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Series Code: UP
Program Code: UP190118A
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00:01 The following program presents principles
00:02 designed to promote good health 00:04 and is not intended to take the place 00:05 of personalized professional care. 00:07 The opinions and ideas expressed 00:09 are those of the speaker. 00:10 Viewers are encouraged to draw their own conclusions 00:13 about the information presented. 00:16 Did you know that cardiovascular disease 00:18 is the number one cause of death in America? 00:21 While we can't do anything 00:22 about the genes we inherited from our parents, 00:24 this fatal condition is largely preventable 00:27 with the simple choices that you and I make every day. 00:30 Thanks for joining us today on the Ultimate Prescription. 00:53 Welcome, and thank you for joining us here. 00:55 I'm your host Nick Evenson, here with Dr. James Marcum, 00:58 cardiologist and speaker, 00:59 director of Heartwise Ministries 01:01 Well, Nick, it's my pleasure to be here 01:03 because we're, as you said in the opening, 01:05 we're going to talk about the number one killer 01:07 and wouldn't you like to lower the risk 01:09 of you developing cardiovascular disease, 01:11 maybe prevent a heart attack, save a loved one, 01:13 know what to do in an emergency situation. 01:15 These are all the things 01:17 we're going to be talking about today. 01:18 That's right. 01:20 And, Dr. Marcum, we may have a new 01:22 set of viewers watching today, who don't know who you are. 01:24 Now, you got the lab coat, you look the part. 01:27 But are you actually a practicing physician? 01:29 Yeah, well, that's great, Nick, and you know, 01:31 you don't want to go on and on about this. 01:34 But I'm a board certified cardiologist. 01:36 I practice every single day 01:38 with the Chattanooga Heart Institute 01:40 at Chattanooga, Tennessee, 01:41 and I see patients every day in my office. 01:43 Yeah. 01:44 And we do stents and bypasses 01:47 and everything that technology has to offer. 01:50 Been doing this for many years. 01:51 And it's been interesting, 01:53 as I've done this through the years, 01:54 everything changes about every 10 years. 01:56 Did you know that? Yeah. 01:58 My field has changed so much 01:59 and we want to update everyone on what we can do 02:01 in emergency situations. 02:04 But also, I've had the luxury of through the years 02:07 of being with some of the best lifestyle, 02:09 how to prevent disease, 02:11 nutritionists, I'm friends with 02:12 T.Colin Campbell and Eccleston 02:15 and some of those 02:16 that are on the cutting edge of nutrition 02:17 as well as mental health. 02:19 We're going to incorporate all of this into the treatment, 02:22 prevention of cardiovascular disease. 02:24 So it's going to be very unique. 02:26 But more than that, I've learned through my time 02:28 that there's a place for technology, 02:31 there's a place for lifestyle, 02:33 but the key to health 02:35 is in our relationship with Jesus, 02:37 because we all, we're going to discover, 02:38 we all have bad genes, 02:40 we're all going to wear out someday. 02:42 And as long as we have Christ in our heart, 02:44 He's the ultimate path to healing 02:46 and also help us know 02:47 when to use modern technology, 02:49 give us the power 02:51 to make those lifestyle changes. 02:52 So it's in these words 02:55 that we're going to give people, 02:56 not only the place to use all this technology, 02:59 how to make these lifestyle changes, 03:01 but give them biblical prescriptions. 03:03 Encourage them in their walk with Jesus 03:05 that someday is going to give hope, 03:07 not only for day, 03:08 but hope for eternity regarding our health. 03:10 So that's very good news. 03:12 We want to be positive, don't we, Nick? 03:13 Yeah, absolutely. 03:14 And, Dr. Marcum, I think it's a real treat, 03:16 that you're willing to come on 03:18 and share your practical advice 03:19 from what you learn everyday practicing 03:21 with real patients, you know, with our viewing audience. 03:23 So thank you for coming on and sharing. 03:25 Well, it's my pleasure. 03:26 And I wish you know, when I started, you know, 03:28 30 years ago now, I wish I would have known 03:30 all of these things and how to, but life evolves. 03:33 And the things we're talking about now 03:35 in lifestyle have changed dramatically. 03:37 The things we're talking about, 03:38 our modern medicine has changed. 03:40 But one thing that hasn't changed, 03:41 one thing that we can always depend on, 03:43 our source of truth, and that's the Word of God. 03:46 Because God gives us things 03:48 in the Bible that doesn't change, 03:49 that we can depend on, 03:51 that we don't have to relearn 03:52 every 10 years like some of this other. 03:54 So we're going to talk about some exciting things 03:57 in this program today. 03:59 Yeah, well, let's go ahead and jump into it here. 04:01 We're talking about cardiovascular disease. 04:04 And I've got a question for you 04:05 before we get into our script here. 04:07 How is cardiovascular disease different than heart disease? 04:10 Because I, when we first talked about this, 04:12 I thought it was kind of the same thing, 04:13 but it's slightly different, right? 04:14 Well, cardio, think about cardio, 04:16 that's the heart, cardio. 04:18 Vascular is blood vessels. 04:20 So card and it's blood vessels. 04:22 And in our body, there's about 60,000 miles of blood vessels. 04:27 So this is a very, you know, diffused topic 04:30 and the blood vessels go to every organ in the body. 04:33 So when we talk of vascular disease, 04:34 when you make your blood vessels healthy, 04:36 you're making your brain healthy, 04:38 you're making your eyes healthy, 04:39 you're making your liver, your stomach, 04:41 everything in your body, your joints healthy. 04:43 So when we make our blood vessels better, 04:46 every organ enjoys that. 04:48 Now, of course, the heart is the pump 04:50 that pumps all the good stuff, 04:52 the nutrients, the oxygen 04:54 throughout all these blood vessels, 04:55 which give our organs 04:57 the energy they need to function correctly, 04:59 the oxygen they need and why there, 05:02 the organs unload their waste. 05:05 You know the things that the toxic metabolites, 05:07 they don't go back into the blood vessels 05:09 and the blood vessels help us get rid of them 05:11 either through, you know some of the natural processes, 05:14 going to the bathroom, breathing out, 05:16 lots of ways that we get rid of waste. 05:19 That's what the cardiovascular system does. 05:21 So blood vessels throughout the body, 05:23 it's a major system, 05:25 and it involves every single organ, 05:27 every single cell of our bodies. 05:29 So that's why it's such an important topic. 05:32 And when the heart goes bad, 05:33 it affects everything in the body. 05:35 Yeah, so cardiovascular disease is a disease 05:37 that encompasses the whole body really, 05:38 anywhere the blood travels through the vessels. 05:40 Right. 05:41 So we want to optimize our blood vessels. 05:44 We want to optimize the pump function 05:47 and also know what to do when we're in trouble. 05:49 Yeah. 05:51 So let's talk about cardiovascular disease. 05:53 We've got an animation here we'd like to share 05:55 and maybe you can talk us through it, Dr. Marcum, 05:57 and kind of tell us what's going on? 05:58 I will do that. 05:59 It's important for us 06:01 to get a feel for this vast topic. 06:02 So if we look, the cardiovascular disease, 06:05 the heart pumps and blood vessels 06:07 throughout the body receive oxygenated blood 06:10 through the arteries, it goes to the legs, 06:13 it goes to the toes, it goes everywhere in the body, 06:15 then it eventually goes to the small capillaries, 06:18 and then the blood 06:20 comes back to the venous system, 06:22 and the veins bring the blood 06:23 from all parts of the body back to the heart. 06:26 The heart then pumps the blood to the lungs, 06:29 and the lungs pump out oxygenated blood 06:32 throughout the body. 06:33 So the right side of the heart pumps to the lungs, 06:37 and the left side pumps to the body. 06:39 And in these blood vessels, 06:41 there are a host of different things, 06:43 the oxygen's in there, hemoglobin, 06:46 which is an iron substance that holds on to that, 06:49 we have all of our nutrients that get through it. 06:51 We have things that clot. 06:52 We have in it our immune system. 06:54 It's also a major transport system. 06:57 So if we think about, you know, the road system in our country, 07:01 for instance, you know, 07:02 it's filled with trucks carrying different things, 07:04 sort of think of our blood vessels, 07:06 as, you know, a transport system 07:08 of bringing good things all throughout the body. 07:11 And if we have a supply chain mess up, okay? 07:15 It's going to affect that organ. 07:17 So blood vessels and the cardiovascular system, 07:20 it's key to having healthy lives. 07:22 And yet, we're finding out it's the number one 07:25 cause of death in America. 07:27 It affects many people. 07:29 Sometimes it's genetics, many times it's lifestyle, 07:33 sometimes it's a combination of both of these factors 07:36 which makes our body get older. 07:38 Yeah. 07:39 Now let's talk about a few specifics, 07:41 when the cardiovascular system is in a disease state. 07:44 What does that mean? 07:46 What is actually occurring in the body? 07:48 Well, this is a good question, Nick, 07:50 because what is actually occurring in the body? 07:52 Well, there's many different 07:54 types of cardiovascular disease. 07:56 There can be problems with cardiac, the heart itself. 07:59 Okay, the heart might be weak, 08:01 the blood vessels that feed the heart its blood, 08:04 they might have problems. 08:05 We call that coronary artery disease. 08:07 We could have problems 08:09 with the heart electrical system. 08:11 We can have problems with the blood vessels. 08:13 We can have problems 08:15 with the clogging of blood vessels 08:17 with fat and lipids, things of that nature. 08:20 So malfunctions of the cardiovascular system 08:23 can occur at either the pump station, 08:25 or the blood vessels themselves. 08:27 And this is important for people to know about this, 08:31 because they want to do everything they can 08:33 to keep the cardiovascular system healthy. 08:36 And we're going to talk about all the things 08:38 we can do to keep them healthy. 08:40 And then you mentioned 08:41 sometimes it's a lifestyle choice 08:43 that causes cardiovascular disease, 08:44 but sometimes it's not lifestyle, 08:46 sometimes it's inherited. 08:47 Talk to us about that a little. 08:49 Yeah, and this is very interesting 08:50 because we all have bad genes, and we all need a savior. 08:55 Now think about this first. 08:56 You can't really choose the genetics you get... 08:58 Right. 08:59 But you can affect the expression of the genes. 09:02 Okay. 09:03 So let's say you have genetic defect. 09:06 And you put stress on that gene, for instance, 09:08 everyone in the Evenson family has bad ears, 09:12 and I yell in your ear all day long. 09:14 Let's not do that. Right. 09:16 Sooner or later that part will wear out 09:18 and you might need a hearing aid. 09:20 Let's say everyone in the Evenson family 09:23 has heart disease at young ages, 09:25 okay, you happen to store fat 09:27 in the arteries or some other problem, 09:28 and you put stress on that system. 09:31 And that stress can be from anywhere, 09:34 okay, it can be from the fatty foods we eat. 09:36 We know that if we eat more than 10 to 15% 09:39 of our food in fat, it can be stored, 09:41 where it's stored 09:42 could be genetically determined, 09:44 can be stored in the arteries, 09:45 get arteries clogged up everywhere, 09:47 and it can be genetically determine, 09:49 which arteries, 09:50 sometimes it's the heart arteries, 09:51 heart attacks, sometimes it's the arteries 09:53 in the neck, and the brain, strokes, 09:56 sometimes it would be arteries that supply the eyes, 09:59 macular degeneration, sometimes the ears, 10:01 we could have hearing problems. 10:03 So these blood vessels can be affected 10:05 anywhere genetically determined. 10:07 So let's say, you put a lot of stress 10:09 on your genetics, 10:11 and over time that the genes just wear out. 10:13 Yeah. 10:15 Then you're going to have an expression, 10:16 you're going to have a symptom. 10:18 And depending on where the malfunction is, 10:20 it might be chest pain, it might be short of breath. 10:23 If it's somewhere else in the body, 10:24 you might have another symptom, 10:25 then you're going to go to the doctor, 10:28 and the doctor is going to go, "Wow, you have a symptom." 10:30 And the doctor is going to say, 10:32 "Well, let's see if we can fix the symptom." 10:35 And if it's a blockage in one of the arteries, 10:37 we can put a stent in it, 10:38 we can bypass around that artery. 10:40 Sometimes medicines can help. 10:42 Sometimes we can thin out the blood if we need it, 10:45 but think about it for a second. 10:46 Does that really get at the cause of disease? 10:49 Not if we're just treating the symptoms. 10:51 No. So you... 10:52 It makes it more tolerable. 10:53 Right. 10:55 So I assume that we all have bad genes. 10:57 I have a patient that came to me 10:58 not too long ago from Chicago 11:00 and he was 57 years of age. 11:03 And he had his heart attack 11:04 and had to have a bypass surgery, 11:06 his arteries were filled with fat. 11:08 He had lots of chest pain, 11:10 we found out his arteries were blocked, he had bypasses 11:12 that bypassed around the blockages, 11:14 so we can feel better and do more, 11:16 so that symptoms were being addressed. 11:19 So he comes to me and he says, "Well, you know, I ate healthy, 11:22 my stress was low. 11:24 I did everything right. 11:25 Why did I have these problems?" 11:28 And the first thing I asked him is, 11:30 "Well, how old was your father or mother 11:32 when they had their heart problem?" 11:34 He said, "Oh, my dad was 32." 11:36 So he got all of these good years of health, 11:39 because he didn't turn on the bad genes. 11:42 So the expression of that 11:43 is we sort of call it epigenetics, 11:46 sort of like the software that affects the hardware. 11:49 Okay. 11:50 So I assume that 11:51 everyone that walks in to see me, 11:54 has some element of cardiovascular disease. 11:57 I assume that you have a little bit. 11:58 Problems with the hardware. Right. 12:00 I assume you have some part, 12:01 now whether it's being expressed or not. 12:05 If you're not having a symptom, you're probably doing okay. 12:08 Now, if you having a symptom, 12:10 you might have it or you might say, 12:11 I'm not sure 12:12 whether I'm having an expression 12:14 of this disease or not. 12:16 So I assume everyone has parts 12:17 that wear out at a certain rate. 12:19 Right. Yeah. 12:20 Now, which part wears out first depends on our genetics, 12:24 and the stress we put on our genetics. 12:27 Unfortunately, our lifestyles, some of the habits we have, 12:31 you know, we know that 12:32 smoking wears out the cardiovascular system, 12:34 we know that diabetes wears out the cardiovascular, 12:37 high blood pressure, too much fat, 12:39 and now we're finding out 12:41 that mental stress can wear it out, 12:43 not getting enough sleep can wear it out, 12:45 and which is the most significant factor 12:47 for you really depends on our genes. 12:49 Now, why do some people smoke never have a problem? 12:53 They got good genes, right? Yeah, they do. 12:54 And some people can eat all the fat they want 12:56 and they never seem to have a problem. 12:57 They got good genes. Right. 12:59 Well, some people like my patient 13:00 that came in at age 57, 13:02 with his bypass had bad genes. 13:05 And that's the place where modern medicine 13:07 can help treat the symptoms. 13:09 Now, sometimes lifestyle changes 13:10 can help prevent the expression of these genes, 13:13 but we all wear out someday. 13:15 And that's why we really have to get back to, 13:18 we all have bad genes, we all need a savior. 13:20 Jesus is the one that heals us in His time. 13:23 So there's a lot going on 13:24 when we're talking cardiovascular disease. 13:26 It could be from a lot of different sources, 13:28 a lot of reasons why we're having it, 13:30 and it could affect a lot of areas of the body. 13:31 Yes, this is a very complex disease. 13:34 And over the years I've practiced, 13:36 the more we uncover these things, 13:38 the more we can add to people's health, 13:40 the more we can tell them what they can do 13:42 and help them have a balanced life. 13:44 That's right. 13:45 Well, I think a lot of people are probably at home 13:46 watching right now are thinking, 13:48 what do I do about it? 13:49 If I have these symptoms, what do I do? 13:51 Well, I will tell you what? 13:52 We're going to talk about that in just a moment, 13:53 so stay with us right here on the Ultimate Prescription. |
Revised 2020-01-30