Participants: Dr. James Marcum (Host), Dr. Carlton Vollberg
Series Code: BRX
Program Code: BRX00023B
00:03 Welcome back to Bible RX.
00:04 Today we have been talking about all sorts of interesting
00:08 things and we were just talking about hormones
00:10 with Dr. Carlton Vollberg.
00:12 Carleton I want to ask you this big question.
00:14 On the Internet I seen that I can prevent getting old
00:17 and having problems if I take growth hormones.
00:19 Right, now growth hormone is something we talked about
00:23 the lack of information where testosterone was concerned
00:26 and even some of the misinformation, and conflicting
00:29 information where estrogen is concerned.
00:33 There is even less information right now on growth
00:36 hormones for anti-aging.
00:37 I personally would stay away from growth hormones for
00:40 anti-aging purposes right now.
00:42 More research needs to be done and I would be very, very
00:45 careful, we just don't know all the inns and outs.
00:49 A growth hormone makes things grow so it can make bad
00:52 things grow too so you need to be careful.
00:54 I always get concerned about, God didn't really make us
00:58 to have a lot of these things in our bodies.
01:00 That's right and we have to look at that, how much of this
01:03 was the original design, how much of it has been affected
01:07 by a sinful nature, do our hormones trail off because
01:10 we are only given 70 to 80 years to live?
01:12 Maybe if we take some hormones is it going to help us feel
01:15 better longer, many of these questions just need to be
01:17 answered, we don't have all the information yet.
01:19 You know what really bothers me is this, it gets in my
01:22 crawl sometimes, we always focus on these sensationalists
01:25 and sensationalistic treatments that are out there.
01:28 We see it on the Internet where they are promoting, and I
01:31 think that is one of the reasons Bible RX is so popular.
01:33 One we don't promote drugs, we don't promote any
01:36 individuals, we just promote biblical treatments.
01:39 We don't focus back on the common sense like vitamin D,
01:42 walking and exercise.
01:44 Well that is true, and if you think about it there is
01:46 a lot of money to be made in anti-aging.
01:48 So that is another thing to consider when you are making
01:51 a decision on what you are going to use.
01:53 People are making a lot of money and it is usually cash.
01:56 So just be very careful, I'm not saying that all anti-
01:58 aging is bad, I'm saying there is a lot of stuff out there
02:01 that you need to be careful with.
02:03 Well let's move on to our next question in our next question
02:07 involves a term called hypertension.
02:09 High blood pressure.
02:10 This person has had three different measurements one is
02:14 160/80, 160/100, and their doctors suggestion is that
02:18 they might need to be on medication.
02:19 Their question to us at Heart Wise Ministries is
02:23 what is high blood pressure?
02:24 I'm sure that I worry about this and his friend told him
02:27 it is a silent killer.
02:28 So let's talk about the silent killer first.
02:31 What is a silent killer all about?
02:33 Well basically what this is referring to, but silent
02:35 killer, is blood pressure that has been elevated for
02:38 a period of time and people do not realize it because
02:40 they are not checking it and not getting their annual
02:43 physical like we talked about earlier.
02:44 They may come in at the age of 55 and may have a 160/110
02:47 blood pressure in their blood pressure may have been up
02:50 the last 15 years and they didn't know about it.
02:53 Then we do an EKG and they have left ventricular
02:56 hypertrophy, or they have some other finding and
02:58 they're physically exam that indicates they have had
03:01 long-standing blood pressure and it has already
03:02 started doing some damage.
03:03 They've got protein in their urine because the kidneys
03:07 are being damaged by the high blood pressure and so in
03:10 this case they'd want to start thinking about some
03:13 treatment or intervention of some sort.
03:15 If we catch the blood pressure early on and there aren't
03:19 any signs of damage, then basically what we can do is put
03:22 somebody on a lifestyle program.
03:24 Maybe restricting salt, getting some exercise, getting the
03:28 fat content in their diet down, some commonsense things.
03:32 Drinking more water and so forth.
03:34 If those things don't work generally we will put somebody
03:36 on some blood pressure medication but we would
03:39 have some room to work with if we catch early.
03:41 When we catch them in their 55 and has been going on for
03:44 10 years and they have damage going on with pretty well have
03:46 put them on some medication.
03:48 So I can have high blood pressure and not necessarily
03:51 have a red face and a headache?
03:52 Absolutely, in fact headache is a poor indicator of high
03:56 blood pressure, many people have headaches and have very
03:59 low blood pressure, sometimes people have headaches with
04:02 very high blood pressure.
04:03 Did the pain cause the blood pressure to go up?
04:05 Did the blood pressure cause the headaches to start?
04:07 We don't know.
04:08 So when people come in and say I have been having
04:10 headaches and I am wondering about my blood pressure,
04:12 it may have no relationship with their blood pressure.
04:14 Just because your face isn't red and just because
04:17 you don't have a headache does not mean
04:18 you have elevated blood pressure.
04:20 Now let us define what is elevated blood pressure?
04:24 Anybody with a blood pressure reading of 140/90 is
04:28 considered to have high blood pressure.
04:29 Now what about somebody 139/89?
04:32 And they will say I don't have high blood pressure.
04:34 Well, you probably do, it is probably going up and
04:36 you need sequential measurements to see.
04:39 Somebody may have a 139/89, maybe they just had a bad
04:43 day at work, maybe they got fired, maybe something
04:46 horrible happened to them in their blood pressure
04:49 went up for that reason.
04:50 You need to get a couple of different readings and if
04:53 the rest of the readings are normal say 110/70,
04:55 or 110/80 then maybe they don't have the high blood
04:58 pressure but it bears being watched.
04:59 Certainly anybody that is around that 140/90 should be
05:03 checked sequentially to make sure it is not staying up.
05:06 Now if it is sequentially up and they don't want to take
05:09 a medication to start with what are some options
05:11 they can in lower it without taking the medication?
05:13 The best thing we all can do is get more exercise.
05:17 We need to try to get at least 45 minutes to an hour,
05:20 four to five days a week of good exercise.
05:23 You need to work this out with your doctor to make sure
05:25 that you have been checked appropriately before you start
05:27 your exercise program.
05:29 We don't want anybody dropping over.
05:30 But if you had a good EKG and stress tests and your doctor
05:33 says I think it is fine for you to exercise, try to get
05:35 four to five hours a week in of aerobic exercise.
05:39 The study shows it drops your blood pressure and it will
05:41 drop weight, dropping weight drops blood pressure.
05:44 All those things help, likewise it reduces stress, it will
05:48 help your cholesterol, all those things.
05:51 What is this phenomenon that I suddenly sometimes hear
05:54 about white coat hypertension,
05:56 or white coat blood pressure?
05:58 That is basically where people go into a doctors office
06:01 and they will get their blood pressure checked and its
06:05 140/90 or 150/90, oftentimes I will go back and re-check
06:09 it yet after that and it is even higher, its 160/100.
06:12 They will say you are making me nervous, you are making
06:14 my blood pressure go up.
06:16 Every time they come into the office their
06:18 blood pressure is always up and so they get labeled as
06:20 having white coat hypertension.
06:22 The problem is we really don't know what to do with
06:24 white coat hypertension, but most people probably believe
06:27 that if your blood pressure is up every time you are in
06:30 the doctors office, and if you have three readings in a
06:33 row that are elevated, you probably should be treated.
06:36 Now that patient may say I swear to you at home it is
06:39 100/60 and it is only high when I come in here.
06:41 It's not a majority of patients, it is a minority,
06:44 but I have a few patients that every time
06:46 they are in the office it is up.
06:47 You can do an ambulatory blood pressure Monitor on these people
06:50 and if you hook them up to a 24 hour monitor you can get
06:53 an idea of what they are running during the daytime,
06:55 and also what they are running at night.
06:57 Sleep apnea is also another big thing.
07:00 What is sleep apnea?
07:01 Sleep apnea is where your airway obstruction is at night.
07:04 Either you have a redundant palette in the back of your
07:07 throat, you are mostly heavy set people or you have
07:11 a recessed chin and what happens is their
07:13 oxygen levels fall at night.
07:15 Their heart has to work harder, it strains and
07:18 consequently, because of the drop in oxygen, their blood
07:23 pressure goes up, trying to work little harder.
07:25 These people oftentimes will develop hypertension,
07:28 so sleep apnea is probably one of those things you will
07:30 get looked at if you are over weight and if you are snoring at
07:33 night and your blood pressure is running a little high,
07:36 ask your doctor to check you for sleep apnea.
07:37 Now what would be the treatment for sleep apnea if that
07:40 was causing the high blood pressure?
07:41 There are probably going to recommend weight loss, and
07:44 weight loss and exercise are fundamental, that's a basic.
07:46 Then after that either in some people, surgery to
07:51 basically do away with the redundant tissue in the back
07:54 of the throat, or what they call a CPAP device which is
07:58 positive pressure over the face that keeps the airway
08:01 open, and it helps you to sleep better rem sleep.
08:05 Well that is scary, going one third of your life without
08:08 oxygen, man that can cause some problems.
08:10 It causes a lot of problems, sleep apnea is a big deal.
08:14 A question for you, this is from a person that's evidently
08:19 wants to make sure their doctor has
08:21 a spiritual component and it says,
08:30 I don't think it is inappropriate for a patient
08:32 to ask that question, after all the patient is choosing me.
08:36 I am also choosing the patient, I may have a patient in
08:39 there I don't particularly like and it happens
08:43 occasionally but I still will see them.
08:44 Unless there is some other barrier there that makes me
08:47 extremely uncomfortable, I might say don't think I'm the
08:50 right person and we basically have a mutual departure.
08:53 So I think it is okay for a patient to ask a Doctor
08:56 hey, what are your, what is your belief system?
08:59 If the Doctor has an issue with that maybe they need to
09:02 find a different Doctor.
09:03 If the patient wants to ask me if I'm a Christian,
09:05 I'm going to tell them I am a Christian.
09:06 If it's an atheist or agnostic we may have a disagreement
09:10 there but I don't use my medical practice as a bully
09:13 pulpit for my belief system.
09:15 I think we do much better by leading by example's than by
09:19 trying to force people into our convictions.
09:21 Wow, that is neat.
09:22 One of our mottos for our television program this year,
09:26 is at the heart of health is love.
09:29 When you have love in your life and you show that love
09:31 you are actually giving them a glimpse of God and your
09:34 relationship with God.
09:35 So you are indirectly by the example you might have.
09:37 I think no matter what we do in life, whether it is at
09:39 the workplace, at a doctors office, wherever we are
09:42 we need to try to be an example.
09:43 I think where people get into trouble is wearing their
09:46 religion on their sleeves and trying to force people
09:50 into a dogmatic form of worship that may not agree with
09:54 them and I think what we do is try to lead by example.
09:57 Things always go much better by leading by example.
10:00 It sounds like your practice there is a lot of healing
10:03 that comes by reassuring them that if they don't have one
10:06 of these processes and it hasn't been going on for years
10:08 and years, you can have high blood pressure for 20 years
10:11 and not even know it. - it's absolutely right.
10:13 You bring up spiritual things just by your example.
10:17 Right, in my personal practice what I have found to be the
10:21 case is, people come in to my practice by word of mouth.
10:24 Other patients have gone out and say if you go see Doctor
10:27 Vollberg and he's going to check everything.
10:29 He is going to make sure everything is addressed and then
10:31 he will check some more just to make sure.
10:34 That is what people want, they want to know there is not
10:37 a cancer hanging out someplace.
10:39 They want to know they are not going to drop over when
10:41 they are out playing the ball with their kids.
10:43 They just want to be reassured that they are okay.
10:45 And that is why I think we are headed more into a
10:47 wellness realm as opposed to a disease realm.
10:49 People want to know they are going to be okay for the
10:51 next 10 to 20 or 30 years.
10:53 I think the best way we can do that is by leading by
10:56 example and trying very hard to help
10:59 screen for these diseases.
11:00 And if people asked me to pray with them, I'll pray with
11:03 them, I don't have any issue praying with the patient.
11:05 In the office or if they are getting ready to go in for
11:08 a procedure and are very nervous about it and they want
11:10 me to have a prayer, I would love to do it.
11:12 I would welcome it.
11:14 We look back at all the wonderful ways that God has
11:16 given us to change our bodies chemistry.
11:19 Whether that be reassurance, whether that would be rest,
11:22 whether that be laughter,
11:23 I don't think people laugh enough.
11:25 No absolutely laughter is very important.
11:27 If you look at studies which depressed patients,
11:29 people that laugh more seem to have less depression and
11:33 anxiety, less stress.
11:34 Also people that love each other.
11:36 We know that people with dogs and cats have better
11:38 chemistry then those who don't.
11:40 It is just a wonderful thing, all these different
11:41 chemical reactions that God has given us
11:44 and ways to improvement them. - absolutely.
11:46 Well we are running out of time today but I want to
11:49 invite our listeners that if you might have questions
11:52 you might want us to address, please send us an e-mail
11:55 at heartwiseministries. org or if you don't have
11:59 a computer you can reach us by sending us a letter at
12:03 Heart Wise Ministries P.O. Box 8, Ooltewah, TN 37363
12:07 We want to thank Doctor Vollberg for explaining some of the
12:11 intricacies of all these things we sometimes hear about,
12:15 the point of getting a physical exam, blood pressure
12:17 checks, just making sure you are well.
12:19 Getting good information is at the heart of health
12:23 and we want you to have a lot of love in your life.
12:25 Because if you have love in your life your chemistry
12:28 improves and you feel better and you come closer to your Creator.