Episode Transcript
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Dr. Jayne Morgan (00:01):
Friendships
actually are the single biggest
contributor to longevity thananything else for women.
Lacy Wolff (00:09):
Hi and welcome back
to the Buena Vida podcast, where
we explore what it means tolive a good life through health,
well-being and the choices wemake each day.
I'm your host, Lacy Wolff.
Today.
I am honored to introduce youto Dr Jayne Morgan.
She is a leading cardiologistand a passionate advocate for
heart health.
She currently serves as the VPof Medical Affairs at Hello
(00:32):
Heart, which is a digital healthcompany dedicated to empowering
people to manage theircardiovascular health through
innovative technology.
Dr Morgan completed her medicaldegree at Michigan State
University College of HumanMedicine, her internal medicine
residency at George WashingtonUniversity and her cardiology
and pacemaker fellowships atMount Sinai Medical Center in
(00:55):
Miami, florida.
Dedicated voice in publichealth, frequently sharing her
insights on CNN and Scripps News, she's been a champion for
increasing access to healthcareand clinical trials for
underserved communities.
In our episode today, we willdive into the importance of
heart health, why blood pressurematters, even when you feel
(01:19):
fine, and the small, sustainablechanges that can make a big
impact on our well-being.
Dr Morgan will also share herperspective on what it truly
means to live a good life.
Without further ado, here's myconversation with Dr Jayne
(01:39):
Morgan.
Dr Morgan, thank you so muchfor being a guest on the Buena
Vida podcast.
It's so good to spend some timewith you today.
Dr. Jayne Morgan (01:46):
I know, I'm so
glad we got to do this.
This is excellent.
I'm super excited.
Lacy Wolff (01:51):
Me too, and I just
think you're so wonderful, so
knowledgeable, and I thoughtmaybe we could just kick this
off by having you tell ourlisteners a little bit about how
you got into cardiology, whatinspired you to get into
medicine, so we can just get toknow you a little bit.
Dr. Jayne Morgan (02:08):
Yeah, you know
I think it's such a good
question because I went tomedical school to become an
orthopedic surgeon and youprobably are thinking that is
extremely specific.
But when I grew up there weremany doctors in our neighborhood
and the doctor across thestreet was an orthopedic surgeon
and the one two doors down.
(02:28):
But when I grew up, there weremany doctors in our neighborhood
and the doctor across thestreet was an orthopedic surgeon
and the one two doors down wasan orthopedic surgeon and the
one two doors down.
I spent a lot of timebabysitting with his kids and
the one across the street, hisdaughter, was my best friend in
the neighborhood, so I spent alot of time at their house and
her father had a big officedownstairs and we would be
downstairs playing and I wouldalways sneak in his office and
get his textbooks out and reallyjust flip through them to look
(02:51):
at all the gross things that Iwould see in there.
We would sit there and go oh,oh and kind of look through his
books.
Of course we weren't supposedto be in the office.
We'd have to put the book backexactly as we found it and run
out of the office and close thedoor, but I found myself in
there, even when my friendwasn't with me.
She was off doing somethingelse.
I would be down in her dad'soffice going through those books
(03:17):
.
So that was kind of my forayinto medicine.
I thought, okay, I'll be anorthopedic surgeon.
And then, once I got to medicalschool, I started being exposed
to all kinds of thingsRheumatology that, quite frankly
, I had never heard of before Iwent to medical school.
What is rheumatology?
So for a while I wanted to be arheumatologist.
For a while I wanted to be apsychiatrist.
For a while I was just kind oflike a chameleon absorbing all
(03:39):
of this information.
So by the time I finishedmedical school I really was
undecided.
So I went into internalmedicine, which is your primary
care physician, and I decided todo internal medicine.
And while I was doing myresidency at George Washington
University again, you have torotate through different areas.
I rotated through cardiologyand just really loved it, was
(04:02):
fascinated for reading the EKGs.
I really liked the criticalcare, monitoring the patients in
the unit.
I liked that close setting andthe access to the nurses.
So the point, the morrow of mystory, which should be the
morrow of your entire life,especially if you're in medicine
, always be open to learning,always be open to changing,
(04:24):
always be a student and not themaster.
And because I allowed my worldto get bigger and bigger and
bigger and bigger.
As I was in medicine and doingthings, I learned more and more,
was exposed to more and more,and I was adaptable, and so this
is how I ended up in cardiology, something I really didn't know
anything about when I went tomedical school.
Lacy Wolff (04:48):
But I allowed my
world to grow and as my world
grew, I found my niche market sofar from orthopedic surgery,
Well, I'm so happy you foundyour passion, because I think
you do help a lot of peoplethrough your role at Hello Heart
, and I know you're alsofeatured on lots of different
(05:10):
news channels talking anythingabout heart health.
It seems like we will see youappear.
So thank you for all you do toeducate the world about things
related to heart health.
Can you talk a little bit abouthow heart health impacts our
overall well-being?
I mean, it is kind of like thecenter of our body and so
(05:31):
important for overall well-beingand how can people better
understand this incredible organ?
Dr. Jayne Morgan (05:37):
Right, and as
a cardiologist.
So here's sort of just you know, internal shop talk.
The cardiologists fight withthe neurologists and the
neurosurgeons and we go back andforth between who's got the
most important organ.
Is it the heart or the brain?
Is it the heart or the brain?
And so the heart is reallyfeeding everything in the body,
right?
So this is the organ that ispumping blood to the rest of the
(06:01):
body.
That's important because bloodis carrying oxygen, pumping
blood to the rest of the body.
That's important because bloodis carrying oxygen, and the
oxygen is what is giving us thefuel and oxygenating all of our
cells, and so it's really veryimportant.
It's really kind of thelifeblood.
It keeps all of the other organshealthy, and it's one of the
reasons why, for instance I'mgoing to give just an example
(06:23):
because it's so cold in so manyparts of the United States right
now.
But if you were to suffer fromhypothermia and we have to make
a choice, we're going to try torewarm your core, where your
organs are for first, and try tokeep your heart moving, because
it doesn't make sense.
You can lose your limbs, butyou wouldn't be able to survive
(06:46):
without losing your heart.
So that's how important it isas a center for what we're doing
, for everything, and then theway that we live as we're
growing up and as we transitionthrough young adulthood really
will determine what types ofillnesses we have or lack later
(07:10):
on.
And so it's interesting thatthe decisions we make early in
our life, when really we may notbe making decisions, we may not
even be thinking, may not bethinking at all about what's
going on in our bodies, or howwe're living and how we're doing
anything partying or puttinganything in our mouths or
anything in our bodies or howwe're abusing it.
But later on it does impact yourheart health.
(07:33):
Specifically the types of foodprocessed foods, whether you are
overweight, whether or not youare a smoker, whether or not you
are consuming mostly fast,easily edible and ready fast
foods, pre-prepared foods all ofthat can come back to haunt you
(07:56):
later in the form of earlierand earlier heart disease.
Lacy Wolff (08:01):
Yeah, absolutely,
and so much of it, like you said
, is beyond our control.
When we're children, ourparents may be, you know,
guiding them, and so I thinkit's so important that we have
these discussions and you knowthat, because potentially,
you're impacting people aroundyou every single day and the
choices that we make.
So, one of the things that wehear a lot about, but I think a
(08:26):
lot of people don't reallyunderstand what is blood
pressure, because we all knowit's important to take our blood
pressure.
What, what is it?
Can you explain?
Diastolic systolic, what?
Dr. Jayne Morgan (08:37):
is blood
pressure, so that you just use
those two words systolic,diastolic.
I don't know.
Some people may have heard ofit, may not have heard of it,
but this is what we call theblood pressure in medicine.
It's the systolic overdiastolic, systolic being the
top number, diastolic being thebottom number.
So if you have a blood pressureof 120 over 80, that's a
(08:59):
perfect blood pressure, by theway then that top number is a
systolic number, the bottomnumber is the diastolic number.
Now what does that mean inscience?
What is that telling us asphysicians?
Here's what it's telling us.
The top number tells us theforward contraction of the heart
and the blood going through thebody.
(09:19):
Like what is the force that theblood is coming out of the
heart.
That's that pressure.
It's the pressure, and we wantto see that number high enough
to sustain life and perfuse allof your organs, but not so high
that now it's causing damage toyour organs.
It's coming in at too high of avelocity.
So that's the top number, theforce.
(09:42):
Just think of it as the forceof contraction of your heart.
The bottom number, diastolic, isreally about the relaxation
phase of the heart.
So if the heart squeezes, thenit's got to relax and feel again
before it squeezes, and yourarteries also will follow the
same degree of expanding andcontracting.
So that relaxation phase wherethe heart can fill with blood
(10:07):
before you get that contractionand forward flow, that's called
diastole, the diastolic function, and we want to.
That number gives us an idea ofhow well the heart is filling.
So there we are.
And the higher that diastolicnumber gets, that bottle number
gives us an idea that the heartis filling.
So there we are.
And the higher that diastolicnumber gets, that bottle number
gives us an idea that the heartmay be getting a little stiffer
(10:31):
and that the arteries also aswell may be getting a little
stiffer, so they don't have theability to really relax as much
anymore and contract.
So there you are.
I hope that was easy tounderstand.
But that was systolic overdiastolic.
Both numbers are very, veryimportant.
Lacy Wolff (10:49):
That's great.
And for ERS, you know we'vebeen using or we've been
providing Hello Heart to ourhealth plan participants.
Dr. Jayne Morgan (11:00):
Oh, that's
outstanding as a benefit.
Lacy Wolff (11:03):
Yeah, we've got over
40,000 people enrolled in this
program.
Dr. Jayne Morgan (11:07):
I mean, oh my
gosh, that is such a great
device, yes, and we've got moregreat research and data coming
out to publish.
I'm so excited in 2025, moredata coming.
Lacy Wolff (11:17):
But okay, it's
amazing and it just it makes it
so simple for people to tracktheir blood pressure.
That's right, it's simple forpeople to track their blood
pressure.
Dr. Jayne Morgan (11:24):
That's right
and track your health and your
livelihood and your investmentin longevity and healthy aging.
That's really what you're doing.
It's just as we talked aboutearlier.
You know, there are times inour life we don't really have
control over what we're doing.
We're children.
We just, you know, live in anenvironment that our parents are
(11:44):
providing for us and you justdo the best you can.
And then, when you know better,you do better.
And some people, you know, weall come out of different
environments and so, you know,here is an opportunity to, if
you know better, do better.
Track your blood pressure whenyou can, because later on, the
actions we take today impact uslater and it's hard for us to
(12:07):
think about 20 years down theroad or 25 years down the road,
it's like, eh, I'll just skip it, I won't take my blood pressure
medicine, I won't take my bloodpressure reading, I'm going to
just, you know, eat this fifthdonut.
I think I'll just getexercising, and you know and
guess, and, and you feel fine,but it accumulates so slowly and
(12:27):
then, 20 or 25 years later, oh,my god, you've got heart
failure, you have obesity, youhave diabetes, you have, you
know, and here we are trying tofix it, get the horse back in
the barn.
So prevention is always worth apound of cure, and thank you
for for saying that.
Hello Heart, I'm so dedicatedto it to bend the arc on heart
(12:48):
health.
It's not just about your bloodpressure.
Your blood pressure will helpprevent heart disease.
Lacy Wolff (12:56):
Could you talk a
little bit about the risk of
high blood pressure?
I know we call it the silentkiller because you don't always
feel it when you have high bloodpressure.
But what's the impact ofwalking around, maybe not
knowing that you have it overthe long-term?
Dr. Jayne Morgan (13:12):
Yeah,
long-term risk is what Heart
attacks and strokes.
So this impacts your ability ordisability to continue to live
a good quality of life.
If you think recovering from astroke is nothing, then think
again, and many people nevergain full recovery, have to go
(13:33):
out on disability, and certainlystroke kills as well.
So if you are enjoying a fulland vigorous life but you know
you have high blood pressure,but and this is what I
frequently hear people like tobe able to brag that they don't
take any medication.
And here's the thing it'sbetter to take medication and
(13:56):
have a normal blood pressurethan to be able to say you're
not taking any medications butyour blood pressure is actually
high.
It's part of our culture,especially for women, where
aging is viewed negatively andstarting to have to take
medications is a sign of aging,and I think people resist that.
(14:20):
That means I'm like my parentswho are taking medication.
I don't need medication, or I'mgoing to fix this with exercise
and diet, and I encourage thatand you may do that.
That's absolutely fine.
But in the meantime, we shouldcontrol your blood pressure
while you're working on bettercontrol of your weight and your
diet and all of these other riskfactors, because the
(14:43):
repercussions are just too highof a risk for you.
And those repercussions of aheart attack and a stroke.
And if you're not concernedabout yourself, be concerned
about all of those people aroundyou who love you, who support
you, who may even depend on youto be making good decisions
about your health such that theycan have better opportunities
(15:07):
in their life, especially ifthey're depending on you.
So keep yourself in a positionto be able to continue to
support others such that theycan develop into their full
lives.
Lacy Wolff (15:19):
I've seen in our
data at ERS that as people get
older, likelihood of havinghypertension or high blood
pressure increases with ageRight right.
Dr. Jayne Morgan (15:29):
Age doesn't
help anything people.
No, it doesn't.
Nothing gets better with age,other than thought processes and
wisdom.
But listen, physically nothinggets better, and so time does
not help us.
So we want to make certain thatwe are taking good care of
ourselves and always thinkingabout longevity.
(15:51):
As you're eating, think aboutlongevity.
Is this really the right foodchoice for me to live a long
life, as opposed to.
Should I be eating this?
If I'm trying to lose weight,should I be eating this?
Think about it from longevityperspective, and then that's a
complete lifestyle change.
Then sort of sometimes thistemporary.
(16:14):
I'm going to do this right nowbecause I'm trying to lose
weight and those kinds of things.
It's very hard to stick to that, so have a grander plan.
Lacy Wolff (16:22):
Yes, well, and it
makes me think about I actually
just the last podcast guest wasBJ Fogg, the Stanford researcher
that I think a lot of the HelloHeart app uses some of the
research from his lab.
You know the behavior designand building in those healthy
habits like taking yourmedication.
Dr. Jayne Morgan (16:43):
We've got that
digital coaching and that
gamification to encourage youand, if you're falling short, to
make certain that you get rightback on that horse.
There is no failure.
Failure is just the road tosuccess.
Right, this is how you learnwhat's possible and what's not
possible, so don't ever let afailure stop you.
It's just part of the road tobeing successful, and I think
(17:08):
Hello Heart does a great job ofthat.
Digital coaching, motivating,getting you going.
Don't compare yourself toanyone else.
Listen, I teach Pilates and Ialways tell my students, because
I teach, virtually nobody cansee you Do not compare yourself
to someone else.
Your progress today is yourprogress based on your progress
(17:28):
yesterday, not based on someoneelse who's in the class.
We're all in different levelsand you need to gauge yourself
based on yourself, and this isexactly how we do our health as
well.
Lacy Wolff (17:40):
Wow, it makes sense
that you're a Pilates teacher.
Your posture is so perfect.
My listeners can't see youright now, but your posture is
perfect.
I'm sitting straight up, really, oh man, yeah, the name of our
podcast, the name of ourwell-being program, is Buena
Vida, which means a good life,and we're trying to help support
people really live a good life,whatever that means to you.
(18:03):
How would you define a goodlife from the health perspective
?
Dr. Jayne Morgan (18:08):
You know, a
good life is being filled and
surrounded by community andthat's really going to be, first
and foremost, the communitythat you select, that you choose
, that chooses you, into whichyou are born, into which you
migrate.
However you get your community.
That community really is goingto dictate a lot of your
(18:32):
outcomes, their habits, theirvalues, but also it helps with
your mental stability,behavioral stability.
We know there's such a bigconnection between mental health
and heart health and stressreduction and that human
connection.
A lot of that has been lost oris continuing to be lost as we
(18:55):
move increasingly into thedigital era.
And yet we are able to reshapeit in other forms and you can
have a digital community that isstrong and comforting and
supportive.
When I say comforting, itdoesn't mean that you're down in
the dumps and you need peopleto continue to uplift you.
(19:16):
No, it's about just regularrelationships that you value and
people who value you, and youhave conversations and you're
able to discuss and share.
Believe it or not, that goes along way towards longevity.
When we look at the blue zones,these are zones in the world
(19:37):
where people tend to live longeron average than other places in
the world, on average thanother places in the world, In
those blue zones.
One common thread is that theyalways have a very, very strong
community.
So don't underestimate thepower of friendships.
We found out especially forwomen, and we'll do that when we
(19:59):
do our women's talk friendshipsactually are the single biggest
contributor to longevity thananything else for women.
So something to think about.
So I think you know, alwaysremember, remember, remember,
remember your community, becausethat can drive your overall
health and your wellbeing.
(20:20):
And, as your mom used to say tosay, be careful of who you
surround yourself with, becausethose kinds of habits will rub
off on you.
And it's exactly right.
And people who have differenthabits and different ways of
looking at things, they candrive you in a good direction or
a bad direction.
They can help you towards yourgoal of longevity or keep you
(20:43):
back from it.
So, just you know, think aboutthat as well as you are choosing
.
And remember, don't ever beafraid to be a leader.
You don't have to be a follower.
Lacy Wolff (20:51):
Yeah, I love that.
It's so powerful and when youthink about you know what is it
to have a good life and having agood community, that you feel a
part of a strong community.
Do you have any strategies forpeople?
Because I think you know we'reseeing more and more that
loneliness is a huge part of, orthere's such negative
(21:14):
consequences associated withloneliness.
So, what do we do?
Do you have any strategies forpeople to connect?
Dr. Jayne Morgan (21:21):
Yeah, and you
know, and people compare
loneliness and isolation and Iwant to make the distinction is
that lonely people can actuallybe surrounded by a lot of other
people and they just have afeeling of being disconnected or
not being included.
So a lonely person you couldsee in the midst of a crowd or
(21:43):
the midst of a group, but theirsubjective feeling is they don't
really belong, they're notconnecting, as opposed to a
person who's isolated, who'sliterally all alone and there's
no one around them, theyactually may not feel lonely.
They are isolated.
(22:03):
Now, isolated people can also belonely.
I want to be clear, but I wantto make the distinction between
isolation and loneliness.
Lonely people may be in themiddle of a crowd.
Isolated people may be bythemselves and not actually be
lonely.
So we have to remember thatbecause it does drive mental
health, including suicide rates,including longevity and healthy
(22:27):
aging, and that comes back toyour heart health and overall
stress and what we call theallostatic load, which is the
end result that we see ofconstant stress on the body and
how it wears the body downearlier.
So it's sort of the antithesisof healthy aging.
Lacy Wolff (22:50):
Absolutely.
It's so interesting too, justto think about that.
I'm talking to a cardiologistand you're talking about
loneliness and how it impactsyour heart right you know, and
this connection between the mindand the body, and I'm pretty
sure everybody's had the I don'tknow if everybody's had this
experience, but of walking intoa party where you don't know
anybody and you feel alone.
(23:12):
You know that's not a goodfeeling and you feel it in your
heart.
So thank you for hearing that.
Preventive care I want to talka little bit about preventive
care and just how the lifestylecare.
I want to talk a little bitabout preventive care and just
how the lifestyle.
But when we think aboutmanaging chronic disease like
hypertension and diabetes, we'rereally trying to, you know, get
(23:33):
ahead of these conditions, likeyou know, help people prevent
and detect them early and manageconditions if they are present.
Can you speak a little bit tothe importance of preventive
health in managing chronicconditions?
Dr. Jayne Morgan (23:46):
Oh my gosh.
It is so incredibly importantagain if we're going to be
talking about healthy aging.
And there are some areas whereyou really can make significant
impact.
Blood pressure is just one ofthem.
There's just no getting aroundit.
Your blood pressure is eitherone of them.
There's just no getting aroundit.
Your blood pressure is eithernormal or it's not.
(24:08):
There is no gray zone.
It's either normal 120 over 80,or it's not.
And if it's not, it's high, andthen you need to do something
about it.
And you need to do somethingabout it sooner rather than
later.
And again, if you look at theHello Heart Blood Pressure
Monitor and app and you aremeasuring your blood pressure,
(24:28):
it's not just for people withhigh blood pressure, it's for
everyone.
Because, especially when I'mthinking about women and we'll
do this on a women's health aswe transition through
perimenopause and menopause,your blood pressure can start to
increase.
You don't even know it becauseyou don't feel it, you feel
normal.
So your blood pressure monitorallows you to send that
information to your doctor andso you can get in and see your
(24:51):
doctor ahead of your annualphysical when your blood
pressure is discovered.
Your high blood pressure isdiscovered by your doctor,
you're catching it early, andwhat does that do?
That decreases that risk ofthat end organ damage from you
having high blood pressure forprolonged periods of time of
which you are unaware.
Now you've got a device that'sgoing to tell you so you can
(25:15):
inform your doctor that it'stime to go in, as opposed to the
other way around.
The doctor mentions to youduring your annual visit oh,
your blood pressure is high.
So this is how that empowersyou.
When we look at high cholesterol, kind of the same thing high
lipid levels or cholesterollevels can also increase your
risk of heart disease and stroke, because they can help form
(25:37):
those plaques on those arteries.
Those plaques are what we callthose little blockages, and
those blockages are what preventblood from flowing to the heart
and delivering oxygen.
That's how you get a heartattack.
The exact same things happensin the brain, which is how you
get stroke and guess what?
(25:59):
And dementia, and so we knowthat people with higher risk of
heart disease also have a higherrisk of dementia.
You see this heart brainconnection as well, and so, and
then the other thing is diabetes.
I mean diabetes for many yearswas long known as the
cardiovascular equivalent.
(26:21):
Meaning is so significant.
It accelerates heart disease sorapidly, if it's uncontrolled,
that it was called acardiovascular equivalent for a
long time.
So if you were diagnosed withdiabetes, make certain that you
control it.
Do not avoid medications becauseyou want to be able to say that
(26:44):
you don't take medications andyou want and you feel
psychologically better, you feelmore like your peers If you're
not taking medication.
You want to be like your peers,or even better, and you don't
want to take medication.
But what's happening is you'reartificially accelerating the
aging process of your body andyou don't see it on the outside,
(27:05):
but disease is occurring on theinside, and so being able to
say that you don't takemedications now to your friends
will be declared later and allwill be.
What's in the dark always comesto light.
So just think about that.
If you could think about thosethings blood pressure,
cholesterol and diabetes.
(27:26):
And then what are the other ones?
Weight is always a big one,right?
We got to try to work to keepour weight down.
Not easy in a country withreadily available, inexpensive
(27:47):
foods and all kinds of things atthe grocery store that are
yummy and that have been createdsuch that the texture is
palatable.
We like it on our tongue, welike the way it feels, we like
the way it tastes, we like theway it smells.
So it's very, very difficultfor us, and I don't want to say
that it is, but it's verydifficult.
And then, number one if yousmoke, you just got to stop
smoking.
There are a number of differentways.
(28:08):
We won't go into it.
You can certainly look it upLots of different programs to
try to quit smoking.
That increases your risk ofheart disease and stroke.
Lacy Wolff (28:17):
You also talk a
whole lot about movement and
physical activity and I knowmovement can pretty quickly get
your blood sugar down, if you dohave those quick spikes Right.
Can you talk a little bit moreabout how physical activity can
help our heart and what'sactually happening there,
because we're putting stress onthe heart when we do
cardiovascular exercise.
Dr. Jayne Morgan (28:37):
You know what
A great question.
We didn't talk about activityyet.
So the heart is a muscle in thebody.
It is striated muscle.
Now, why am I even bringingthat up?
Because we have two types ofmuscles in our body smooth and
striated.
Striated muscle that's what theheart is made of is exactly the
(28:57):
same muscle, that is, musclefibers that are made in our arms
and in our legs.
So these are fibers that aremade to work.
This is not smooth muscle, thisis striated skeletal muscle,
that, where sarcomeres you maynot know this word will slide in
(29:20):
and out.
So think about when you areexercising and you're moving
your legs and you're moving yourarm, your heart is also
exercising.
Your legs and you're movingyour arm, your heart is also
exercising.
And that's why I often say thatif you are exercising for
vanity reasons and there'snothing wrong with that but if
you are, and then you're notachieving the results that you
(29:42):
like or you're not achievingthem fast enough and you give up
because your body isn'tchanging in the way that you
would like, the fact of thematter is inside is where you're
getting all the benefit.
And so don't give up becauseyou're not seeing the external
results, because that striatedmuscle which is the heart is
really, really really benefitingand is part of that longevity
(30:08):
and healthy aging.
And so you know, I often sayand I know the American Heart
Association puts out a longthing of you know how we should
exercise 30 minutes a day andmoderate to severe intensity.
And you know it's verydifficult, I think, for people
easy to read but very difficultfor people to remember the
details and what happens inhuman nature when we don't
really know what to do.
(30:29):
We can't remember it and theinformation is coming and
there's confusion.
We basically have inertia, wedo nothing, we just pull back
from it.
Oh, so if people start to castdoubt on something or make it
confusing or difficult, we justdon't do it at all.
That's the choice that we make,which is a terrible choice, but
(30:49):
that's what we do.
So here's what I say as acardiologist is not being
sanctioned by anyone.
Just pick an activity that youlike, pick something, whatever
you like to do, whatever it iswhere you move, pick that
activity and just do it for 20or 30 minutes a day, five days a
week.
There is no judgment zone.
(31:11):
Whatever it is you want to dofor 20 or 30 minutes, just five
days a week.
That's it.
It doesn't have to betraditional swimming, jogging,
hiking, tennis, whatever is youractivity and then just do that
for 20 to 30 minutes.
If you're over 50, especially ifyou're a woman, try to add some
(31:32):
resistance twice a week.
You know, people buy theweighted vests and walk in them.
I'm a Pilates instructor soI've got, you know, resistance
bands and rings.
But you don't have to do allthat.
You know, get a jug of milk andyou know, take it in and out of
the refrigerator 10 times withboth arms and put it back.
You know, make it simple foryou.
(31:57):
If you are tied at the housewith your children and you can't
get out, get that big jug ofgallon milk and take it in and
out of the refrigerator witheach arm 10 times, put it back.
There's your resistance.
Close the refrigerator, do youknow?
So be creative.
Don't defeat yourself by sayingI don't have a gym membership,
I can't get out.
My kids are here, and I'm notminimizing that, because women
especially have so muchresponsibility and a lot of that
(32:20):
responsibility is based onother people waiting and
expecting and needing thingsfrom us, and it's ongoing and
it's mentally and emotionallyexhausting as well, but I'm
trying to just give you sometips as to how you might be able
to navigate it within yourenvironment.
Lacy Wolff (32:38):
Absolutely.
That makes so much sense.
There's so many ways that wecan move.
Just today I was working at awellness fair and I had to carry
a big wellness fair and I hadto carry a big, heavy bag of
gear and I was my shoulder wasburning while I was doing that
and I thought this is good to beable to do this activity.
(32:59):
I think so often when we feeluncomfortable we will be like,
ooh, this is bad, but reframingthat is is kind of helpful.
Dr. Jayne Morgan (33:08):
That's right.
I mean the, the, the victory isin the progress.
We just want to make theprogress and continue.
You know, you've heard,sometimes it's not the
destination, it's the journey.
So what are you doing on thatjourney such as you can get to
the destination where you needto be?
And so you know, we keep goingback to the grocery store.
(33:29):
You know, so often we've gotpeople bagging our groceries and
people taking it out and peopletaking the cart back, and it's
very easy and convenient andwe're busy.
We've got a lot of things goingon.
We've got things in our minds.
So very nice to have somebodyelse do it.
But stop and think for a second.
I need to bag my own groceries.
How much arm movement is that?
I need to pick up these bagsand put them in the buggy?
(33:50):
I need to now push the buggy tomy car.
I need to open my trunk myselfand put every single bag in
there.
Now I need to walk and takethat buggy all the way back to
the front of the supermarket andthen walk back to my car to get
in.
Lacy Wolff (34:04):
Do that Far out.
Dr. Jayne Morgan (34:06):
Right, that is
so much more activity built in
to just a task that you weredoing that day.
So just you know, and those arethe kinds of things that we
don't think about becausesomebody's pushing the bug in,
somebody's got the thing, andwe're on the phone and blah,
blah, blah.
Everything's going on.
But take a moment to thinkabout where are these
opportunities where I reallycould be getting in some
(34:28):
movement today?
It's hard.
I don't want to lug all thesegroceries.
Some of this stuff is hard.
I've got, oh you know, some ofthis stuff is heavy.
I've got a big thing of orangejuice and a big you know, but
that's it.
There's the work, and you wantto have those heavy things and
make sure that you're pullingthem in and then when you get
home, you got to take them out.
Just think about that kind ofthing.
(34:48):
I think the supermarket, thegrocery store, is always such an
opportunity a missedopportunity for us to work on
healthy aging and longevity.
Lacy Wolff (34:59):
So many layers there
.
Really, I mean what we buy, howwe do it, parking far out and
something that I know for me Ihave to go to the grocery store
usually three times a weekbecause I have teenage boys, so
it's a lot of opportunity, yeah.
Dr. Jayne Morgan (35:12):
Yes, and I'm
guilty because what happens?
I'm busy and I decide that Ineed something and I don't want
to stop what I'm doing to get it, and I'll dial on to you know
one of those delivery things sothey can get it to me in an hour
, so I don't literally have tostop what I'm doing, get in the
car, drive to the thing, comeback, blah, blah, blah.
(35:32):
So women also especially I'mnot saying men, don't they get
caught up in multitasking.
I'm in the middle of this.
I need to finish it.
Oh my God, I'm missing X for mynext thing that I need to do,
that the family or somebody maybe waiting on and I can't get
that done until I get X.
But now I've got to stop doingthis and somebody is waiting on
this project deliverable.
(35:53):
And so what do you do you dialin?
How can I get everything done?
It's not so much of even makingit easier for you,
unfortunately, it's how can Ikeep doing more and more and
more things?
So even I have to be cognizantof that to say sometimes you
just say no.
So even I have to be cognizantof that to say sometimes you
just say no, this project's notgoing to get in on time.
I'm getting ready to go.
I've got to run an errand.
(36:13):
I need to come back and do someother things instead of let
somebody else run the errand.
I finished the project.
So all of that, think about allof those things, those
conveniences that keep us frommoving.
Lacy Wolff (36:27):
Yes, yes, mow the
lawn, wash the car, all those
things, right.
Well, I am just so excitedabout the benefits that we're
making available to our healthplan participants at ERS we are.
I believe we're really startingto take kind of an upstream
approach to healthcare to helppeople manage conditions, detect
(36:49):
conditions early and alsounderstand the simple behavior
things that you can do toimprove your health and quality
of life, like through HingeHealth, hello Heart, catapult
Health all these great thingsthat we're offering.
Sure, what excites you, likewhat's coming down the pipes and
what are you excited about withhealth care, and is there
(37:10):
anything else that we need toknow about that, maybe helping
people to improve health andquality of life?
Dr. Jayne Morgan (37:15):
Yeah, I'm
super excited about the features
that we've built out on HelloHeart with pregnancy features,
complications of pregnancy, likehypertension or high blood
pressure, diabetes, these kindsof things, cholesterol, but
specifically high blood pressure, because if you develop
hypertension of pregnancy orhigh blood pressure during your
(37:37):
pregnancy, it increases yourrisk of heart disease twofold,
not during the pregnancy, butfor the rest of your life.
So that's really important andone of the ways to mitigate that
is to measure your bloodpressure during your pregnancy
and work as hard as you can toget it down and if it's going up
, make certain that you arealerting your doctor early,
(37:59):
because it is a lifelong markerof heart disease.
And then the other thing we'redoing is we're looking at
perimenopause and menopause,because that's another time of
increased risk of heart diseasein women.
And we have a dearth ofinformation, a dearth of funding
as far as research and grants,and I mean just worldwide,
(38:21):
because for the most part,women's health is considered
reproductive health.
And you know, one of thereasons that I came to Hello
Heart is that Hello Heartunderstood that women's health
is not all about the breast andthe uterus and the ovaries.
Guess what?
Women have hearts, and we'vegot brains and we've got lungs,
(38:42):
and all of this goes into ourlongevity and so our menopause
feature, which is a time in awoman's life during
perimenopause and menopause 35to 60 years of age.
It can span that period of timewhere your blood pressure can
start to rise without yourealizing, because your arteries
are stiffening, wherecholesterol can start to go up.
(39:02):
Sleeplessness, which increasesyour risk of heart disease,
increases your risk of bloodpressure.
Weight gain, which increasesyour risk of heart disease,
increases your risk of bloodpressure.
Weight gain Increases your riskof heart disease, increases
your blood pressure.
So these are all areas whereHello Heart and myself are
working together to bend the arcon heart disease.
So I'm super excited aboutwomen's health.
I think that we have a toughroad ahead of us.
(39:27):
I don't know how much supportwe're going to have for women's
health funding.
You literally need billions ofdollars.
We have not had research inclinical trials and I don't know
how much interest or appetitethere is for it.
But I'm certainly interestedand I certainly have the
appetite.
I bring others with me andHello Heart is interested, and
(39:48):
so we've got a cadre of womenwho are really saying enough is
enough, is enough.
We need to have really goodinformation, such that we can
make good decisions about ourhealth.
Lacy Wolff (40:00):
That is amazing and
I was just thinking about, as
you were talking about, thepregnancy program.
When I was pregnant with mybabies, I only got my blood
pressure taken when I'd go tothe doctor once a month, and you
have no idea what can behappening within that cycle.
And same with.
I mean, you said perimenopausecan start as early as 35.
(40:22):
I don't think, I don't knowthat people are aware that these
things could be happening.
So yeah, it's wonderful.
Well, I just want to close outwith one kind of final question
tying this whole thing together,and we started kind of talking
about your path to becoming acardiologist.
(40:43):
What is a good life for you, drMorgan?
Dr. Jayne Morgan (40:46):
Oh, you know,
a good life and I hate to come
back to this is community andfulfillment for me, in both my
personal life and career.
I think at this point in mylife and my children I don't
know if anybody can see me orwhatever, but my children are
adults where I am finally ableto step into who I am and to
(41:11):
move forward with those thingsthat drive me, for which I have
passion, for which I haveinterest, and to be empowered to
say no, and that's reallyempowering.
It's taken me my whole life tofigure that out, to figure out
how to set boundaries such thatI can move in the direction that
(41:33):
the universe is taking me.
All of the things, all of thewealth of knowledge and
information that I'veaccumulated throughout my career
, I now can bring it to bear ina direction and in an area that
really fulfills me.
Not that medicine didn't fulfillme and seeing patients didn't
(41:54):
fulfill me, but it's sort oflike as I was going through
medical school and residency.
You know your world gets biggerand bigger and bigger and you
learn more and more and moreabout things.
And how I transitionedorthopedic surgery to cardiology
.
That's exactly where I am atthis phase in my life.
I've learned all of thesethings in my career.
Now there's some things thatI'm really interested in and
(42:16):
that I'm really passionate about, and I'm moving into that area
with Hello Heart, and that'sreally what you see.
So that's a good life for me toget up every day doing
something that is meaningful tome and also meaningful to other
people, being a servant leaderand always being humble enough
(42:38):
to be an eternal student ofmedicine and never a master of
medicine.
So that's my beautiful life.
Lacy Wolff (42:48):
I love that.
I love that Well.
I'm so grateful for the timethat I got to spend with you and
I'm looking forward to manymore opportunities to highlight
your work and you with our ERShealth plan population and
anybody who wants to listen.
I think anyone who wants tolisten to you will benefit
(43:08):
greatly, so thank you so much.
Is there anywhere else youtalked about your LinkedIn and
your Instagram?
Sure, do you have the StereoChronicles?
Yeah, any other resources youwant to tell people about?
Dr. Jayne Morgan (43:20):
Sure.
So you know, and if you comeonto my Instagram and my
LinkedIn pages um specifically,but also other pages I will be
um launching a course that I amteaching, an online course,
along with a lot of otherexperts in different areas, um
including it's all women'shealth.
(43:41):
So this, you know, includes, umyou know, your bone health and
your reproduction and sexualhealth, and um movement and
athleticism and nutrition.
All of this, of course, I'mcovering the heart.
So you know those.
Those courses will be availableat the end of January 2025.
(44:01):
And so you know, follow me,you'll, you'll see any of those
links you can.
You can dial in, log in and getyou and get whatever course you
need If you just want to learnmore and hear more and see
what's out there and feed yourcuriosity and feed your interest
in longevity and healthy aging.
(44:21):
And again, I'm at Dr JaneMorgan,
d-r-j-a-y-n-e-m-o-r-g-a-n.
On Instagram, threads X,youtube and on LinkedIn it's
JaneMorganMD, so you can easilyfind me, google me, I'm out
there.
Lacy Wolff (44:37):
Awesome.
Thank you so much.
I really really appreciate you.
Dr. Jayne Morgan (44:40):
Thank you so
much, lacey, it was fabulous.
Lacy Wolff (44:44):
All right, everyone.
That wraps up this month'sepisode of the Buena Vida
podcast.
Thank you so much for spendingtime with us.
We hope you found today'sdiscussion valuable and
inspiring and that perhaps ithelps you to take some small
steps toward a healthier, morefulfilling life.
Be sure to check out our shownotes for links to all the
resources we mentioned duringthe episode, including Hello
(45:06):
Heart and Dr Jane Morgan'scontact information.
Also, don't forget to subscribeso you don't miss next month's
episode.
Next month, we'll be joined byTrent Mathias, who is the
director of the National FitnessCampaign.
In next month's episode, we'llbe diving into how our
environment shapes our movementhabits and, ultimately, our
health.
It will be a fascinatingconversation about how the
(45:28):
spaces around us can eithersupport or hinder our well-being
.
You won't want to miss that one.
Until next time, take care andkeep making choices to support
your Buena Vida.
Take care, everyone.