July 21, 2024 • 41 mins
Although Dr. Galati doesn’t like to get political, he does start the program talking about the rough couple of weeks Biden has dealt with. He also chats about the evidence he sees with his patients every day. Dr. Galati also has Cardiologist Dr. Randeep Suneja join the show to share his thoughts on hypertension and taking care of your heart.
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Episode Transcript
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(00:01):
Initialize sequence coming to you live fromHouston, Texas, home to the world's
largest medical center. In the approachrasee everything looking at. This is your
Health First, the most beneficial healthprogram on radio with doctor Joe Bellotti.
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During the next hour, you'll learnabout health, wellness and the prevention of
disease. Now here's your host,doctor Joe Bellotti. Well a good Sunday
evening to everybody. Doctor Joe Galotti. You tuned into your Health First.
(00:48):
Every Sunday between seven and eight pm, we are here bringing you all the
best in health and wellness, keepingyou healthy, happy, out of the
hospital, well free of chronic disease. That is our heartfelt mission every single
time we take to the airwaves herebroadcasting from our home station seven forty k
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TICH here in Houston, and broadcastingaround these United States and globally on the
iHeart Radio app. So, look, it has been a crazy two weeks.
We've been preempted two weeks. Thefirst one was because of Barrel,
the storm that hit Houston and theGulf Coast, and then last Sunday we
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were preempted because of what happened withPresident Trump and his assassination attempt. So
now here. We are another Sunday. President Joe Biden is dropping out of
the race, his bid for reelection. So but we are on the air
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tonight. Do not worry, allright. So let's get a few things
out of the way to get intouch with me. Our website Doctor Joegalotti
dot com, Doctor Joe Galotti dotcom, d R J O E.
G A L A t I dotcom. When you get there, you
could sign up for our newsletter.You could send me a message. There's
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(02:49):
com. So. And the otherthing is if you want to send me
an email, now, you couldsend it through the website, but my
email is radio at dot com Joegalottidot com. All right, So,
not to turn this into a politicalprogram, though at times we do talk
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politics. Now Here, we havePresident Joe Biden, and he has had
a rough several weeks leading up toor stemming from the debate a few weeks
ago, and that was sort ofthe nail in the coffin for him.
And it's just spiraled downward and keepingit within the health and wellness, the
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medical space to communicate on rather thanthe political. There is no doubt that
he has some sort of neurocognitive problem, be it Parkinson's, be it something
called multi infark dementia, be itAlzheimer's, or some other dementia type condition
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of his nervous system. There's nodoubt about that. And these were things
that we were seeing in the runup to the twenty twenty election. People
were talking about it. They werelooking at pictures and videos and clips of
him speaking and his movement. Hewas not right. Now. The problem
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that I have is that all along, up until last week, people are
saying, we're for Joe, We'refor Joe. He's going to run,
we are backing him. But oncethe secret message went out that it was
time to replace Biden, everybody andtheir uncle jumped on the bandwagon to get
(04:55):
rid of this guy. Now,all of a sudden, in July twenty
twenty four, he's not right.He's not up to the task. We
saw him at an event and hedid not remember who I was. All
of these major red flags were nowokay to talk about. It's okay that
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he gets replaced. But two weeksago, three weeks ago, a month
ago, everything was hunky dory.He you know, this is a right
wing conspiracy. So now you haveKamala Harris, who has in a sense
been by his side from the daythat they were sworn in, and I
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would say that the fix was inturn the other cheek. Ignore it,
turn it into some sort of rightwing Russian conspiracy. There is nothing wrong
with President Biden. You are makingthis up. It's a conspiracy. It's
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fake news. So my question wouldbe, if anybody cares to take my
advice, the very first question Iwould have for Kamala Harris running for president
now most likely is how can itbe that during the past four years you
were part of the massive cover upto bury this progressive medical condition that the
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president was suffering from. And it'svery, very sad to see this now.
You know, whether you're a Democrat, Republican, liberal, right wing,
left wing, down the middle,it doesn't matter. This is an
eighty one year old gentleman that isfailing. This is very, very sad.
His family must be suffering, he'ssuffering, but yet we ignore it,
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We absolutely ignore it. And so, like I said, the first
question has to be tell me,were you that ignorant and blind to see
what was going on that you werenot having lunch with him or at a
meeting with him, some sort ofhigh level cabinet meeting, and so that
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this individual was failing and you didnot say anything. That is an absolute
liability and it lends itself to howcorrupt the government is. And we're talking
about the Democrats here, how theywould stand by him. But yet the
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first sign that he was not goingto make it, everybody knifed him in
the back. They knew all along, and they were probably saying theirself,
how long could we get away withthis ruse that maybe nobody will realize that
he has dementia or some other variantof Parkinson's disease, whatever it may be.
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From a health and wellness standpoint,he was not a well man.
He had numerous medical issues that arenow surfacing. So I think that in
politics, in relation to the healthand wellness honesty that you have to face.
They are all a bunch of fraudsand phonies, and so we will
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see how this all turns out.But it's going to be very very interesting.
And like I said, I dofeel bad for Joe Biden and what
he is going through. And thisis I'm sure we're going to see in
the weeks and months to come,a more rapid decline in how he is
doing, which is very very sad. Again taking politics out of this,
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all right, let's take our firstbreak. Doctor Joeglotti dot com is our
website. I am doctor Joe Galotti. Don't forget. Go to our website
and stay tuned. We will beright back. Welcome back everybody, Doctor
Joe Galotti. You two to yourhealth first. We hear every single Sunday
between seven and eight am, raisingyour health. I want this at a
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time. How many times have youheard that? But it is the absolute
truth. Now, don't forget.Go to doctor Jogalotti dot com our website
and signer for a newsletter. Ournewsletter goes out every Saturday morning to many
people around the country and it coversa wide range of health wellness, exercise,
(09:35):
nutrition, food, cooking recipes.Things are that are topical in the
news, and we really do ourbest with our team to clarify some of
the controversial topics with regard to medicine. Should I take this medicine, Should
I go for this test? Whatabout this particular diet? Should I get
(09:56):
what? There's a million things,but we do our best every week to
provide you with truly well thought outmaterial for you to look at and never
feel as if you're getting sold something. There is no back motive for what
we are doing here. We trulyare here to make you better consumers of
(10:22):
healthcare, raising your health i Qso that you and yourself and your family,
the ones you love, the guysitting next to you at work,
can remain healthy and have a wonderfullife. That is what we are talking
about. But go to doctor Joegalottidot com. All right, So,
like I was saying earlier, it'sbeen a crazy two plus weeks with the
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with barrel, the destruction that thathad, people were displaced, homes were
destroyed, power was out, trees, everything, lots of lots of destruction,
and then last week with President Trumpgetting shot and now today President Joe
Biden saying he's turning in the towelthrowing it in and we'll see how that
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works out. But it's going tobe very interesting how the Democrats are going
to answer questions about whether or notthey realized that his cognitive function was and
has been on the decline. Ifthey do not admit, if they do
not admit that they saw something,even if I'll give somebody credit if they
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said within the last six months,okay, we'll go easy on them.
But if they say no, wenever saw anything until the debate, they
are a bunch of liars and fakes. So all right, So in this
segment here what I want to chatabout here, and this is this is
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a theme that I have talked toyou all about, but sometimes it is
worth in a sense repackaging the informationso that you can take it in and
think a little bit differently about whatI want to say. So at the
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very top level here in my practice, the patients that I see every single
day of the week for the lastthirty five years, okay, we see
patients that in many many cases,when you're taking a history, you're sitting
down with them, looking through theirrecords, listening to their story, examining
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them and really trying to do yourbest. This is us. This is
me and my team. We aremedical detectives trying to figure out all of
the little or big pieces of evidence. It might be something they tell us,
it might be something that we feel, it might be something that is
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picked up in blood work or ona scan or a procedure or a biopsy.
We are medical detectives. And theonly way you're going to solve the
proverbial crime, i e. What'swrong with you is by collecting evidence and
interviewing the witnesses. Okay, ifyou want to look at it that way.
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But what I see, and thisis really a big thrust of all
that we do, be it onthe radio, online, YouTube, Instagram,
Facebook, all channels out to thecommunity, is to make you more
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in touch with your body and understandwhat these aches and pains and functions represent.
And so the way I would sayit here today with all of you
is that. And let me justsay, we are seeing in my own
practice, we are seeing people veryvery late in the referral process, meaning
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when we see somebody that has aliver or digestive issues issue. Because that's
what we do, we can datethis back not only months, but years,
many years that these clues were rightin front of you, right under
your nose, and I would alsosay right under the nose of your primary
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care doctor or other specialists that you'reseeing. And so the way I want
to have you look at this todayis that many people are absolutely tone deaf
to their own body. Now whatdo I mean by tone death? So
think of it in term of aradio. Okay, our body every minute
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of the day is sending us somesort of feedback on how it's doing.
We do not have gauges, wedo not have dials, we do not
have monitors that we're hooked up to. Okay, we're not robots, we're
not a machine, We're not adashboard on a car. But our feedback
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to tell us how the body isworking is going to be basically on how
we feel. Does something feel good, does something hurt? And you could
start with your head and end withyour pinky toe. I don't care,
but let's check in. How's youreyesight? Are you more blurred? Do
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you have pain in your eye?Are you having trouble seeing close far away?
Do you have a headache? Doyou have ringing in your ears?
Do you have difficulties swallowing? Doyou have nausea. Do you have heartburn?
Do you have indigestion? Are youlosing weight? Are you gaining weight?
Do you have diarrhea? Do youhave constipation when you eat? Do
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you have pain? Do you wakeup in the middle of the night gasping
for air? Does your left kneehurt so much that you cannot walk upstairs?
Are you bleeding from your rectum?Are you bleeding from your vagina?
Are you coughing up blood? Areyou wheezing, sneezing? Whatever it may
be. I don't want to getoverly ridiculous, but there are a million
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and one complaints that somebody can report. Now. The tone deaf part of
this is that you are not dialedinto the right frequency, the right channel
that your body is sending out thatsignal to. So no different than radio
in the old days, when you'dhave a analog radio that you would sort
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of dial in to seven forty ktrh. Of course, if you were at
seven thirty, if you were atseven fifty, you might might pick up
the signal, you might pick upthe signal of another station, depending on
how close the frequencies are, butyou would dial in to get that perfect
signal that perfect tone, be amusic, talk, whatever it may be.
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So what I am saying is ourbody is emitting a signal. It
is emitting music, and internally weare unable to hear it. We are
on a different frequency. We're notpicking up the signals that our body is
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doing, and so part of itis out of not understanding and ignorance.
People will typically come to me andsay, well, I thought everybody has
heartburn. I thought everybody at acertain age become constipated. I thought that,
you know, having a bloody noseis like an okay thing. But
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you have to you the consumer,you the patient. You have to understand
what a bloody knows means, whatblood in your stool means, what shortness
of breath means when you are goingup a flight of stairs. And so
it is this tone deafness that yourbody is giving you the information, but
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you're just not receiving it and processingit. It's just going right over your
head. So that when you showup to a doctor's office and we say,
okay, Bob, how long haveyou been having palpitations and shortness of
breath when you walk? Oh?Well, I don't know. I think
it's been about a year or two. Well, congratulations, you're in congestive
heart failure. So again, it'sit's listening to your body. If there's
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anything that you're going to do foryourselves, it is learned to listen to
your body and become a student ofyour body. Okay, we're going to
take a break. News traffic,you, weather, and astros are coming
up. I'm doctor Joe Galotti.Your tuned in new Your Health First.
We'll be back in two shakes.Welcome back, everybody to your Health First.
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I'm doctor Joe Galotti. Every Sundaybetween seven and eight pm, raising
your health IQ, making you betterconsumers of healthcare mission number one, and
don't forget go to our website,doctor Joe Galotti dot com. Sogner for
our newsletter that is most important.Soner for the newsletter, Doctor Joegalotti dot
(19:38):
com. All right, let's getback into conversation with doctor Randeep Snasia.
He's a cardiologist. His website isused in cardiology dot com. Now,
when you see patients, because youmentioned hypertension, and the vast majority of
time hypertendion may give you absolutely nosymptoms. And so people are walking along,
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they see you and you mentioned thatthey have hypertension. We have to
get it under control, either throughdiet and lifestyle and or medication. What
is the reception that you get frompatients when you alert them that their hypertension
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is eventually going to lead to morecomplications? How is that received? You
know this is so such an importantquestion you asked, because this was just
yesterday. I had a young gentlemanforty five gentlemen, your old gentleman who
saw me four years ago. Istarted him on. He was hypertensive hearted,
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a secondly hypertensial work, a severhypertensive requiring three medicines. I saw
him for a year and then hetook medications for a hypertension, and then
unfortunately he moved and lost his insurance. And he came back yesterday and his
brood pressure in the office was inthe range of two hundred over one hundred
and five range. Wow, Werepeated it, washed it no symptoms at
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all. And when I did theEKG and did the ultrasound of the heart,
we found we had left particular hypotrophyour disease. Hypertension is a silent
killer. We know that it's civilHYPOTENSI can lead to strokes, but persistent,
untreated hypertension leads to athriss Crosis isone of the most strong factors for
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athros crosis, and these too silentblockages and ultimately they can lead to herd
that end oftenly cause death. Youknow, one one phrase, and I
hear this a lot, especially indiabetes. Patients will come to me and
I'll be looking over years of theirmedical records and I will see that they
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have been either diabetic or pre diabeticfor three, four, five years,
and I'll ask them, I'll say, look, your other physicians that have
been seeing you, have they saidanything about this abnormal blood sugar? And
as I've said this a thousand timeson the radio, but they'll say,
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oh, it's I was told Ijust have a touch of diabetes. And
the same goes for high blood pressure, where they would say, I just
have a touch of high blood pressure. I'm not on medicine. And years
go by, and then you havea scenario like this, gentleman, where
the structure of the heart is changingfor the worse. Do you do you
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see that that people have this sortof mental attitude that oh, it's just
a touch, it's not that bad, and it won't hurt me. I
want to help you, and youhave to participate in your own care.
We need you to buy a bloodpressure instrument with arm cuff, and we
typically recommend the vacuum. Actually,the American Heart Association recommended home aron BP
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arm cuff, and now we havethe seven or ten cvs which are very
user friendly. Start measuring two readingsat home and start seeing and then please
come and now for television, it'sso easy. We do a follow up,
collect the data and see what yournumbers are, because the single visit
would not be the right thing unlessit is quite significantly high. But then
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we have ways of measuring. Whenpatients come with hypertension and they say I
have a little touch of hypertension,we do an EKG which may show less
hypertrophy. And more importantly, whenyou do echocardiogram, we are able to
measure the thickness of the heart muscleand if it is about one point one
centimeter or eleven millimeters, it's morethat means they have left pentriical hypertrophy.
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Then that truly proves that they havebeen having hypertension for at least six months.
You don't develop hypertrophy overnight. Itis a process that takes months up
to a year. And if theyhave been silent hypertension for six months to
a year, we begin to seeleft undical hypertrophy. So once you share
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that with the patient, sir man, look, I am seeing left endical
hypertrophy. Your blood pressure was aone sixty or one into the office and
I said, talk, you know, when I go to the doctor's office,
the pressure is high. I'm littleanswers and I fully understand that,
and we encourage them. Hey,you know what I wanted to see.
This is a very important factor thatwe have. If you have already called
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left under a hypertrophy, you canneed anti hypertensive drugs. That is clear
cut. This borderline issue of bloodpressure of ninety ninety five hundred and invariably
if you look at it, wehave overweight patients are over we have you
know, you see in the practiceoverweight and obesity is literally in sixty six
to seventy five percent of the population. And now with the COVID, we
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everybody is under a tremendous amount ofstress, and we are seeing stress in
use hypertensions, especially in the youngerpopulation their thirties and forties, people have
been under tremendous amount of stress,whether from the family and economically and healthwise,
and that also led to a lotof hypertension. And we explain you
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know, stress in use hypertension atrue entity because when as you know that,
when you are tremendously stressed, thelocals cyrillus in the brain is releasing
not adrenin. In addition, thestress is also really stimulating your hypothalmic pituitary
adrenal access. You have increased adrellinbeing increased and gnawing adrenine and adrenine being
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increased, leading to hypertension. Andsuch patients we typically see younger patients in
third, fourth, or early fiftydecades. Stress in use hypertension. Tiny
tiny doses of bad of blockers,mini school, small douse of bed of
blockers will make drastic improvements in theblood pressure, drastic improvements and they start
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feeling dark. You know what Isaid, sir, ma'am. Have you
felt that you're short tempered? Yeah? I feel a heartbeat strongly at night
or have been short tempered. Theseare all silent signs of hypertension, and
they may not feel it right,they're actually becoming hypertensive. You know.
The amazing thing is, and foreverybody listening tonight, the muscle is a
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heart. It's no different than yourbicep, your triceap, your quads.
And when we exercise and lift weightsby straining those muscles, we get big
biceps. When you strain the heart, it gets thick, the hypertrophy that
doctor Senes is talking about. Soit's opposite of what we want for other
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muscles. We don't want the heartto get big and bulky and stop working.
Absolutely, Yeah. And then incorporatinglifestyle modification is so important more today
than ever. You know, we'retalking about incorporating exercise, diet, right,
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yoga, meditation, life cell modification. When I did my life Cell
Medicine boards in twenty seventeen, youknow, they talked about all these pillars
and we have been incorporating them inour practice throughout all these twenty eight years.
Been a big, big believer inthat because I practice it myself,
and you know, if you practiceyourself, you have to lead by example.
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And we tell our patients these areso important. Medicines clearly are important,
but if you know, you knowwe talk about the power of nutrition
and the hipocritic Hippocrates. When youknow in the fifth century BC s that
let your food be your medicine,and your medicine be your food. That
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is music to my It's music tomy ears when I hear that the healing
power of nutrition is so so important. And of course exercise is also so
important because you know DNA. Youknow, people say, oh, which
is my genie? Of course itis your gene, but you know DNA
is not your destiny. Your lifestylemodifications can alter your gene expression, which
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you call epigenetics, and we explainto patients when you do regular exercise,
you eat better food, you canalter the expression of your genes right,
and you can modify the disease itself. So it's amazing what life cele modifications
can do, especially with your expertiseor heart liver disease and prediabetes. These
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go hand in hand. If youtalk about metabolic syndrome, hypertension, heart
disease, they are all follow eachother. If you have one invariably at
the other. Yes, fact,yes, it's these, these these thieves
run together. It's it's a it'sa pack of bad symptoms and habits.
All right, we're going to takea quick break where on the phone with
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doctor ran deeps In Asia, cardiologisthere in the great city of Houston.
He's affiliated with the Debate Cardiology Center. Stay tuned, we'll write back.
All right, final segment for thisevening's Your Health First. Doctor Joe Glatti
Doctor Joeglotti dot com is our websitecenter for the newsletter. The new subscribe
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and tab for the newsletter is postedon the top of the website. And
again, it's real pleasure having doctorrandeepsin Asia on the program tonight. Visit
his website used in cardiology dot comto find out the services that he and
his partners offer. Very important.Take care of your heart, that's what
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it's all about. You know,you mentioned the reflux, and the problem
with that is that there is suchavailability of over the counter heartburn medicine and
if you watch TV or look atthe magazine and you would think everybody's got
reflux. And so when this fiftyyear old gentleman or sixty year old woman
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is having heartburn or sort of anupset stomach, instead of thinking, well,
my goodness, I'm diabetic, Ihave high blood pressure and I'm overweight,
this might be a heart attack.They in a sense go into denial
mode and will say, no,it's heartburn, let me take more of
the purple pill. I'm sure yousee that a lot. I'm more more
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than I realized, in the sensethat you probably see two other patients who
actually have symptoms of angina will comeduck. You know, I believe I've
got some heartburn going on, orthey have actually been using the medication right,
And in there it's a human nature, human psychology where you're going to
say, you know what, Ibelieve it may be related to GI and
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them seeking out for attention, butthat's great. But if they don't seek
medical attention, then unfortunately they cancause damage to the heart muscle by having
an event. And then you knowthen that that's not good. Because I
so much believe we have so muchtechnology available, We have so much diagnostic
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things available in the presence of heartscan and calcium score where we can diagnose
heart disease before it has caused damage. We have so much need tools available
now and three minute tests in theform of heart scan then diagnose pre clinical
heart disease. Then we can tellwhere do you stand compared to the rest
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of the population, and there's somuch information available where we can help patient,
but obviously the patient has to reachout to the doctor. Right now.
With that said, the I knowa topic near and dear to you
is that calcium score, which I'mgoing to ask you to explain. I
believe the importance of this truly requiresa dedicated segment, so not to in
(32:02):
any way cut it short, butI think give everybody an introductory understanding and
some insight about the calcium score,what it means, and why they should
think about it. That is oneof the excellent questions you asked, and
I think this is I have beenextremely passionate about doing Katsum scores. In
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fact, at Houston Methodist West,I was a physician who spoke to the
CEO and the hospital open ten yearsago to start doing right here. I
have been doing calsium score since theyear two thousand. So what calcium score
is. Calsium's score or the Augustinscore, was first described by Robert Augustin,
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a cardiologist from in Miami. Cassiumis basically a stage five b ethroscorosis
stage in the arteries of the heart. So when the elder particles ultimately go
inside the walls of the vessel anultimately, over period of time get calsified,
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leading to a calsified black that ismeasured by a CAT scan called the
catch score. So the catching scoreis a number that is given and we
as you know there is we havethe left main artery, left descending supplying
the front fall of the heart,less circumplex supplying the site full of the
heart, and the right corner archysupplying the back all of the heart.
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So when a patient undercoses non invasivetests, which at Houston Methodist is done
for one hundred and forty dollars becausethe insurances still don't cover it. So
it is literally a three minute test, no contrast, no needles, nothing,
a purely non invasive test. Whenthe patient undergoes the CT scan of
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the heart or the arteries of theheart, patient is given a number called
the Eggiston score. We get thecalculator score called the Aggerston score. The
data of the Existin School was publishedby the MESA Registry in the year two
thousand and six, when it becamethere was the largest registry multi access aoscrootic
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registry of patients in the US.We have about sixty five hundred patients who
under one clsum school, and thenwe measured the Calsrum school and the classification
is as follows. So zero isnone meaning no build up or heart black
in the artist of the heart.One to ten is minimal, eleven two
hundred is mild, one hundred andone to four hundred is mild to moderate,
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and four hundred being severe and overone thousand being very severe. So
when a patient undergoes the Clatsum schore, we the patient will get the number
and then we compare that patient.It's based on their age and gender.
So we plug them into the MASAregistry and we get a number, call
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the percentile, and we will havea fifty year old male. And I'll
tell you these stories. A fiftyyear old male came to me with shortness
of breath. He is it dark? And I put on twenty pounds,
twenty five pounds. I retired fromthe marines. This is a recent story.
I've retired from the marine. I'vebecoming a shortness of breath and you
know, I think it's go I'mgoing to get on some exercise program.
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Can you check my heart? Isaid, okay, so you did some
testing exam normally normal economical light pretensionlike cluster for carts and score calcium score
one thousand. Wow, sir,you are in the ninety nine percent time.
He said, what do you mean? I said, one when you
have one hundred men your age wentunderwent calcium school ninety nine people are going
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to have school less than you,and you are in the top one percent
time. And when you have thosekind of numbers, you know, at
the score of around four hundred,you have a statistical chance of approximately twenty
eight person chance of the severe blockagenone of the artists of the heart,
and that percentage can rise to fortyto forty eight percent when the school is
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one thousand. Sure enough, AndI did stress tests and did work up.
He had a ninety five percent blockagein the circle flex and a ninety
five percent block in the proximality requiredstenting both the vessel's normal heart no damage,
only fifty years old. Now afterfixing, he's able to exercise,
lost weight And just that test wasa tip off, total tip off that
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this patient has got severe problems.So this small test can test us so
much. But as in score mismeasures, only hard black in the artists are
the important thing is the black andthe artist. The heart a twenty percent
hard and eighty percent solve, soif you have a high amount of heart
(36:50):
plague, it also tells you youhave a lot of soft plaque. However,
a score of zero, although statistically, if you don't have diabetes or
you are not a smoker, it'salmost that your ten year warranty that you
cannot have any events. But ina patient who is a diabetic or is
a smoker, rarely, if theyhave scored zero, they still can have
(37:14):
heart disease. So it is agreat test. It tells us that if
you're not a smoker or non diabetic, then your chances of having a heart
attack are practically very low, verylow, less than one person over a
ten year period. But in adiabetic or a smoker, you still can
have events. And I have hadpatients with zero scores having events, So
(37:35):
you have to see the patient asa whole. You just cannot say you
score a zero. However, itprovides us through the wealth of information,
and if you score a zero andyou don't have other respractors, then you
don't me may not require even aspen. But if you are a diabetic and
smoker, you still may need anASPEN, but if you have any build
up a plaque, then that leadsto what your eldeal goals should be.
(38:00):
So we are able to tell thepatient, sir, you are in the
eighties percentile. You're only fifty yearsold and your score is two hundred and
your stress is normal. That's great, you don't have lack of blood flow,
but this is telling us that youare already having premature heart disease.
Now we need to make sure you'retaking your asspen. You need to take
(38:20):
your statin. Your l deals shouldbe below seventy, and you need to
please work on life sell modification,work on tired exercise, your pre diabetes
diabetes. So it takes the preventivecare to the highest level and the patient
starts becoming aware because you get yourreport card. We give them the report
and he says, oh, mygoodness, I have already built up a
plaques and norm only forty five yearsold. Beside, so it makes the
(38:45):
patient more aware. They become morecompliant, and that helps the patient and
helps us because they become very awareof their illness and back leads to better
patient participation and they then become morebelievers of lifestyle modification with diet, exercise,
all the things. Absolutely all right, Doctor ran Deep Synasia, a
(39:07):
good friend, a colic, abrilliant cardiologist and educator. Thanks for coming
on tonight, and as promised,we're going to get you on and I
think the calcium score story is importantenough to get you back and just concentrate
on that for an evening. Thanksvery much for coming on. Thank you
(39:28):
so much, honored pleasure. Well, that is a wrap for tonight.
I want to thank doctor Sonasia.We really do have to take a look
at ourselves. And it's not somuch to say, oh boy, heart
disease is a big thing, ormy dad died of a heart attack or
grandma had a stroke. You haveto look inward at yourself and take a
(39:51):
look and of course re listen tothis segment. It's going to be available
on the podcast that you'll hopefully seeif you sign up for the newsletter,
you'll get information on this. Butyou have to look and say, do
I have risk factors both a familyrisk factor and do I have a history
of smoking, high cholesterol? AmI overweight? Am I overweight? Do
(40:12):
I have diabetes or pre diabetes,or the nonsense of a touch of diabetes.
Don't fool yourselves. Our listeners aretoo informed to think that you're going
to fall for a sucker punch tosay, oh, yeah, I have
just a touch of diabetes. Itis not the truth and that's what we
are seeking here, and so interveneif you need to get evaluate. We
(40:36):
talk about the calcium score. There'sall sorts of invasive or non invasive diagnostic
testing to find out. And againwe talk about the dashboard. We know
the dashboard on our car or truck. Different things light up when something's wrong.
Well, you in your own life, your own body may have lights
and bells, buzzers and other thingsbeeping alerting you that they're is a problem.
(41:00):
Slow down, pull off, goin and get checked out. So
that's it for tonight, Doctor JoeGlotti always a pleasure. Don't forget doctor
Joeglotti dot com. And we willof course see you next Sunday evening
Initialize sequence coming to you live fromHouston, Texas, home to the world's
largest medical center. In the approachrasee everything looking at. This is your
Health First, the most beneficial healthprogram on radio with doctor Joe Bellotti.
(00:25):
During the next hour, you'll learnabout health, wellness and the prevention of
disease. Now here's your host,doctor Joe Bellotti. Well a good Sunday
evening to everybody. Doctor Joe Galotti. You tuned into your Health First.
(00:48):
Every Sunday between seven and eight pm, we are here bringing you all the
best in health and wellness, keepingyou healthy, happy, out of the
hospital, well free of chronic disease. That is our heartfelt mission every single
time we take to the airwaves herebroadcasting from our home station seven forty k
(01:15):
TICH here in Houston, and broadcastingaround these United States and globally on the
iHeart Radio app. So, look, it has been a crazy two weeks.
We've been preempted two weeks. Thefirst one was because of Barrel,
the storm that hit Houston and theGulf Coast, and then last Sunday we
(01:41):
were preempted because of what happened withPresident Trump and his assassination attempt. So
now here. We are another Sunday. President Joe Biden is dropping out of
the race, his bid for reelection. So but we are on the air
(02:02):
tonight. Do not worry, allright. So let's get a few things
out of the way to get intouch with me. Our website Doctor Joegalotti
dot com, Doctor Joe Galotti dotcom, d R J O E.
G A L A t I dotcom. When you get there, you
could sign up for our newsletter.You could send me a message. There's
(02:23):
a tab there that says contact,and there's a form, and you could
send me a message about health issues, you've got questions, topics you'd like
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thumbs down on your health First,and of course all of our social media
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(02:49):
com. So. And the otherthing is if you want to send me
an email, now, you couldsend it through the website, but my
email is radio at dot com Joegalottidot com. All right, So,
not to turn this into a politicalprogram, though at times we do talk
(03:10):
politics. Now Here, we havePresident Joe Biden, and he has had
a rough several weeks leading up toor stemming from the debate a few weeks
ago, and that was sort ofthe nail in the coffin for him.
And it's just spiraled downward and keepingit within the health and wellness, the
(03:38):
medical space to communicate on rather thanthe political. There is no doubt that
he has some sort of neurocognitive problem, be it Parkinson's, be it something
called multi infark dementia, be itAlzheimer's, or some other dementia type condition
(04:04):
of his nervous system. There's nodoubt about that. And these were things
that we were seeing in the runup to the twenty twenty election. People
were talking about it. They werelooking at pictures and videos and clips of
him speaking and his movement. Hewas not right. Now. The problem
(04:29):
that I have is that all along, up until last week, people are
saying, we're for Joe, We'refor Joe. He's going to run,
we are backing him. But oncethe secret message went out that it was
time to replace Biden, everybody andtheir uncle jumped on the bandwagon to get
(04:55):
rid of this guy. Now,all of a sudden, in July twenty
twenty four, he's not right.He's not up to the task. We
saw him at an event and hedid not remember who I was. All
of these major red flags were nowokay to talk about. It's okay that
(05:16):
he gets replaced. But two weeksago, three weeks ago, a month
ago, everything was hunky dory.He you know, this is a right
wing conspiracy. So now you haveKamala Harris, who has in a sense
been by his side from the daythat they were sworn in, and I
(05:38):
would say that the fix was inturn the other cheek. Ignore it,
turn it into some sort of rightwing Russian conspiracy. There is nothing wrong
with President Biden. You are makingthis up. It's a conspiracy. It's
(05:59):
fake news. So my question wouldbe, if anybody cares to take my
advice, the very first question Iwould have for Kamala Harris running for president
now most likely is how can itbe that during the past four years you
were part of the massive cover upto bury this progressive medical condition that the
(06:29):
president was suffering from. And it'svery, very sad to see this now.
You know, whether you're a Democrat, Republican, liberal, right wing,
left wing, down the middle,it doesn't matter. This is an
eighty one year old gentleman that isfailing. This is very, very sad.
His family must be suffering, he'ssuffering, but yet we ignore it,
(06:51):
We absolutely ignore it. And so, like I said, the first
question has to be tell me,were you that ignorant and blind to see
what was going on that you werenot having lunch with him or at a
meeting with him, some sort ofhigh level cabinet meeting, and so that
(07:11):
this individual was failing and you didnot say anything. That is an absolute
liability and it lends itself to howcorrupt the government is. And we're talking
about the Democrats here, how theywould stand by him. But yet the
(07:33):
first sign that he was not goingto make it, everybody knifed him in
the back. They knew all along, and they were probably saying theirself,
how long could we get away withthis ruse that maybe nobody will realize that
he has dementia or some other variantof Parkinson's disease, whatever it may be.
(07:57):
From a health and wellness standpoint,he was not a well man.
He had numerous medical issues that arenow surfacing. So I think that in
politics, in relation to the healthand wellness honesty that you have to face.
They are all a bunch of fraudsand phonies, and so we will
(08:22):
see how this all turns out.But it's going to be very very interesting.
And like I said, I dofeel bad for Joe Biden and what
he is going through. And thisis I'm sure we're going to see in
the weeks and months to come,a more rapid decline in how he is
doing, which is very very sad. Again taking politics out of this,
(08:46):
all right, let's take our firstbreak. Doctor Joeglotti dot com is our
website. I am doctor Joe Galotti. Don't forget. Go to our website
and stay tuned. We will beright back. Welcome back everybody, Doctor
Joe Galotti. You two to yourhealth first. We hear every single Sunday
between seven and eight am, raisingyour health. I want this at a
(09:11):
time. How many times have youheard that? But it is the absolute
truth. Now, don't forget.Go to doctor Jogalotti dot com our website
and signer for a newsletter. Ournewsletter goes out every Saturday morning to many
people around the country and it coversa wide range of health wellness, exercise,
(09:35):
nutrition, food, cooking recipes.Things are that are topical in the
news, and we really do ourbest with our team to clarify some of
the controversial topics with regard to medicine. Should I take this medicine, Should
I go for this test? Whatabout this particular diet? Should I get
(09:56):
what? There's a million things,but we do our best every week to
provide you with truly well thought outmaterial for you to look at and never
feel as if you're getting sold something. There is no back motive for what
we are doing here. We trulyare here to make you better consumers of
(10:22):
healthcare, raising your health i Qso that you and yourself and your family,
the ones you love, the guysitting next to you at work,
can remain healthy and have a wonderfullife. That is what we are talking
about. But go to doctor Joegalottidot com. All right, So,
like I was saying earlier, it'sbeen a crazy two plus weeks with the
(10:50):
with barrel, the destruction that thathad, people were displaced, homes were
destroyed, power was out, trees, everything, lots of lots of destruction,
and then last week with President Trumpgetting shot and now today President Joe
Biden saying he's turning in the towelthrowing it in and we'll see how that
(11:16):
works out. But it's going tobe very interesting how the Democrats are going
to answer questions about whether or notthey realized that his cognitive function was and
has been on the decline. Ifthey do not admit, if they do
not admit that they saw something,even if I'll give somebody credit if they
(11:41):
said within the last six months,okay, we'll go easy on them.
But if they say no, wenever saw anything until the debate, they
are a bunch of liars and fakes. So all right, So in this
segment here what I want to chatabout here, and this is this is
(12:03):
a theme that I have talked toyou all about, but sometimes it is
worth in a sense repackaging the informationso that you can take it in and
think a little bit differently about whatI want to say. So at the
(12:26):
very top level here in my practice, the patients that I see every single
day of the week for the lastthirty five years, okay, we see
patients that in many many cases,when you're taking a history, you're sitting
down with them, looking through theirrecords, listening to their story, examining
(12:50):
them and really trying to do yourbest. This is us. This is
me and my team. We aremedical detectives trying to figure out all of
the little or big pieces of evidence. It might be something they tell us,
it might be something that we feel, it might be something that is
(13:11):
picked up in blood work or ona scan or a procedure or a biopsy.
We are medical detectives. And theonly way you're going to solve the
proverbial crime, i e. What'swrong with you is by collecting evidence and
interviewing the witnesses. Okay, ifyou want to look at it that way.
(13:33):
But what I see, and thisis really a big thrust of all
that we do, be it onthe radio, online, YouTube, Instagram,
Facebook, all channels out to thecommunity, is to make you more
(13:54):
in touch with your body and understandwhat these aches and pains and functions represent.
And so the way I would sayit here today with all of you
is that. And let me justsay, we are seeing in my own
practice, we are seeing people veryvery late in the referral process, meaning
(14:16):
when we see somebody that has aliver or digestive issues issue. Because that's
what we do, we can datethis back not only months, but years,
many years that these clues were rightin front of you, right under
your nose, and I would alsosay right under the nose of your primary
(14:39):
care doctor or other specialists that you'reseeing. And so the way I want
to have you look at this todayis that many people are absolutely tone deaf
to their own body. Now whatdo I mean by tone death? So
think of it in term of aradio. Okay, our body every minute
(15:05):
of the day is sending us somesort of feedback on how it's doing.
We do not have gauges, wedo not have dials, we do not
have monitors that we're hooked up to. Okay, we're not robots, we're
not a machine, We're not adashboard on a car. But our feedback
(15:30):
to tell us how the body isworking is going to be basically on how
we feel. Does something feel good, does something hurt? And you could
start with your head and end withyour pinky toe. I don't care,
but let's check in. How's youreyesight? Are you more blurred? Do
(15:52):
you have pain in your eye?Are you having trouble seeing close far away?
Do you have a headache? Doyou have ringing in your ears?
Do you have difficulties swallowing? Doyou have nausea. Do you have heartburn?
Do you have indigestion? Are youlosing weight? Are you gaining weight?
Do you have diarrhea? Do youhave constipation when you eat? Do
(16:14):
you have pain? Do you wakeup in the middle of the night gasping
for air? Does your left kneehurt so much that you cannot walk upstairs?
Are you bleeding from your rectum?Are you bleeding from your vagina?
Are you coughing up blood? Areyou wheezing, sneezing? Whatever it may
be. I don't want to getoverly ridiculous, but there are a million
(16:36):
and one complaints that somebody can report. Now. The tone deaf part of
this is that you are not dialedinto the right frequency, the right channel
that your body is sending out thatsignal to. So no different than radio
in the old days, when you'dhave a analog radio that you would sort
(16:59):
of dial in to seven forty ktrh. Of course, if you were at
seven thirty, if you were atseven fifty, you might might pick up
the signal, you might pick upthe signal of another station, depending on
how close the frequencies are, butyou would dial in to get that perfect
signal that perfect tone, be amusic, talk, whatever it may be.
(17:25):
So what I am saying is ourbody is emitting a signal. It
is emitting music, and internally weare unable to hear it. We are
on a different frequency. We're notpicking up the signals that our body is
(17:45):
doing, and so part of itis out of not understanding and ignorance.
People will typically come to me andsay, well, I thought everybody has
heartburn. I thought everybody at acertain age become constipated. I thought that,
you know, having a bloody noseis like an okay thing. But
(18:07):
you have to you the consumer,you the patient. You have to understand
what a bloody knows means, whatblood in your stool means, what shortness
of breath means when you are goingup a flight of stairs. And so
it is this tone deafness that yourbody is giving you the information, but
(18:30):
you're just not receiving it and processingit. It's just going right over your
head. So that when you showup to a doctor's office and we say,
okay, Bob, how long haveyou been having palpitations and shortness of
breath when you walk? Oh?Well, I don't know. I think
it's been about a year or two. Well, congratulations, you're in congestive
heart failure. So again, it'sit's listening to your body. If there's
(18:53):
anything that you're going to do foryourselves, it is learned to listen to
your body and become a student ofyour body. Okay, we're going to
take a break. News traffic,you, weather, and astros are coming
up. I'm doctor Joe Galotti.Your tuned in new Your Health First.
We'll be back in two shakes.Welcome back, everybody to your Health First.
(19:14):
I'm doctor Joe Galotti. Every Sundaybetween seven and eight pm, raising
your health IQ, making you betterconsumers of healthcare mission number one, and
don't forget go to our website,doctor Joe Galotti dot com. Sogner for
our newsletter that is most important.Soner for the newsletter, Doctor Joegalotti dot
(19:38):
com. All right, let's getback into conversation with doctor Randeep Snasia.
He's a cardiologist. His website isused in cardiology dot com. Now,
when you see patients, because youmentioned hypertension, and the vast majority of
time hypertendion may give you absolutely nosymptoms. And so people are walking along,
(20:04):
they see you and you mentioned thatthey have hypertension. We have to
get it under control, either throughdiet and lifestyle and or medication. What
is the reception that you get frompatients when you alert them that their hypertension
(20:25):
is eventually going to lead to morecomplications? How is that received? You
know this is so such an importantquestion you asked, because this was just
yesterday. I had a young gentlemanforty five gentlemen, your old gentleman who
saw me four years ago. Istarted him on. He was hypertensive hearted,
(20:45):
a secondly hypertensial work, a severhypertensive requiring three medicines. I saw
him for a year and then hetook medications for a hypertension, and then
unfortunately he moved and lost his insurance. And he came back yesterday and his
brood pressure in the office was inthe range of two hundred over one hundred
and five range. Wow, Werepeated it, washed it no symptoms at
(21:08):
all. And when I did theEKG and did the ultrasound of the heart,
we found we had left particular hypotrophyour disease. Hypertension is a silent
killer. We know that it's civilHYPOTENSI can lead to strokes, but persistent,
untreated hypertension leads to athriss Crosis isone of the most strong factors for
(21:30):
athros crosis, and these too silentblockages and ultimately they can lead to herd
that end oftenly cause death. Youknow, one one phrase, and I
hear this a lot, especially indiabetes. Patients will come to me and
I'll be looking over years of theirmedical records and I will see that they
(21:55):
have been either diabetic or pre diabeticfor three, four, five years,
and I'll ask them, I'll say, look, your other physicians that have
been seeing you, have they saidanything about this abnormal blood sugar? And
as I've said this a thousand timeson the radio, but they'll say,
(22:15):
oh, it's I was told Ijust have a touch of diabetes. And
the same goes for high blood pressure, where they would say, I just
have a touch of high blood pressure. I'm not on medicine. And years
go by, and then you havea scenario like this, gentleman, where
the structure of the heart is changingfor the worse. Do you do you
(22:36):
see that that people have this sortof mental attitude that oh, it's just
a touch, it's not that bad, and it won't hurt me. I
want to help you, and youhave to participate in your own care.
We need you to buy a bloodpressure instrument with arm cuff, and we
typically recommend the vacuum. Actually,the American Heart Association recommended home aron BP
(23:02):
arm cuff, and now we havethe seven or ten cvs which are very
user friendly. Start measuring two readingsat home and start seeing and then please
come and now for television, it'sso easy. We do a follow up,
collect the data and see what yournumbers are, because the single visit
would not be the right thing unlessit is quite significantly high. But then
(23:22):
we have ways of measuring. Whenpatients come with hypertension and they say I
have a little touch of hypertension,we do an EKG which may show less
hypertrophy. And more importantly, whenyou do echocardiogram, we are able to
measure the thickness of the heart muscleand if it is about one point one
centimeter or eleven millimeters, it's morethat means they have left pentriical hypertrophy.
(23:45):
Then that truly proves that they havebeen having hypertension for at least six months.
You don't develop hypertrophy overnight. Itis a process that takes months up
to a year. And if theyhave been silent hypertension for six months to
a year, we begin to seeleft undical hypertrophy. So once you share
(24:06):
that with the patient, sir man, look, I am seeing left endical
hypertrophy. Your blood pressure was aone sixty or one into the office and
I said, talk, you know, when I go to the doctor's office,
the pressure is high. I'm littleanswers and I fully understand that,
and we encourage them. Hey,you know what I wanted to see.
This is a very important factor thatwe have. If you have already called
(24:26):
left under a hypertrophy, you canneed anti hypertensive drugs. That is clear
cut. This borderline issue of bloodpressure of ninety ninety five hundred and invariably
if you look at it, wehave overweight patients are over we have you
know, you see in the practiceoverweight and obesity is literally in sixty six
to seventy five percent of the population. And now with the COVID, we
(24:49):
everybody is under a tremendous amount ofstress, and we are seeing stress in
use hypertensions, especially in the youngerpopulation their thirties and forties, people have
been under tremendous amount of stress,whether from the family and economically and healthwise,
and that also led to a lotof hypertension. And we explain you
(25:12):
know, stress in use hypertension atrue entity because when as you know that,
when you are tremendously stressed, thelocals cyrillus in the brain is releasing
not adrenin. In addition, thestress is also really stimulating your hypothalmic pituitary
adrenal access. You have increased adrellinbeing increased and gnawing adrenine and adrenine being
(25:37):
increased, leading to hypertension. Andsuch patients we typically see younger patients in
third, fourth, or early fiftydecades. Stress in use hypertension. Tiny
tiny doses of bad of blockers,mini school, small douse of bed of
blockers will make drastic improvements in theblood pressure, drastic improvements and they start
(25:57):
feeling dark. You know what Isaid, sir, ma'am. Have you
felt that you're short tempered? Yeah? I feel a heartbeat strongly at night
or have been short tempered. Theseare all silent signs of hypertension, and
they may not feel it right,they're actually becoming hypertensive. You know.
The amazing thing is, and foreverybody listening tonight, the muscle is a
(26:19):
heart. It's no different than yourbicep, your triceap, your quads.
And when we exercise and lift weightsby straining those muscles, we get big
biceps. When you strain the heart, it gets thick, the hypertrophy that
doctor Senes is talking about. Soit's opposite of what we want for other
(26:41):
muscles. We don't want the heartto get big and bulky and stop working.
Absolutely, Yeah. And then incorporatinglifestyle modification is so important more today
than ever. You know, we'retalking about incorporating exercise, diet, right,
(27:02):
yoga, meditation, life cell modification. When I did my life Cell
Medicine boards in twenty seventeen, youknow, they talked about all these pillars
and we have been incorporating them inour practice throughout all these twenty eight years.
Been a big, big believer inthat because I practice it myself,
and you know, if you practiceyourself, you have to lead by example.
(27:22):
And we tell our patients these areso important. Medicines clearly are important,
but if you know, you knowwe talk about the power of nutrition
and the hipocritic Hippocrates. When youknow in the fifth century BC s that
let your food be your medicine,and your medicine be your food. That
(27:42):
is music to my It's music tomy ears when I hear that the healing
power of nutrition is so so important. And of course exercise is also so
important because you know DNA. Youknow, people say, oh, which
is my genie? Of course itis your gene, but you know DNA
is not your destiny. Your lifestylemodifications can alter your gene expression, which
(28:07):
you call epigenetics, and we explainto patients when you do regular exercise,
you eat better food, you canalter the expression of your genes right,
and you can modify the disease itself. So it's amazing what life cele modifications
can do, especially with your expertiseor heart liver disease and prediabetes. These
(28:30):
go hand in hand. If youtalk about metabolic syndrome, hypertension, heart
disease, they are all follow eachother. If you have one invariably at
the other. Yes, fact,yes, it's these, these these thieves
run together. It's it's a it'sa pack of bad symptoms and habits.
All right, we're going to takea quick break where on the phone with
(28:52):
doctor ran deeps In Asia, cardiologisthere in the great city of Houston.
He's affiliated with the Debate Cardiology Center. Stay tuned, we'll write back.
All right, final segment for thisevening's Your Health First. Doctor Joe Glatti
Doctor Joeglotti dot com is our websitecenter for the newsletter. The new subscribe
(29:18):
and tab for the newsletter is postedon the top of the website. And
again, it's real pleasure having doctorrandeepsin Asia on the program tonight. Visit
his website used in cardiology dot comto find out the services that he and
his partners offer. Very important.Take care of your heart, that's what
(29:42):
it's all about. You know,you mentioned the reflux, and the problem
with that is that there is suchavailability of over the counter heartburn medicine and
if you watch TV or look atthe magazine and you would think everybody's got
reflux. And so when this fiftyyear old gentleman or sixty year old woman
(30:07):
is having heartburn or sort of anupset stomach, instead of thinking, well,
my goodness, I'm diabetic, Ihave high blood pressure and I'm overweight,
this might be a heart attack.They in a sense go into denial
mode and will say, no,it's heartburn, let me take more of
the purple pill. I'm sure yousee that a lot. I'm more more
(30:32):
than I realized, in the sensethat you probably see two other patients who
actually have symptoms of angina will comeduck. You know, I believe I've
got some heartburn going on, orthey have actually been using the medication right,
And in there it's a human nature, human psychology where you're going to
say, you know what, Ibelieve it may be related to GI and
(30:55):
them seeking out for attention, butthat's great. But if they don't seek
medical attention, then unfortunately they cancause damage to the heart muscle by having
an event. And then you knowthen that that's not good. Because I
so much believe we have so muchtechnology available, We have so much diagnostic
(31:15):
things available in the presence of heartscan and calcium score where we can diagnose
heart disease before it has caused damage. We have so much need tools available
now and three minute tests in theform of heart scan then diagnose pre clinical
heart disease. Then we can tellwhere do you stand compared to the rest
(31:36):
of the population, and there's somuch information available where we can help patient,
but obviously the patient has to reachout to the doctor. Right now.
With that said, the I knowa topic near and dear to you
is that calcium score, which I'mgoing to ask you to explain. I
believe the importance of this truly requiresa dedicated segment, so not to in
(32:02):
any way cut it short, butI think give everybody an introductory understanding and
some insight about the calcium score,what it means, and why they should
think about it. That is oneof the excellent questions you asked, and
I think this is I have beenextremely passionate about doing Katsum scores. In
(32:23):
fact, at Houston Methodist West,I was a physician who spoke to the
CEO and the hospital open ten yearsago to start doing right here. I
have been doing calsium score since theyear two thousand. So what calcium score
is. Calsium's score or the Augustinscore, was first described by Robert Augustin,
(32:44):
a cardiologist from in Miami. Cassiumis basically a stage five b ethroscorosis
stage in the arteries of the heart. So when the elder particles ultimately go
inside the walls of the vessel anultimately, over period of time get calsified,
(33:06):
leading to a calsified black that ismeasured by a CAT scan called the
catch score. So the catching scoreis a number that is given and we
as you know there is we havethe left main artery, left descending supplying
the front fall of the heart,less circumplex supplying the site full of the
heart, and the right corner archysupplying the back all of the heart.
(33:29):
So when a patient undercoses non invasivetests, which at Houston Methodist is done
for one hundred and forty dollars becausethe insurances still don't cover it. So
it is literally a three minute test, no contrast, no needles, nothing,
a purely non invasive test. Whenthe patient undergoes the CT scan of
(33:51):
the heart or the arteries of theheart, patient is given a number called
the Eggiston score. We get thecalculator score called the Aggerston score. The
data of the Existin School was publishedby the MESA Registry in the year two
thousand and six, when it becamethere was the largest registry multi access aoscrootic
(34:13):
registry of patients in the US.We have about sixty five hundred patients who
under one clsum school, and thenwe measured the Calsrum school and the classification
is as follows. So zero isnone meaning no build up or heart black
in the artist of the heart.One to ten is minimal, eleven two
hundred is mild, one hundred andone to four hundred is mild to moderate,
(34:37):
and four hundred being severe and overone thousand being very severe. So
when a patient undergoes the Clatsum schore, we the patient will get the number
and then we compare that patient.It's based on their age and gender.
So we plug them into the MASAregistry and we get a number, call
(34:59):
the percentile, and we will havea fifty year old male. And I'll
tell you these stories. A fiftyyear old male came to me with shortness
of breath. He is it dark? And I put on twenty pounds,
twenty five pounds. I retired fromthe marines. This is a recent story.
I've retired from the marine. I'vebecoming a shortness of breath and you
know, I think it's go I'mgoing to get on some exercise program.
(35:21):
Can you check my heart? Isaid, okay, so you did some
testing exam normally normal economical light pretensionlike cluster for carts and score calcium score
one thousand. Wow, sir,you are in the ninety nine percent time.
He said, what do you mean? I said, one when you
have one hundred men your age wentunderwent calcium school ninety nine people are going
(35:45):
to have school less than you,and you are in the top one percent
time. And when you have thosekind of numbers, you know, at
the score of around four hundred,you have a statistical chance of approximately twenty
eight person chance of the severe blockagenone of the artists of the heart,
and that percentage can rise to fortyto forty eight percent when the school is
(36:06):
one thousand. Sure enough, AndI did stress tests and did work up.
He had a ninety five percent blockagein the circle flex and a ninety
five percent block in the proximality requiredstenting both the vessel's normal heart no damage,
only fifty years old. Now afterfixing, he's able to exercise,
lost weight And just that test wasa tip off, total tip off that
(36:30):
this patient has got severe problems.So this small test can test us so
much. But as in score mismeasures, only hard black in the artists are
the important thing is the black andthe artist. The heart a twenty percent
hard and eighty percent solve, soif you have a high amount of heart
(36:50):
plague, it also tells you youhave a lot of soft plaque. However,
a score of zero, although statistically, if you don't have diabetes or
you are not a smoker, it'salmost that your ten year warranty that you
cannot have any events. But ina patient who is a diabetic or is
a smoker, rarely, if theyhave scored zero, they still can have
(37:14):
heart disease. So it is agreat test. It tells us that if
you're not a smoker or non diabetic, then your chances of having a heart
attack are practically very low, verylow, less than one person over a
ten year period. But in adiabetic or a smoker, you still can
have events. And I have hadpatients with zero scores having events, So
(37:35):
you have to see the patient asa whole. You just cannot say you
score a zero. However, itprovides us through the wealth of information,
and if you score a zero andyou don't have other respractors, then you
don't me may not require even aspen. But if you are a diabetic and
smoker, you still may need anASPEN, but if you have any build
up a plaque, then that leadsto what your eldeal goals should be.
(38:00):
So we are able to tell thepatient, sir, you are in the
eighties percentile. You're only fifty yearsold and your score is two hundred and
your stress is normal. That's great, you don't have lack of blood flow,
but this is telling us that youare already having premature heart disease.
Now we need to make sure you'retaking your asspen. You need to take
(38:20):
your statin. Your l deals shouldbe below seventy, and you need to
please work on life sell modification,work on tired exercise, your pre diabetes
diabetes. So it takes the preventivecare to the highest level and the patient
starts becoming aware because you get yourreport card. We give them the report
and he says, oh, mygoodness, I have already built up a
plaques and norm only forty five yearsold. Beside, so it makes the
(38:45):
patient more aware. They become morecompliant, and that helps the patient and
helps us because they become very awareof their illness and back leads to better
patient participation and they then become morebelievers of lifestyle modification with diet, exercise,
all the things. Absolutely all right, Doctor ran Deep Synasia, a
(39:07):
good friend, a colic, abrilliant cardiologist and educator. Thanks for coming
on tonight, and as promised,we're going to get you on and I
think the calcium score story is importantenough to get you back and just concentrate
on that for an evening. Thanksvery much for coming on. Thank you
(39:28):
so much, honored pleasure. Well, that is a wrap for tonight.
I want to thank doctor Sonasia.We really do have to take a look
at ourselves. And it's not somuch to say, oh boy, heart
disease is a big thing, ormy dad died of a heart attack or
grandma had a stroke. You haveto look inward at yourself and take a
(39:51):
look and of course re listen tothis segment. It's going to be available
on the podcast that you'll hopefully seeif you sign up for the newsletter,
you'll get information on this. Butyou have to look and say, do
I have risk factors both a familyrisk factor and do I have a history
of smoking, high cholesterol? AmI overweight? Am I overweight? Do
(40:12):
I have diabetes or pre diabetes,or the nonsense of a touch of diabetes.
Don't fool yourselves. Our listeners aretoo informed to think that you're going
to fall for a sucker punch tosay, oh, yeah, I have
just a touch of diabetes. Itis not the truth and that's what we
are seeking here, and so interveneif you need to get evaluate. We
(40:36):
talk about the calcium score. There'sall sorts of invasive or non invasive diagnostic
testing to find out. And againwe talk about the dashboard. We know
the dashboard on our car or truck. Different things light up when something's wrong.
Well, you in your own life, your own body may have lights
and bells, buzzers and other thingsbeeping alerting you that they're is a problem.
(41:00):
Slow down, pull off, goin and get checked out. So
that's it for tonight, Doctor JoeGlotti always a pleasure. Don't forget doctor
Joeglotti dot com. And we willof course see you next Sunday evening
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