Welcome to "Wonderfully Made"
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Today, we have an
exciting program for you
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Dr. Neil Nedley is
here with us today...
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He is an internal
medicine physician,
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and I'm your host, Rise Rafferty
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Dr. Neil, tell us a
little bit about what
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a typical day is for you as
an internal medicine physician
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Well, internal medicine has
to do with adult diseases of
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the internal organs, Rise
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And so, I deal with heart,
lung, gastrointestinal tract,
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kidneys... anything
that is an internal organ.
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And, we're often called in
when the internal organs are
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kind of working
against each other...
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So, I spend a lot of
time in critical care units
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The cardiologists will come
in, for instance, and say...
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"Boy, those
lungs need to be drier"
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And so they will give
Lasix, or a medicine like that
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and the kidney
doctor comes in, and says...
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"Boy, that just affected my
kidneys that I'm dealing with...
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Those kidneys are going
to fail; we need more fluids
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in this patient"
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And so often, there needs
to be someone that can put all
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those internal organs
together and weigh the benefits
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versus the risks.
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So we spend time in critical
care units and hospitals
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to a large extent.
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Probably half of my work
is done in a hospital setting.
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The other half of my work is
done in an outpatient setting.
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And, it's often referral-based
from family practitioners...
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people that can't get their
blood pressure under control
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despite being on
multiple medications,
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people whose cholesterol and
triglycerides are still sky-high
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and they're taking medicines,
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and the
medicines aren't working...
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Their diabetes
isn't under control,
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and they're going to
have to go on insulin...
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and so, how can we prevent this?
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And so, often, the internal
medicine physician is sought out
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for those types
of difficult cases.
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The other cases
that we deal with are the
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difficult to diagnose cases. Hmm
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And that is...
someone has severe fatigue,
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they just can't get up
and go, and no one has been
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able to figure it out.
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They've had thyroid testing.
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They've had
other types of tests,
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and there is no cause that
the family physician found out
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in the routine workup of this.
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And so, that's just one symptom,
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it may be headaches
that don't go away, etc.
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And so, the more
difficult to diagnose patients
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we also deal with.
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So there is a lot of
variety in a day's time,
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as you might imagine in dealing
with these internal organs,
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and that's what makes my
day very exciting actually...
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I enjoy every aspect
of my day, and being an
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internal medicine physician,
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and a lot of that has to
do with the variety of my day.
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And I've had to recently,
because I enjoy it so much,
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and I enjoy a lot of
other things too, limit myself
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so to speak... We're not
taking anymore new patients,
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for instance, in the
outpatient setting...
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just because I enjoy it
so much, I could probably
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do it 20 hours a day... Wow!
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But, such as it is, I do
have kids to raise, and I
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enjoy being with my boys,
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and I enjoy other
aspects of life as well.
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And wives need time too.
ABSOLUTELY! That's right.
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Well we are so glad that
you're taking this time to,
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instead of maybe seeing
us in your private practice,
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you're going to help
educate us right now on
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something that,
from hearing you talk,
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I think you're very
qualified to share with us...
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and even though, maybe you're
not a cardiologist specifically
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focusing on the heart,
you're internal medicine,
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it seems like you take a step
back, and you're able to look
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at the bigger picture,
and maybe how one argument
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affects all the
others, and visa versa
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That's correct... we look at the
root causes of disease as well
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Cardiologists will try
to take care of a blockage,
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or something like
that... diagnose a blockage
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But the internist is going
to take a step back and say...
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"What caused this
blockage to begin with...
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and how can we
prevent more of them?"
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Very good, I love that kind
of stuff... let's get into it!
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All right! Well today, we
are speaking about the heart
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And, of course, you
can't live without one.
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You have to have that heart
pumping blood through the body
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in order to
sustain and maintain life.
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And the problem with
the typical American diet is
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those arteries start
to close off over time.
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And, they close off due to
cholesterol, high saturated fat
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...not enough fiber in the
diet, the wrong types of protein
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And maybe other factors
like stress, or genetics,
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or lack of exercise, or
diabetes... all these things
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can have an independent
role in causing these arteries
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to start to close off.
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But over time, the
average person, 40 years of age,
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already has
significant blockages.
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And by the time they
are 55, they might start
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getting crushing chest
pain when they exert themselves
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and that might
be the first sign...
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Hopefully it IS the first
sign, because 1 out of 3 people
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their first sign of having
heart disease... sudden death
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Wow... And you know,
when I was 20 years old,
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I used to think that 40 was,
you know, getting up there...
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was old, but now
that I'm pushing 40,
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I realize that's
still very, very young...
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too young to have
those kind of problems...
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Yeah, absolutely too
young, and by the way,
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well I'm talking about
average American having some
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blockages at 40, we
have had heart attack victims
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in their late teens.
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It's not uncommon anymore,
particularly with the way
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teens are eating...
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For them to already
have type 2 diabetes,
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and have
significant coronary disease
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And so, we have
taken care of 17, 18 and
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19-year-olds with heart attacks.
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Is that a global
situation that's taking place?
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Or, do you feel like
that's primarily Western?
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No, it's not
global, fortunately.
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I mean the third world countries
still don't have that early on
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The third world
countries tend to exercise more.
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They don't have the nice forms
of transportation that we have
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And they tend to
eat a little better.
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They eat more
fruits and vegetables
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because they're
cheaper than eating meat and
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the high fat dairy products.
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But, here in America,
primarily due to the expanding
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waistline of teenagers,
and the things causing those
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expanding waistlines are getting
into the blockages in the heart
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Sometimes I even wonder if
our advanced technology hinders
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people from really taking
care of themselves adequately
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For example, I met a few people
who, their cholesterol may be
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very high, but not to
worry... "I can always get a
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quadruple heart
bypass surgery. "
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Yes... Oh, and that gives
a false sense of security.
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A lot of people think,
"Well, you have blockages...
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let's take care of
the blockages, and lets do
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the bypass. "
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And, yes, I even recommend
bypass for some individuals
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that need the bypass surgery
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But, they haven't
thought about the downside
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of the bypasses far
enough in advance in most cases.
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So what are these downsides?
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Well, an obvious downside is
the cost of it... over $50,000
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And in some
hospitals, over $100,000 is what
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you're going to be
paying for bypass surgery...
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You say, "Well, I have
good insurance, so that will
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cover most of it, so
that's not that down for me"
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Well, there is a downside
that we really can't take
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care of for cost, and
it has to do with the way
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bypass surgery is done.
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We have a heart
model with us today,
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and if you were to notice here,
this is a heart that actually
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went through the bypass surgery.
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We have, in the middle,
a bypass graft that's taken
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right from this red blood
vessel, which is the aorta
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and it goes down into the
left anterior descending artery
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Then we have another
bypass that is going into the
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circumflex artery, and you
can see that here more on the
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back portion of the heart.
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And then we have a bypass
that is going into the right
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coronary artery.
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And so, these bypasses, if you
take a closer look here at the
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aorta... In order to make these
bypasses go past the blockages,
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there actually has to be
little holes bored in this aorta
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in this major blood vessel that
comes out of the left ventricle
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And then in order to
put the patient on the
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heart/lung machine, there
will be a hole that is made in
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the aorta itself, another
bored hole, to put the patient
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on the heart/lung
machine so that the heart can be
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stopped and so the
surgeon can do his delicate work
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in putting in
these bypass grafts.
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What people haven't figured
out is that aorta inside has
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a lot of plaques in it...
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cholesterol
atherosclerotic plaques...
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And so, when these
holes are bored in,
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there's a nice,
little grinder that does it,
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but it is bringing these
cholesterol plaques upstream
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and where that tends to
affect is, of course, the brain.
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And so, well over 90%
of patients, Rise, have a
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decline in the function
of their brain as a result
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of undergoing bypass surgery.
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So something is dislodged...
these plaques are dislodged
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and start flowing with the
blood... flowing with the blood
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They're kind of broken
up into fine, little pieces,
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but they go upstream and they
cause a swelling of the brain
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And they can actually
close off some of the small
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arterial capillaries there in
the brain itself causing little
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tiny, mini strokes.
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So these may not necessarily
cause a limb to become useless
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or you still may
be able to talk and
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function normally apparently.
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Yeah, actually, you know,
the family believes that dad
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is as good as new
because he's talking
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He hasn't had the stroke.
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Now, you can have a stroke
from doing this as well...
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I should mention...
About 1% of patients
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will have a major
stroke as a result of
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undergoing this procedure.
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But the other, well over
90% won't have the major stroke
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...but they will have a decline
in their cognitive function.
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And so, that means that their
IQ isn't quite as it used to be
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...Their memory may not be
as well in recalling events,
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particularly more recent
events that have occurred since
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the bypass surgery.
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And then they can
actually get into some
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lapses in judgment as well.
00:10:48.12\00:10:49.56
A very good decision-maker
after a bypass surgery
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may not be near as good
a decision-maker because it
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can affect the
frontal lobe of the brain.
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And when you consider over
90% have neurological deficits
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as a result of
undergoing this procedure,
00:11:01.32\00:11:03.33
you really need to prepare
to NOT have this procedure
00:11:03.36\00:11:07.95
which is what this
program is about... Absolutely!
00:11:07.98\00:11:10.43
Or if you have had the procedure
already, to try to prepare
00:11:10.44\00:11:14.02
for not having it
again because so many people
00:11:14.05\00:11:16.15
have to go in for repeat
bypass surgeries because they
00:11:16.16\00:11:19.04
haven't taken care of
the original problem that
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caused these
blockages to begin with.
00:11:21.27\00:11:22.79
Well let's get to
that root cause...
00:11:22.82\00:11:24.84
Well that root
cause is atherosclerosis.
00:11:24.85\00:11:28.68
And that comes from cholesterol,
and cholesterol is a major part
00:11:28.69\00:11:34.22
of what produces those blockages
00:11:34.25\00:11:36.18
And so
cholesterol is not found in
00:11:36.19\00:11:38.43
fruits, grains, nuts or
vegetables... no cholesterol
00:11:38.46\00:11:43.01
So eating the plant
foods, particularly eating
00:11:43.04\00:11:45.19
plant foods whole that
have all the fiber in it
00:11:45.22\00:11:47.96
is going to significantly help
prevent these blockages, Rise
00:11:47.99\00:11:52.01
Meat, milk, eggs and cheese,
they all have cholesterol..
00:11:52.04\00:11:55.68
they are high
in saturated fat...
00:11:55.71\00:11:57.00
that's what's going to
produce the blockages over time.
00:11:57.03\00:12:00.41
And a lot of people think...
Well, the solution to it is
00:12:00.44\00:12:03.92
to go from regular
cheese, to low fat cheese;
00:12:03.95\00:12:08.57
to go from chicken to taking
the time to scrape the fat
00:12:08.58\00:12:13.18
and the skin off the chicken...
00:12:13.19\00:12:15.62
And to maybe even get so
austere as drinking skim milk
00:12:15.65\00:12:20.48
and then... "I'm going
to make those changes, and
00:12:20.51\00:12:22.99
my arteries will be
fine. " Well, not true...
00:12:23.00\00:12:26.79
And that diet is better,
not to say that it's just as bad
00:12:26.82\00:12:31.26
it's slightly better.
00:12:31.27\00:12:32.94
And statistics show
that you do slightly better
00:12:32.97\00:12:35.82
than on the
typical American diet,
00:12:35.85\00:12:37.36
but you're not making
the dramatic improvement
00:12:37.39\00:12:39.64
that you could make in actually
opening up these arteries
00:12:39.67\00:12:42.44
through lifestyle.
00:12:42.45\00:12:44.68
Actually, the first graphic
we have with us is actually
00:12:44.69\00:12:49.22
produced by Dr.
Ornish... it's a cartoon
00:12:49.25\00:12:52.53
of doctors and nurses, and you
can see what they're doing there
00:12:52.54\00:12:57.60
and mopping up the floor...
00:12:57.63\00:12:59.30
But, not matter how much work
they do in mopping up that floor
00:12:59.33\00:13:02.67
the problem isn't going
to be solved until the faucet
00:13:02.70\00:13:06.06
is turned off. That's right.
00:13:06.09\00:13:07.89
And that faucet is
controlled by the patient...
00:13:07.92\00:13:11.62
In other words, what they're
putting into their bodies
00:13:11.63\00:13:13.88
what they're
doing with their bodies
00:13:13.91\00:13:15.49
And doctors and nurses in
hospitals are going around
00:13:15.52\00:13:18.19
doing bypass surgeries, doing
stents, doing angioplasties,
00:13:18.22\00:13:23.09
trying to open
up these blockages
00:13:23.12\00:13:25.35
But, very little is
done in regards to the cause
00:13:25.38\00:13:28.59
of the blockages which
is the atherosclerosis...
00:13:28.62\00:13:30.80
And someone needs to
turn that faucet off to help
00:13:30.83\00:13:34.45
the doctors and nurses out
on this endless task of getting
00:13:34.48\00:13:37.77
rid and trying to bypass
blockages or angioplasty them
00:13:37.80\00:13:41.74
And unfortunately, I
know my father is a physician,
00:13:41.77\00:13:45.48
and he was always so frustrated
in trying to help his patients
00:13:45.51\00:13:49.10
because he realized he was
so limited in being able to help
00:13:49.13\00:13:53.00
them really make the
changes that they needed to make
00:13:53.03\00:13:56.68
And so really, ultimately,
it's our choice, isn't it?
00:13:56.69\00:13:59.27
Our choice is really powerful
in relation to our health.
00:13:59.30\00:14:03.10
That's right... even
Abraham Lincoln said...
00:14:03.13\00:14:04.96
"You can't help men
permanently unless they
00:14:04.99\00:14:09.44
do something for
themselves. " Right!
00:14:09.47\00:14:11.68
And so, these fixes
really are temporary...
00:14:11.69\00:14:15.87
You know, the bypass
surgery is a temporary fix,
00:14:15.90\00:14:18.89
angioplasty and
stents... a temporary fix.
00:14:18.90\00:14:21.62
Unless we take care of
the underlying problem,
00:14:21.65\00:14:23.54
it's coming back... That's right
People need to be motivated
00:14:23.58\00:14:25.45
And I think that that's
what we're doing here...
00:14:26.22\00:14:27.80
You are educating us to
MOTIVATE us to maybe make
00:14:27.83\00:14:30.44
some of these choices.
00:14:30.47\00:14:31.68
Yeah, absolutely! I
mean, once patients find out
00:14:31.71\00:14:34.11
the great benefit of
changing their lifestyle,
00:14:34.14\00:14:36.41
they're much more apt to do it.
00:14:36.44\00:14:37.58
...And a lot of
people don't know about it.
00:14:37.59\00:14:39.47
They simply think that,
you know, this is the best
00:14:39.50\00:14:42.19
they can do, and they
just hope that their blockages
00:14:42.22\00:14:44.69
don't come to the
other places. Um hm
00:14:44.72\00:14:46.81
But if they knew
of the benefit...
00:14:46.82\00:14:49.20
In fact, I think
for many doctors,
00:14:49.23\00:14:51.94
they carry a paternalistic
attitude... because they know
00:14:51.97\00:14:56.02
about some of these things,
but they don't necessarily
00:14:56.05\00:14:58.03
tell their patients
because they think...
00:14:58.06\00:14:59.61
"Well, it might be too hard for
the patients to do this. " Right
00:14:59.64\00:15:02.81
I let my patients decide.
00:15:02.82\00:15:04.65
I tell them what
is the ideal program.
00:15:04.68\00:15:08.07
I'll also tell them what
the American Heart Association
00:15:08.10\00:15:11.09
Program is... where we
just scrape the chicken fat off
00:15:11.12\00:15:15.13
and use lower fat cheeses, etc.
00:15:15.16\00:15:18.37
And then, they can
choose a program in between...
00:15:18.40\00:15:21.29
But then the expected results,
if we do each of those 3 things,
00:15:21.32\00:15:25.15
and then, of course,
it's their decision to make,
00:15:25.18\00:15:27.65
whatever decision they make,
I'm glad to support them in
00:15:27.68\00:15:30.55
that decision, and glad
to work with them on that.
00:15:30.58\00:15:34.07
But many patients have
no clue how much better
00:15:34.10\00:15:37.01
they will get by significantly
changing their diet.
00:15:37.04\00:15:41.33
Well the next graphic
we have, Rise, actually is
00:15:41.34\00:15:44.54
of the American Heart
Association diet and what it
00:15:44.57\00:15:47.07
does after bypass surgery.
00:15:47.10\00:15:49.06
These are patients
who had bypass surgery...
00:15:49.09\00:15:51.87
And 3 years after their
bypass surgery, 41% of them had
00:15:51.90\00:15:56.48
progression of their
coronary artery disease.
00:15:56.51\00:15:59.34
Now notice, this is a
significantly lower fat diet
00:15:59.37\00:16:02.33
The top of the
screen there says 25% fat
00:16:02.36\00:16:05.32
200 to 250 mg of cholesterol
00:16:05.35\00:16:08.26
The average American is eating
00:16:08.29\00:16:09.33
about 400 mg of
cholesterol a day
00:16:09.36\00:16:11.42
And maybe closer to 40%
fat. Yeah, 35 to 40% fat.
00:16:11.45\00:16:15.04
And so, this seems like a
significant improvement to them
00:16:15.07\00:16:19.61
At 5 years, 65% had progression,
7 years 77% had progression
00:16:19.64\00:16:25.79
And after 10 years, 85%
of patients on this diet had
00:16:25.82\00:16:29.89
progression of their
coronary artery disease.
00:16:29.90\00:16:32.18
This is why repeat
bypass surgery needs to be
00:16:32.21\00:16:35.60
done 10 years later
in many individuals.
00:16:35.63\00:16:38.96
And then they're confused...
00:16:38.99\00:16:40.61
They said, "Hey, you
know, I lowered my fat intake,
00:16:40.64\00:16:42.79
I lowered my cholesterol intake
... why is this happening?"
00:16:42.82\00:16:47.37
And finally, a physician
by the name of Dr. Ornish,
00:16:47.40\00:16:50.72
got involved and he
said, "I think if we do more in
00:16:50.75\00:16:54.93
changing the diet, we
might actually be able
00:16:54.96\00:16:57.00
to change this course. "
00:16:57.03\00:16:58.34
So there's like this
sliding scale... where here is
00:16:58.38\00:17:01.85
maybe the typical American
diet... with all the fatty,
00:17:01.88\00:17:06.06
high cholesterol foods, meats
00:17:06.09\00:17:08.18
And maybe here is a
diet that you're advocating,
00:17:08.21\00:17:10.54
and people can make these
changes, but they're going to
00:17:10.57\00:17:14.16
see results in relation to the
changes they make. Absolutely
00:17:14.19\00:17:18.44
So, if they slide over
here, they're still going to see
00:17:18.47\00:17:20.43
improvement the
closer they get this way,
00:17:20.46\00:17:22.09
but not the improvement
necessarily that they could have
00:17:22.12\00:17:24.50
Not the improvement
that they could have.
00:17:24.53\00:17:26.51
Well, Dr. Ornish put them on
a low fat, vegetarian diet...
00:17:26.54\00:17:30.65
Got rid of the
cholesterol in the diet.
00:17:30.68\00:17:33.73
And the effects were significant
00:17:33.76\00:17:36.63
If you look at the
next graphic that we have,
00:17:36.66\00:17:40.85
you can see that the bad
cholesterol... the ones in red
00:17:40.88\00:17:44.69
Of course, Dr. Ornish,
did a control group like any
00:17:44.72\00:17:46.96
good scientific study has...
00:17:46.99\00:17:48.56
The low fat
vegetarian people were in red,
00:17:48.59\00:17:52.64
so at 151 is when
they started their diet,
00:17:52.67\00:17:55.62
and they went down to 95 in
a rather short period of time.
00:17:55.65\00:17:59.07
The blue is the control
group that was put on the
00:17:59.10\00:18:02.62
American Heart Association diet.
00:18:02.65\00:18:05.02
So you can see, the LDL
cholesterol, the bad cholesterol
00:18:05.05\00:18:08.38
went from 151 to 95 just
by diet and lifestyle alone.
00:18:08.39\00:18:12.60
And the other group went
down 9 points. That's phenomenal
00:18:12.63\00:18:16.40
And, of course, when
you get those results,
00:18:16.43\00:18:18.55
you're going to see
significant results.
00:18:18.58\00:18:20.41
Dr. Ornish showed that
about 90% of his patients
00:18:20.44\00:18:26.40
actually had an improvement
in the blockages in the
00:18:26.43\00:18:29.95
arteries in their
heart just by lifestyle.
00:18:29.98\00:18:32.63
So they didn't have
to have bypass surgery.
00:18:32.66\00:18:34.57
They didn't have to
have the angioplasty because
00:18:34.60\00:18:37.91
instead of getting that,
they were randomized to a
00:18:37.94\00:18:40.12
lifestyle program, and their
arteries started opening up
00:18:40.15\00:18:43.51
just with the lifestyle
program. That's fantastic!
00:18:43.52\00:18:46.48
Then, in addition to
that, what was amazing...
00:18:46.51\00:18:49.89
is their symptoms improved.
00:18:49.90\00:18:50.88
The reason why they had
the heart caths to begin with
00:18:50.91\00:18:53.38
was due to the fact
they were having chest pain.
00:18:53.41\00:18:55.80
And, if you look at
the next graphic there,
00:18:55.83\00:18:59.10
I think you will see the
significant improvement that
00:18:59.13\00:19:02.78
occurred in chest pain.
00:19:02.79\00:19:04.64
Again, the group in pink
or red is the vegetarian group
00:19:04.67\00:19:09.73
At the beginning of
the study, they were having
00:19:09.76\00:19:11.04
5 episodes of
chest pain per week...
00:19:11.07\00:19:13.04
At the end of the
study, less than 1
00:19:13.07\00:19:16.07
In fact, less
than a half... 0.45
00:19:16.10\00:19:18.35
The American Heart Association
group had 2 episodes of
00:19:18.36\00:19:22.23
chest pain per
week to begin with,
00:19:22.26\00:19:23.83
but at the end of the
study, 6 episodes of chest pain.
00:19:23.84\00:19:27.31
And the dramatic
difference that occurred there
00:19:27.34\00:19:30.01
actually occurred within 3
weeks in the vegetarian group.
00:19:30.04\00:19:34.56
And this is what confused
the researchers in this study
00:19:34.59\00:19:37.18
because they thought,
"Well, it's going to take a year
00:19:37.21\00:19:39.06
to reverse the
changes in the arteries,
00:19:39.09\00:19:43.20
and why are we seeing their
chest pain go down to nothing?"
00:19:43.23\00:19:46.50
In fact, we find this
in our Lifestyle Center...
00:19:46.51\00:19:48.67
We'll have people that
cannot walk across the room
00:19:48.70\00:19:50.83
without having chest pain.
00:19:50.86\00:19:52.47
And in 3 weeks at
the Lifestyle Center,
00:19:52.50\00:19:54.71
they'll be walking 5 miles,
and they'll be OFF of their
00:19:54.74\00:19:57.23
nitroglycerin, and
they're not having chest pain!
00:19:57.26\00:20:00.58
The same person with the
same arteries now getting better
00:20:00.61\00:20:06.54
blood supply in a
short period of time.
00:20:06.57\00:20:09.18
The difference is the fact
that the vegetarian diet is
00:20:09.21\00:20:12.59
so much higher in arginine.
00:20:12.62\00:20:14.59
Arginine which is an amino acid.
00:20:14.62\00:20:16.99
Yes, it's a protein
building block, an amino acid,
00:20:17.02\00:20:20.61
and arginine gets turned
into substance in the body
00:20:20.64\00:20:23.79
called nitric oxide
00:20:23.82\00:20:25.97
Nitric oxide you might
recognize the name... right?
00:20:26.00\00:20:28.56
Nitric oxide is what
nitroglycerine also gets
00:20:28.59\00:20:32.99
turned into... So,
patients when they take
00:20:33.02\00:20:35.02
nitroglycerin are trying
to improve their nitric oxide
00:20:35.05\00:20:37.58
levels to cause a
relaxation of the arteries.
00:20:37.61\00:20:41.31
The arteries are not
just like lead pipes that come
00:20:41.34\00:20:43.49
to our faucets...
00:20:43.52\00:20:44.99
They actually are
flexible because they are
00:20:45.02\00:20:47.38
muscular organs
00:20:47.41\00:20:48.74
And if we get arginine in them,
high amounts of arginine will
00:20:48.77\00:20:52.20
increase that nitric
oxide, and relax the arteries,
00:20:52.23\00:20:55.03
and that will improve the
blood supply to the heart.
00:20:55.06\00:20:57.67
And so, a vegetarian diet being
much higher in arginine is going
00:20:57.70\00:21:02.46
to produce much better blood
flow even before the blockages
00:21:02.49\00:21:05.90
start going away on angiogram.
00:21:05.91\00:21:08.31
And, our next graphic actually
shows the foods that are
00:21:08.34\00:21:11.29
high in arginine, and
you can see red kidney beans
00:21:11.32\00:21:15.71
at the top... 2.6 grams, an
excellent source of arginine
00:21:15.74\00:21:19.21
Garbanzos even higher yet...
sometimes called chickpeas
00:21:19.24\00:21:23.09
Lentils an
excellent source of arginine
00:21:23.12\00:21:25.77
And notice
soybeans are way up there.
00:21:25.80\00:21:28.16
But even higher yet are
pumpkin seeds... That's amazing
00:21:28.19\00:21:32.88
a very high source of arginine
and will produce relaxation
00:21:32.91\00:21:36.98
in the arteries and
really get better blood supply.
00:21:37.01\00:21:40.68
And how does that compare
maybe with the protein that
00:21:40.71\00:21:43.01
comes from
animal sources then...
00:21:43.04\00:21:44.52
That's what they were
comparing was the 2 sources of
00:21:44.55\00:21:47.16
Yeah, the protein from animal
sources are higher in lysine
00:21:47.19\00:21:50.62
lower in arginine, and there
is a little bit of arginine
00:21:50.65\00:21:54.51
in animal protein but
not near enough to get
00:21:54.54\00:21:56.99
the nitric oxide levels there.
00:21:57.02\00:21:58.71
You always hear about
protein with body builders
00:21:58.75\00:22:00.76
and we always hear that,
you know, the protein that
00:22:00.79\00:22:03.21
comes from meat is going
to be the perfect protein.
00:22:03.24\00:22:05.43
But here we see there
are differences between the
00:22:05.46\00:22:07.52
proteins, but it's
actually to your advantage
00:22:07.55\00:22:09.97
to get protein
from a vegetable source.
00:22:10.00\00:22:12.34
Yeah absolutely. The amino acid
ratios are much better as far
00:22:12.37\00:22:16.02
as conducive to
circulation and health...
00:22:16.05\00:22:19.99
And actually, to some extent,
even endurance in the muscles
00:22:20.00\00:22:23.07
themselves.
00:22:23.10\00:22:24.97
Well, the amazing
thing also, about the program
00:22:25.00\00:22:28.52
the "Lifestyle Heart
Trial" is what Dr. Ornish did...
00:22:28.62\00:22:31.68
is the fact that it
was not just diet alone
00:22:31.71\00:22:35.99
There were some other factors
in the "Lifestyle Heart Trial"
00:22:36.02\00:22:38.80
that seemed to
produce the benefit.
00:22:38.83\00:22:40.26
That's right... Doesn't
Dr. Ornish talk a lot about
00:22:40.29\00:22:42.69
love, and the power of
intimacy in affecting our heart.
00:22:42.72\00:22:47.39
And that was kind of interesting
how he got involved in that...
00:22:47.42\00:22:50.48
but he was involved in
animal research as well
00:22:50.51\00:22:53.75
And they were feeding different
types of diets to rabbits,
00:22:53.78\00:22:57.32
and what they noticed is
that the diets were important
00:22:57.35\00:23:02.26
in the rabbits...
00:23:02.29\00:23:03.38
Cholesterol hurts
rabbits' arteries just
00:23:03.41\00:23:06.07
as much it does ours.
00:23:06.11\00:23:07.32
But they notice there was
a difference as well besides
00:23:07.36\00:23:11.62
just diet, and the rabbits
that were on the bottom cages
00:23:11.63\00:23:15.37
actually had much better
circulation and didn't get
00:23:15.40\00:23:18.56
the blockages as fast as
the rabbits on the top cages.
00:23:18.59\00:23:21.91
All right... what
was the difference?
00:23:21.94\00:23:23.02
Well the top cages were
too high for the ones who were
00:23:23.05\00:23:27.46
paid to feed the rabbits...
00:23:27.49\00:23:29.46
And they liked the rabbits,
the ones who were feeding them
00:23:29.49\00:23:32.29
so when they would feed them,
they would take the rabbit out
00:23:32.32\00:23:34.73
and pet the rabbit a little bit,
00:23:34.76\00:23:36.16
and kind of cozy up to
the rabbit, or hold it,
00:23:36.19\00:23:39.24
and that type of thing...
00:23:39.27\00:23:40.28
where they couldn't reach
the rabbits on the top cages,
00:23:40.31\00:23:42.80
they could just put the food
in and that was it. No contact
00:23:42.83\00:23:45.63
And so that little bit
of intimacy, so to speak,
00:23:45.64\00:23:50.88
and contact with a human
being actually helped the
00:23:50.91\00:23:53.86
rabbits' circulation.
00:23:53.89\00:23:55.41
And now we know that to
be true in human beings.
00:23:55.44\00:23:57.81
That's why men who
have a successful marriage,
00:23:57.84\00:24:01.43
and even women as
well, actually have less
00:24:01.46\00:24:05.16
coronary artery
disease and better circulation.
00:24:05.19\00:24:07.84
I think people can
even be involved sometimes
00:24:07.87\00:24:10.04
in marriage and lack the
intimacy... Oh absolutely...
00:24:10.07\00:24:12.96
And lack that semblance
of love and reap the benefits
00:24:12.99\00:24:16.62
I guess, from having a depth...
00:24:16.65\00:24:19.65
Yes, absolutely, and so
it's not just being married,
00:24:19.68\00:24:22.96
but having a
successful marriage where you
00:24:22.99\00:24:27.92
really have a
relationship. Um hm
00:24:27.95\00:24:30.03
So that's an important factor...
00:24:30.04\00:24:32.59
Social support in other
ways outside of marriage
00:24:32.62\00:24:35.57
can also be important.
00:24:35.60\00:24:37.20
Any physical
exercise... you know,
00:24:37.23\00:24:39.69
the "Lifestyle Heart
Trial" involved significant
00:24:39.72\00:24:42.51
physical exercise 3
hours per week as a minimum
00:24:42.54\00:24:46.77
of exercise and we know
that's important for the heart
00:24:46.80\00:24:51.17
And also stress control...
00:24:51.20\00:24:53.76
an important
component of heart health.
00:24:53.80\00:24:56.83
Yeah, and I think that
all those things tie in with
00:24:56.86\00:25:00.01
living a balanced life.
00:25:00.04\00:25:01.18
A lot of people don't exercise,
00:25:01.21\00:25:02.94
or experience a large
amount of stress because
00:25:02.97\00:25:06.36
they're workaholics, or
they just feel the pace,
00:25:06.37\00:25:08.61
and they're running with it
00:25:08.62\00:25:09.77
And what's required, I
think, sometimes is just that we
00:25:09.80\00:25:13.10
step back and say, "I'm going
to take charge of my life again
00:25:13.13\00:25:16.46
and not let all these
external things at work dictate
00:25:16.49\00:25:20.56
how I'm going to
spend my time everyday. "
00:25:20.59\00:25:22.72
Absolutely! We're
suffering from that.
00:25:22.75\00:25:24.53
Yes, we need to be in
control of our own schedules
00:25:24.54\00:25:27.70
as much as possible...
instead of our schedules
00:25:27.73\00:25:29.82
in control of us, and
that's an important component
00:25:29.85\00:25:32.18
of overall health.
00:25:32.21\00:25:33.74
So we may think that
we're gaining time now
00:25:33.77\00:25:36.77
by working all the
time, but really, we're losing
00:25:36.80\00:25:38.77
time because it can
shorten our life as you've been
00:25:38.78\00:25:40.59
explaining to
us. Yes! Absolutely!
00:25:40.62\00:25:43.51
And so that really
gets into the intricacies of
00:25:43.54\00:25:45.71
stress control as well.
00:25:45.74\00:25:47.02
And, you know, interestingly
it's not just the amount
00:25:47.05\00:25:50.10
of stress, but how
we cope with that stress
00:25:50.13\00:25:53.59
that's also important.
00:25:53.60\00:25:54.74
Another interesting
study on stress showed that
00:25:54.77\00:25:57.01
if we are able to
counteract the stress,
00:25:57.04\00:26:01.20
in other words, respond to it...
00:26:01.23\00:26:02.49
You know, everyone has deadlines
in their life... for instance
00:26:02.50\00:26:05.22
And interestingly, people
with more deadlines actually
00:26:05.25\00:26:08.62
have better health, if they are
responding to those deadlines
00:26:08.65\00:26:14.31
and it's not JUST the fact
that you have a lot of deadlines
00:26:14.35\00:26:18.94
that's going to produce
ill effect, but whether you're
00:26:18.97\00:26:21.44
responding to it.
00:26:21.47\00:26:22.47
It's the STRESS that we CANNOT
respond to, or we don't know how
00:26:22.50\00:26:26.66
to respond to it... that is
the most adverse on the body.
00:26:26.69\00:26:31.18
And that's what's going
to produce the significantly
00:26:31.21\00:26:33.72
higher adrenalin levels
which are going to significantly
00:26:33.75\00:26:37.97
actually worsen blood pressure,
00:26:38.00\00:26:40.11
cause the blood pressure
to go up, as well as cause
00:26:40.14\00:26:42.94
the cholesterol to be
deposited in the arteries.
00:26:42.97\00:26:46.30
So when it
comes to heart health,
00:26:46.33\00:26:47.94
there's a whole picture of
stress, diet, love, intimacy
00:26:47.97\00:26:55.89
that if we incorporate,
our heart will immediately
00:26:55.92\00:27:00.92
respond to as we
saw in that trial.
00:27:00.95\00:27:02.92
It immediately responds to
all the sudden shifting away
00:27:02.95\00:27:05.81
from maybe our
unhealthful lifestyle practices,
00:27:05.84\00:27:09.40
and just 3 weeks of that
kind of change in our life,
00:27:09.43\00:27:13.66
we would see a
dramatic difference.
00:27:13.69\00:27:14.87
Yes, just 3 weeks.
00:27:14.90\00:27:16.31
And, you know, you
can plan that change.
00:27:16.34\00:27:18.14
There is material written
about this to show you how to
00:27:18.17\00:27:22.51
do it step by step, or you
could go to a lifestyle center
00:27:22.54\00:27:25.30
There are lifestyle
centers around the country now
00:27:25.31\00:27:28.04
that actually specialize in
taking 3 weeks out of your life
00:27:28.07\00:27:31.50
You have a vacation there,
00:27:31.53\00:27:32.76
and you find out exactly how
to do this and incorporate it
00:27:32.79\00:27:35.63
into your life.
00:27:35.66\00:27:36.81
Unfortunately, it seems like
we can get all the education we
00:27:36.84\00:27:40.24
can get and yet ultimately,
it's up to us to turn
00:27:40.27\00:27:44.46
that faucet off.
00:27:44.49\00:27:45.76
Ultimately it is up to us,
and that's where it gets into
00:27:45.79\00:27:49.67
how to change permanently,
and change positively.
00:27:49.68\00:27:54.11
A lot of people don't
know how to do that, but we do
00:27:54.14\00:27:56.22
teach people how
do that on subsequent
00:27:56.25\00:27:59.31
"Wonderfully Made" programs.
00:27:59.35\00:28:00.85
Well, we will look
forward to that, Dr. Nedley
00:28:00.88\00:28:02.71
Thank you so much
for being with us today.
00:28:02.74\00:28:04.39
It's been my pleasure, Rise
00:28:04.42\00:28:06.28
I think we can take home
the message to turn off that
00:28:06.31\00:28:08.84
faucet and do it with a smile!
00:28:08.87\00:28:11.01
Until next time...
00:28:11.04\00:28:12.01