What a joy it is to have
God's prescription pad with us
00:00:01.36\00:00:04.67
as we talk about health
on this program, the Bible.
00:00:04.70\00:00:08.14
And, here's a text, Dr.
Marcum, that I think just
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goes right along with what
we're saying here about our
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hearts and our
valves, and whatnot.
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Listen to this,
this is Psalm 73:26
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We'll put it up on
the screen, there it is...
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Psalm 73:26
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That's good news
right from the Bible!
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What a wonderful
prescription that is!
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Yeah that's good
because, you know, of course,
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heart, brain -
sort of interchangeable,
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but God is the
strength of basically our life.
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You know, the strength
of our life and when we have
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God in our life, we
have strength and really
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even if we
don't have human life,
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that doesn't mean we
don't have eternal life,
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you know, through
God working in us.
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That's very
exciting, Charles. Absolutely
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And we've been talking
about mitral valves today,
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and aortic valves and
all these valves in our body,
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and a lot of people
don't know much about
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these heart valves, but
it's something that's important
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to know because I have
people that come in and say,
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"My doctor says I
have a heart murmur,"
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and they're scared to death. Yes
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And really, all
a heart murmur is
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is when you listen,
you hear abnormal flow.
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You hear that swishing
sound you're talking about.
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Yes, you can have a heart murmur
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and have a
completely normal heart valve.
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If a person is
dehydrated, sometimes you hear
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an innocent murmur.
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When women are
pregnant, their hearts change
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because it has to work so hard.
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We almost always hear
murmurs in pregnant women,
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but just because you
hear that you have a murmur,
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that doesn't
necessarily mean it's dangerous.
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And a lot of people come to
us because either their doctor
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has heard a murmur...
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The most serious condition
is they have a symptom like
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shortness of breath, can't
breathe when they do things,
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and then their doctor hears a
murmur and then they come to us
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and then we find out, "Oh
yeah, you do have a murmur
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that's correlating
with your symptom."
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We find out that the
valve is not doing well,
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and then we talk about all
of our options to the patient.
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So the murmur
and symptom together
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is when you know
there's a problem.
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Yes, if you're
having a heart murmur,
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and you're having symptoms,
especially shortness of breath,
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extreme fatigue - that
might be a sign that you
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might need a little
more help on the valves.
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All right - here's
another question from
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heartwiseministries.org
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It says, "What is "endocarditis"
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and how is it diagnosed?"
It sounds kind of serious!
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Yeah, endocarditis
just means inflammation
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of the endocardium of the heart.
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Specifically when it
comes to valve disease,
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a lot of people
pick up infections.
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Let's say you cut
yourself here or somewhere,
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and you didn't know it,
and diabetics have lots of
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infections in their feet that
they can't even feel their feet
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because they have
nerves that don't feel well.
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So let's say you get
an infection and you don't
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even know it, and
sometimes mouth infections,
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the infection has
been there a long time,
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you don't
really have it treated.
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But bacteria grow
there, staph grows there,
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strep grows there,
some type of bacteria,
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and it gains
access to the bloodstream.
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Well first, usually a
person gets pretty sick,
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but those bacteria are
circulating through the blood
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going everywhere and it
happens to see a heart valve,
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and says, "Hmm, this
is a nice place to land,
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I think I'm going to stick
here and, boy, I have a little
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food source too that's
constantly moving by me,"
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especially if it sees a
heart valve that's been damaged.
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It says, "Well, I'm just
going to make a home here."
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So he grabs onto the
valve, and then all of a sudden,
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he is holding onto the
valve, getting some food to eat,
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and says, "Well, let
me grow a little bit."
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So he grows a little
family and before you know it,
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there's an infection on that
valve and actually the bacteria
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are actually
eating up the valve.
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Physically
eating the valve. Yeah
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And we can have endocarditis
bacteria on a heart valve
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that destroys the heart valve,
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but it's usually
from some infection.
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Now the common ones we also get
is from people that use drugs.
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You know, they take the
IV syringe, that's dirty,
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and has bacteria
and then and inject,
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and that infection,
of course, multiplies,
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and it has a tendency
to get on heart valves too.
00:04:08.98\00:04:11.55
So when it gets
on a heart valve,
00:04:11.58\00:04:12.95
we call that "endocarditis,"
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and sometimes if the
valve is not leaking too bad,
00:04:15.08\00:04:18.32
we can destroy it
with IV antibiotics,
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but sometimes there's so
much damage to the heart valve
00:04:21.59\00:04:24.79
that we have to
replace the valve.
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In fact, one of my patients that
I've had for about 20 years now,
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when he was in his 20s,
he used to do a lot of drugs.
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He used to do heroin and
he actually got endocarditis
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on both heart valves
and he comes in really
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short of breath with fever.
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The blood cultures showed that
he had bacteria in his blood.
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We looked at his
heart valves and sure enough
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there was a big old
vegetation on that heart valve.
00:04:46.61\00:04:49.68
The valve was leaking terribly,
so we had to settle him
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down with antibiotics
and then the surgeon put
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2 metal valves in him and
he's still doing okay today,
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and thank goodness he
gave up the drugs. Oh my, yes.
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But he has to take
blood thinners the rest
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of his life now, but
that's a very common type of
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valve problem and we
call that "endocarditis."
00:05:06.23\00:05:08.40
But any infection that
a person has on his body,
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if the infection has
access to the bloodstream,
00:05:11.11\00:05:13.94
it could make you
very sick quickly.
00:05:13.98\00:05:16.28
Now the fancy term when it's
just in the blood is called,
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"bacteremia," but if
it gets on a heart valve,
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you know that's bacteremia
that has formed endocarditis,
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and that is potentially a
life-threatening infection.
00:05:26.52\00:05:29.69
Now you mentioned, during the
break - you and I were talking
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and you said that they can
do these valve replacements
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without opening the heart?
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They don't have to go
down through the chest?
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Yeah and that's new technology
we've had especially for the
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aortic valve. Yes
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Nowadays, they call it "TAVR"
transaortic valve replacement.
00:05:42.70\00:05:48.08
And they can actually go
through vessels in the groin,
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and we can put catheters
with an artificial valve...
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and while the
person is not knocked out,
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they can actually deploy that
valve in the aortic position.
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Now we mainly use it for
people that are older in age,
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that might not be
a good surgical risk
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or who have a lot of
other medical problems,
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and only have one valve problem.
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But so far, we've been
doing it for a few years now,
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the results look very promising
and every year as we've done it,
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we've refined the procedure
so it's a lot less risky.
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No one, when they're
older, 80 or 90 years old,
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you don't want to
have a big incision,
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and pull the chest
open and put a valve in.
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But do they have to
stop the heart for this?
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No they don't. They
don't even stop the heart?
00:06:29.32\00:06:30.82
The heart is going and
they sort of just like exchange
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one valve for another
within the blood vessels,
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and that is a
remarkable use of technology.
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But most valves,
Charles, you know, most of them
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they can put in metallic valves.
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They can put a
metallic valve here, here,
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and through the years,
there have been different
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companies that do that.
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We also can get replacement
valves from pigs and cows,
00:06:49.37\00:06:53.38
and sometimes the aortic root
is also damaged and what get
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what we call an "allograft."
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We get not only the valve,
but the whole original part
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of the aorta and
replace the aorta and valve.
00:07:02.65\00:07:05.29
So a whole section they
do. Yes, a whole section.
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We can take the old section
out, put in a new section,
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sew it in and
"boom," they have a valve.
00:07:09.92\00:07:12.99
Modern
technology, modern medicine.
00:07:13.03\00:07:14.36
Yeah and that's a great
place for modern medicine...
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It is if you have an
infection of the heart;
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if you have the leaky heart
valves from whatever reason
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or you have a genetic problem.
00:07:21.60\00:07:23.37
Now most of the valves I
see now are the aortic valve
00:07:23.41\00:07:26.24
that doesn't open -
that's aortic stenosis and it's
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usually caused by either a
bicuspid genetic aortic valve,
00:07:29.28\00:07:32.81
or it's caused by the aging
process and we see that a lot.
00:07:32.85\00:07:36.65
A person would say,
"I'm short of breath,"
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the doctor would hear a
murmur, would lead to this
00:07:39.25\00:07:41.19
echocardiogram and they would
say, "Yes, there's too much
00:07:41.22\00:07:43.96
pressure in your heart,
the valve is not opening well,
00:07:43.99\00:07:46.90
we can help you out with that."
00:07:46.93\00:07:48.33
Now you've mentioned
several of the symptoms of valve
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abnormalities, are
there some other symptoms
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we should be aware of that
you haven't talked about yet?
00:07:53.97\00:07:55.84
Well, you know, I guess
the main ones is because the
00:07:55.87\00:07:59.41
valve directs blood
flow... you know, you want blood
00:07:59.44\00:08:01.94
heading in the right direction.
00:08:01.98\00:08:03.45
You don't want it
leaking backwards,
00:08:03.48\00:08:04.91
and also you want blood
getting out of the heart. Yeah
00:08:04.95\00:08:07.28
So either - you
know to make this simple,
00:08:07.32\00:08:09.02
the problem with the valve
is either it doesn't open...
00:08:09.05\00:08:11.59
that's called
"stenosis," or it's leaky...
00:08:11.62\00:08:14.79
that's called "regurgitation."
00:08:14.82\00:08:16.96
So we have aortic valve
stenosis and regurgitation,
00:08:16.99\00:08:20.00
we also have tricuspid
valve - that's the valve that
00:08:20.03\00:08:22.53
is on the right
side of the heart,
00:08:22.56\00:08:24.30
and we also have mitral valve
regurgitation and stenosis.
00:08:24.33\00:08:27.80
The most common cause of
mitral stenosis is probably
00:08:27.84\00:08:30.74
rheumatic heart disease
where an infection damages the
00:08:30.77\00:08:34.11
valve and the
valve doesn't open well.
00:08:34.14\00:08:36.41
And all of these would cause
symptoms of shortness of breath
00:08:36.44\00:08:39.31
when you're doing things.
00:08:39.35\00:08:40.68
It can also make the
heart weak which could cause
00:08:40.72\00:08:43.08
fatigue and tiredness.
00:08:43.12\00:08:44.45
If the heart went into failure,
00:08:44.49\00:08:46.19
you might get
fluid in your lungs,
00:08:46.22\00:08:48.19
not be able to lay down flat.
00:08:48.22\00:08:49.79
You might have legs
that were swollen up or even
00:08:49.82\00:08:52.29
a belly that was swollen up.
00:08:52.33\00:08:53.73
So those type of symptoms,
you would go to a doctor
00:08:53.76\00:08:56.97
and he would say, "Well,
let me order an echocardiogram
00:08:57.00\00:08:58.87
to look at the valves," and then
he would find out what it is,
00:08:58.90\00:09:01.67
and he'd say, "Well
here are our options."
00:09:01.70\00:09:03.77
Usually medications
helps with blood pressure,
00:09:03.81\00:09:06.84
and it might help
with an infection,
00:09:06.88\00:09:08.21
but usually when a heart valve
gets really, really damaged,
00:09:08.24\00:09:10.91
it's time to either
replace it or repair it.
00:09:10.95\00:09:14.08
Some skilled surgeons
can actually repair valves,
00:09:14.12\00:09:16.69
and usually the ones they
repair is the mitral valve
00:09:16.72\00:09:19.49
that prolapses -
they can fix that prolap.
00:09:19.52\00:09:22.02
They work on a section
called "the PT" and they do an
00:09:22.06\00:09:24.46
angular resection - it's a very
elaborate surgery that's done,
00:09:24.49\00:09:27.70
but the skill that those
surgeons have is just amazing.
00:09:27.73\00:09:31.03
I mean, I've heard
of heart surgery on
00:09:31.07\00:09:33.44
babies in the mother. Yes
00:09:33.47\00:09:34.80
They open up the
mother, they open up the baby
00:09:34.84\00:09:36.87
do heart surgery,
close up everything and then
00:09:36.91\00:09:38.74
3 months later, they're
born and everything is fine.
00:09:38.77\00:09:40.58
Yeah and that's a wonderful
place for modern technology,
00:09:40.61\00:09:43.91
you know, to deal
with these genetic defects,
00:09:43.95\00:09:46.01
these congenital defects in
babies that now they can live
00:09:46.05\00:09:49.35
a lot healthier lives.
00:09:49.38\00:09:50.85
And just the bicuspid valves...
you know, 200 years ago,
00:09:50.89\00:09:53.82
there was no treatment for that.
00:09:53.86\00:09:55.19
The men that had that
and the women that had that
00:09:55.22\00:09:57.33
would die in their 40s
and 50s and now they can
00:09:57.36\00:09:59.69
live a lot longer than
that just because we have
00:09:59.73\00:10:01.70
the technology to
replace that valve.
00:10:01.73\00:10:03.67
You know, one of the most
amazing things as I was looking
00:10:03.70\00:10:05.73
at your little model here and
the way the valves are designed,
00:10:05.77\00:10:10.14
I want to share
something with you...
00:10:10.17\00:10:11.51
Make a valve over here
so we can see it, okay.
00:10:11.54\00:10:14.28
Here's the valve, now
lift it a little bit so we
00:10:14.31\00:10:16.78
can see it on the camera,
a little higher, there we go.
00:10:16.81\00:10:18.98
There's the valve...
On the C and O Canal,
00:10:19.01\00:10:21.68
my wife and I go bicycle riding
on the C and O Canal a lot.
00:10:21.72\00:10:24.85
This is exactly the way
that the locks are designed.
00:10:24.89\00:10:30.56
On the C and O... when
the water comes this way,
00:10:30.59\00:10:33.33
it comes on to a bridge like
this, on to a valve like this,
00:10:33.36\00:10:37.30
and because of the way
it's designed, it won't open.
00:10:37.33\00:10:39.33
The pressure of the water coming
down actually keeps it closed.
00:10:39.37\00:10:42.54
If you go this way,
you'll open it up easily,
00:10:42.57\00:10:45.17
but this way, it will
not let the water come out.
00:10:45.21\00:10:47.74
So it's just like modern science
is using biblical science
00:10:47.78\00:10:52.95
to design the locks in the
C and O Canal. That's amazing!
00:10:52.98\00:10:55.65
And what's interesting is
if a person does need a heart
00:10:56.48\00:10:59.15
valve and you're out there
to talk about it, the surgeon
00:10:59.19\00:11:01.79
will help guide you to
the best type of valve.
00:11:01.82\00:11:04.69
And if a person is an older
person, sometimes we put in
00:11:04.73\00:11:07.70
a bioprosthetic valve so they
don't have to take Coumadin,
00:11:07.73\00:11:11.30
whereas a younger person
that the valve has to last many,
00:11:11.33\00:11:14.07
many years, the bioprosthetic
valves tend to wear out too
00:11:14.10\00:11:17.61
because they're tissue.
00:11:17.64\00:11:18.97
But the metal valves don't
wear out, so the surgeon would
00:11:19.01\00:11:21.04
help guide you through
the correct valve to use.
00:11:21.08\00:11:25.01
And, of course, a lot
of these are genetics,
00:11:25.05\00:11:27.32
but the things that keep
valves healthy are the things
00:11:27.35\00:11:29.68
that keeps everyone healthy...
exercise, eating the right foods
00:11:29.72\00:11:34.42
... those type of things
will keep the valves healthy.
00:11:34.46\00:11:36.39
But sometimes an infection
comes in that's unexplained
00:11:36.42\00:11:39.39
and causes endocarditis or
rheumatic fever or something
00:11:39.43\00:11:43.10
bad happens - you
know, genetics are passed on
00:11:43.13\00:11:45.17
and they are born
with these valves.
00:11:45.20\00:11:46.53
So this is something
that modern medicine is
00:11:46.57\00:11:48.17
great and we just
wanted everyone to understand
00:11:48.20\00:11:50.37
a little bit about valves today.
00:11:50.41\00:11:52.07
Well very good, the
take-home message I'm getting
00:11:52.11\00:11:54.18
from this is if you have
a heart murmur and then you
00:11:54.21\00:11:56.98
combine it with symptoms,
00:11:57.01\00:11:58.35
then you have
something to worry about
00:11:58.38\00:11:59.95
because you can live
with a murmur for a long time
00:11:59.98\00:12:01.35
without the
symptoms. That's correct
00:12:01.38\00:12:02.72
All right... we'll take a short
break and when we come back,
00:12:02.75\00:12:05.75
if you have the
symptoms of a need for God,
00:12:05.79\00:12:08.16
we have a cure for that
too, and you can have that cure,
00:12:08.19\00:12:10.83
you can use it every day
in your own life and that is
00:12:10.86\00:12:13.46
"prayer," going to
the Master Physician,
00:12:13.50\00:12:15.36
and talking to Him personally.
00:12:15.40\00:12:16.93
We going to be
doing that on our return,
00:12:16.97\00:12:18.83
so stay right where you are.
00:12:18.87\00:12:20.27
Well, we've been
talking about heart valves,
00:12:27.64\00:12:31.11
and frequently people
have murmurs and I know some
00:12:31.15\00:12:33.52
people that get very
worried about murmurs,
00:12:33.55\00:12:35.58
but, you know, try to
keep things in perspective.
00:12:35.62\00:12:38.75
If you are walking and doing
well, even if you have a murmur,
00:12:38.79\00:12:41.59
chances are it's not dangerous,
but we wanted the people to
00:12:41.62\00:12:44.99
learn about murmurs
today so they could share it
00:12:45.03\00:12:47.26
with their
friends and neighbors.
00:12:47.30\00:12:48.66
Let's pray for each
other at this time...
00:12:48.70\00:12:50.67
Father God, We
want to lift up a prayer
00:12:50.70\00:12:53.44
for everyone that might need
healing and is hurting today.
00:12:53.47\00:12:56.40
Please come into their
lives and give them peace,
00:12:56.44\00:12:59.17
and we've read some texts
about how You want to be our
00:12:59.21\00:13:01.91
Ultimate
Prescription... Help us to apply
00:13:01.94\00:13:04.38
this biblical technology to
our lives is our prayer... Amen
00:13:04.41\00:13:08.28
If you have more questions,
I want to invite you to our
00:13:08.32\00:13:11.12
website that is:
heartwiseministries.org
00:13:11.15\00:13:14.59
We also have a live
program that airs on 3ABN,
00:13:14.62\00:13:17.99
you can watch that and
ask your questions directly.
00:13:18.03\00:13:20.56
And I want to wish you the
best of health letting God be
00:13:20.60\00:13:23.80
the "Ultimate Physician."
00:13:23.83\00:13:26.10