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May 1, 2021 3:43 pm
The following is a paid program and the views expressed are those of the host and guests and do not reflect the opinions of W PTF or Curtis media group information provided is of a general nature listener seeking specific advice should contact a licensed professional in the appropriate area welcome to heart health radio certified cardiologist and internal medicine specialist Dr. Franklin we call a part of health radio is never information purposes only and talk to Dr. Whelan's information and entertainment. I think yeah because we have far talk about. I think the main thing that are trying to get across to my listeners and you is not that hard you try hard yeah yeah what were talking about, you know best thing ever said to me on the show was well. I hope you understood that. I'm just glad when that happened in my job because my job is to make things understandable. Try to do in my office when I'm seeing patients because the more you understand about why someone is recommend something like you are to do what is the best thing in the doctor's mind.
Also, remember if your doctor doesn't admit that he could be where she could be wrong. Dr. Melissa, the worst thing in the world. If you want to have a good relationship with your doctor say well on Google yeah I bought a month your Google search does not my friend.
Just be aware that Google searching can be dangerous as you might wind up with a Google search that says that cover vaccines are loaded with microchips from Bill Gates and are they like my looked know I scanned mine and I think my special microchips please please people going to get confused today show.
We are going to talk about misinformation early suite. We believe that it would be misinformation because we could be misinformation in this fella, Joe Rogan could be right. I don't think Dr. found.
She says vaccinations are working, that's good. Yes, that was why we got them right and were relaxing. Now some of the mandates for wearing masks. George joins us right now. George, thank you very much for calling what's going on. I with what they call what happened with few month ago started well in that quite a bit but don't know it, the cardiologist got a cardiogram and an eight date everything thing to check out fine for it within a hand left, there was a M impaired left ventricle dilapidation normal. That feeling pressure with great one� Yeah. And I think this was brought on by chronic hypertension. In the last eight years, but the not been keeping a check on had blood pressures like 140/80 150/90. Right when I go to a doctor's office or something or and only probably a little bit higher but the issue is now my blood pressure must of thought, blood pressure, but well it is kind of weird. I find I can send out my blood pressure right away. But maybe one 18/82. Then every minute to drop the drop down like 118/82 one Panama ready to get out of one of five and has gone down like the body to 95 range you not feel it definitely.
I am pretty sure I'm in heart failure. This data and definitely but the doctors think think because I haven't known been to get a stress test in the past. He is thing that is estate related that I was only 53 when I got and I'm thinking it might my symptoms that are getting more now I 5453 yes, if you question what medicines you take. None really. I never take me think of a pressure problem in and I think that's what happened� They want to talk failure. Now I had a young age and I doubt I'm fatigued not have the swelling in the leg.
The bread and I have blood flow issues that have numbness in my hand and feet like my heart rate. The edit get it in a high rate lay there for a while like back in November on a bike ride.
The number heart rate got to like the 150 range, but it it took like five hours Margaret this sounds important that you are addressing this because I think you're right. You need to have more I my opinion is you need to have a more thorough investigation over the blood pressure again, so it'll be pretty much normal, and then just on its own will start to drop is not right right basically you want to sit down and thought� So it'd be in the lower ranges are systolic and you know I could be like 100 feet over seven hand in that works is not down quite a bit like if I exercise it. I'm about to go down that about you and that is that weight and I was at the blood pressures here, but I had a meeting with my blood pressure, one that took over 10 minutes. Once the rate want then went down to 122 and 182, 116, or 81, 108 it was 74 and I was with. You were doing just now just sitting still.
That is, that is something I haven't really seen that much simpler pressure drop when you stand up I seen in people who have been a serious customer blockage in one of the arteries succeeds blood harnessing the blood pressure drop when they exercised someone like you not taking any medicines at all and seated have the blood pressure drop. I'm not seeing that much. Now let me just make sure I get this right when you had your ultrasound of your heart your echocardiogram. They said it was pumping fine, but it did have a diastolic dysfunction is that with the children right right side of the goal is normally with mildly increased wall thickness. The left ventricle thought normal ethical ejection freshman five there is an impaired left ventricle relaxation on the left ventricle feeling pressure great one� Somewhat simple terms it means your heart has gotten stiff so when there's two types of two parts of your heart function. It's the pumping action that's called systolic and then there's the diastolic earlier or timing. That's when the blood flows into the heart so it has to be pliable to accept that blood flow and so what we seen in people with high blood pressure over time is that it's like Arnold Schwarzenegger's triceps right. And for Eric and that he can't he can move it, you know, because of the muscle surface. That's an exaggeration of workers on the hard but it's a similar idea, but that doesn't usually lead the low blood pressure limit limit answer questions you hydrate do drink a lot of fluids a lot, but I do And that does that make you swelling worse in your legs and feet. What happened once when I am discovered all this, I would like to and probably but 38 and within a month I lost count of hundred and 95 pounds. Okay you do that by just not eating a lot as I live in.
Now I'm down but yeah, and that September thing is that you know I have always heart failure and I have nausea I did. I have the crackle the railing and breathing on and it's kind of weird when I breathe in feel like I'm breathing cold air left Longshore. It makes me think that this thing is progressed a lot more than one thing I do have a follow-up appointment with the cardiologist. I've been working to cardiologist quantity it may have trust. Yeah, the district that deleted everything okay with the stress allotted the weird thing about this for public like one over and immediately went stopped my blood pressure like plummeted to be the guy was looking at the person you must be busy because you clickers bought it bottomed out. That's really strange. I can't believe feel doing stress test to get tight in the chest short of breath is really her yet.
They'll think we're much like Pete be more sensitive and yet month I left five feeling a little uncomfortable today. Do this with a nuclear person with a blood filtration we have said firmly, and they said that was more that I felt on the heart like a bucket 3 bpm.
You know, whenever don't echo what I was doing imaging. That is another thing that happened to me, that I think the part of I get stressed or something like that. My back hurt mentally and I think you know that I've read that are hurting any chance to make certain that what you normally work in the back almost unbearable and it seems to I have.
But it could possibly be an annual aorta, this is a lot of things going on right and I could further investigation. Has anybody in your family mother father sister brother had a hard time stamps are not heart attack. My dad 54. At about that and had congestive heart failure, and that's something that there's something called a false negative stress test. That is when you have balance blockages is kind of hard to explain but on a stress test.
If you have one blockage you'll see an area of the heart not getting blood flow compared to sitting you stress it's not getting blood flow. But if you got a blessed main blockage or blockages and also the arteries.
The blood flow is uniformly reduce when you exercise, and there is no focal area so you I can't give diagnoses over the radio and I don't think I should buy this is the Delphi had a case like yours. This is a situation where I've been really concerned that you got something lurking that hasn't been discovered yet and you know I think anything about you cardiologist and say look, I don't know the stress test can be false negative that's what I'm saying and if your brother had something major done to his heart because of blockages at age 54 that protrude very high risk for having yells at restaurants now, so my advice to you is to get back to cardiologist and asking one question. Could this be balanced ischemia that leads to a false negative stress test in your symptoms were compelling. Your blood pressure scares me like it scares you because there's no reason for her to don't go from having a high blood pressure talk thing when I go to my primary care physician you book by one or thing cardiologist looking at my weight down my blood pressure is okay and everything pumping I and all the chambers are the right side of this is a's not-so-subtle thing to me, but it's not your normal presentation and so that doesn't mean that you don't have something serious going on what is George need to ask for for the next test.
I am not convinced say what I'm going to say is, ask him or her cardiologist as you will use names on you. You have balanced ischemia, leading to a false negative stress test okay that's what did you need me to write that down 40 balances.
That is, anemia balanced so you have blockages in more than one player also looking it up right now Google Google. That's when you can dribble deadlocked your yet of the cardiologist today is nothing else I can do for me.gather around me get on the phone with you after after I get your phone number because I want to talk to you some more personally one-to-one that we can suggest okay are you George on hold. Thank you George big recall of what I call pacemakers, but they got technical terms think they do brother pacemakers and in shock box okay and shot hotshot cr�pe pacemakers and shot box. Another term for re-calling them and apparently the vaccination protocol that were all under is working because the numbers are down. That's coming up I and our shame segment heart health radio on the heart health radio network listen to heart health radio on Apple podcasts or heart health, radio.com.
The telephone number between noon and two on Saturdays for this radio program is 919-860-9783 shaming of famous podcast or how did he ever defend us. I don't know how to all of a sudden Joe Rogan become the man of podcast. I have no idea initially paid for his partner a lot of money, 30 million bucks. Yeah, right where I spot a fire Jennison right now. Heart health radio guys we need to get some of that spot. Some of that money. Listen, this is what Joe Rogan said on his podcast. I think you should get vaccinated. If you feel like you and my parents are vaccinated. I've encouraged a lot of people.
Given people say do you think it's safe to get vaccinated. I said yeah I think for the most part safe to get vaccinated.
I do, I do.
But if you're like 21 years old and he said to me in charge of accident I got going there you healthy your healthy person like look, don't do anything stupid. We should take care yourself if you're if you're a healthy person you are exercising all the time you're young and you're eating well, like I don't think you need to worry about this issue right now and the thing about it is he's a bonehead he's not a dog you know what I would do if I saw him on the street and he was telling me this is how sweet you were sitting in the back of the room at Johns Hopkins right asleep. I gave the lecture against on not being stupid and saying things you know nothing about it.
Let's look at the proof that young people should be vaccinated. Well, mirrors, people can get very sick when your lesson 21 and you might not die the death rate is very low, but it's not just about death and dying. It's about getting a disease and if you get this disease and you visit grandma yeah you kill grandma and if you look at Israel success story of the world, not as much as Taiwan. Seven deaths total project we talked about that a million times. Now the anybody who is a human being that I'm to say once it's proven safe because is not proven safe yet that I think children should vaccinated because you can be an asymptomatic carrier.
You can get the disease and just have the sniffles right and carrier. Grandma and grandpa would be sexist to grandma grandpa break where my great grandma and so if you look visually vaccinated, and they're almost done vaccinated everybody and they beat it. The other key thing is England.
They gave everybody the first is ended on time about teenagers, young adults, everybody, look at the graphs using them know they had anyone get it wrong. In the beginning okay. I'm talking about just go through and have yes of course I was stupid. They had a really bad, but remember the British variant.
Okay, that was much we really babble came out of Britain and there down to almost no minuscule numbers of cases so the vaccine works. It's not dangerous. If you got the giant jet engine.
You had a one in a million chance of the blood clot and Joe shut your pie hole you're not a doctor you're not you. He's about as far away from an MD as the cockroach I smooshed this morning. The thing is, I've heard it expressed this way, young people become the reservoir from which everybody else get sick and that's that's the whole point. Russell Porter, grandma and grandpa listening to totally die. The other thing he said that was so stupid enough that if you health and your exercise. Bring your and are apparently none the disease hit the healthy and hit the week it hit the strong and you know your immune system is better if you're healthy, but suppose you're one of these crazy people in every exercises in your immune system is weak because of constant inflammation. So if you heard Joe Rogan on this podcast do the opposite. RX sister Diane Diane Willow Springs. I'm not sure whether were going to get to the conclusion of whatever it is you want to discuss the list but you held your hi Diana, hey what's up a couple of questions and I'll try to make a quick okay I enjoy the show.
By the way, I I am 80 years old and annual adult you know person physical in June and after that about having a colonoscopy and trying to keep up with all of that, the directly we change that with it. My particular car exacted out.
Maybe I did that I get one of the That you do the still family: right thing that I met in January. I have a call or a letter from my colonoscopy person saying I really needed the command could. And God years and I asked Mikey a doctor and she did well you're thinking nighttime. Don't you have five years ago. Anything on the colon polyps. Even remember a quick agent that finding multiple medium outnumber going to abandon been born: exam. Otherwise, without abnormally own direct and like the environment complement the question. Did you have a polyp like a little dinghy in the undated do take anything out of working to pick this up is really important. Also, Rose Hoban of North Carolina health newsletter. She might be a few minutes late on today show but that's all right. Diana's Diane is in the way to take care of important. She's 80 years old and she wants to know whether she's going to have a will leaving there I will decent question. I would encourage you to continue listening to the radio program.
This is hard health radio on the heart health radio network.
Now back to heart health have a question for Dr. we fall. Call 919-8609 73 Rose Hoban coming up from North Carolina health news. Let's pick up with Diana again hi there hi Diana. Welcome to the show again.
You want to know whether it is time for another colonoscopy so the question I had was that they find a polyp on the loss will have to take anything out, no, or man, come down hard on this one. Yeah, you don't need one.
Okay, first of all, after the age of 50. They recommend the American gastroenterological Society of the American College of physician they recommend 110 years later. If you have no polyps. Okay, they don't recommend one if you're over the age of 75 and had nothing wrong. So this 50 thing I meant to say is not according to guidelines in your 80 you're healthy, you had a negative colorguard they did 15 years ago. They didn't find anything. My advice to you would be to talk to your primary care physician traffic you've already done and if it were me I would do. I just wonder that I had a polyp the last time Simon to get one. Five years from the last time I have and I'm 62 so you know and I'm to say this I don't think you're an old lady.
You sound great. 80 years old is young today 80 is the new 50 so please don't tell.
I don't think that I call you old and in a pejorative sense, but if it were me, and I had a clean 15 years ago and I had a negative colorguard which is a DNA screening test they take the stool and they checked the DNA from bad things that might associate with cancer. The risk of a colonoscopy is firstly get a drink that sees seawater stuff. We, as horrible and then they could put this thing up and perforate your: you are sticking out a tube up there even though it's flexible sure.
I mean you can perforate the colon and that's a disaster. So this is called risk-benefit analysis, and I think the benefit of you having a colonoscopy in your stage of life is very low and the risks are moderate.
So if it were me, and even if you wanted to get one not supposed to have one for 10 years. After a negative colonoscopy.
Does that makes a 10 years is now diverticula but that doesn't got you at risk for cancer. Diverticulosis is not a risk for cancer so you Diane I think you are a good luck and talk to your primary outline of the Pvt. Ryan as you know, you and I will not with room let's let's chat about that later.
Go ahead Diana, thank you Diana I Rose Hoban is been patiently waiting Rose, thank you.
We had talked and had to finish with Diana Rose, the master mandate is gone for outside except in large crowds accepting large crowds only ever going to get rid of the mask mandate for people close and that map go away. The population of the state, but right now our cop.
Our vaccination rate where bumping up against it.
That we only about 8000 back pain blackly nearly flowing down ever get to get to Sir John North Carolina because let me tell you, Rose. Everybody comes in and I got to convinced again. Most of my patients are not. I'm telling you it's pulling teeth to get somebody lessening one and children who are about 20 population are allowed to be back by Being back relative right when I friend came over last weekend and they were vaccinated at the outside and then they called it sheepishly onto the bank bank go so I know that they're looking forward to getting their daughter vaccinated the UK you can think like that.
Went to get back right probably one local health director describe the neck handed 20 getting them vaccinated. He called it combat yes. The thing with me is that I can most of the patient's aggregate my spiel vaccinated, but coming. Let me table right where propagandist. I mean, I think that would Biden said that he's not good to get a vaccine that Trump developed and that was all political that actually I hear and then the other thing is that it was brushed when they cut corners is try to explain that this is a different mechanism of vaccine development that was not rushed through the principles of messenger RNA producing the spike protein that's been around for a while and that's why now the concept of around 10 years and the company moved they would. They were there already. You know going to develop the site so it's not Right. Please, thank you very much. I want everybody to go to North Carolina health news.org there's an interesting story that might just be up big big story in the future about something called a zebra muscle has nothing to do with the striped animal like a zebra. It's an invasive species that may one day be in North Carolina. Waterson they've got the story right there on North Carolina health news.org. Thank you. Rose had taught you next week all right. Take care.
I got Larry in Raleigh before he picked up with Larry. Let me just tell you that there's a been a big recall of what I call pacemakers. They are the implantable devices that are better. You can use to restart your heart that will pacemakers just keep your heart from going too slow. Okay when you had a weak heart or if you had a lethal arrhythmia. That means the bottom part of her quivered in you.the defibrillator is a shot box that's Mr. Collins sure shot box is like the big thing well yeah but it's inside okay okay so there you are now the size of hockey parks even bigger and they're very complicated but beautiful missions and the machines they have computers analyze they decide they provide a big jolt of electricity and restarts the heart.
So that's a different suite of defibrillator replacement now they recall departments Medtronics had a lot of problems there. They are the number one producer in terms of volume, pacemakers and defibrillators, and now that was called a class I recall the what is that mean that means you better be careful so if you have one of these new ones Rivera Ziva Brava area on PR really made these many different types of easier easy, efficient, suddenly run out of juice. I mean just juice and so I'm not to go into the details of the mechanism of that body really need to be taken out snow what they recommend is that you have them check with the home monitoring yeah everyone get home monitoring and it can tell you how much juice is left in and all of a sudden it starts to lose juice like replace okay Larry in Raleigh. Welcome to heart health radial glad to have you on the show welcome. Enjoy your program listen to a career. My wife was born in 1951 with a bit I went was loaded up over it to see the 15 was doing fine. To the hairdresser for like 40 years and will take do it anymore supportive of your customers sure in six days to fail and broke her hip, and her dear a partial hip replacement fail in September 16, fractured her knee and fell in October and broke four toes and her right foot all underwent right that we been to doctors and now she keeps falling because her leg are given out and we don't know who to go to weep in the wake we been the do we been to Carolina. That's a tough question. Do neurosurgery measures are neurosurgeon way back.okay brothers, two types about doctors. There is.there's two types of spine doctors orthopedist, the numbers are neurosurgeon.
I am not the world's expert on spina bifida when you when you talk to Dr. and he says that he knows everything, then you need to go to fire them asking on the work you get your dukes will regret not just because I trained. I think that best spina bifida doctors are at places like Duke and I don't know where to tell you to go, Larry. You know what kind of back. Dr. your wife cease Dr. see an orthopedist. I don't what an orthopedist, gave her a shot. You know what I think where I live and let me take you places okay. Duke is right up there again. What I meant to tell you to do is give your phone number because of McCallion and you and I are going to talk about the name of the doctor that you saw it because it might not have been the L honcho you know to mean that something now I'm a tell you that there are a bunch of really good programs and Johns Hopkins is more Mayo Clinic is one and you know if if Duke is really saying there's nothing they can do for you than what I would say is get a second opinion, but it may have been that she didn't see the honcho right by that I mean the guys you know supposed to Larry on hold will get Larry's you get your business okay I'm in a fun, after the show was done is going to call Larry and talk for anything. The kind of conversation is going to have, doesn't it have to do with advocating for yourself with the doctor know I'm not good after the rotation.
Just the opposite. No, no, no, I mean when I don't mean your page. I mean you you want them to say listen, if you can help me right yet who can and also there are things that I do want to use names, people who may want to get confusing confusion shouldn't be spread beside your programs and the stuffy is nothing yet he knows nothing about right.
And so when patients bring up issues that I think are more complicated than you know. Discussions on the radio for public information. Okay like a semi called and said there's this crazy teacher right he was going to try to run people over the parking lot that would be II do that off your yeah everyone for me to spare your name on the radio. But here's the thing.
If there was a Kartik you are a cardiologist in internal medicine medicine special and ideologist. I know a lot and if there was a cardiology thing that you needed to kick upstairs to a different cardiologist, you'd be very comfortable to hit things up all the time. For example tripwires. We just talked about right might cook it up.
The problem in a Kroger writer semi's assistance.
My kick it up to Medea so you door Josh Macomber right and you know if somebody's open heart surgery.
Yeah, I like you yeah you did he get Dr. bowling yeah asked Dr. bowling because you know he was a success with mine. He did, he did and I did.
I am here well so this is as people ask me you feel better. See how I feel better better better than I did, eight, nine, 10 weeks ago. I feel much better than ours better my colors about how much weight if you lost total work since the surgery.
I don't think I've lost weight of all why you should be exercise, having stepped on the heaven step on the scale and are things coming up. We got a great shout out to shout out. In fact, one doctor does know about will talk about the man's outdoor phone and if we can find time.
You know we got to squeeze this in the bowel movement frequency discussion on today's heart health radio on the heart health, radial network, you know some people just want to show your patience. Ashley had been waiting there.
When he was in high school, but as we get older. Everything he tipping the scales closed for the pound we've been working together on what I like to call a medical bariatric program so bariatric surgery works wonderfully. I think it's it's the key surgical intervention for this day and age because obesity is really really tough, but if you don't want to go through surgery. It takes a while because you gotta change your habits, but there's also medicines that can help and if you're screened appropriately and don't have serious heart disease and get your blood pressure control. There are three medicines that are on the board on board to now and work and much weight is lost, 150 pounds.
It's amazing in one year and he stuck with his no-no diet and stuck with his medications. He stuck with his exercise again. Please, not hypertensive and it's quite say that I think were going to get them off the CPAP and the other thing is he's just as happy now that he's shown to himself right. But he can do it with assistance from his position. We gotta get the insurance companies that pay for skin surgery you value. That's the worst thing that there that if someone loses 100 pounds. They the skin is an issue doesn't always go for hard evidence hardly ever goes with want to shout out Michael Collins who wanted