You're having a
fine day, all is well,
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life is good, the
future looks bright!
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Then suddenly, an
elephant sits on your chest.
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Why didn't you see
that coming? Stay tuned...
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I'm Dr. James
Marcum, are you interested in
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discovering the reason why?
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Do you want solutions to
your health care problem?
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Are you tired of
taking medications?
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Well, you're about to be given
the "Ultimate Prescription."
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Coronary artery disease, "CAD."
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For many people,
CAD also spells "death."
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But does it have to?
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Let's talk with a
board certified cardiologist
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about heart disease and
hope, two concepts that,
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for many, seem
impossible to blend.
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Dr. Marcum, someone
recently posted a question on
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heartwiseministries.org
website asking you
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"How you make a diagnosis when
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it comes to coronary
disease." Let's talk about that.
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What's the first
thing you start looking for
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as you hunt for the elephant?
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Yeah, you know, the
elephant is always...
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and I like that you
said, "elephant," Charles.
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In fact, we have a little devise
here I'd like to hand to you
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and see - what do you
think this is, Charles?
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Well at first, I
thought it was a pen, but I...
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Oh, it opens up, okay. Yeah,
and if you look in one end...
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Whoa, hello there
Dr. Marcum's eyeball!
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...it's a telescope and
if you look in the other end,
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it's a microscope.
Well, it certainly is!
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Yeah, and when it
comes to coronary disease,
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we want to see that
big elephant in the room,
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we want to use the telescope
because if we look at the
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microscope, sometimes we won't
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know what part of the
elephant we're seeing.
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Well that makes
sense. Yeah, does that work?
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I know where you're going with
this, I just figured it out. Yes
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Because modern
science, something tells me
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they're looking at the
little, tiny picture here... Yes
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Yes, they're not looking
at the big picture. Right
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You know, we have
lots of great technology,
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and lots of things we can do
if you're having a heart attack,
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but we don't have as much,
you know, we're not focusing
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on the prevention of the
disease and we've talked about
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heart attacks before that
almost everything that we do
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to prevent heart attacks
also treats heart attacks
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if you've had one. Yes
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And that's very important, so
we talked about the diagnosis,
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and what I do, the first thing,
and I have a lot of people
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that come to me, that
they feel well and they say,
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"Listen, I want to do everything
I can to lower the risk
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of heart attacks and
coronary artery disease
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which is more important because
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that's before you have
the heart attack. Right!
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So I assume that
when someone comes in,
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that the elephant is in the room
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since it's so
common in our society.
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You know, we've talked about
the things that lead up to it.
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So I ask them
about their genetics.
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I ask them about
the food they're eating.
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I ask them about
the stress their eating.
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I ask them if they have
risk factors like smoking,
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high cholesterol, high
blood pressure which are all
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markers of stress and other
disease that we've talked about.
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We're leading that
elephant around with a leash
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when we're doing these
things, it's there with us. Okay
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And I tell them, I say, "If
you don't have these things,
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that means things
are at least stable,
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but that doesn't mean
you don't have the disease.
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And we want to reverse the
disease and if you have little
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plaques, we want to
change that and stabilize that
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by these simple
things, and I really get back
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to the biblical prescriptions.
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We want to eat lots of
whole food plant-based diet,
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very important, get
fats out of the diet.
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We want to tell people
to exercise, be moving.
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And you know, one interesting
thing is that you don't have to
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necessarily have
an exercise program,
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but if you can get out
of your seat every hour,
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and at least walk around,
there's some benefit. Sure!
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Because we were never
made to sit all day long,
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that puts stress on the
body, the blood doesn't flow
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as good - all sorts of stressors
happen when we sit all day.
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We were designed to move around.
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So if a person doesn't
have symptoms, I focus them
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on those type of things,
and then we talk about stress.
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You know, a lot of
people have stress that
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they don't even know about.
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The stress that comes
from not drinking enough water.
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The stress that
comes from chronic pain.
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The stress that
comes from having guilt.
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From having all
these things in our life,
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or worry about things, you know.
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All of these things cause
the stress chemistry to go up
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that increases your risk
of having heart problems.
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Make the connections there,
make sure we understand that.
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Stress, guilt, fear - what
is it doing physically to you,
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and notice that I'm
doing this with my hand
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because I've
listened to you before.
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Well, we weren't made to
have these things in our lives,
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and as we do this, it
turns on the stress chemistry.
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And we don't understand
fully the stress chemistry,
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but chemicals like adrenalin,
Norepinephrine, cortisol,
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the cytokines, all
these negative things that are
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great if a train
is bearing down on us
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and we have to move quick,
but stress chemical long-term
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day-in, day-out, year-in,
year-out, if we can't control
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that stress chemistry,
if we don't balance it out
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by something we
do, then guess what?
00:05:03.50\00:05:05.70
It can cause problems as well.
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It's constricting. It
can constrict, it can cause
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inflammation in
the blood vessels.
00:05:09.84\00:05:11.77
It can lead us to other habits,
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and we're just
understanding little bits about
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how our society and
the way we live damages.
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Did you know that I can
make the argument that too much
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media raises the risk of
you having coronary disease.
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I can believe that... I
watch the news every once
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in a while - I can't
take very much of that.
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Yeah, we were never designed
to see 10,000 people killed.
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We were never designed to
live other people's lives.
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We were designed to be creative
and not to be entertained,
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and as we do these things,
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there are chemical
changes in our body.
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Why do we want to
watch these reality programs
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where people are just
mad at each other and angry,
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and vengeful, and
crying, and doing...
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Why do we want to
watch that kind of stuff
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because we have an emotional
attachment to what's going on,
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and we have some
of the same problems,
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inside of us, that
they have when they have
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the actual problem going
on, we're just observers.
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Well, the marketing
is pretty slick, Charles.
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They say this is the
coolest thing to market,
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and before long
it becomes a habit.
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Why can't we see a show where
people just love each other,
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and are kind to each other,
and are nice to each other.
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Why can't we just do that?
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Oh wait a minute, that's
supposed to be our lives.
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We're supposed to be that movie.
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We're supposed to be
that reality program.
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And I really think a lot of
our system, in coronary disease,
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is not doing
necessarily what is right,
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but doing what's the easiest,
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and things that
can make some money.
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You know, and those
types of elements are out there
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and if you're being
honest about things,
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you have to admit in coronary
disease, we're not fixing the
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problem, we're just
treating the symptoms.
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So, the first thing I do when I
talk to someone that comes in is
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I look at all
these other stressors.
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Then the next thing I
want to do is, I want to know
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if they're having
active symptoms of disease.
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And I can just ask
them the questions...
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"When you walk up a hill,
are you having a funny feeling
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above your waist that
normally shouldn't be there,
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and does it go
away when you stop?"
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Because, remember, heart messes
up when it is doing things,
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and if it does
pretty good, I could say,
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"Well maybe you
don't have active symptoms,
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so we just can work
on these other factors."
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If they're having active
symptoms or I can't tell,
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then it's time for more
testing. and a lot of people
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will come in and say,
"Yeah, I have some pain,
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sometimes it's
walking, sometimes it's not.
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I have a funny
feeling here, a funny..."
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I said, "Well, I can't really
tell, let's do some testing."
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And there are different
types of tests that we can do.
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We can do an EKG and that
gives me some information.
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We can walk you on a treadmill,
and we can look at the EKG.
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We can look at some imaging.
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In some cases, I
can do an angiogram.
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We actually put a dye inside
the arteries to see if there is
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bad blockages.
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Nowadays, we can
look at CAT scans
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to tell if people have
certain disease in their body.
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So we have lots of ways to
see if we have active disease.
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And if we do
have active disease,
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we have lots of modern medicine
techniques to help the symptoms.
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And, you know, we have
stents, we have bypasses,
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we have lots of medicines,
but our goal as a society
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should not be
putting out the fire;
00:08:02.71\00:08:04.81
our goal should be not letting
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the fire start
in the first place.
00:08:06.28\00:08:08.52
That should be our
goal and that's I want to
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emphasize right now.
00:08:10.32\00:08:11.65
So if we're
stable in our hearts,
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we want to keep it that way.
00:08:13.89\00:08:15.42
So that's some of
the ways we diagnose,
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and that's sort of my approach
when they come into the office.
00:08:17.29\00:08:19.66
And I love it when a patient
is coming in just because
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they want to learn
more about the heart;
00:08:22.36\00:08:24.40
when they want to learn more
about these hidden stressors,
00:08:24.43\00:08:27.00
and I think that we can
make some logical conclusions
00:08:27.04\00:08:31.14
of all these things and
there's evidence now there
00:08:31.17\00:08:33.38
that all these many factors
contribute to coronary disease.
00:08:33.41\00:08:36.21
It's just not one thing.
00:08:36.24\00:08:37.58
Everyone... "Well
it's only diabetes."
00:08:37.61\00:08:39.15
Well no, diabetes
damages the blood vessels
00:08:39.18\00:08:41.68
through the chemicals,
the insulin, the glucose,
00:08:41.72\00:08:43.75
but it's not the sole cause.
00:08:43.79\00:08:45.15
High blood pressure -
yes, that damages the artery,
00:08:45.19\00:08:47.72
but the key thing is...
well, what causes diabetes?
00:08:47.76\00:08:50.63
What causes hypertension?
What causes high cholesterol?
00:08:50.66\00:08:54.13
You know and it all
comes back down to - genetics,
00:08:54.16\00:08:57.30
the things we put in the
body, the stress we have,
00:08:57.33\00:09:00.20
and how it works
with out genetics.
00:09:00.24\00:09:02.04
It comes back to the
same themes, Charles,
00:09:02.07\00:09:04.17
and I think that's
very, very interesting.
00:09:04.21\00:09:06.01
That is very important and
I like what you're saying here
00:09:06.04\00:09:08.81
because you're telling us
that in spite of the fact that
00:09:08.84\00:09:12.01
we have genetics, in spite
of the fact that we've done
00:09:12.05\00:09:14.48
something bad to our
body and in spite of the fact
00:09:14.52\00:09:16.52
that we've had a bad
diet, it's not too late.
00:09:16.55\00:09:19.12
If we're alive and
breathing, it's not too late,
00:09:19.15\00:09:21.69
and we can make some
changes and we could bring about
00:09:21.72\00:09:24.13
healing into our lives,
but we have to be careful
00:09:24.16\00:09:26.03
how we do that and
realize that some of areas
00:09:26.06\00:09:29.10
that modern medicine is telling
us, doesn't bring us to healing.
00:09:29.13\00:09:31.77
It gets us through the day.
00:09:31.80\00:09:33.40
Yeah, and you know
what's so important about
00:09:33.44\00:09:34.97
talking about it since this
is one of the leading causes
00:09:35.00\00:09:37.31
of death in the world, you know,
we can help save someone's life.
00:09:37.34\00:09:40.74
We can help
improve someone's life,
00:09:40.78\00:09:42.14
but the principles
that treat vascular disease,
00:09:42.18\00:09:44.61
coronary disease treats
other diseases as well. Yeah
00:09:44.65\00:09:47.55
These same principles help deal
00:09:47.58\00:09:48.92
with mental
illnesses, treats diabetes.
00:09:48.95\00:09:51.29
These same principles that we've
00:09:51.32\00:09:52.65
talked about preventing heart
disease helps prevent cancer;
00:09:52.69\00:09:55.22
helps prevent
inflammation in the body,
00:09:55.26\00:09:57.33
and we can see the symmetry
and how God had it all planned.
00:09:57.36\00:10:00.86
You know and it's just so
remarkable these things that
00:10:00.90\00:10:03.50
affect the entire chemistry
can help the entire body,
00:10:03.53\00:10:06.33
and it's just not
about silver bullets.
00:10:06.37\00:10:08.64
Now, here's a question
for Heartwise Ministries...
00:10:08.67\00:10:11.81
Men and women are different
and I'm so glad they are.
00:10:11.84\00:10:14.51
"Men and women are different
and why are men and women
00:10:14.54\00:10:17.01
heart diseases so different?"
00:10:17.05\00:10:18.38
Are they different and how?
00:10:18.41\00:10:19.75
I mean, this person
must know that they are.
00:10:19.78\00:10:21.12
Yeah, women and men
have different symptoms
00:10:21.15\00:10:24.32
of heart
disease and it's because
00:10:24.35\00:10:25.85
we are designed differently.
00:10:25.89\00:10:27.22
The women's brains
are differently than the
00:10:27.26\00:10:29.42
men's brain and the
anatomy is different.
00:10:29.46\00:10:31.49
Even though we
have the same parts,
00:10:31.53\00:10:33.06
it's the
composition in the parts.
00:10:33.09\00:10:34.56
You know, they have more
certain chemicals than we do,
00:10:34.60\00:10:37.53
and we have more testosterone,
they have more estrogens.
00:10:37.57\00:10:40.54
Our brains are
worked differently.
00:10:40.57\00:10:42.40
You know, they have one
side of the brain that's more
00:10:42.44\00:10:44.24
developed than the other
side, and as an effect of this,
00:10:44.27\00:10:46.81
the anatomy is also
different, and the way they feel
00:10:46.84\00:10:50.05
things are different.
00:10:50.08\00:10:51.41
A woman's symptoms tend to
be what we call "atypical."
00:10:51.45\00:10:55.58
It's because of the
anatomy, the chemicals,
00:10:55.62\00:10:59.29
and they might come
in more short of breath
00:10:59.32\00:11:00.86
rather than having chest pain.
00:11:00.89\00:11:02.22
They might have
different symptoms.
00:11:02.26\00:11:03.59
Their arteries
tend to be smaller.
00:11:03.63\00:11:05.53
So their arteries we can't...
the traditional treatments
00:11:05.56\00:11:09.06
sometimes it doesn't work
on a woman as much as a man.
00:11:09.10\00:11:12.00
So women have to be
very attuned to their bodies,
00:11:12.03\00:11:15.57
and unfortunately, most of
the studies that have been done
00:11:15.60\00:11:18.64
have been done on
men and not women.
00:11:18.67\00:11:21.04
Are short people's arteries
shorter than tall people?
00:11:21.08\00:11:23.71
Not necessarily Charles.
Okay, just wondering about that.
00:11:23.75\00:11:26.92
Elephants have
bigger arteries though.
00:11:26.95\00:11:28.92
We talked about the
elephant in the room.
00:11:28.95\00:11:31.09
If you are an
elephant ignore us.
00:11:31.12\00:11:32.45
But Charles,
getting back to the women...
00:11:32.49\00:11:34.22
You know, so women not
only have not been included
00:11:34.26\00:11:37.86
in the studies where
we get all of our data,
00:11:37.89\00:11:39.83
but a lot of women
are being treated by men,
00:11:39.86\00:11:42.36
and men don't listen
very well for symptoms.
00:11:42.40\00:11:45.40
You know... "Ahh, she's
complaining of everything
00:11:45.43\00:11:47.20
in the world, I don't know."
00:11:47.24\00:11:48.60
But they have to
be very attuned. Yes
00:11:48.64\00:11:50.57
Women have heart
disease at high rates because
00:11:50.61\00:11:52.54
they have some of
the same problems men do.
00:11:52.57\00:11:54.41
We want to intervene
early, so if you're a woman
00:11:54.44\00:11:57.18
out there and you're
having some type of symptom
00:11:57.21\00:11:59.41
that you can't
explain, especially if it's
00:11:59.45\00:12:01.18
above the waist,
especially if it gets worse
00:12:01.22\00:12:03.79
when you do
something, get to see somebody
00:12:03.82\00:12:06.55
that can have that
evaluated because that might be
00:12:06.59\00:12:08.39
a symptom of coronary
disease that is active.
00:12:08.42\00:12:11.89
And that's very important,
but there's a big difference
00:12:11.93\00:12:14.50
and there's a big bias,
I think, in the literature
00:12:14.53\00:12:17.07
because we haven't
done all the study on women.
00:12:17.10\00:12:19.63
Men are treating
women and not women.
00:12:19.67\00:12:21.07
I think women cardiologists
are much more attuned to a woman
00:12:21.10\00:12:24.47
than a man because
we think, we feel...
00:12:24.51\00:12:27.04
Have you heard about that
book "Women Are From Venus,
00:12:27.08\00:12:30.15
and Men Are From Mars?" Yes
00:12:30.18\00:12:31.51
There are big
differences in us and there are
00:12:31.55\00:12:33.38
differences in our health.
00:12:33.42\00:12:34.75
There is a difference in
our chemical compositions,
00:12:34.78\00:12:37.05
and these have
to be adjusted for,
00:12:37.09\00:12:39.55
not only in our
studies, but how we evaluate.
00:12:39.59\00:12:41.79
In a woman, I'm very
serious about taking them
00:12:41.82\00:12:45.59
seriously about
their complaints,
00:12:45.63\00:12:47.33
listening to
them the best I can.
00:12:47.36\00:12:49.20
I think women
are better listeners
00:12:49.23\00:12:50.70
than men, Chares, but
you're a pretty good listener.
00:12:50.73\00:12:52.47
Well thank you very much!
00:12:52.50\00:12:54.34
I guess what I'm
trying to say is...
00:12:54.37\00:12:56.10
If you're talking to
a woman in your office,
00:12:56.14\00:12:58.37
what do you say different?
00:12:58.41\00:12:59.74
I mean, how do you
approach that different?
00:12:59.77\00:13:01.11
Well, you know, it's multi...
I will listen and I will
00:13:01.14\00:13:04.81
listen to them,
I will lead them.
00:13:04.85\00:13:06.72
I'll say, "Listen, you
know, do you have anything funny
00:13:06.75\00:13:08.48
that happens when you do things?
00:13:08.52\00:13:09.92
And if the answer is
"yes," even though it doesn't
00:13:09.95\00:13:11.52
quite sound like...
And it may be different
00:13:11.55\00:13:12.89
from what happens to a man. Okay
00:13:12.92\00:13:14.26
I'll investigate
it a little bit more.
00:13:14.29\00:13:16.79
I won't let something go
without investigating it.
00:13:16.83\00:13:19.09
If she thinks it's important,
I think it's important,
00:13:19.13\00:13:21.56
and then, of course,
do all these other things
00:13:21.60\00:13:23.43
to lower the risk that
we've already talked about.
00:13:23.47\00:13:25.73
What about someone,
and here's a question from
00:13:25.77\00:13:27.27
heartwiseministries.org
00:13:27.30\00:13:28.67
"How do you make the
diagnosis of heart attack?
00:13:28.70\00:13:31.87
I had a pain that felt
like a heart attack last year."
00:13:31.91\00:13:36.24
They were walking along
and all of a sudden, "Ooo,"
00:13:36.28\00:13:37.68
there must have been
some kind of pain there.
00:13:37.71\00:13:39.05
The elephant tapped
them on the shoulder,
00:13:39.08\00:13:41.48
I guess... Is that a
heart attack for sure?
00:13:41.52\00:13:44.09
That's going to be a long
00:13:44.12\00:13:45.45
question Charles, and
I think I'm going to have
00:13:45.49\00:13:46.99
to tackle that
one after our break.
00:13:47.02\00:13:48.62
Okay, let's do
that when we come back.
00:13:48.66\00:13:50.26
Well first of all, go to the
00:13:50.29\00:13:51.63
Ultimate Prescription, the
Bible and then we'll tackle
00:13:51.66\00:13:54.10
these questions on
our return, so stay tuned.
00:13:54.13\00:13:55.86