The following program
presents principles designed
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to promote good health
and is not intended to take
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the place of
personalized professional care.
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The opinions and
the ideas expressed
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are those of the speaker.
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Viewers are encouraged to draw
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their own conclusions
about the information presented.
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Fact number one, the
human brain is smart.
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Fact number two,
brains need blood.
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Fact number three,
many of us aren't using
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enough of one to assure an
ample supply of two. Stay tuned.
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I'm Dr. James Marcum.
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Are you interested in
discovering the reason why?
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You want solutions to
your health care problems.
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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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Today we
conclude our examination
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of the cardiovascular
system and how many of us
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seem to be doing
everything we can
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to shut it down permanently.
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It's part of our series
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on the major causes
of death in this world.
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Our brains sit
behind our skull protected
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but there is another way
that they can be attacked.
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Kind of like the river
that flowed into Babylon.
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This inside job can bring
about devastating results.
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Dr. Marcum, what are
we doing to our brains
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that brings out he
cardiologist in you?
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Yeah, well, cardiologist
want to open up blood vessels
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so the brain gets plenty
of oxygen but unfortunately
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the topic of stroke--stroke
is very devastating
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and many people
watching today have had strokes.
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Some people in the future
will also develop strokes.
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So we want to talk today about
first define what a stroke is.
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We wanna let people know
what treatments are available
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and how they can live
if they've had a stroke.
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How they can
live more abundantly,
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how they can be healed
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when parts of
their body not work well.
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Now you've told us
what a heart attack is.
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You've talked about all
these fibrillation and what not.
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A stroke--how is it different
and how is it the same?
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Yeah, well,
unfortunately it is another
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leading cause of
death around the world.
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In some parts of the world
it can be as high as number two.
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In the States it ranks
three or four so it varies.
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But what a stroke is,
is the brain doesn't get
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enough of its
nutrients including oxygen
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and blood sugar.
Sounds familiar. Yes.
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And whenever it
doesn't get the things
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it needs to
survive it doesn't do well.
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When the brain doesn't
get the nutrients it needs
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both in oxygen and blood
sugar a symptom develops.
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And that symptom develops
based on what part of the brain
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is not getting enough blood.
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And one of the acronyms
that we use to talk about
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stroke symptoms, okay,
is this word called F.A.S.T.
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F might stand for the facial.
You might have a facial droop.
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A stands for arms so
we quickly have people
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bring up their arms and if
there one arm's going slower,
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they're waggling a
different way that might be sign
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the part of the
brain that controls the arm
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is not getting enough of
these nutrients. S is speech.
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Frequently we have in
stroke speech abnormalities.
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Sometimes people
might have eye problems.
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People might
have-- they can't move
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the left or right
side of their body.
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These are symptoms of the
stroke and the symptom that
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that you get depends on
where the stroke is occurring.
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Stroke is devastating but
if it can be addressed quickly
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with blood flow sometimes
a stroke can be totally
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reversible and we have about
three and a half to four hours
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once the stroke happens
to do something about it.
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So if a person, Charles,
if they think they might be
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having a stroke
and we'll talk about
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the kinds of
strokes in a moment.
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If you'd like--if you
think you might having this,
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either you're not talking
well, your vision's deranged,
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you can't hold
your arm straight,
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part of it is numb or
weak, you can't think right,
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you need to get to
the hospital right away
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'cause time is of the essence
just like in a heart attack.
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We wanna bring the
nutrients to the brain
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so it starts working
again. I had a person recently.
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Her main symptom of a stroke
was she could understand words
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but she could not speak words.
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You know, another
person I saw recently,
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they couldn't move the
left side of their body
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or they had a facial droop.
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So when they go to the
hospital the first thing
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we wanna do is are
you having a stroke?
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Well, the brain is not
working. Something's wrong.
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So we take them to a
C.A.T. scan and M.R.I.
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and once we have that done
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we decide what
type of treatments
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and luckily depending on
what kind of stroke it is
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we could initiate treatment.
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Now there's different
types of strokes, Charles.
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One is a type of
stroke where the--
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oh, you got your artery there
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i do right there. i have
my let me-we can show that--
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faithful artery
right here. Yeah.
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Sometimes, you know, we can have
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an artery in the
brain that spasms.
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An artery is
supposed to look like this.
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It's supposed to be
opened, right? Right.
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It can spasm and things--
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a spasm can mimic a stroke
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'cause the artery
shuts down and opens up.
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There's conditions,
inflammatory conditions
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where sometimes this happens.
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Things that mimic
stroke is low blood sugar.
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If you have low blood
sugar that might mimic a stroke.
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If you weren't
getting enough oxygen
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that could mimic a stroke.
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So we always
check the blood sugar
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and oxygen right away
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in anyone that comes in
with the brain not working well.
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Another thing
that can cause a stroke
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is if you have a blood clot
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that can come somewhere
else through the body, okay?
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And arteries in the
brain can get blocked just like
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the arteries of the heart.
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They can get filled
up with cholesterol.
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And if you have a
blood clot that's traveling
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from somewhere else in the body
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and it goes to a
small blood vessel
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then that part of the
brain doesn't get enough blood.
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Now blood clots can
originate from the heart.
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We talked about a rhythm
called atrial fibrillation
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that where the blood
doesn't move to the heart.
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Sometimes the heart is weak
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and the blood sits in
the bottom of the heart
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and pumps it up.
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So and when a person
has a stroke it could be
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what we call an
embolic type of stroke.
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Now you can also
have blockages like this
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where the blood just
doesn't flow through.
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This is a major
blockage right there.
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Yeah, and that can
cause a stroke, too.
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So whenever the blood
doesn't get enough oxygen
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and blood sugar
you could have a stroke
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'cause the blood
is notgetting there.
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Now there is
another type of stroke
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that happens
about 13% of the time.
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That's when the
artery breaks open.
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Let's say a weak spot.
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You've heard of
aneurysm? Oh, yes.
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Yeah, that's a weak
spot in a blood vessel.
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And if that
would have break open
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the blood oozes
out into the brain.
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We call that a
hemorrhagic blood stroke.
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That stroke can
be very devastating
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and if that's
seen on a C.A.T. scan
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the treatment for that
is immediately opening up
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and fixing that blood vessel.
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We can sometimes
clip an aneurysm.
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That's important to know
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because if it's
because of a blood clot
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the treatment is very different.
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If you have a
blood clot the treatment
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is going to be
blood thinners, okay?
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But you don't want to
give blood thinners to people
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that are bleeding
'cause they bleed more.
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So that's why they
have to get a C.A.T. scan
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really quick if you
think you're having a stroke.
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If it's not a bleeding
stroke then what we try to do
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is we can give some
medicines to break open,
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open that artery up.
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And if that sometimes--
And a C.A.T. scan can see this?
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C.A.T. scan or M.R.I.--well,
they can see if you're bleeding.
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If you're bleeding,
okay. Right, they can see--
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'cause that's gonna
affect treatment. All right.
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Now we make our decisions
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based on a
clinical history you know?
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If the brain looks
okay and it won't show
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a stroke immediately
we can say clinically
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they're having a stroke, okay?
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The brain doesn't show a bleed
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so we would treat
that with blood thinners.
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And there's some powerful
blood thinners that we use.
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One is called T.P.A.
which breaks up blood clots.
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But nowadays we have
a procedure where we can
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actually go up into
the brain with the device
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and pull out the clot. Oh, my.
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Now that's only at a few centers
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and these are
advanced strokes centers
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but the key to
treatment for the brain
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is just like the heart.
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You got to get treatment fast.
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Now if the heart
doesn't get enough blood
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it sometimes has a
dangerous heart rhythm.
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Guess what happens to the brain?
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The brain has a
dangerous sort of rhythm.
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It's called the seizure.
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If a brain
doesn't get enough blood
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or it doesn't get
enough oxygen it has a seizure.
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So frequently strokes can
precipitate seizures, too.
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So the key is to recognize
you're not thinking right.
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Your body is not moving right.
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Immediately get
to the emergency room
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and see if treatment could
be done to help abort the stroke
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whether it be an embolic stroke
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with the blood clots
floating somewhere else.
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It might be that there is
blockages in the arteries.
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We now know that some arteries
have spasms in it as well,
00:08:09.16\00:08:12.63
but stroke is so devastating
because once the brain dies
00:08:12.66\00:08:15.69
things are really
terrible you know?
00:08:15.72\00:08:17.83
The heart dies you can
get away with a lot less heart
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but when the brain starts dying
and you can't move or speak
00:08:21.22\00:08:24.05
or you can't walk as well,
00:08:24.08\00:08:25.61
you can't feed yourself
that's really devastating.
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And nowadays, stroke--
the people that survive stroke
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often can't do the things
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and have the
lifestyle that they want to.
00:08:33.91\00:08:36.05
And unfortunately
once the damage is done
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it's not like heart disease.
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We don't have as
fancier things, you know?
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We can't, you
know, shock the brain
00:08:41.36\00:08:43.16
if it's having a
seizure, you know?
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We have to give medicines.
00:08:44.66\00:08:46.03
We can't get back parts
that are permanently damaged.
00:08:46.06\00:08:49.53
Now sometimes we
can through stroke rehab
00:08:49.56\00:08:51.87
we can get people
moving again and feeling better
00:08:51.90\00:08:54.31
and sometimes the brain
can re-route some blood to that
00:08:54.34\00:08:57.00
but often people do not
get the brain function back
00:08:57.03\00:09:00.16
and that's just
really devastating.
00:09:00.19\00:09:01.66
And that's why we
want to talk about stroke
00:09:01.69\00:09:03.94
since it's a cause of-- leading
cause of death in the world.
00:09:03.97\00:09:06.32
We want people to know
what a symptom of a stroke is
00:09:06.35\00:09:08.98
and that they have to get to
the emergency room right away.
00:09:09.01\00:09:11.43
And there are developing
treatments we can do to limit
00:09:11.46\00:09:14.13
the damage that might
be occurring from a stroke.
00:09:14.16\00:09:16.67
This brings up an
interesting thing.
00:09:16.70\00:09:18.50
I know a lot of
people, Dr. Marcum,
00:09:18.53\00:09:20.58
say I don't want
to cry wolf here.
00:09:20.61\00:09:23.15
I don't want to
have this symptom
00:09:23.18\00:09:25.14
which is really not an issue.
00:09:25.17\00:09:28.21
A little bit of slurred speech,
a little blurred vision, maybe,
00:09:28.24\00:09:30.93
a little weakness in
the arm, I don't wanna run
00:09:30.96\00:09:33.14
to Dr. Marcum
every time this happens
00:09:33.17\00:09:34.88
because aren't there are
other things that sort of mimic
00:09:34.91\00:09:37.37
a heart attack
or a stroke? Yeah.
00:09:37.40\00:09:39.82
Migraine headaches
can mimic a stroke.
00:09:39.85\00:09:42.75
Frequently low blood
sugar can mimic a stroke.
00:09:42.78\00:09:45.94
Low oxygen can mimic a stroke
00:09:45.97\00:09:48.78
but also a stroke can
be a stroke. Yes, yes.
00:09:48.81\00:09:51.41
And we also know that
there are certain people
00:09:51.44\00:09:53.14
that are high risk
of developing a stroke.
00:09:53.17\00:09:55.59
People that have had
strokes in the family,
00:09:55.62\00:09:57.86
people that have
high blood pressure,
00:09:57.89\00:09:59.78
people that have diabetes,
people that have heart disease,
00:09:59.81\00:10:03.70
people that have blockages
in the arteries of the neck,
00:10:03.73\00:10:06.39
people that have weak heart
00:10:06.42\00:10:08.66
because there could be a
blood clot that forms in it.
00:10:08.69\00:10:11.64
Those are people
that are higher risk
00:10:11.67\00:10:13.47
of having a stroke.
00:10:13.50\00:10:14.87
So if they have a symptom
and you're in a high risk group,
00:10:14.90\00:10:17.40
I want to stay at home and say
00:10:17.43\00:10:18.80
oh, it might be a
migraine headache.
00:10:18.83\00:10:20.88
Now I would get help right away.
00:10:20.91\00:10:22.28
Now younger
people-- there's a story
00:10:22.31\00:10:24.29
I heard not too long ago.
00:10:24.32\00:10:25.69
One person
thought that they were
00:10:25.72\00:10:27.09
just having a migraine headache.
00:10:27.12\00:10:28.49
Well, what was really
happening is the artery
00:10:28.52\00:10:30.17
in the brain was,
what we call, dissecting.
00:10:30.20\00:10:32.49
It was ripping. oh.
00:10:32.52\00:10:33.93
And they got in there,
luckily they got on time.
00:10:33.96\00:10:36.08
The neurosurgeon was
able to fix that problem.
00:10:36.11\00:10:38.62
But I think it's
better to be safe than sorry
00:10:38.65\00:10:40.90
because, you
know, if you're wrong,
00:10:40.93\00:10:42.50
you have an emergency room visit
and they say oh, it's a migraine
00:10:42.53\00:10:45.75
or a low blood
sugar but if you're wrong,
00:10:45.78\00:10:47.94
if you're wrong about it
00:10:47.97\00:10:49.34
you could be
devastated and limited
00:10:49.37\00:10:50.83
'cause you got a very
narrow window to get help.
00:10:50.86\00:10:54.08
Now you're saying
that the brain the can live
00:10:54.11\00:10:56.51
without oxygen
longer than the heart.
00:10:56.54\00:10:58.11
Is that--is that
what I hear you say?
00:10:58.14\00:10:59.51
Well, it's the--you know,
the brain is so specialized,
00:10:59.54\00:11:02.68
you know, The
heart just all it does,
00:11:02.71\00:11:04.21
you know, bless its heart,
is it pumps blood everywhere.
00:11:04.24\00:11:06.81
That's true. So it's a pump.
00:11:06.84\00:11:08.21
So it can get by with a
little less pump but the brain,
00:11:08.24\00:11:10.73
you know, well--can
you get by with a part
00:11:10.76\00:11:12.80
that doesn't
your arm? That's true.
00:11:12.83\00:11:14.24
Can you get part that
doesn't move your feet?
00:11:14.27\00:11:16.03
Can you get part that, you know,
00:11:16.06\00:11:17.43
doesn't think or
controls the eyes?
00:11:17.46\00:11:18.96
So it's really
specific to blood vessels.
00:11:18.99\00:11:20.94
So the brain, you know,
sometimes it can get by but
00:11:20.97\00:11:23.64
the brain is so complicated
and it does so many things
00:11:23.67\00:11:27.03
for the body
including controlling the heart.
00:11:27.06\00:11:29.80
So the brain
function is just remarkable.
00:11:29.83\00:11:31.81
And since the stroke is such
a real problem and we've seen
00:11:31.84\00:11:34.14
stroke rates go up
00:11:34.17\00:11:35.72
as prevalence of diabetes
gone up because of obesity,
00:11:35.75\00:11:39.19
the prevalence of
high blood pressure
00:11:39.22\00:11:40.59
is gone up because of our diet
00:11:40.62\00:11:41.99
which are filled with sodium,
00:11:42.02\00:11:43.66
the prevalence of
these blockages go up
00:11:43.69\00:11:45.42
'cause we're eating
lots of cholesterol.
00:11:45.45\00:11:47.61
So as the stroke
rates have gone up
00:11:47.64\00:11:49.59
we need to work
harder and harder
00:11:49.62\00:11:51.01
about doing the
preventive things
00:11:51.04\00:11:52.55
at a young age to prevent it.
00:11:52.58\00:11:54.73
Now I heard not recently about
00:11:54.76\00:11:57.20
if we could
prevent these things,
00:11:57.23\00:11:58.97
if we could live
healthy lifestyle and control
00:11:59.00\00:12:01.60
these risk factors of
stroke and heart attack
00:12:01.63\00:12:03.79
before people were
35 we could also prevent
00:12:03.82\00:12:07.54
all the stuff that's
happening as people get older.
00:12:07.57\00:12:09.75
And we know that
stroke tends to run
00:12:09.78\00:12:11.47
in elderly people
more than younger people.
00:12:11.50\00:12:14.16
So if we could prevent--
live those first 35 years
00:12:14.19\00:12:17.04
as healthy as we
can, the second 35 years
00:12:17.07\00:12:20.30
are gonna do really,
really well 'cause this seems
00:12:20.33\00:12:22.47
to be a cumulative
disease that we get.
00:12:22.50\00:12:24.57
So we are facing
some things that we can do
00:12:24.60\00:12:28.55
in our first 35 years.
00:12:28.58\00:12:29.98
Now we talk about diet,
exercise and all those things.
00:12:30.01\00:12:33.84
Let's move past the 35 years.
00:12:33.87\00:12:35.31
Let's move into
our generation. Right.
00:12:35.34\00:12:38.20
Do the things
that we do before 35
00:12:38.23\00:12:40.34
still help us after 35?
00:12:40.37\00:12:42.11
Absolutely,
Charles, and, you know,
00:12:42.14\00:12:43.81
it would be great if
we did all these things
00:12:43.84\00:12:45.45
in the first 35
years of our life
00:12:45.48\00:12:47.42
but sometimes we
are not smart enough
00:12:47.45\00:12:48.82
to do that. Right.
00:12:48.85\00:12:50.22
So we finally catch on.
00:12:50.25\00:12:51.62
Hey, I need to do these
things but if you're right now--
00:12:51.65\00:12:53.68
if you're at a risk and want
to lower your risk of stroke,
00:12:53.71\00:12:55.79
yes, do these things, you
know? Start an exercise program.
00:12:55.82\00:12:58.92
Get the weight down.
Have your cholesterol checked.
00:12:58.95\00:13:01.78
Having an adequate cholesterol
can lower the risk of stroke.
00:13:01.81\00:13:05.06
We do know that
lowering blood pressure
00:13:05.09\00:13:06.62
can lower the risk of stroke.
00:13:06.65\00:13:08.02
And a lot of these things
can be accomplished chemically
00:13:08.05\00:13:10.43
by lifestyle changes, even more
effectively than taking a pill
00:13:10.46\00:13:14.57
for everything.
So it's scary now.
00:13:14.60\00:13:16.63
Once you've had a
stroke then its devastating,
00:13:16.66\00:13:19.00
the treatment
for that, the rehab,
00:13:19.03\00:13:20.60
the pills to prevent further
strokes. It's just terrible.
00:13:20.63\00:13:23.83
And I just talked to so many
people that come to the office
00:13:23.86\00:13:26.47
and they can't move a
side or in a wheelchair.
00:13:26.50\00:13:29.18
And I said man I
wish I could have,
00:13:29.21\00:13:30.64
you know--if I could've talked
to them in their first 35 years
00:13:30.67\00:13:33.46
maybe we could
have prevented this
00:13:33.49\00:13:35.17
or maybe we can get
them at an younger age.
00:13:35.20\00:13:36.70
So awareness is the key
and even if you've never
00:13:36.73\00:13:38.95
had a stroke we
wanna prevent a stroke.
00:13:38.98\00:13:41.34
And there are some
things you can do right now
00:13:41.37\00:13:42.87
to lower that
stress on the body.
00:13:42.90\00:13:44.46
Well, we're
gonna talk about those
00:13:44.49\00:13:45.86
and other things
when we come back.
00:13:45.89\00:13:47.26
We have questions
from Heartwise Ministries
00:13:47.29\00:13:49.09
about heart health and
brain health. stay tuned.
00:13:49.12\00:13:52.98