Participants: Shelley Quinn (Host), James Marcum
Series Code: WM
Program Code: WM000359
00:01 The following program presents principles
00:03 designed to promote good health and is not 00:04 intended to take the place of 00:05 personalized professional care. 00:08 The opinions and ideas expressed are those 00:10 of the speaker. Viewers are encouraged 00:12 to draw their own conclusions about 00:14 the information presented. 00:35 Hello, I'm Shelley Quinn and welcome to 00:37 Wonderfully Made. The Bible says in 00:40 Psalm 139 verse 14: I will praise You O Lord, 00:44 for I am fearfully and wonderfully made. 00:47 And today I'm so excited to have with us 00:49 Dr. James Marcum from Chattanooga, Tennessee, 00:53 he is a cardiologist. And we're gonna be talking 00:56 about the treatment of heart attacks. 00:58 So, Dr. Marcum, thanks so much for being here. 01:03 It's a nice to being here, and also we want to 01:05 talk about this very important topic 01:06 this morning. I'm just exciting to be 01:08 here too. Amen, well before we begin, 01:11 why don't we pray and just ask the Lord to guide? 01:14 Okay. You want to start? Sure. 01:16 Father in heaven, as we talk about heart 01:18 attacks and how to manage or take care 01:20 of our body, we pray that Your Holy Spirit 01:22 will be with us and guide our thoughts and for 01:24 those at home Father, changes need to be made, 01:26 we pray that Your Spirit give the power that, 01:29 that we might be able to make this sometimes 01:31 hard changes in our lives. These things we pray, 01:33 amen. Amen. Jim, would you for our viewers 01:37 who may not have been with us last time. 01:40 Explain to them what a cardiologist is? 01:42 Okay, well, a cardiologist is a physician that's 01:46 trained in internal medicine that goes on to 01:48 specialize in cardiology. And cardiology is as 01:51 we deal with the diseases of the heart and of the 01:55 blood vessels. And we help not only to 01:57 treat disease, but hopefully we can 01:59 prevent these terrible diseases 02:01 from, from happening. 02:02 And we learned in our last program, 02:04 how incredibly high the percentages are for us 02:08 to have a heart attack, particularly in 02:10 United States? Would you like to give 02:11 us a few of those views? 02:12 Yeah, in the United States and all over the, 02:14 in fact I want to go back all over the world 02:17 now we're seeing increase prevalences of 02:19 heart disease. And a lot of it has to do, 02:21 as countries developed a Westernized Diet. 02:25 Especially as we get into plant-based foods and, 02:28 and things of that nature all of these fast foods 02:30 that we go to, all of these package 02:32 foods, it's not healthy for 02:34 our cardiovascular systems. 02:35 Okay, now you confused me there, 02:37 'cause you said as, as we get into plant-based 02:39 foods. Oh! Plant-based foods is what we want 02:41 to get into, I'm sorry, 02:42 I don't want to confuse anyone. 02:43 We want to get into plant-based foods and get 02:45 away from some of these animal-based foods that 02:48 we're getting into. Amen. But as we see other, 02:50 for instance years ago the people in China and 02:53 people in China probably watching this 02:54 show today. Years ago they did, 02:56 they had almost zero cardiovascular disease, 02:59 but as they become westernized, 03:01 we're seeing their prevalence go up 03:02 dramatically. And also as those people move 03:05 to United States, they're all of a sudden 03:08 developing disease that their ancestors 03:10 didn't have, so we know it's clearly 03:11 not a genetic disease, this is a disease that 03:14 we're acquiring. An alarming statistics is 03:17 right now, cardiovascular disease 03:19 it counts for about 42% to 43% of all 03:21 deaths in the United States. 03:23 That's amazing, that's amazing 03:25 Now, you have a ministry called Heartwise 03:28 Yeah. And you received questions that come in 03:30 from all over the world as you're trying minister 03:34 to people and he tries to teach them, 03:36 how to be wise about your heart. 03:39 And today we're gonna be talking about how to 03:41 treat a heart attack? So, our first question 03:44 comes from Vijay in India and I hope I'm 03:47 pronouncing that correctly. He says, 03:49 my home is in India and located some distance 03:52 from medical help. What should I do, 03:54 if I think I'm having a heart attack? 03:58 Well Vijay, a lot of that depends on your 04:00 situations and I've never myself been to India, 04:04 but the first thing you want to do is 04:06 to get help, okay. But before you even 04:09 get help and I don't mean get help, medical help, 04:12 but I mean get help spiritual help. Amen. 04:15 The first thing that I would do is pray, say God, 04:17 help me out of this tough situation. 04:19 I'm having a heart problem or something new 04:22 is going on, I need your help 'cause 04:24 we know that God heals, and we know that God 04:25 can take away these problems. 04:27 The second thing I would activate some type of 04:30 help system. In United States we 04:33 have a 911 system. In Britain and Australia's 04:36 they have other types of alarming systems. 04:38 I'm assuming in India that you have some way 04:40 to get help. And this might be help that you 04:43 might call a phone number, you might have someone 04:45 run to get help for you, but you don't need to be 04:47 moving anywhere, you need to have someone 04:49 else get help and bring it back from you. 04:53 Another thing that might help in this situation 04:55 is if you have an aspirin nearby and you think 04:58 you're having a heart attack, 05:00 chewing an aspirin might help a 05:02 little bit in this acute situation. 05:04 Okay, that's good. But if you think you're having 05:07 a heart attack you shouldn't get in the car 05:09 and drive yourself to the doctor. No, 05:10 and I think that's the one thing I wanna 05:12 emphasize you shouldn't take care of yourself. 05:14 Now, one other things that I won't, 05:17 this is a good time to bring it up. 05:19 A lot of people in heart attacks what kills a 05:22 person is not so much the heart attack and the 05:25 damage it's done from the heart attack itself. 05:27 What that kills the person is a electrical 05:30 disturbances, the arrhythmia is 05:32 what we call it. Okay, the heart malfunction, 05:34 it doesn't pump good, it doesn't get blood 05:36 to the head. Nowadays we have 05:39 devices called the defibrillator, 05:40 have you ever heard of the defibrillator? 05:42 As a matter of fact I have, and now they have 05:44 these external the defibrillator devices 05:45 that you can buy, and that are portable 05:47 for your home or to take in your motor 05:50 home or anything like that. 05:51 That's right, and the reason I bring it up 05:52 Vijay is people that are high risk of having 05:55 heart attacks, it might be of interest to 05:58 you or your family to get maybe someone 06:00 interested in these devices, bring it into 06:01 your community somewhere, so if there is someone 06:04 that collapses suddenly and it is from the 06:06 heart attack, these devices you know in the 06:08 treatment of these arrhythmias, all you have 06:10 to do is put on two stickers, okay hit an 06:14 on button, of course they're already made sure 06:16 the battery charges and, and the device will 06:18 bring a person out of this dangerous and 06:21 life threatening heart rhythm. 06:22 That's an excellent idea, so would you recommend 06:25 that like for businesses that have a number of 06:28 employees, particularly if you're a distance from 06:31 medical help, if it's gonna take five minutes 06:34 or ten minutes for an ambulance to arrive. 06:36 Would you recommend that people 06:37 get something like that? 06:39 Yes, most certainly and this, this saves lives 06:41 more than anything else, this saves life during 06:43 the acute event. Right. During acute event 06:46 you know prevention is not gonna matter at that 06:49 point you want to have an, an emergency treatment 06:52 and this can save a lots of lives. In fact, 06:54 we even have these devices that we implant 06:56 in people. Right. Did you know that the 06:58 Vice-president Cheney has a defibrillator and it 07:01 reads his heart rhythm every second of everyday 07:03 and if it ever sees one it doesn't like it takes 07:06 care of it. Well, this works on the same 07:08 principles, like having an ambulance with you, 07:11 an emergency room with you all the time. 07:13 So, in large Churches now they're getting him 07:16 at the airport, they're getting them, 07:17 schools are starting to get these defibrillators. 07:20 And I thinks it's definitely something that every, 07:22 everyone should look into. 07:24 You know, and at the cost for these devices today 07:27 their range anywhere from 1800 to maybe 3000, 07:31 that's a rough range, but if you are at really 07:33 high risk it wouldn't be a bad idea to have one 07:35 in your home, if you live out 07:37 in the country particularly. 07:38 Now, I agree and more and, and also importantly 07:40 not only do you have-to have one, but the people 07:42 when something does happen, you 07:44 have-to-have people that are willing to step 07:45 up and say, listen I'm not gonna be scared, 07:48 I'm not gonna run myself, I'm gonna put this life 07:50 saving device on. Right. And, and go 07:52 ahead and initiate therapy. 07:54 Amen, amen, okay this is a question from 07:57 Philip in Florida, and Philip writes my bypass 08:00 was performed two years ago, am I safe 08:03 from having another heart attack? 08:06 Well, Philip thanks for that question and couple 08:10 of things I want to say is, is first of all I 08:12 wanna explain what bypass is to everybody. 08:14 A lot of people don't understand what bypass is, 08:16 but when the arteries get clogged up with 08:19 cholesterol, they get so clogged up there, 08:21 the person's having symptom. What a bypass 08:24 does is bypass around this, it takes another 08:27 either artery or vein and it bring it you know, 08:30 they usually hook it to the aorta, that's a large 08:32 vessel that leaves the heart and they bring blood 08:35 south of the blockage. So, there's less symptoms. 08:38 It's kind of like they're grafting it in, 08:39 and then, yes, in two different spots and they 08:41 just go away. And sometimes they call it a 08:43 bypass graft, but remember in bypass surgery the 08:47 blockages that you came with are still there, 08:50 they're not gone they just bypassed around them. 08:54 So, what happens if that plaque its bypass, 08:56 that clogging, what happens if that breaks up. 08:59 Well, you could have, if it breaks up or get worse, 09:01 you can still have a heart attack, but usually 09:04 heart attacks and bypass patients don't 09:06 seem to be as large because they have all this 09:08 extra blood supply, but getting back to Philip's 09:10 questions the chance of having a heart attack 09:13 is the same whether you've been bypassed or not. 09:15 A lot of people say, oh! I've been bypassed, 09:17 I cannot have a heart attack, that's not true. 09:20 And one of the most important things is, 09:23 as I try to strive to get people to realize it, 09:25 after you've had a bypass then your treatments 09:28 just beginning, 'cause we still haven't got at the 09:29 core of the problem, we brought some time 09:33 that we do have to get to the core of the problem. 09:34 So, Philip the answer to your question, 09:36 am I safe from having a heart attack? 09:38 No, you're not, you still have to do everything 09:40 else that every one else does to lower their risks. 09:43 Philip, I hope you're paying close attention. 09:46 Okay, here's a question from Stella in Louisiana 09:49 and Stella writes, in 2003, I had a small heart attack. 09:54 My doctor has put me on five medications 09:58 they slow me down, will I have to be on the 10:00 medication for the rest of my life I'm only 51. 10:04 Yeah, well Stella some of these medicines 10:08 depending on your situation you might have 10:10 to be on for the rest of your life. 10:13 After a heart attack we have some major problems 10:16 that happen in the healing phase after the 10:18 first year of a heart attack. 10:19 Okay, let's bring up the possibilities here. 10:23 The complications after we have a, a heart attack. 10:26 One is that abnormal heart rhythm; we've talked about 10:29 that all the way. The two is the heart failure; 10:32 it's so weak that fluid backs up, 10:34 people can't breathe. Sometimes valves are 10:36 damaged during heart attacks. And the last time 10:39 you had structural, other structural 10:41 abnormalities in the heart. Sometimes there's 10:42 an acute complication during the heart attack 10:45 that happens right away. So, Stella a lot of the 10:49 medicines in the first year have to be continued 10:52 like frequently we use the medicine called 10:53 Beta blockers, I don't know if you've heard of 10:55 that, but that helps prevent the funny heart 10:58 rhythms, that happens as the heart heals. 11:00 Sometimes when the heart's been weakened 11:02 the rest of the body makes hormones that 11:04 that damage the heart. Frequently during another 11:06 class of medicine called an ACE inhibitor that 11:09 helps the heart remodels and reshapes itself. 11:13 Always people after heart attack have to take 11:16 an aspirin the rest of their life to prevent 11:18 further blood clots it might develop. 11:20 Another thing they have to do is take a 11:22 cholesterol medicine and then they have to get into 11:25 all the lifestyle changes that, 11:26 that we have to do as well. 11:28 So, as far as you, the specific question. 11:30 Some of the medication after the first year 11:32 goes by, depending on your overall cardiovascular 11:35 status, the strength of your heart, whether you 11:37 had have any heart rhythms, some of those 11:39 might be able to be turned down, but a lot of, 11:42 when I turn down a medicine, a person has to 11:44 say, I'm gonna do some changes to make 11:46 myself better. They have to make some changes 11:49 before I feel comfortable about turning 11:50 some of these medications off. 11:52 Okay, now I heard and see if this is correct. 11:56 Okay. But I was told that if you were taking an 11:59 aspirin to prevent heart attack and yet you're 12:03 taking ibuprofen as well, that it zeros out the 12:06 affect of the aspirin and you may as well not be 12:08 taking it, is that correct? Yeah, there's, 12:10 there's truth to that. And what we try to tell 12:12 people on ibuprofen or they can take it not to 12:15 take it, but another thing sometimes we advice 12:17 people is to take it at different times. 12:19 You know, okay. You know, so, you don't 12:21 follow it up right afterward, 12:22 sometimes we've been have them take more of it. 12:24 And, and aspirins of 81 for prevention of 12:26 full-strength aspirin at a different time. 12:29 So, does it matter what time you take this aspirin? 12:32 I mean does it matter if we take it 12:33 at morning or night or. 12:35 No, in prevention you can just take it. 12:37 Now, that's if, that's as long as you're 12:38 not taking the medicine that would in the 12:40 field with it like you know, ibuprofen. 12:42 Okay, sounds good, lets see again. 12:45 We have here and oh! First let me go back 12:48 to Stella's question. Okay. When, she says, 12:51 I had a small heart attack. Do we rank 12:54 heart attacks like this one was small, 12:57 this one was medium and this one was large? 12:59 Yeah, we do and some, some people can have a 13:02 heart attack and they don't you know, 13:05 even though they have it, okay, for symptoms 13:07 well we just find it incidentally, okay. 13:10 We can tell based on heart attacks about the damage 13:13 that's been done, if a lot of damage has been 13:15 done that means the heart didn't get the blood 13:17 and it's, it's died. A lot of the heart has died. 13:20 Now, that's a more serious problem then just 13:22 small amount of the heart that dies. 13:24 And how much heart attack you have 13:25 depends on whether it's a big blood vessel, 13:27 that malfunctions or is it a small one, 13:29 or if you've had one and had another one. 13:31 And so, all these things sort of add up to 13:34 how large the heart attack is, but it mainly 13:36 does with the strength, is your heart strong 13:38 afterwards or is it weak afterwards 13:40 that's how we gauge heart attacks? 13:41 Okay, alright, here's a question that comes to 13:46 us from John in Tennessee. And John writes, 13:50 I have just finished seeing a third cardiologist 13:54 and each one says that my blocked arteries 13:57 should be treated differently. 13:59 One said, bypass, another said stents, and a third 14:04 said they are too small, what should I do? 14:09 Yeah, and this is a very common dilemma that 14:12 we see, that people get conflicting device, advice. 14:16 One doctor will say, well we need to bypass, 14:19 which we've talked about bringing extra 14:20 blood to the heart. Another doctor will say, 14:23 well let's put a stent in. And what a stent is, 14:25 is a stainless steel device that actually 14:28 props up the artery, so it is held open. 14:32 And the problem that we've had with stents 14:34 in the past is something, to remember this stents 14:36 can actually damage the vessel wall. 14:38 And sometimes in the process of healing 14:41 we get more problems, that's why we just 14:43 don't put stents in everything that we see. 14:45 Also in order to put a stent in successfully 14:48 the blood vessel has to be a certain 14:49 amount of size, we can't put them in a very, 14:51 very small blood vessel. So, that's another thing 14:55 and then sometimes the arteries are too small 14:57 to do anything with and that's where some 15:00 doctors will say, well I can put a stent in that, 15:02 well I can do whatever, and some say, 15:03 well I can do a bypass. And that's where 15:05 the debate happens as far as all these things go, 15:09 but one other things I want to point you to, 15:11 and to answer your question correctly 15:14 John I really have to sort of seen your films 15:16 and know the overall situation. 15:18 One other things I want to mention, 15:20 is this term called regression? Okay, 15:24 regression is where a disease in the artery 15:27 it can become lessened overtime. 15:29 Can we show the next through up there? 15:32 These four gentleman's over the time, 15:34 Lester Morrison at the 15:36 Heidleberg Study in Germany. 15:37 Many of you've heard of Dean Ornish, 15:39 he's out in California, he has done a lot of these 15:41 regression studies and Dr. Esselstyn 15:44 at the Cleveland Clinic. What they've done is 15:47 done studies and by lifestyle modifications 15:51 they've shown that the blockages in the 15:52 arteries can be become less. 15:54 For instance, an artery that's 70 or 80% blocked, 15:57 if you go in these special treatment modes 16:00 there can be 70%, 60% in years on. 16:03 Now, why don't we hear about this? 16:04 So, this when you say regression it says 16:06 the reversal of the disease. 16:08 Exactly, reversion. Well, why don't we hear 16:10 about that? Well, I'm afraid now that our 16:13 society is set up to have cardiovascular disease. 16:16 Smokers, we have too many people that are smoking. 16:20 We have fast food you know, and how you know, 16:22 eventually good, good food on the fast food. 16:25 And through our, the history of our country 16:27 we moved to a meat based diet instead of a 16:30 plant-based diet. Right. And unfortunately 16:33 people are telling you that this is good, 16:35 you've heard all of these fat diets, haven't you? 16:37 Oh! Unbelievable. You know, and they say 16:39 you know, this is the high protein, you know, 16:41 high protein or high fat. Well, it's just the 16:43 opposite; we want low fat, low protein and 16:47 high complex carbohydrates. 16:49 So, getting back to this, as most of these studies 16:52 on the regression of coronary disease it starts 16:54 with a plant-based diet and also it says, 16:58 staying away from high sodium content. 17:00 And we know we see sodium all over in the 17:02 package foods, anything that's preserve not only 17:05 has sodium in it, but a lot of other things. 17:07 And the theory behind these regressions is, 17:09 when you start eating this way, exercising and do 17:12 some other things you're also usually taking the 17:14 cholesterol medicine, but you're, you're insides, 17:18 your chemical balances actually change, 17:21 so your metabolism becomes remarkably difference. 17:24 Therefore, regression can occur. 17:26 So, in talking to John about his question, 17:31 one of the things you know, of course if you 17:34 have a heart attack and I want to get back to this, 17:36 if you have a heart attack you know, it's not 17:38 a time to be worried about regression. 17:40 Right, because that's acute, 17:42 it needs immediate tension. Right, you need 17:44 immediate tension, and you need to go get help 17:46 right away, if you have a heart valve that's bad, 17:49 that needs immediate attention. Okay. 17:51 If you've an infection in your heart you need 17:53 immediate attention and I want to make that 17:55 plain and, and you know, for immediate care 17:57 I don't want someone say, oh! I can take a few 17:59 herbs at home and it will just pass. 18:01 Or change my diet, and not worry about it. 18:02 Right, change my diet and not worry about. 18:04 So, for the acute problem this is the great 18:07 you know, I would, I want a stent, if I've an 18:09 artery that needs to be opened up right away, 18:11 I want to have the stent, but for the 18:12 chronic care of disease getting at the cause of it, 18:15 okay we need to really think about going to 18:18 regression and John I want you to think about 18:20 that in addition to everything else that 18:23 your other physicians that are talking about. 18:26 Yeah, now would you tend to lean more 18:31 toward these stent other than the bypass or is this 18:35 purely case-by-case, right, it has to be determined? 18:38 Shelley that's, that's a very good question 18:40 because you're gonna see differences from 18:43 cardiologist to cardiologist. Okay. Okay, 18:45 I think there's a tendency, if we see it 18:47 you know, if I'm a cardiologist and that 18:51 ones that do the bypass are cardiovascular 18:53 surgeons, they're the ones that cut you, 18:55 the cardiologists are the ones that put the 18:56 stents in and that kind of thing. The cardiology, 18:59 so there's, there's unfortunately 19:00 there might be a monitory tendency, 19:03 now I hope that my colleague would do it, 19:05 but they say, well maybe we should start off with 19:07 putting a stent in. You know, whereas it could, 19:10 sometimes it could go either way. However, 19:12 sometimes you don't even need to have anything 19:15 done except to fall back on diet and lifestyle. 19:18 So, but lets say for John, John doesn't say here 19:23 how blocked his arteries are, but is there like, 19:27 if you've got an artery that's 90% blocked 19:30 you need to something done pretty rapidly, 19:32 right? Depending on the size of the artery, okay, 19:35 okay, if it's a small artery maybe not, 19:38 and also whether it's causing you to have 19:39 symptoms, okay. Okay, remember bypass surgery 19:43 does not prevent a heart attack, stents do not 19:46 prevent heart attacks, okay so in this 19:49 chronic treatment of this okay I mean in order to 19:52 keep, chronic being the long term. 19:53 Right, right long term. For instance you come 19:56 to me and say, I don't feel well. So, we do some 19:59 tests and we find that you do have 20:00 blockages all over. Okay, and I look at you, 20:03 well if you're not having a symptom okay, 20:06 if I can, you can walk seven or eight minutes 20:08 and not feel bad, I'm not gonna give you a 20:10 survival benefit from doing a stent or a bypass. 20:14 Okay. No matter how blocked they are? 20:16 So, it's better to start on something to reverse 20:19 a changing your diet, changing your exercise. 20:23 Unless you had symptoms. Now, some, now some 20:26 arteries are such high risk, the blockage is a 20:28 such an important spot that we say, 20:30 we cannot take any chances, we have to do 20:33 everything we can to help this person until 20:36 they make changes, but unfortunately making 20:38 these changes is very hard for some people. 20:40 They've a hard time on reversing this. 20:43 So, so you know, it really depends 20:45 on a case-by-case situation. You know, 20:48 I have to, something just came to my mind, 20:50 my grandfather had several heart attacks, 20:53 but he was determined that he was gonna go 20:56 out with his boots on, so what he do is when 20:59 he was released from the hospital they had a 21:02 cabin in Ruidoso, New Mexico and he would 21:04 head for this cabin and he'd go out and chop 21:07 a cord of wood and he would do all of these 21:09 things because he thought, if he was going to out, 21:12 he's gonna go out with his boots on. 21:14 But he just after several heart attacks he just 21:17 kept getting a heart that's stronger-and-stronger. 21:21 He lived to be 92 years old and these 21:23 heart attacks happened in his late 40s 21:25 and early 50s. Yeah. So, I think sometimes 21:28 we have the idea of that having had a 21:31 heart attack you could no longer 21:32 exercise, but that's not true. 21:33 No, in fact exercise after heart attack 21:36 is our best friend. You know, in fact 21:38 you've heard of cardiac rehab, we're getting 21:40 people to exercise everyday and on the 21:43 regression studies, for instance some of the 21:45 regression studies have been done, showed it takes 21:47 45 minutes to an hour of aerobic exercise 21:51 a day to see regression. My goodness. 21:54 And just to hold even right now 21:55 they're recommending 30 minutes. 21:57 Now, some people say, five days a week, 21:59 but I'm saying you really, you should do 30 minutes 22:01 everyday because remember it's an exercise 22:04 it changes your internal metabolism. 22:06 So, it only makes sense if you stop exercising 22:09 for a day then you're gonna change 22:11 the metabolism back. So, exercise is the core of 22:14 treatment for chronic coronary disease. 22:17 Okay, if you're trying to reach that level, 22:20 that optimum level there would, 22:22 would walking, I mean like if you're 22:25 trying to reverse this disease. 22:27 Do you walk as long as you're not exerted 22:30 in heavily, or breathing heavy, you do just keep 22:33 walking for 30 to 45 minutes? Well, I'll take 22:36 anything that you're willing to do. Okay. 22:38 But the more exertion we can get, and I said, 22:40 you should get your heart rate up to just 22:42 where it's hard to duty exercise and keep a 22:45 conversation going. Okay. And that's about the 22:47 level you want to get to, but any, any level 22:50 will help I think some. You know, and some 22:53 people do more, some people do less, for me 22:55 personally I try to get out and do 22:57 45 minutes everyday. Now you know, 22:59 I start out slow and then gradually I'm up to 23:01 running, but I'm finding that you know, 23:03 as my joints were out that I'm having to look 23:06 at other you know, swimming, biking, 23:09 but it's the heart rate getting up, 23:10 not necessarily the walking, but most 23:12 people today chose to do the walking. 23:14 Okay, well we've got a question here also from 23:18 Scott in Arizona and Scott writes in and says, 23:22 last year I had a quadruple bypass 23:25 here in Arizona. Why do you consider, 23:28 or what do you consider the most important 23:30 things I can do to help my cardiovascular system? 23:36 Okay, well Scott before we answer your question 23:38 I'm gonna explain to the everyone else out 23:40 there what a quadruple bypass? Well, quad means 23:43 four, so we're talking out four bypasses to different 23:46 areas that are blocked. Mercy. So, one area is 23:49 blocked here and they'll bring another conduit 23:52 or another you know, vein if it's from the 23:55 leg, some people time we use the arteries. 23:57 Those are actually better conduit. And he said, 23:59 four of those to different parts of his heart. 24:02 And what do you consider the most important things? 24:05 Well, let's bring up the next bit of information. 24:08 Well, we've talked about number one, exercise, 24:11 exercise, exercise, deal with stress, okay 24:15 and stress causes a lot of physiologic problems 24:18 and we'll comeback to that in a minute, nutrition, 24:21 cholesterol, next, avoid hypertension, stop smoking 24:27 including being around second hand smoke and 24:30 avoid, take medications when you need to. 24:34 Now, there's some interesting research 24:36 that you don't see published too much about 24:38 other things that help in this treatment of 24:40 cardiovascular disease. One of them you know, 24:43 we've touched on briefly and that's the stress 24:45 factor, but also one thing that goes 24:48 with that is rest. Yes. And I think people that 24:51 rest do better than people that don't rest. 24:54 Well, why is that? Well, God made us to time off, 24:59 in fact the God of our unit or Shelley he works 25:01 six days when he do. He took off his seventh. 25:04 And if he it's good enough for God 25:06 it's good enough for me. And also we sit up 25:08 this night-day cycle. Right. Where people 25:10 sleep at night? Well, God designed a night for, 25:12 for people to sleep. In our society today we're 25:16 breaking that cycle sometime. The body needs 25:18 rest to rejuvenate itself, to give its 25:21 own ability to fight. So, that's one of the things 25:24 I really want to stress, 'cause most people 25:26 don't think rest as a treatment for a 25:28 chronic disease like cardiovascular disease. 25:31 Another thing that you don't hear much is about, 25:33 about laughing. Oh! Yes. Have you ever heard 25:35 this saying that laughter is the best medicine? 25:37 Right. Well, that's been passed on from years 25:40 and years and years and that what we reason people 25:42 say laughter is the best medicine 'cause people 25:44 that laugh make a bunch of good chemicals 25:46 that help their cardiovascular system. 25:49 So, when Proverbs says: A merry heart does 25:51 good like a medicine, it's serious. 25:52 Yes, the Bible has the answers, if we just listen. 25:55 And I always wonder if you just go around 25:57 laughing all the time whether you could really 25:58 reverse disease, I haven't seen, we're taking things 26:01 too serious now, we rarely laugh, 26:03 we rarely do, so if you're ticklish, 26:05 if you're not funny by. Now, I'm not funny by 26:07 nature, but if you, if you're funny by nature 26:09 that's great, if not have someone tickle you. 26:11 Yeah. Another thing that's been shown to 26:13 help people is to have good relationships. 26:16 Yes. Not only with, with God of course, 26:19 but with each other to be happy, to have you know, 26:23 people that have pets do better from a 26:25 cardiovascular standpoint then people 26:27 that don't have pets. People that are married 26:29 do better than people that are single. 26:31 People that go to Church and have an active 26:33 spiritual life do much better as far as 26:36 cardiovascular health then people that don't 26:38 do those things. Another thing that helps 26:41 greatly is, is getting to having your mind 26:43 change sceneries. Okay, getting away from 26:47 your normal activities, taking a rest. 26:50 Now, what does that do physiologically? 26:52 Well your, your body runs the show, okay your 26:55 mind is running things all the time, when you give 26:57 your mind to break from getting away from it all. 27:00 Sometimes you start making these better health 27:03 chemicals; you get rest and you see 27:04 the active vacation. Sure. 27:05 You feel tremendously better. Now, you're not 27:07 gonna hear about this in medical literature 27:09 because it's not a moneymaker, but the 27:12 people that are doing this are, are much healthier 27:14 and much happier. So, treating chronic coronary 27:17 disease, I think it's more lifestyle than anything 27:20 else and treating acute disease I think it's 27:23 probably more intervention than anything else, 27:25 but it takes a marriage of both, of both, 27:28 acutely treating and chronically treating well. 27:32 Well, there we have the. Yeah. We've got the 27:34 answers then from Dr. James Marcum 27:37 with the Chattanooga Heart Institute. 27:40 And I'm taking away a lot of good information 27:43 from today's program, thank you Jim so much. 27:46 Well, Shelley I had one more slide to through up, 27:48 it's a take home points real quick here. 27:50 One if you, if you're having heart problems 27:52 don't ignore symptoms, and secondly change 27:55 lifestyles, and the third thing is 27:57 ask questions and be informed. 28:00 Alright, that's what we're doing today is becoming 28:03 more informed and so we want to thank all of our 28:06 viewers for being with us and we wish you 28:08 the best of health. And remember you 28:10 are fearfully and wonderfully made, 28:13 praise the Lord. Amen. |
Revised 2014-12-17