The following program
presents principles designed to
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promote good health
and is not intended to take
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the place of
personalized professional care.
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The opinions and ideas
expressed are those of the
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speaker. Viewers are
encouraged to draw their
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own conclusions about
the information presented.
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Hello, I'm Dr.
Emerson. I'm Medical Director
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at Eden Valley Lifestyle
Center. And I wanted to
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talk to you today
about hypertension.
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This is actually part of
the insulin resistance syndrome.
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It's part of a package
that we've been exploring
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in the series. Like to
talk to you about a patient
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we had Guam. He was
the president of the
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University of Guam and I
was called to the emergency room
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to see him. He was a VIP and
so I was little bit apprehensive
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about going up. But on
the way up I reviewed his case
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as I was driving up to
the hospital. We've seen him
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a couple of weeks earlier
in the urgent care in a clinic
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and at that his blood
pressure was 220 over 120.
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I said to him you know,
really with this blood pressure
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this high we usually like to
admit you to hospital and try
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to get it down with medications.
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And he said oh
no, no don't do that.
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Anything, can't you do
anything to keep it down here
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in the clinic. Oh, we gave
him a couple of medications.
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His blood pressure did
come down. He did respond.
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We gave him prescriptions
and some medications and
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told him to follow up
with us, because we would need
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to adjust his medications.
Well, he then asked,
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do I have to take
this the rest of my life?
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I said well that depends.
Now if you don't make any
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changes probably so
that would be advised.
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On the other hand, if you
make some changes you maybe able
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to get off your medications.
Well, one of his situations
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at that time he was overweight,
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had a stressful job, he
had a high flesh food intake,
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he smoked, he drank
caffeine, he drank alcohol
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and he got no exercise.
And I said if you would want
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to get off your medicines,
if you make some changes,
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you've a very good chance
of getting off the medications.
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First thing to do would
be to stop the flesh foods
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and get rid of
the animal products.
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Go to a plant based
product. This will lower you
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insulin resistance and start
dropping your blood pressure.
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I told him to start
walking. Walking program will be
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very helpful. Avoid the
caffeine. Stop the alcohol.
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And if you do these things,
you'll find that your mind
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will start clear and you
might have a better experience
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at work which would decrease
your stress level at work.
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Well when I got up to the
hospital, I got to hear the rest
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of the story. He
had again done something
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little bit unusual. He
had actually done everything
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I asked him to do. He
is very type-A personality,
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very motivated. So he actually
took a week off the work
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to make all of these
changes. He'd gone on complete
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vegan diet. He had
stopped smoking. He stopped
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the alcohol. He stopped the
caffeine. He started walking.
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And something he noticed
was that when he returned to
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work about a week
later, his mind was clear and
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he was actually on top of
his job, instead of trying
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to catch up. Putting out
fires, now he was actually
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planning how to
avoid fires in the future.
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His stress level was
markedly decreased and he is
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feeling a lot better.
Well we had told him to call us
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if he made any of these
changes and he started feeling
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lightheaded. Well he
told his wife at one point,
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he says you know, I
was getting out a chair
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I felt lightheaded. She
says well I'll your doctor.
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You know, I said to
call me if he started feeling
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lightheaded. And he said
well I'm going to seem him
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a couple days all.
I'll give him a call then.
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Next day he was
getting out of car,
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opening the trunk
and he has told his wife,
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he said yeah you know I
feel a little lightheaded
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again today. She says
well, give your doctor a call.
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I said give me a call
if you feel lightheaded.
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And he said well. I'm
going to see him tomorrow.
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I'll talk to him about it
tomorrow. Well that evening,
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a very special occasion
at the University of Guam,
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because he was
a president there.
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It was graduation night
and all the faculty was there
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and all the students
were there and all the press
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were there. And he was
handing out diplomas and
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he passed out. Well,
when I examined him there
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I told him you know.
I've some good news and some
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bad news. So the good
news is, as that you've made
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all these changes your
blood pressure has come down
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to normal and you don't
need your blood pressure
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medications
anymore. The bad news is,
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is that you're still taking
your blood pressure medications
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when your blood pressure
was now being controlled
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with your lifestyle and
your blood pressure dropped
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too low and you passed out.
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And I'm sorry you had
to pass out in front of all
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those people, and
that's the bad news.
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But the good news was
as long he stayed on that
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program his blood
pressure stayed normal and
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he didn't need medications.
If he strayed from programs
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right to getting
back on American lifestyle
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which Guam had
adopted since World War II,
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blood pressure
started increasing and
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we needed to get him
back on his medications.
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So, how big a problem
is hypertension in America?
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Well, it's actually one
of the second leading cause
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for office
visits in United States,
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accounting for about nine
percent of all office visits.
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And it's also one of the
most common class of drugs
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that are prescribed for
hypertension medications.
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We find that in America
blood pressure as people get
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older increases and the
prevalence and incidence
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increases as we get older.
Especially with men actually
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over age 65 blood
pressure is over160 over 85
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or common in fact more
than half of men over age 65
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have blood
pressures in that range.
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Women also have blood
pressures increasing as time
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goes on as they get older.
American blacks tend to get
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high blood pressure
sooner and more frequently
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than the whites
or even Hispanics.
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Is this because
they are more sick?
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Actually as we're
gonna find out later on
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high blood pressure is
a response to a disease
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circulatory system. A
system that is being blocked,
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blocked up and
clogged up and narrowed.
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And hypertension
is a response to this.
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Blocks being generally
more muscular, more strong,
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react more violently to
this diseases vascular problem
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with a higher blood pressure.
Unfortunately it causes
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complications, which
we're gonna talk about as well.
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Now we used to think
high blood pressure was a part
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of aging. We used to have
a formula of what a normal
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blood pressure was and
it included your age in that
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formula. It determined
what a normal or expected
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blood pressure was
or would be for you.
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However in later years we
found that in countries that
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are on vegan type
diet or plant based diet,
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the Third World countries
blood pressure does not
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increase with age. So,
what we find in American
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is that blood pressure doesn't
necessarily increase with age,
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it increases with the
length of time you're on the
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American diet. That's the
problem with blood pressure.
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We find that in China. There
are three aboriginal groups
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in China that basically subsist
on cereals and vegetables
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blood pressure stays the
same throughout the lifetime.
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In Kenya nomads
consisting mainly of milk,
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the blood pressure stays
the same throughout their
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lifetime as well. In
urban Africa, we find
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that blood pressures are high
and rise again significantly
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with age. But in the
tribal African areas,
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blood pressure stays
the same, no matter how old
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they get. It stays constant.
In fact urban Africa weight
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is also a problem, but in
the tribal communities its not.
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Now we had a problem at
one point, a lady came to us
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in Guam and she was
complaining that her
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blood pressure was high
and that she should be getting
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workmen's compensation
for it. Because it was her job
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that was stressing
her out and causing her
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blood pressure to be too
high. I was kind of thinking
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that if I give her workmen's
compensation then half of Guam
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would be needing
workmen's compensation.
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What we found in the
literature actually was that
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with people with
Hypertension, stress does
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cause the blood
pressure to go higher,
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but it's related to
their vascular problem which
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we gonna look at
little bit later.
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And that a normal person
under stress blood pressure
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will go up, but if
they don't have Hypertension
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blood pressure
doesn't go up as high.
00:10:26.36\00:10:28.11
So I shared with her
that your stress can cause
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blood pressure to go up
but if we get to the underline
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problem of why you have
Hypertension to begin with,
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stress will not
cause it to go as high.
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I said you know in tribal
Africa, they're under stress.
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When they've tribal
wars, they're afraid to go the
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bathroom behind a
tree because they're afraid
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their enemy is gonna
come up and kill them.
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I said now that's stress and
they don't have Hypertension.
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And anyway I didn't give
her workmen's compensation.
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Now among vegetarians
here in United States,
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we find that blood pressure
also does not rise with age,
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stays very constant.
However on the American diet,
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blood pressure does rise.
In Third World communities
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where stroke and
heart disease is fairly rare
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and they eat plant based diets,
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again their blood
pressure stays fairly constant,
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strokes, heart
attacks are virtually unknown.
00:11:28.44\00:11:30.48
But in America blood pressure
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rises from the
teens to the 70's.
00:11:32.63\00:11:37.69
So, another question we
would like to ask is, is
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Hypertension genetic?
Is this one of the problems
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that we really can't
address because we don't know
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how to change genetics?
Again we look at the African
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cultures and the tribal
Africans blood pressures today
00:11:56.83\00:12:01.72
are still in the normal healthy
range but their ancestors
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who came over to
America centuries ago,
00:12:05.35\00:12:08.07
their blood
pressures are very high.
00:12:08.43\00:12:10.03
Some are genetics
different environment.
00:12:10.32\00:12:12.34
And we find today that
when blacks move from their
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tribal communities to
urban areas in the cities,
00:12:16.58\00:12:20.99
blood pressures go up,
obesity becomes a problem,
00:12:21.72\00:12:24.83
atherosclerosis becomes
a problem and they develop
00:12:24.84\00:12:27.66
our problems that
we've in the western culture.
00:12:27.91\00:12:31.85
Well, some may say
you know, I feel okay,
00:12:33.12\00:12:36.40
why should I try to
bring my blood pressure down?
00:12:37.89\00:12:40.95
Well Hypertension does
increase your risk of morbidity
00:12:42.41\00:12:47.41
and mortality,
Morbidity meaning sickness,
00:12:47.42\00:12:49.76
Mortality of
course meaning death.
00:12:49.77\00:12:51.44
What they found is that
if you have Hypertension
00:12:52.27\00:12:54.68
your chance of dying of anything
is usually twice as great.
00:12:55.72\00:12:59.53
You've two times of chance
of closure in left artery,
00:13:00.59\00:13:03.66
artery
narrowing in climbing off.
00:13:03.91\00:13:06.27
You've three times of chance
of dying of a heart attack.
00:13:06.64\00:13:09.08
Four times of chance
of dying of heart failure,
00:13:09.99\00:13:12.55
where the heart can no longer
pump effectively to do the
00:13:12.56\00:13:15.23
job that it needs to do.
Seven times a risk of a stroke.
00:13:15.24\00:13:19.37
And these are all risks with
Hypertension and are usually
00:13:22.34\00:13:26.75
a result of years of the effects
of Hypertension on the body.
00:13:26.76\00:13:31.70
It's usually not
considered an acute problem,
00:13:33.51\00:13:37.17
because friends
since weightlifters
00:13:39.72\00:13:41.90
when they're pressing their
weights their blood pressures
00:13:42.01\00:13:45.31
can get up to 300 to 400
systolic and they don't have
00:13:45.32\00:13:49.66
strokes or heart
attacks because they got
00:13:49.67\00:13:51.20
healthy arteries. But
you combine the Hypertension
00:13:51.21\00:13:54.76
with unhealthy
arteries then you have problems.
00:13:54.77\00:13:58.09
Are there other risk
factors for heart diseases,
00:14:01.09\00:14:04.37
heart attacks and strokes?
Yes. Hypertension is just
00:14:04.59\00:14:08.59
one risk factor. And now
risk factor is something that
00:14:08.83\00:14:11.10
increases your risk
of a certain disease.
00:14:11.11\00:14:14.94
Other risk factors
include being a male, male sex,
00:14:15.90\00:14:23.30
older age, race, smoking,
high cholesterol levels,
00:14:23.53\00:14:29.97
and diabetes is a very
strong risk factor, obesity,
00:14:30.73\00:14:34.25
stress, physical inactivity.
These are all risk factors.
00:14:34.77\00:14:38.90
Some of them are
major risk factors.
00:14:39.07\00:14:41.52
Last ones I mentioned
are more minor risk factors,
00:14:42.06\00:14:44.59
like physical
inactivity and stress.
00:14:44.60\00:14:46.98
How do these
risk factors combine?
00:14:49.22\00:14:51.46
Well, if you just have for
instance high blood pressure,
00:14:52.28\00:14:55.60
five, the ten year
risk of heart attack,
00:14:56.38\00:15:00.26
be lessen about five
percent. However if you had
00:15:00.82\00:15:04.64
other risk factors to
Hypertension such as high
00:15:04.79\00:15:07.30
cholesterol or a low HDL,
which is a good cholesterol
00:15:07.31\00:15:12.43
or diabetes, cigarette
smoking, and then large heart,
00:15:12.92\00:15:18.30
as you add each risk factor
to the previous ones your risk,
00:15:18.95\00:15:23.94
your ten year risk of heart
attack increases dramatically,
00:15:24.16\00:15:26.99
so that if you have
all of those risk factors,
00:15:27.41\00:15:29.91
your risk of heart
attack or stroke in ten years
00:15:29.92\00:15:32.20
about 60 percent. So
generally physicians will
00:15:32.43\00:15:38.13
work with you to try to
decrease those risk factors,
00:15:38.14\00:15:42.06
decrease your chance of
getting those complications.
00:15:42.07\00:15:45.50
Well blood pressure what
is it, and how low is safe?
00:15:48.59\00:15:52.20
Well, blood pressure is
the pressure in your arterial
00:15:54.65\00:15:59.71
walls that occurs
after the heart contracts.
00:15:59.72\00:16:02.96
When the heart contracts
it shoots blood out of left
00:16:02.97\00:16:06.26
ventricle into the aorta.
The aorta, if its healthy will
00:16:06.27\00:16:09.03
actually stretch and
expand and when the heart then
00:16:09.04\00:16:13.53
relaxes the aorta starts
contracting and the aortic valve
00:16:13.54\00:16:18.81
prevents blood from
going back into the heart and
00:16:19.12\00:16:21.24
helps keep the blood
pressure up so it can profuse
00:16:21.25\00:16:24.53
to rest of the body. The
aorta will continue to contract
00:16:24.54\00:16:27.99
until the heart relaxes
and then expands and then gives
00:16:28.00\00:16:32.76
another squeeze and pushes
out another ejection of blood.
00:16:32.77\00:16:35.67
The peek is called your
systolic blood pressure.
00:16:36.13\00:16:38.70
The drop of the blood
pressure between beats,
00:16:39.44\00:16:42.39
the low part is called
the Diastolic Blood Pressure.
00:16:42.46\00:16:45.22
What's normal? Well high normal
is considered 140 over 90,
00:16:46.46\00:16:50.52
but if you check the
literature that is not optimal.
00:16:51.72\00:16:56.78
Optimal is less
than 120 over 90.
00:16:57.02\00:17:00.58
And how do you get
optimal blood pressures?
00:17:01.78\00:17:04.72
Well, there are
lifestyle approaches which we're
00:17:07.06\00:17:13.56
going to talk about
shortly, ways of getting your
00:17:13.57\00:17:17.96
blood pressure down.
Typically medications are given
00:17:17.97\00:17:21.87
but again many cases these
can be avoided or eliminated
00:17:22.50\00:17:26.58
if we approach it from
a lifestyle point of view.
00:17:26.93\00:17:29.25
What's a difference
between optimal and normal or
00:17:34.51\00:17:37.85
again high normal 140
over 90, optimal 120 over 80
00:17:37.86\00:17:43.48
or less? If a person
has a diastolic of 90,
00:17:43.49\00:17:50.56
they have what would be
called an average risk of
00:17:51.07\00:17:53.91
a stroke or heart attack.
If they get that blood pressure
00:17:53.92\00:17:57.97
from 90 down to 80
with lifestyle approach,
00:17:58.81\00:18:01.52
their risk of heart attack
and stroke is cut in half.
00:18:02.03\00:18:05.18
So going from normal to
optimal can cut your risk of
00:18:05.56\00:18:09.18
heart attack or stroke in
half. And there are countries
00:18:09.20\00:18:14.25
where this is
normal, 120 over 90,
00:18:14.56\00:18:17.83
or even less is normal.
As I was doing a medical,
00:18:18.14\00:18:26.83
some medical training in
one of our little Adventist
00:18:27.78\00:18:32.21
clinics down in
Mexico, took two weeks and went
00:18:32.22\00:18:35.34
down there, I was helping
the little country a physician
00:18:35.35\00:18:38.43
down there and he had
just delivered baby and I think
00:18:38.44\00:18:42.49
he is trying to
find something from me.
00:18:42.50\00:18:43.65
He says why don't you go
and check her blood pressure.
00:18:43.66\00:18:45.52
And I went and I
checked her blood pressure.
00:18:45.88\00:18:47.57
I came out and I was shocked.
00:18:47.58\00:18:48.97
I said her blood
pressure is 90 over 60.
00:18:48.98\00:18:51.77
She must be hemorrhaging.
And he looked over me
00:18:51.78\00:18:54.13
and he smiles and says
they are all 90 over 60
00:18:54.14\00:18:57.02
down here because they
are all on plant based diet.
00:18:57.03\00:19:00.01
They couldn't afford meat
products and that's why their
00:19:00.02\00:19:02.47
blood pressure ran.
They've actually shown that the
00:19:02.48\00:19:05.65
lower you get your blood
pressure if it's with lifestyle,
00:19:05.66\00:19:08.35
the less your risk of
heart attacks and strokes.
00:19:08.74\00:19:10.95
High blood pressure can
also cause problems such
00:19:13.18\00:19:16.39
as kidney failure. The higher
your blood pressures overtime,
00:19:16.40\00:19:22.09
the higher your
risk of kidney failure.
00:19:22.53\00:19:24.41
And this is a very
real problem. We had a black
00:19:25.48\00:19:29.50
woman coming to
the emergency room.
00:19:29.51\00:19:32.75
Young girl in her 20s
blood pressure is very high.
00:19:32.76\00:19:35.87
We started her on a couple
medications and we're trying
00:19:36.73\00:19:39.77
to get her, we got her
blood down in the hospital.
00:19:39.78\00:19:42.21
And I share with her. I
said you've got very high
00:19:42.22\00:19:43.92
blood pressure. We
need you do workouts and
00:19:43.93\00:19:46.07
we need to get you
started on some medications
00:19:46.08\00:19:47.96
and continue to follow you
and make sure blood pressure
00:19:47.97\00:19:49.93
is controlled. Well I
think we saw her one time in the
00:19:49.94\00:19:52.85
office afterwards
and she stopped coming.
00:19:52.86\00:19:55.54
We then saw her about
a year and half later.
00:19:57.92\00:20:00.07
She is in emergency
room and now she had again
00:20:00.28\00:20:03.78
very high blood pressure
but her kidneys were in failure.
00:20:03.90\00:20:06.65
We got her blood
pressure down but we were unable
00:20:07.15\00:20:10.58
to get her kidney
function, to be restored and she
00:20:10.59\00:20:14.69
went on dialysis, young girl.
It's tragic, now on dialysis.
00:20:14.70\00:20:19.41
So blood pressure is
something to take seriously
00:20:21.08\00:20:23.86
and to get it
addressed if it is elevated.
00:20:23.87\00:20:26.28
In Guam, we had some
wonderful toping nurses
00:20:30.07\00:20:37.00
there but I was always
kind a worried about how
00:20:37.15\00:20:41.64
technical proficient
they were coming from America
00:20:41.65\00:20:43.99
of course as I had
them. And one of the problems
00:20:44.00\00:20:46.42
was they would get their
blood pressure and whenever
00:20:46.43\00:20:49.51
I would take the
blood pressure in the room,
00:20:49.52\00:20:51.66
blood pressure is always
10 points higher and I thought
00:20:51.71\00:20:54.02
can't these nurses
take the blood pressures.
00:20:54.03\00:20:56.53
And then I read about
the white Coat Syndrome.
00:20:57.16\00:21:00.87
White Coat Syndrome is
very well documented that
00:21:01.45\00:21:03.61
when nurse takes a
blood pressure for the first
00:21:03.62\00:21:06.34
four visits, blood
pressure generally 10 to 13
00:21:06.35\00:21:09.54
points higher. When
the physician takes it,
00:21:09.55\00:21:12.34
it runs anywhere as
high as 22 points higher.
00:21:12.68\00:21:15.65
Now this effect will attenuate
after about four minutes
00:21:15.83\00:21:18.72
of the visit. We've also
found that the effect of the
00:21:18.73\00:21:25.50
White Coat Syndrome that
will also usually go away
00:21:25.51\00:21:29.43
after the fifth visit
once the patient gets familiar
00:21:29.44\00:21:32.15
with the
physician and the nurse and
00:21:32.16\00:21:33.71
then no longer
seems to be a problem.
00:21:33.72\00:21:36.87
Well the question then
comes up what essentially
00:21:39.60\00:21:42.13
causes Hypertension or
Essential Hypertension?
00:21:42.35\00:21:45.84
Essential Hypertension
is a term used for the
00:21:46.22\00:21:49.51
blood pressure
elevation we see in 95 percent
00:21:49.68\00:21:53.51
of patients. There is a
five percent of the people
00:21:53.52\00:22:01.24
that have Hypertension
that's caused by something else.
00:22:01.25\00:22:03.60
Either Hyperthyroidism
or Renal Artery Stenosis or
00:22:03.61\00:22:08.61
an Endocrine Tumor or
something of this nature can
00:22:09.71\00:22:11.60
cause Hypertension as
well. But 95 percent of patients
00:22:11.61\00:22:15.48
is what they call Essential
Hypertension and that is
00:22:15.49\00:22:18.16
what responds most
readily to a vegan type diet.
00:22:18.17\00:22:24.54
So what causes
Hypertension anyway?
00:22:25.35\00:22:27.11
Well we go back to the
Insulin Resistance Syndrome
00:22:27.64\00:22:31.41
and we'll be talking a little
bit more about this in our
00:22:31.42\00:22:33.78
next talk on
Hypertension. But in general,
00:22:34.01\00:22:37.68
briefly the insulin, its
job in is to get sugar from the
00:22:37.98\00:22:46.01
intestines into the
cells to get burned.
00:22:46.02\00:22:49.40
So part of what insulin
does is a key and it opens a
00:22:49.80\00:22:53.18
little door to the
cell and opens a cell,
00:22:53.19\00:22:55.09
allows sugar to leave the
blood go into the cell and
00:22:55.27\00:22:57.48
get burned and that
brings your blood sugar down.
00:22:57.49\00:22:59.69
The other thing that insulin
does is it dilates arterioles
00:23:00.35\00:23:04.22
to help the blood flow,
get from the intestines to the
00:23:04.39\00:23:07.70
kidney or wherever
else it needs to get to.
00:23:07.95\00:23:10.55
This is, has been
demonstrated in many tests
00:23:13.07\00:23:18.09
and they've actually
found the mechanism by which
00:23:19.10\00:23:21.12
insulin dilates arterioles.
It's a same mechanism
00:23:21.49\00:23:25.02
by which nitroglycerin
under the tongue dilates
00:23:25.03\00:23:27.77
arterioles. Insulin goes
into the arterioles and there
00:23:28.03\00:23:33.62
are little endothelial cells
lining arterial walls insulin
00:23:33.63\00:23:36.74
stimulate search those
endothelial cells to release
00:23:36.75\00:23:40.01
Nitric Oxide Synthase
which changes Arginine into
00:23:40.35\00:23:44.71
Nitric Oxide and that's
similar to the Nitroglycerin
00:23:44.84\00:23:48.49
that you put under your tongue,
00:23:48.50\00:23:49.47
and that nitric oxide
dilates the arterioles and gives
00:23:49.48\00:23:53.31
you laser dilation.
They have done tests where
00:23:53.32\00:23:58.43
they have measured nitric
oxide levels after infusions
00:23:58.44\00:24:02.30
of insulin and found the
nitric oxide levels increase
00:24:02.31\00:24:04.90
in a dose-dependent
way. This was true in both
00:24:05.97\00:24:11.30
venous vessels and
also arterial vessels.
00:24:11.97\00:24:17.12
It was also shown to be true.
00:24:17.13\00:24:18.92
In patients with type 2
diabetes this relationship is
00:24:22.05\00:24:25.42
disturbed. And even in
non diabetics patients said
00:24:26.56\00:24:30.49
are obese, have Hypertension
this insulin resistance
00:24:30.50\00:24:34.11
prevents the insulin from
dilating those arterioles.
00:24:34.53\00:24:38.86
So, insulin stimulates
nitric oxide release and causes
00:24:42.02\00:24:48.31
laser dilation and this
in turn helps blood flow.
00:24:48.32\00:24:53.24
What can block this
effect? Insulin resistance can
00:24:56.75\00:25:00.10
block this effect. So
that insulin no longer has that
00:25:00.11\00:25:03.69
laser dilatory
effect that it had before.
00:25:03.70\00:25:06.44
And this can cause Hypertension.
00:25:07.99\00:25:10.56
We're going to look into this
in more detail in our next talk
00:25:11.71\00:25:15.60
on Hypertension. But in
brief the kidneys get blood
00:25:15.61\00:25:21.64
flow from the heart and in
fact these little organs get
00:25:21.65\00:25:26.80
about 25 percent of
your total blood flow out of
00:25:26.81\00:25:30.00
the heart. When there
is no insulin system shows
00:25:30.01\00:25:34.25
arterioles are nice and
open and there is a good blood
00:25:34.26\00:25:36.70
flow through the
kidneys. When there is insulin
00:25:36.71\00:25:39.52
resistance on the other
hand, the kidneys say you know
00:25:39.53\00:25:42.09
at a blood pressure 120
over 80, I'm not getting the
00:25:42.10\00:25:44.23
blood flow I need I'm
going to turn the blood pressure
00:25:44.24\00:25:47.09
thermostat up. So
hangs on the salt water,
00:25:47.10\00:25:50.58
blood pressures rise,
the perfusion through the
00:25:50.59\00:25:54.87
kidney improves to some extent.
00:25:55.06\00:25:57.70
And the kidney says
well this is a better.
00:25:58.57\00:26:00.27
I'm gonna leave this new
blood pressure thermostat
00:26:00.37\00:26:02.59
let's say 160 over a
100. And it maintains this
00:26:02.60\00:26:07.43
as long as there is
that, there is our construction
00:26:07.60\00:26:11.88
from the insulin resistance.
We find that patients who go
00:26:12.14\00:26:18.57
on a plant based diet
usually take a week or two the
00:26:18.58\00:26:22.89
arterioles open up and
you get better perfusion and
00:26:22.90\00:26:26.31
the kidney says oh
no the blood pressure of
00:26:26.32\00:26:28.12
160 over 100 I'm
getting too much flow I can go
00:26:28.13\00:26:33.37
ahead and turn down the
blood pressure thermostat.
00:26:33.38\00:26:36.82
Gets rid of the extra
salt and water, many times
00:26:37.19\00:26:40.51
people with edema on the
legs usually takes about a week
00:26:40.52\00:26:43.54
and their edema can
go away. That's something
00:26:43.55\00:26:45.40
we see commonly in
people that make these
00:26:45.41\00:26:47.43
lifestyle changes. And
then the blood pressure drops
00:26:47.44\00:26:52.06
and many times we can
get them off the medications.
00:26:52.30\00:26:55.92
This is something that
can be done at home but again
00:26:57.66\00:27:01.26
its good to be working
with your physician so that he
00:27:01.27\00:27:03.60
can adjust your
medications if indeed your
00:27:03.61\00:27:07.01
blood pressure starts
to respond to this and help
00:27:07.02\00:27:10.48
prevent you from
passing out like our university
00:27:10.49\00:27:14.86
president did at the
beginning of our talk.
00:27:15.10\00:27:17.01
Plant based foods tend
to take anywhere from three,
00:27:18.53\00:27:22.69
seven, fourteen days
before we see this response
00:27:23.27\00:27:26.96
but its good to get blood
pressure cuff of your own.
00:27:27.36\00:27:29.97
Monitor your blood
pressures and as you see changes
00:27:29.98\00:27:32.78
stay in touch with
your physician and monitor
00:27:33.04\00:27:35.54
that blood pressure and
make the adjustments as needed.
00:27:36.07\00:27:38.95
Next time we're going to
be talking more about the
00:27:40.32\00:27:42.50
mechanisms by which a
plant based diet helps alleviate
00:27:42.51\00:27:46.58
hypertension, and some
of the studies done by a
00:27:46.95\00:27:50.34
famous
physiologist Arthur Guyton to
00:27:50.70\00:27:53.07
demonstrate this.
We're hoping you can
00:27:53.41\00:27:57.28
join us with, join us at
that time and pray that you can,
00:27:57.29\00:28:03.79
if you have
Hypertension you might
00:28:03.92\00:28:05.18
experience Gods
healing. Thank you.
00:28:05.19\00:28:07.15