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November 13, 2024 • 16 mins

Many people think they know when their blood pressure is high, but Dr. Choctaw is here to dispel this common misconception. This episode dives into why regular monitoring is essential and how to correctly measure blood pressure at home. With tips on stress management, diet, and lifestyle changes, listeners will gain the tools they need for heart health and well-being.

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(00:00):
Coming up on this episode of theHealthy, Wealthy and Wise podcast.
What makes the difference for youto stand as opposed to sitting?
When you stand, it lowersyour blood pressure.
When you sit, it's just,it's pretty mechanical.
And you'll notice that when you go intothe doctor's office, if it's a little
high, the nurse will say, I'm goingto have you stand for a few minutes.

(00:22):
And then I'm going to check it again.
Uh, and, and that's okay.
Because if that standing bloodpressure is normal, you're good.
You're good.
All right.
So, so that's why it's important,the environment before you check
your blood pressure, how you check
your blood pressure.
And welcome to the Healthy,Wealthy and Wise podcast with Dr.
William T.

(00:42):
Choctaw, MD, JD.
This podcast will provide you withtools and actionable information
you can use to help live a morehealthy, wealthy, and wise life.
It's powered by the over 50 years ofmedical experience of this Yale University
Medical School trained surgeon who is Isalso a Western state law school trained

(01:03):
attorney with executive experience beinga former mayor of Walnut, California,
as well as the current chairman of thenonprofit Servant's Arms, and as president
of Choctaw Medical Group Incorporated.
This is the leadership masterclassedition already in progress.

(01:24):
So, you might
say, well, Dr.
Octave, you
just spent the last 20 minutestalking about what's that had
to do with high blood pressure.
Well, there was an article that Iread, uh, actually about a week ago.
Uh, in the Alzheimer's and DementiaJournal, uh, by Scenaro and Hughes,
where they show that over a period oftime, if you can lower the systolic

(01:44):
blood pressure, remember blood pressureis systolic and diastolic, systolic is
the top number, diastolic is the bottomnumber, that you can, uh, decrease
dementia, or the rate of dementia.
Um, one of the ways that, uh, youtreat dementia, um, uh, is by social
engagement, is by interreacting, isby, um, talking to other people, mental

(02:11):
exercise, reading, class, hobbies, church.
Church is a great place to, tosort of, for us to sort of treat
our dementia, in my opinion.
Uh, why?
Because you come and you see people thatyou know, that you like, and you, you
hug, and you talk, and you feel good,and you listen to music, and you, you
walk from the front part of the churchto the back part of the church, till
you get some exercise, uh, physically.

(02:33):
Um, and you do that once aweek at least, roughly, right?
And so my point is there are thingsaround us that we need to do and maybe
do more to help us, uh, therapeuticallydeal with the possibilities.
Let's look very quickly at blood pressure.
Basic blood pressure is one 20 over 80.
The top number is a one.

(02:54):
2080 is the bottom number one.
20 is systolic.
80 is called diastolic.
Okay, so the excellentarea is 120 over 80.
Blood pressure is uniquein a couple of ways.
One is a lot of people have bloodpressure problems, number one.
Number two is how well your bloodpressure is being treated depends on,

(03:19):
um, uh, where your blood pressure is.
And so that depends on regularmeasurements of your blood pressure.
Um, there is a, a, a completemisnomer or an illusion that
says, well, I know when my bloodpressure is up cause I can feel it.
No, you can't.
No, you can't.
You think you can.

(03:39):
You can.
You have no idea whenyour blood pressure's up.
Uh, and my point is that a lot ofpeople use that, uh, as a reason to
say, Well, I don't need any medicationbecause my blood pressure's okay.
You do not know what your bloodpressure is until you measure it, right?
You gotta measure it, and you shouldmeasure it on a regular basis.

(04:00):
More importantly, all of us, when we go into see our doctors, first thing they do is
a nurse will measure your blood pressure.
Now, if you're like me, a lot ofother pressure, I don't particularly
like to go see my doctor.
Nothing personal, nothingpersonal, I just don't like it.
Is that right?
Makes sense?
Makes sense?
I don't like it.
Um, I like it when I'm on the other side.

(04:24):
They come to see me.
I'm cool with that.
But I do not, so I'm already nothappy that I got to do this because
I have an appointment, right?
Uh, but the first thing they do isthey register my blood pressure.
And a lot of, for a lot of people,um, I'm already a little stressed
because I got to be there.
So my, and guess what thatdoes with my blood pressure?
It's going to go up.

(04:44):
It's going to go up.
So many times the measurement of yourblood pressure at the doctor's office or
the hospital may not be the most accurate.
And what I mean by most accurate,I mean what your blood pressure
is most of the time, right?
Um, and you spend more timeat home than you do at the
hospital or the doctor's office.
So you need to measureit at home more often.

(05:06):
So How you measure yourblood pressure is important.
Now, six basic things about measuringyour blood pressure at home.
These are six things you need to do.
Number one, don't drink coffee, smoke,or exercise at least 30 minutes before
you measure your blood pressure.

(05:27):
Don't get on the treadmill.
Walk an hour, or run 30 minutes,and then say, Okay, let me
go check my blood pressure.
Don't do that!
Right?
Because it's not going to be accurate.
It's got to be high.
What you want to know is what is myblood pressure most of the time, right?

(05:47):
Uh, empty your bladder beforeyou measure your blood pressure.
Don't sit there and say, okay,okay, hurry up, hurry up, hurry up.
I gotta go to the bathroom.
Don't talk to me like that.
Because it's stressful.
It's stressful.
Um, sit with your back straight,such as on a dining room
chair, both feet on the floor.
Um, rest quietly at least five minutesbefore taking your blood pressure.

(06:10):
Just sit there and think, or if youmeditate, meditate, that, that's fine.
Um, don't move or talk, don't haveyour phone there, so it's buzzing and
you're getting texts and all that.
All of that bumps up your blood pressure.
Uh, and if your blood pressure ishigher than it should be, stand.
Wait three or four minutesand check it again.

(06:33):
Now I'm sure most of you, um, haveequipment to check your blood pressure.
You do not need a stethoscope tocheck your blood pressure at home.
Now that's old school.
Old school.
All right.
That's the way we used to do it.
You can go to any pharmacy orI'm sure Amazon would do it too.
Order a blood pressure unit that comesin two parts, that's the cuff that

(06:56):
goes around your arm, it plugs intothe little machine, which is plastic
and gives you the readout, and ittells you what your blood pressure is.
Any questions about thatblood pressure part?
Yes sir.
Systolic.
Uh, the systolic, what is it measuringand, uh, Can it be high because you're

(07:20):
moving around in the disolic, say it's80 or 115, uh, uh, uh, uh, what is it?
It's usually, well, 120
over 80
is the normal thing.
Yeah, the 80.
Okay.
I'd say it's a little lower, say 70.
Okay.
And the, uh, Upper one systolic is one.

(07:41):
Systolic uhhuh is one 40.
Okay.
And the bottom one is good.
Okay.
At one at 70, right.
Okay.
Is that good at seven 70 is good.
Okay.
But the upper one, what can make the, uh,systolic uhhuh ? Did I say that right?
Uh, no Systolic stylic.

(08:04):
Sistah.
Sistah.
Sistah.
Uh huh.
And, uh, with that said, what'sgoing on in the body that makes it
the sistah?
That's a good question.
Because for many years, And when Isay many years, I'm talking about,

(08:25):
I'm going to say the 70s, back whenI graduated from medical school.
We used to think that themost important number was the
diastolic, the second number.
That the systolic was probablyokay, that it could be a little
high and that didn't mean that much.
Because one measures blood goingfrom the heart and one measures
blood going to the heart.
Now we know both are important.

(08:46):
Going to part of your questionthat, uh, it doesn't matter
if the diastolic is normal.
If the systolic is abnormally high, youstill need medication to bring it down.
Yes.
Uh
oh.
Thank you.
What makes the difference for youto stand as opposed to sitting?
Good question.

(09:07):
When you stand, it lowersyour blood pressure.
When you say it's just, it is prettymechanical, and you'll notice that when
you go into the doctor's office, ifit's a little high, the nurses say, I'm
gonna have you stand for a few minutes,and then I'm gonna check it again.
Uh, and, and that's okay because ifthat standing blood pressure is normal,
you're good, you're good, right?

(09:27):
So, so that's why it's importantthe environment before you check
your blood pressure, how you checkyour blood pressure, and when
you check your blood pressure.
So if that's the case, why is itthat you don't stand to begin with?
Well, because ideally, you want itat a certain level without standing.
Standing is just a way of evaluatingit under more different circumstances.

(09:53):
Thank you.
Good question.
No, thank you.
Yes.
So the standing allows you to let go.
By standing, you say stand.
Right.
And are sitting straight?
When you stand, thepressure decreases some.
Now it's different for differentpeople, and it may not decrease
to get your blood pressure normal.

(10:15):
And so you want to know that,but that's what standing does.
And, uh, I'm thinking, I'mjust getting a picture of it.
Uh, standing, because like ifI'm sitting and I'm crouched, and
the blood is kind of being pushedback into a more condensed area.
But by standing, it hasmore able body to flow.

(10:36):
It's really less.
It's not on the physical effect,it's more on the pressure.
When you stand, the pressure goes down.
Because when you're sitting, you know,part of your lower torso is a certain
way, your upper torso is another way.
But by standing, your whole body, which iswhat you're concerned about, is what that

(10:58):
pressure is throughout the whole body.
Not the upper body or the lower body.
Okay.
Good for me.
Is that right?
Yes it is.
Yes
it is.
Yes it is.
Yes it is.
And so that's why it's important, butwhat's even more important is for you
to know what your blood pressure is.
And the only way you can do thatis you have to do it regularly.
And I would suggest writing it down.

(11:20):
Yes.
It's, you know, little directions.
Right.
Right.
And one of them says that yourblood pressure taken more than once.
In a certain period of time, there'sa little statement on the side there,
uh, it can go down so many, uh, levels.
Right.
It may

(11:40):
change.
Yeah, that's true.
That's true.
Okay.
Um, so remember managing yourblood pressure, you want regular
checkups, lifestyle modifications.
Um, exercise is always good.
Stress management is always good.
Um, for a number of you, myselfincluded, this may have been a stressful
week, but we will get through it.

(12:02):
We will get through it.
God is good.
Uh, and we will recommitourselves, um, and stay resilient.
Um, the other thing to keepin mind, um, that high blood
pressure, can be in your genes.
One of the things that has been somisused in this country is we beat up

(12:25):
on people because of their illnesses.
We sort of say, well, you have so andso and I don't have that because I,
I don't know, I go to church and, andso God blesses, you know, we, we go
through all that stuff, which is hogwash.
It's hogwash.
It may very well be that yourgreat grandmother and great
grandfather had high blood pressure.

(12:47):
And they pass that gene down to you.
So it doesn't matter.
It's important what you do,but you can't make it go away.
That's what I'm saying.
That the fact that you have high bloodpressure, or that you have obesity, or
that you have diabetes, Some of thesethings may be inherited, uh, you'd be
amazed at the people who think they'rejust bad people because they don't have,

(13:11):
um, uh, willpower and they, they, they,they should have done better and they
go through all this stuff and all theydo is end up depressing themselves.
Right?
And then they eat more, or sit more, orexercise less, and make the problem worse.
A lot of this is inherent,it is not your fault.
So please keep that in mind.

(13:32):
Blood pressure is important becauseit is called the solid killer.
Again, you do not know whenyour blood pressure is elevated.
They've proven this by checking peoplewho think they know when their blood
pressure is elevated, and they're wrong.
They're wrong.
Uh, and so you want todo it on a regular basis.
Salt affects your blood pressureby directly increasing, um,

(13:56):
the blood pressure in the bodythrough certain mechanisms.
And that's why many times, uh, they,they put you on a low salt diet,
um, because salt pulls in fluid.
Fluid coming in increasespressure in the, in the vessels.
which increases your blood pressure.
One of the things that I wantto sort of end on is something

(14:17):
real basic and real simple.
And this is called the pillbox.
The pillbox.
Now, some of you mayknow what a pillbox is.
Some of you may havenever heard of a pillbox.
A pill box, that's exactly what it says.
It's a box you put pills in.
Nothing, nothing to hide here.
It's a box you put pillsin, but it's a special box.

(14:41):
Uh, it has the months of the year.
I mean, the, the, um, uh,the days of the weeks on it.
And If you are, I'm going to go out ona limb, if you are 50 years of age and
older, I'm going to suggest that you'reprobably taking some kind of medication.
You may not be, but I'mjust going to suggest it.
Now obviously you can be younger than50 taking medication, but I'm going to

(15:03):
say that most of us who hit 50, 40, 45,50, you're on at least one medication.
Okay, so let's say you're on onemedication and the doctor says, I want you
to take this medication three times a day.
Let's say if that issue is highblood pressure, you may be on two or

(15:24):
three different types of medicationjust for high blood pressure, right?
So he says, I want you to takemedicine A three times a day.
I want you to take medicine B.
Two times a day, uh, at night.
I want you to takemedicine C every other day.
Thank you for listening to the Healthy,wealthy and Wise Podcast with Dr.
William t Choctaw, MDJD.

(15:46):
You can listen again to this andany of the previous episodes.
Leave a comment or pose questions tothe doctor by going to www.thwwp.com.
That's www.thwwp.com and you've got it.
It's all.
Also available wherever you getyour podcasts, be sure to follow,

(16:09):
like, share, and subscribe.
If you haven't already, then tune infor the next episode of the Healthy,
Wealthy and Wise podcast with Dr.
William T.
Choctaw, MD, JD, a production ofChange Makers Communications, LLC.
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