"Praise God for I am
fearfully and wonderfully made!"
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That's what the
psalmist, David, exclaimed...
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Welcome to "Wonderfully Made"
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I'm Dr. Jim Marcum
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I'm glad you're taking
time out of your busy schedule
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to be here with us.
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Today we have a very important
topic that affects almost
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everyone in the United States
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The rates of heart
disease, heart attacks,
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and complicated
problems are going UP
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You would not believe
how many people are affected
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by this topic every day.
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We're going to be talking about
"when the heart attacks today"
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I'm so glad to have with
me as my guest, Daniel Miller.
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Dan, thank you for being here...
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Thank you, Jim, nice to be here.
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Well tell me a little bit
about "Heartwise Ministries"
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Heartwise Ministries is a
ministry that has been created
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or naturally come out of
the books that you've produced
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It's a ministry that has
been created to introduce
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a different train of
thought, or line of thinking
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into the health and
spiritual ministry area.
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So it's with health
and it's going into the
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spiritual side... Correct...
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So we're sort of marrying the 2
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together that gives
better understanding... Right
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Well that's great.
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Our topic today is we're going
to talk about a heart attack
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and I understand we've
collected questions from
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all over the world
regarding this tough topic.
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We have, but
before we get into that...
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I've got kind of a snippet...
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I've read some information
and got some statistics
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that are kind of interesting
and I thought you might be
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interested in it.
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In the United
States, every year, we spend
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as Americans, 2.2 trillion
dollars on healthcare per year
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2.2 Wow! That's an
amazing amount to me
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In 2006 alone, we had an
estimated 900,000 heart attacks
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That's almost a
million heart attacks a year
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and we only have 300
million people here. Right...
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So, you know,
you've got 900,000 total
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...break it down, you've
got 600,000 new heart attacks
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300,000 of those are either
2nd, 3rd or 4th heart attack
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So it's a situation where once
you have the 1st heart attack,
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it seems like it's still
being repeated past that point
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Out of this
number, 42% died. 42%?
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That's within about the
first year, right? Right
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Wow, that's an amazing number.
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I mean, it really is staggering
when you think of it...
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just think...
how big is your town?
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Around the world, and
this is another little bit of
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information.. Around the
world, 13 million people die
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of cardiac disease
very year. 13 million... wow
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That's several large
towns rolled into one...
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Yeah, it's just
an amazing number.
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During the first
half of the 21st century,
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we're going to be
looking at 1 billion deaths from
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heart-related conditions.
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I've heard that, and actually
the prevalence every year
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you know, is going up. Right
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So this is a
really important topic,
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and I'm hoping that everyone
out there that's listening
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is going to tune-in because
we don't want you to have
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a heart attack,
and we want you to
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know a lot more
about this subject.
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It seems like it's an epidemic.
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And I don't hear as
much about heart disease,
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as some other more
trendy disease... Right
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And just some of
these statistics are why
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Heartwise
Ministries has been created.
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Wow, well that's great...
It's kind of interesting.
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What we generally
do when we get together
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is take questions from people
around the world basically. Okay
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And we answer
their questions. Okay...
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And we try to give them
an unbiased answer... Correct
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Okay, well good... Let's
go to some of these questions.
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Okay, #1, "I'm a 50-year-old
female with a family history
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of both heart
disease, and breast cancer"
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Both parents suffered
heart attacks in their 50s
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"I worry about my
health all the time"
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"Someone told me my risk
of having heart disease was
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MUCH greater than breast cancer"
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"Which is the greater risk?"
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Okay, and that was
from Chris, in Rome, Georgia
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Well Chris, through the
years, cancer has scared people
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dramatically,
and as it should...
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But the
prevalence's of heart disease,
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cardiovascular disease,
which includes heart attacks,
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strokes, heart failure,
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the funny
heartbeats called "arrhythmias"
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these have been increasing
at far greater rate...
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In fact, in women,
the chance of having
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heart-related disease is
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GREATER than ALL of
the diseases COMBINED!
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Any disease that a
female might have...
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HEART DISEASE is far
greater than all of them...
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And if you look
at the prevalences,
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this is a major
problem in America today...
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we just NOT
talking enough about this.
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Are you telling me
that that's a myth...
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Why is it that the general
public believes other than that?
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Well, I think that, for females,
breast cancer is a scary thing
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...it's very personal
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It affects their whole,
you know their figure...
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It affects the way they look.
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We heard a lot about
this through the years...
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and, so breast cancer
awareness is very high.
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And what we're trying to do is,
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based on the numbers and
statistics, let people know
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that, no... we need to ALSO...
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Now, you know, I'm not
saying we should not focus on
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breast cancer, but we also
need to focus on the treatment,
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prevention and awareness
of cardiovascular disease...
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Does it help Chris, to
worry about the situation?
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No it does not help
to worry about this,
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but it does help to be aware...
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Because when you start being
aware that there's a problem...
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a lot of people out
there think that they're not
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even at risk of
having a heart attack.
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Those are the people
we want to REACH the most.
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And in this show
and in the next show,
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we're really going
to talk about people...
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What can I do right now
in my life that may prevent
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ME from having heart attack,
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and being another
one of these statistics.
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You know, every day I
hear about someone that
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falls over suddenly
from a heart attack...
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whether it be an
athlete, or a personal friend,
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and we can stop this if we...
there are ways to correct that
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...90% of heart
attacks are preventable... 90%
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and only 10%
are purely genetics.
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Well I have heard that
90% of most cardio-disease
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is acquired... which is
basically putting it back in our
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court as far as our
producing that problem.
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So, Chris, I want to
get back to your question...
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As far as which
is the greater risk,
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...Your risk from dying
of heart disease is greater
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than you dying
of breast cancer...
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in general, if there's
no family history... Right
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That's a good question.
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All right, our 2nd
question comes from
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Ray in Flint, Michigan.
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"The other day, while at work,
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I had a funny feeling in
my chest; this occurred after
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I ate lunch but
lasted for several hours. "
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"Could I have
had a heart attack?"
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You know, Jim, my first thought
that goes through my brain is
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...Where did you eat lunch, Ray?
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...Was it, you
know, like at Taco Bell?
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Oh yeah, Ray, I mean
you got some bad food...
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Ray could have gotten...
You never know... too many chips
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I hate to digress, but
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right now, Ray, we're
going to digress a second...
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Did you know that 80 million
people eat fast food every day.
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Ray, you could have had some
indigestion, no doubt about that
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But you ALSO could
have had a heart attack...
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And that brings up... A
lot of people don't even know
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what symptoms of a
heart attack are...
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Dan, do you know
what the symptoms of a
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heart attack would be?
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I would assume
tightness of chest... Yes
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Pain radiating down
your left arm. Um hm
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Shortness of
breath. That's right
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Not able to take a deep breath
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I would assume would be
one of the symptoms. Yeah
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Pain in the back...
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Well, you're doing
pretty good with this, Dan
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You must have been coached a
little bit.. Taking a shot at it
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Well anyway, Ray, any
abnormal symptom that goes on
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for a prolonged
period of time...
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And I've seen just about
everything at practicing as a
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cardiologist... from
chest pain, to chest comfort,
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to numbness in either arm,
to an indigestion-like feeling,
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to sudden shortness of breath,
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to becoming overly
fatigued, and tired...
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But any prolonged symptom
basically above the waist
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COULD be a heart attack.
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And you know, I almost always...
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People will tell me when
they're having a heart attack
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most definitely... they
think something is not right.
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Now the older people,
and diabetics have very
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atypical symptoms...
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Now when I say
"atypical," everyone thinks...
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"Oh, if I'm not
having chest pain,
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I can't be
having a heart attack. "
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But this
indigestion, Ray, you know,
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it might have
been true indigestion,
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or you might have
been having a heart attack.
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So any prolonged symptom
that goes on for several hours
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...that's
unexplained, if I were you, Ray,
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I would get it checked out.
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Now after you ate lunch, that
could have been... acid reflux
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...yeah, it could
have been indigestion
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You know, I have some
people that just pass gas...
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and then it just sort
of gets caught in there
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for a long time, and
they don't know why...
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But I would still,
with these statistics,
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I would want to make sure
I'm not having a heart attack.
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Maybe Ray should pack
his lunch next time...
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just pack a lunch
and not worry about it.
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Let's go to question
#3... from Dave in Idaho
00:10:01.51\00:10:04.68
Dave writes in and he
says, "Is it possible to have a
00:10:04.71\00:10:08.67
heart attack without
any cholesterol blockages?"
00:10:08.70\00:10:11.69
"My buddy and I were
talking about basketball players
00:10:11.72\00:10:14.29
who have died suddenly. "
00:10:14.32\00:10:15.61
"Also, is there a test to tell
WHO will suffer a heart attack?"
00:10:15.64\00:10:19.98
You know, this kind of
goes on all the time...
00:10:19.99\00:10:23.80
We hear of football, basketball,
a lot of young people
00:10:23.83\00:10:27.91
having problems
like this... Right
00:10:27.94\00:10:29.78
Dying on the field...
Is there anything that...
00:10:29.81\00:10:34.78
Yeah, let's sort of break
Dave's question into 3 parts
00:10:34.81\00:10:37.99
Dave, the first thing is...
00:10:38.02\00:10:39.34
Is it possible to have a heart
attack without any cholesterol
00:10:39.35\00:10:43.48
blockages?
00:10:43.51\00:10:44.61
The answer to
that question is "Yes"
00:10:44.62\00:10:46.66
What would be some of the
reasons that would lead to that?
00:10:46.69\00:10:49.41
The most common
reason that we have...
00:10:49.44\00:10:51.69
when there are no
blockages, is a spasm.
00:10:51.72\00:10:54.87
Let me just back up
and for our audience,
00:10:54.90\00:10:56.73
the most common way
we have a heart attack is
00:10:56.76\00:10:59.70
we have the small
cholesterol plaque
00:10:59.73\00:11:02.09
usually less
than 50% in diameter,
00:11:02.12\00:11:04.35
that ruptures. Right
00:11:04.36\00:11:06.32
And, Dan, if I cut you here,
what would you do with your skin
00:11:06.35\00:11:10.64
Start to bleed.
Right, you'd start to bleed,
00:11:10.67\00:11:12.20
but then sooner or later,
you'd start to clot off... Right
00:11:12.23\00:11:15.81
Well, when a
cholesterol plaque ruptures,
00:11:15.84\00:11:17.59
that process is going on
in the artery of the heart.
00:11:17.62\00:11:20.36
Okay, so it's interior. Right
00:11:20.39\00:11:21.93
And sooner or later,
you've got that clot...
00:11:21.96\00:11:23.46
no blood goes out...
that has a heart attack.
00:11:23.49\00:11:25.56
Most heart attacks are like that
00:11:25.57\00:11:27.15
Even in young people
now, they're starting to
00:11:27.18\00:11:29.69
get these plaques.
00:11:29.72\00:11:30.97
Now, what would be
the reason for that?
00:11:31.00\00:11:34.11
Is it because they don't
eat properly? Exercise? Yes
00:11:34.14\00:11:37.21
It's usually
they don't eat well...
00:11:37.24\00:11:39.00
their diets... hypertension,
diabetes, all these things
00:11:39.03\00:11:42.34
that can
contribute to that. Right
00:11:42.37\00:11:44.52
So that's the most common cause.
00:11:44.55\00:11:46.14
Another type of heart
attack is when the arteries just
00:11:46.17\00:11:48.60
gradually builds up with
cholesterol until they're just
00:11:48.63\00:11:51.27
all clogged up.
00:11:51.30\00:11:52.99
But in the young
people, sometimes we have this
00:11:53.02\00:11:55.46
phenomenon called "spasm"
00:11:55.49\00:11:57.32
That's where the artery shuts
down, no blood goes through...
00:11:57.35\00:12:00.70
you have a heart attack!
00:12:00.73\00:12:01.86
Which people are at
higher risk for that?
00:12:01.89\00:12:04.88
If you remember,
several years ago,
00:12:04.91\00:12:07.22
the basketball
player, Lenny Bias
00:12:07.25\00:12:09.32
He was from the
University of Maryland, I think.
00:12:09.35\00:12:11.84
He had drugs in his system that
caused the artery to spasm down
00:12:11.87\00:12:17.00
Drugs can cause
this to happen...
00:12:17.03\00:12:18.74
Methamphetamines...
00:12:18.77\00:12:20.11
Some people that have
cigarettes can have spasm.
00:12:20.14\00:12:22.86
It's been reported that people
that have low oxygen levels
00:12:22.89\00:12:26.14
...you get up really
high, you know, high altitudes
00:12:26.17\00:12:29.16
The have a chance to
have those arteries...
00:12:29.19\00:12:30.62
Maybe exercising
at high altitudes?
00:12:30.65\00:12:32.16
That can cause spasm.
00:12:32.19\00:12:33.75
Now another type of heart
attack that we RARELY see is
00:12:33.76\00:12:36.34
when a blood clot from
somewhere else in the body
00:12:36.35\00:12:39.27
floats into an
artery... so that's a rare one.
00:12:39.30\00:12:41.93
So, Dave, you can have a
heart attack without cholesterol
00:12:41.96\00:12:46.05
blockages even though it's not
the most common way to have it.
00:12:46.08\00:12:49.27
Now what was his next question?
00:12:49.30\00:12:51.33
His other one was...
"Is there a test to tell
00:12:51.36\00:12:54.03
who will suffer a heart attack?
00:12:54.06\00:12:55.43
That's kind of an
interesting question because
00:12:55.46\00:12:57.05
we ALL would like
to take that test...
00:12:57.08\00:12:59.10
No one can tell who is
going to have a heart attack,
00:12:59.13\00:13:02.03
and who doesn't.
00:13:02.06\00:13:03.05
You can be sitting
here fine one second,
00:13:03.08\00:13:05.48
and if you had a
plaque that ruptured,
00:13:05.51\00:13:06.92
you could have a heart attack.
00:13:06.93\00:13:08.01
However, there are things that
put a person at a higher risk
00:13:08.04\00:13:11.75
of having a heart attack.
00:13:11.78\00:13:13.37
We're going to talk about
those a little bit more later.
00:13:13.40\00:13:15.99
Now, getting back to
the basketball players...
00:13:16.02\00:13:18.39
Most of them that die
suddenly don't necessarily
00:13:18.42\00:13:21.15
die of a heart ATTACK.
00:13:21.18\00:13:23.25
They frequently have
these rhythm problems...
00:13:23.28\00:13:25.86
They're called "arrhythmias"
00:13:25.89\00:13:27.13
and it's usually because
they have an abnormal heart.
00:13:27.16\00:13:29.22
Either the heart
has had an infection,
00:13:29.25\00:13:31.00
like a virus that hurts it...
00:13:31.03\00:13:32.51
they have a
congenital abnormality...
00:13:32.54\00:13:34.54
they have some
electrical problems...
00:13:34.57\00:13:36.53
Most of the young people
have these electrical problems
00:13:36.56\00:13:38.87
that predispose
them to dying suddenly.
00:13:38.90\00:13:41.17
What is an electrical problem?
00:13:41.20\00:13:42.73
Well, an electrical
problem is the wires
00:13:42.76\00:13:46.30
that make your heart pump.
00:13:46.33\00:13:47.90
For some reason, you know,
the signals aren't doing well
00:13:47.93\00:13:51.17
and the heart either
pumps too fast, usually...
00:13:51.18\00:13:53.69
doesn't fill up with blood,
00:13:53.72\00:13:55.09
doesn't pump blood to your body
00:13:55.12\00:13:56.56
because the electrical
system is like a series of wires
00:13:56.59\00:13:59.20
doesn't work well... Okay
00:13:59.23\00:14:00.71
Then, you're put out
of rhythm... That's right
00:14:00.74\00:14:03.19
And that's how most of
the young, young people
00:14:03.22\00:14:06.11
pass away suddenly
from heart disease...
00:14:06.14\00:14:08.04
And now, they're even
talking about making athletes
00:14:08.07\00:14:10.54
have some screening
EKGs and maybe even...
00:14:10.57\00:14:13.25
physical, before
they... get into the program
00:14:13.28\00:14:15.63
get into the program...
And it's a big deal...
00:14:15.66\00:14:17.54
you always hear about
a young athlete that dies
00:14:17.58\00:14:19.42
I mean, it always makes
the media attention... Right
00:14:19.45\00:14:22.20
But heart attacks are
FAR more common than that
00:14:22.21\00:14:24.97
phenomena happening...
00:14:25.00\00:14:26.70
So I hope that
answered your question, Dave
00:14:26.73\00:14:29.02
No test to tell for heart attack
00:14:29.03\00:14:30.48
I think that's the
key point for Dave... Okay
00:14:30.51\00:14:32.79
All righty... question #4 is
from John in Newport, Arkansas
00:14:32.82\00:14:39.70
His question is... and if
you'd like, we can break this up
00:14:39.73\00:14:43.19
into 2 or 3
different questions... Okay
00:14:43.22\00:14:44.72
I'll just ask you the
first to start out with... Okay
00:14:44.75\00:14:47.29
"How do cardiologists determine
if you have had a heart attack?"
00:14:47.32\00:14:51.14
And I'm assuming, John, that
you mean an old heart attack"
00:14:51.17\00:14:55.77
If you're having
a new heart attack,
00:14:55.80\00:14:59.19
the way we tell,
is your symptoms...
00:14:59.22\00:15:00.88
are you having symptoms?
00:15:00.91\00:15:02.03
We check your EKG.
00:15:02.06\00:15:03.90
If we're still not sure, there's
some blood work we can do
00:15:03.93\00:15:06.97
to see if there's
been heart damage.
00:15:07.00\00:15:09.05
There's also a sound-wave
test that we can use to see
00:15:09.08\00:15:12.24
if the heart is moving or not.
00:15:12.27\00:15:13.51
Can you visually see that
in one of these tests? Yes...
00:15:13.54\00:15:16.02
We can visually see
whether the heart is moving,
00:15:16.05\00:15:18.08
and if it's having a
heart attack, it's not moving...
00:15:18.11\00:15:20.28
It's that one part of the muscle
that has died doesn't move then
00:15:20.31\00:15:22.58
That's exactly right.
00:15:22.61\00:15:23.65
We can even put dye up in
the arteries of the heart to see
00:15:23.68\00:15:26.69
if it's completely blocked off.
00:15:26.72\00:15:28.45
That's what we
do usually acutely.
00:15:28.48\00:15:32.34
Let's say, Dan, you
come to me and you say...
00:15:32.37\00:15:34.49
"I think I had a heart attack
a week ago... I had a lot of
00:15:34.52\00:15:36.83
chest pain, I stayed at home"
00:15:36.86\00:15:38.48
"You know, I
don't know if I did. "
00:15:38.51\00:15:40.44
Well the first thing I would
do, after taking your history...
00:15:40.47\00:15:42.79
is I would do an EKG... Right
00:15:42.82\00:15:44.62
There are some characteristic
findings on an EKG
00:15:44.65\00:15:47.51
that can tell me if
you had a heart attack.
00:15:47.54\00:15:49.81
Can you have a normal
EKG and have a heart attack?
00:15:49.84\00:15:52.56
Yes, you can!
00:15:52.59\00:15:53.59
So there are some
other tests we can do...
00:15:53.62\00:15:55.58
One that we can do is a
sound-wave test to see if
00:15:55.61\00:15:58.00
that heart was
dead and not moving.
00:15:58.03\00:15:59.65
There's a test where we
can inject a nuclear substance
00:15:59.68\00:16:03.67
that goes throughout the heart
to see if it's been damaged
00:16:03.70\00:16:05.87
Now how does a nuclear substance
I don't understand it...
00:16:05.88\00:16:08.73
What a nuclear substance is...
00:16:08.76\00:16:09.92
We'd start an IV, and we can
put the substance that would go
00:16:09.95\00:16:12.76
inside the heart...
00:16:12.79\00:16:13.78
Why do they call it... "nuclear"
00:16:13.81\00:16:14.98
Because it's radioactive. Okay
00:16:15.01\00:16:16.60
It's a radioactive substance.
00:16:16.63\00:16:17.66
We have a series of cameras
that takes pictures of the heart
00:16:17.69\00:16:21.23
and, depending on how that
tracer goes through the heart,
00:16:21.26\00:16:24.47
it doesn't go to the parts
that have been damaged... Okay
00:16:24.50\00:16:27.56
And it would show
up on our pictures...
00:16:27.59\00:16:28.92
Then I could say,
"Listen, 3 or 4 weeks ago,
00:16:28.93\00:16:31.16
you had a heart attack. "
00:16:31.19\00:16:32.87
So we can tell if
you've had a heart attack...
00:16:32.90\00:16:34.40
and that might even make
us decide to change treatment,
00:16:34.43\00:16:37.49
or even do some
more testing on you.
00:16:37.52\00:16:39.20
But it gives you a benchmark
to start at... That's right
00:16:39.23\00:16:43.21
Okay, the other part
of John's question was...
00:16:43.24\00:16:46.34
He was told by his doctor
that he had had a heart attack.
00:16:46.37\00:16:50.23
He has never felt poorly, and
works construction every day.
00:16:50.26\00:16:57.32
He said, "I put the 20
to 30 year olds to shame"
00:16:57.35\00:17:02.55
Wow, he's a pretty
strong man... Yeah, I guess!
00:17:02.58\00:17:05.14
The main reason he's
writing this question is...
00:17:05.17\00:17:07.50
He says, "I'm 55, and I
was wondering if this would
00:17:07.53\00:17:10.54
be a problem
with my insurance. "
00:17:10.57\00:17:12.11
Well, it could be... it could be
00:17:12.14\00:17:14.11
All the time, I get people
in my office, and they say...
00:17:14.14\00:17:17.83
"Someone has told me
that I've had a heart attack"
00:17:17.86\00:17:20.39
And if you put
that on the insurance...
00:17:20.42\00:17:22.91
you now have a preexisting
medical problem. A record
00:17:22.94\00:17:25.96
So it's really important
to get this cleared up.
00:17:25.97\00:17:28.90
So, John, what I
usually do in this case,
00:17:28.93\00:17:31.57
is say, "I'm not sure whether
you had a heart attack or not,
00:17:31.60\00:17:34.36
but there are
some tests we can do...
00:17:34.39\00:17:35.93
the tests we talked about...
Let's find out if you did.
00:17:35.96\00:17:38.51
Now, unfortunately, if
you did have a heart attack,
00:17:38.54\00:17:41.48
it might affect
your insurance...
00:17:41.51\00:17:43.26
but a lot of times, people
have not had a heart attack
00:17:43.29\00:17:46.16
and we say, "No, it was just
indigestion or something else. "
00:17:46.19\00:17:49.09
Does John have any input,
or is it possible for John to
00:17:49.12\00:17:53.60
ask questions
regarding this before it's put
00:17:53.63\00:17:55.82
onto his past record?
00:17:55.85\00:17:57.95
Yes, that is, but
that's a tricky matter,
00:17:57.98\00:18:01.28
and it really just
depends on your insurance.
00:18:01.31\00:18:04.55
Some insurance
will not pay for this...
00:18:04.58\00:18:06.74
they're paying for the test,
and they usually want to have
00:18:06.77\00:18:09.89
access to it, and every year
when your insurance comes up
00:18:09.92\00:18:13.79
there's some type of
physical and review...
00:18:13.82\00:18:15.60
So it really varies, but it's
hard nowadays to hide something
00:18:15.63\00:18:20.10
from insurance companies...
00:18:20.13\00:18:21.63
And most of them,
will work with you. Correct
00:18:21.66\00:18:24.81
So I hope that
answered John's questions...
00:18:24.84\00:18:27.11
and John is from
Newport, Arkansas,
00:18:27.14\00:18:29.11
weren't you from Arkansas, Dan?
00:18:29.12\00:18:30.66
Yeah, we're from northwest
Arkansas. That's what I thought!
00:18:30.69\00:18:32.86
Appreciate your
bringing that up! Yeah, okay...
00:18:33.60\00:18:37.28
Let's move to the
next question then...
00:18:37.29\00:18:38.47
#5 is from Daniel in Australia
00:18:38.50\00:18:42.93
He says, "My family
moved to Australia years ago"
00:18:42.96\00:18:46.11
He tries to live healthfully.
00:18:46.14\00:18:48.40
He said, "I know my
heart attacks are common"
00:18:48.43\00:18:51.88
Obviously, he has them...
00:18:51.91\00:18:53.78
Or, he said, "I know heart
attacks are common", I'm sorry
00:18:53.81\00:18:57.32
"What should be done if I
think I'm having a heart attack"
00:18:57.35\00:19:02.53
Well, it depends
where you're at... I guess
00:19:02.56\00:19:05.17
I mean, for instance, in your
car... that's one of the worse
00:19:05.20\00:19:08.71
places to have a heart attack.
00:19:08.74\00:19:10.95
Usually, the people that
have heart attacks in the car,
00:19:10.96\00:19:14.89
usually, we don't even know
that they've had a heart attack
00:19:14.92\00:19:18.09
...because they WRECK!
00:19:18.12\00:19:19.97
They wreck and die, and we don't
know exactly what caused it
00:19:20.00\00:19:24.39
...but a lot of wrecks,
unexplained wrecks, could be
00:19:24.42\00:19:27.20
heart attacks... from them Right
00:19:27.23\00:19:29.04
Now, if you think you're having
a heart attack in the car,
00:19:29.07\00:19:32.00
Daniel, the first
thing I would do...
00:19:32.03\00:19:35.10
Okay, the first
thing we'd recommend is...
00:19:35.13\00:19:37.00
The first thing I would
do is PRAY.. I would pray
00:19:37.01\00:19:39.47
I would pray for divine healing.
00:19:39.50\00:19:42.23
Some people, some
naturalists out there say...
00:19:42.26\00:19:45.08
you know... cayenne pepper.
00:19:45.11\00:19:46.24
If you have some cayenne pepper
you might choke that down,
00:19:46.27\00:19:48.79
and that might prevent it... I
don't think that's going to hurt
00:19:48.83\00:19:50.52
But what I think what's
going to help immediately
00:19:51.06\00:19:52.61
is pulling over so you
don't put someone else in danger
00:19:52.64\00:19:56.00
...getting help If
you have a cell phone,
00:19:56.03\00:19:58.55
or can flag someone down... 911
00:19:58.58\00:20:01.16
And in the
process, if you can COUGH...
00:20:01.19\00:20:03.69
Do a lot of FORCEFUL COUGHING
00:20:03.73\00:20:05.51
and DEEP BREATHING, sometimes
that can keep a heart going
00:20:05.54\00:20:09.27
ESPECIALLY if
you're going to get into
00:20:09.36\00:20:11.12
a dangerous rhythm problem.
00:20:11.15\00:20:12.95
What does the coughing
do to affect your heart
00:20:12.98\00:20:15.14
if you're in that situation?
00:20:15.17\00:20:16.36
A couple of things... the
coughing, if you go into a
00:20:16.37\00:20:18.53
dangerous rhythm, the
COUGH could set the heart back
00:20:18.56\00:20:22.17
into a normal rhythm.
00:20:22.20\00:20:25.18
It's sort of like being
defibrillated... Right, it could
00:20:25.21\00:20:27.64
Another thing that the coughing
does is it helps push blood
00:20:27.65\00:20:30.65
up to the brain
so you don't pass out
00:20:30.68\00:20:33.24
because if you're
having a heart attack,
00:20:33.27\00:20:34.67
you want blood to get to
your brain as long as you can
00:20:34.68\00:20:37.86
so you can get help.
00:20:37.89\00:20:39.29
Now there's a narrow window
when you're having a heart
00:20:39.32\00:20:41.15
attack... You could pass
out, you might NOT pass out.
00:20:41.18\00:20:44.58
What does that
involve, the narrow window?
00:20:44.61\00:20:47.32
Well, if you do
happen to pass out...
00:20:47.35\00:20:49.31
that means the blood is
not getting to your head.
00:20:49.34\00:20:51.56
It's a pretty
bad situation. Right
00:20:51.59\00:20:53.56
And it's usually caused, not
so much by the heart being weak,
00:20:53.59\00:20:56.42
but the rhythm that
this damage causes...
00:20:56.45\00:20:58.69
The heart is going so FAST,
blood can't get to your head
00:20:58.72\00:21:01.58
You pass out. Okay
00:21:01.61\00:21:03.27
So, the cough will help
blood get to your head...
00:21:03.30\00:21:05.03
But once you pass out,
you've got about 6 good minutes
00:21:05.06\00:21:08.88
if someone can
restore blood flow,
00:21:08.89\00:21:10.89
you're not going to
have significant damage.
00:21:10.92\00:21:12.43
But after that 6
minute window goes by,
00:21:12.46\00:21:15.52
you're going to have
some serious problems.
00:21:15.55\00:21:17.48
But it's good... I
think, for people...
00:21:17.51\00:21:19.83
You know, we talked earlier how
common cardiovascular disease is
00:21:19.86\00:21:24.02
If you sort of have
a plan in your head...
00:21:24.05\00:21:25.98
You know, a lot of people now,
Have an emergency plan... Right
00:21:26.01\00:21:28.34
They have cell phones
that go with them on the trip
00:21:28.37\00:21:31.34
Even some people that are high
risk, they carry defibrillators
00:21:31.37\00:21:34.40
around, so people would
have that if they do it.
00:21:34.43\00:21:36.53
Now that's if
you're alone. Right
00:21:36.56\00:21:38.62
Now let's say that Dan
is with someone else... Okay
00:21:38.65\00:21:41.86
Well if Dan is with
someone else, that person
00:21:41.89\00:21:43.97
can stay with Dan
and help get that...
00:21:44.00\00:21:46.77
Now, I had a person not
too long ago that was hiking
00:21:46.80\00:21:49.24
far away, and had a heart attack
Out in the middle of nowhere!
00:21:49.28\00:21:52.29
Yeah, but they did have their
cell phone, and they were able
00:21:52.32\00:21:55.30
to activate that and someone
came and got to help them.
00:21:55.33\00:21:57.85
Luckily it wasn't
a bad heart attack,
00:21:57.88\00:21:59.63
and they were live through that.
00:21:59.66\00:22:01.45
So I hope, Dan, that that gives
you a little insight of what
00:22:01.48\00:22:05.23
you can do to sort of
help the situation out.
00:22:05.26\00:22:09.98
All righty... Let's go
on to our next question
00:22:10.01\00:22:13.04
It's from Mary, in Hilo, Hawaii
00:22:13.07\00:22:16.85
Is that how it's pronounced?
Hilo? I have no idea.
00:22:16.88\00:22:18.64
I've never been to Hawaii.
00:22:18.68\00:22:20.61
She says that... "My brother,
Patrick, had a heart attack,
00:22:20.64\00:22:23.72
and he was walking around the
same day in his hospital room. "
00:22:23.75\00:22:26.71
"Why do they keep you in
the hospital for so many days
00:22:26.74\00:22:29.97
after the heart attack?
00:22:30.00\00:22:31.44
I've got a
theory on this... Okay
00:22:31.47\00:22:33.35
I'm convinced that the nurses
totally enjoy you walking around
00:22:33.38\00:22:38.15
with no back on your gown!
00:22:38.18\00:22:40.17
OH, that's not TRUE, Dan!
00:22:40.20\00:22:42.65
You know, to change the subject,
I don't know why they haven't
00:22:42.68\00:22:45.36
invented something a
little bit more modest...
00:22:45.39\00:22:48.23
And if there are
any viewers out there...
00:22:48.26\00:22:49.50
that would be an EXCELLENT
thing to invent... is a gown
00:22:49.53\00:22:52.01
It's very uncomfortable...
00:22:52.05\00:22:53.44
Not only for the person wearing
it, but the person there.
00:22:53.47\00:22:55.76
Let's get back to
Patrick's problem here.
00:22:55.79\00:22:58.09
Mary, they kept
them in the hospital for
00:22:58.12\00:23:00.49
so many days for a
couple of reasons...
00:23:00.53\00:23:01.86
Used to... they kept people
in the hospital for a long time.
00:23:01.90\00:23:05.60
They used to have bed rest,
00:23:05.63\00:23:07.39
and if you
remember, several years ago,
00:23:07.42\00:23:08.78
President Eisenhower, he
had a lot of heart attacks,
00:23:08.81\00:23:11.85
and he was bed
rested for a long time.
00:23:11.88\00:23:14.02
But nowadays, we have all these
00:23:14.05\00:23:15.69
ways to deal with
acute heart attacks...
00:23:15.73\00:23:17.54
For instance, if you're
having a heart attack now
00:23:17.58\00:23:19.57
and get in there
within 5 or 6 hours,
00:23:19.58\00:23:21.75
frequently, we can restore
the blood flow to the heart
00:23:21.78\00:23:24.77
and there's no
damage at all. Right
00:23:24.80\00:23:26.35
...if you get in quick enough.
00:23:26.36\00:23:28.14
We have balloons with stents
in them to open up the arteries
00:23:28.17\00:23:31.06
Sometimes in some
situations around the world,
00:23:31.09\00:23:33.71
they give medicines to
break up the blood clots
00:23:33.74\00:23:36.15
so blood gets through.
00:23:36.16\00:23:37.71
Those instances, people
usually go home fairly soon
00:23:37.74\00:23:40.69
because we've
aborted the damage.
00:23:40.72\00:23:43.00
...And that's what we
call the BATTLE! Right
00:23:43.03\00:23:45.19
The initial battle
of having heart disease.
00:23:45.22\00:23:47.42
In other instances,
Mary, what happens is
00:23:47.45\00:23:51.50
there has been some damage,
00:23:51.53\00:23:52.77
and when there's damage done,
00:23:52.80\00:23:54.32
the heart needs to heal.
00:23:54.35\00:23:55.93
Dan, if you broke your arm, you
wouldn't just start moving it
00:23:55.96\00:23:59.96
the next day... No, not
to work the next day, no.
00:23:59.99\00:24:01.98
Right, you would rest it. Right
00:24:02.01\00:24:03.43
Well the same
principle goes with the heart.
00:24:03.46\00:24:05.87
When the heart is
damaged, we like to rest it.
00:24:05.88\00:24:08.03
We like to keep a
person in bed rest.
00:24:08.06\00:24:10.15
Also, we can
see how things heal.
00:24:10.18\00:24:12.49
Sometimes, in the healing
process, if there's been damage,
00:24:12.52\00:24:15.30
a scar forms, and the
scar itself can generate
00:24:15.33\00:24:18.91
a dangerous rhythm. Okay...
00:24:18.94\00:24:21.06
Because it affects the muscle?
00:24:21.09\00:24:23.59
Well, the scar is in the muscle,
but the electrical system
00:24:23.60\00:24:27.11
used to go through that... Okay
00:24:27.14\00:24:28.73
Sometimes a scar... A
scar blocks the electrical
00:24:28.74\00:24:31.29
rhythm... No, it can generate an
00:24:31.32\00:24:33.50
abnormal rhythm. Okay, okay
00:24:33.53\00:24:35.22
It can generate
an abnormal rhythm
00:24:35.25\00:24:36.47
that can be dangerous to you.
00:24:36.50\00:24:37.55
That usually happens day
3 to 5 from a heart attack.
00:24:37.58\00:24:40.59
Sometimes as the
heart heals, it gets bigger
00:24:40.62\00:24:43.27
and the valves start to leak.
00:24:43.30\00:24:44.86
Sometimes if a muscle is
dead, you could actually...
00:24:44.89\00:24:48.84
a hole could come in it...
00:24:48.87\00:24:50.57
and blood could leak
from chamber to chamber,
00:24:50.60\00:24:52.24
or something that's very
fatal, is if a scar forms
00:24:52.27\00:24:55.38
on the lateral part of
the outside of the heart
00:24:55.41\00:24:57.50
...the heart muscle
itself could rupture,
00:24:57.53\00:24:59.59
and blood could start
leaking out of the heart.
00:24:59.62\00:25:02.16
So what do you do to
protect that once that happens?
00:25:02.19\00:25:05.28
That is usually fatal. Okay
00:25:05.31\00:25:07.82
For instance, if you were...
00:25:07.85\00:25:09.60
and this is something
that is totally unrelated,
00:25:09.63\00:25:11.65
but I thought I'd bring it up...
00:25:11.66\00:25:12.93
If you had something
impaled in your heart,
00:25:12.96\00:25:15.05
okay... like we heard
about the stingray recently
00:25:15.08\00:25:18.50
If you had a stingray
in your heart, okay...
00:25:18.53\00:25:20.93
and it's gone
through the chambers,
00:25:20.96\00:25:22.28
and if you pull that
out, what's going to happen?
00:25:22.31\00:25:24.79
It allows all the blood
to gush out... That's right
00:25:24.82\00:25:26.76
But if you leave that in...
00:25:26.79\00:25:28.11
If you're impaled
and leave that in,
00:25:28.14\00:25:29.59
that at least...
plugs the hole in the dyke
00:25:29.62\00:25:32.42
But if the heart
muscle springs a leak in it,
00:25:32.45\00:25:35.79
what we have to do
IMMEDIATELY is repair that leak
00:25:35.82\00:25:38.79
and that's in open
heart surgery... That's major
00:25:38.82\00:25:41.13
But usually, we can't get
to the patient in time when
00:25:41.16\00:25:43.80
that has happened. Okay
00:25:43.83\00:25:45.26
So, getting back
to Mary's question,
00:25:45.29\00:25:47.04
the reason we do this is
because we want to monitor
00:25:47.05\00:25:49.89
for those side
effects, and also see how
00:25:49.92\00:25:51.69
the patient does with
medications and treatments
00:25:51.72\00:25:54.06
and start educating them on
how to take care of their heart
00:25:54.09\00:25:56.90
Education is probably
the #1 thing... Yes it is
00:25:56.93\00:25:59.53
along with medication... And
that's what Heartwise Ministries
00:25:59.54\00:26:01.60
is about... is
about educating people.
00:26:01.63\00:26:03.33
But not so much that
have the acute thing,
00:26:03.36\00:26:05.32
but chronically.
00:26:05.35\00:26:06.37
We want to prevent
this problem from happening.
00:26:06.40\00:26:07.94
And give them tools,
basically in their toolbox
00:26:07.97\00:26:13.27
to help themselves, because
that's what it's all about.
00:26:13.30\00:26:16.37
...#7 is from Tressa
in Lake Charles, Louisiana
00:26:16.40\00:26:22.34
Lake Charles, I
know where that is.
00:26:22.38\00:26:23.70
She says, "The day after
my 50th wedding anniversary,
00:26:23.73\00:26:26.36
I had a heart attack"
00:26:26.37\00:26:27.58
"Is it possible to
have another heart attack?"
00:26:27.61\00:26:30.59
Yeah, Tressa... in fact, if
you've had a first heart attack,
00:26:30.62\00:26:33.76
the chances of you
having a second heart attack
00:26:33.79\00:26:36.38
is even higher.
00:26:36.41\00:26:37.95
I think that goes back to
our percentages that we were
00:26:37.98\00:26:40.02
talking about when we started
this show, was 2nd, 3rd and 4th
00:26:40.05\00:26:43.58
And what I view, Dan, is I
view the initial heart attack is
00:26:43.61\00:26:47.35
the battle... You know, that's
the battle that has to be fought
00:26:47.38\00:26:50.22
initially... And
usually that battle
00:26:50.25\00:26:52.76
needs modern medicine. Right
00:26:52.79\00:26:54.71
You know, a balloon or stent.
00:26:54.74\00:26:56.16
But then the second
part, is after they cover from
00:26:56.19\00:26:58.51
the heart attack... At
least, Tressa, we never
00:26:58.54\00:27:00.81
want her to have a
heart attack again.
00:27:00.82\00:27:02.62
That's when we
start looking at the war.
00:27:02.65\00:27:04.87
We look at all the things
that could cause or precipitate
00:27:04.90\00:27:08.53
a heart attack...
Different things we can control
00:27:08.56\00:27:11.02
And when you look in the
big picture of things that are
00:27:11.03\00:27:13.30
bothering the world today,
as your statistics have shown,
00:27:13.31\00:27:17.47
heart disease is a WAR!
00:27:17.50\00:27:19.35
It's greater
than any war anywhere!
00:27:19.38\00:27:22.10
And, this needs to be
talked about, thought about,
00:27:22.13\00:27:25.08
and prevented.
00:27:25.09\00:27:26.42
So, what we try to do is get
people to think about the war
00:27:26.45\00:27:28.74
All those causes that might
cause her to have a heart attack
00:27:28.77\00:27:32.03
Interesting...
00:27:32.04\00:27:33.51
Well Tressa, I hope
that answers your question
00:27:33.54\00:27:36.82
And, you know,
Dan, unfortunately,
00:27:36.83\00:27:38.71
we're running out of time in
talking about a heart attack.
00:27:38.72\00:27:40.70
Well, it's been a good time.
00:27:40.73\00:27:41.77
It's been a pleasure,
but I want to leave the
00:27:41.78\00:27:43.69
audience with one thing...
00:27:43.72\00:27:45.03
The more you learn
about this disease,
00:27:45.06\00:27:47.44
the better prepared you
are not only to prevent it,
00:27:47.47\00:27:50.30
but to deal with it.
00:27:50.33\00:27:51.82
And I want to thank
the listeners at this time
00:27:51.85\00:27:54.01
for talking to us.
00:27:54.04\00:27:55.57
Dan, I thank you for
being here on "Wonderfully Made"
00:27:55.60\00:27:57.66
And we want to
keep God in our thoughts
00:27:57.69\00:27:59.32
because we are, INDEED,
Fearfully and Wonderfully Made!
00:27:59.36\00:28:01.33