They've been
called "sticky, leaky,"
00:00:16.95\00:00:19.85
and even in need of replacement.
00:00:19.88\00:00:22.42
Today we talk
about "heart valves,"
00:00:22.45\00:00:24.92
and how, when
they stop functioning,
00:00:24.95\00:00:26.55
so do we, stay tuned...
00:00:26.59\00:00:30.29
I'm Dr. James
Marcum, are you interested in
00:00:30.33\00:00:33.83
discovering the reason why?
00:00:33.86\00:00:35.66
Do you want solutions to
your health care problem?
00:00:35.70\00:00:38.73
Are you tired of
taking medications?
00:00:38.77\00:00:41.60
Well, you're about to be given
"The Ultimate Prescription"
00:00:41.64\00:00:45.17
"Mitral valve prolapse,"
I hope you never have to
00:00:45.21\00:00:51.85
hear those words coming
from the lips of your doctor.
00:00:51.88\00:00:54.45
To make sure you don't,
you might want to pay close
00:00:54.48\00:00:57.19
attention to the words
coming from the lips of
00:00:57.22\00:00:59.22
our doctor today.
00:00:59.25\00:01:01.02
Dr. James Marcum is a
board certified cardiologist,
00:01:01.06\00:01:04.19
and someone who has dedicated
00:01:04.23\00:01:05.59
his life to
going out of business.
00:01:05.63\00:01:07.83
Dr. Marcum, what
do we need to know?
00:01:07.86\00:01:10.27
Well Charles, that was
quite a dramatic introduction,
00:01:10.30\00:01:13.87
and mitral valve prolapse
is usually not that dangerous.
00:01:13.90\00:01:18.01
And with mitral valve prolapse,
00:01:18.04\00:01:19.67
we're going to
talk about valves.
00:01:19.71\00:01:21.28
Valves help direct the flow
of blood throughout our body.
00:01:21.31\00:01:25.38
Of course, we have very
important valves in our heart,
00:01:25.41\00:01:28.62
and three of them
are very, very important;
00:01:28.65\00:01:30.95
the mitral valve -
we talked about that;
00:01:30.99\00:01:33.25
the aortic valve,
the tricuspid valve,
00:01:33.29\00:01:36.19
but we have valves throughout
other parts of our body.
00:01:36.22\00:01:38.66
Did you know that our
veins have valves that help
00:01:38.69\00:01:41.26
push the blood
up to the heart...
00:01:41.30\00:01:43.26
And that's very important
to know because when those
00:01:43.30\00:01:45.10
valves are damaged and you
00:01:45.13\00:01:46.47
retain lots of
fluid in your legs,
00:01:46.50\00:01:48.47
you have a higher
chance of having blood clots...
00:01:48.50\00:01:51.17
And blood clots that get
in the legs and pumped up
00:01:51.21\00:01:53.68
that's why I want to tell
everyone to keep those valves
00:01:53.71\00:01:55.94
happy and move
those legs every hour,
00:01:55.98\00:01:57.98
and get out of a position
that you have been staying in.
00:01:58.01\00:02:00.72
That could actually save
your life. Absolutely! Yeah
00:02:00.75\00:02:02.08
But mitral valve prolapse
is a condition of the valve
00:02:02.85\00:02:06.22
where you are
born this way usually,
00:02:06.25\00:02:07.96
and the valve,
instead of closing here,
00:02:07.99\00:02:09.99
it closes there and sometimes
when it doesn't close good,
00:02:10.03\00:02:14.03
it does leak blood backwards.
00:02:14.06\00:02:16.33
And leaking of blood
backwards is part of the problem
00:02:16.36\00:02:19.50
of the valve disease.
00:02:19.53\00:02:20.87
If you leak a lot backwards,
00:02:20.90\00:02:22.77
and the heart needs
blood to pump forward,
00:02:22.80\00:02:24.94
and more of it is going
backwards than forwards,
00:02:24.97\00:02:27.58
you get a symptom...
00:02:27.61\00:02:29.04
And some common symptoms
of valvular heart disease
00:02:29.08\00:02:32.71
are shortness of
breath when you do things.
00:02:32.75\00:02:35.48
Of course, if blood
can't get out of the heart
00:02:35.52\00:02:38.12
because the aortic
valve doesn't open up,
00:02:38.15\00:02:40.22
a symptom might be passing
out because you don't have
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enough blood going to your head;
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chest pain and, of course,
shortness of breath as well.
00:02:44.73\00:02:49.00
So valvular
disease is very important;
00:02:49.03\00:02:51.37
sometimes we're born with
it, like mitral valve prolapse,
00:02:51.40\00:02:54.30
and sometimes we
get it through the
00:02:54.34\00:02:56.24
process of just getting older.
00:02:56.27\00:02:58.17
Sometimes we get valvular
disease from an infection.
00:02:58.21\00:03:00.94
I don't know if you've heard
of "rheumatic heart disease,"
00:03:00.98\00:03:03.31
but that's an infection.
00:03:03.35\00:03:04.68
We don't see much
of that anymore since
00:03:04.71\00:03:06.15
the invention of antibiotics.
00:03:06.18\00:03:08.05
Sometimes a valve will
have problems with hearts.
00:03:08.08\00:03:13.69
You know, heart valves
for instance are very common
00:03:13.72\00:03:16.06
that they have blockages
in the arteries of the heart,
00:03:16.09\00:03:18.09
the arteries feed the valve
in what it needs to do to move.
00:03:18.13\00:03:20.66
So sometimes if you
have a heart attack,
00:03:20.70\00:03:22.20
the valve malfunctions as well
00:03:22.23\00:03:23.93
depending if their
blood supply is disrupted.
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Those are some of
the more common causes.
00:03:26.87\00:03:29.17
Sometimes blood pressure,
for instance, being high
00:03:29.20\00:03:31.34
year after year
can stretch things out
00:03:31.37\00:03:33.68
and then the valve
itself is structurally okay,
00:03:33.71\00:03:35.84
but because the heart has
been stretched out from all
00:03:35.88\00:03:37.88
that pressure, the valve
leaks so the valves either don't
00:03:37.91\00:03:41.78
open, they leak or
they're damaged usually from an
00:03:41.82\00:03:44.99
infection or some other issue.
00:03:45.02\00:03:47.06
So those are the things
we're going to talk about today,
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and lots of questions have
come in regarding valve disease
00:03:49.49\00:03:53.13
so let's see if we
can answer a few of those.
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These are questions
that have been sent in to the
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heartwiseministries.org website,
00:03:57.17\00:03:59.13
and we invite you to do
that listener and watcher
00:03:59.17\00:04:01.44
if you would like to
be a part of this program,
00:04:01.47\00:04:03.27
we invite you to do that.
00:04:03.30\00:04:04.64
Just send your questions
to heartwiseministries.org
00:04:04.67\00:04:07.28
and here's one...
"I have been diagnosed,
00:04:07.31\00:04:09.91
the writer said, with
mitral valve prolapse...
00:04:09.94\00:04:12.98
What should I
be concerned about?
00:04:13.01\00:04:14.98
My doctor doesn't
seem to be concerned."
00:04:15.02\00:04:17.05
Well you just
described some pretty
00:04:17.09\00:04:18.42
dire problems that
that can bring about.
00:04:18.45\00:04:20.79
Why isn't the doctor concerned?
00:04:20.82\00:04:22.16
Well first of all, mitral valve
prolapse, most of the time,
00:04:22.19\00:04:25.06
is not a major issue.
00:04:25.09\00:04:26.76
If the valve closes here
and it doesn't leak a lot,
00:04:26.80\00:04:29.33
that's not a big deal. Okay
00:04:29.36\00:04:30.77
It's only a big deal
when the valve leaks a lot.
00:04:30.80\00:04:33.94
And this is a heart that
we have here and we'll show
00:04:33.97\00:04:38.34
this heart here and the
mitral valve is right over here.
00:04:38.37\00:04:41.34
If the blood leaks back into
this chamber which is called
00:04:41.38\00:04:44.41
"the atrium," you
can get short of breath,
00:04:44.45\00:04:47.22
and that can be a big problem,
00:04:47.25\00:04:48.72
especially when
you're exercising. Yes
00:04:48.75\00:04:50.59
So if a person with mitral
valve prolapse has shortness
00:04:50.62\00:04:53.59
of breath when they do
things, a real leaky heart valve
00:04:53.62\00:04:56.96
we're lucky that we can
actually repair that valve.
00:04:56.99\00:05:00.20
You go into the
heart and repair it. Yeah
00:05:00.23\00:05:01.80
We can repair that valve.
00:05:01.83\00:05:03.63
Now, the way we
would tell if a person had
00:05:03.67\00:05:06.50
mitral valve prolapse
and it was any significance
00:05:06.53\00:05:09.04
would be a sound
wave test, an ultrasound
00:05:09.07\00:05:11.84
where we can look at that
valve, see how it's closing,
00:05:11.87\00:05:14.68
and see how much it's leaking.
00:05:14.71\00:05:16.48
Another way we could do it,
it's sort of an inexpensive way
00:05:16.51\00:05:19.51
is I can listen to the
heart and I could hear the blood
00:05:19.55\00:05:21.68
going backwards...
we call that a "murmur."
00:05:21.72\00:05:24.25
You could hear it going
back? What does it sound like?
00:05:24.29\00:05:26.02
It's a whooshing
sound. A whooshing sound.
00:05:26.05\00:05:28.59
You can hear that
with the stethoscope,
00:05:28.62\00:05:30.03
the blood going backwards.
00:05:30.06\00:05:32.56
What does forward sound like?
00:05:32.59\00:05:33.96
You don't hear
anything when it moves forward.
00:05:34.00\00:05:35.66
You might hear the
valves opening and closing,
00:05:35.70\00:05:37.80
those are the heart sounds.
00:05:37.83\00:05:39.33
You know... bump,
ka-domp, pa-domp...
00:05:39.37\00:05:41.20
That's what we hear
when we listen to the heart.
00:05:41.24\00:05:42.94
That's actually the
aortic and mitral valve
00:05:42.97\00:05:44.74
opening and closing. Oh okay
00:05:44.77\00:05:46.11
So that's what we hear when we
00:05:46.14\00:05:47.48
listen to the
heart and the valves.
00:05:47.51\00:05:48.84
So if we hear the
blood going backwards
00:05:48.88\00:05:50.28
or a turbulent flow, we can say,
00:05:50.31\00:05:51.88
"Wow, there might be something
wrong with the valves." Yes
00:05:51.91\00:05:56.38
And I'd say, "Well, if I
hear something suspicious"...
00:05:56.42\00:05:58.75
And I said, "Well,
can you walk 6 minutes
00:05:58.79\00:06:00.66
pretty well
without having problems?"
00:06:00.69\00:06:02.49
"Oh yeah, I do that without
problems, I exercise every day."
00:06:02.52\00:06:04.93
Well then I can learn
that the chances are that
00:06:04.99\00:06:07.53
that murmur is
probably not significant. Okay
00:06:07.56\00:06:10.17
If I'm concerned about
it, I can do a test called an
00:06:10.20\00:06:13.34
"ultrasound" which
uses sound waves to generate
00:06:13.37\00:06:16.77
the picture of the heart
and the valve and I can actually
00:06:16.81\00:06:18.64
see the blood flowing
backwards and there's different
00:06:18.67\00:06:21.38
measurements that we do to
see if it's very significant.
00:06:21.41\00:06:24.31
So mitral valve prolapse,
not that many people go on
00:06:24.35\00:06:27.12
to have
significance, but if they do,
00:06:27.15\00:06:28.75
they get short of
breath when they do things,
00:06:28.78\00:06:30.55
we can pick it up
with the sound wave test,
00:06:30.59\00:06:32.32
and thank goodness,
we can repair that valve
00:06:32.35\00:06:34.66
so they don't
have to have problems,
00:06:34.69\00:06:36.02
and I probably do 4 or
5 over a 10 year period
00:06:36.06\00:06:39.19
for the mitral
valve that gets worse.
00:06:39.23\00:06:41.16
Now here's a writer to
heartwiseministries.org
00:06:41.20\00:06:44.37
that says, "My aorta
valve does not open well."
00:06:44.40\00:06:47.87
Where's the "aorta valve?"
00:06:47.90\00:06:49.74
Let's use this big
one, this is a big heart.
00:06:49.77\00:06:51.44
I think it has a bigger
picture of the aorta. All right
00:06:51.47\00:06:53.98
Well, you know, they
don't let us bring real hearts
00:06:54.01\00:06:56.08
on the program,
Charles, because we have to
00:06:56.11\00:06:57.71
put them in formaldehyde.
00:06:57.75\00:06:59.08
This is a hard-hearted person.
00:06:59.11\00:07:00.45
Yes, this is a plastic-hearted
person. Thank you
00:07:00.48\00:07:03.32
Well anyway, this is the
valve, the aortic valve that
00:07:03.35\00:07:06.12
leaves the heart and it
goes out the aorta. Okay
00:07:06.15\00:07:08.99
Okay, this is the
aortic valve right here,
00:07:09.02\00:07:10.86
and what was the question there?
00:07:10.89\00:07:12.23
It says here, "My aorta
valve does not open well.
00:07:12.26\00:07:15.06
My doctor says I may
need surgery someday.
00:07:15.10\00:07:17.23
How will I know if
my valve is worsening?"
00:07:17.27\00:07:19.73
Right, so if this
valve does not open,
00:07:19.77\00:07:22.57
the blood can't leave
the heart very well. Okay
00:07:22.60\00:07:25.01
And if the blood doesn't leave
the heart, pressure builds up
00:07:25.04\00:07:27.81
inside and the
muscle has to squeeze
00:07:27.84\00:07:29.68
harder to get
the blood out. Gotcha
00:07:29.71\00:07:31.48
So it takes extra pressure
to get the valve open. Yeah
00:07:31.51\00:07:35.02
And there are different things
that can cause aortic stenosis.
00:07:35.05\00:07:39.22
And one of the things it
can cause is just getting older.
00:07:39.25\00:07:41.89
You know, the valves get older.
00:07:41.92\00:07:43.96
I wish you would not keep saying
that because I'm getting older.
00:07:43.99\00:07:47.43
Does that mean I'm
going to have to watch for
00:07:47.46\00:07:49.26
these things just
because I'm getting older?
00:07:49.30\00:07:50.87
Well, you might wear
out, but a lot of people
00:07:50.90\00:07:52.50
don't have valve
problems, but it gets calcium
00:07:52.53\00:07:54.97
on the valve, so it takes
more pressure to open the valve.
00:07:55.00\00:07:57.74
Other people are born -
usually you have 3 leaflets
00:07:57.77\00:08:00.78
to the aortic valve - some
people are only born with 2.
00:08:00.81\00:08:04.21
We call that a
bicuspid aortic valve,
00:08:04.25\00:08:06.78
and because there's not as
much cusp to take the pressure,
00:08:06.82\00:08:11.85
it puts more pressure on
the 2 cusps that are worse,
00:08:11.89\00:08:15.09
and that tends to
wear them out sooner.
00:08:15.12\00:08:16.96
So frequently
gentlemen with bicuspid valves,
00:08:16.99\00:08:19.83
or females with bicuspid valves
have those replaced as well.
00:08:19.86\00:08:23.10
But the question is,
"Well how might I feel?"
00:08:23.13\00:08:25.27
Well a person that might
feel that way, might have
00:08:25.30\00:08:27.70
shortness of breath;
00:08:27.74\00:08:29.07
they might get
dizzy and pass out.
00:08:29.10\00:08:30.94
The way we tell is,
you get a routine physical
00:08:30.97\00:08:33.17
and your doctor listens
and boy, I hear a murmur.
00:08:33.21\00:08:36.24
If I hear a murmur
of that squishing sound,
00:08:36.28\00:08:38.65
depending on the
characteristics of that murmur,
00:08:38.68\00:08:40.92
I can tell just by listening and
just by talking to the patient,
00:08:40.95\00:08:44.32
whether it's real serious.
00:08:44.35\00:08:45.69
But to keep an eye on it,
we do a sound wave test again,
00:08:45.72\00:08:49.09
and some specific
things... we'd look at the valve
00:08:49.12\00:08:51.33
and see if it's opening like
this or just opening like that.
00:08:51.36\00:08:54.56
And then we can also measure
00:08:54.60\00:08:55.93
the pressure
that opens the valve.
00:08:55.96\00:08:58.00
Normally, we
want less than 10 mmHg
00:08:58.03\00:09:01.17
to open that valve
fully, but when the pressure
00:09:01.20\00:09:03.84
that the heart has
to generate reaches 50,
00:09:03.87\00:09:06.78
that's a sign to me -
that that valve needs a lot of
00:09:06.81\00:09:09.58
pressure to open it to
get blood throughout the body.
00:09:09.61\00:09:11.71
The heart has to work
hard, that's a sign for me that
00:09:11.75\00:09:13.98
maybe it's about
time to replace the valve,
00:09:14.02\00:09:16.82
and we can replace the
valve in many different ways...
00:09:16.85\00:09:19.99
We can put in a metal valve;
00:09:20.02\00:09:22.02
we can put in a
cow valve; a pig valve.
00:09:22.06\00:09:23.99
You would hear that metal valve,
00:09:24.03\00:09:25.36
would there be a
clicking sound then?
00:09:25.39\00:09:26.73
Yes, you would hear the
clicking sound if it was metal.
00:09:26.76\00:09:29.06
We can put in cow valves,
we can put in pig valves.
00:09:29.10\00:09:31.77
Sometimes depending on
the age of the person...
00:09:31.80\00:09:34.70
Unfortunately when
we put in metal valves,
00:09:34.74\00:09:36.54
they generate blood clots,
so we have to put patients on
00:09:36.57\00:09:38.77
blood clot...prevention...
after it, but the metal valves,
00:09:38.81\00:09:41.18
the stainless steel valves,
the most common one I use
00:09:41.21\00:09:43.55
is the St. Jude's
valve, they last forever. Okay
00:09:43.58\00:09:46.45
But the problem is, you
have to take blood thinners.
00:09:46.48\00:09:48.05
The problems with
the pig and cow valves...
00:09:48.08\00:09:50.45
they don't last as long.
00:09:50.49\00:09:51.99
But there's now
these bioprosthetic valves
00:09:52.02\00:09:54.12
that they're now putting in.
00:09:54.16\00:09:55.49
Some of them have some real
excellent lifespans as well.
00:09:55.52\00:09:58.33
So this person - "My
doctor says, "He probably has a
00:09:58.36\00:10:01.46
bicuspid valve - the
valve doesn't open well."
00:10:01.50\00:10:04.73
So your doctor will
tell if it's getting worse
00:10:04.77\00:10:07.04
by listening to
it, by talking to you,
00:10:07.07\00:10:09.27
and periodically maybe
even ordering an ultrasound
00:10:09.30\00:10:11.91
which is called
an "echocardiogram,"
00:10:11.94\00:10:13.71
that will tell you if
the valve is worsening.
00:10:13.74\00:10:15.84
That is a great question!
00:10:15.88\00:10:17.21
Yeah, okay, now the
next question here...
00:10:17.25\00:10:18.91
"Can high blood
pressure cause a valve to leak?"
00:10:18.95\00:10:22.68
We know that the pressure goes
up if there's a leaky valve,
00:10:22.72\00:10:25.09
and a bad valve, but can
having high blood pressure
00:10:25.12\00:10:28.09
throughout your body
cause a valve problem? Yes, yes
00:10:28.12\00:10:30.29
And what can happen...
For instance, the pressure
00:10:30.33\00:10:33.23
high everywhere, it
makes things dilate.
00:10:33.26\00:10:35.46
You know, think of a
door... The door got bigger,
00:10:35.50\00:10:39.80
the doorjamb is not going to
close completely. Right, right
00:10:39.83\00:10:42.87
So if the valve is normal here,
if the vessel that the valve
00:10:42.90\00:10:45.64
is attached to has pressure
on it and it gets bigger,
00:10:45.67\00:10:49.21
the valve doesn't close as well,
00:10:49.24\00:10:51.55
and even though the
valve is completely normal,
00:10:51.58\00:10:53.92
because the door is
not closing completely,
00:10:53.95\00:10:57.22
the blood can leak backward...
00:10:57.25\00:10:58.75
And that happens very
often especially in conditions
00:10:58.79\00:11:02.46
like we call it
"aortic insufficiency."
00:11:02.49\00:11:04.69
The aortic valve
doesn't close well,
00:11:04.73\00:11:06.70
so it's "aortic insufficiency."
00:11:06.73\00:11:08.36
When it doesn't open well,
we call that "aortic stenosis."
00:11:08.40\00:11:12.37
The next question was,
"Can this high blood pressure
00:11:12.40\00:11:14.37
cause a valve to break?"
00:11:14.40\00:11:16.47
Can it actually just stop
it from functioning completely?
00:11:16.50\00:11:19.41
No, remember if the
blood vessel gets bigger,
00:11:19.44\00:11:23.88
the valve ends don't
meet and that's when it leaks.
00:11:23.91\00:11:27.32
And if it leaks a whole
lot, then the solution is that
00:11:27.35\00:11:31.62
we can do some
things that help a lot,
00:11:31.65\00:11:32.99
but the valve itself is
usually structurally normal.
00:11:33.02\00:11:36.22
So, I'm going to digress here,
in the heart we usually have
00:11:36.26\00:11:39.53
2 valves that we're
really concerned about;
00:11:39.56\00:11:41.66
that's the aortic
valve which leaves the heart,
00:11:41.70\00:11:47.44
and the mitral valve -
this is the valve that when the
00:11:47.47\00:11:50.31
blood is oxygenated, it
comes into the left ventricle...
00:11:50.34\00:11:53.27
This valve sometimes leaks,
00:11:53.31\00:11:55.21
that's the one we call
"mitral valve prolapse."
00:11:55.24\00:11:57.28
There's another valve on this
side of the heart called the
00:11:57.35\00:11:59.68
"tricuspid valve," but that one,
you can actually live without.
00:11:59.71\00:12:04.35
So you can live
without that valve.
00:12:04.39\00:12:06.22
So but what we can do is
all sorts of things to help
00:12:06.25\00:12:08.49
this valve and that
valve and there are some things
00:12:08.52\00:12:10.73
like the blood pressure that we
said that can take care of it.
00:12:10.76\00:12:13.19
But this, Charles, is a
00:12:13.23\00:12:14.56
Do you transplant
that valve over to there?
00:12:14.60\00:12:15.93
Well, there is a
procedure where we move the
00:12:15.96\00:12:18.57
pulmonic valve into
the aortic position...
00:12:18.60\00:12:22.54
That's called a
"Ross procedure."
00:12:22.57\00:12:24.67
We don't do that that much.
00:12:24.71\00:12:26.44
It had some problems with
it, so most patients nowadays
00:12:26.47\00:12:29.44
either get a metallic
valve or they get what we call a
00:12:29.48\00:12:33.18
"bioprosthetic
valve" from someone else
00:12:33.21\00:12:34.95
and they put that one in.
00:12:34.98\00:12:36.32
But valve disease is a
great place for modern medicine.
00:12:36.35\00:12:40.02
Years ago, if
you had an infection
00:12:40.06\00:12:41.79
that ate through a
heart valve, you would die.
00:12:41.82\00:12:45.06
If you were old
and had a valve that
00:12:45.09\00:12:46.76
wouldn't open,
you would pass away.
00:12:46.80\00:12:48.43
But this is a great
place for modern medicine
00:12:48.46\00:12:50.80
to help prolong life so
we can continue serving God.
00:12:50.83\00:12:53.80
So lots of people have
valve disease and it comes from
00:12:53.84\00:12:56.20
getting older; it
comes from having a
00:12:56.24\00:12:58.01
heart that's damaged;
maybe high blood pressure;
00:12:58.04\00:13:00.11
maybe infections, but we
have some great treatments now
00:13:00.14\00:13:03.71
for valvular heart disease.
00:13:03.75\00:13:05.15
And I would assume, Dr. Marcum,
that what we do for heart
00:13:05.18\00:13:08.85
health - the diet, the
exercise and all those things,
00:13:08.88\00:13:11.62
are also good for the valves.
00:13:11.65\00:13:12.99
Yes, it's all good for
the valves and there are some
00:13:13.02\00:13:14.46
people who think eating
the wrong types of foods
00:13:14.49\00:13:17.46
cause oxidation and
oxidation sort of triggers
00:13:17.49\00:13:21.06
calcium to stick on the valves,
00:13:21.10\00:13:22.50
so there's that part out
there. All right very good...
00:13:22.53\00:13:24.43
Well, we have a
lot of questions here,
00:13:24.47\00:13:26.27
and, again, I want to
invite our viewers to send their
00:13:26.30\00:13:28.74
questions in to:
heartwiseministries.org
00:13:28.77\00:13:30.87
We use these questions to decide
what to say on our program.
00:13:30.91\00:13:34.51
We structure our
program around your questions
00:13:34.54\00:13:36.54
many times and if you would
like to be part of this program,
00:13:36.58\00:13:38.88
just go to the
heartwiseministries.org website
00:13:38.91\00:13:41.48
and leave your question there.
00:13:41.52\00:13:42.85
We will be happy to
address it on a program.
00:13:42.88\00:13:45.05
We'll take a short
break and when we come back,
00:13:45.09\00:13:47.49
we're going to take a moment
and we're going to look at
00:13:47.52\00:13:49.32
God's
prescription book, the Bible,
00:13:49.36\00:13:51.29
to find a text that might
be just exactly what you're
00:13:51.33\00:13:54.10
needing, right now,
to build your health.
00:13:54.13\00:13:56.67
So stay right where you are...
00:13:56.70\00:13:58.03