by in large, for 4 weeks and they learn the concepts 00:23:06.32\00:23:09.88 step by step looking at all the scientific studies 00:23:09.91\00:23:12.58 that we have out there. 00:23:12.61\00:23:13.72 We are all filling up libraries but how do really you make it 00:23:13.75\00:23:17.80 available to people and to translate this in such a way 00:23:17.83\00:23:23.12 that people can really take it in and then through 00:23:23.15\00:23:26.48 shopping tours and food demonstrations and 00:23:26.51\00:23:30.56 walking exercises, get them inspired. 00:23:30.59\00:23:33.29 As you know as time rolls on after two or three weeks 00:23:33.32\00:23:38.50 the people are popping up in the audience, 00:23:38.53\00:23:40.91 my daughter had to reduce my insulin, 00:23:40.94\00:23:43.38 my daughter had to reduce my blood pressure medication. 00:23:43.41\00:23:45.49 I lost 6 pounds by now, I am feeling great and so 00:23:45.52\00:23:49.46 it begins to spread and so as they come in to the 00:23:49.49\00:23:52.34 alumni program after the program is finished 00:23:52.37\00:23:55.79 there we have an opportunity to sustain these 00:23:55.82\00:23:59.52 lifestyle changes. 00:23:59.55\00:24:00.71 - So it's through education, I guess the big word for it 00:24:00.74\00:24:04.00 if you were a psychologist, or if you were someone that 00:24:04.03\00:24:07.41 is dealing with mental health would be cognitive 00:24:07.44\00:24:10.65 behavioral therapy. 00:24:10.68\00:24:12.91 - It sounds like a pretty big word but it is sort of a... 00:24:12.94\00:24:16.46 yes, you understand it is a rational approach to making 00:24:16.49\00:24:20.23 some simple instructions based on evidence, 00:24:20.26\00:24:22.55 not because of some emotion, or because you heard some body 00:24:22.58\00:24:26.71 talk about it on a talk show. No! No! 00:24:26.74\00:24:28.94 This is based on epidemiology, the study of epidemics. 00:24:28.97\00:24:33.32 - So that gets their attention, they say ok, it's not just me 00:24:33.35\00:24:36.25 it is not just my wife saying you shouldn't eat that 00:24:36.28\00:24:38.93 but there were thousands of people that ate this and 00:24:38.96\00:24:41.00 this is s what happened to them I don't want that 00:24:41.03\00:24:42.90 to happen to me. 00:24:42.94\00:24:43.91 They get their cognitions, their thoughts are changing let's say 00:24:43.92\00:24:48.66 boy, if my thoughts change then my behavior will change 00:24:48.69\00:24:53.04 and I won't have the same angina any more, 00:24:53.07\00:24:55.36 or I won't have what he says I will have. 00:24:55.39\00:24:58.54 - You see we take them through many of these large studies 00:24:58.57\00:25:02.32 for instance you can go to Japan 1950 Japan, difficult to find 00:25:02.35\00:25:07.83 heart disease in Japanese. 00:25:07.86\00:25:09.20 As a matter of fact the Japanese Medical School in Tokyo 00:25:09.23\00:25:13.53 imported coronary arteries from Johns Hopkins University 00:25:13.56\00:25:18.43 in Baltimore, we said we need to have some of these plaques, 00:25:18.46\00:25:22.35 some of these specimens so we can show our medical students 00:25:22.38\00:25:25.74 what kills every second American. 00:25:25.77\00:25:27.99 - Because they didn't have any of that. 00:25:28.02\00:25:29.21 - They didn't have any, can you imagine? 00:25:29.24\00:25:31.32 But you know all of this has changed, today Japan has become 00:25:31.35\00:25:34.15 westernized, today Japan enjoys fish. 00:25:34.18\00:25:36.59 - They don't have to import these any more, its gone. 00:25:36.62\00:25:39.21 This is exciting actually, where you have 40, 50, 60,000 people 00:25:39.24\00:25:45.90 that have now gone through the CHIP program, 00:25:45.93\00:25:47.55 and they all these same results. 00:25:47.58\00:25:50.72 You are a Christian clinician as well, how does the power 00:25:50.75\00:25:54.85 of God factor into this? 00:25:54.88\00:25:56.57 - Well I think we recognize that God is the creator 00:25:56.60\00:26:03.68 and He gave us a circulatory system of some 60,000 miles 00:26:03.71\00:26:09.72 per body. - Umhum! 00:26:09.75\00:26:11.18 - You think about this, I mean we are wonderfully, 00:26:11.21\00:26:14.50 fearfully made and as we recognize God is the owner 00:26:14.53\00:26:18.35 of our bodies, we can now respond to that gift 00:26:18.38\00:26:24.49 entrusted to us and say what can I do to return this gift 00:26:24.52\00:26:28.16 to you, how can I maintain the beauty of this organism? 00:26:28.19\00:26:34.40 So faith then comes in to empower for us to do that 00:26:34.43\00:26:38.74 which is not easy to do. - So this group activity 00:26:38.77\00:26:43.05 helps us but really the power of God must be available to us 00:26:43.08\00:26:47.15 personally to make these kind of lifestyle changes. 00:26:47.18\00:26:50.38 - If you can rely on God who empowers you, you can swim 00:26:50.41\00:26:54.86 against the current. 00:26:54.89\00:26:56.74 - Let's go back and look at one more, 00:26:56.77\00:26:59.04 there is a graphic back there, see if you can find that of that 00:26:59.07\00:27:02.29 optimal diet way back. This graphic is good too: 00:27:02.32\00:27:06.39 This is the Killer Diet and that is what we want to avoid. 00:27:22.67\00:27:25.56 Instead, getting back to the original diet that God had 00:27:25.59\00:27:29.18 planned for us fruits, nuts, grains, and vegetables. 00:27:29.21\00:27:32.52 - Simple foods, foods as grown, simply prepared. 00:27:32.55\00:27:35.58 - Well thank you so much for being with us, 00:27:35.61\00:27:37.84 the people that are watching can go chiphealth.com, right? 00:27:37.87\00:27:42.01 - That's right! - Learn more about the 00:27:42.04\00:27:43.50 CHIP Program, it's an exciting program, it's changed my life 00:27:43.53\00:27:47.39 and the life of others and many others across the country. 00:27:47.42\00:27:50.45 We hope that as a result of this program you'll have health 00:27:50.48\00:27:53.95 that lasts for a lifetime. 00:27:53.98\00:27:55.55