Hello, I'm Agatha Thrash a staff physician 00:00:01.98\00:00:04.95 from Uchee Pines Institute 00:00:04.98\00:00:07.18 The heart is our topic for today 00:00:07.21\00:00:10.18 and I think perhaps without any question, 00:00:10.19\00:00:13.51 most people feel that the heart is that organ of the body most 00:00:13.54\00:00:17.46 likely to cause excruciating pain and even death 00:00:17.49\00:00:21.63 if it goes wrong. 00:00:21.66\00:00:23.61 So we'll be talking with some of the issues having to do 00:00:23.64\00:00:26.09 with the heart and how to have a healthy heart. 00:00:26.12\00:00:28.67 We hope you will join us. 00:00:28.71\00:00:30.70 Welcome to "Help Yourself to Health" 00:00:50.10\00:00:52.09 with Dr. Agatha Thrash of Uchee Pines Institute 00:00:52.12\00:00:55.80 And now, here's your host Dr. Thrash 00:00:55.83\00:01:00.84 Now there is much that you can do to make it so that the 00:01:00.87\00:01:05.24 concern that most people have about pain 00:01:05.27\00:01:08.46 and the likelihood of sudden death, 00:01:08.49\00:01:12.00 you can do a lot with your lifestyle to make it so 00:01:12.03\00:01:15.20 that you can minimize these concerns... 00:01:15.23\00:01:17.48 and make it so that your life can be peaceful, 00:01:17.51\00:01:20.29 and that you can have a happy and a healthy and hopeful future 00:01:20.32\00:01:26.19 So our work here is to try to find the kind of lifestyle 00:01:26.20\00:01:32.79 that will be helpful to accomplish just that goal. 00:01:32.80\00:01:37.48 And so, I have with me, Melissa Thrash, who is 00:01:37.49\00:01:40.78 my granddaughter... who has a plastic model of the heart. 00:01:40.81\00:01:45.11 So, can you tell us about the heart and what it's like? 00:01:45.14\00:01:48.88 Sure... Each person's heart is about the size 00:01:48.91\00:01:52.58 of your loosely-clenched fist, 00:01:52.61\00:01:55.27 and here on our plastic model, I'll show you, 00:01:55.30\00:01:59.74 it sits in the chest about like this, 00:01:59.77\00:02:02.35 and it's actually twisted, so that the right side 00:02:02.38\00:02:05.71 is showing more than the left side, 00:02:05.74\00:02:07.24 although the left side is actually larger, 00:02:07.27\00:02:10.29 it's just hidden more behind. 00:02:10.32\00:02:12.94 Okay, let's take a look on the inside... 00:02:12.97\00:02:14.79 On the inside, we see the right atrium is fed by the 00:02:14.82\00:02:19.17 superior and inferior vena cava by the deoxygenated blood 00:02:19.20\00:02:22.57 from the body. 00:02:22.58\00:02:23.62 And it's pumped through the tricuspid valve into the 00:02:23.65\00:02:26.62 ventricle and then from there, it goes to the lungs to be 00:02:26.65\00:02:29.13 oxygenated. 00:02:29.14\00:02:30.42 It returns to the left atrium and is pumped 00:02:30.45\00:02:33.59 through the mitral valve into the left ventricle 00:02:33.62\00:02:37.24 to be pumped to the rest of the body. 00:02:37.27\00:02:39.75 And take a note of the thickness of the wall on the 00:02:39.78\00:02:43.20 left side, as compared to the right side... 00:02:43.23\00:02:45.03 The right side only has to pump blood to the lungs; 00:02:45.06\00:02:49.39 whereas the left side has to pump blood to the entire body. 00:02:49.42\00:02:54.62 So if this right ventricle just pumps blood out to the lungs, 00:02:54.65\00:02:59.76 then it doesn't have to be really FIRM and hard 00:02:59.79\00:03:04.26 and thick because the lungs don't put a lot of resistance 00:03:04.29\00:03:07.68 against the flow... That's right. 00:03:07.69\00:03:09.52 A very neat arrangement. 00:03:09.55\00:03:12.28 The left side is pumping the blood to the body 00:03:12.31\00:03:14.98 by way of the aorta. 00:03:15.01\00:03:16.29 Right at the base of the aorta, the coronary arteries 00:03:16.33\00:03:19.99 branch off and are going to the heart muscle 00:03:20.02\00:03:23.53 where they're going to nourish the heart muscle with 00:03:23.54\00:03:25.61 the oxygen and the nutrients that it needs because 00:03:25.64\00:03:28.61 even the blood is flowing through the heart, 00:03:28.64\00:03:31.15 it's not actually receiving oxygen and nutrients from it 00:03:31.18\00:03:34.48 until it gets to the coronary arteries and goes 00:03:34.51\00:03:36.44 to the muscle... Um hm 00:03:36.47\00:03:38.30 So the coronary arteries then are a very good functioning 00:03:38.33\00:03:43.12 part of the heart... That's right 00:03:43.15\00:03:44.98 Because it supplies the heart muscle with it's own 00:03:45.01\00:03:48.50 nourishment. That's right. 00:03:48.53\00:03:49.80 Very good... Thank you, Melissa. 00:03:49.83\00:03:52.13 We have an interesting thing about the heart 00:03:52.16\00:03:54.57 and that is that its anatomy is a large part of what 00:03:54.60\00:03:57.98 causes its disease. 00:03:58.01\00:04:00.16 And a colleague of mine, at Uchee Pines, is going to 00:04:00.19\00:04:04.86 talk with us about some of the problems that can arise 00:04:04.89\00:04:09.09 in the various anatomical parts of the heart. 00:04:09.12\00:04:12.25 This is Dr. Winn Horsley, who is a colleague of mine, 00:04:12.28\00:04:16.64 a staff physician at Uchee Pines Institute. 00:04:16.67\00:04:19.67 Dr. Horsley, what do you have to tell us about the heart? 00:04:19.70\00:04:23.59 Well, I'd like to start with what Melissa finished on 00:04:23.62\00:04:28.13 which was the coronary arteries. 00:04:28.16\00:04:32.37 When you look at the heart, on this model, 00:04:32.40\00:04:34.29 the coronary arteries stand out... they show in red 00:04:34.32\00:04:37.90 And, it's interesting that the Creator... 00:04:37.93\00:04:41.22 everything was done in wisdom... 00:04:41.25\00:04:43.51 He put these arteries not deep in the wall 00:04:43.54\00:04:47.97 He didn't have them running deep in the wall 00:04:48.00\00:04:50.89 because then, with every contraction, the blood flow 00:04:50.92\00:04:54.09 would be stopped in those arteries... Well, that's true. 00:04:54.12\00:04:56.13 The pressure would close up even the arteries. 00:04:56.16\00:04:59.35 Instead, He put those coronary arteries right out 00:04:59.36\00:05:03.14 on the surface of the heart, so the flow can be there 00:05:03.17\00:05:05.51 all the time. 00:05:05.54\00:05:06.63 The functioning of the heart depends on those 00:05:06.66\00:05:10.95 coronary arteries. 00:05:10.98\00:05:13.25 If we don't have blood flowing through those 00:05:13.28\00:05:15.82 coronary arteries and taking care of the nutrition 00:05:15.85\00:05:19.68 and oxygen needs of the heart, 00:05:19.71\00:05:21.75 you don't have the heart beating. 00:05:21.78\00:05:23.95 And so that leads us to what really is the number one 00:05:23.98\00:05:28.43 killer in the U.S... 00:05:28.46\00:05:30.09 blockage in those coronary arteries. 00:05:30.12\00:05:34.70 What would cause those arteries to block? 00:05:34.73\00:05:40.16 The big culprit, I think, most people, at least 00:05:40.17\00:05:45.34 in the United States, have heard the word "cholesterol. " 00:05:45.35\00:05:48.68 And, it's not out of date... it's very much up-to-date 00:05:48.71\00:05:53.13 and that really is the guilty factor. 00:05:53.16\00:06:00.98 We hear a lot about saturated fat 00:06:01.01\00:06:02.88 Saturated fat DOES enter in but if we're going to name 00:06:02.91\00:06:08.11 one real culprit... it's the cholesterol 00:06:08.14\00:06:11.51 And we'll want to get into that I think.. further along. 00:06:11.54\00:06:15.47 You know, you mentioned the fact that now everybody has 00:06:15.48\00:06:19.33 heard of cholesterol. 00:06:19.36\00:06:21.82 Probably even every 5th grade schoolchild has 00:06:21.83\00:06:26.02 heard of cholesterol. 00:06:26.05\00:06:27.34 But when I was in medical school 50 years ago, 00:06:27.37\00:06:30.32 we could not do cholesterol determinations on the blood of 00:06:30.35\00:06:36.12 people, except one day a week. 00:06:36.15\00:06:38.38 So, we collected all the blood collections.. which weren't many 00:06:38.41\00:06:42.48 because doctors weren't very interested 00:06:42.51\00:06:44.93 in the blood cholesterol. 00:06:44.96\00:06:46.00 We didn't really know that it was as important as it is... 00:06:46.03\00:06:50.31 as we have since learned... 00:06:50.34\00:06:51.67 But we would collect them all together and then once a week 00:06:51.68\00:06:56.03 we could get a report on the cholesterol. 00:06:56.06\00:06:59.82 Whereas now, you have kits that people can have 00:06:59.85\00:07:02.52 in their home, where they can check their own cholesterol. 00:07:02.55\00:07:05.18 It is something has it's come into the public 00:07:05.21\00:07:07.48 consciousness so much. 00:07:07.51\00:07:08.65 I think quite a lot of the interest and scientific focus 00:07:08.69\00:07:13.86 on it started after World War II when they noticed, 00:07:13.89\00:07:16.92 surprisingly, in those countries very involved in the war 00:07:16.95\00:07:22.07 the ones that had a blockade by the Nazi powers 00:07:22.10\00:07:27.97 in their submarines so that they couldn't make exchanges 00:07:28.00\00:07:31.26 with the rest of the world of food and they had to live on 00:07:31.29\00:07:35.65 a rather sparse diet. 00:07:35.66\00:07:37.02 In spite of what one might think with all the stress of 00:07:37.05\00:07:41.01 war... those very countries ended up with a decrease 00:07:41.04\00:07:44.23 in the rate of heart attacks. 00:07:44.24\00:07:45.63 You can account for that by their sparse diet. 00:07:45.64\00:07:48.89 They had to eat fruits, vegetables, whole grains, 00:07:48.92\00:07:52.95 and nuts and seeds that were produced 00:07:52.98\00:07:54.51 on the land they lived on. 00:07:54.55\00:07:55.75 That's right... Not so many rich cakes and all kinds of 00:07:55.79\00:07:58.86 dairy products that are huge. 00:07:58.89\00:08:00.71 They couldn't get from America all of the McDonald's 00:08:00.74\00:08:03.21 products that are now available. 00:08:03.24\00:08:05.07 That's it. Well that's good. 00:08:05.10\00:08:07.16 Well I would like to have Melissa show you how 00:08:07.19\00:08:11.64 you would TREAT a person who has an acute heart attack. 00:08:11.67\00:08:16.27 Of course, the first thing they're going to experience 00:08:16.30\00:08:18.74 is that of pain. 00:08:18.77\00:08:20.30 And so, Melissa, I see you've got a friend here who will 00:08:20.33\00:08:24.67 doubtless help you show that. 00:08:24.70\00:08:29.07 Okay, this is Shannon Jenkins who is a friend of Melissa's 00:08:29.10\00:08:34.22 and she is the fresh heart attack victim. 00:08:34.25\00:08:38.45 So I see you've got her feet in hot water... 00:08:38.48\00:08:41.06 That's right... Yeah, pretty hot. 00:08:41.09\00:08:46.46 Okay, you're going to want to put an ice bag on the chest 00:08:46.50\00:08:50.93 and I just have ice inside of a bag... a ziplock bag 00:08:50.96\00:08:55.71 and I put it inside of another ziplock bag and then 00:08:55.74\00:08:58.31 zipped the other bag just to avoid leakage. 00:08:58.34\00:09:00.91 And then wrap it in a thin towel and put it over the area 00:09:00.94\00:09:08.34 where the heart is. 00:09:08.37\00:09:10.21 You'll want to have an assistant to help you hold the bag 00:09:10.24\00:09:12.58 on her chest... I'm going to have Shannon hold this... 00:09:12.61\00:09:15.20 And while they're holding that, you're going to want to 00:09:15.21\00:09:17.08 put her feet into some hot water to keep the patient 00:09:17.11\00:09:20.45 warm while she's got the ice bag on her chest and 00:09:20.48\00:09:24.17 to loosen up her muscles so that they won't spasm as much. 00:09:24.20\00:09:27.37 And have some hot water ready so that you can keep it 00:09:27.38\00:09:29.98 warm... not necessarily hot, but nice and warm 00:09:30.01\00:09:33.28 and so have some hot water ready so that you can 00:09:33.31\00:09:35.57 keep her feet warm. 00:09:35.60\00:09:36.66 And this is just to do while you're waiting 00:09:36.69\00:09:39.62 for a doctor to come, or until you can transport the patient 00:09:39.65\00:09:42.59 to the hospital... 00:09:42.62\00:09:43.77 So it's definitely first aid but it CAN be effective 00:09:43.78\00:09:48.03 We had a patient one time, who was sort of a grounds keeper 00:09:48.06\00:09:52.14 for an estate that was near Uchee Pines 00:09:52.17\00:09:56.09 So he got a heart attack one morning rather early 00:09:56.12\00:09:59.46 So he came to Uchee Pines to get help. 00:09:59.49\00:10:03.40 He knew that we had physicians there and even though 00:10:03.41\00:10:05.48 he had never been a patient there before, 00:10:05.51\00:10:07.23 he drove over there in his car and asked if we could help him. 00:10:07.26\00:10:10.47 So, we had some arrangements we had to make 00:10:10.50\00:10:14.51 Usually we don't accept acutely ill patients... 00:10:14.54\00:10:18.39 and certainly not heart attack victims 00:10:18.42\00:10:20.06 And so, we had him to put his feet in the hot water, 00:10:20.07\00:10:23.89 and put the ice pack to his chest... 00:10:23.92\00:10:25.47 And within about 20 minutes, he told us that, 00:10:25.50\00:10:29.34 very definitely, he was feeling better. 00:10:29.37\00:10:31.56 And then we were able to transport a more comfortable 00:10:31.59\00:10:34.84 patient to his doctor in his hospital where he got his 00:10:34.87\00:10:41.02 definitive care for his heart attack. 00:10:41.05\00:10:42.65 So we were able to give him first aid for that. 00:10:42.68\00:10:46.02 So it's a very nice treatment. 00:10:46.05\00:10:47.24 Of course physicians will often use morphine for heart attacks 00:10:47.25\00:10:53.05 which is a very good treatment to relieve the pain. 00:10:53.08\00:10:57.00 But if you have no morphine and you're in a field situation 00:10:57.03\00:11:00.78 or the patient is allergic to morphine, 00:11:00.81\00:11:03.05 then this is a nice first aid that you can do for that. 00:11:03.08\00:11:06.54 All right, thank you very much, I appreciate that. 00:11:06.57\00:11:10.38 Now in addition to these first aid things... 00:11:10.41\00:11:16.15 which you hope you will never have to deal with, 00:11:16.18\00:11:18.46 because you hope that you will never have a heart attack. 00:11:18.49\00:11:21.19 But in addition to these first aid things, 00:11:21.22\00:11:23.33 there are some things in diet that you can do 00:11:23.34\00:11:26.26 that are MOST important and that will go a LONG way 00:11:26.29\00:11:30.07 toward making it so that you will not get a heart attack. 00:11:30.10\00:11:33.90 And I have asked one of our staff members at Uchee Pines, 00:11:33.93\00:11:37.99 a lifestyle counselor, to show us some of those things 00:11:38.02\00:11:42.85 having to do with foods. 00:11:42.88\00:11:44.86 And, as you would expect, the kind of foods that we would be 00:11:44.89\00:11:48.32 dealing with are those kinds of foods that can be protective 00:11:48.35\00:11:52.00 and nourishing and healing for the heart. 00:11:52.03\00:11:55.15 And so I'm very happy to see that... oh this looks so GOOD! 00:11:55.18\00:11:59.65 Did you make this? 00:11:59.68\00:12:02.06 Yes I did, Dr. Agatha. 00:12:02.09\00:12:04.78 Lidia Seda is quite skilled with foods and she has 00:12:04.81\00:12:08.79 traveled with me a good bit and done foods all over 00:12:08.82\00:12:11.61 So, tell us about what you have here. 00:12:11.64\00:12:13.93 Well what I have here is called a Waldorf salad 00:12:13.96\00:12:17.54 and it's basically a fruit salad. 00:12:17.57\00:12:19.55 Fruits are just very valuable in preventing 00:12:19.58\00:12:23.93 any type of heart disease. 00:12:23.96\00:12:25.43 Now usually, you would have this type of meal 00:12:25.47\00:12:28.92 in the morning for breakfast. 00:12:28.95\00:12:31.04 Now what's wonderful about having this type of meal for 00:12:31.07\00:12:34.91 breakfast is that they have found having breakfast 00:12:34.94\00:12:38.26 in the morning will cut the risk of heart disease. 00:12:38.27\00:12:41.48 It has been found that individuals who do have 00:12:41.51\00:12:44.09 breakfast, cut their risk by at least 40%. 00:12:44.12\00:12:49.36 And it has to do with the fact that the blood doesn't 00:12:49.39\00:12:52.61 clump or aggregate... which is one of the reasons why 00:12:52.64\00:12:56.26 one may have a heart attack. 00:12:56.29\00:12:58.04 So having a good breakfast, Dr. Thrash, is a good start 00:12:58.07\00:13:01.43 in cutting your risk of heart disease. 00:13:01.46\00:13:03.42 Yes it is, and looking at something as nice as 00:13:03.45\00:13:07.83 your Waldorf salad here, makes me all more 00:13:07.86\00:13:11.48 interested in breakfast. 00:13:11.52\00:13:12.96 Of course breakfast is my hardiest meal of the day 00:13:13.00\00:13:16.26 and I enjoy it and I think with this kind of dish, 00:13:16.29\00:13:20.24 I could enjoy it even MORE! 00:13:20.27\00:13:22.52 Oh... that is SO nice. 00:13:22.55\00:13:24.60 I see raisins, and walnuts... and raisins and walnuts are 00:13:24.63\00:13:30.21 both good for the heart... and bananas. 00:13:30.24\00:13:33.74 Well, Dr. Agatha, why don't we just give the recipe 00:13:33.77\00:13:36.47 for all those that may be interested in learning 00:13:36.50\00:13:38.85 how to make a Waldorf salad. 00:13:38.88\00:13:41.28 Well basically, what you will need is: 00:13:41.31\00:13:43.23 Along with this Waldorf salad, is also an almond cream. 00:13:57.28\00:14:02.91 And almonds, or nuts in general, have been found to help 00:14:02.94\00:14:06.07 reduce the risk of heart disease. 00:14:06.10\00:14:08.98 Now to make that, you will need the following ingredients: 00:14:09.01\00:14:11.07 And what they have found in individuals who consume nuts, 00:14:20.43\00:14:23.93 is those that consume nuts less than once per week, 00:14:23.96\00:14:26.85 do NOT have the same results as those individuals 00:14:29.06\00:14:32.50 who consume nuts... let's say 1 to 4 times a week 00:14:32.53\00:14:35.90 They will reduce their risk of heart disease by 25%. 00:14:35.91\00:14:40.15 Now those individuals who have nuts 5 times a week or more, 00:14:40.18\00:14:44.23 will reduce their risk of heart disease by 50%. 00:14:44.26\00:14:47.54 So, Dr. Agatha Thrash, just by making this one little recipe 00:14:47.57\00:14:51.60 you can be saving yourself a lot heart ACHES... 00:14:51.63\00:14:55.91 I tell you what I'm going to do, Lidia... 00:14:55.94\00:14:58.22 In the morning, I'm coming over to your house for breakfast 00:14:58.25\00:15:00.98 because I want some of that almond cream threaded over this 00:15:01.01\00:15:04.77 pretty generously... 00:15:04.80\00:15:06.71 And... this is mine, you have some more for yourself? 00:15:06.74\00:15:10.20 We can make some more Dr. Agatha... Very good. 00:15:10.23\00:15:13.58 Well, I appreciate that very much. 00:15:13.61\00:15:17.03 It's a fact that the things that the Lord has made for us 00:15:17.06\00:15:21.22 so that we can be HEALTHY are DELICIOUS things and 00:15:21.25\00:15:24.99 so common. 00:15:25.02\00:15:26.21 Everywhere you can find bananas and apples and walnuts. 00:15:26.24\00:15:30.69 Walnuts are very good for us and very good for the heart. 00:15:30.72\00:15:34.07 And, of course, there are other nuts that are very good... 00:15:34.10\00:15:36.33 Almonds... Almonds are queen of the nuts! 00:15:36.36\00:15:39.91 And that's in the almond cream that goes over it. 00:15:39.92\00:15:42.54 Now, we don't want to eat too many nuts because they are rich 00:15:42.57\00:15:45.36 and they do require a good bit of digestive effort on our part. 00:15:45.39\00:15:49.42 Now with this background, I would like for Dr. Horsley to 00:15:49.45\00:15:53.68 join me again and we will talk about some of the diseases 00:15:53.71\00:15:59.36 and just what we can do in the way of protecting ourselves 00:15:59.39\00:16:04.00 and how we can recognize these things... Dr. Horsley 00:16:04.03\00:16:06.55 I found it so interesting what Lidia was saying about nuts 00:16:06.58\00:16:10.44 reducing heart disease and I thought... 00:16:10.47\00:16:12.21 There's one other little thing.. before we get into the diseases, 00:16:12.24\00:16:16.49 that has a significant impact on heart disease... 00:16:16.52\00:16:19.96 on the biggest killer which is coronary artery disease. 00:16:19.99\00:16:22.86 Here it is... 00:16:22.89\00:16:25.04 They did a study and they found that men that 00:16:25.07\00:16:27.62 drank more than 5 cups of water a day, 00:16:27.65\00:16:29.85 had 54% LESS coronary deaths compared to those who 00:16:29.88\00:16:35.53 drank 2 or less cups of water a day. 00:16:35.56\00:16:37.57 Okay now... 5 cups a day reduces your risk of a 00:16:37.60\00:16:40.76 heart attack by 54%... 00:16:40.79\00:16:42.91 Compared with those that drank 2 or less cups per day. 00:16:42.94\00:16:46.05 It's amazing... So just drinking more water is cutting 00:16:46.08\00:16:49.47 your risk WAY down... less than half. 00:16:49.50\00:16:51.47 Yes, you know we also know the same thing about strokes! 00:16:51.50\00:16:54.17 That strokes also go down, as water consumption goes up. 00:16:54.20\00:16:58.77 And that's important for us to know. 00:16:58.80\00:17:01.00 It's one of the most excellent anticoagulants. 00:17:01.03\00:17:05.60 Something that keeps the blood just flowing well is 00:17:05.63\00:17:07.79 water that it's mainly made of. 00:17:07.82\00:17:09.30 It keeps the platelets dispersed so that they don't 00:17:09.34\00:17:12.72 hit each other and clump together and start a little clot 00:17:12.75\00:17:16.89 for you anywhere in your blood vessel system. 00:17:16.92\00:17:20.35 And another thing is, if you're on a long trip and you 00:17:20.38\00:17:25.60 are drinking water, it also helps you to know that you 00:17:25.63\00:17:29.65 need to stop you car and get out and walk around a little 00:17:29.68\00:17:33.20 at rest stops... That special room that one has to go to 00:17:33.23\00:17:36.12 Yes... Actually, we need that exercise in our legs. 00:17:36.15\00:17:38.41 We need the exercise. 00:17:38.44\00:17:39.59 And on transoceanic flights, it's very important that people 00:17:39.62\00:17:44.13 drink a lot of water... 00:17:44.16\00:17:45.33 Two reasons, one to thin out the blood, 00:17:45.36\00:17:47.80 and the second reason, because they do need to get up 00:17:47.83\00:17:51.14 and move around to go to the restroom occasionally. 00:17:51.17\00:17:53.64 Yes, were you telling us earlier that there were actually 00:17:53.67\00:17:55.89 several cases recently of mishap, heart attacks or 00:17:55.92\00:18:01.48 death, was it... that had happened? Yes, death. 00:18:01.51\00:18:03.26 That had happened... strokes. 00:18:03.29\00:18:05.21 In fact, it's now called "coach class strokes" 00:18:05.24\00:18:09.35 That's the name of it, "coach class strokes" 00:18:09.38\00:18:11.72 because people are in a small place, 00:18:11.76\00:18:14.81 sitting immobile with the seats, of course, 00:18:14.85\00:18:18.46 making that pressure on the thighs which causes stasis 00:18:18.50\00:18:22.96 of the blood in the lower extremities and 00:18:23.00\00:18:25.80 encourages clotting. 00:18:25.84\00:18:27.31 And so, toward the end of the flight, or even after 00:18:27.35\00:18:30.07 the next day or so, after the flight, 00:18:30.10\00:18:31.97 they dislodge one of these clots and it either goes to the 00:18:32.00\00:18:35.53 lungs or some other vital organ and causes 00:18:35.56\00:18:39.57 a real problem... can cause death even. 00:18:39.60\00:18:42.68 And right after the French published 3 cases, 00:18:42.71\00:18:45.34 the Germans published 3 more cases... 00:18:45.37\00:18:47.18 And then there was another study, I don't remember where 00:18:47.21\00:18:49.88 it came from, that had a whole series of coach class strokes. 00:18:49.91\00:18:54.44 So now, some airliners are actually showing on their screen 00:18:54.47\00:19:01.05 "tense your muscles and relax them. " 00:19:01.08\00:19:04.16 Another thing that's good to do is to 00:19:04.19\00:19:06.50 lift the hands up over the head. 00:19:06.53\00:19:07.69 Sometimes you can't do much with your legs, but you can 00:19:07.73\00:19:11.06 lift your hands up over your head and take a big breath 00:19:11.10\00:19:14.40 and that's very helpful. 00:19:14.43\00:19:17.33 You know what you can always do... isometric exercises 00:19:17.36\00:19:20.81 for the legs... Yes, isometrics are very good. 00:19:20.84\00:19:22.18 You can just sit there and tense your legs and relax them 00:19:22.21\00:19:25.54 and move your feet and push them down and back. 00:19:25.55\00:19:29.25 You know, sometimes I even take with me, if I've got a very long 00:19:29.28\00:19:32.63 flight, I'll take with me one of these little hand grippers 00:19:32.66\00:19:35.49 and then I just work out with them... you know, 00:19:35.52\00:19:38.56 as you press them together... 00:19:38.59\00:19:40.91 Pretty soon, you get to thinking, 00:19:40.94\00:19:43.03 "Well, you know, I need to take a real big breath. " 00:19:43.06\00:19:45.71 So you take a big breath and so it reduces the 00:19:45.74\00:19:50.80 deoxygenation of your blood. 00:19:50.83\00:19:52.78 It gets that blood circulating. 00:19:52.81\00:19:54.09 It keeps the blood circulating. 00:19:54.12\00:19:55.96 You know, I think we should spend a little more time 00:19:55.99\00:19:59.64 talking about that basic issue of cholesterol and blockage 00:19:59.67\00:20:03.22 of arteries... Good, would you do that. 00:20:03.25\00:20:05.93 Maybe you might like to draw some pictures for us 00:20:05.96\00:20:08.48 to let us see what these things look like. 00:20:08.51\00:20:12.70 Well, the basic picture which, I think, many people 00:20:12.73\00:20:18.63 are aware of is... 00:20:18.66\00:20:19.81 If we have an artery here, and we'll draw it as an 00:20:19.84\00:20:24.96 open tube... 00:20:24.99\00:20:26.20 What happens is, the first problem of deposits, 00:20:26.23\00:20:32.95 that start plugging the artery, is from cholesterol. 00:20:32.98\00:20:37.59 So we start filling in this tube that should be wide open 00:20:37.62\00:20:47.02 letting the blood just course through it easily. 00:20:47.05\00:20:49.87 This blockage, of course, can keep on increasing and 00:20:49.90\00:20:55.58 you can get to the point where you're blocking the flow so much 00:20:55.61\00:21:00.89 that only half the diameter is left. 00:21:00.92\00:21:06.54 Now, this beginning of the problem... before we get to a 00:21:06.57\00:21:11.89 late stage like this, where a person might be experiencing 00:21:11.92\00:21:14.85 chest pains, what are called "angina. " 00:21:14.88\00:21:18.82 Long before that, it would be of interest to note... 00:21:18.85\00:21:21.41 what is it that starts this deposit of cholesterol? 00:21:21.44\00:21:27.96 And certainly, one big issue and one that has been looked 00:21:27.99\00:21:34.27 at so much over the past years is... 00:21:34.30\00:21:37.65 How much cholesterol is there in the blood? 00:21:37.68\00:21:40.01 What the level is... 00:21:40.04\00:21:41.83 The level of cholesterol... The total cholesterol in the blood. 00:21:41.86\00:21:45.68 Now you mentioned TOTAL cholesterol... 00:21:45.71\00:21:47.74 that indicates that there may be fractions of cholesterol. 00:21:47.75\00:21:51.01 Exactly! And right now would be a good time maybe to 00:21:51.02\00:21:54.64 say what those are. 00:21:54.67\00:21:56.25 And what the total level would be... what a good level is. 00:21:56.28\00:22:00.39 Does everybody have cholesterol, or can some people not have any? 00:22:00.42\00:22:04.23 Well, in talking about the total, let's get down 00:22:04.27\00:22:10.22 one interesting fact. 00:22:10.25\00:22:12.18 It's being found that people that have a cholesterol 00:22:12.22\00:22:16.69 level under 200, have one-third the risk of heart disease 00:22:16.72\00:22:21.39 than those that have one of 240 or more. 00:22:21.42\00:22:24.69 So, that total cholesterol level is very definitely 00:22:24.72\00:22:29.96 an important factor for having this buildup 00:22:29.99\00:22:33.86 and eventually ending up with a heart attack. 00:22:33.89\00:22:35.77 We want that total to be LOW... 00:22:35.80\00:22:40.11 lower is better in general. 00:22:40.14\00:22:41.79 But, we mentioned fractions... 00:22:41.82\00:22:44.36 because nowadays, we can get a much better picture than just 00:22:44.39\00:22:48.30 the total cholesterol. 00:22:48.33\00:22:49.39 The total cholesterol, we could say that it gives a 00:22:49.42\00:22:51.38 fuzzy picture. 00:22:51.41\00:22:52.90 The parts of cholesterol can be classified this way... 00:22:52.93\00:22:56.73 And many labs give precisely these names to them... 00:22:56.76\00:23:00.17 There is a fraction called "HDL" 00:23:00.21\00:23:04.20 which stands for high density lipoprotein. 00:23:04.23\00:23:07.50 Lipo is a root meaning fat. 00:23:07.53\00:23:11.69 But in this case, we're talking specifically about 00:23:11.72\00:23:13.53 fat cholesterol. 00:23:13.56\00:23:15.08 Another one is "LDL" low density lipoprotein 00:23:15.09\00:23:18.69 And there's even very low density lipoprotein 00:23:18.72\00:23:21.79 And in some presentations, they'll get even 00:23:21.80\00:23:26.21 further fractions, but these are the BIG main ones. 00:23:26.25\00:23:28.89 And, as we present this, we should say that the low 00:23:29.65\00:23:34.75 density lipoprotein, the LDL is generally considered the 00:23:34.78\00:23:39.35 DANGER FACTOR... the one that is going to be 00:23:39.38\00:23:42.19 doing the depositing. 00:23:42.22\00:23:43.56 In other words, LDL is the precise unit... the molecule 00:23:43.59\00:23:48.90 that starts STICKING on the side of the artery. 00:23:48.91\00:23:53.52 And NOW even, we're talking about SMALL units of LDL... 00:23:53.55\00:23:58.23 the smaller fractions of the LDL. 00:23:58.26\00:24:01.10 The bigger fractions and the smaller fractions and then, 00:24:01.13\00:24:04.20 of course, under that the VERY low density lipoprotein. Yes... 00:24:04.23\00:24:08.04 One can go considerably further... that's right. 00:24:08.07\00:24:11.26 Now many people, I think are aware, that the HDL 00:24:11.29\00:24:15.96 is what's called the "good cholesterol. " 00:24:15.99\00:24:19.18 This HDL has 2 properties; 00:24:19.21\00:24:25.78 one is that it does NOT tend to stick to the wall... 00:24:25.81\00:24:30.15 which is nice but it has a further and much better quality 00:24:30.18\00:24:33.93 in that it will tend to GO... as it goes in the blood and 00:24:33.96\00:24:39.99 comes near the LDL that's already deposited, 00:24:40.02\00:24:43.12 it can pull it OUT of the deposit and get RID 00:24:43.15\00:24:48.68 of LDL that's already deposited. 00:24:48.71\00:24:50.37 The liver will then handle it when it's taken 00:24:50.40\00:24:52.21 back into the blood. 00:24:52.24\00:24:53.36 What level is a good level of HDL? 00:24:53.39\00:24:56.96 HDL, generally, one would like to have at least 40. 00:24:56.99\00:25:03.13 I think some labs will accept above 35 as good, 00:25:03.16\00:25:08.35 but it really is better to have above 40... 00:25:08.38\00:25:10.49 And if you have one of 50 or better, that's excellent. 00:25:10.52\00:25:13.13 ...60 even better? 00:25:13.16\00:25:15.04 I've seen people with 70s and, I think, 80s... 80s yes 00:25:15.07\00:25:19.86 That makes you very comforted... Yes. 00:25:19.87\00:25:24.29 Should we say something more about diet? 00:25:24.32\00:25:27.45 I think so... I think that we need to understand 00:25:27.48\00:25:29.91 more that each one of these things clarifies a little better 00:25:29.94\00:25:33.01 just how we can go about protecting ourselves. 00:25:33.05\00:25:35.97 So, mention a little more about diet. 00:25:36.01\00:25:38.42 Because this whole issue of cholesterol, is something that 00:25:38.45\00:25:44.28 people are ingesting.. something they're taking into them 00:25:44.31\00:25:47.16 Now there's another expression that's used all the time 00:25:47.19\00:25:49.86 with this and it's the expression "saturated fat" 00:25:49.87\00:25:53.95 I'm just going to write that over here... saturated fat. 00:25:53.98\00:26:00.95 And people think of those... 00:26:00.98\00:26:02.80 I used to think of them as sort of the same thing, 00:26:02.83\00:26:06.88 or very much the same. 00:26:06.91\00:26:08.52 And that's really a misconception. 00:26:08.55\00:26:11.10 Saturated fat is a fat... a regular type of oil or fat. 00:26:11.13\00:26:17.63 Chemically, it's very similar to other fats. 00:26:17.66\00:26:21.69 Cholesterol is VERY DIFFERENT from fat or oil. 00:26:21.72\00:26:25.14 And the REAL problem that starts these deposits 00:26:25.17\00:26:31.75 is the cholesterol. 00:26:31.78\00:26:32.91 It isn't the saturated fat. 00:26:32.92\00:26:35.27 Now the saturated fat, once you have these deposits formed, 00:26:35.30\00:26:39.62 it CAN get entangled in them. 00:26:39.65\00:26:41.54 But since cholesterol is the most basic culprit, 00:26:41.57\00:26:46.38 we should look at what foods have it. 00:26:46.41\00:26:50.31 And when you look at it closely, it's only animal products. 00:26:50.34\00:26:54.91 Only animal products? 00:26:55.92\00:26:57.39 You mean like meat, milk, eggs, and cheese. Absolutely! 00:26:57.42\00:27:01.52 That give us the cholesterol. 00:27:01.55\00:27:02.77 One little word before we leave this and I know we don't have 00:27:02.80\00:27:06.48 much time, but if you would just mention a little bit about 00:27:06.51\00:27:09.37 oxidized cholesterol. 00:27:09.40\00:27:11.01 More recent... there's a whole lot we could say... 00:27:11.04\00:27:14.61 LDL is when it is oxidized... 00:27:14.64\00:27:17.90 It is the actual initiating factor and that is 00:27:17.93\00:27:21.65 cholesterol that we get from the outside 00:27:21.68\00:27:24.03 Cholesterol that we EAT is going to be oxidized and be 00:27:24.06\00:27:26.63 the worse culprit. Um hm! 00:27:26.66\00:27:27.89 Well you know, there's a lot that can be said about 00:27:27.92\00:27:32.02 this but I'm sure that our understanding is a lot better 00:27:32.05\00:27:34.85 than it was before our discussion. 00:27:34.88\00:27:37.48 I learned some things from Dr. Winn and I'm sure 00:27:37.51\00:27:40.45 that you did too. 00:27:40.48\00:27:42.04 Now, heart disease, along with our spiritual diseases is 00:27:42.07\00:27:45.27 not God's intention for us. 00:27:45.30\00:27:47.34 So keep your HEART pure before the Lord and in good health 00:27:47.37\00:27:52.02 so that the Lord can BLESS you give you peace 00:27:52.05\00:27:55.16 and prosperity. 00:27:55.20\00:27:57.14