WEBVTT 1 00:00:01.600 --> 00:00:07.799 Initially coming to you live from Houston, Texas, home to the world's largest 2 00:00:07.839 --> 00:00:21.120 medical Saturday in lunch bas Monday, we're going this is your Health First, 3 00:00:21.920 --> 00:00:25.600 the most Beneficial health World, where I'm on radio with doctor Joe Balati. 4 00:00:26.000 --> 00:00:31.399 During the next hour you'll learn about health, mention of disease. Now here's 5 00:00:31.440 --> 00:00:42.159 your host, doctor Joe Blatti. Well. Well, well, a good 6 00:00:43.880 --> 00:00:50.280 Sunday evening to everybody, Doctor Joe Glatti. On this fourth of July weekend, 7 00:00:50.359 --> 00:00:56.640 it's a little weird this year because we've got the fourth is on Tuesday, 8 00:00:56.840 --> 00:01:02.320 Tomorrow's Monday. A lot of people have off I unfortunately have to go 9 00:01:02.359 --> 00:01:04.799 to work, and it's a little bit of a disjointed. You don't get 10 00:01:04.840 --> 00:01:12.120 that sense of a full long weekend, though plenty of you certainly are taking 11 00:01:12.159 --> 00:01:17.079 advantage and having a four day weekend. So that's great. But I do 12 00:01:17.120 --> 00:01:22.879 appreciate your tuning in tonight. We are here every Sunday evening between seven and 13 00:01:23.959 --> 00:01:30.120 eight pm, and our single minded job is to raise your health IQ. 14 00:01:30.920 --> 00:01:34.599 That is it. That is all we really want to do here. If 15 00:01:34.680 --> 00:01:41.040 we accomplish that every week, we're fine. We go home, happy and 16 00:01:41.079 --> 00:01:45.400 get ready for the next week to contact us to be part of the program. 17 00:01:45.480 --> 00:01:52.120 Doctor Joe Glotti dot com is our website, most important things on it 18 00:01:52.200 --> 00:01:56.120 for our newsletter. There's a tab at the top of the page. There's 19 00:01:56.159 --> 00:02:00.680 a contact us tab if you want to send me a message. And we 20 00:02:00.799 --> 00:02:07.159 are going to be hearing from a listener, a follower of hours. In 21 00:02:07.200 --> 00:02:15.080 the next segment, Paul called reached Out. Reached Out had a heart disease 22 00:02:15.039 --> 00:02:21.759 question. He went for a test and got an abnormal result. So we're 23 00:02:21.800 --> 00:02:24.159 going to hear his story, share that with you, and then a little 24 00:02:24.240 --> 00:02:30.400 later on the program, we have doctor Mike Wilson, James Wilson, Doctor 25 00:02:30.479 --> 00:02:35.120 James Michael Wilson, a cardiologist. He's been on the program before and he 26 00:02:35.159 --> 00:02:40.759 will try to talk us through the general things all of you need to think 27 00:02:40.759 --> 00:02:45.560 about when it comes to heart health. And of course all of our social 28 00:02:45.560 --> 00:02:49.560 media is posted on doctor Joe glati dot com. One thing that I don't 29 00:02:49.599 --> 00:02:53.560 talk about too much there is a clinical assessment. I hate to say clinical, 30 00:02:53.599 --> 00:02:57.960 it makes it sounds too medical. It's an assessment. It's a it's 31 00:02:58.000 --> 00:03:04.520 a ten point questionnaire that you could take on the website which will give you 32 00:03:04.599 --> 00:03:08.319 a sense of where you are at with your health and wellness, and it's 33 00:03:08.360 --> 00:03:13.800 a good inventory to take, so don't When you go to the website it 34 00:03:13.840 --> 00:03:16.800 says assessment. You can take it and get a sense of where you're at. 35 00:03:17.280 --> 00:03:22.560 So coming up, doctor Wilson, our listener Paul will be telling us 36 00:03:22.599 --> 00:03:27.919 his own health journey in a sense. Two articles that I were really three 37 00:03:28.039 --> 00:03:31.240 articles that I have to chat about now and I will post these after the 38 00:03:31.280 --> 00:03:40.000 show on the Facebook page. It has to do with artificial sweeteners and cancer. 39 00:03:40.120 --> 00:03:44.319 Now, for those of you that are old enough, back into the 40 00:03:44.560 --> 00:03:53.879 sixties, the wild sixties, saccharin which was probably one of the first readily 41 00:03:53.919 --> 00:04:01.719 available artificial sweeteners, there was always concerned that this was going to cause cancer, 42 00:04:03.199 --> 00:04:12.159 and there was some concern that it caused bladder cancer. But numerous studies 43 00:04:12.159 --> 00:04:18.720 have been done and basically cleared sacharin of that concern. And now we have 44 00:04:18.839 --> 00:04:30.279 back in the news the World Health Organization apart aspartame right, that is equal, 45 00:04:30.279 --> 00:04:38.000 they are in the very near future going to put a warning on products 46 00:04:38.040 --> 00:04:46.519 that contain aspartame that it is now this is the wording possibly carcinogenic to humans. 47 00:04:46.560 --> 00:04:51.519 Now, when you look at the International Agency for Research on Cancer. 48 00:04:53.959 --> 00:04:58.399 They analyze a lot of these products and they give recommendations to consumers and governments 49 00:04:58.399 --> 00:05:05.160 and manufacturers in the pseutical industry. There's basically three levels, possibly possibly carcinogenic, 50 00:05:05.680 --> 00:05:14.160 the second is probably carcinogenic, and the last one is carcinogenic to humans 51 00:05:14.199 --> 00:05:18.120 and so and so this is the big concern here. Now. The one 52 00:05:18.279 --> 00:05:24.800 thing that they are lacking is they do not state in any of their research 53 00:05:25.439 --> 00:05:30.360 the amount of aspartame that you need to eat to put you at risk for 54 00:05:30.480 --> 00:05:36.360 cancer. The general consensus is if you consume a lot, you're at risk 55 00:05:36.439 --> 00:05:43.079 for certain cancers. Now is that a six pack of diet coke is at 56 00:05:43.120 --> 00:05:48.040 a twelve pack is at eighty seven pieces of sugar free gum. So they 57 00:05:48.040 --> 00:05:54.839 don't really say how much you need to consume here. But the one thing 58 00:05:54.839 --> 00:05:59.120 that I would look at, and when you do look at the literature, 59 00:05:59.439 --> 00:06:04.120 they're really is not a lot of cancer data that has been reported. But 60 00:06:04.279 --> 00:06:09.360 I would look at it to say, all of these foods and products that 61 00:06:09.439 --> 00:06:17.399 have these artificial sweeteners, whether it is splenda or equal or saccharin, you're 62 00:06:17.399 --> 00:06:21.600 eating processed foods, and so you have to look at it and say, 63 00:06:21.800 --> 00:06:28.319 if I am eating a food or a diet that is high in all of 64 00:06:28.360 --> 00:06:31.040 these various sweeteners, yeah, you know there may be a risk of cancer 65 00:06:31.079 --> 00:06:35.600 that though that may be quite low. But really you want to stay away 66 00:06:36.040 --> 00:06:43.399 from all of these processed foods which will lead to obesity and diabetes and hypertension, 67 00:06:43.439 --> 00:06:46.920 heart disease, cancer, all of that. The other two stories, 68 00:06:46.959 --> 00:06:53.920 real quick is Ireland is getting into the act here. They are putting cancer 69 00:06:54.000 --> 00:07:00.639 warnings on beer and wine because of the risk of cancer and liver disease. 70 00:07:01.560 --> 00:07:05.759 So stay tuned for that. That is going to create a large amount of 71 00:07:05.800 --> 00:07:14.759 fireworks, no pun intended with the fourth of July here with regard to putting 72 00:07:14.800 --> 00:07:20.720 these warnings on various bottles of alcohol. And we could talk about that a 73 00:07:20.720 --> 00:07:25.199 little bit more next week, because this is this is something I just wanted 74 00:07:25.199 --> 00:07:28.800 to get out there to say in the news. It's going to be talked 75 00:07:28.839 --> 00:07:35.480 about. And the last thing, on a good point, there is evidence, 76 00:07:35.519 --> 00:07:42.800 and I would say we've known about this for a while that short daytime 77 00:07:42.959 --> 00:07:47.160 naps are good for your brain as it ages. And so if you look 78 00:07:47.199 --> 00:07:54.399 at the flip side of this, people that do not get enough sleep are 79 00:07:54.560 --> 00:08:03.839 at risk for hypertension, worsening, diabetes, heart disease, sudden cardiac death. 80 00:08:05.079 --> 00:08:09.959 And so if we can pay more attention to our sleep and taking a 81 00:08:09.079 --> 00:08:15.399 nap. You know who invented the term cat nap, Thomas Edison, the 82 00:08:15.519 --> 00:08:22.120 inventor. He was a big proponent of taking naps in the middle of the 83 00:08:22.199 --> 00:08:24.879 day. But anyway, I think we have to look at our lifestyle. 84 00:08:24.959 --> 00:08:28.240 How crazy are we running around? We have to think about our health. 85 00:08:28.600 --> 00:08:31.879 All right, we're going to take a quick break. I am hopeful that 86 00:08:31.919 --> 00:08:37.240 we have Paul on the line, will be with him in a moment. 87 00:08:37.240 --> 00:08:41.000 I'm doctor Joe Glatti. Every Sunday between seven and APM. Go to doctor 88 00:08:41.080 --> 00:08:45.799 Joe Glati dot com. Stay tuned. We'll write back every Sunday between seven 89 00:08:45.919 --> 00:08:50.039 and eight. We are here. And one of the one of the issues 90 00:08:50.039 --> 00:08:56.559 that I've been talking about as long as we've been on the radio is that 91 00:08:56.039 --> 00:09:01.759 this is a forum. We're able to get people on the phone and talk 92 00:09:01.840 --> 00:09:03.879 with us. We get people in the studio, and we're able to get 93 00:09:03.919 --> 00:09:11.240 people that communicate through our website. They send me messages and received a message 94 00:09:11.480 --> 00:09:16.840 from Paul from Jersey. Paul, are you on the line. I am 95 00:09:16.919 --> 00:09:20.919 Joe. Good evening. Oh hey, Paul, thanks for joining us. 96 00:09:20.039 --> 00:09:24.240 And what we want to do is be able for all of us here to 97 00:09:24.320 --> 00:09:30.200 be a forum for this kind of information. You all have questions about healthcare, 98 00:09:30.279 --> 00:09:33.120 your own health and the health of a family member, and so really 99 00:09:33.120 --> 00:09:37.679 glad Paul you can make it. So Paul, why don't you really give 100 00:09:37.679 --> 00:09:41.000 a quick overview of what you sort of ran into this past week or so? 101 00:09:43.519 --> 00:09:46.960 Well, I'll tell you, Joe, I started the week feeling like 102 00:09:46.159 --> 00:09:52.519 the most healthy guy, love and life and loving being retired right, and 103 00:09:52.840 --> 00:09:58.639 I, through God's providence and luck, I previously had been speaking with one 104 00:09:58.679 --> 00:10:05.559 of my neighbors about what I saw as a gap in my annual physical and 105 00:10:05.240 --> 00:10:11.639 we had a conversation, and the conversation really revolved around the fact that, 106 00:10:11.080 --> 00:10:16.240 you know, I had seen Ray Leo to pass away and Ray Romano talk 107 00:10:16.320 --> 00:10:20.080 about hard issues that he had, and it seemed to me that, you 108 00:10:20.120 --> 00:10:24.919 know, in my annual physical they never really checked the status of you know, 109 00:10:26.200 --> 00:10:31.519 my arteries. So make a long story short. On Monday, on 110 00:10:31.600 --> 00:10:35.399 the advice of my neighbor, he told me that there was this calcium hard 111 00:10:35.399 --> 00:10:41.759 test that I could take and that it was not covered by insurance and that's 112 00:10:41.799 --> 00:10:46.360 why generally the physicians don't prescribe it. But then he told me that the 113 00:10:46.440 --> 00:10:50.879 cost was ridiculously low. Anyway, I took the tests on Monday, thinking 114 00:10:50.960 --> 00:10:56.120 I am a lion and the greatest health and exercise like a fiend. And 115 00:10:56.159 --> 00:11:01.240 then while playing golf Tuesday, I got a message from my internals too said 116 00:11:01.240 --> 00:11:07.200 that my levels were elevated. Right naturally, that resulted in the Shanka hook 117 00:11:07.240 --> 00:11:11.679 and everything else. You're in the same trap there you go. And then, 118 00:11:11.799 --> 00:11:15.440 you know, being a layman, I didn't understand what elevated meant. 119 00:11:15.639 --> 00:11:20.080 And when I spoke to him in the evening, I found out what elevated 120 00:11:20.159 --> 00:11:24.360 meant. So I really got an astronomical score. And you know, now 121 00:11:24.399 --> 00:11:28.000 I'm in the process of dealing with it. I went through all of the 122 00:11:28.039 --> 00:11:33.360 emotions in the beginning of the week, and now I'm at the you know, 123 00:11:33.399 --> 00:11:39.799 the determination stage to deal with this matter, and also sort of evangelized 124 00:11:39.840 --> 00:11:45.720 from just a layman the importance of getting being more of an advocate for yourself 125 00:11:45.799 --> 00:11:50.200 during your examine and being a little smarter about what is being checked and not 126 00:11:50.360 --> 00:11:52.240 check right right I hope that answers your question. No, no, no, 127 00:11:52.279 --> 00:11:56.759 you know, I really think it does. And I to to not 128 00:11:56.960 --> 00:12:01.799 be glib here in any way you are getting. Now, look, we 129 00:12:01.879 --> 00:12:05.679 all talk to friends, We've got this network of people that we trust. 130 00:12:07.320 --> 00:12:11.480 And to say that you're getting your healthcare advice from your neighbor, well that 131 00:12:11.519 --> 00:12:15.759 may have. That seems to be a good thing that you did, but 132 00:12:15.799 --> 00:12:20.279 it is always a little disappointing that our healthcare teams are not leading the way 133 00:12:20.360 --> 00:12:24.080 to look at you and say be it, Paul, be it, Bob, 134 00:12:24.120 --> 00:12:28.440 be it Mary. You have these risk factors, family risk factors. 135 00:12:28.480 --> 00:12:33.080 You smoke, you drink, and you're eighty pounds overweight. You need to 136 00:12:33.399 --> 00:12:37.000 get this test done. How do you feel? And again, you being 137 00:12:39.519 --> 00:12:45.720 the person that's going to really promote this and talk to your neighbors and friends 138 00:12:45.840 --> 00:12:48.960 is going to be very important. But how did you react to that to 139 00:12:48.039 --> 00:12:50.480 say, gee, I'm trying to do the right thing and I've got to 140 00:12:50.519 --> 00:12:56.000 go out and find this test myself. I'm going to tell you, you 141 00:12:56.039 --> 00:12:58.799 know, going into the test, I was just grateful and you know, 142 00:13:00.000 --> 00:13:03.440 it's very confident that I would not have an issue, and you know it 143 00:13:03.519 --> 00:13:07.519 just felt why, why just wise to do it? I really did not 144 00:13:07.720 --> 00:13:13.840 have the expectations other results, and quite honestly, um, I was really 145 00:13:13.879 --> 00:13:16.320 shocked and I think I used the term I was rocked by the results. 146 00:13:16.399 --> 00:13:22.000 Yeah, I really really was surprised. I have a very close relationship with 147 00:13:22.039 --> 00:13:26.080 my intern is and just and you know, I've retired, so my insurance 148 00:13:26.200 --> 00:13:31.159 isn't as good as it was. But you know, I had fantastic insurance 149 00:13:31.159 --> 00:13:35.440 and it just never came up. But I think it's a disconnect between you 150 00:13:35.440 --> 00:13:37.559 know, the intern is trying to you know, say what do I absolutely 151 00:13:37.679 --> 00:13:43.639 need and what is extra and really being led by the insurance company. And 152 00:13:43.679 --> 00:13:48.240 then you know, the irony of it is the test is so so very 153 00:13:48.320 --> 00:13:52.200 cheap. I don't think I presented you know, I love my interns. 154 00:13:52.200 --> 00:13:56.360 I don't think I presented a lot of risk factors. You know, I 155 00:13:56.399 --> 00:14:00.600 would say that, you know, I probably you know, probably as a 156 00:14:00.600 --> 00:14:05.039 result of one of my heroes, my mother who was religious with Jack Lelane. 157 00:14:05.559 --> 00:14:09.240 Um, you know, I'm a I exercise generally six days a week. 158 00:14:09.720 --> 00:14:16.320 I've run four marathons. I actually feel great, Um, emotionally, 159 00:14:16.320 --> 00:14:18.720 I maybe a little bit right, you know, not where I was. 160 00:14:18.279 --> 00:14:22.399 But you know, I really, I really feel feel great in in my 161 00:14:22.279 --> 00:14:26.480 you know, and I guess the sort of the breaking point for me was 162 00:14:26.919 --> 00:14:30.440 a couple of years ago. UM, I did start to have things that 163 00:14:30.480 --> 00:14:33.320 had never happened. I played sports throughout even in college, you know, 164 00:14:33.440 --> 00:14:37.679 not a not a high level, but I you know, mostly had you 165 00:14:37.720 --> 00:14:41.519 know, athletic sprains and you know, fracture here and there, but you 166 00:14:41.559 --> 00:14:43.960 know, never a surgery, you know, nothing like that when I, 167 00:14:45.120 --> 00:14:50.759 UM was I'm sixty three now. When I was fifty nine, UM, 168 00:14:50.799 --> 00:14:56.440 I had a melanoma scare and I had melanovan removed, and then the following 169 00:14:56.519 --> 00:15:01.200 year I had uh back surgery. But other than that, I've never had 170 00:15:01.360 --> 00:15:05.759 You've been healthy, concerned at all. Yeah. So for everybody listening tonight, 171 00:15:07.879 --> 00:15:13.080 one of the things that we try to drill in and what I think 172 00:15:13.159 --> 00:15:16.600 is the value of the program is for you the consumer. You know, 173 00:15:16.720 --> 00:15:22.639 Paul sitting at home being not afraid to ask questions about do I need this 174 00:15:22.720 --> 00:15:28.480 test, do I need this evaluation? What would you say from your own 175 00:15:28.720 --> 00:15:33.960 past history going back years to what has just happened now? What advice do 176 00:15:35.000 --> 00:15:39.960 you have for everybody? Listening. You know, it's actually interesting. I've 177 00:15:39.000 --> 00:15:46.399 had some conversations with my classmates from high school, and I have found that 178 00:15:46.320 --> 00:15:50.600 generally the population would be in my category, which is, you get the 179 00:15:50.639 --> 00:15:54.080 tests, you have a good conversation with the doctor, very very open, 180 00:15:54.559 --> 00:15:58.120 and you trust the doctor, and you know, you do what he says. 181 00:15:58.200 --> 00:16:03.799 A subset of my classmates has said what tests are available and can you 182 00:16:03.840 --> 00:16:08.440 tell me about them? And don't bring the insurance into this, and and 183 00:16:08.480 --> 00:16:11.840 I think those people have had this test, and they've had stress tests and 184 00:16:12.440 --> 00:16:17.960 other tests which I've not had. So I would say, um, you 185 00:16:18.039 --> 00:16:21.000 know, as you can tell, I like to talk, so I think 186 00:16:21.519 --> 00:16:26.960 talk talk to your peers about about their health. And then also, um, 187 00:16:26.240 --> 00:16:30.080 you know, I have great respect for physicians in general, and you 188 00:16:30.120 --> 00:16:33.720 know the ones that I've dealt with, and ask them what else is available? 189 00:16:34.200 --> 00:16:37.559 And I think that that you know, I'm not going to point fingers. 190 00:16:37.600 --> 00:16:41.120 I point the finger out myself. I really did not ask what other 191 00:16:41.159 --> 00:16:45.159 tests can I have? Or say what risk do I have that are not 192 00:16:45.240 --> 00:16:49.600 covered by the annual physical right? And I think that would that would help 193 00:16:51.039 --> 00:16:53.080 quite a bit. And I think, you know, just a little diligence. 194 00:16:53.120 --> 00:16:56.759 You know, you know, and now I'm probably more familiar with, 195 00:16:56.639 --> 00:17:00.639 you know, the number of people that you suffer from heart disease and powers 196 00:17:00.720 --> 00:17:04.599 from heart disease, but asking some of the things that I should be concerned 197 00:17:04.599 --> 00:17:07.880 about, rather than you know, being stuck in the you know, my 198 00:17:07.960 --> 00:17:14.400 mother's generation where you just want to get the doctor to say you can get 199 00:17:14.400 --> 00:17:15.920 out and you don't have to do anything. That's more you know, being 200 00:17:17.000 --> 00:17:21.480 pro I think I need the patient needs to be more proactive on their behalf 201 00:17:21.480 --> 00:17:25.680 and say how can I prevent the things that are you know, flicting right, 202 00:17:25.759 --> 00:17:26.880 you know my peer group? Yeah, you know, I and I 203 00:17:26.920 --> 00:17:30.680 think what happens is when I when I talk to patients, they will say 204 00:17:30.759 --> 00:17:34.720 either the doctor's in a rush or they don't want to have a conversation with 205 00:17:34.799 --> 00:17:40.559 me. But you have to make that conversation as you did, Paul. 206 00:17:40.880 --> 00:17:42.720 Well, look, Paul, we're at a time for this segment. I'd 207 00:17:42.799 --> 00:17:47.559 like to hear back from you in a few weeks with an update. How 208 00:17:47.559 --> 00:17:51.200 does that sound? That sounds great? And I really appreciate your time and 209 00:17:51.279 --> 00:17:53.880 for your people out there, get get some tests and need more advocates for 210 00:17:53.920 --> 00:17:57.720 yourself absolutely all right, Paul, thank you all right, Coming yeah, 211 00:17:57.759 --> 00:18:03.559 Coming up is Wilson, Doctor James Wilson. We're going to talk about this 212 00:18:03.200 --> 00:18:10.160 carnary calcium score that Paul just went for and some other tests and risk factors 213 00:18:10.160 --> 00:18:12.240 and what you all need to know. I'm doctor Joe Glotti. Thanks very 214 00:18:12.319 --> 00:18:17.000 much for tuning in on this fall to July weekend. We will be right 215 00:18:17.079 --> 00:18:22.759 back, so glad you could be with us tonight. Don't forget Doctor Joe 216 00:18:22.839 --> 00:18:27.240 Glotti dot com is our website, so a for our newsletter, send us 217 00:18:27.279 --> 00:18:33.400 a message. You can email me right through the website. Information about our 218 00:18:33.440 --> 00:18:37.880 book and all of our social media is there. Some of the articles that 219 00:18:37.960 --> 00:18:45.319 I talked about earlier tonight about the cancer and the sweeteners and the alcohol warnings 220 00:18:45.359 --> 00:18:49.359 that are going to be coming out in Ireland and the napping story. I'm 221 00:18:49.400 --> 00:18:55.759 going to put them on the faceboobook page later this evening when I get Addie 222 00:18:55.799 --> 00:19:02.519 here. All right, now, we have doctor Wilson on the line, 223 00:19:02.599 --> 00:19:07.920 a cardiologist here in Houston, Texas. His website is Houston MDS dot org. 224 00:19:08.000 --> 00:19:11.519 Doctor Wilson, it's always great to have you on the radio, and 225 00:19:11.160 --> 00:19:18.400 you always articulate the questions that I throw at you. Yea, oh, 226 00:19:18.400 --> 00:19:21.720 thank you for having me. Now, I don't know. Did you have 227 00:19:21.759 --> 00:19:26.720 a chance to listen to Paul, our listener that had some problems with his 228 00:19:26.799 --> 00:19:33.359 heart. Yes, idea that his story gives a new meaning to the term 229 00:19:33.400 --> 00:19:37.000 good neighbor. Yes, that is true, that is that is good and 230 00:19:37.200 --> 00:19:45.079 um like so many people in a sense, and you see very similar type 231 00:19:45.079 --> 00:19:48.920 patients that I see. They they are a bit on the complicated side, 232 00:19:48.960 --> 00:19:56.279 they have multiple medical problems. But how often are patients coming to you in 233 00:19:56.279 --> 00:20:03.759 the in the cardiology space based on a hunch or on a recommendation of a 234 00:20:03.799 --> 00:20:08.480 friend, coworker, relative, Yeah, the guy sitting in the cubicle next 235 00:20:08.519 --> 00:20:15.440 to them, rather than being guided by the healthcare team. Where a patient 236 00:20:15.759 --> 00:20:22.759 is evaluated, they're looked at and the treating physician will say, look, 237 00:20:22.880 --> 00:20:26.599 because of your high blood pressure, your diabetes, a little bit of kidney 238 00:20:26.599 --> 00:20:33.119 disease, you need to see a cardiologist or other other specialists. Tell us, 239 00:20:33.119 --> 00:20:37.759 tell us about that. I think that it's a very common scenario. 240 00:20:38.640 --> 00:20:44.319 And today's world, as you pointed out when you were discussing this with Paul, 241 00:20:44.519 --> 00:20:49.720 is in today's world. You're given X number of minutes at each visit, 242 00:20:49.920 --> 00:20:56.160 and a physician has a series of guidelines and step points and algorithms to 243 00:20:56.279 --> 00:21:03.160 go by. So the meeting and the interaction a lot of times becomes very 244 00:21:03.200 --> 00:21:07.720 impersonal, right, And I think a lot of people feel like, if 245 00:21:07.720 --> 00:21:11.119 I'm talking to my neighbor who knows me and knows some of the things that 246 00:21:11.200 --> 00:21:17.039 I'm worried about, perhaps what they're recommending to me is along the lines of 247 00:21:17.119 --> 00:21:21.039 my concerns, right, and that may not be the same interaction they're having 248 00:21:21.039 --> 00:21:23.440 with their doctor. Right now, That's true, and I think we all 249 00:21:23.480 --> 00:21:29.119 in the practice of medicine have to slow down just a little bit and listen. 250 00:21:29.200 --> 00:21:33.119 But at the same time, you do need patience. And again this 251 00:21:33.240 --> 00:21:37.160 is why for those listen to the listen to this program. We want to 252 00:21:37.200 --> 00:21:44.039 give you the support to ask questions of your doctors. And if you have 253 00:21:44.119 --> 00:21:48.240 concerns, to ask rather than just say, well he or she didn't ask, 254 00:21:48.599 --> 00:21:52.240 we ran at a time, I'll catch him next year. That could 255 00:21:52.279 --> 00:21:59.640 be a major mistake. Oh absolutely, It's nobody's perfect. And to raise 256 00:21:59.720 --> 00:22:03.160 questions is about your own health is extremely important and you always should Yeah, 257 00:22:03.200 --> 00:22:10.440 now, before we get into the calcium test that he had done a real 258 00:22:10.559 --> 00:22:15.759 quick overview for everybody on some of the two parts. Yet really the risk 259 00:22:15.839 --> 00:22:22.160 factors for heart disease and the symptoms. What do you think, I know 260 00:22:22.279 --> 00:22:26.519 this is this is a whole hour, but your a pro and we'll get 261 00:22:26.559 --> 00:22:32.480 we'll cover it well. The very brief version is the older you are, 262 00:22:32.640 --> 00:22:37.359 the greater your likelihood of developing the disease process that causes heart attacks and strokes 263 00:22:37.480 --> 00:22:44.960 athrosclerosis. So age is the principal thing, the principal risk factor, and 264 00:22:45.079 --> 00:22:49.880 your risk really starts at age about roughly forty five in men, fifty five 265 00:22:49.920 --> 00:22:55.559 in women. But the risk factors, the things that can predispose you to 266 00:22:55.799 --> 00:23:02.119 early disease development, start much earlier and recognize much earlier. And those are 267 00:23:03.160 --> 00:23:11.440 high blood pressure, high cholesterol, diabetes. Right. Smoking is I would 268 00:23:11.480 --> 00:23:15.440 put smoking second only to aging, is the most potent risk factor for the 269 00:23:15.839 --> 00:23:21.240 earlier on that development of disease. And then of course excess body weight. 270 00:23:21.319 --> 00:23:26.400 And there are a few other minor what they call disease modifiers, but those 271 00:23:26.440 --> 00:23:32.240 are the big ticket items. If those things describe you, and if you 272 00:23:32.400 --> 00:23:37.839 have at least one of those risk factors. Then concern and testing and asking 273 00:23:37.880 --> 00:23:41.400 your doctor what's my risk of having a heart attack in the next ten years? 274 00:23:41.519 --> 00:23:45.720 Is an important part of your health maintenance. Yeah, I would say 275 00:23:45.759 --> 00:23:51.200 if you have any of those or multiple risks, you know you have diabetes 276 00:23:51.240 --> 00:23:59.039 and high cholesterol or diabetes cholesterol in your obese that almost mandates hit the pause 277 00:23:59.079 --> 00:24:02.960 button when you're in the doctor to say, we have to have a much 278 00:24:03.039 --> 00:24:07.240 deeper conversation now now, symptom wise, because a lot of people are walking 279 00:24:07.279 --> 00:24:12.440 around, even my liver patients are coming in with shortness of breath and chest 280 00:24:12.480 --> 00:24:18.799 pain and they essentially blow it off to one of a hundred different things. 281 00:24:18.839 --> 00:24:25.160 But that is equally dangerous. Yes, it is, because the symptoms can 282 00:24:25.200 --> 00:24:32.920 be very subtle, and the most important thing to recognize is a great many 283 00:24:32.960 --> 00:24:34.839 people have in their head, well, if I have a heart attack, 284 00:24:34.960 --> 00:24:40.359 it's going to make my chest hurt. Right. The truth is, if 285 00:24:40.400 --> 00:24:44.440 you take a hundred people who had a heart attack and you ask them did 286 00:24:44.440 --> 00:24:48.759 that hurt, most of them are going to tell you not really, but 287 00:24:48.839 --> 00:24:55.039 it was really uncomfortable. Right, So if you're having a symptom that is 288 00:24:55.480 --> 00:25:04.000 I've become uncomfortable with exercise or most emotional stress after a large meal. Then 289 00:25:04.599 --> 00:25:08.240 those are the times where you say, I wonder if this could be heart 290 00:25:08.359 --> 00:25:12.559 disease. Right, So it's not always pain, but if you say I 291 00:25:12.640 --> 00:25:18.000 get very uncomfortable, particularly in the chest, the neck, the shoulders, 292 00:25:18.000 --> 00:25:22.440 and sometimes the back. And if it's an accompanied by difficulties breathing, nausea 293 00:25:22.440 --> 00:25:26.200 at the same time, or sweating, and in particular, if you get 294 00:25:26.200 --> 00:25:30.960 the sensation of saying, wait, there's just something wrong, right, that 295 00:25:32.240 --> 00:25:37.200 sensation with those symptoms, it's time to call your doctor. Yeah, exactly, 296 00:25:37.319 --> 00:25:38.839 all right, Well, we're gonna we're gonna take a quick break here, 297 00:25:40.400 --> 00:25:45.519 doctor Mike Wilson, and we're going to dedicate the next and final segment 298 00:25:45.640 --> 00:25:52.039 to this whole calcium score test and what it means should you get it done, 299 00:25:52.200 --> 00:25:56.400 and if you get a bad result, then what Stay tuned, Doctor 300 00:25:56.440 --> 00:26:00.319 Joe Glotti, Doctor Joe Glotti dot com, Stay tuned, will be right 301 00:26:00.359 --> 00:26:04.400 back. Thanks for tuning in with us on this fourth of July Sunday, 302 00:26:04.680 --> 00:26:11.200 Doctor Joe Gallati. Usually on the fourth of July weekend or they're abouts, 303 00:26:11.759 --> 00:26:15.599 I do a little holiday safety session, but we don't have time tonight. 304 00:26:15.720 --> 00:26:21.480 But please be careful because you know what's going to happen Tuesday, Wednesday morning. 305 00:26:21.880 --> 00:26:23.880 We're going to wake up and hear the stories of the drownings, the 306 00:26:25.000 --> 00:26:29.559 car accidents, the fires, kids getting their fingers blown off. I think 307 00:26:29.640 --> 00:26:33.920 you all know the drill. Just be careful this weekend, have fun, 308 00:26:33.119 --> 00:26:37.920 but make sure you show up Tuesday with all your fingers and limbs and everybody's 309 00:26:37.920 --> 00:26:42.680 alive, all right, Doctor James Wilson on the line, our go to 310 00:26:42.799 --> 00:26:48.519 cardiologist all the time. Okay, So Paul, our listener who was on 311 00:26:48.599 --> 00:26:53.279 the beginning of the show when for a calcium score calcium scan, feeling good, 312 00:26:53.359 --> 00:26:56.680 thought he was on top of the world, comes back with a score 313 00:26:56.799 --> 00:27:03.400 of eleven hundred. Eleven hundred. People that I know are getting scores of 314 00:27:03.519 --> 00:27:12.759 seventy one forty three hundred. What does eleven hundred mean to you? So 315 00:27:14.839 --> 00:27:21.039 the score can be a scary as a as a number. What these scores 316 00:27:21.119 --> 00:27:26.240 are is a cat skin takes a picture of your heart dry quickly and everywhere. 317 00:27:26.319 --> 00:27:30.640 There's a little piece of calcium in your hurt that gets counted as a 318 00:27:30.720 --> 00:27:34.599 one, and you add all those up through your your coronary arteries. Now 319 00:27:34.720 --> 00:27:41.680 The numbers go kind of like this, from zero to ten. Yeah, 320 00:27:41.720 --> 00:27:47.160 I think there's something. They're not really sure. If it's a complete zero, 321 00:27:47.799 --> 00:27:51.400 hey, fantastic, there's nothing. Zero to ten, I'm not sure. 322 00:27:51.759 --> 00:27:56.359 Ten to one hundred, there's definitely something there. When you get over 323 00:27:56.400 --> 00:28:00.240 one hundred, that's where your risk of heart attack and the next five years 324 00:28:00.279 --> 00:28:07.119 starts to really rise. So you're identified as somebody you've got astrosclerosis, the 325 00:28:07.160 --> 00:28:11.559 stuff that can cause a heart attack. Right now, here's where the numbers 326 00:28:11.599 --> 00:28:14.759 come in. I'm would give up. I'm not going to go exact on 327 00:28:14.839 --> 00:28:17.880 the numbers, but I'm give them where they're easy to remember. A hundred 328 00:28:17.960 --> 00:28:22.880 is that point. Five hundred is a point at which your chance of having 329 00:28:22.920 --> 00:28:26.480 a heart attack and the next five years is the same as somebody who already 330 00:28:26.480 --> 00:28:30.440 knows he has he or she has a narrowing in their earlies. Okay, 331 00:28:32.160 --> 00:28:34.480 when you get over a thousand, your chance of a heart attack in the 332 00:28:34.480 --> 00:28:38.960 next five years is the same as somebody who's had a bypass operation. Right, 333 00:28:41.119 --> 00:28:45.799 so you've identified then I've got disease, I've got an increased risk of 334 00:28:45.880 --> 00:28:51.880 heart attack. It does not This is the important thing that score does not 335 00:28:52.079 --> 00:28:55.799 mean you have a whole lot of narrowings and you need an operation, or 336 00:28:55.839 --> 00:28:59.400 you need a stint or any of that business. Right, It just means 337 00:28:59.599 --> 00:29:03.960 you need to treat the disease. And treating the disease is lifestyle modification, 338 00:29:04.119 --> 00:29:08.359 weight management, and cholesterol alluring, okay, and diabetic treatment if you've got 339 00:29:08.400 --> 00:29:15.240 it right now, so you get the results and you're sitting at home panicking 340 00:29:15.400 --> 00:29:21.839 concerned, it's the proverbial wake up call. What is the next set of 341 00:29:22.319 --> 00:29:26.799 tests? We are all in a way blessed and cursed with all of this 342 00:29:26.920 --> 00:29:32.960 technology. We could go for something called a ct angiogram. There is nuclear 343 00:29:33.039 --> 00:29:38.720 stress test. As the cardiologist, what do you think about now? So 344 00:29:40.640 --> 00:29:44.480 the most important thing I tell people that come in with these or that I 345 00:29:44.559 --> 00:29:47.920 get to test with them, is to remind them that, look, this 346 00:29:48.119 --> 00:29:51.200 is not the end of the world. You're very fortunate to have found this 347 00:29:51.319 --> 00:29:55.680 before it caused a major problem. Right. The next thing is if the 348 00:29:55.759 --> 00:29:59.039 score is high and your risk of a heart attack is high, I'm going 349 00:29:59.119 --> 00:30:02.119 to be treating you with medicines, but I will need to know, okay, 350 00:30:02.359 --> 00:30:06.160 if you have that heart attack or you at even greater risk do I 351 00:30:06.240 --> 00:30:10.839 need to treat you even more aggressively? So once that scores over at bad 352 00:30:10.880 --> 00:30:15.319 five hundred, I usually recommend that they have a stress test right now. 353 00:30:15.480 --> 00:30:21.160 Paul gave an example of somebody who's exercising regularly and vigorously and when he talks 354 00:30:21.160 --> 00:30:25.240 to his doctor it may not be necessary. Right, But the question you 355 00:30:25.279 --> 00:30:30.519 have now is, Okay, I've got I've identified disease. Has this person 356 00:30:30.640 --> 00:30:34.119 got disease that's so bad that they might die with that next heart attack in 357 00:30:34.160 --> 00:30:37.960 the next five years? And do I have to treat them aggressively? Stress 358 00:30:38.000 --> 00:30:47.759 test is first, the ct angiogram hasn't really navigated properly to its role in 359 00:30:47.799 --> 00:30:52.000 this discussion just yet. Okay, it is. It is a very good 360 00:30:52.000 --> 00:30:57.160 test to identify anatomy. It's not as good as a real angiogram, and 361 00:30:57.480 --> 00:31:03.480 it can sometimes be miss leading because it overestimates your disease sometimes, right, 362 00:31:03.240 --> 00:31:08.400 okay, But getting a stress test of some kind is probably the next thing 363 00:31:08.440 --> 00:31:14.400 to do. Yeah, if your score is if you're like the guys you 364 00:31:14.440 --> 00:31:18.240 were talking about, seventy one hundred, forty, it's okay, let's let's 365 00:31:18.240 --> 00:31:22.480 address your LDO cholesterol, right, five hundred or more. It's probably stress 366 00:31:22.559 --> 00:31:27.799 tests, right, Okay, Now, certainly there's been a lot written about 367 00:31:29.160 --> 00:31:36.559 statins on how they are very helpful in this situation, lifestyle modifications, continuing 368 00:31:36.559 --> 00:31:41.039 to exercise or start exercising, and change your diet where and really, I'd 369 00:31:41.079 --> 00:31:45.079 say we've always known that the Mediterranean diet is good. It seems like more 370 00:31:45.119 --> 00:31:52.519 research is coming out on Mediterranean What do you tell your patients with this plant 371 00:31:52.599 --> 00:32:00.079 based ie Mediterranean diet? So I emphasize all of the first thing that we're 372 00:32:00.119 --> 00:32:06.759 our first goal is to manage your body weight right, and and however you're 373 00:32:06.799 --> 00:32:10.160 going to be able to follow a diet most effectively is most important. I 374 00:32:10.200 --> 00:32:15.680 think the Mediterranean diet is so good because it's so sensible, it's so easy 375 00:32:15.759 --> 00:32:21.039 to follow, and I try to steer people in that direction because it's a 376 00:32:21.079 --> 00:32:24.640 diet that you can live on, right, unlike a lot of fad diets 377 00:32:24.680 --> 00:32:29.720 which really lead to more problems than they solved. Yeah, no, without 378 00:32:29.720 --> 00:32:32.000 a doubt. And you know you talk about Mediterranean diet, the fruits, 379 00:32:32.000 --> 00:32:37.880 the vegetables, the citrus, the fish. Um, right, it's for 380 00:32:37.160 --> 00:32:42.160 the four ASTs and we'll leave the firewater off, right, not tonight, 381 00:32:42.720 --> 00:32:50.279 um right now, just in general as patients are, I don't want to 382 00:32:50.319 --> 00:32:53.480 say they're there, you know. I think we have two brands of patients. 383 00:32:53.559 --> 00:33:00.319 Those that are very passive and they just nod their head, do what 384 00:33:00.359 --> 00:33:04.680 the doctor says. Others are the more aggressive, the patients that come in 385 00:33:04.720 --> 00:33:09.519 with fifty pages of print out from the internet, which I'm okay with that 386 00:33:09.599 --> 00:33:17.880 to tell you the truth, maybe thirty pages. But is there a problem 387 00:33:19.039 --> 00:33:25.079 with the population at large mass testing with all of these things like a calcium 388 00:33:25.119 --> 00:33:29.880 score? Is it for everybody? You know? Where do we draw the 389 00:33:29.960 --> 00:33:31.960 line on, Hey, I want to know, I need to know, 390 00:33:32.519 --> 00:33:37.640 and darn it, I'm going to get a test like this. Well, 391 00:33:37.640 --> 00:33:40.480 I think that one of the points is that you brought up earlier. Is 392 00:33:40.599 --> 00:33:45.599 is a good point of discussion with your doctor, right because in many instances 393 00:33:45.599 --> 00:33:50.839 where you say, hey, should I get a calcium score, the question 394 00:33:50.920 --> 00:33:53.880 has already been answered. If you are let's say you're sixty years old, 395 00:33:53.920 --> 00:33:58.680 you're diabetic, and you have high blood pressure, well, your doctor should 396 00:33:58.720 --> 00:34:02.559 already be treating you as though you have cornea ordery disease. Is aggressively lowering 397 00:34:02.599 --> 00:34:07.480 your cholesterol in the calcium score won't change your medical management, right, because 398 00:34:07.480 --> 00:34:12.519 you're already being treated aggressively. Right. So it's a good point of discussion. 399 00:34:12.599 --> 00:34:15.079 So do I need it or not? Have you already helped me through 400 00:34:15.119 --> 00:34:20.800 this decision? And I wasn't even aware of, right, But I would 401 00:34:20.840 --> 00:34:27.159 say that take home to night based on Paul, and I'd like to know 402 00:34:27.159 --> 00:34:32.000 what the name of his neighbor was. You know, Bob saved Paul's life, 403 00:34:32.039 --> 00:34:36.800 you know, let's put it that way. But anyway, having these 404 00:34:36.840 --> 00:34:42.360 conversations, and you know, the one thing he did mention is we should 405 00:34:42.400 --> 00:34:45.440 all be talking with our friends, you know, what's going on with you? 406 00:34:45.559 --> 00:34:46.679 I mean, you know, uh, you know, we talk about 407 00:34:46.679 --> 00:34:50.880 everything else, but we don't want to talk too much about our health. 408 00:34:51.320 --> 00:34:58.639 But I do think we have to foster a good, healthy relationship with your 409 00:34:58.840 --> 00:35:02.519 your care team, and Mike, I'll give you the last thirty seconds on 410 00:35:02.559 --> 00:35:10.920 that. Why it is so important. It's absolutely critical because, as I 411 00:35:12.079 --> 00:35:16.400 was mentioning earlier, as we go through in our discussions, I may be 412 00:35:16.559 --> 00:35:22.079 seeing somebody with a question of, say a valve problem, right, and 413 00:35:22.199 --> 00:35:28.960 I'm so focused on that where I will essentially forget to address some of the 414 00:35:29.039 --> 00:35:31.800 other things that are important to that person, and some of them made critical. 415 00:35:32.079 --> 00:35:35.880 Do I need my karates? Looked at? Doctor? Should I have 416 00:35:35.920 --> 00:35:39.039 a calcium score? Right? Those are critical, so you really must be 417 00:35:39.079 --> 00:35:44.280 your own advocate, as you pointed out, All right, doctor James, 418 00:35:44.360 --> 00:35:47.840 Michael Wilson, Houston, mds dot org. As always, Mike, thanks 419 00:35:47.840 --> 00:35:52.000 for coming on tonight, Thanks for having me. Ye all right? Great? 420 00:35:52.280 --> 00:35:54.840 All right, everybody, Well, look, hopefully this was a worthwhile 421 00:35:55.079 --> 00:36:00.760 exercise tonight. Have a great Fourth of July. Remember you live in America. 422 00:36:00.000 --> 00:36:06.800 It is a great country. Take care of yourselves and we'll see you 423 00:36:06.880 --> 00:36:12.679 next Sunday night. You've been listening to Your Health First with doctor Joe Gilati. 424 00:36:12.960 --> 00:36:15.119 For more information on this program or the content of this program, go 425 00:36:15.199 --> 00:36:20.320 to your Health First dot com. I gotta go to work at six and more.