Participants: James Marcum & Charles Mills
Series Code: UP
Program Code: UP00029A
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00:01 The following program presents
00:02 principles designed to promote good health 00:04 and is not intended to take the place 00:05 of personalized professional care. 00:07 The opinions and ideas expressed 00:09 are those of the speaker. 00:10 Viewers are encouraged to draw their own conclusions 00:13 about the information presented. 00:16 You have a greater chance 00:17 of dying prematurely of heart disease 00:21 than any other cause of death. 00:23 Important topic, stay tuned. 00:27 I'm Dr. James Marcum. 00:29 Are you interested in discovering the reason why? 00:33 Do you want solutions to your healthcare problems? 00:35 Are you tired of taking medications? 00:38 Well, you're about to be given "The Ultimate Prescription" 00:45 There is no health topic more important than the care 00:48 and feeding of your heart. 00:50 It's the only one you've got 00:51 and without it faithfully 00:53 thumping away down there in your chest. 00:55 You have a very bad day. 00:57 What's the best way to care 00:59 for that all important and one and only organ. 01:01 Let's spend some time going over the questions. 01:03 The heart questions have come in to 01:05 the heartwiseministries.org 01:06 website recently on that very topic. 01:09 Dr. Marcum as a cardiologist, 01:11 these questions carry a very heavy weight 01:14 for you I would say. Yes. 01:16 I mean, I love to answer questions 01:18 regarding heart disease. 01:20 And in fact as a cardiologist, I do that every single day. 01:24 And so I am pretty qualified to answer those 01:27 and what I really want to emphasize 01:29 on today's program is that 01:30 there is no question that's too simple. 01:34 Everyone needs answers to the most simple questions 01:36 and we've got all sorts of questions in here 01:38 that have come in to the website Charles. 01:40 We want to talk about them so let's just jump right in. 01:42 Well, this first one is important 01:43 because it is the number one killer, 01:46 am I right, yes, the number one killer. 01:48 Well, you know, I can argue with that. 01:51 You know, cancer and heart disease 01:52 are up there one and two. 01:53 But I recently wrote a book and there is some research 01:56 that perhaps medications 01:58 are the number one killer in America. 02:00 Oh, my-- Medications cause a lot of death too. 02:02 Now, that won't be considered disease, would it? 02:04 Yeah, well-- I guess. So as far as disease goes-- 02:07 yeah, as far as disease goes, I think cardiovascular disease 02:10 is number one. 02:11 So it's still up there very high. 02:12 And unfortunately the disease rate 02:15 continues to climb. 02:17 And it's a disease of stress on a system. 02:20 It comes from genetic stress, 02:22 also comes from the food we eat. 02:25 The stress that comes from our brain 02:27 or high blood pressure or high cholesterols 02:29 everything that seems to be crying cardiovascular disease. 02:32 And lot of people don't realize it 02:34 almost everyone has at least 02:35 some cardiovascular disease in them. 02:37 And some times, the first time 02:39 you ever notice you had cardiovascular disease 02:41 and 50% of the time it's a heart attack. Yeah. 02:43 You know, they are going around 02:44 for years and years, 02:45 everything is going fine, boom, heart attack. 02:47 Then they find out not only they have 02:49 vascular disease in their heart 02:50 but if it's one blood vessel, it's in all the blood vessels. 02:53 That's an important point because people think 02:55 heart disease is centered at the heart 02:57 but a lot of the causes of heart disease 03:00 is universal, head to toe. 03:01 Yeah, we might want to name this 03:03 endothelial disease. There you go. 03:05 Because the lining is called the endothelium 03:08 and oh, you got picture of-- We do, right here. 03:10 You can hold up to, endothelium, 03:12 the endothelium goes throughout the body, 03:15 the brain, it goes everywhere. 03:16 In fact this is a healthy endothelium. Okay. 03:19 And you might want to show them 03:20 what happens when endothelium gets damage. Oh, dear. 03:22 It gets more and more clogged up 03:25 and these are little plaques, 03:26 these little plaques can rupture, 03:28 half of all heart attack come from little plaques 03:30 that rupture suddenly. 03:31 These are made of fat 03:32 in the arteries and that's a lot. 03:35 That is an artery that's in bad shape. 03:38 It's almost entirely filled up with fat laden, 03:41 it's called lipoprotein, it's a plaque 03:43 that is going to sure cause a problem. 03:45 But if it's in the arteries of the heart, 03:47 it's in the arteries of your brain, 03:48 it's in your aorta, 03:50 it's in the peripheral vasculature. 03:51 It even can, you know, get in the reproductive organs. 03:53 Now lot of people come to me, now, this isn't funny for man 03:57 but they come, the first sign 03:58 of cardiovascular disease is impotent. 04:01 And they say, cause that's a largest in the field, 04:03 one of the largest areas of endothelia in the body 04:06 and when they have impotence they say 04:08 oh, no, they get concerned about that. 04:11 Then all of the sudden I can change my lifestyle. Yes. 04:13 You know, I can do things 04:14 to make my endothelial function work better 04:17 and we're going to talk about 04:18 things today about making the endothelium work better. 04:21 So if you out there and you might be suffering 04:23 from impotence or heart disease 04:25 or brain disease or peripheral vascular disease 04:27 or blood vessels any, 04:29 that's in the heart, it's everywhere, 04:30 so this is something that everyone should listen to. 04:32 On one of our Heartwise radio programs 04:36 I interviewed an ophthalmologist, 04:38 an eye doctor. 04:39 And he said that he can look into the eye 04:42 and he can tell whether this action 04:45 is happening in the eye. 04:48 That's noninvasive, I mean, 04:49 you don't have to cut, you just look inside. 04:51 Yeah, you can see the arteries, 04:53 they are narrowed, they are constructed 04:55 but I can almost tell everyone that's under stressed 04:58 that eats a meat-laden diet, 05:02 that eats the fast food, everyone has probably 05:04 some disease in the endothelium. 05:07 So you know, you might consider 05:08 cardiovascular disease, 05:09 we might rename it endothelial disease. 05:12 But the good news, 05:13 this disease a lot can be done 05:14 for both in emergency situations, 05:17 we've all sorts of things that could be done 05:19 to help you through the emergency 05:20 and get you to a place you can ask well, 05:22 why did I had that disease in the first place 05:25 and is there anything else 05:26 I can do to prevent it and even reverse it. 05:28 All right, good point. 05:29 Okay, questions that have come into 05:30 the heartwiseministries.org website. 05:34 Why is the rate of cardiovascular disease so high? 05:37 Now I am assuming Dr. Marcum 05:40 that there was a time when it wasn't high? 05:43 Well, you know, may be it wasn't high 05:45 or maybe we weren't detecting it quite as much, 05:47 but it's been pretty much high and it's not going down. 05:50 An interesting story one time I heard is that, 05:53 you know, heart disease, rate of cardiovascular disease, 05:56 stroke, heart disease continues going up. 05:58 But in the country of Norway in World War II for instance 06:03 and the Axis Power came in 06:05 and they took away all of their fatty foods, 06:07 they took away all their meat, their eggs and the cheese. 06:09 To feed the army. Yeah. 06:11 And then all of a sudden the rate of the disease 06:13 in that country went straight down. 06:17 And then it stayed down during the war 06:19 and after they got all that bad food 06:21 to eat again that, 06:23 you know, that the heavy diet 06:24 and lots of fat, lots of protein, 06:26 then the disease climbed back up again. 06:28 In other groups of people 06:30 that don't eat all this fatty foods 06:32 that we get, they don't have 06:34 cardiovascular disease at all. 06:36 In certain islands around the world, 06:38 in rural China, in Africa 06:40 they don't have cardiovascular disease. 06:43 In the westernized world where we not only eat 06:46 a heavy animal based diet 06:48 and this has been increasing through the years, 06:49 we eat more and more, not only that 06:51 but the fast food and another stressor 06:54 is the stress on our bodies. 06:55 You know, we weren't made to work as hard as we are, 06:59 we weren't made to be distract, 07:00 we weren't made to be endorse, 07:02 so all these little stressors, Charles, 07:04 is raising the risk of cardiovascular disease, 07:07 raising the amount of cardiovascular disease, 07:08 strokes, heart attacks. 07:10 We are doing great at treating the emergencies. 07:12 You know, we've got chest pain protocols, 07:14 you go in the emergency room, 07:15 we can keep you alive. 07:16 We got stents and bypasses 07:18 and defibrillators and special medicines. 07:20 But at the same time the rates are still high 07:23 that's not fixing the disease. Yeah. 07:24 You know, we're just having the disease longer 07:26 and dying of something else. 07:28 But if we really want to get at the disease, 07:29 we have to get at the cause. 07:31 And that's some of the things we're going to talk about. 07:34 It should be pointed out right here 07:36 that anyone who things that a stent 07:38 or a bypass fixes the problem, 07:41 may need to rethink that. Exactly. 07:44 These procedures treat the symptoms. 07:47 Now if you're having a heart attack 07:48 that's a pretty major symptom, you now. 07:49 I want to stent in, so I can stay alive, 07:51 so I can live another day. 07:52 So then I can figure out, well, what caused it. 07:55 You know what causes endothelial lining disease. 07:58 And teach me ways that I can prevent it or reverse it, 08:01 so I don't have to come back for another one. 08:03 Now if a person doesn't change 08:04 after they had the bypass, 08:06 the arteries that are they are going to get more clogged up. 08:08 And they're going to be coming back for more 08:10 and more and more. 08:11 It's a great business model 08:13 but it's not so good for the patient that has it. 08:15 Okay, all right. 08:17 You used the word reverse several times here 08:19 and a question that came into heartwiseministries.org website. 08:22 Is it possible to reverse cardiovascular disease? 08:26 Now I am assuming this is someone 08:28 who has arteries that look like this artery, 08:31 I showed you here that was pretty clogged. 08:34 Can you actually go in there 08:35 and scrub that out non-surgically. 08:37 No, unfortunately, Charles, 08:39 we don't pull that plaque. 08:40 A lot of people think after I have a bypass 08:42 my blockages are gone. No, it's not. 08:45 A lot of people assume that after I have my stent in, 08:47 I don't have any blockages. No, we just squish it. 08:50 And also when we squish it, we damage the blood vessel, 08:53 so it turns on all these other factors 08:55 of other plaques are unstable, 08:57 they can get activated. 08:58 That's why we have to use special medicines 09:00 to help protect the stents. 09:02 The bypass doesn't take it away either 09:04 but there has been several individuals out there 09:07 Dr. Esselstyn at the Cleveland Clinic, 09:10 Dean Ornish, okay. 09:13 There are several have done some studies on people 09:15 that they have treated special ways, 09:18 I think Esselstyn's probably got the most attention. 09:20 Where he puts people on a very special diet 09:23 almost zero or no oil, 09:26 all the plant based diet, no animals. 09:28 And he has shown that his patience's 09:30 not only about a third of them reversed the disease 09:33 but none of them progressed, 09:34 they make the plaques more stable, 09:36 they almost make them heart attack proof. Wow. 09:39 If they eat the right foods. Wow. 09:41 Now one of the criticisms I have on his work is that 09:45 lot of people can't do that. 09:47 You know, most people live in the real world. 09:49 How do you take a person that doesn't eat good at all 09:52 and get him gradually moving to a healthy diet. 09:55 And that's why I think we know we got to move him 09:57 one step at a time and that's why I think it takes 09:59 really God's help to help change your heart. 10:02 And, but the people that they have done 10:03 with those diets, they do remarkably well. 10:06 The good news is that even if you do 10:08 a little bit before that, 10:09 the first step you can actually 10:11 be better off than you were 10:13 without that first step. Exactly. 10:14 And a lot of people say, well, you know, 10:16 if I can't eat this I would rather die. 10:18 Well, there is little things you can do 10:20 and as you change one thing, 10:22 you say, wow, I do feel better, 10:24 I can change something else. God is working with me. 10:27 What else can I do to feel better? 10:28 Now you've never had a heart problem, 10:30 have you Charles? No. Thank goodness, no. 10:31 You look very, very healthy. Well, thank you. 10:33 You know, if you might have a symptom, 10:35 you know, like when you're talking 10:36 if you would have chest pressure 10:38 that goes away when you quit talking 10:39 that might be a heart symptom, 10:41 so anything happens when you're doing something, 10:43 could be a heart symptom. 10:44 If you can't breathe or if you were to pass out 10:47 then I would be suspicious that you have a heart problem. 10:49 So those are just a few of the symptoms 10:51 that we might warn everyone with, 10:53 when you are doing something, 10:54 you don't feel right, above the waist 10:56 it could be your heart. 10:58 So the indication that you have 11:02 cardiovascular disease is what, 11:05 you have a hard time breathing, 11:06 you have a fainting spell, 11:09 you've said before you climb a hill 11:10 and you've tightness in your chest. 11:13 What this is simply saying is 11:14 that the blood is not getting to where it needs to go. 11:18 Something is constricting the flow of the blood 11:21 and when that happens, we call it heart disease 11:24 but it's basically like you say, 11:26 it's the disease of the arteries, 11:27 it's disease of the clogging-- 11:29 Unfortunately, by the time the person has a symptom, 11:32 they have pretty advance disease. 11:35 So our goal is to let you know 11:37 limit the amount of disease in it, 11:38 if someone's there is not having symptoms 11:40 to keep them from having symptoms. 11:42 We just assume everyone has it. 11:44 Now even my test that I do to see 11:46 if they have active disease, 11:47 which are exercise, treadmill test, 11:50 I can do echoes to look at the strength of the heart, 11:51 we can look at the arteries in the neck, 11:53 we can look at the arteries here in the legs, 11:55 we can look at them every where 11:57 but we don't want to do that. 11:58 We want to talk to you right now 12:00 about limiting this disease and preventing it right now, 12:03 before you have a symptoms, 12:04 before you be one of the casualty. 12:06 That's going to be the new revolution 12:08 in healthcare in cardiovascular disease. 12:09 It's not going to be another stent 12:11 or new procedure or laser or these growth factors. 12:14 The no new revolution is going to come 12:17 when people start eating better, 12:18 getting that fat out of their diet 12:20 when they start exercising and when they start realizing 12:23 that the stress from all, 12:25 all walk is really killing us, literally killing us. 12:29 Well, we're going to take a short break. 12:30 When we come back we want to talk 12:31 more about heart disease 12:32 with cardiologist Dr. James Marcum here. 12:35 The next question that we want to talk about is. 12:37 What is the greatest revolution 12:40 that has happened in cardiovascular disease 12:41 in the last ten years? 12:43 We know the research is ongoing 12:45 and people are always looking for answers 12:47 and researchers are always trying to find ways 12:49 of keeping this from happening. 12:51 I have a feeling, knowing you 12:53 and talking with you that the revolution 12:55 that you're going to tell us about 12:57 began about 6000 years ago. 12:59 We're going to find out about that revolution 13:00 and more about heart disease on our return, 13:03 so everybody stay right where you are. |
Revised 2014-12-17