Wonderfully Made

It's Not Too Late! Treatment After A Heart Attack

Three Angels Broadcasting Network

Program transcript

Participants: Shelley Quinn (Host), James Marcum

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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.


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Revised 2014-12-17