The following program presents
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principles designed
to promote good health
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and is not
intended to take the place
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of personalized
professional care.
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The opinions and ideas expressed
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are those of the speaker.
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Viewers are encouraged to
draw their own conclusions
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about the information presented.
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You have a greater chance
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of dying
prematurely of heart disease
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than any other cause of death.
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Important topic, 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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Do you want solutions to
your healthcare 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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There is no health topic
more important than the care
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and feeding of your heart.
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It's the only one you've got
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and without it faithfully
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thumping away down
there in your chest.
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You have a very bad day.
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What's the best way to care
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for that all important
and one and only organ.
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Let's spend some time
going over the questions.
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The heart
questions have come in to
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the heartwiseministries.org
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website recently
on that very topic.
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Dr. Marcum as a cardiologist,
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these questions
carry a very heavy weight
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for you I would say. Yes.
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I mean, I love
to answer questions
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regarding heart disease.
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And in fact as a cardiologist,
I do that every single day.
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And so I am pretty
qualified to answer those
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and what I
really want to emphasize
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on today's program is that
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there is no
question that's too simple.
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Everyone needs answers
to the most simple questions
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and we've got all
sorts of questions in here
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that have come in
to the website Charles.
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We want to talk about them
so let's just jump right in.
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Well, this
first one is important
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because it is the
number one killer,
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am I right, yes,
the number one killer.
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Well, you know, I
can argue with that.
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You know, cancer
and heart disease
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are up there one and two.
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But I recently wrote a
book and there is some research
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that perhaps medications
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are the number
one killer in America.
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Oh, my-- Medications
cause a lot of death too.
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Now, that won't be
considered disease, would it?
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Yeah, well-- I guess.
So as far as disease goes--
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yeah, as far as disease goes,
I think cardiovascular disease
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is number one.
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So it's still
up there very high.
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And
unfortunately the disease rate
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continues to climb.
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And it's a disease
of stress on a system.
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It comes from genetic stress,
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also comes from the food we eat.
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The stress that
comes from our brain
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or high blood
pressure or high cholesterols
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everything that seems to be
crying cardiovascular disease.
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And lot of
people don't realize it
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almost everyone has at least
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some
cardiovascular disease in them.
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And some times, the first time
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you ever notice you
had cardiovascular disease
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and 50% of the time
it's a heart attack. Yeah.
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You know, they are going around
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for years and years,
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everything is going
fine, boom, heart attack.
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Then they find
out not only they have
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vascular disease in their heart
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but if it's one blood vessel,
it's in all the blood vessels.
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That's an important
point because people think
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heart disease is
centered at the heart
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but a lot of the
causes of heart disease
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is universal, head to toe.
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Yeah, we might want to name this
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endothelial
disease. There you go.
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Because the lining is
called the endothelium
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and oh, you got
picture of-- We do, right here.
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You can hold up to, endothelium,
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the endothelium
goes throughout the body,
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the brain, it goes everywhere.
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In fact this is a
healthy endothelium. Okay.
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And you might want to show them
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what happens when endothelium
gets damage. Oh, dear.
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It gets more and more clogged up
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and these are little plaques,
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these little
plaques can rupture,
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half of all heart
attack come from little plaques
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that rupture suddenly.
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These are made of fat
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in the arteries
and that's a lot.
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That is an artery
that's in bad shape.
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It's almost entirely
filled up with fat laden,
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it's called
lipoprotein, it's a plaque
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that is going to
sure cause a problem.
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But if it's in the
arteries of the heart,
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it's in the
arteries of your brain,
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it's in your aorta,
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it's in the
peripheral vasculature.
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It even can, you know, get
in the reproductive organs.
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Now lot of people come to me,
now, this isn't funny for man
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but they come, the first sign
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of cardiovascular
disease is impotent.
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And they say, cause
that's a largest in the field,
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one of the largest areas
of endothelia in the body
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and when they
have impotence they say
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oh, no, they get
concerned about that.
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Then all of the sudden I
can change my lifestyle. Yes.
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You know, I can do things
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to make my
endothelial function work better
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and we're going to talk about
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things today about making
the endothelium work better.
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So if you out there
and you might be suffering
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from impotence or heart disease
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or brain disease or
peripheral vascular disease
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or blood vessels any,
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that's in the
heart, it's everywhere,
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so this is something that
everyone should listen to.
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On one of our
Heartwise radio programs
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I interviewed
an ophthalmologist,
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an eye doctor.
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And he said that he
can look into the eye
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and he can tell
whether this action
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is happening in the eye.
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That's noninvasive, I mean,
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you don't have to
cut, you just look inside.
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Yeah, you can see the arteries,
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they are narrowed,
they are constructed
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but I can almost tell
everyone that's under stressed
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that eats a meat-laden diet,
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that eats the fast
food, everyone has probably
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some disease in the endothelium.
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So you know, you might consider
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cardiovascular disease,
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we might rename it
endothelial disease.
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But the good news,
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this disease a lot can be done
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for both in
emergency situations,
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we've all sorts of
things that could be done
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to help you
through the emergency
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and get you to a
place you can ask well,
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why did I had that
disease in the first place
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and is there anything else
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I can do to prevent
it and even reverse it.
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All right, good point.
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Okay, questions
that have come into
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the
heartwiseministries.org website.
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Why is the rate of
cardiovascular disease so high?
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Now I am assuming Dr. Marcum
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that there was a
time when it wasn't high?
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Well, you know,
may be it wasn't high
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or maybe we weren't
detecting it quite as much,
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but it's been pretty much
high and it's not going down.
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An interesting story
one time I heard is that,
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you know, heart disease,
rate of cardiovascular disease,
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stroke, heart
disease continues going up.
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But in the country of Norway
in World War II for instance
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and the Axis Power came in
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and they took away
all of their fatty foods,
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they took away all their
meat, their eggs and the cheese.
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To feed the army. Yeah.
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And then all of a
sudden the rate of the disease
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in that country
went straight down.
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And then it stayed
down during the war
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and after they
got all that bad food
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to eat again that,
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you know, that the heavy diet
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and lots of
fat, lots of protein,
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then the disease
climbed back up again.
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In other groups of people
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that don't eat
all this fatty foods
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that we get, they don't have
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cardiovascular disease at all.
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In certain
islands around the world,
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in rural China, in Africa
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they don't have
cardiovascular disease.
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In the westernized
world where we not only eat
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a heavy animal based diet
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and this has been
increasing through the years,
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we eat more and
more, not only that
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but the fast food
and another stressor
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is the stress on our bodies.
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You know, we weren't made
to work as hard as we are,
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we weren't made to be distract,
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we weren't made to be endorse,
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so all these
little stressors, Charles,
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is raising the risk of
cardiovascular disease,
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raising the amount of
cardiovascular disease,
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strokes, heart attacks.
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We are doing great at
treating the emergencies.
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You know, we've got
chest pain protocols,
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you go in the emergency room,
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we can keep you alive.
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We got stents and bypasses
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and defibrillators
and special medicines.
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But at the same time
the rates are still high
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that's not fixing
the disease. Yeah.
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You know, we're just
having the disease longer
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and dying of something else.
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But if we really want
to get at the disease,
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we have to get at the cause.
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And that's some of the things
we're going to talk about.
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It should be
pointed out right here
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that anyone who
things that a stent
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or a bypass fixes the problem,
00:07:38.69\00:07:41.46
may need to
rethink that. Exactly.
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These procedures
treat the symptoms.
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Now if you're
having a heart attack
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that's a pretty
major symptom, you now.
00:07:48.21\00:07:49.87
I want to stent in,
so I can stay alive,
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so I can live another day.
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So then I can figure
out, well, what caused it.
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You know what causes
endothelial lining disease.
00:07:55.26\00:07:58.15
And teach me ways that I
can prevent it or reverse it,
00:07:58.18\00:08:00.99
so I don't have to
come back for another one.
00:08:01.02\00:08:02.99
Now if a person doesn't change
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after they had the bypass,
00:08:04.46\00:08:06.02
the arteries that are they are
going to get more clogged up.
00:08:06.05\00:08:08.51
And they're going to
be coming back for more
00:08:08.54\00:08:10.21
and more and more.
00:08:10.24\00:08:11.27
It's a great business model
00:08:11.30\00:08:13.03
but it's not so good
for the patient that has it.
00:08:13.06\00:08:15.27
Okay, all right.
00:08:15.30\00:08:17.59
You used the word
reverse several times here
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and a question that came into
heartwiseministries.org website.
00:08:19.93\00:08:22.44
Is it possible to
reverse cardiovascular disease?
00:08:22.47\00:08:26.26
Now I am
assuming this is someone
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who has arteries that
look like this artery,
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I showed you here
that was pretty clogged.
00:08:31.27\00:08:34.08
Can you actually go in there
00:08:34.11\00:08:35.14
and scrub that
out non-surgically.
00:08:35.17\00:08:37.46
No, unfortunately, Charles,
00:08:37.49\00:08:39.03
we don't pull that plaque.
00:08:39.06\00:08:40.36
A lot of people
think after I have a bypass
00:08:40.39\00:08:42.32
my blockages are
gone. No, it's not.
00:08:42.35\00:08:45.00
A lot of people assume
that after I have my stent in,
00:08:45.03\00:08:47.90
I don't have any blockages.
No, we just squish it.
00:08:47.93\00:08:50.78
And also when we squish
it, we damage the blood vessel,
00:08:50.81\00:08:53.69
so it turns on all
these other factors
00:08:53.72\00:08:55.41
of other plaques are unstable,
00:08:55.44\00:08:57.49
they can get activated.
00:08:57.52\00:08:58.94
That's why we have
to use special medicines
00:08:58.97\00:09:00.68
to help protect the stents.
00:09:00.71\00:09:02.69
The bypass doesn't
take it away either
00:09:02.72\00:09:04.93
but there has been
several individuals out there
00:09:04.96\00:09:07.83
Dr. Esselstyn at
the Cleveland Clinic,
00:09:07.86\00:09:10.64
Dean Ornish, okay.
00:09:10.67\00:09:13.21
There are several have
done some studies on people
00:09:13.24\00:09:15.75
that they have
treated special ways,
00:09:15.78\00:09:18.03
I think Esselstyn's
probably got the most attention.
00:09:18.06\00:09:20.71
Where he puts people
on a very special diet
00:09:20.74\00:09:23.20
almost zero or no oil,
00:09:23.23\00:09:26.07
all the plant
based diet, no animals.
00:09:26.10\00:09:28.61
And he has shown
that his patience's
00:09:28.64\00:09:30.30
not only about a third
of them reversed the disease
00:09:30.33\00:09:33.05
but none of them progressed,
00:09:33.08\00:09:34.71
they make the
plaques more stable,
00:09:34.74\00:09:36.86
they almost make them
heart attack proof. Wow.
00:09:36.89\00:09:39.71
If they eat the
right foods. Wow.
00:09:39.74\00:09:41.82
Now one of the criticisms
I have on his work is that
00:09:41.85\00:09:45.75
lot of people can't do that.
00:09:45.78\00:09:47.64
You know, most people
live in the real world.
00:09:47.67\00:09:49.63
How do you take a person
that doesn't eat good at all
00:09:49.66\00:09:52.33
and get him gradually
moving to a healthy diet.
00:09:52.36\00:09:55.28
And that's why I think
we know we got to move him
00:09:55.31\00:09:57.07
one step at a time and
that's why I think it takes
00:09:57.10\00:09:59.48
really God's help to
help change your heart.
00:09:59.51\00:10:02.06
And, but the
people that they have done
00:10:02.09\00:10:03.77
with those diets,
they do remarkably well.
00:10:03.80\00:10:06.48
The good news is
that even if you do
00:10:06.51\00:10:08.05
a little bit before that,
00:10:08.08\00:10:09.91
the first step you can actually
00:10:09.94\00:10:11.49
be better off than you were
00:10:11.52\00:10:13.35
without that
first step. Exactly.
00:10:13.38\00:10:14.89
And a lot of people
say, well, you know,
00:10:14.92\00:10:16.41
if I can't eat
this I would rather die.
00:10:16.44\00:10:18.50
Well, there is
little things you can do
00:10:18.53\00:10:20.53
and as you change one thing,
00:10:20.56\00:10:22.40
you say, wow, I do feel better,
00:10:22.43\00:10:24.18
I can change something
else. God is working with me.
00:10:24.21\00:10:27.17
What else can I
do to feel better?
00:10:27.20\00:10:28.78
Now you've never
had a heart problem,
00:10:28.81\00:10:30.20
have you Charles?
No. Thank goodness, no.
00:10:30.23\00:10:31.53
You look very, very
healthy. Well, thank you.
00:10:31.56\00:10:33.67
You know, if you
might have a symptom,
00:10:33.70\00:10:35.77
you know, like
when you're talking
00:10:35.80\00:10:36.90
if you would have chest pressure
00:10:36.93\00:10:38.19
that goes away
when you quit talking
00:10:38.22\00:10:39.88
that might be a heart symptom,
00:10:39.91\00:10:41.23
so anything happens
when you're doing something,
00:10:41.26\00:10:43.44
could be a heart symptom.
00:10:43.47\00:10:44.58
If you can't breathe
or if you were to pass out
00:10:44.61\00:10:47.20
then I would be suspicious
that you have a heart problem.
00:10:47.23\00:10:49.53
So those are just
a few of the symptoms
00:10:49.56\00:10:51.28
that we might
warn everyone with,
00:10:51.31\00:10:53.15
when you are doing something,
00:10:53.18\00:10:54.21
you don't feel
right, above the waist
00:10:54.24\00:10:56.32
it could be your heart.
00:10:56.35\00:10:58.73
So the indication that you have
00:10:58.76\00:11:02.05
cardiovascular disease is what,
00:11:02.08\00:11:05.11
you have a hard time breathing,
00:11:05.14\00:11:06.62
you have a fainting spell,
00:11:06.65\00:11:09.03
you've said
before you climb a hill
00:11:09.06\00:11:10.59
and you've
tightness in your chest.
00:11:10.62\00:11:12.99
What this is simply saying is
00:11:13.02\00:11:14.33
that the blood is not
getting to where it needs to go.
00:11:14.36\00:11:18.34
Something is constricting
the flow of the blood
00:11:18.37\00:11:21.24
and when that happens,
we call it heart disease
00:11:21.27\00:11:24.06
but it's basically like you say,
00:11:24.09\00:11:26.23
it's the
disease of the arteries,
00:11:26.26\00:11:27.55
it's disease of the clogging--
00:11:27.58\00:11:29.50
Unfortunately, by the
time the person has a symptom,
00:11:29.53\00:11:32.71
they have
pretty advance disease.
00:11:32.74\00:11:35.17
So our goal is to let you know
00:11:35.20\00:11:37.50
limit the amount
of disease in it,
00:11:37.53\00:11:38.88
if someone's there
is not having symptoms
00:11:38.91\00:11:40.82
to keep them
from having symptoms.
00:11:40.85\00:11:42.61
We just assume everyone has it.
00:11:42.64\00:11:44.62
Now even my
test that I do to see
00:11:44.65\00:11:46.31
if they have active disease,
00:11:46.34\00:11:47.50
which are
exercise, treadmill test,
00:11:47.53\00:11:49.97
I can do echoes to look
at the strength of the heart,
00:11:50.00\00:11:51.96
we can look at the
arteries in the neck,
00:11:51.99\00:11:53.70
we can look at the
arteries here in the legs,
00:11:53.73\00:11:55.68
we can look at them every where
00:11:55.71\00:11:57.01
but we don't want to do that.
00:11:57.04\00:11:58.68
We want to talk to you right now
00:11:58.71\00:12:00.23
about limiting this disease
and preventing it right now,
00:12:00.26\00:12:03.47
before you have a symptoms,
00:12:03.50\00:12:04.92
before you be
one of the casualty.
00:12:04.95\00:12:06.46
That's going to
be the new revolution
00:12:06.49\00:12:08.13
in healthcare in
cardiovascular disease.
00:12:08.16\00:12:09.89
It's not going
to be another stent
00:12:09.92\00:12:11.40
or new procedure or
laser or these growth factors.
00:12:11.43\00:12:14.67
The no new
revolution is going to come
00:12:14.70\00:12:16.97
when people start eating better,
00:12:17.00\00:12:18.56
getting that fat
out of their diet
00:12:18.59\00:12:20.51
when they start exercising
and when they start realizing
00:12:20.54\00:12:23.92
that the stress from all,
00:12:23.95\00:12:25.78
all walk is really killing
us, literally killing us.
00:12:25.81\00:12:29.31
Well, we're going
to take a short break.
00:12:29.34\00:12:30.38
When we come
back we want to talk
00:12:30.41\00:12:31.63
more about heart disease
00:12:31.66\00:12:32.79
with cardiologist
Dr. James Marcum here.
00:12:32.82\00:12:35.48
The next question that
we want to talk about is.
00:12:35.51\00:12:37.62
What is the greatest revolution
00:12:37.65\00:12:39.98
that has happened in
cardiovascular disease
00:12:40.01\00:12:41.96
in the last ten years?
00:12:41.99\00:12:43.38
We know the research is ongoing
00:12:43.41\00:12:45.31
and people are
always looking for answers
00:12:45.34\00:12:47.16
and researchers are
always trying to find ways
00:12:47.19\00:12:49.40
of keeping this from happening.
00:12:49.43\00:12:51.31
I have a feeling, knowing you
00:12:51.34\00:12:53.57
and talking with
you that the revolution
00:12:53.60\00:12:55.46
that you're
going to tell us about
00:12:55.49\00:12:57.27
began about 6000 years ago.
00:12:57.30\00:12:59.49
We're going to find
out about that revolution
00:12:59.52\00:13:00.95
and more about heart
disease on our return,
00:13:00.98\00:13:03.15
so everybody stay
right where you are.
00:13:03.18\00:13:06.12