In Jamaica they have a way of letting you know when fruit 00:00:01.98\00:00:04.48 is ripe and ready to eat by saying that it is fit, 00:00:04.51\00:00:09.36 if a fruit is fit, then it is ready to eat. 00:00:09.39\00:00:12.25 In this country when we speak of something being fit, 00:00:12.28\00:00:16.21 if a person is fit they are physically fit, their heart 00:00:16.24\00:00:19.82 is good, they are in good shape, what they are doing, 00:00:19.85\00:00:23.16 their lifestyle is sufficient to keep them healthy. 00:00:23.19\00:00:25.58 We have a number of things that can help you to have good 00:00:25.61\00:00:30.03 cardiac health, we'll be talking about a few of these numerous 00:00:30.06\00:00:33.94 things in this program, and we hope that you will join us 00:00:33.97\00:00:37.04 so that you can be fit. 00:00:37.07\00:00:38.71 Welcome to Help Yourself To Health 00:00:58.12\00:01:00.54 with Dr. Agatha Thrash of Uchee Pines Institute 00:01:00.57\00:01:03.85 and now here is your host Dr. Thrash. 00:01:03.88\00:01:06.88 In this country we have become sort of couch potatoes, 00:01:06.91\00:01:11.98 many people are couch potatoes, one of the reasons for that 00:01:12.01\00:01:15.76 is that they don't especially like what goes on outside, 00:01:15.79\00:01:19.36 they do like what goes on inside, especially TV, 00:01:19.39\00:01:22.76 and the things that they read and people they talk with 00:01:22.79\00:01:26.24 on the telephone and the computer, all of these things 00:01:26.27\00:01:29.23 have joined together to sort make us in America be certainly 00:01:29.26\00:01:33.01 what we could call couch potatoes. 00:01:33.04\00:01:35.08 How do you know whether you are one of those who should be 00:01:35.11\00:01:38.35 a couch potato and should stay inside the house and carefully 00:01:38.38\00:01:42.32 watch over your heart and make certain that nothing happens 00:01:42.35\00:01:45.09 to it, or that you are physically fit and that you 00:01:45.12\00:01:49.62 can enter into all kinds of activities outdoors, in fact 00:01:49.65\00:01:53.72 you should to keep your heart in good shape, so that you can 00:01:53.75\00:01:56.80 live a long time. 00:01:56.83\00:01:57.85 Well I have asked Justina Thomas and Dr. Don Miller 00:01:57.88\00:02:01.79 to help me to show you one of the tests that can enable you 00:02:01.82\00:02:06.92 to know whether you are fit, physically fit. 00:02:06.95\00:02:11.00 This one that I will talk about first is the chair stand, 00:02:11.03\00:02:15.05 and I have Justina, this is Justina Thomas and she is 00:02:15.08\00:02:20.03 officiating in the chair, she will do the stands and then 00:02:20.06\00:02:24.04 Dr. Don Miller will count off one 30 second increment 00:02:24.07\00:02:28.84 and during this 30 seconds Justina will stand as many times 00:02:28.87\00:02:33.13 as she can, so Dr. Miller are you ready? 00:02:33.16\00:02:36.77 - I'm ready are you ready Justina? 00:02:37.88\00:02:38.85 - I'm ready! - All right here we go, 00:02:38.86\00:02:40.08 Ready, Go! 00:02:40.68\00:02:42.36 - Ok, so now he is timing her so that we can see how many, 00:02:44.33\00:02:48.61 he is also counting how many times she has been able to 00:02:48.64\00:02:52.29 get up and down, and you will see here on the board just 00:02:52.32\00:02:56.89 how she ought to be able how to do. 00:02:56.93\00:03:00.18 A 50 year old person should be able to do: 00:03:00.21\00:03:03.82 Well the 30 seconds has gone by what did you find? 00:03:25.61\00:03:29.11 - I think she needs a cane, she did 20. 00:03:29.14\00:03:33.03 - Ok! That's something that we need to work on then! 00:03:33.06\00:03:38.93 In 30 seconds a 50 year old should be able to do 30, 00:03:38.96\00:03:43.73 now if you are 50, you get up from a chair that Justina was 00:03:43.76\00:03:49.97 sitting in is not the very best one, it should be one that 00:03:50.00\00:03:53.53 has a flat bottom and is just about the height that one 00:03:53.56\00:03:59.82 usually sits in, so the chair that she was sitting in was 00:03:59.85\00:04:02.42 a little low and also slanted backward which many chairs do 00:04:02.45\00:04:06.79 have, so that's an important thing to letting us know how 00:04:06.82\00:04:11.92 physically fit we are. 00:04:11.95\00:04:13.44 I happen to know that Justina is more physically fit than it 00:04:13.47\00:04:17.38 would be indicated by 20 chair stands in 30 seconds because 00:04:17.41\00:04:24.29 I see her walking vigorously a lot of the time on campus 00:04:24.32\00:04:29.53 so I know she is quite physically fit. 00:04:29.56\00:04:32.34 Throughout one's years of life one should from time to time 00:04:32.37\00:04:38.59 do certain tests of this nature so that one can find just how 00:04:38.62\00:04:45.32 physically fit one is, and if not physically fit, 00:04:45.35\00:04:49.05 then some measures should be taken so that the person 00:04:49.08\00:04:52.91 can get into physical fitness promptly. 00:04:52.94\00:04:56.81 Now Dr. Miller is going to talk with you about another 00:04:56.84\00:05:00.35 aspect of what you can do at home to help yourself know 00:05:00.38\00:05:05.20 whether you are in good shape or not, Dr. Miller what 00:05:05.23\00:05:11.28 would you like to tell us about that. 00:05:11.31\00:05:13.10 - We did a little thing on Justina last night, 00:05:13.13\00:05:15.36 it is called the waist- hip ratio, 00:05:15.40\00:05:19.06 and what you do is a very simple test, you get yourself a 00:05:19.10\00:05:22.00 seamstress tape, a cloth tape, sort of like what Dr. Thrash 00:05:22.03\00:05:27.30 has here, and what we do... Go ahead and stand up there 00:05:27.33\00:05:30.51 Justina, you run it abound the waist about the level of the 00:05:30.54\00:05:34.33 navel, so we are just going to wrap this around you Justina 00:05:34.36\00:05:37.34 and we look at the numbers, of course you wouldn't want to 00:05:37.38\00:05:40.92 do this around a sweater and everything else, you want to get 00:05:40.95\00:05:43.75 as much just skin and a little bit of clothing around there, 00:05:43.78\00:05:47.64 you make that measurement, and then you make the next 00:05:47.67\00:05:49.98 measurement around the largest part of the hips, right about 00:05:50.01\00:05:53.91 midway through the buttocks, that's where you are going to 00:05:53.94\00:05:56.32 get your measurement at. 00:05:56.35\00:05:58.13 Now the reason why we take these two measurements 00:05:58.16\00:06:01.04 is there is a healthy type of overweight and an unhealthy 00:06:01.07\00:06:05.01 type of overweight, they are both unhealthy, 00:06:05.04\00:06:06.84 but those who carry their weight in their hips 00:06:06.87\00:06:10.31 it's healthier, basically we call this the pear shape 00:06:10.34\00:06:16.31 and then there is also those who have their weight up on 00:06:16.34\00:06:20.10 top, the trunkal obesity, which is sort of the beach ball shape. 00:06:20.13\00:06:24.77 So what we do is we take those two numbers and we divide 00:06:24.80\00:06:27.80 the hips into the waist to get a ratio, now you can understand 00:06:27.83\00:06:32.44 that if the hips are larger and you are dividing into the waist 00:06:32.47\00:06:35.70 you are going to get a fraction, if the waist is larger and you 00:06:35.73\00:06:40.05 are dividing into that you are going to get a whole number 00:06:40.08\00:06:42.80 or a whole and a fraction. 00:06:42.83\00:06:44.45 We did this to Justina last night, her waist hip ratio 00:06:44.48\00:06:48.78 is.79, the good average for a woman a good healthy average is 00:06:48.81\00:06:54.75 .8, so she is very healthy because she is even below that. 00:06:54.78\00:06:59.10 For a man it can be one, anything over this for a woman 00:06:59.13\00:07:05.75 or a man shows that they are starting to get to much trunkal 00:07:05.78\00:07:09.12 obesity, carrying to much weight above the waist which we have 00:07:09.15\00:07:13.64 found to be less healthful than those who carry more down 00:07:13.67\00:07:18.02 below the waist, so it's a simple test Dr. Thrash 00:07:18.05\00:07:20.38 and I suggest that it is some- thing that we can be doing. 00:07:20.41\00:07:22.68 - Yes! It is a very simple test. 00:07:22.71\00:07:24.48 Now Justina if you will just stand over here, I would like 00:07:24.51\00:07:28.12 to show another thing, these are just calipers, you can get 00:07:28.15\00:07:32.43 these sometimes from a department store or you can 00:07:32.46\00:07:35.23 simply measure it just with a nice ruler that gives you 00:07:35.26\00:07:40.70 centimeter increments, so I would like to show you if you 00:07:40.73\00:07:44.40 are only going to do one, you do it over the biceps, 00:07:44.43\00:07:47.58 but we ideally do it not only over the biceps but also 00:07:47.61\00:07:52.08 over this fold right here, and this fold right here, 00:07:52.11\00:07:57.03 and a fold that is right beside the abdomen, I can't really 00:07:57.06\00:08:02.65 pinch up much on Justina, I don't think that you will be 00:08:02.68\00:08:06.58 the champion women's wrestler any time soon, but let's just 00:08:06.61\00:08:13.34 say we are going to do one measurement which is the biceps. 00:08:13.37\00:08:18.49 Here we go with this very simple device and just pinch up 00:08:18.52\00:08:26.08 just the skin and subcutaneous tissue and with this kind of 00:08:26.11\00:08:29.81 device you just measure, let it just measure the amount and 00:08:29.84\00:08:36.68 she measures between.6 and .7, now for a woman the ideal is 00:08:36.71\00:08:46.08 less than one, for a man the it's about 1/2 centimeter 00:08:46.11\00:08:50.79 not very much. 00:08:50.82\00:08:51.79 He needs to be thinner than she is, women tend to store 00:08:51.80\00:08:57.15 a little bit more fat than men do and that's normal and 00:08:57.18\00:09:00.64 natural, it has to do with the reproductive process and she 00:09:01.20\00:09:05.15 just naturally, hormonally carries a little more 00:09:05.18\00:09:08.61 subcutaneous fat than a man does. 00:09:08.64\00:09:11.26 Thank you Justina! 00:09:11.29\00:09:13.06 Now these are some tests that you can do at home that will 00:09:13.09\00:09:17.70 help you to know whether you are physically fit, 00:09:17.73\00:09:19.73 but there are some laboratory tests, that I would like to see 00:09:19.76\00:09:22.85 people getting more than they do, and one of those is called 00:09:22.88\00:09:26.62 the CRP or C-Reactive Protein, this is an inflammatory 00:09:26.65\00:09:31.23 substance that if it is high in the blood it usually means 00:09:31.26\00:09:35.24 that the person has some inflammatory process going on 00:09:35.27\00:09:38.23 somewhere in the body. 00:09:38.26\00:09:39.23 I would like to talk with you just a bit about where these 00:09:39.25\00:09:43.23 inflammatory processes begin and what their target organ is. 00:09:43.26\00:09:48.54 These inflammatory processes often have their origins in some 00:09:48.57\00:09:52.94 need that the body has, such as to fight a tumor or to 00:09:52.97\00:09:57.85 heal some kind of infection or injury that you have had 00:09:57.88\00:10:04.11 but sometimes they don't have any known origin, it's just the 00:10:04.14\00:10:09.30 general lifestyle of the person but as we have studied this 00:10:09.33\00:10:13.54 it is beginning to develop that a certain type of lifestyle 00:10:13.57\00:10:17.50 does lead to a development of these inflammatory substances. 00:10:17.53\00:10:21.61 just one of which is tested for, or just a group of them 00:10:21.64\00:10:26.55 are tested for in the C-Reactive Protein, but enough to give us a 00:10:26.58\00:10:30.80 good idea as a general screening test for these 00:10:30.83\00:10:34.62 inflammatory substances. 00:10:34.65\00:10:36.08 What happens to the person, or what is the condition of the 00:10:36.11\00:10:43.27 person when we find these inflammatory substances high? 00:10:43.30\00:10:47.06 Well they may have such things as diabetes, hypertension, 00:10:47.09\00:10:50.99 cancer, there is a whole list of them, high blood cholesterol, 00:10:51.02\00:10:55.96 especially the kind that will lead to heart attacks and 00:10:55.99\00:11:01.90 strokes, that means a high LDL and a low HDL. 00:11:01.93\00:11:05.98 Then they have diabetes and Alzheimer's disease is now being 00:11:06.01\00:11:10.02 found to be associated with high C-Reactive Protein 00:11:10.05\00:11:13.96 and other inflammatory substances, there are certain 00:11:13.99\00:11:17.49 cytokine's, also inflammatory substances which tend to stiffen 00:11:17.52\00:11:23.14 the lining cells of our various blood vessels, these cytokines 00:11:23.17\00:11:28.98 are a product of the lifestyle. 00:11:29.01\00:11:32.31 Then there a bunch of metallomatrix types of 00:11:32.34\00:11:38.34 inflammatory substances that are also lifestyle and they 00:11:38.37\00:11:44.23 tend to cause inflammation and be deposited in various 00:11:44.26\00:11:49.61 tissues such as the heart and the brain in sufficient quantity 00:11:49.64\00:11:55.04 to cause some cellular death in that area, and then you have 00:11:55.07\00:11:59.45 a scar there, a scar in the heart, or a scar in the brain 00:11:59.48\00:12:03.73 or other parts of the body that can cause difficulty for 00:12:03.76\00:12:10.32 you in having a healthy heart. 00:12:10.35\00:12:12.16 There are some of these inflammatory substances that 00:12:12.19\00:12:15.80 will actually soften or even digest collagen, now you may 00:12:15.83\00:12:20.66 have heard of collagen diseases, they are like lupus, and 00:12:20.69\00:12:24.27 rheumatoid arthritis, and a whole class of diseases that go 00:12:24.30\00:12:29.91 under the name of collagen diseases. 00:12:29.94\00:12:32.04 Now if inflammatory substances are deposited in the tissues 00:12:32.07\00:12:37.02 cause damage, may cause us to have chronic ill health, even 00:12:37.05\00:12:41.73 progressive ill health and they are associated with 00:12:41.76\00:12:45.16 lifestyle, then it behooves us to find out what kind of 00:12:45.19\00:12:48.05 lifestyle that is and to make the necessary changes. 00:12:48.08\00:12:51.30 Weight gain, very big weight gain can triple the 00:12:51.33\00:13:00.45 C- Reactive Protein, well that immediately lets you know that 00:13:00.48\00:13:04.54 weight gain, especially as is the case in males, 00:13:04.57\00:13:09.01 a rapid weight gain can triple the C-Reactive Protein. 00:13:09.04\00:13:12.88 A sedentary lifestyle can also triple these inflammatory 00:13:12.91\00:13:20.32 substances, tension and stress are famed for causing an 00:13:20.35\00:13:25.95 increase in inflammatory substances, then competitive 00:13:25.98\00:13:30.33 games, even computer games, but also sports, these competitive 00:13:30.36\00:13:35.39 games are also famed for increasing your inflammatory 00:13:35.42\00:13:40.11 substances. 00:13:40.14\00:13:41.32 An animal based diet is likely to do the same, so as we study 00:13:41.35\00:13:47.57 these inflammatory substances we come to recognize that 00:13:47.60\00:13:51.12 there are things that we can do that can slow down our 00:13:51.15\00:13:55.68 probability of getting into a chronic progressive 00:13:55.71\00:13:59.93 diseased state. 00:13:59.96\00:14:02.24 One of the important ones that people are all the time doing 00:14:02.27\00:14:06.76 that they really shouldn't do is eating A-G-E's, AGE's, 00:14:06.79\00:14:14.94 that stands for Advanced Glycation End Products. 00:14:14.97\00:14:21.11 Advanced Glycation End Products are AGE's occur when you burn 00:14:21.14\00:14:26.65 your toast, when you over cook anything, when you scorch your 00:14:26.68\00:14:30.62 nuts, or when you barbeque things and get some smoke 00:14:30.65\00:14:37.15 flavoring on your food, these kinds of things do produce 00:14:37.18\00:14:43.01 these AGE's and make it so you have more inflammatory 00:14:43.04\00:14:47.10 substances in your blood stream, these include also 00:14:47.13\00:14:50.08 tumor necrosis factor, which is and inflammatory product 00:14:50.11\00:14:55.55 and can cause serious increase in your likelihood of getting 00:14:55.58\00:15:00.90 a chronic progressive disease. 00:15:00.93\00:15:03.22 Now some other things that can cause heart disease 00:15:03.25\00:15:07.82 Dr. Don Miller will talk with you about and at this time 00:15:07.85\00:15:12.00 he has some interesting things that you will find to be also 00:15:12.03\00:15:16.55 very helpful, Dr. Miller! 00:15:16.58\00:15:18.77 - I think most people are getting pretty heart wise but 00:15:18.80\00:15:22.15 there is one thing that we hear a lot about and we wonder 00:15:22.18\00:15:24.97 what does that really mean and it's that thing 00:15:25.00\00:15:27.88 called free radicals. 00:15:27.91\00:15:29.46 It's not some radical person that escaped from a hospital 00:15:29.49\00:15:34.09 or a from a prison, but a free radical is something very 00:15:34.12\00:15:36.91 interesting, I want to go to the board and we're going to 00:15:36.94\00:15:39.66 look at something very interesting about what a 00:15:39.69\00:15:42.13 free radical is. 00:15:42.16\00:15:43.13 If you remember your high school chemistry 00:15:43.14\00:15:45.98 you remember that we have atoms, now basically our human body is 00:15:46.02\00:15:50.92 made up of cells, and the cells are made up of molecules, 00:15:50.95\00:15:53.50 molecules are made up of various forms of atoms, and here I've 00:15:53.53\00:15:58.24 drawn a particular atom on the board. 00:15:58.27\00:16:01.96 Now if you remember from your high school chemistry 00:16:01.99\00:16:04.54 you've got your protons and you've got your electrons, 00:16:04.57\00:16:08.65 you've got your neutrons also, but you basically are going to 00:16:08.68\00:16:11.16 deal here... The main thing in free radicals 00:16:11.19\00:16:13.46 is your electrons, now this is an oxygen atom, 00:16:13.49\00:16:18.98 it's got eight protons and so that tells you how many 00:16:19.01\00:16:23.97 electrons it's going to have, and the electrons come 00:16:24.00\00:16:27.70 in shells, the first shell is going to have two electrons, 00:16:28.91\00:16:31.85 the next shell to be complete will have eight electrons 00:16:31.88\00:16:36.55 but in this case it only has six electrons, 00:16:36.58\00:16:39.81 so it is always looking for somebody to mate up with. 00:16:39.84\00:16:43.22 So what is one of the most common things you know of 00:16:43.25\00:16:46.34 that has oxygen in there, well let's talk about water 00:16:46.38\00:16:50.12 let's add water to it, what is water, water is H2O, which means 00:16:50.16\00:16:57.91 there are two atoms of hydrogen one atom of oxygen. 00:16:57.94\00:17:01.29 The hydrogen has one proton and one electron, it also 00:17:01.32\00:17:09.67 is looking for a mate, and so it comes down and it shares 00:17:09.70\00:17:13.60 a mate with the oxygen, but that gives it only seven, 00:17:13.63\00:17:18.98 this one is now shared with the hydrogen, so another 00:17:19.01\00:17:22.22 hydrogen settles up next to here with it's proton, and it shares 00:17:22.25\00:17:27.30 an electron, and now we have two atoms of hydrogen 00:17:27.33\00:17:32.68 one of oxygen, and we have a very stable or an inert form 00:17:32.71\00:17:36.88 called water. 00:17:36.91\00:17:37.88 Oxygen itself, if the air that you breathe is not an atom of 00:17:37.89\00:17:43.76 oxygen and it's a molecule of oxygen made up of two oxygen 00:17:43.79\00:17:49.07 atoms put together, so you are going to have two electrons 00:17:49.10\00:17:53.45 being shared in this outer shell with the other electrons of the 00:17:53.48\00:17:59.24 oxygen atom, now you have 02 which is what we breathe. 00:17:59.27\00:18:05.87 This is the way it should be, now, what's the problem? 00:18:05.90\00:18:09.40 When we have something going on in the body, 00:18:09.43\00:18:12.70 now our body makes free radicals on purpose sometimes, 00:18:12.73\00:18:15.76 the immune system makes free radicals to attack viruses and 00:18:15.79\00:18:21.05 bacteria's that get into the body, they work very well 00:18:21.08\00:18:23.58 for that purpose, but we also have other free radicals, 00:18:23.61\00:18:27.03 we have a break down of atoms and molecules in the body 00:18:27.06\00:18:32.56 as a result of herbicides, cigarette smoke, pollution, 00:18:32.59\00:18:37.54 radiation, we have these things happening all the time 00:18:37.57\00:18:40.01 which is no problem normally, if we have enough of what we 00:18:40.04\00:18:44.91 call anti-oxidants, see when we oxidize something... 00:18:46.67\00:18:48.21 Let's talk about one of the dangerous things in the 00:18:48.24\00:18:51.91 blood stream called LDL, low density lipoprotein, 00:18:51.94\00:18:57.47 when this becomes oxidized, or that means it is attached to a 00:18:57.50\00:19:02.56 free radical it becomes a major problem, and what we have to do 00:19:02.59\00:19:06.20 is somehow keep this thing from becoming oxidized 00:19:06.24\00:19:09.92 by getting rid of the free radicals in the body. 00:19:09.95\00:19:12.73 We do this by a high intake of vitamin E, a high intake of 00:19:12.76\00:19:16.72 vitamin C, the E is a fat based vitamin and the C being a 00:19:16.75\00:19:23.37 water based, they are very good and they are very 00:19:23.40\00:19:25.70 heart protective, how do you get your E's? 00:19:25.73\00:19:28.16 You take yellow, orange, and green vegetables and fruits, 00:19:28.19\00:19:33.02 and C is in almost everything, plenty of fruits and vegetables 00:19:33.05\00:19:36.39 make you very heart healthy. 00:19:36.42\00:19:38.26 The more anti-oxidants you have in your body, 00:19:38.29\00:19:41.35 the less problem you are going to have with free-radical 00:19:41.38\00:19:43.96 damage, because once an atom becomes a free radical, 00:19:43.99\00:19:49.39 it's lost the electron and it's looking for the electron, 00:19:49.42\00:19:52.68 it will share one with somebody or it will steal somebody 00:19:52.71\00:19:55.83 else's, if it steals somebody else's then it will be looking 00:19:56.50\00:19:59.40 for something and you have a chain reaction and it gets 00:19:59.43\00:20:02.41 worse and worse as a person gets older, and this leads to 00:20:02.44\00:20:05.87 accelerated aging. 00:20:05.90\00:20:07.22 So the older a person gets, the more important it is to have 00:20:07.25\00:20:11.09 plenty of vitamin C, and vitamin E in their systems. 00:20:11.12\00:20:15.87 Now the anti-oxidants foods, what happens to them when they 00:20:15.90\00:20:20.28 get a free radical attached to them and they steal one of their 00:20:20.31\00:20:22.73 electrons, no problem, an anti-oxidant is stable both 00:20:22.76\00:20:28.87 with the right number of electrons in it's outer shell 00:20:28.90\00:20:33.60 or the wrong number, it's stable either way. 00:20:33.63\00:20:36.64 So the idea about eating your fruits and vegetables to protect 00:20:36.67\00:20:41.12 your body, especially from the oxidation of the LDL is 00:20:41.15\00:20:44.76 extremely important so your yellow, your orange, your green 00:20:44.79\00:20:47.99 fruits and vegetables, eat plenty of those things, 00:20:48.02\00:20:50.30 your citrus fruits, your avocados are great in vitamin C, 00:20:50.33\00:20:54.29 eat these foods and you are going to find that your 00:20:54.32\00:20:57.03 anti-oxidant value goes up in your body, and the free radicals 00:20:57.06\00:21:00.89 go down in the body, you are not going to have all this 00:21:00.92\00:21:03.01 problem getting plaques in your blood stream, so a simple very 00:21:03.04\00:21:09.19 brief, very quick look at free radicals, we hear about 00:21:09.22\00:21:12.89 them a lot, hopefully you will know a little bit more by now 00:21:12.92\00:21:15.07 but if not, well, get an elementary or a high school 00:21:15.10\00:21:20.71 chemistry book and read about chemistry it is an interesting 00:21:20.74\00:21:23.60 subject Dr. Thrash. 00:21:23.63\00:21:24.64 - Yes it is, we are made up of chemistry and our food is 00:21:24.67\00:21:27.02 chemistry and water is chemistry the air is chemistry, 00:21:27.05\00:21:29.71 we are chemistry, and we live in a world of chemistry, 00:21:29.74\00:21:31.56 it's really fun to study. 00:21:31.59\00:21:35.86 Congestive heart failure is another of those things that 00:21:35.89\00:21:39.01 you should learn about, congestive heart failure is not 00:21:39.04\00:21:43.62 all that common but when it does occur in a family there are 00:21:43.65\00:21:47.01 things that you can do. 00:21:47.04\00:21:48.33 Congestive heart failure simply means that the heart itself 00:21:48.36\00:21:51.83 is not completely emptying itself with each contraction 00:21:51.86\00:21:54.69 so instead of making a firm contraction that completely 00:21:54.72\00:21:58.86 empties it with every heart beat, the heart is simply 00:21:58.89\00:22:02.95 beating but not completely emptying, and as the pressure 00:22:02.98\00:22:07.17 builds up because the heart doesn't completely empty then 00:22:07.20\00:22:10.20 one develops fluid in various organs, the legs, and finally 00:22:10.23\00:22:16.52 the pelvis, and finally gets into the abdomen and eventually 00:22:16.55\00:22:20.45 into the chest, and the person is swollen all over. 00:22:20.48\00:22:23.64 So how can you deal with a person who has 00:22:23.67\00:22:27.91 congestive heart failure? 00:22:27.94\00:22:29.19 When it first begins try to do what you can to eliminate those 00:22:29.22\00:22:34.23 lifestyle problems that have initiated the hardening of the 00:22:34.26\00:22:39.96 arteries or the high blood cholesterol, or the high 00:22:39.99\00:22:42.57 blood pressure, and a variety of other things that can cause 00:22:42.60\00:22:47.03 congestive heart failure. 00:22:47.06\00:22:48.19 Some things that you can do, first do the lifestyle matters, 00:22:48.22\00:22:53.24 the second thing is to judge how much exercise the person 00:22:53.27\00:22:59.18 with congestive heart failure should have, now I was very 00:22:59.21\00:23:03.50 careful to let you know that exercise is a part of the 00:23:03.53\00:23:07.84 treatment for people with congestive heart failure. 00:23:07.87\00:23:10.58 When I was in medical school it wasn't so, a person with 00:23:10.61\00:23:13.93 congestive heart failure we told the person to prop their feet up 00:23:13.96\00:23:18.76 in their home and be served by someone else from now on, 00:23:18.79\00:23:23.46 and we expected that to last until the end of their lives. 00:23:23.49\00:23:26.54 Now we are expecting to have some rehabilitation for the 00:23:26.57\00:23:29.96 person so we start out with very mild exercise, 00:23:29.99\00:23:33.22 they may get a little short of breath, but day by day 00:23:33.25\00:23:36.57 they just stroll a little bit farther and finally they are 00:23:36.60\00:23:40.50 able to pick up their speed a little bit, so little by little 00:23:40.53\00:23:44.55 they gain some thing that they have lost in the way of 00:23:44.58\00:23:48.89 physical fitness, then another thing that we always do for 00:23:48.92\00:23:52.63 people with congestive hear failure is help them to loose 00:23:52.66\00:23:56.12 weight if that's applicable. 00:23:56.15\00:23:57.55 The way to loose weight is very simple, first you start 00:23:57.58\00:24:02.39 with eliminating all free fats, now since we need some of the 00:24:02.42\00:24:06.80 fat types of vitamins like vitamin E, vitamin E is very 00:24:06.83\00:24:12.66 healthful for the heart so we want to eat all those foods 00:24:12.69\00:24:16.31 that are high in vitamin E, such as grains and beans, 00:24:16.34\00:24:20.59 anything that's fatty itself since this is a fatty vitamin, 00:24:20.62\00:24:26.34 those things will contain vitamin E, and also present in 00:24:26.37\00:24:31.11 fruits and vegetables that are deep yellow, that can be helpful 00:24:31.14\00:24:35.67 for you to know what to eat. 00:24:35.70\00:24:37.63 Then one can take a supplement of vitamin E of maybe 200 or 400 00:24:37.66\00:24:44.04 international units a day, that's very helpful, Arginine, 00:24:44.07\00:24:49.13 also called L-Arginine, can be very helpful in congestive 00:24:49.16\00:24:54.97 heart failure and one can take from one to three teaspoonfuls 00:24:55.00\00:25:01.08 per day of this powder, CO-Q10 can be 00:25:01.11\00:25:04.12 very helpful, it's a cardiac nutrient and can 00:25:04.15\00:25:07.22 help you quite a lot. 00:25:07.25\00:25:08.78 So I hope with these things the person in your family 00:25:08.81\00:25:12.26 with congestive failure can be helped remarkably. 00:25:12.29\00:25:15.64 There is another problem with the heart called angina, 00:25:15.67\00:25:18.88 and Dr. Miller will talk with you about that to give you 00:25:18.91\00:25:22.73 some idea how to deal with angina. 00:25:22.76\00:25:25.51 - You know there are two basic health principles, one, 00:25:25.54\00:25:28.06 the life is in the blood, the second is there is perfect 00:25:28.09\00:25:30.36 health requires perfect circulation. 00:25:30.39\00:25:32.19 A good test for this is get a blood pressure cuff, put it on 00:25:32.22\00:25:35.24 your arm, pump it up, don't let the air out and just do some 00:25:35.27\00:25:38.09 exercises and see how long it takes before pain happens 00:25:38.12\00:25:40.85 in your hand and in your arm, same thing is happening in your 00:25:40.88\00:25:43.83 heart with angina. 00:25:43.86\00:25:45.05 It's basically you are having insufficiency of blood flow to 00:25:45.08\00:25:48.56 the heart muscle itself, and when your muscle starts getting 00:25:48.59\00:25:51.54 starved for blood, it's going to start telling you, and that is 00:25:51.57\00:25:54.94 what it is, it's a signal, pain is signal that I'm being damaged 00:25:54.97\00:25:59.18 down here, now what do you do about angina? 00:25:59.21\00:26:02.15 There is a very good article that came out a few years ago 00:26:02.18\00:26:05.30 in Lancet, the British Medical Journal, and it gave some simple 00:26:05.33\00:26:09.51 steps that you can do to cure, "Cure" they use the word cure, 00:26:09.54\00:26:13.50 angina, and I am going to give you these simple steps: 00:26:13.53\00:26:16.59 1. No free fats in your diet, no butter, no margarine, 00:26:16.62\00:26:17.59 no fried foods, no salad oils, no cooking fats, no nut butters. 00:26:17.62\00:26:24.76 no mayonnaise, anything that has visible fat is out of 00:26:24.79\00:26:27.95 your diet, that is the first second thing, no animal 00:26:27.98\00:26:31.28 products, high is saturated fats, saturated fats will find 00:26:31.31\00:26:35.53 a home in your coronary arteries so you get off of all animal 00:26:35.56\00:26:40.47 products, three, when you start to feel the angina attack 00:26:40.50\00:26:44.37 start coming, you don't stop and lay down, you slow your pace 00:26:44.40\00:26:48.83 and you walk through the pain, you slow down it subsides 00:26:48.86\00:26:53.25 and you stay at that pace right there, and you walk through 00:26:53.28\00:26:56.79 the pain, fourth thing is fruits and vegetables 00:26:56.82\00:27:00.56 in your dietary, in your diet, fruits and vegetables, 00:27:00.59\00:27:04.02 whole grains, nuts and seeds. 00:27:04.05\00:27:05.69 Another thing, keep your arms and your legs from 00:27:05.72\00:27:08.98 being chilled, summer and winter keep yourself 00:27:09.01\00:27:11.81 well clothed, even a cold breeze in your face could precipitate 00:27:11.84\00:27:15.26 a angina attack, and so these simple steps, they've shown 00:27:15.29\00:27:21.02 in the Lancet and in American Medical Journals that these 00:27:21.05\00:27:25.10 things right there can take care of your angina problems 00:27:25.13\00:27:28.02 Dr. Thrash. 00:27:28.05\00:27:29.02 - Yes! Those are very excellent steps to take. 00:27:29.03\00:27:32.74 There are a few other supplements that I like to give 00:27:32.77\00:27:36.48 to heart people and one of those is garlic, not only in the diet 00:27:36.51\00:27:40.97 but also as pills, so make a stock of these things that are 00:27:41.00\00:27:46.76 heart healthy, and if anyone in your family develops any 00:27:46.79\00:27:50.11 kind of heart disease you are already prepared to be 00:27:50.14\00:27:53.36 of assistance to them. 00:27:53.39\00:27:56.06