WEBVTT

1
00:00:01.679 --> 00:00:06.360
<v Speaker 1>Initial Life Sequencing coming to you live from Houston, Texas,

2
00:00:06.559 --> 00:00:08.679
<v Speaker 1>home to the world's largest medical center in the.

3
00:00:08.679 --> 00:00:10.839
<v Speaker 2>Approach ras everything looking ability.

4
00:00:19.559 --> 00:00:23.199
<v Speaker 1>This is your Health First. It's the most beneficial health

5
00:00:23.199 --> 00:00:26.640
<v Speaker 1>program on radio with doctor Joe Galotti. During the next

6
00:00:26.640 --> 00:00:30.320
<v Speaker 1>hour you'll learn about health, wellness and the provention of disease.

7
00:00:30.719 --> 00:00:33.479
<v Speaker 1>Now here's your host, doctor Joe Galotti.

8
00:00:45.479 --> 00:00:48.840
<v Speaker 2>Well, good Sunday evening to everybody. Doctor Joe Glotti, thanks

9
00:00:48.840 --> 00:00:52.159
<v Speaker 2>for tuning into your Health First. We're here every Sunday

10
00:00:52.159 --> 00:00:56.679
<v Speaker 2>between seven and eight pm. And our mission year after year,

11
00:00:56.960 --> 00:01:00.039
<v Speaker 2>twenty two plus years that we've been doing this, it

12
00:01:00.159 --> 00:01:03.000
<v Speaker 2>is very simple to make you better consumers of healthcare,

13
00:01:03.479 --> 00:01:07.480
<v Speaker 2>raise your health IQ and give you some insight as

14
00:01:07.599 --> 00:01:10.359
<v Speaker 2>to how to take care of your body. Being a

15
00:01:10.480 --> 00:01:15.560
<v Speaker 2>good consumer can certainly, without a doubt, prevent a lot

16
00:01:15.599 --> 00:01:19.239
<v Speaker 2>of the chronic disease that we see. By now, everybody

17
00:01:19.280 --> 00:01:22.680
<v Speaker 2>should know our website. It is doctor Joegalotti dot com,

18
00:01:22.760 --> 00:01:25.640
<v Speaker 2>d R J O E G A L A t

19
00:01:25.840 --> 00:01:29.640
<v Speaker 2>I dot com. Go there and sounder from newsletter send

20
00:01:29.640 --> 00:01:33.359
<v Speaker 2>me a message. All of our social media posts are there,

21
00:01:33.439 --> 00:01:38.319
<v Speaker 2>including YouTube and Instagram and Facebook, and our website Doctor

22
00:01:38.359 --> 00:01:43.120
<v Speaker 2>Joegalotti dot com all right, So the month of February

23
00:01:44.079 --> 00:01:48.159
<v Speaker 2>is American Heart Month, and that is the time of

24
00:01:48.280 --> 00:01:54.680
<v Speaker 2>the year where we raise awareness, have a conversation about

25
00:01:54.840 --> 00:01:58.719
<v Speaker 2>heart disease, heart disease and men heart disease and women.

26
00:01:59.239 --> 00:02:03.840
<v Speaker 2>Making sure you understand your risk factors, because really, if

27
00:02:03.840 --> 00:02:07.000
<v Speaker 2>you know your risk factors, you can look in the

28
00:02:07.000 --> 00:02:11.360
<v Speaker 2>mirror and say, hey, I did not realize I am

29
00:02:11.400 --> 00:02:15.759
<v Speaker 2>at risk for premature heart disease or a premature heart

30
00:02:15.759 --> 00:02:21.680
<v Speaker 2>attack or stroke or heart failure, or these palpitations I'm

31
00:02:21.680 --> 00:02:26.159
<v Speaker 2>having may be something more serious that needs a more

32
00:02:26.639 --> 00:02:32.800
<v Speaker 2>formal workup. So that is the idea. And on the

33
00:02:32.840 --> 00:02:36.159
<v Speaker 2>program tonight, we have to we have doctor ran Deep Sunasia.

34
00:02:36.680 --> 00:02:41.080
<v Speaker 2>He is an acclaimed cardiologist here in Houston, and I

35
00:02:41.240 --> 00:02:44.960
<v Speaker 2>had the opportunity a little earlier in the week to

36
00:02:45.000 --> 00:02:49.120
<v Speaker 2>sit down and have a conversation with him. So that

37
00:02:49.280 --> 00:02:52.639
<v Speaker 2>is what we have tonight, a conversation with doctor ran

38
00:02:52.719 --> 00:02:59.120
<v Speaker 2>Deep Sunasia, a cardiologist here in Houston. Listen and take

39
00:02:59.120 --> 00:03:04.240
<v Speaker 2>in for yourself what information do I need to know?

40
00:03:05.120 --> 00:03:06.000
<v Speaker 2>Look at it that way?

41
00:03:06.680 --> 00:03:07.000
<v Speaker 1>All right?

42
00:03:07.039 --> 00:03:11.800
<v Speaker 2>Well, as I was saying earlier, it is American Heart Month,

43
00:03:11.840 --> 00:03:14.240
<v Speaker 2>a month of February, and if it was up to me,

44
00:03:14.280 --> 00:03:17.960
<v Speaker 2>it would be part month every month of the year,

45
00:03:18.560 --> 00:03:21.240
<v Speaker 2>but we have to deal with what we're dealt here

46
00:03:22.199 --> 00:03:27.159
<v Speaker 2>and no stranger to your health. First, doctor ran Deep Sunasia.

47
00:03:27.199 --> 00:03:30.800
<v Speaker 2>He is one of the finest cardiologists, not only in

48
00:03:31.000 --> 00:03:33.599
<v Speaker 2>Houston but in the United States. And I've known him

49
00:03:33.680 --> 00:03:39.599
<v Speaker 2>a very long time. And when sometimes we are lacking

50
00:03:39.879 --> 00:03:44.879
<v Speaker 2>compassion in the medical field to our patients, doctor Snasia

51
00:03:44.960 --> 00:03:47.759
<v Speaker 2>certainly excels in that area. It's great to have you

52
00:03:47.800 --> 00:03:52.759
<v Speaker 2>on tonight, and thanks for participating in our little contribution

53
00:03:52.919 --> 00:03:54.159
<v Speaker 2>to American Heart Month.

54
00:03:54.759 --> 00:03:56.919
<v Speaker 3>Thank you, Joe, thank you for inviting and always look

55
00:03:56.960 --> 00:04:01.560
<v Speaker 3>forward to our yearly meetings here on and during this month.

56
00:04:02.000 --> 00:04:06.439
<v Speaker 2>Yes, exactly. Now, just a little background on doctor Sunasia.

57
00:04:06.599 --> 00:04:09.759
<v Speaker 2>He has been here is it twenty three years now? Well,

58
00:04:09.800 --> 00:04:13.800
<v Speaker 2>thirty three thirty three thirty three years, over one hundred

59
00:04:13.840 --> 00:04:19.079
<v Speaker 2>thousand patients. That was a landmark just recently and he

60
00:04:19.360 --> 00:04:24.879
<v Speaker 2>has founded the Cardiology Center of Houston. He's on staff

61
00:04:24.920 --> 00:04:29.319
<v Speaker 2>at Houston Methodist Hospital West right or is that in Katie.

62
00:04:29.439 --> 00:04:33.680
<v Speaker 2>It's in Katie, Texas, and you've held various positions there

63
00:04:33.879 --> 00:04:39.600
<v Speaker 2>over the years. Board certified in five separate areas ranging

64
00:04:39.639 --> 00:04:46.600
<v Speaker 2>from internal medicine, cardiology, nuclear cardiology, cardiovascular ct which I

65
00:04:46.639 --> 00:04:49.879
<v Speaker 2>want to hear about, and what I think is most

66
00:04:49.879 --> 00:04:54.639
<v Speaker 2>important is lifestyle medicine. So I would say, there's so

67
00:04:54.720 --> 00:04:59.800
<v Speaker 2>much to talk about here, but let's really orient everybody

68
00:05:00.240 --> 00:05:06.079
<v Speaker 2>with some of the basics and risk factors for heart disease,

69
00:05:06.199 --> 00:05:09.759
<v Speaker 2>cardiovascular disease, and the way I look at it, for

70
00:05:09.800 --> 00:05:15.519
<v Speaker 2>everybody listening tonight, if you do not have a good

71
00:05:15.720 --> 00:05:20.240
<v Speaker 2>understanding of what your risk factors are, then you're really

72
00:05:20.279 --> 00:05:24.120
<v Speaker 2>not paying as much attention as you need to. So

73
00:05:24.680 --> 00:05:29.800
<v Speaker 2>knowing risk factors is very powerful. Doctors in Asia go

74
00:05:29.920 --> 00:05:32.560
<v Speaker 2>over the list of risk factors people need to know about.

75
00:05:33.120 --> 00:05:33.439
<v Speaker 4>Sure.

76
00:05:33.480 --> 00:05:36.439
<v Speaker 3>I think risk factors get divided into two, which is

77
00:05:36.600 --> 00:05:40.839
<v Speaker 3>modifiable and non modifiable. Non modifiable risk factors are where

78
00:05:40.879 --> 00:05:45.120
<v Speaker 3>you cannot modify them. That includes family history, age, and race.

79
00:05:45.560 --> 00:05:49.800
<v Speaker 3>So there are age where premature Corno disease happens before

80
00:05:49.839 --> 00:05:52.759
<v Speaker 3>the age of fifty five, a family history or in

81
00:05:52.839 --> 00:05:56.240
<v Speaker 3>women before the age of sixty five does strong family history.

82
00:05:56.639 --> 00:05:59.680
<v Speaker 3>Age as is basically is when you get older, higher

83
00:05:59.680 --> 00:06:03.560
<v Speaker 3>the risk and number. Some races where you have African,

84
00:06:03.560 --> 00:06:07.240
<v Speaker 3>American and even some Asian population, I had highly Soccardivasca

85
00:06:07.279 --> 00:06:10.399
<v Speaker 3>disease compared to Caucasian population. And then we have the

86
00:06:10.560 --> 00:06:14.079
<v Speaker 3>modifiable risk factors where we can modify the risk factors

87
00:06:14.439 --> 00:06:20.879
<v Speaker 3>and those are most importantly hypertension, diabetes, history of smoking, hyperlipidemia,

88
00:06:21.680 --> 00:06:26.000
<v Speaker 3>lack of sleep and in activity, and weight is a

89
00:06:26.120 --> 00:06:29.199
<v Speaker 3>very big factor. Now we are talking about sitting is

90
00:06:29.240 --> 00:06:32.800
<v Speaker 3>the new smoking risk factor we're all been setting for

91
00:06:32.920 --> 00:06:36.560
<v Speaker 3>our specially post COVID and during COVID, people have been

92
00:06:36.600 --> 00:06:38.639
<v Speaker 3>working on their desk for eight eight hours a day

93
00:06:38.920 --> 00:06:42.800
<v Speaker 3>and on average, people have gained between ten to twenty pounds.

94
00:06:42.800 --> 00:06:44.279
<v Speaker 3>And Joe you, I'm sure you've seen this.

95
00:06:45.279 --> 00:06:48.639
<v Speaker 2>Yeah, and you know the people people in many times

96
00:06:48.639 --> 00:06:51.360
<v Speaker 2>they aren't able to shake it off. They gain the

97
00:06:51.399 --> 00:06:54.800
<v Speaker 2>weight during COVID. You know what I would share with you,

98
00:06:55.000 --> 00:07:00.240
<v Speaker 2>and I think from my own personal experience, and so

99
00:07:00.920 --> 00:07:05.120
<v Speaker 2>we when COVID hit in the pandemic, and we did,

100
00:07:05.720 --> 00:07:09.800
<v Speaker 2>or at least I did some remote work from home

101
00:07:09.879 --> 00:07:14.680
<v Speaker 2>seeing patients online. And I remember the very first day

102
00:07:14.800 --> 00:07:18.959
<v Speaker 2>and I got my Apple Watch. On my very first day,

103
00:07:19.360 --> 00:07:23.839
<v Speaker 2>I came up to my office, saw my eighteen twenty patients.

104
00:07:24.399 --> 00:07:27.120
<v Speaker 2>Then I went down for dinner. That was basically I

105
00:07:27.160 --> 00:07:29.959
<v Speaker 2>was up here for breakfast. Maybe I went down for

106
00:07:30.040 --> 00:07:32.639
<v Speaker 2>lunch to go to the bathroom. I don't know. I

107
00:07:33.000 --> 00:07:39.519
<v Speaker 2>walked only about three hundred and fifty steps the entire day.

108
00:07:39.560 --> 00:07:43.680
<v Speaker 2>We're normally at work, it's seven to eight thousand steps

109
00:07:44.199 --> 00:07:46.920
<v Speaker 2>just doing the normal work. And I'm sure you're the same.

110
00:07:47.360 --> 00:07:52.920
<v Speaker 2>And it dawned on me that the adults that have

111
00:07:53.319 --> 00:07:58.079
<v Speaker 2>desk jobs is a horrible, horrible situation to be in.

112
00:07:58.839 --> 00:08:02.319
<v Speaker 3>Ye And you know, as you know, the percentage of

113
00:08:02.920 --> 00:08:05.519
<v Speaker 3>and prevalence of obesity in the US now we are

114
00:08:05.519 --> 00:08:09.160
<v Speaker 3>talking about on an average, forty percent the adult US

115
00:08:09.240 --> 00:08:15.240
<v Speaker 3>population is obese, thirty percent is overweight and painfully, but

116
00:08:15.920 --> 00:08:21.000
<v Speaker 3>to twenty two percent of the adolescent kids are no obese. Right, So, yeah,

117
00:08:21.480 --> 00:08:22.399
<v Speaker 3>it's an epidemic.

118
00:08:23.160 --> 00:08:27.439
<v Speaker 2>Yeah, it's it's really getting out of control now, you know,

119
00:08:27.560 --> 00:08:31.759
<v Speaker 2>with with the risk factors. When when you see let's

120
00:08:31.759 --> 00:08:35.000
<v Speaker 2>say a new patient and they have hypertension and it's

121
00:08:35.039 --> 00:08:40.039
<v Speaker 2>gone undiagnosed for years, and they have these other either

122
00:08:40.200 --> 00:08:44.600
<v Speaker 2>family or lifestyle risk factors, and you alert them and

123
00:08:44.639 --> 00:08:48.440
<v Speaker 2>you educate them and teach them and enlighten them, what

124
00:08:48.600 --> 00:08:51.559
<v Speaker 2>do they say do they say? Gee, I had no

125
00:08:51.720 --> 00:08:55.679
<v Speaker 2>idea smoking caused high blood pressure. I had no idea

126
00:08:55.720 --> 00:09:01.200
<v Speaker 2>that no exercise caused hypertension. Where is a public on this?

127
00:09:01.440 --> 00:09:07.759
<v Speaker 2>Are they just in more denial than really being completely

128
00:09:08.679 --> 00:09:11.360
<v Speaker 2>ignorant on this? What do you think?

129
00:09:12.279 --> 00:09:13.120
<v Speaker 4>I see?

130
00:09:13.159 --> 00:09:16.159
<v Speaker 3>The question is that if the patient comes with hypertension,

131
00:09:16.159 --> 00:09:18.600
<v Speaker 3>when we do the echocardiogram and we measure the wal

132
00:09:18.679 --> 00:09:22.039
<v Speaker 3>thickness and we see that their val thickness is increase,

133
00:09:22.320 --> 00:09:26.919
<v Speaker 3>and they've got leftritical hypertrophy, and I show them the statistics.

134
00:09:26.960 --> 00:09:29.360
<v Speaker 3>You know, when you show the patient that you got

135
00:09:29.440 --> 00:09:34.480
<v Speaker 3>leftritical hypertrophy, your heart is working harder. It really dawns

136
00:09:34.480 --> 00:09:37.600
<v Speaker 3>on them that you know the amount of blood fruit

137
00:09:37.639 --> 00:09:39.679
<v Speaker 3>to the heart is fixed, and if you have leftritical

138
00:09:39.720 --> 00:09:42.679
<v Speaker 3>epotrophy then you're going to have someone to call it ischemia.

139
00:09:43.039 --> 00:09:44.320
<v Speaker 4>Your heart is working harder.

140
00:09:45.000 --> 00:09:48.360
<v Speaker 3>And when you present these facts, it makes them aware

141
00:09:48.440 --> 00:09:51.960
<v Speaker 3>that they must take very proactive measures. You define that

142
00:09:52.360 --> 00:09:56.000
<v Speaker 3>you have to control the blood pressure very well. Every

143
00:09:56.240 --> 00:10:01.919
<v Speaker 3>ten percent drop in systolic BP reduces the cardiovestor complications

144
00:10:01.919 --> 00:10:06.759
<v Speaker 3>by but to twenty two percent. Yeah, so it's critically

145
00:10:06.840 --> 00:10:09.799
<v Speaker 3>important to control the blood pressure and along with that

146
00:10:09.919 --> 00:10:13.080
<v Speaker 3>other dis factors and you know weight gain leads to

147
00:10:13.120 --> 00:10:18.799
<v Speaker 3>elevated levels of lipids, metabolic syndrome, sugar is up, the

148
00:10:18.799 --> 00:10:21.519
<v Speaker 3>blood pressure all go hand in hand. And if you're

149
00:10:22.080 --> 00:10:25.240
<v Speaker 3>addressing one factor, I think the key factor here is

150
00:10:25.679 --> 00:10:30.799
<v Speaker 3>managing the weight and that will improve all the parameters.

151
00:10:30.919 --> 00:10:33.919
<v Speaker 3>But you have to make an effort and it requires

152
00:10:34.000 --> 00:10:38.039
<v Speaker 3>a lot of effort. Proactivity, regular exercise one hundred and

153
00:10:38.080 --> 00:10:40.919
<v Speaker 3>fifteen minutes per week, as you know, thirty minutes five

154
00:10:41.000 --> 00:10:44.279
<v Speaker 3>times a day and then ah and American artizens also

155
00:10:44.480 --> 00:10:49.159
<v Speaker 3>emphasize that you must do weight training about two times

156
00:10:49.200 --> 00:10:52.000
<v Speaker 3>a week because we are being muscle as we're getting older,

157
00:10:52.039 --> 00:10:53.080
<v Speaker 3>so it's very important.

158
00:10:53.559 --> 00:10:55.200
<v Speaker 2>All right, let's take a quick break on down to

159
00:10:55.240 --> 00:10:58.759
<v Speaker 2>Joe Glotti. We're talking with doctor Ran Deep Ssunasia, cardiologist

160
00:10:58.840 --> 00:11:02.320
<v Speaker 2>here in Houston, Texas. Is website to get more information

161
00:11:02.600 --> 00:11:06.120
<v Speaker 2>is Houston Cardiology dot com. Stay tuned, We will be

162
00:11:06.279 --> 00:11:11.279
<v Speaker 2>right back. Welcome back, everybody, back with doctor Ran Deepsunasia

163
00:11:11.480 --> 00:11:15.879
<v Speaker 2>cardiologists here in Houston, Texas, talking about American Heart Month

164
00:11:16.200 --> 00:11:20.840
<v Speaker 2>and all that you need to know about heart disease.

165
00:11:22.159 --> 00:11:26.240
<v Speaker 5>You know, the other thing just to shift to symptoms,

166
00:11:26.279 --> 00:11:30.720
<v Speaker 5>because again the patients that I see, they are you know,

167
00:11:30.879 --> 00:11:32.759
<v Speaker 5>limping around with symptoms.

168
00:11:32.759 --> 00:11:37.399
<v Speaker 2>They're short of breath, they have palpitations, they're not sleeping well,

169
00:11:38.000 --> 00:11:42.519
<v Speaker 2>they have some swelling in their legs. And again, you know,

170
00:11:42.639 --> 00:11:45.200
<v Speaker 2>I asked them, what were you thinking?

171
00:11:45.279 --> 00:11:47.600
<v Speaker 4>And I think people are not.

172
00:11:47.600 --> 00:11:50.840
<v Speaker 2>Putting all the dots together to say, you know what,

173
00:11:51.759 --> 00:11:54.399
<v Speaker 2>this might be a problem with my heart. Let me

174
00:11:54.440 --> 00:11:57.360
<v Speaker 2>get it checked out. So what do you see from

175
00:11:57.440 --> 00:11:59.720
<v Speaker 2>a symptoms standpoint?

176
00:12:00.039 --> 00:12:00.399
<v Speaker 4>One point?

177
00:12:00.440 --> 00:12:03.840
<v Speaker 3>I think that varies from anywhere from chestice comfort, tightness,

178
00:12:03.960 --> 00:12:07.759
<v Speaker 3>heaviness in the chest, which are signs of precipitated by exertion,

179
00:12:07.919 --> 00:12:12.799
<v Speaker 3>activity or stress, indicating anginal symptoms. You can have shortness

180
00:12:12.840 --> 00:12:15.879
<v Speaker 3>of breath, which can be related to again, symptoms of

181
00:12:16.000 --> 00:12:19.480
<v Speaker 3>high blood pressure. Exertional disney can be an anginal equivalent.

182
00:12:19.639 --> 00:12:24.200
<v Speaker 3>Also palputations that can be related to rhythmia. As we

183
00:12:24.240 --> 00:12:27.600
<v Speaker 3>are seeing a ton of atrial fibrillation all these days,

184
00:12:29.000 --> 00:12:32.600
<v Speaker 3>almost an epidemic of a FIB, right, Yeah, so yeah,

185
00:12:32.600 --> 00:12:32.960
<v Speaker 3>I mean.

186
00:12:33.000 --> 00:12:34.600
<v Speaker 2>Is it just to stop you there for a second,

187
00:12:34.960 --> 00:12:38.279
<v Speaker 2>would you say, twenty five years ago you saw as

188
00:12:38.360 --> 00:12:40.279
<v Speaker 2>much a FIB as we all see now.

189
00:12:40.799 --> 00:12:46.399
<v Speaker 3>No, definitely, not definitely, not right, Yeah, And I think

190
00:12:46.480 --> 00:12:50.519
<v Speaker 3>that there's multi factorial aspects in that age is one

191
00:12:50.559 --> 00:12:54.159
<v Speaker 3>of the biggest risk factors. People are living longer, aging

192
00:12:54.240 --> 00:12:56.679
<v Speaker 3>longer than we have people we are treating them well

193
00:12:56.759 --> 00:12:59.919
<v Speaker 3>with if they have microinfunction, they'll be treating with intervention.

194
00:13:00.240 --> 00:13:03.159
<v Speaker 3>They may have allued dysfunction, and as they are aging,

195
00:13:03.639 --> 00:13:06.919
<v Speaker 3>then they will ultimately develop interfibrillation liter in life. So

196
00:13:07.240 --> 00:13:11.000
<v Speaker 3>it is and then presence. People who have been affected

197
00:13:11.039 --> 00:13:15.440
<v Speaker 3>with COVID also have had disease processes from that, and

198
00:13:16.279 --> 00:13:18.600
<v Speaker 3>we have seen a higher amounts of aphibian patients who

199
00:13:18.639 --> 00:13:24.240
<v Speaker 3>are bad COVID also and other rhythmias. So definitely seeing

200
00:13:24.440 --> 00:13:27.759
<v Speaker 3>a whole lot of a FHIB. And again obesity rate

201
00:13:27.879 --> 00:13:30.720
<v Speaker 3>is going up. That leads to sleep apnea, which is

202
00:13:32.519 --> 00:13:38.159
<v Speaker 3>sleep apnea is putting increases or intrifibrillation. So every patient

203
00:13:38.279 --> 00:13:42.799
<v Speaker 3>with a FIB, we are screening them for sleep apnia.

204
00:13:42.879 --> 00:13:44.879
<v Speaker 3>And then fatty liver is going hand in.

205
00:13:44.919 --> 00:13:48.440
<v Speaker 2>Hand, right, Yeah, I mean data doesn't go by that.

206
00:13:48.559 --> 00:13:52.440
<v Speaker 2>I think you're contacting us about a fatty liver patient

207
00:13:52.639 --> 00:13:59.679
<v Speaker 2>and it's it's really really we we say obesities that

208
00:13:59.720 --> 00:14:02.919
<v Speaker 2>have been a FIB is an epidemic, Fanny livers an epidemic.

209
00:14:03.320 --> 00:14:08.320
<v Speaker 2>We're we're just exploding with complications. And it is so said.

210
00:14:08.799 --> 00:14:14.559
<v Speaker 2>You know one one thing you know again Uh, I

211
00:14:14.720 --> 00:14:19.919
<v Speaker 2>like to say, I am a cardiologist in the closet, uh,

212
00:14:20.200 --> 00:14:24.240
<v Speaker 2>and I leave the expertise to you and your colleagues.

213
00:14:24.279 --> 00:14:29.840
<v Speaker 2>But imagine if we could wake up the American public

214
00:14:30.759 --> 00:14:34.759
<v Speaker 2>to know their blood pressure. And I've even spoken on

215
00:14:34.840 --> 00:14:39.360
<v Speaker 2>the radio here that wouldn't it be great if every

216
00:14:39.480 --> 00:14:44.960
<v Speaker 2>household had a blood pressure cuff, even if you did

217
00:14:45.080 --> 00:14:49.399
<v Speaker 2>not have blood pressure, a blood pressure issue, high hypertension,

218
00:14:50.320 --> 00:14:54.600
<v Speaker 2>that and that would be great. But imagine if once

219
00:14:54.679 --> 00:14:58.440
<v Speaker 2>a quarter you just check the blood pressure everybody in

220
00:14:58.519 --> 00:15:02.559
<v Speaker 2>your heart okay, and just say get the kids, your

221
00:15:02.639 --> 00:15:05.759
<v Speaker 2>young adults, your wife, your husband, your mother, whoever, and

222
00:15:05.919 --> 00:15:08.919
<v Speaker 2>just say, okay, it's the first quarter of the year.

223
00:15:09.240 --> 00:15:13.080
<v Speaker 2>We're going to check and document everybody is okay. We'll

224
00:15:13.159 --> 00:15:18.639
<v Speaker 2>do it again next quarter. But create alertness to blood pressure.

225
00:15:19.240 --> 00:15:21.200
<v Speaker 2>The numbers are staggering on the amount of people that

226
00:15:21.279 --> 00:15:25.519
<v Speaker 2>have hypertension. What do you think regarding the value of

227
00:15:25.600 --> 00:15:28.960
<v Speaker 2>home monitoring. I think that's phenomenal.

228
00:15:29.360 --> 00:15:32.120
<v Speaker 3>In fact, when patients come in with hypertension, you know

229
00:15:32.279 --> 00:15:35.919
<v Speaker 3>sometimes many times you see you know, white foot hypertension, Also,

230
00:15:36.000 --> 00:15:38.320
<v Speaker 3>patients blood pressure at home is okay and when they

231
00:15:38.360 --> 00:15:41.200
<v Speaker 3>come to the office they are elevated. So it's critically

232
00:15:41.279 --> 00:15:45.480
<v Speaker 3>important to get good data and we recommend Actually AHH

233
00:15:46.320 --> 00:15:49.960
<v Speaker 3>never endorses any products, but American Heart as Solcition has

234
00:15:49.960 --> 00:15:54.159
<v Speaker 3>stated that for us to treat hypertension, we must collect data.

235
00:15:54.279 --> 00:15:57.879
<v Speaker 3>So omron VP arm cuff, ARM cuff not a risk,

236
00:15:57.919 --> 00:16:00.639
<v Speaker 3>cut the risk, not the risk, not the risk. Aren't

237
00:16:00.639 --> 00:16:03.919
<v Speaker 3>cuff done in a proper way with patient preferable lying

238
00:16:04.000 --> 00:16:08.879
<v Speaker 3>down and this the sigam monometer right next to you,

239
00:16:09.440 --> 00:16:13.559
<v Speaker 3>done two three readings after taking a few minutes of rest.

240
00:16:13.840 --> 00:16:17.000
<v Speaker 3>Collecting data over period of time because if pressure is elevated,

241
00:16:17.720 --> 00:16:19.600
<v Speaker 3>you don't want to just start it right away because

242
00:16:19.639 --> 00:16:21.879
<v Speaker 3>if the BP readings are higher in the office, so

243
00:16:21.960 --> 00:16:24.120
<v Speaker 3>you want to collect data for at least two to

244
00:16:24.240 --> 00:16:25.200
<v Speaker 3>three four weeks.

245
00:16:25.480 --> 00:16:27.759
<v Speaker 4>But if the patient comes in with significantly.

246
00:16:27.279 --> 00:16:30.320
<v Speaker 3>Elevated blood pressure they got left final hypertrophy on their

247
00:16:30.360 --> 00:16:33.120
<v Speaker 3>EKG and on their eco cortagram, obviously you're going to

248
00:16:33.159 --> 00:16:35.919
<v Speaker 3>start treating. But when they are borderline elevated, then you

249
00:16:36.039 --> 00:16:41.039
<v Speaker 3>make them aware lifestyle modification, making sure their resalt intake

250
00:16:41.200 --> 00:16:44.679
<v Speaker 3>is reduced, their calory intake is being monitored. I mean

251
00:16:44.720 --> 00:16:47.840
<v Speaker 3>I talk about the Suneja equation, which I've talked and

252
00:16:48.159 --> 00:16:51.919
<v Speaker 3>created that video which almost hit thirty six thousand views

253
00:16:52.200 --> 00:16:54.720
<v Speaker 3>on LinkedIn that I posted on New Years about the

254
00:16:55.279 --> 00:16:58.519
<v Speaker 3>way production formula where you reduce thirty fi hundred where

255
00:16:58.759 --> 00:17:03.759
<v Speaker 3>thirty five hundred calory count negativity is leads to negative

256
00:17:03.759 --> 00:17:06.960
<v Speaker 3>balance leads to one pound of weight loss of fact.

257
00:17:07.200 --> 00:17:08.240
<v Speaker 4>So if you have five.

258
00:17:08.119 --> 00:17:12.000
<v Speaker 3>Hundred caloriy negative balance per day and multiply by seven

259
00:17:12.000 --> 00:17:14.400
<v Speaker 3>aver day of the week, you lose thirty five hundred carries.

260
00:17:14.440 --> 00:17:17.680
<v Speaker 3>And that five hundred I'm dividing into two parts, two

261
00:17:17.759 --> 00:17:21.720
<v Speaker 3>and fifty negative balance by eating less mostly carved everybody.

262
00:17:21.759 --> 00:17:26.759
<v Speaker 3>Everybody loves carves, bread, pasta, dessert, snacks, potatoes, rice, alcohol,

263
00:17:26.920 --> 00:17:29.240
<v Speaker 3>a little bit less consumption per day, two and fifty

264
00:17:29.279 --> 00:17:31.599
<v Speaker 3>cars less per day, and two and fifty car is

265
00:17:31.640 --> 00:17:34.319
<v Speaker 3>burning more per day. That's half our of brisk walking.

266
00:17:34.799 --> 00:17:37.920
<v Speaker 3>And third component, which is also equally very important as

267
00:17:38.000 --> 00:17:40.519
<v Speaker 3>long as there is no history of congest of heart failure,

268
00:17:40.839 --> 00:17:44.359
<v Speaker 3>drinking sixty to seventy ounces of water, right, and you

269
00:17:44.480 --> 00:17:47.200
<v Speaker 3>combine that and if you do it consistently, seventy is

270
00:17:47.200 --> 00:17:48.640
<v Speaker 3>a week lose a pound a week.

271
00:17:48.720 --> 00:17:50.599
<v Speaker 4>If you do three to four days a week, you

272
00:17:50.680 --> 00:17:52.640
<v Speaker 4>lose a half a pound a week. So life cell

273
00:17:52.720 --> 00:17:54.279
<v Speaker 4>modification is critically important.

274
00:17:54.359 --> 00:17:58.400
<v Speaker 3>And I think, I, you know, just for my own curiosity,

275
00:17:58.559 --> 00:18:03.119
<v Speaker 3>last Tuesday, I have plied a continuous glucose monitor myself CGM,

276
00:18:03.160 --> 00:18:06.839
<v Speaker 3>which are now available without a prescription a month ago,

277
00:18:07.720 --> 00:18:12.640
<v Speaker 3>and I have myself reduced my sugar. I have an

278
00:18:12.680 --> 00:18:15.680
<v Speaker 3>AVNCY of five point seven, which is minimally elevated. I

279
00:18:15.759 --> 00:18:18.359
<v Speaker 3>want to make it better, bring it down, so you know,

280
00:18:18.480 --> 00:18:20.200
<v Speaker 3>you can modify it by reducing.

281
00:18:20.279 --> 00:18:22.599
<v Speaker 4>And within a week I've noticed that I have cut

282
00:18:22.680 --> 00:18:23.039
<v Speaker 4>down the.

283
00:18:23.079 --> 00:18:26.680
<v Speaker 3>Foods and I could monitor my sugar and react the

284
00:18:26.799 --> 00:18:29.160
<v Speaker 3>intake so that I can bring the glucose in a

285
00:18:29.279 --> 00:18:30.480
<v Speaker 3>completely normal level.

286
00:18:30.720 --> 00:18:33.839
<v Speaker 4>So I think awareness and education is critically important.

287
00:18:34.240 --> 00:18:38.519
<v Speaker 2>Yeah, and I think that the CGM, the continuous glucose monitoring,

288
00:18:38.920 --> 00:18:42.559
<v Speaker 2>the deck scam is probably one of the more popular ones.

289
00:18:43.160 --> 00:18:47.599
<v Speaker 2>I think if if you know you're overweight, you have

290
00:18:47.920 --> 00:18:53.079
<v Speaker 2>pre diabetes and hypertension, lipids, and you know that doctor

291
00:18:53.200 --> 00:18:57.400
<v Speaker 2>Sunasia or doctor Galati is not looking at you twenty

292
00:18:57.480 --> 00:18:59.880
<v Speaker 2>four hours a day. But if you get that little

293
00:19:00.079 --> 00:19:03.920
<v Speaker 2>hatch you on your arm and you're contemplating a piece

294
00:19:04.000 --> 00:19:07.279
<v Speaker 2>of chocolate pie and you see that your glucose is

295
00:19:07.480 --> 00:19:10.240
<v Speaker 2>just a little too high. That may be enough to

296
00:19:10.319 --> 00:19:15.240
<v Speaker 2>stop you and in the end be beneficial. So as

297
00:19:15.359 --> 00:19:19.960
<v Speaker 2>you know, we need oversight, we need accountability, and I

298
00:19:20.079 --> 00:19:24.079
<v Speaker 2>think electronically AI in a sense is doing this.

299
00:19:24.960 --> 00:19:25.519
<v Speaker 4>Absolutely.

300
00:19:25.599 --> 00:19:28.240
<v Speaker 3>I think this is one of the finest examples of

301
00:19:28.440 --> 00:19:31.880
<v Speaker 3>how we can utilize AI and technology because this is

302
00:19:31.920 --> 00:19:34.319
<v Speaker 3>continuous glucouse mountor is actually AI.

303
00:19:34.960 --> 00:19:37.079
<v Speaker 4>And when you're able to see your sugar.

304
00:19:36.839 --> 00:19:39.920
<v Speaker 3>And then that is automatically going to have a positive

305
00:19:39.920 --> 00:19:42.599
<v Speaker 3>impact in eating, making you eat better because you're going.

306
00:19:42.519 --> 00:19:44.559
<v Speaker 4>To see if you eat particular food, your level is

307
00:19:44.599 --> 00:19:45.000
<v Speaker 4>going up.

308
00:19:45.240 --> 00:19:48.599
<v Speaker 3>Within the last five six days, I have myself modified

309
00:19:48.640 --> 00:19:51.440
<v Speaker 3>my own eating habits, even though I consider myself a

310
00:19:51.599 --> 00:19:53.880
<v Speaker 3>good eater. And you know, I did my fifteenth half

311
00:19:54.000 --> 00:19:59.160
<v Speaker 3>methon last weekend. That's great, but there is room for improvement,

312
00:19:59.359 --> 00:20:02.519
<v Speaker 3>right Nobody's room for improvement. And within a week I've

313
00:20:02.599 --> 00:20:05.200
<v Speaker 3>noticed that I'm making some very positive changes in what

314
00:20:05.319 --> 00:20:08.319
<v Speaker 3>I'm eating, eating a little bit less and watching the cobs,

315
00:20:08.640 --> 00:20:13.039
<v Speaker 3>and I'm noticing this reduction in my lucas is amazing

316
00:20:13.440 --> 00:20:17.039
<v Speaker 3>today and the entire office day I was running around.

317
00:20:17.319 --> 00:20:19.039
<v Speaker 4>My peak sugar was only one twenty.

318
00:20:19.640 --> 00:20:23.160
<v Speaker 3>Yeah, and I'm morty eating, you know, I eat very

319
00:20:23.200 --> 00:20:26.960
<v Speaker 3>healthy breaksace with white omelets and lunches salad.

320
00:20:27.319 --> 00:20:28.960
<v Speaker 4>And you can make modify it, you know.

321
00:20:29.599 --> 00:20:33.599
<v Speaker 2>Yeah, yeah, I think it's just a willingness to do it.

322
00:20:34.160 --> 00:20:36.480
<v Speaker 2>You know, it's a willingness to do it now. You know,

323
00:20:36.599 --> 00:20:40.119
<v Speaker 2>of course, one of the big pillars of heart disease

324
00:20:40.359 --> 00:20:45.319
<v Speaker 2>and prevention is cholesterol. And there's still a lot of

325
00:20:46.799 --> 00:20:50.160
<v Speaker 2>sort of misunderstanding of cholesterol. Patients will still come in

326
00:20:50.319 --> 00:20:55.400
<v Speaker 2>and say, well, the ratio is good, so nothing needs

327
00:20:55.480 --> 00:20:59.079
<v Speaker 2>to be done. Is it true that the ratio of

328
00:20:59.559 --> 00:21:02.319
<v Speaker 2>good lesterol to bad cholesterol? And that may not be

329
00:21:02.400 --> 00:21:06.359
<v Speaker 2>a good way to say it is sort of outdated.

330
00:21:06.480 --> 00:21:08.880
<v Speaker 2>Now we need to look at cholesterol a little differently.

331
00:21:09.279 --> 00:21:09.799
<v Speaker 4>What do you say?

332
00:21:10.279 --> 00:21:13.480
<v Speaker 3>Absolutely so, I think the entire emphasis noise on the

333
00:21:13.680 --> 00:21:17.799
<v Speaker 3>Lder number. The ratio is pretty much outdated. But Lder

334
00:21:17.920 --> 00:21:22.160
<v Speaker 3>number in relation to risk factors and presence of corneatic disease,

335
00:21:22.240 --> 00:21:27.119
<v Speaker 3>and here comes as utility of the cornaty cassium score. Right,

336
00:21:27.640 --> 00:21:31.640
<v Speaker 3>we are utilizing I've been doing this for almost twenty four,

337
00:21:31.720 --> 00:21:36.519
<v Speaker 3>twenty five years, I have been a very big proponent

338
00:21:36.559 --> 00:21:40.119
<v Speaker 3>of calcium score and potentially probably are practiced at the

339
00:21:40.200 --> 00:21:43.160
<v Speaker 3>biggest database of cusum scores in the state of Texas.

340
00:21:43.240 --> 00:21:45.759
<v Speaker 3>So when you do the cornerity custum score on a

341
00:21:45.839 --> 00:21:49.160
<v Speaker 3>patient and then we are able to use that number

342
00:21:49.279 --> 00:21:52.559
<v Speaker 3>and put them into the mesa registant calculated persentile. Now,

343
00:21:52.599 --> 00:21:54.559
<v Speaker 3>if you've got a fifty year old male coms and

344
00:21:54.640 --> 00:21:59.039
<v Speaker 3>his custom score is one hundred and his persentile is ninety,

345
00:21:59.599 --> 00:22:01.079
<v Speaker 3>his LDL will.

346
00:22:00.920 --> 00:22:02.160
<v Speaker 4>Need to be below fifty five.

347
00:22:02.720 --> 00:22:06.000
<v Speaker 3>But if you have one hundred year old mail with

348
00:22:06.119 --> 00:22:09.880
<v Speaker 3>the custum score of zero and his LDL is one fourteen,

349
00:22:10.200 --> 00:22:12.759
<v Speaker 3>there is no data that we need to be that aggressive.

350
00:22:13.039 --> 00:22:17.240
<v Speaker 4>That is life sele modification. So the castium score is

351
00:22:17.440 --> 00:22:20.640
<v Speaker 4>able to guide us how we need to manage the

352
00:22:20.799 --> 00:22:22.880
<v Speaker 4>eldeal number and if you're ELDAL.

353
00:22:23.039 --> 00:22:27.279
<v Speaker 3>Now November of twenty twenty three, high the spaces American

354
00:22:27.359 --> 00:22:29.440
<v Speaker 3>hunt as American conture cardiology.

355
00:22:29.680 --> 00:22:33.000
<v Speaker 4>Now we're talking about high risk places where they have cornea.

356
00:22:32.720 --> 00:22:37.119
<v Speaker 3>Intervention, corniati bypass graft surgery, they have diabetes and other

357
00:22:37.720 --> 00:22:39.799
<v Speaker 3>equivalent corneaty disease reris factors.

358
00:22:40.440 --> 00:22:43.599
<v Speaker 4>We are talking about bringing the ldeal below fifty five.

359
00:22:44.240 --> 00:22:46.039
<v Speaker 2>All right, let's take a quick pray. Come down to

360
00:22:46.119 --> 00:22:48.440
<v Speaker 2>Joe Gladi your two did your health first, don't forget

361
00:22:48.559 --> 00:22:52.039
<v Speaker 2>go to doctor Joegalori dot com. Stay tuned, we'll be

362
00:22:52.119 --> 00:22:55.400
<v Speaker 2>right back. Welcome back, everybody, to your health first. Comes

363
00:22:55.400 --> 00:22:59.440
<v Speaker 2>out to Joe Galati. And in honor of the month

364
00:22:59.480 --> 00:23:03.400
<v Speaker 2>of February, it is American Heart Month, that one month,

365
00:23:03.880 --> 00:23:05.680
<v Speaker 2>even though it really should be twelve months out of

366
00:23:05.680 --> 00:23:08.279
<v Speaker 2>the year that we think about our heart, heart disease,

367
00:23:08.359 --> 00:23:11.680
<v Speaker 2>heart disease prevention and understanding our risk factors. And in

368
00:23:11.759 --> 00:23:16.200
<v Speaker 2>the studio tonight is doctor ran Deepsunasia, a well known

369
00:23:16.400 --> 00:23:22.319
<v Speaker 2>cardiologist here in Texas, trying to explain the key points

370
00:23:22.839 --> 00:23:25.920
<v Speaker 2>that we all need to know with regard to how

371
00:23:26.359 --> 00:23:29.519
<v Speaker 2>to take care of your heart. You've taught me a

372
00:23:29.599 --> 00:23:33.880
<v Speaker 2>lot about the calcium score corrintory calcium score ct score.

373
00:23:34.559 --> 00:23:38.680
<v Speaker 2>And with all of the patients with fatty liver that

374
00:23:38.799 --> 00:23:42.880
<v Speaker 2>I see, almost all of them have diabetes, hypertension, they're overweight,

375
00:23:43.000 --> 00:23:48.640
<v Speaker 2>high cholesterol, et cetera. I have been recommending and sending

376
00:23:48.720 --> 00:23:53.839
<v Speaker 2>a lot of these patients for calcium scores. Is that overkill?

377
00:23:53.960 --> 00:23:56.960
<v Speaker 2>So people that are listening tonight, and let's say they're

378
00:23:57.720 --> 00:24:02.160
<v Speaker 2>fifty five sixty, they're over weight or obese and have

379
00:24:02.279 --> 00:24:08.440
<v Speaker 2>a cholesterol problem, Okay, they're asymptomatic, yes or no? Should

380
00:24:08.519 --> 00:24:11.400
<v Speaker 2>they go for a carnary calcium scan?

381
00:24:12.160 --> 00:24:15.079
<v Speaker 4>Absolutely? Yes, okay, absolutely yes.

382
00:24:15.240 --> 00:24:18.200
<v Speaker 3>Forty year old male with one res factor, fifty year

383
00:24:18.200 --> 00:24:20.359
<v Speaker 3>old female with one risk factor. And if you are

384
00:24:20.519 --> 00:24:23.119
<v Speaker 3>risk factors, you talk about forty percent of the population

385
00:24:23.279 --> 00:24:25.160
<v Speaker 3>is obese, thirty percent is olverad.

386
00:24:25.359 --> 00:24:26.480
<v Speaker 4>That's seventy percent of them.

387
00:24:26.519 --> 00:24:31.599
<v Speaker 3>A body called one respector already mentioned hyperlipidemia, pre diabetes,

388
00:24:31.680 --> 00:24:35.240
<v Speaker 3>you name it. I am screening patients as young as

389
00:24:35.319 --> 00:24:38.720
<v Speaker 3>forty and forty five any res factors, and then we

390
00:24:38.839 --> 00:24:41.319
<v Speaker 3>repeat the scan in five to seven years, depending on

391
00:24:41.400 --> 00:24:44.359
<v Speaker 3>their scores. And the beauty is the moment you do

392
00:24:44.440 --> 00:24:47.640
<v Speaker 3>the calcium score and you've got premature corneoder disease.

393
00:24:49.160 --> 00:24:50.680
<v Speaker 4>Both the doctor and the patient.

394
00:24:51.279 --> 00:24:53.599
<v Speaker 3>You share the data with the patient, tell them, hey,

395
00:24:53.640 --> 00:24:56.559
<v Speaker 3>you are in the seventy fifth percent. Time, sir ma'am

396
00:24:56.640 --> 00:25:00.359
<v Speaker 3>you're in the eightieth percentile. They become very prove active.

397
00:25:00.640 --> 00:25:04.279
<v Speaker 3>They taking care of medications, whether we're going to give

398
00:25:04.319 --> 00:25:07.799
<v Speaker 3>them aspen, give them statin or something more, piece of.

399
00:25:07.799 --> 00:25:11.039
<v Speaker 4>Skin and inhibitor. We have other tools available now.

400
00:25:11.240 --> 00:25:14.720
<v Speaker 3>So we and the patient will become very, very engaged,

401
00:25:14.920 --> 00:25:17.960
<v Speaker 3>pro active and including the lifestyle modification.

402
00:25:18.680 --> 00:25:22.960
<v Speaker 2>Right, is there in your in your generic patient here

403
00:25:24.480 --> 00:25:27.799
<v Speaker 2>an age that's a little too young now we're seeing

404
00:25:27.920 --> 00:25:31.920
<v Speaker 2>and you're seeing them, oh piece, twenty year olds with

405
00:25:32.079 --> 00:25:36.960
<v Speaker 2>hypertension and diabetes. Would you engage them in this type

406
00:25:36.960 --> 00:25:41.480
<v Speaker 2>of screening at twenty That's a tough it's a tough point.

407
00:25:42.079 --> 00:25:44.279
<v Speaker 4>Well, I have done as young as thirty five year old.

408
00:25:44.279 --> 00:25:48.279
<v Speaker 4>I have screened with multiple res factors with hyphpertension, hypilipidemia.

409
00:25:48.720 --> 00:25:49.440
<v Speaker 4>I had a young.

410
00:25:49.359 --> 00:25:52.319
<v Speaker 3>Patient, twenty five year old patient who had came to

411
00:25:52.440 --> 00:25:55.359
<v Speaker 3>me in fact in the last one month, and he

412
00:25:55.640 --> 00:25:57.759
<v Speaker 3>was his father had a heart attack at the age

413
00:25:57.799 --> 00:26:02.079
<v Speaker 3>of thirty five, okay, and uncles, so he was young

414
00:26:02.160 --> 00:26:05.640
<v Speaker 3>and he was just totally worried and he's almost having

415
00:26:05.720 --> 00:26:09.039
<v Speaker 3>these almost anxiety attacks that I got heart disease. And

416
00:26:09.119 --> 00:26:11.440
<v Speaker 3>I had I kind of screen him and gave him

417
00:26:11.440 --> 00:26:13.000
<v Speaker 3>a customs score and tell him I'm going to see

418
00:26:13.039 --> 00:26:16.559
<v Speaker 3>you in fifteen years or ten years and if go okay,

419
00:26:16.599 --> 00:26:19.440
<v Speaker 3>you know what I because they have people are reading

420
00:26:19.480 --> 00:26:22.559
<v Speaker 3>about cornerity custom scores and they are you know, the

421
00:26:22.680 --> 00:26:26.880
<v Speaker 3>information is out there, so you know that young typically

422
00:26:26.960 --> 00:26:29.160
<v Speaker 3>I don't, but there's an unusual cases.

423
00:26:29.200 --> 00:26:31.160
<v Speaker 4>One may do it. But around the age of thirty

424
00:26:31.200 --> 00:26:32.759
<v Speaker 4>five forty, if you've got multiple.

425
00:26:32.519 --> 00:26:35.880
<v Speaker 3>Distractors, and I'm picking up corneaty disease and young patients,

426
00:26:36.240 --> 00:26:40.640
<v Speaker 3>absolutely young WROLD the score of one hundred fifty seventy five,

427
00:26:40.680 --> 00:26:43.119
<v Speaker 3>they should be absolutely should have score of zero.

428
00:26:43.880 --> 00:26:46.880
<v Speaker 4>So these people have premature corneatter disease.

429
00:26:47.400 --> 00:26:52.920
<v Speaker 2>Right, No, exactly to get more into the social pray

430
00:26:54.039 --> 00:26:57.640
<v Speaker 2>make America healthy again? What is your take?

431
00:26:57.720 --> 00:26:57.839
<v Speaker 1>Now?

432
00:26:57.880 --> 00:27:03.160
<v Speaker 2>What I've told everybody is trying to separate the intense

433
00:27:03.799 --> 00:27:09.160
<v Speaker 2>political reaction people are having too RFK Junior, they love them,

434
00:27:09.559 --> 00:27:13.400
<v Speaker 2>they hate them. I say, just forget about that for

435
00:27:13.480 --> 00:27:19.480
<v Speaker 2>a second. We have to think about making America healthy again.

436
00:27:19.920 --> 00:27:22.720
<v Speaker 2>Someone like you is right on the front line every day.

437
00:27:23.119 --> 00:27:24.359
<v Speaker 2>What do you think of that?

438
00:27:25.519 --> 00:27:28.400
<v Speaker 3>Well, I think in any way we can improve the

439
00:27:28.480 --> 00:27:32.319
<v Speaker 3>health of the common people and the general population. Increase awareness,

440
00:27:32.759 --> 00:27:37.519
<v Speaker 3>increase our I mean, our food industry has not done

441
00:27:37.559 --> 00:27:40.960
<v Speaker 3>a good job. As you know, there's so much is

442
00:27:41.079 --> 00:27:45.240
<v Speaker 3>this commercialized food products and processed foods. We need to

443
00:27:45.319 --> 00:27:49.519
<v Speaker 3>clean up our foods. Absolutely, education has to be improved.

444
00:27:49.599 --> 00:27:52.920
<v Speaker 3>So I think there's a lot of things that it

445
00:27:53.000 --> 00:27:55.519
<v Speaker 3>can be done at multiple levels, but ultimately it all

446
00:27:55.599 --> 00:27:59.400
<v Speaker 3>comes down to the individual. And I think increased awareness,

447
00:27:59.880 --> 00:28:03.519
<v Speaker 3>increase knowledge just as simple as measuring your blood pressure

448
00:28:03.519 --> 00:28:08.519
<v Speaker 3>you talk about at home and getting yourself a glucose monitor,

449
00:28:08.960 --> 00:28:12.240
<v Speaker 3>and now with the availability of getting a CGM by yourself.

450
00:28:13.119 --> 00:28:16.119
<v Speaker 3>And I'm telling you, the moment you start looking at data,

451
00:28:16.759 --> 00:28:21.000
<v Speaker 3>you will automatically become proactive and it has a very

452
00:28:21.279 --> 00:28:25.279
<v Speaker 3>tremendous impact in patient awareness. And then they start executing,

453
00:28:25.559 --> 00:28:29.880
<v Speaker 3>will increase walking, increase activity, and obviously you have to

454
00:28:29.960 --> 00:28:32.720
<v Speaker 3>have cardiologic clearance if they're having any symptoms. You don't

455
00:28:32.759 --> 00:28:35.759
<v Speaker 3>want to start running preparing for a marathon if you've

456
00:28:35.759 --> 00:28:40.839
<v Speaker 3>got symptoms. But obviously you can make some lifestyle modification

457
00:28:41.000 --> 00:28:45.119
<v Speaker 3>changes and help yourself in more ways than you realize.

458
00:28:45.519 --> 00:28:45.680
<v Speaker 4>Right.

459
00:28:46.000 --> 00:28:49.079
<v Speaker 2>You know, probably thirty years ago there were some initial

460
00:28:49.160 --> 00:28:54.480
<v Speaker 2>studies where they found that people that just weigh themselves

461
00:28:55.759 --> 00:28:59.640
<v Speaker 2>every day, we're losing weight. So we're just seeing that

462
00:29:00.000 --> 00:29:03.240
<v Speaker 2>feed back. Now, let alone you add you're weighing yourself,

463
00:29:03.960 --> 00:29:06.960
<v Speaker 2>you're being conscious of the food you're eating, you're taking

464
00:29:07.039 --> 00:29:11.440
<v Speaker 2>your blood pressure. It goes a long way. But as

465
00:29:11.880 --> 00:29:15.279
<v Speaker 2>you've said so many times, it is the engagement. We

466
00:29:15.519 --> 00:29:20.039
<v Speaker 2>need the engagement. Everybody listening tonight. You know, one of

467
00:29:20.119 --> 00:29:24.039
<v Speaker 2>my sayings is that good health doesn't come by chance.

468
00:29:24.519 --> 00:29:25.680
<v Speaker 2>You have to work at it.

469
00:29:26.559 --> 00:29:28.160
<v Speaker 4>You have to make an effort, and you have to

470
00:29:28.240 --> 00:29:28.920
<v Speaker 4>be proactive.

471
00:29:29.559 --> 00:29:32.599
<v Speaker 3>And you know, whether one hundred and fifty minutes of

472
00:29:32.640 --> 00:29:35.960
<v Speaker 3>exercise per week, making sure you give plenty of water,

473
00:29:36.000 --> 00:29:38.200
<v Speaker 3>as long as you know history, condut are field, and

474
00:29:38.359 --> 00:29:44.519
<v Speaker 3>then incorporating lifestyle modification degree including yoga, meditation. And interestingly,

475
00:29:44.640 --> 00:29:48.880
<v Speaker 3>in our textbook of cardiology, we call it our bible,

476
00:29:49.359 --> 00:29:50.640
<v Speaker 3>the Bronz Wall's textbook.

477
00:29:50.920 --> 00:29:51.319
<v Speaker 2>Get asked.

478
00:29:53.759 --> 00:29:57.559
<v Speaker 3>In the last edition, this is a two volume, one

479
00:29:57.640 --> 00:30:00.400
<v Speaker 3>thousand page each book. For the first time, we have

480
00:30:01.599 --> 00:30:04.799
<v Speaker 3>five six page chapter on integrative cardiology.

481
00:30:05.160 --> 00:30:09.039
<v Speaker 2>Okay, so tell us tell us about that. People may

482
00:30:09.079 --> 00:30:12.480
<v Speaker 2>have heard of this, but it's really worthwhile to talk now.

483
00:30:13.319 --> 00:30:19.880
<v Speaker 3>So you know, in the past, the textbooks of cardiology

484
00:30:19.960 --> 00:30:24.240
<v Speaker 3>never incorporated anything like this, and this is a paradigm shift.

485
00:30:24.279 --> 00:30:28.160
<v Speaker 3>If one may say, having a chapter of integrated cardiology

486
00:30:28.440 --> 00:30:31.119
<v Speaker 3>in our Bible of Cardiogies is the Bronz World's textbook,

487
00:30:31.359 --> 00:30:34.519
<v Speaker 3>and they talk about multiple things have been addressed. They

488
00:30:34.559 --> 00:30:40.000
<v Speaker 3>talk about yoga, meditation, tai chi in patience for helping

489
00:30:40.359 --> 00:30:44.920
<v Speaker 3>lifestyle modification. As we know, meditation techniques help in reducing

490
00:30:45.519 --> 00:30:52.319
<v Speaker 3>the sympathetic nomber system, increasing parasympathetic symptom, reducing the activation

491
00:30:52.480 --> 00:30:56.240
<v Speaker 3>of amygdala, and also improving the connection between amygdala and

492
00:30:57.160 --> 00:31:00.640
<v Speaker 3>ventromedial frontal cortex. All these techniques have been shown to

493
00:31:00.759 --> 00:31:06.160
<v Speaker 3>reduce stress, manage the stress, reduce the sympathetic activity. So

494
00:31:06.359 --> 00:31:09.119
<v Speaker 3>they have mentioned in this chapter that you can incorporate

495
00:31:09.200 --> 00:31:12.400
<v Speaker 3>these in managing for stress high pretension. The concept of

496
00:31:12.519 --> 00:31:15.759
<v Speaker 3>coqute ten also has been added into that chapter where

497
00:31:15.920 --> 00:31:19.559
<v Speaker 3>I am a huge believer. Where As you know, statin

498
00:31:20.000 --> 00:31:24.799
<v Speaker 3>associated muscle symptoms started to induced muscle symptoms is very

499
00:31:24.920 --> 00:31:28.160
<v Speaker 3>very common. In fact, in clinical practice we see much

500
00:31:28.240 --> 00:31:32.039
<v Speaker 3>more than its described on textbooks. But when because when

501
00:31:32.119 --> 00:31:34.960
<v Speaker 3>you give the statins and they inhibit the hmg coins

502
00:31:35.039 --> 00:31:38.039
<v Speaker 3>and retectives inhibitors. Also, it reduces the synthes of co

503
00:31:38.200 --> 00:31:41.559
<v Speaker 3>q ten and coqutin is a very important molecule important

504
00:31:41.880 --> 00:31:46.319
<v Speaker 3>in the respiratory life cycle in these skeletal muscles. By

505
00:31:47.000 --> 00:31:50.960
<v Speaker 3>exogensy supplementing coq ten minimum two in the millions a day,

506
00:31:51.240 --> 00:31:55.279
<v Speaker 3>we can definitely reduce the symptoms. Although data is somewhat conflicting,

507
00:31:55.400 --> 00:31:59.160
<v Speaker 3>but in my practice I have seen that it absolutely helps.

508
00:31:59.359 --> 00:32:03.440
<v Speaker 3>In our practice we emphasize that patients taking status must

509
00:32:03.519 --> 00:32:06.519
<v Speaker 3>take two milliums of coq ten with food. It is

510
00:32:06.519 --> 00:32:09.400
<v Speaker 3>a fat soluble vitamin that should be taken food so

511
00:32:09.559 --> 00:32:12.720
<v Speaker 3>that it reduces the chances of statin associate meddle center.

512
00:32:13.000 --> 00:32:14.079
<v Speaker 4>So the concept of.

513
00:32:14.119 --> 00:32:17.440
<v Speaker 3>Coq ten has come, then Ready's rice has been incorporated

514
00:32:17.480 --> 00:32:18.000
<v Speaker 3>in that chapter.

515
00:32:18.839 --> 00:32:21.680
<v Speaker 2>Yeah, that is you know, you know, look you know

516
00:32:21.799 --> 00:32:24.960
<v Speaker 2>better than me. But that has been talked about for

517
00:32:25.160 --> 00:32:29.079
<v Speaker 2>probably twenty years. And I remember twenty twenty five years

518
00:32:29.079 --> 00:32:33.799
<v Speaker 2>ago patients coming in with red rice yeast and at

519
00:32:33.920 --> 00:32:37.880
<v Speaker 2>first you'd sort of say, well, it probably won't hurt you.

520
00:32:38.960 --> 00:32:41.400
<v Speaker 2>But now it seems like there's some pretty.

521
00:32:41.160 --> 00:32:45.400
<v Speaker 3>Decent data and patients who are not receptive who taking

522
00:32:45.480 --> 00:32:47.480
<v Speaker 3>statins or they cannot take any statans.

523
00:32:47.519 --> 00:32:49.759
<v Speaker 4>It is pretty much like a natural statin.

524
00:32:49.920 --> 00:32:53.000
<v Speaker 3>And in this textbook of Cardiologia Braunold, they said, yes,

525
00:32:53.359 --> 00:32:56.640
<v Speaker 3>this can be considered an alternative for patients who are

526
00:32:56.720 --> 00:32:57.559
<v Speaker 3>not able to handle.

527
00:32:57.599 --> 00:33:00.480
<v Speaker 4>It's literally and like a natural statin, and there has.

528
00:33:00.480 --> 00:33:02.440
<v Speaker 3>Been some data that it may reduce you a deal,

529
00:33:02.680 --> 00:33:05.559
<v Speaker 3>maybe between fifteen to eighteen percent in some percent of cases.

530
00:33:05.839 --> 00:33:08.079
<v Speaker 2>Well, now with that, would it ever be a case

531
00:33:08.200 --> 00:33:12.039
<v Speaker 2>where you take a statin or maybe a little bit

532
00:33:12.319 --> 00:33:17.759
<v Speaker 2>less of a statin and the red rice yeast as

533
00:33:17.839 --> 00:33:21.119
<v Speaker 2>a as a combo or is it one or the other?

534
00:33:21.839 --> 00:33:23.920
<v Speaker 3>I try not to combine the two because it becomes

535
00:33:24.000 --> 00:33:27.279
<v Speaker 3>difficult to really objectively know if they're having any problem

536
00:33:27.400 --> 00:33:28.880
<v Speaker 3>work contributing to it.

537
00:33:29.160 --> 00:33:30.359
<v Speaker 4>But typically I keep.

538
00:33:30.480 --> 00:33:33.880
<v Speaker 3>Those I'm keeping for patients who are resistant or taking

539
00:33:33.920 --> 00:33:38.279
<v Speaker 3>statins or they would like to have a natural alternatives

540
00:33:38.359 --> 00:33:42.160
<v Speaker 3>and READI strize. I do offer patients who are but

541
00:33:42.279 --> 00:33:44.160
<v Speaker 3>I'm a very big believer in statin and they have

542
00:33:44.519 --> 00:33:47.519
<v Speaker 3>been shown with so much data for all these decades,

543
00:33:47.599 --> 00:33:50.759
<v Speaker 3>would be so useful. But if people are totally resistant,

544
00:33:51.039 --> 00:33:53.160
<v Speaker 3>then this is a reasonable alternative.

545
00:33:53.400 --> 00:33:56.400
<v Speaker 2>All right, final segment of your health first coming up.

546
00:33:56.640 --> 00:33:59.480
<v Speaker 2>Don't forget If you want more information about autorin deep

547
00:33:59.519 --> 00:34:04.559
<v Speaker 2>sination is practice, it is Uston Cardiology dot Comuston Cardiology

548
00:34:04.640 --> 00:34:07.960
<v Speaker 2>dot com and don't forget. Go to doctor Joeglotti dot com.

549
00:34:08.039 --> 00:34:12.840
<v Speaker 2>Stay tuned. Final segment coming right up, the final segment

550
00:34:12.920 --> 00:34:15.519
<v Speaker 2>of this week's Your Health First, and don't forget. Join

551
00:34:15.760 --> 00:34:19.880
<v Speaker 2>us at doctor Joegalotti dot com and you can sounder

552
00:34:19.920 --> 00:34:23.880
<v Speaker 2>forraur newsletter. Send me a message as a tab there

553
00:34:23.920 --> 00:34:27.760
<v Speaker 2>that says contact me, and all of our social media

554
00:34:27.920 --> 00:34:32.480
<v Speaker 2>is there, and all of our past programs, podcasts, other

555
00:34:32.639 --> 00:34:34.719
<v Speaker 2>educational material is there. But you have to go to

556
00:34:34.800 --> 00:34:36.119
<v Speaker 2>doctor Joegalotti dot com.

557
00:34:36.360 --> 00:34:36.920
<v Speaker 4>All right, so.

558
00:34:38.400 --> 00:34:41.159
<v Speaker 2>Doctor Snasa has been in the office with us talking

559
00:34:41.199 --> 00:34:45.599
<v Speaker 2>about heart disease, heart prevention, heart symptoms, some new therapies,

560
00:34:45.679 --> 00:34:48.280
<v Speaker 2>how to manage your cholesterol, things that you need to

561
00:34:48.400 --> 00:34:53.639
<v Speaker 2>know and do. Keep in mind that the number one

562
00:34:54.119 --> 00:34:58.159
<v Speaker 2>killer for all of us is going to be cardiovascular disease.

563
00:34:58.199 --> 00:35:01.719
<v Speaker 2>So we need to raise the bar and really pay

564
00:35:01.760 --> 00:35:06.360
<v Speaker 2>attention to heart disease. If you have heart disease, pay

565
00:35:06.360 --> 00:35:08.840
<v Speaker 2>attention to it. If you have risk factors, really do

566
00:35:09.039 --> 00:35:10.039
<v Speaker 2>get it checked out.

567
00:35:10.440 --> 00:35:10.599
<v Speaker 1>You know.

568
00:35:10.760 --> 00:35:16.679
<v Speaker 2>One other area and the golp one agents, the oxepics

569
00:35:16.719 --> 00:35:20.119
<v Speaker 2>of the world. Of course, they started off in the

570
00:35:20.840 --> 00:35:24.519
<v Speaker 2>diabetes circle and then into obesity. But now there are

571
00:35:24.599 --> 00:35:30.440
<v Speaker 2>some studies on being protective for heart disease and heart failure.

572
00:35:30.599 --> 00:35:33.079
<v Speaker 2>What are you seeing and where do you think the

573
00:35:33.199 --> 00:35:37.920
<v Speaker 2>future lies with these GLP one agents GLP one.

574
00:35:38.039 --> 00:35:40.840
<v Speaker 3>Initially I was to be very frank, I was quite

575
00:35:41.559 --> 00:35:45.199
<v Speaker 3>apprehensive of giving them to patients. But the more and

576
00:35:45.320 --> 00:35:48.079
<v Speaker 3>more I'm studying the data, we have seen that they

577
00:35:48.239 --> 00:35:52.199
<v Speaker 3>definitely some percentage of population of patients who are struggled

578
00:35:52.239 --> 00:35:56.519
<v Speaker 3>to lose weight. Right an effective, very effective class of drugs,

579
00:35:56.679 --> 00:36:00.800
<v Speaker 3>and they absolutely help you in reducing weight. However, you

580
00:36:00.880 --> 00:36:03.280
<v Speaker 3>know you have to be mindful of the fact that

581
00:36:03.360 --> 00:36:06.440
<v Speaker 3>there are some significant side effects, and I'm sure you've

582
00:36:06.480 --> 00:36:11.320
<v Speaker 3>seen fair share of that. But you cannot just prescribe

583
00:36:11.320 --> 00:36:15.800
<v Speaker 3>a GLP one and not emphasize lifestyle modification because that

584
00:36:16.039 --> 00:36:20.440
<v Speaker 3>is not the right way to manage your diabetes and

585
00:36:20.519 --> 00:36:25.320
<v Speaker 3>hypotension and overweight problems and obixity. However, the data that

586
00:36:25.480 --> 00:36:28.320
<v Speaker 3>is coming out in benefit of reduction and heart failure

587
00:36:28.679 --> 00:36:31.920
<v Speaker 3>and other cardivorskit benefits is all. If you lose the

588
00:36:32.039 --> 00:36:34.800
<v Speaker 3>question is that is it the weight loss that is

589
00:36:34.880 --> 00:36:37.480
<v Speaker 3>helping you reduce it or there is some question that

590
00:36:37.599 --> 00:36:41.119
<v Speaker 3>the drugs are And my thought process is I say

591
00:36:41.360 --> 00:36:43.239
<v Speaker 3>weight loss is the best medicine.

592
00:36:44.079 --> 00:36:45.559
<v Speaker 4>Way, your blood.

593
00:36:45.280 --> 00:36:47.719
<v Speaker 3>Pressure will get better, your liperds will get better, your

594
00:36:48.679 --> 00:36:50.840
<v Speaker 3>everything will get better, your exercise.

595
00:36:50.480 --> 00:36:53.360
<v Speaker 4>Todance will get better, and your heart failure.

596
00:36:53.400 --> 00:36:56.679
<v Speaker 3>Of course, you sleep will get better if it will

597
00:36:56.760 --> 00:36:59.400
<v Speaker 3>get better, and your heart failure will get better.

598
00:36:59.440 --> 00:37:02.840
<v Speaker 4>There's no quest about it. So, yeah, is the best medicine.

599
00:37:03.239 --> 00:37:07.440
<v Speaker 2>Yeah, no, no, no, I mean it is. And unfortunately

600
00:37:07.800 --> 00:37:11.719
<v Speaker 2>with all of the advertising and marketing and things on

601
00:37:11.840 --> 00:37:16.559
<v Speaker 2>social media, that message gets lost. They think this the medicine.

602
00:37:17.360 --> 00:37:20.480
<v Speaker 2>Of course, the weight loss they see it. But you know,

603
00:37:20.599 --> 00:37:24.239
<v Speaker 2>the gop ones, You're right, there are a whole host

604
00:37:24.320 --> 00:37:29.599
<v Speaker 2>of gastro intestinal side effects, nausea, vomiting, constipation, people are miserable.

605
00:37:30.480 --> 00:37:38.880
<v Speaker 2>But weight loss through lifestyle, the Sunasia formula, of course

606
00:37:39.519 --> 00:37:43.440
<v Speaker 2>is it might not be as fast as a golp one.

607
00:37:43.920 --> 00:37:47.559
<v Speaker 2>You know, you have to be patient, you know, you know,

608
00:37:47.880 --> 00:37:51.400
<v Speaker 2>fifty pounds was not gained in six months, you can't

609
00:37:51.400 --> 00:37:53.320
<v Speaker 2>expect to lose it in six months. But it's that

610
00:37:53.480 --> 00:37:57.400
<v Speaker 2>lifestyle change that it is, learning to eat better, learning

611
00:37:57.519 --> 00:38:01.280
<v Speaker 2>to cook, learning to exercise, and just integrating this all

612
00:38:02.639 --> 00:38:06.559
<v Speaker 2>in there. So we've got a couple of minutes left here,

613
00:38:06.679 --> 00:38:11.079
<v Speaker 2>doctor Sunasia and for those that might just be joining

614
00:38:11.159 --> 00:38:14.199
<v Speaker 2>us late this evening. Doctor ran Deepsynasia. He is a

615
00:38:15.199 --> 00:38:19.679
<v Speaker 2>very very well known cardiologist here in Texas Cardiology Center

616
00:38:19.800 --> 00:38:26.360
<v Speaker 2>of Houston. His website is Houston Cardiology dot com. A

617
00:38:26.440 --> 00:38:32.880
<v Speaker 2>couple of parting remarks. If you had to tell a

618
00:38:33.039 --> 00:38:39.840
<v Speaker 2>patient people listening tonight, let's say one intervention. Now, there's

619
00:38:39.920 --> 00:38:43.079
<v Speaker 2>many things to do, right, But if you were going

620
00:38:43.159 --> 00:38:47.280
<v Speaker 2>to start off with one win, one thing that you

621
00:38:47.360 --> 00:38:51.239
<v Speaker 2>could cross up and say I was able to start

622
00:38:51.320 --> 00:38:53.960
<v Speaker 2>doing that tomorrow and I stuck with it, what do

623
00:38:54.079 --> 00:38:55.079
<v Speaker 2>you think that would be?

624
00:38:56.440 --> 00:38:58.840
<v Speaker 3>Just start walking fifteen minutes a day and increase with

625
00:38:58.960 --> 00:39:04.320
<v Speaker 3>thirteen minutes a day. I think regular exercise does wonders right.

626
00:39:06.159 --> 00:39:08.559
<v Speaker 3>Journey of one thousand miles begins with a single step.

627
00:39:09.239 --> 00:39:11.800
<v Speaker 3>Just start walking and tell patients you know, doesn't matter.

628
00:39:12.360 --> 00:39:16.559
<v Speaker 3>Could be ten minutes, fifteen minutes, please, best thing is

629
00:39:16.719 --> 00:39:20.159
<v Speaker 3>just start walking and you will see it will transcribe

630
00:39:20.199 --> 00:39:24.440
<v Speaker 3>into benefits beyond your belief. You know, you don't have

631
00:39:24.559 --> 00:39:29.320
<v Speaker 3>to walk ten miles or three miles, just ten minutes,

632
00:39:29.400 --> 00:39:32.519
<v Speaker 3>fifteen minutes, and gradually you will see then you can

633
00:39:32.639 --> 00:39:35.440
<v Speaker 3>increase it. And with that you need to work on

634
00:39:35.639 --> 00:39:39.119
<v Speaker 3>diet and reduce the card consumption, reduce the carry consumption,

635
00:39:39.800 --> 00:39:42.639
<v Speaker 3>and weight loss has to be the most primary thing.

636
00:39:42.840 --> 00:39:46.239
<v Speaker 3>But seventy percent of the population with fortys in thirty

637
00:39:46.239 --> 00:39:53.280
<v Speaker 3>percent overweight, absolutely is critical importance America healthy. Again we

638
00:39:53.480 --> 00:39:56.360
<v Speaker 3>miss a control of the epidemic of weight gain.

639
00:39:56.400 --> 00:40:03.039
<v Speaker 2>All right, Another scenario, So most patients are being seen

640
00:40:03.119 --> 00:40:06.440
<v Speaker 2>by a primary care physician or internest or maybe even

641
00:40:06.480 --> 00:40:11.679
<v Speaker 2>there upstir g yn and somebody is sitting there tonight

642
00:40:11.760 --> 00:40:15.840
<v Speaker 2>and saying, look, gee, gosh, I am overweight. I've got

643
00:40:15.920 --> 00:40:19.119
<v Speaker 2>this touch of blood pressure. The doctor said, my glucose

644
00:40:19.280 --> 00:40:23.000
<v Speaker 2>was just a touch elevated. What is the conversation you

645
00:40:23.199 --> 00:40:28.559
<v Speaker 2>want to have the patient initiate with their primary care

646
00:40:28.679 --> 00:40:35.440
<v Speaker 2>doctor to say, please address these heart risk factors or

647
00:40:36.239 --> 00:40:39.960
<v Speaker 2>maybe even symptoms. How do you frame that conversation?

648
00:40:40.519 --> 00:40:41.039
<v Speaker 4>What do you think?

649
00:40:42.159 --> 00:40:46.360
<v Speaker 3>I think controlling getting your lipids done, collecting data on

650
00:40:46.440 --> 00:40:49.000
<v Speaker 3>your blood pressure, and as a doctor they can refer

651
00:40:49.079 --> 00:40:52.519
<v Speaker 3>for calcium. School Houston Methodist does it for one hundred

652
00:40:52.519 --> 00:40:55.199
<v Speaker 3>and forty dollars any of the Methodist system and then

653
00:40:55.199 --> 00:40:56.239
<v Speaker 3>you have the heart scan.

654
00:40:56.400 --> 00:40:57.840
<v Speaker 4>Plus they can scan.

655
00:40:57.760 --> 00:41:01.920
<v Speaker 3>Your carotis, aota, the legs and including the heart scan

656
00:41:02.000 --> 00:41:03.960
<v Speaker 3>for two hundred and five dollars. I tell them that

657
00:41:04.119 --> 00:41:06.599
<v Speaker 3>is the best two hundred five dollars that you'll ever spend.

658
00:41:07.000 --> 00:41:09.559
<v Speaker 3>And once you have the data and then based on

659
00:41:09.639 --> 00:41:12.519
<v Speaker 3>the results, it is going to have a very positive impact.

660
00:41:13.079 --> 00:41:15.719
<v Speaker 3>Once you have the data with you, share that data

661
00:41:15.840 --> 00:41:19.639
<v Speaker 3>with your cardiologists, let the cardiology explain to you where

662
00:41:19.679 --> 00:41:22.599
<v Speaker 3>you cat some scores, what it means, and then you

663
00:41:22.719 --> 00:41:25.559
<v Speaker 3>take it from there. I think these are critically important

664
00:41:25.599 --> 00:41:28.000
<v Speaker 3>issues that you brought up and it is so important

665
00:41:28.039 --> 00:41:30.559
<v Speaker 3>for us to take care of our patients and increase

666
00:41:30.840 --> 00:41:32.199
<v Speaker 3>education and awareness.

667
00:41:32.760 --> 00:41:35.920
<v Speaker 2>Right And that's and that's my gosh. You could you

668
00:41:35.960 --> 00:41:38.320
<v Speaker 2>could be in front of a microphone three hundred and

669
00:41:38.519 --> 00:41:42.760
<v Speaker 2>sixty five days a year, doctor Sunesia, and get get

670
00:41:42.840 --> 00:41:45.880
<v Speaker 2>the word out there. So as always, thanks for coming

671
00:41:45.960 --> 00:41:49.920
<v Speaker 2>on tonight, doctor Suonisia. Don't forget you can catch up

672
00:41:49.960 --> 00:41:55.280
<v Speaker 2>with doctor Sunesia at Houston Cardiology dot com. Randeep. It's

673
00:41:55.360 --> 00:41:57.719
<v Speaker 2>been awesome. It's always great to have you on.

674
00:41:58.559 --> 00:42:01.000
<v Speaker 3>Well, thank you so much for the ortunity. Look forward

675
00:42:01.079 --> 00:42:06.880
<v Speaker 3>to always working with you and enjoying your conversations with you,

676
00:42:07.000 --> 00:42:08.440
<v Speaker 3>and look forward to many more