The following
program presents principles
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designed to promote
good health and is not
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intended to take the place of
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personalized professional care.
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The opinions and
ideas expressed are those
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of the speaker.
Viewers are encouraged
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to draw their
own conclusions about
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the information presented.
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Hello, I'm Shelley
Quinn and welcome to
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Wonderfully
Made. The Bible says in
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Psalm 139 verse 14: I
will praise You O Lord,
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for I am fearfully
and wonderfully made.
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And today I'm so
excited to have with us
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Dr. James Marcum from
Chattanooga, Tennessee,
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he is a cardiologist.
And we're gonna be talking
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about the
treatment of heart attacks.
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So, Dr. Marcum, thanks
so much for being here.
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It's a nice to being
here, and also we want to
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talk about this
very important topic
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this morning. I'm
just exciting to be
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here too. Amen,
well before we begin,
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why don't we pray and
just ask the Lord to guide?
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Okay. You want to start? Sure.
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Father in heaven,
as we talk about heart
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attacks and how to
manage or take care
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of our body, we pray
that Your Holy Spirit
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will be with us and
guide our thoughts and for
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those at home Father,
changes need to be made,
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we pray that Your
Spirit give the power that,
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that we might be able
to make this sometimes
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hard changes in our
lives. These things we pray,
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amen. Amen. Jim,
would you for our viewers
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who may not have
been with us last time.
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Explain to them
what a cardiologist is?
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Okay, well, a cardiologist
is a physician that's
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trained in internal
medicine that goes on to
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specialize in
cardiology. And cardiology is as
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we deal with the
diseases of the heart and of the
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blood vessels. And
we help not only to
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treat disease,
but hopefully we can
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prevent these terrible diseases
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from, from happening.
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And we learned
in our last program,
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how incredibly high
the percentages are for us
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to have a heart
attack, particularly in
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United States?
Would you like to give
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us a few of those views?
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Yeah, in the United
States and all over the,
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in fact I want to go
back all over the world
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now we're seeing
increase prevalences of
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heart disease. And
a lot of it has to do,
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as countries
developed a Westernized Diet.
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Especially as we get
into plant-based foods and,
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and things of that
nature all of these fast foods
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that we go to,
all of these package
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foods, it's not healthy for
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our cardiovascular systems.
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Okay, now you confused me there,
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'cause you said as, as
we get into plant-based
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foods. Oh! Plant-based
foods is what we want
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to get into, I'm sorry,
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I don't want to confuse anyone.
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We want to get into
plant-based foods and get
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away from some of
these animal-based foods that
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we're getting into.
Amen. But as we see other,
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for instance years ago
the people in China and
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people in China
probably watching this
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show today. Years ago they did,
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they had almost zero
cardiovascular disease,
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but as they become westernized,
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we're seeing
their prevalence go up
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dramatically. And
also as those people move
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to United States,
they're all of a sudden
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developing disease
that their ancestors
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didn't have, so
we know it's clearly
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not a genetic
disease, this is a disease that
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we're acquiring. An
alarming statistics is
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right now,
cardiovascular disease
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it counts for
about 42% to 43% of all
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deaths in the United States.
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That's amazing, that's amazing
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Now, you have a
ministry called Heartwise
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Yeah. And you
received questions that come in
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from all over the world
as you're trying minister
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to people and he
tries to teach them,
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how to be wise about your heart.
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And today we're gonna
be talking about how to
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treat a heart attack?
So, our first question
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comes from Vijay in
India and I hope I'm
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pronouncing that
correctly. He says,
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my home is in India
and located some distance
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from medical
help. What should I do,
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if I think I'm
having a heart attack?
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Well Vijay, a lot
of that depends on your
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situations and I've
never myself been to India,
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but the first
thing you want to do is
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to get help, okay.
But before you even
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get help and I don't
mean get help, medical help,
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but I mean get help
spiritual help. Amen.
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The first thing that I
would do is pray, say God,
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help me out of
this tough situation.
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I'm having a heart
problem or something new
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is going on, I
need your help 'cause
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we know that God
heals, and we know that God
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can take away these problems.
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The second thing I
would activate some type of
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help system. In United States we
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have a 911 system. In
Britain and Australia's
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they have other
types of alarming systems.
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I'm assuming in India
that you have some way
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to get help. And this
might be help that you
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might call a phone
number, you might have someone
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run to get help for
you, but you don't need to be
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moving anywhere,
you need to have someone
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else get help and
bring it back from you.
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Another thing that
might help in this situation
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is if you have an
aspirin nearby and you think
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you're having a heart attack,
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chewing an aspirin might help a
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little bit in
this acute situation.
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Okay, that's good. But
if you think you're having
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a heart attack you
shouldn't get in the car
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and drive
yourself to the doctor. No,
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and I think that's
the one thing I wanna
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emphasize you
shouldn't take care of yourself.
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Now, one other
things that I won't,
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this is a good
time to bring it up.
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A lot of people in
heart attacks what kills a
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person is not so much
the heart attack and the
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damage it's done from
the heart attack itself.
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What that kills the
person is a electrical
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disturbances, the arrhythmia is
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what we call it.
Okay, the heart malfunction,
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it doesn't pump
good, it doesn't get blood
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to the head. Nowadays we have
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devices called
the defibrillator,
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have you ever heard
of the defibrillator?
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As a matter of fact I
have, and now they have
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these external the
defibrillator devices
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that you can buy,
and that are portable
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for your home or
to take in your motor
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home or anything like that.
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That's right, and
the reason I bring it up
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Vijay is people that
are high risk of having
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heart attacks, it
might be of interest to
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you or your family
to get maybe someone
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interested in these
devices, bring it into
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your community somewhere,
so if there is someone
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that collapses
suddenly and it is from the
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heart attack, these
devices you know in the
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treatment of these
arrhythmias, all you have
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to do is put on two
stickers, okay hit an
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on button, of course
they're already made sure
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the battery charges
and, and the device will
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bring a person out
of this dangerous and
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life threatening heart rhythm.
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That's an excellent
idea, so would you recommend
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that like for
businesses that have a number of
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employees, particularly
if you're a distance from
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medical help, if it's
gonna take five minutes
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or ten minutes for
an ambulance to arrive.
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Would you recommend that people
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get something like that?
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Yes, most certainly
and this, this saves lives
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more than anything
else, this saves life during
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the acute event.
Right. During acute event
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you know prevention is
not gonna matter at that
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point you want to have
an, an emergency treatment
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and this can save a
lots of lives. In fact,
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we even have these
devices that we implant
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in people. Right.
Did you know that the
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Vice-president Cheney
has a defibrillator and it
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reads his heart rhythm
every second of everyday
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and if it ever sees one
it doesn't like it takes
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care of it. Well,
this works on the same
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principles, like
having an ambulance with you,
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an emergency room
with you all the time.
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So, in large Churches
now they're getting him
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at the airport,
they're getting them,
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schools are starting to
get these defibrillators.
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And I thinks it's
definitely something that every,
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everyone should look into.
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You know, and at the
cost for these devices today
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their range anywhere
from 1800 to maybe 3000,
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that's a rough range,
but if you are at really
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high risk it wouldn't
be a bad idea to have one
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in your home, if you live out
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in the country particularly.
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Now, I agree and more
and, and also importantly
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not only do you have-to
have one, but the people
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when something does happen, you
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have-to-have people
that are willing to step
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up and say, listen
I'm not gonna be scared,
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I'm not gonna run
myself, I'm gonna put this life
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saving device on.
Right. And, and go
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ahead and initiate therapy.
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Amen, amen, okay
this is a question from
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Philip in Florida, and
Philip writes my bypass
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was performed two
years ago, am I safe
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from having
another heart attack?
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Well, Philip thanks for
that question and couple
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of things I want to
say is, is first of all I
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wanna explain what
bypass is to everybody.
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A lot of people don't
understand what bypass is,
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but when the
arteries get clogged up with
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cholesterol, they
get so clogged up there,
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the person's having
symptom. What a bypass
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does is bypass around
this, it takes another
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either artery or vein
and it bring it you know,
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they usually hook it to
the aorta, that's a large
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vessel that leaves the
heart and they bring blood
00:08:32.85\00:08:35.22
south of the blockage.
So, there's less symptoms.
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It's kind of like
they're grafting it in,
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and then, yes, in two
different spots and they
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just go away. And
sometimes they call it a
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bypass graft, but
remember in bypass surgery the
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blockages that you
came with are still there,
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they're not gone they
just bypassed around them.
00:08:50.34\00:08:53.95
So, what happens if
that plaque its bypass,
00:08:54.57\00:08:56.61
that clogging, what
happens if that breaks up.
00:08:56.62\00:08:58.97
Well, you could have, if
it breaks up or get worse,
00:08:58.98\00:09:01.35
you can still have a
heart attack, but usually
00:09:01.36\00:09:04.01
heart attacks and
bypass patients don't
00:09:04.02\00:09:06.12
seem to be as large
because they have all this
00:09:06.13\00:09:08.40
extra blood supply, but
getting back to Philip's
00:09:08.41\00:09:10.81
questions the chance
of having a heart attack
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is the same whether
you've been bypassed or not.
00:09:13.13\00:09:15.37
A lot of people say,
oh! I've been bypassed,
00:09:15.81\00:09:17.27
I cannot have a heart
attack, that's not true.
00:09:17.28\00:09:19.72
And one of the most
important things is,
00:09:20.20\00:09:23.02
as I try to strive to
get people to realize it,
00:09:23.03\00:09:25.25
after you've had a
bypass then your treatments
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just beginning, 'cause
we still haven't got at the
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core of the
problem, we brought some time
00:09:29.98\00:09:33.01
that we do have to get
to the core of the problem.
00:09:33.02\00:09:34.86
So, Philip the
answer to your question,
00:09:34.87\00:09:36.96
am I safe from
having a heart attack?
00:09:36.97\00:09:38.49
No, you're not, you
still have to do everything
00:09:38.50\00:09:40.31
else that every one else
does to lower their risks.
00:09:40.32\00:09:42.31
Philip, I hope you're
paying close attention.
00:09:43.75\00:09:46.43
Okay, here's a question
from Stella in Louisiana
00:09:46.90\00:09:49.83
and Stella writes, in 2003,
I had a small heart attack.
00:09:49.84\00:09:54.47
My doctor has put
me on five medications
00:09:54.48\00:09:57.85
they slow me down,
will I have to be on the
00:09:58.04\00:10:00.87
medication for the
rest of my life I'm only 51.
00:10:00.88\00:10:03.91
Yeah, well Stella
some of these medicines
00:10:04.77\00:10:08.08
depending on your
situation you might have
00:10:08.51\00:10:10.19
to be on for the
rest of your life.
00:10:10.20\00:10:11.90
After a heart attack we
have some major problems
00:10:13.53\00:10:15.99
that happen in the
healing phase after the
00:10:16.00\00:10:18.24
first year of a heart attack.
00:10:18.25\00:10:19.61
Okay, let's bring up
the possibilities here.
00:10:19.62\00:10:23.91
The complications after
we have a, a heart attack.
00:10:23.92\00:10:26.68
One is that abnormal
heart rhythm; we've talked about
00:10:26.69\00:10:29.78
that all the way. The
two is the heart failure;
00:10:29.79\00:10:32.03
it's so weak
that fluid backs up,
00:10:32.04\00:10:34.04
people can't
breathe. Sometimes valves are
00:10:34.05\00:10:36.66
damaged during heart
attacks. And the last time
00:10:36.67\00:10:38.99
you had
structural, other structural
00:10:39.00\00:10:40.97
abnormalities in the
heart. Sometimes there's
00:10:40.98\00:10:42.72
an acute complication
during the heart attack
00:10:42.99\00:10:45.55
that happens right
away. So, Stella a lot of the
00:10:45.56\00:10:49.11
medicines in the first
year have to be continued
00:10:49.12\00:10:52.09
like frequently we
use the medicine called
00:10:52.10\00:10:53.85
Beta blockers, I don't
know if you've heard of
00:10:53.86\00:10:55.55
that, but that helps
prevent the funny heart
00:10:55.56\00:10:58.12
rhythms, that
happens as the heart heals.
00:10:58.13\00:10:59.96
Sometimes when the
heart's been weakened
00:11:00.73\00:11:02.50
the rest of the
body makes hormones that
00:11:02.51\00:11:04.60
that damage the heart.
Frequently during another
00:11:04.61\00:11:06.70
class of medicine
called an ACE inhibitor that
00:11:06.71\00:11:09.22
helps the heart
remodels and reshapes itself.
00:11:09.23\00:11:12.35
Always people after
heart attack have to take
00:11:13.98\00:11:16.04
an aspirin the rest
of their life to prevent
00:11:16.05\00:11:18.75
further blood
clots it might develop.
00:11:18.76\00:11:20.88
Another thing they
have to do is take a
00:11:20.89\00:11:22.78
cholesterol medicine and
then they have to get into
00:11:22.79\00:11:25.17
all the lifestyle changes that,
00:11:25.18\00:11:26.94
that we have to do as well.
00:11:26.95\00:11:28.43
So, as far as you,
the specific question.
00:11:28.76\00:11:30.71
Some of the
medication after the first year
00:11:30.72\00:11:32.93
goes by, depending on
your overall cardiovascular
00:11:32.94\00:11:35.74
status, the strength
of your heart, whether you
00:11:35.75\00:11:37.45
had have any heart
rhythms, some of those
00:11:37.46\00:11:39.24
might be able to be
turned down, but a lot of,
00:11:39.25\00:11:42.04
when I turn down a
medicine, a person has to
00:11:42.05\00:11:44.25
say, I'm gonna do
some changes to make
00:11:44.26\00:11:46.10
myself better. They
have to make some changes
00:11:46.11\00:11:49.10
before I feel
comfortable about turning
00:11:49.11\00:11:50.89
some of these medications off.
00:11:50.90\00:11:52.23
Okay, now I heard and
see if this is correct.
00:11:52.59\00:11:56.02
Okay. But I was told
that if you were taking an
00:11:56.03\00:11:59.50
aspirin to prevent
heart attack and yet you're
00:11:59.51\00:12:03.32
taking ibuprofen as
well, that it zeros out the
00:12:03.33\00:12:06.45
affect of the aspirin
and you may as well not be
00:12:06.46\00:12:08.60
taking it, is that
correct? Yeah, there's,
00:12:08.61\00:12:10.11
there's truth to that.
And what we try to tell
00:12:10.12\00:12:12.07
people on ibuprofen or
they can take it not to
00:12:12.08\00:12:15.00
take it, but another
thing sometimes we advice
00:12:15.01\00:12:17.25
people is to take
it at different times.
00:12:17.26\00:12:19.16
You know, okay.
You know, so, you don't
00:12:19.46\00:12:21.17
follow it up right afterward,
00:12:21.18\00:12:22.47
sometimes we've been
have them take more of it.
00:12:22.48\00:12:24.56
And, and aspirins
of 81 for prevention of
00:12:24.57\00:12:26.89
full-strength
aspirin at a different time.
00:12:26.90\00:12:28.76
So, does it matter what
time you take this aspirin?
00:12:29.07\00:12:32.23
I mean does it
matter if we take it
00:12:32.24\00:12:33.58
at morning or night or.
00:12:33.59\00:12:34.97
No, in prevention
you can just take it.
00:12:35.38\00:12:37.07
Now, that's if,
that's as long as you're
00:12:37.08\00:12:38.83
not taking the
medicine that would in the
00:12:38.84\00:12:40.25
field with it like
you know, ibuprofen.
00:12:40.26\00:12:42.33
Okay, sounds
good, lets see again.
00:12:42.34\00:12:44.86
We have here and
oh! First let me go back
00:12:45.25\00:12:48.17
to Stella's
question. Okay. When, she says,
00:12:48.18\00:12:51.01
I had a small
heart attack. Do we rank
00:12:51.02\00:12:54.62
heart attacks like
this one was small,
00:12:54.63\00:12:57.20
this one was medium
and this one was large?
00:12:57.21\00:12:59.13
Yeah, we do and some,
some people can have a
00:12:59.94\00:13:02.56
heart attack and
they don't you know,
00:13:02.57\00:13:05.41
even though they have
it, okay, for symptoms
00:13:05.77\00:13:07.69
well we just find
it incidentally, okay.
00:13:07.70\00:13:10.04
We can tell based on
heart attacks about the damage
00:13:10.80\00:13:13.77
that's been done, if
a lot of damage has been
00:13:13.78\00:13:15.84
done that means the
heart didn't get the blood
00:13:15.85\00:13:17.71
and it's, it's died. A
lot of the heart has died.
00:13:17.72\00:13:19.93
Now, that's a more
serious problem then just
00:13:20.36\00:13:22.24
small amount of
the heart that dies.
00:13:22.25\00:13:23.88
And how much
heart attack you have
00:13:24.27\00:13:25.90
depends on whether
it's a big blood vessel,
00:13:25.91\00:13:27.81
that malfunctions
or is it a small one,
00:13:27.82\00:13:29.75
or if you've had
one and had another one.
00:13:29.76\00:13:31.56
And so, all these
things sort of add up to
00:13:31.98\00:13:34.33
how large the heart
attack is, but it mainly
00:13:34.34\00:13:36.52
does with the
strength, is your heart strong
00:13:36.53\00:13:38.63
afterwards or is
it weak afterwards
00:13:38.64\00:13:40.14
that's how we
gauge heart attacks?
00:13:40.15\00:13:41.77
Okay, alright, here's
a question that comes to
00:13:41.78\00:13:46.38
us from John in
Tennessee. And John writes,
00:13:46.39\00:13:50.30
I have just finished
seeing a third cardiologist
00:13:50.31\00:13:53.81
and each one says
that my blocked arteries
00:13:54.28\00:13:57.21
should be treated differently.
00:13:57.22\00:13:58.98
One said, bypass,
another said stents, and a third
00:13:59.52\00:14:04.37
said they are too
small, what should I do?
00:14:04.38\00:14:08.75
Yeah, and this is a
very common dilemma that
00:14:09.71\00:14:12.34
we see, that people get
conflicting device, advice.
00:14:12.35\00:14:16.04
One doctor will say,
well we need to bypass,
00:14:16.48\00:14:19.07
which we've talked
about bringing extra
00:14:19.08\00:14:20.59
blood to the heart.
Another doctor will say,
00:14:20.60\00:14:23.18
well let's put a stent
in. And what a stent is,
00:14:23.19\00:14:25.61
is a stainless
steel device that actually
00:14:25.62\00:14:28.22
props up the
artery, so it is held open.
00:14:28.77\00:14:31.14
And the problem that
we've had with stents
00:14:32.14\00:14:34.06
in the past is something,
to remember this stents
00:14:34.07\00:14:36.38
can actually
damage the vessel wall.
00:14:36.39\00:14:38.22
And sometimes in
the process of healing
00:14:38.74\00:14:40.86
we get more
problems, that's why we just
00:14:41.21\00:14:43.10
don't put stents in
everything that we see.
00:14:43.11\00:14:44.87
Also in order to put
a stent in successfully
00:14:45.80\00:14:48.41
the blood vessel
has to be a certain
00:14:48.42\00:14:49.96
amount of size, we
can't put them in a very,
00:14:49.97\00:14:51.96
very small blood
vessel. So, that's another thing
00:14:51.97\00:14:55.00
and then sometimes
the arteries are too small
00:14:55.01\00:14:57.16
to do anything with
and that's where some
00:14:57.17\00:15:00.20
doctors will say, well
I can put a stent in that,
00:15:00.21\00:15:02.32
well I can do
whatever, and some say,
00:15:02.33\00:15:03.84
well I can do a
bypass. And that's where
00:15:03.85\00:15:05.84
the debate happens as
far as all these things go,
00:15:05.85\00:15:09.04
but one other things
I want to point you to,
00:15:09.98\00:15:11.82
and to answer
your question correctly
00:15:11.83\00:15:14.07
John I really have to
sort of seen your films
00:15:14.08\00:15:16.39
and know the overall situation.
00:15:16.40\00:15:17.85
One other things
I want to mention,
00:15:18.30\00:15:20.73
is this term
called regression? Okay,
00:15:20.74\00:15:24.11
regression is where
a disease in the artery
00:15:24.50\00:15:26.58
it can become lessened overtime.
00:15:27.07\00:15:28.78
Can we show the
next through up there?
00:15:29.31\00:15:31.85
These four
gentleman's over the time,
00:15:32.45\00:15:34.73
Lester Morrison at the
00:15:34.74\00:15:36.12
Heidleberg Study in Germany.
00:15:36.13\00:15:37.46
Many of you've
heard of Dean Ornish,
00:15:37.80\00:15:39.27
he's out in California,
he has done a lot of these
00:15:39.69\00:15:41.58
regression
studies and Dr. Esselstyn
00:15:41.59\00:15:44.28
at the Cleveland
Clinic. What they've done is
00:15:44.29\00:15:47.67
done studies and by
lifestyle modifications
00:15:47.68\00:15:50.67
they've shown that
the blockages in the
00:15:51.04\00:15:52.67
arteries can be become less.
00:15:52.68\00:15:54.25
For instance, an artery
that's 70 or 80% blocked,
00:15:54.26\00:15:57.21
if you go in these
special treatment modes
00:15:57.22\00:15:59.99
there can be
70%, 60% in years on.
00:16:00.00\00:16:03.01
Now, why don't
we hear about this?
00:16:03.02\00:16:04.58
So, this when you
say regression it says
00:16:04.59\00:16:06.73
the reversal of the disease.
00:16:06.74\00:16:08.33
Exactly, reversion.
Well, why don't we hear
00:16:08.34\00:16:10.70
about that? Well,
I'm afraid now that our
00:16:10.71\00:16:13.26
society is set up to
have cardiovascular disease.
00:16:13.27\00:16:16.32
Smokers, we have too
many people that are smoking.
00:16:16.83\00:16:19.61
We have fast food you
know, and how you know,
00:16:20.03\00:16:22.75
eventually good, good
food on the fast food.
00:16:22.76\00:16:24.72
And through our, the
history of our country
00:16:25.52\00:16:27.46
we moved to a meat
based diet instead of a
00:16:27.47\00:16:30.39
plant-based diet.
Right. And unfortunately
00:16:30.40\00:16:33.48
people are telling
you that this is good,
00:16:33.49\00:16:35.17
you've heard all of
these fat diets, haven't you?
00:16:35.18\00:16:37.09
Oh! Unbelievable.
You know, and they say
00:16:37.82\00:16:39.17
you know, this is the
high protein, you know,
00:16:39.49\00:16:41.38
high protein or high
fat. Well, it's just the
00:16:41.39\00:16:43.93
opposite; we want
low fat, low protein and
00:16:43.94\00:16:47.57
high complex carbohydrates.
00:16:47.58\00:16:49.20
So, getting back to
this, as most of these studies
00:16:49.63\00:16:52.05
on the regression of
coronary disease it starts
00:16:52.06\00:16:54.78
with a plant-based
diet and also it says,
00:16:54.79\00:16:58.23
staying away from
high sodium content.
00:16:58.24\00:17:00.41
And we know we see
sodium all over in the
00:17:00.42\00:17:02.51
package foods, anything
that's preserve not only
00:17:02.52\00:17:05.21
has sodium in it, but
a lot of other things.
00:17:05.22\00:17:06.85
And the theory
behind these regressions is,
00:17:07.21\00:17:09.17
when you start eating
this way, exercising and do
00:17:09.18\00:17:12.41
some other things
you're also usually taking the
00:17:12.42\00:17:14.83
cholesterol medicine,
but you're, you're insides,
00:17:14.84\00:17:18.08
your chemical
balances actually change,
00:17:18.09\00:17:20.66
so your metabolism
becomes remarkably difference.
00:17:21.05\00:17:23.67
Therefore, regression can occur.
00:17:24.09\00:17:26.03
So, in talking to
John about his question,
00:17:26.44\00:17:29.16
one of the things you
know, of course if you
00:17:31.23\00:17:34.12
have a heart attack and
I want to get back to this,
00:17:34.13\00:17:36.20
if you have a heart
attack you know, it's not
00:17:36.21\00:17:38.64
a time to be
worried about regression.
00:17:38.65\00:17:40.39
Right, because that's acute,
00:17:40.95\00:17:42.49
it needs immediate
tension. Right, you need
00:17:42.50\00:17:44.22
immediate tension, and
you need to go get help
00:17:44.23\00:17:46.69
right away, if you have
a heart valve that's bad,
00:17:46.70\00:17:49.11
that needs
immediate attention. Okay.
00:17:49.52\00:17:51.37
If you've an
infection in your heart you need
00:17:51.38\00:17:53.50
immediate attention
and I want to make that
00:17:53.51\00:17:55.34
plain and, and you
know, for immediate care
00:17:55.35\00:17:57.56
I don't want someone
say, oh! I can take a few
00:17:57.57\00:17:59.42
herbs at home and
it will just pass.
00:17:59.43\00:18:01.31
Or change my diet,
and not worry about it.
00:18:01.77\00:18:02.74
Right, change my
diet and not worry about.
00:18:02.75\00:18:04.27
So, for the acute
problem this is the great
00:18:04.28\00:18:07.53
you know, I would, I
want a stent, if I've an
00:18:07.54\00:18:09.61
artery that needs to
be opened up right away,
00:18:09.62\00:18:11.33
I want to have
the stent, but for the
00:18:11.34\00:18:12.89
chronic care of disease
getting at the cause of it,
00:18:12.90\00:18:15.39
okay we need to
really think about going to
00:18:15.74\00:18:18.28
regression and John I
want you to think about
00:18:18.29\00:18:20.61
that in addition to
everything else that
00:18:20.62\00:18:23.20
your other physicians
that are talking about.
00:18:23.21\00:18:25.76
Yeah, now would
you tend to lean more
00:18:26.21\00:18:31.03
toward these stent other
than the bypass or is this
00:18:31.04\00:18:35.86
purely case-by-case,
right, it has to be determined?
00:18:35.87\00:18:38.70
Shelley that's,
that's a very good question
00:18:38.71\00:18:40.58
because you're
gonna see differences from
00:18:40.59\00:18:43.18
cardiologist to
cardiologist. Okay. Okay,
00:18:43.19\00:18:45.42
I think there's a
tendency, if we see it
00:18:45.43\00:18:47.84
you know, if I'm a
cardiologist and that
00:18:47.85\00:18:51.43
ones that do the
bypass are cardiovascular
00:18:51.44\00:18:53.37
surgeons, they're
the ones that cut you,
00:18:53.38\00:18:55.13
the cardiologists
are the ones that put the
00:18:55.14\00:18:56.57
stents in and that kind
of thing. The cardiology,
00:18:56.58\00:18:59.06
so there's,
there's unfortunately
00:18:59.07\00:19:00.62
there might be a
monitory tendency,
00:19:00.63\00:19:03.20
now I hope that my
colleague would do it,
00:19:03.64\00:19:05.09
but they say, well
maybe we should start off with
00:19:05.40\00:19:07.39
putting a stent in.
You know, whereas it could,
00:19:07.80\00:19:10.40
sometimes it could
go either way. However,
00:19:10.41\00:19:12.58
sometimes you don't
even need to have anything
00:19:12.98\00:19:15.41
done except to fall
back on diet and lifestyle.
00:19:15.42\00:19:17.93
So, but lets say for
John, John doesn't say here
00:19:18.70\00:19:23.03
how blocked his
arteries are, but is there like,
00:19:23.47\00:19:27.92
if you've got an
artery that's 90% blocked
00:19:27.93\00:19:30.47
you need to
something done pretty rapidly,
00:19:30.48\00:19:32.34
right? Depending on the
size of the artery, okay,
00:19:32.35\00:19:35.67
okay, if it's a
small artery maybe not,
00:19:35.68\00:19:37.78
and also whether
it's causing you to have
00:19:38.15\00:19:39.81
symptoms, okay. Okay,
remember bypass surgery
00:19:39.82\00:19:43.22
does not prevent a
heart attack, stents do not
00:19:43.23\00:19:46.56
prevent heart
attacks, okay so in this
00:19:46.57\00:19:49.58
chronic treatment of
this okay I mean in order to
00:19:49.59\00:19:52.42
keep, chronic
being the long term.
00:19:52.43\00:19:53.90
Right, right long
term. For instance you come
00:19:53.91\00:19:55.99
to me and say, I don't
feel well. So, we do some
00:19:56.00\00:19:59.55
tests and we
find that you do have
00:19:59.56\00:20:00.85
blockages all over.
Okay, and I look at you,
00:20:00.86\00:20:03.22
well if you're not
having a symptom okay,
00:20:03.56\00:20:06.19
if I can, you can
walk seven or eight minutes
00:20:06.50\00:20:08.42
and not feel bad,
I'm not gonna give you a
00:20:08.43\00:20:10.80
survival benefit from
doing a stent or a bypass.
00:20:10.81\00:20:14.06
Okay. No matter
how blocked they are?
00:20:14.43\00:20:16.15
So, it's better to
start on something to reverse
00:20:16.59\00:20:19.16
a changing your diet,
changing your exercise.
00:20:19.17\00:20:23.53
Unless you had
symptoms. Now, some, now some
00:20:23.54\00:20:26.17
arteries are such high
risk, the blockage is a
00:20:26.18\00:20:28.72
such an
important spot that we say,
00:20:28.73\00:20:30.61
we cannot take any
chances, we have to do
00:20:30.62\00:20:33.29
everything we can to
help this person until
00:20:33.30\00:20:36.04
they make changes,
but unfortunately making
00:20:36.49\00:20:38.30
these changes is
very hard for some people.
00:20:38.31\00:20:40.58
They've a hard
time on reversing this.
00:20:40.95\00:20:43.10
So, so you know,
it really depends
00:20:43.44\00:20:45.78
on a case-by-case
situation. You know,
00:20:45.79\00:20:48.17
I have to, something
just came to my mind,
00:20:48.18\00:20:50.28
my grandfather had
several heart attacks,
00:20:50.90\00:20:53.96
but he was
determined that he was gonna go
00:20:53.97\00:20:56.67
out with his boots
on, so what he do is when
00:20:56.68\00:20:59.75
he was released from
the hospital they had a
00:20:59.76\00:21:02.24
cabin in Ruidoso,
New Mexico and he would
00:21:02.25\00:21:04.53
head for this cabin
and he'd go out and chop
00:21:04.54\00:21:06.99
a cord of wood and
he would do all of these
00:21:07.00\00:21:09.82
things because he
thought, if he was going to out,
00:21:09.83\00:21:12.72
he's gonna go out
with his boots on.
00:21:12.73\00:21:14.29
But he just after
several heart attacks he just
00:21:14.65\00:21:17.86
kept getting a heart
that's stronger-and-stronger.
00:21:17.87\00:21:20.94
He lived to be 92
years old and these
00:21:21.11\00:21:23.35
heart attacks
happened in his late 40s
00:21:23.36\00:21:25.69
and early 50s. Yeah.
So, I think sometimes
00:21:25.70\00:21:28.84
we have the idea
of that having had a
00:21:28.85\00:21:31.14
heart attack you could no longer
00:21:31.15\00:21:32.24
exercise, but that's not true.
00:21:32.25\00:21:33.73
No, in fact
exercise after heart attack
00:21:33.74\00:21:36.41
is our best
friend. You know, in fact
00:21:36.42\00:21:38.88
you've heard of
cardiac rehab, we're getting
00:21:38.89\00:21:40.86
people to exercise
everyday and on the
00:21:40.87\00:21:43.73
regression studies,
for instance some of the
00:21:43.74\00:21:45.87
regression studies have
been done, showed it takes
00:21:45.88\00:21:47.87
45 minutes to an
hour of aerobic exercise
00:21:47.88\00:21:51.44
a day to see
regression. My goodness.
00:21:51.45\00:21:54.46
And just to hold even right now
00:21:54.47\00:21:55.94
they're recommending 30 minutes.
00:21:55.95\00:21:57.54
Now, some people
say, five days a week,
00:21:57.95\00:21:59.90
but I'm saying you
really, you should do 30 minutes
00:21:59.91\00:22:01.81
everyday because
remember it's an exercise
00:22:01.82\00:22:04.33
it changes your
internal metabolism.
00:22:04.34\00:22:06.43
So, it only makes
sense if you stop exercising
00:22:06.75\00:22:09.23
for a day then
you're gonna change
00:22:09.24\00:22:11.10
the metabolism back.
So, exercise is the core of
00:22:11.11\00:22:14.23
treatment for
chronic coronary disease.
00:22:14.24\00:22:17.05
Okay, if you're
trying to reach that level,
00:22:17.06\00:22:20.26
that optimum level there would,
00:22:20.27\00:22:22.40
would walking, I
mean like if you're
00:22:22.70\00:22:25.55
trying to reverse this disease.
00:22:25.56\00:22:27.15
Do you walk as long
as you're not exerted
00:22:27.56\00:22:30.78
in heavily, or breathing
heavy, you do just keep
00:22:30.79\00:22:33.40
walking for 30 to 45
minutes? Well, I'll take
00:22:33.41\00:22:36.11
anything that
you're willing to do. Okay.
00:22:36.12\00:22:38.27
But the more exertion
we can get, and I said,
00:22:38.28\00:22:40.69
you should get your
heart rate up to just
00:22:40.70\00:22:42.24
where it's hard to
duty exercise and keep a
00:22:42.25\00:22:45.10
conversation going.
Okay. And that's about the
00:22:45.11\00:22:47.61
level you want to get
to, but any, any level
00:22:47.62\00:22:50.91
will help I think
some. You know, and some
00:22:50.92\00:22:53.38
people do more, some
people do less, for me
00:22:53.39\00:22:55.62
personally I try
to get out and do
00:22:55.63\00:22:57.38
45 minutes
everyday. Now you know,
00:22:57.39\00:22:59.92
I start out slow and
then gradually I'm up to
00:22:59.93\00:23:01.92
running, but I'm
finding that you know,
00:23:01.93\00:23:03.86
as my joints were out
that I'm having to look
00:23:03.87\00:23:06.32
at other you
know, swimming, biking,
00:23:06.33\00:23:09.21
but it's the
heart rate getting up,
00:23:09.22\00:23:10.63
not necessarily
the walking, but most
00:23:10.64\00:23:12.30
people today
chose to do the walking.
00:23:12.31\00:23:14.46
Okay, well we've got a
question here also from
00:23:14.75\00:23:18.04
Scott in Arizona and
Scott writes in and says,
00:23:18.05\00:23:22.02
last year I had
a quadruple bypass
00:23:22.03\00:23:25.34
here in Arizona.
Why do you consider,
00:23:25.35\00:23:28.10
or what do you
consider the most important
00:23:28.44\00:23:30.89
things I can do to help
my cardiovascular system?
00:23:30.90\00:23:35.57
Okay, well Scott
before we answer your question
00:23:36.32\00:23:38.28
I'm gonna explain to
the everyone else out
00:23:38.29\00:23:40.49
there what a quadruple
bypass? Well, quad means
00:23:40.50\00:23:43.45
four, so we're talking
out four bypasses to different
00:23:43.46\00:23:46.81
areas that are
blocked. Mercy. So, one area is
00:23:46.82\00:23:49.70
blocked here and
they'll bring another conduit
00:23:49.71\00:23:52.56
or another you know,
vein if it's from the
00:23:52.96\00:23:55.55
leg, some people
time we use the arteries.
00:23:55.56\00:23:57.53
Those are actually
better conduit. And he said,
00:23:57.54\00:23:59.95
four of those to
different parts of his heart.
00:23:59.96\00:24:02.05
And what do you consider
the most important things?
00:24:02.63\00:24:05.14
Well, let's bring up
the next bit of information.
00:24:05.15\00:24:08.41
Well, we've talked
about number one, exercise,
00:24:08.74\00:24:11.22
exercise, exercise,
deal with stress, okay
00:24:11.23\00:24:15.55
and stress causes a
lot of physiologic problems
00:24:15.56\00:24:18.37
and we'll comeback to
that in a minute, nutrition,
00:24:18.38\00:24:20.74
cholesterol, next, avoid
hypertension, stop smoking
00:24:21.29\00:24:27.37
including being
around second hand smoke and
00:24:27.38\00:24:30.48
avoid, take
medications when you need to.
00:24:30.49\00:24:33.53
Now, there's some
interesting research
00:24:34.36\00:24:36.06
that you don't see
published too much about
00:24:36.07\00:24:38.32
other things that
help in this treatment of
00:24:38.33\00:24:40.25
cardiovascular
disease. One of them you know,
00:24:40.26\00:24:43.78
we've touched on
briefly and that's the stress
00:24:43.79\00:24:45.73
factor, but also
one thing that goes
00:24:45.74\00:24:48.46
with that is rest.
Yes. And I think people that
00:24:48.47\00:24:51.88
rest do better than
people that don't rest.
00:24:51.89\00:24:54.61
Well, why is that?
Well, God made us to time off,
00:24:54.62\00:24:59.32
in fact the God of our
unit or Shelley he works
00:24:59.33\00:25:01.85
six days when he do.
He took off his seventh.
00:25:01.86\00:25:04.34
And if he it's
good enough for God
00:25:04.35\00:25:05.74
it's good enough for
me. And also we sit up
00:25:06.07\00:25:08.37
this night-day
cycle. Right. Where people
00:25:08.38\00:25:10.51
sleep at night? Well,
God designed a night for,
00:25:10.52\00:25:12.90
for people to sleep.
In our society today we're
00:25:12.91\00:25:16.34
breaking that cycle
sometime. The body needs
00:25:16.35\00:25:18.76
rest to rejuvenate
itself, to give its
00:25:18.77\00:25:21.49
own ability to fight.
So, that's one of the things
00:25:21.50\00:25:24.58
I really want to
stress, 'cause most people
00:25:24.59\00:25:26.27
don't think rest
as a treatment for a
00:25:26.28\00:25:28.92
chronic disease like
cardiovascular disease.
00:25:28.93\00:25:31.14
Another thing that you
don't hear much is about,
00:25:31.48\00:25:33.50
about laughing. Oh!
Yes. Have you ever heard
00:25:33.51\00:25:35.90
this saying that
laughter is the best medicine?
00:25:35.91\00:25:37.87
Right. Well, that's
been passed on from years
00:25:37.88\00:25:40.29
and years and years and
that what we reason people
00:25:40.30\00:25:42.78
say laughter is the
best medicine 'cause people
00:25:42.79\00:25:44.67
that laugh make a
bunch of good chemicals
00:25:44.68\00:25:46.85
that help their
cardiovascular system.
00:25:46.86\00:25:48.71
So, when Proverbs
says: A merry heart does
00:25:49.06\00:25:51.10
good like a
medicine, it's serious.
00:25:51.11\00:25:52.68
Yes, the Bible has the
answers, if we just listen.
00:25:52.69\00:25:54.99
And I always wonder
if you just go around
00:25:55.00\00:25:57.17
laughing all the time
whether you could really
00:25:57.18\00:25:58.74
reverse disease, I haven't
seen, we're taking things
00:25:58.75\00:26:01.21
too serious
now, we rarely laugh,
00:26:01.22\00:26:03.04
we rarely do, so
if you're ticklish,
00:26:03.05\00:26:04.79
if you're not funny
by. Now, I'm not funny by
00:26:05.20\00:26:07.23
nature, but if you,
if you're funny by nature
00:26:07.24\00:26:09.43
that's great, if not
have someone tickle you.
00:26:09.76\00:26:11.53
Yeah. Another thing
that's been shown to
00:26:11.82\00:26:13.65
help people is to
have good relationships.
00:26:13.66\00:26:16.25
Yes. Not only
with, with God of course,
00:26:16.61\00:26:19.79
but with each other to
be happy, to have you know,
00:26:19.80\00:26:23.05
people that have
pets do better from a
00:26:23.06\00:26:25.36
cardiovascular
standpoint then people
00:26:25.37\00:26:27.14
that don't have pets.
People that are married
00:26:27.15\00:26:29.24
do better than
people that are single.
00:26:29.25\00:26:31.06
People that go to
Church and have an active
00:26:31.35\00:26:33.37
spiritual life do
much better as far as
00:26:33.38\00:26:36.25
cardiovascular health
then people that don't
00:26:36.26\00:26:38.72
do those things.
Another thing that helps
00:26:38.73\00:26:41.20
greatly is, is
getting to having your mind
00:26:41.21\00:26:43.96
change sceneries.
Okay, getting away from
00:26:43.97\00:26:47.66
your normal
activities, taking a rest.
00:26:47.67\00:26:50.40
Now, what does
that do physiologically?
00:26:50.41\00:26:52.19
Well your, your body
runs the show, okay your
00:26:52.20\00:26:55.34
mind is running things
all the time, when you give
00:26:55.35\00:26:57.89
your mind to break from
getting away from it all.
00:26:57.90\00:27:00.23
Sometimes you start
making these better health
00:27:00.24\00:27:02.99
chemicals; you
get rest and you see
00:27:03.00\00:27:04.55
the active vacation. Sure.
00:27:04.56\00:27:05.95
You feel tremendously
better. Now, you're not
00:27:05.96\00:27:07.61
gonna hear about
this in medical literature
00:27:07.62\00:27:09.42
because it's not a
moneymaker, but the
00:27:09.76\00:27:11.98
people that are doing
this are, are much healthier
00:27:11.99\00:27:14.68
and much happier. So,
treating chronic coronary
00:27:14.69\00:27:16.97
disease, I think it's
more lifestyle than anything
00:27:16.98\00:27:20.35
else and treating
acute disease I think it's
00:27:20.36\00:27:23.32
probably more
intervention than anything else,
00:27:23.33\00:27:25.50
but it takes a
marriage of both, of both,
00:27:25.51\00:27:28.69
acutely treating and
chronically treating well.
00:27:28.70\00:27:31.42
Well, there we have
the. Yeah. We've got the
00:27:32.14\00:27:34.76
answers then
from Dr. James Marcum
00:27:34.77\00:27:37.35
with the
Chattanooga Heart Institute.
00:27:37.36\00:27:40.46
And I'm taking away a
lot of good information
00:27:40.79\00:27:42.98
from today's program,
thank you Jim so much.
00:27:42.99\00:27:45.97
Well, Shelley I had one
more slide to through up,
00:27:45.98\00:27:48.18
it's a take home
points real quick here.
00:27:48.19\00:27:49.98
One if you, if
you're having heart problems
00:27:50.33\00:27:52.25
don't ignore
symptoms, and secondly change
00:27:52.26\00:27:55.55
lifestyles, and
the third thing is
00:27:55.56\00:27:57.91
ask questions and be informed.
00:27:57.92\00:28:00.13
Alright, that's what
we're doing today is becoming
00:28:00.56\00:28:03.13
more informed and so we
want to thank all of our
00:28:03.14\00:28:06.50
viewers for being
with us and we wish you
00:28:06.51\00:28:08.55
the best of
health. And remember you
00:28:08.56\00:28:10.92
are fearfully
and wonderfully made,
00:28:10.93\00:28:13.42
praise the Lord. Amen.
00:28:13.79\00:28:15.02