October 13, 2024 • 39 mins
Dr. Galati starts the show with a side comment about his nice encounter with the boyscouts when he went to Kroger this morning. He also talks about social media as the world wide web in general. Dr. Galati has Cardologist Mike Wilson join the show to explain the range of heart amanilities and the change that has come about due to Covid.
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Episode Transcript
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Speaker 1 (00:01):
Initialize sequence.
Speaker 2 (00:04):
Coming to you live from Houston, Texas, home to the
world's largest medical center.
Speaker 3 (00:08):
Bunch of pays Everything looking time to you.
Speaker 2 (00:19):
This is your Health First, the most beneficial health program
on radio with doctor Joe Bellotti. During the next hour,
you'll learn about health, wellness, and the prevention of disease.
Now here's your host, doctor Joe Bellotti.
Speaker 3 (00:50):
Well a good Sunday evening to everybody, Doctor Joe Galotti.
Every Sunday, we're here between seven and eight pm, and
that's where we want all of you to be tuned
in to your Health First.
Speaker 1 (01:04):
And our mission is to raise your health IQ make
you better consumers of health care. And we try to
package us in over an hour. It's an hour of
brain food that we try to supply you with and
with all of the questions about health and wellness, disease prevention,
(01:26):
what's good, what's bad, we try to share with you
the information that really cuts through all of the bull
and gives you actionable information. Things that you'll hear tonight
are things that you can employ in your own life
or the lives of people around you immediately, first thing tomorrow,
(01:49):
Monday morning. So that is our mission. All of us
here on the Your Health First Team and to be.
Speaker 3 (01:55):
Part of the program. Our website is very simple, doctor
Joe Gal. So when you go there, there's information about
me and the team, our practice, all of our social
media is posted there. You can take a glimpse of
the book that I wrote, Eating Yourself Sick. There's links
for where you could pick it up online. You could
(02:17):
send me a message, and again, all the social media
is there, YouTube, Instagram, Facebook, It's all there to communicate
and really have a back and forth dialogue with me
and the Your Health First Team and with all of
our great listeners across across the United States. We're broadcasting
from Houston, Texas, but available coast to coast and internationally
(02:42):
on the iHeartRadio app. I was in Switzerland and Austria
a few weeks ago, and of course I wanted to
tune into some of my favorite iHeartRadio programs, and I
thought maybe I'd be blocked realizing that I was you
know the url, or they realized where I was.
Speaker 1 (03:02):
But nope, I was able to listen to everybody, the news,
the sports, baseball, and so you can do it anywhere
you go. So take us on the road with you
in the next segment coming up, I want to talk
a little bit about social media.
Speaker 3 (03:20):
Now.
Speaker 1 (03:21):
I gave a talk a few weeks ago on social media.
The video should be posted on the YouTube page, and
it's it's it's it's sort of centered around live a disease,
but you could make use of it with whatever condition
(03:41):
that you may be interested. What is the role of
social media in heart disease or cancer, orthopedic injuries. So
that will be there, and I'll talk a little bit
more detail on sort of the take home messages that
I share with you. But again, to get to the
YouTube page, you have to go doctor Joegalotti dot com
(04:01):
and why you're there? Sign a prone newsletter. That's a
great way every Saturday. Even though the newsletter this week
went out early this morning, the newsletter is something that
we use as a vehicle to stay in touch with everybody. Okay,
So just sort of a side comment here. I worked
out this morning and afterwards I went to my local
(04:27):
Kroger to buy some food stuff to cook for today,
cook for the family. And they were a group of
boy Scouts that were selling popcorn for an upcoming camping
trip that they were going on.
Speaker 3 (04:49):
And so, first of.
Speaker 1 (04:50):
All A, I love the boy Scouts.
Speaker 3 (04:52):
B I really.
Speaker 1 (04:56):
Enjoy interacting with the younger people of our nation in
that they really are the foundation of what's going to
happen in the future. These are the people that are
going to be taking care of you and me, let's
face it, our children or our grandchildren. And they were
as adorable as ever. One was in first grade, one
(05:20):
was in sixth grade. The first grader said, now, my
brother's in fourth grade. You know, it's amazing how these
kids think. And the parents were there, very polite and kind,
and so when they were trying to sell me popcorn,
it was they were cuing them to say, what is
your favorite type? What would you like? Is it cash
(05:40):
or card? You know we take credit card. Absolutely adorable.
The parents were trying to train them, and of course
I personally just spent eight ten minutes with them, asking
them questions about school, asking them questions about the Scouts
where they were going. And in that time frame, there
(06:00):
must have been another thirty people that came and went
and just ignored these kids. Now, the popcorn that I
bought was twenty dollars, probably valued at about four ninety five,
but it's a donation and it's going to help the kids.
And of course you know that it's over priced. This
(06:23):
is not like do you take a coupon to buy
popcorn from these boy Scouts? But I feel the message
here and I feel like I'm obligated to say something.
The twenty dollars I spent was not going to tip
me over the edge. Now I would say, despite these
(06:45):
hard times, you have to look and say, what else
am I spending twenty dollars on? And everybody likes to say,
you know, you buy Starbucks, and you buy beer, and
you buy cigarettes, and you know, you buy junk food,
You go through, you know, through whatever.
Speaker 3 (07:01):
It may be.
Speaker 1 (07:01):
I'm not here to argue that, but I'm thinking to
support our children, support the next generation, give them some encouragement.
I just wanted to know why there was not a
line of people that wanted to fork over a twenty
dollars bill to help these boy Scouts get along. I
(07:26):
don't know what it is. Sometimes I believe we get
so wrapped up in our own issues that we don't
have two seconds to just step back for a moment
and say, you know what, maybe I'll help this kid out.
This kid might not be the most articulate. Maybe the
older kids are getting all the sales, and some schlumpy
(07:49):
looking kid that is in a somewhat ill sized Boy
Scout uniform isn't really getting the attention. But we can
make that kid's day by giving him a little attention.
Not to say that the parents aren't I'm not saying that,
but a total stranger comes over and pays attention to
(08:13):
this kid and forces them to talk, forces them to
interact and make their day and feel as if they
are successful in selling popcorn. As a boy Scout, I
would say, do not underestimate the positive impact that this
may have on a child's life. And so, while I
(08:36):
am not here tonight to be some sort of social
scientist with all of you, I do think when you
look at the health and wellness of these kids, they
need positive feedback.
Speaker 3 (08:49):
And so what I would leave with you is, next
time you see Boy Scouts, Girl Scouts Explorers.
Speaker 1 (08:57):
A band that is collecting money so that they could
go to the band jamboree in Colorado over the summer,
whatever it may be, pull over and donate a few
bucks to them. Your involvement is very important. You know,
I was thinking on the way home this morning. I
(09:19):
think all of these bands that are raising money, they
tend to have car washes. I don't know if that's
a phenomena that bands raising money have car washes and
other people are selling cookies and you know, other sort
of sweets. But anyway, just an observation, But anyway, I
(09:40):
think it behooves us all to volunteer and help these
kids out.
Speaker 3 (09:43):
All right, So.
Speaker 1 (09:44):
Hopefully next time you see a boy Scout or a
girl Scout or some other you know, school group that
is selling cookies, whatever it may be, look, if you
don't like to eat cookies, you know, buy them and.
Speaker 3 (10:02):
Bring them the work and share them with your coworkers.
That's what I would do. All right.
Speaker 1 (10:05):
We're going to take a quick break here doctor Joe Galotti.
Doctor Joegalotti dot com is our website.
Speaker 3 (10:11):
Stay tuned.
Speaker 1 (10:12):
We're going to be talking about social media and how
it applies to you the consumer, and to physicians and
nurses and doctors and the like, and how to Again,
I think this is all part of how to make
you a better consumer.
Speaker 3 (10:24):
Stand stay tuned, we'll break well. Thanks very much everybody
for tuning in on this Sunday evening. Thanks for joining
us so long. We're here every Sunday between seven and
EIGHTDM and don't forget go to our website, doctor joe
Galotti dot com, doctor Joey Galotti dot com, and that
is where you sign up for our newsletter. All of
our social media is there, and you could actually send
(10:45):
me a message. There is a link there that says
contact us, which is really contact me, yours truly, and
you can send me a message about whatever is on
your mind topics on health and wellness. You need help
trying to figure out what kind of specialists you need
to see. We're here to be a public service to
our listening community, but you have to go to doctor
(11:08):
Joeglotti dot com. All right. So a few weeks ago
I gave a presentation which is posted on the YouTube page.
It's a video that I made on the role of
social media. Now you may not realize it, but if
(11:29):
you're listening to this on the iHeartRadio app, this is
a form of social media. But for the most part,
social media in the grand scheme of things, is going
to be thought of as Twitter, Instagram, YouTube, Facebook, Pinterest,
and a whole gamut of sites that people follow along
(11:54):
Almost too many for me to name off here. And
it almost seems as if I learned about a new
social media site every week or so. But nonetheless, let
us talk about social media as the world wide Web
in general. And so in this day and age, patients
(12:14):
are going to social media, they're going to various websites
to get information. Now, I would say a lot of
my colleagues, a lot of very good colleagues, good practitioners,
well trained, experience, they've seen it all. They unfortunately, I
(12:36):
don't know how to say this, they cannot stomach the
idea of their patients going to social media, to the
web and getting information. For a couple of reasons. One
is there are patients that will come literally with fifty
pages of printed out information, highlighted yellow sticky notes, paper clips, etc.
(13:02):
And asking to analyze this. You know, is this something
that I should do? Should I be on this supplement?
Should I be on this therapy? Is this surgery safer
than what you're telling me? I don't know. Can I
go the natural route? And it is? It's really mind boggling.
And what happens is patients end up going down a
(13:26):
rabbit hole to find out information, and what turns out
as a relatively innocent search on rheumatorid arthritis takes you way, way,
way off the rails, way off the grid, and it
takes you to a place that you really don't want
to be. So when physicians are confronted with this, they
(13:49):
basically don't know how to communicate themselves out of this situation.
So one response is everything you're showing me is garbage,
which is basically discounting the time, effort, and interest that you,
the patient, you the consumer put in. The second thing
(14:12):
is that there might actually be some good information somewhat
nestled in with all of the other things that you
printed out or showed them on your iPad. And so
there are those colleagues of mine that want absolutely no
part of it, to the point where the patient will
(14:33):
almost be I don't want to say black ball, but
they'll say, oh, yeah, this is the lady, this is
the guy that comes in with all these crazy Internet
type stuff. But the way I frame it is that
when you look at the data on who is using
social media, there's about five billion people around the world.
(14:55):
So what does that tell you. All of our patients, customers,
our neighbors were all somehow making use of the Internet,
the world Wide Web, social media, wherever you may sort
of dive into. The second thing is the data would
show that most people that are regular users of the
(15:21):
Internet or social media, they are on about six different platforms.
So they're on you know, you know, the usual, I
don't have to list you here. They're on six different
apps for social media, and they're spending on average, this
is on average, over two hours a day investigating stuff
(15:45):
on the web. So a lot of people are doing it.
A lot of people are on different sites, a lot
of different sites, and they're spending a lot of time
looking at this. So you'd have to say that essentially
every single one e patients is searching out stuff on
the Internet and on social media. So my recommendation to
my colleagues, which I which I which I discussed in
(16:06):
the talk, is that you're going to have to jump
on the bandwagon. Now, you may not investigate every crazy
website that really has no factual basis for it, but
I think what you need to do is, as a
healthcare provider, have one or two or maybe three websites
(16:29):
that are within your domain of interest that you could say, look, Bob,
I understand your concern about the new diagnosis of LOOPIS,
but there's a lot of not so good information. These
are the two websites that I believe you should go
(16:51):
to for information. I go there. I like them. I
know the people that contribute and save your time, energy
and heartache by going to all these other things. Now
that's sort of a tall order. I could only hope
that some physicians will the other is. I recommended that
(17:11):
physicians become more comfortable. They start seeing the good, the bad,
the ugly on social media. And I would say within
every discipline, whether it's a surgical discipline, cancer care, orthopedics, neurology,
mental health, cardiology, pulmonary liver disease, like myself, you're going
(17:33):
to realize these are the good sites, these are the
social sites, and these are the absolute terrible sites to
stay away from. Patients want to be told what to
do or at least guided by their physicians, and it
really really behooves all of us to take an interest.
So when you see your doctor tomorrow or this coming week,
(17:55):
and you have a lot of social media or internet
related that you want to share, I.
Speaker 1 (18:02):
Would say it's okay to tell them. Look, I did
my own searching what do you think, but actually turn
it on them in a way to say, look, doctor Brown,
do you have any websites for lupus that you like?
Do you have any.
Speaker 3 (18:17):
Podcasts that you could listen to, any videos on YouTube
or Instagram that may be beneficial to help me out
to get through this tough time. So I think this
is where doctors definitely need to come up to speed
the public. The patients have to sort of come down
and sort of see I to I with their doctors.
(18:38):
But anyway, it's posted on YouTube and you could take
a look at it and let me know what you say.
All right, Newshether traffic is coming. Unfortunately, we can't say
anything about the astros now because they're eliminated. I'm doctor Joglotti.
Don't forget doctor Jogolotti dot com. We'll be right back.
Welcome back everybody, doctor Joglotti.
Speaker 4 (18:58):
And in a.
Speaker 3 (19:00):
Matter of a news break trafficing weather here on ktr H.
My voice I don't know what happened, I promise you all.
I am not smoking, but my voice just went sour
in the last ten minutes or so. But anyway, don't
(19:20):
forget doctor Joeglotti dot com is our website, and as promised,
doctor Mike Wilson, Cardiologist, no stranger to your health first,
is here in the studio tonight and we're going to
be talking about heart disease and COVID and people not
coming to the er. So Mike, thanks very much for
(19:40):
coming up tonight.
Speaker 4 (19:42):
All right, thank you for having me.
Speaker 3 (19:43):
So you are a cardiologist, why don't you first set
the stage to say, as a cardiologist, a range of
heart abnormalities that you take care of every day.
Speaker 4 (19:57):
Well, sure, they range varies from the very minor to
people with elevated blood pressure who need a little bit
of medicine, to the very major someone who's having chest
discomfort that might be a heart attack and something that's
eminently fatal. So there's quite a wide range within heart disease.
Speaker 3 (20:19):
Now, you know what one of the missions of this
program is to educate the public, and it's people may
not realize that because they have diabetes or family history
of heart disease, or high cholesterol and treglis rides, or
they're overweight, they may not fully appreciate their own risk
(20:43):
factor for heart disease. And when they develop some weird
symptom that they may not quite understand. They don't sort
of put the dots together to say, hey, wait a second,
this may be my heart. So how would you or
talk to everybody tonight about various conditions you have, risk factors, family,
(21:06):
and put it into context of heart disease and what
everybody needs to be thinking.
Speaker 4 (21:10):
That's a great point. All of us do the same thing.
We say, well, I feel good, things are going okay,
I feel just fine. So when something new rises up,
the first thought is, well, let me just wait and
see this if this will go away. So a realistic
approach to your own health is the first big step.
And one of those things is you pointed out. One
(21:33):
is look at your age. If you're over the age
of forty five, you're in the at risk group. If
you smoked, you know you're in the at risk group,
even though you may not want to admit it. High
blood pressure, diabetes, those are the things that say I'm
at risk for heart attack or other problems. So when
a new symptom arises, it should be taken seriously.
Speaker 3 (21:56):
Now do you find that the public that you're seeing
within the context of heart disease, they have a good
appreciation of this, Or when you sit down and have
that talk with them to say, look, this may be
your heart. Are they shocked when they say, well, gee,
I've got pre diabetes, I'm twenty five pounds overweight and
(22:19):
I smoked in college. Are they do they realize? They say, oh, yep,
I knew it, or they say, really, having pre diabetes
and a family history really puts me at that much risk?
Speaker 4 (22:32):
Doctor Wilson, Well, fortunately, the public education's gone a long way,
and most people do kind of generally have an idea.
What a lot of people don't recognize is the symptoms
don't stand up and wave a red flag. So half
the people who have a heart attack later look back
(22:52):
and say, but I thought it was going to hurt
more than that. So the symptoms of pressure, tightness, chest
has come it, that's worse when you exercise, or when
you get excited or get angry. Those are things that
might be the heart. And it doesn't always stand up
and wave a flag and say I'm a heart attack.
Speaker 3 (23:11):
You know, a lot of people may, like you said,
they may think that crushing chest pain radiating down their
left arm. I don't know if that's textbook and everybody's
gonna walk in.
Speaker 4 (23:23):
With that that's true. In fact, if you take everybody
who has a heart attack, there's a wide range of
the symptoms reported. Some people say, well, I had terrible
chest discomfort. Others say I just couldn't breathe and I
got very sweaty, or I got very nauseated. So it's
not always the classic presentation. So if you feel something
(23:46):
that's limiting your physical activity, or that when you become
stressed or angry, begins to limit or scare you, that's
the time to take note.
Speaker 3 (23:55):
All right, what we're gonna do. We're gonna have a
little drill right here. So I'm gonna give you a
condition disease risk factor and tell me what heart issue
this person may have. Let's just start off overweight. Somebody
is overweight. What's there the two or three heart issues
(24:15):
that may plate them?
Speaker 4 (24:17):
High blood pressure number one, two and three, and all
the sequelita that go with it.
Speaker 3 (24:23):
Okay, how about if you're a smoker.
Speaker 4 (24:27):
If you're a smoker, you're at high risk for virtually
every cardiovascular disease, in particular heart attack and stroke.
Speaker 3 (24:34):
All right, how about diabetes and a lot of people
out there are just a touch of diabetes. Now, not
too bad, Doctor Wilson, It's not that bad. I just
got a touch of diabetes, and me and my doctor
we're watching it, and I hate that term. We're watching it.
You know, it's like watching smoke come out of your
(24:55):
upstairs bedroom. You know, we're just we're just watching it.
So either pre diabetes, a touch of diabetes, or a
card carrying case of diabetes, what are their heart risk factors?
Speaker 4 (25:07):
The smoke coming out of the window is a perfect analogy.
Having diabetes is a is a physiological state that carries
more weight than just your blood sugar. So once once
you're abnormal, you are just plain abnormal. And the thing
that gets you if you're diabetic is heart attack. By
far and away.
Speaker 3 (25:29):
Now are all of the you know, smoking, overweight, diabetes,
you're talking about heart attack, cardiovascular disease, plaque in the arteries.
What about stroke?
Speaker 4 (25:42):
Stroke? Before we developed a way of treating high blood pressure,
stroke was really the number one killer. So when high
blood pressure and all of the tendant risk factors are ignored,
it is still one of the major risks that you face.
Speaker 3 (25:58):
Now symptomize the things that people complain of. If you
had to you hare at only one symptom. One complaint
that everybody out there tonight in radio land knows about
to think. Wait a second, this could be my heart.
Now I'll let you have issue number two, three and four.
(26:20):
But the number one complaint, the number one observation would be.
Speaker 4 (26:25):
What discomfort where in your chest? The most important thing
is that it's not always pain. In fact, the term
angina that we use medically is actually translated is anguish.
It's a sensation of something is badly wrong. It's not
always pain.
Speaker 3 (26:47):
What would you say after this pain or discomfort?
Speaker 4 (26:49):
Shortness of breath? Okay, the heart's job is to deliver,
and when it can't deliver, you become short of breath.
Speaker 3 (26:56):
So if you're out there and you have this chest discomfort,
an uneasy feeling, and you're short of breath, that is
a warning sign.
Speaker 4 (27:07):
That is a warning sign. That is something that you
need help in deciding whether or not it's serious or not.
Don't trust yourself and just hope that it's gonna go away,
because it may, and when it comes back next time,
that may be the last time.
Speaker 3 (27:23):
Now, I would I would say, and we've shared many
many patients over the years that patients, by nature, they
may not be the most sophisticated from a medical research standpoint.
They're not reading all the articles, but they sort of
know that chest pain, chest discomfort is not good. They
(27:48):
attribute it to GI symptoms, heartburn, indigestion, that double bean
burrito they had, That's why I'm having chest pain in
shortness of breath.
Speaker 4 (27:59):
Comment on that, it's very common that people will find
any available excuse to explain away discomfort as something other
than their heart, and it's primarily because we all do
the same thing. We want this not to be serious, fatal,
or something that actively interferes with our lifestyle.
Speaker 3 (28:19):
Right, So it is it's denial.
Speaker 4 (28:21):
It is denial, no question.
Speaker 3 (28:23):
We got to get over denial, all right, Mike, We're
gonna take a quick break. I'm with doctor Mike Wilson, cardiologist.
His website Houston mds dot org. To find out more
about Mike Wilson. I'm going to ask you why your
name is James and why we call you Mike. We will,
We'll get you know, we may have to get your
(28:44):
family on the phone anyway. I'm not to Joe Glotti.
I am going to get a glass of water and
see if I could get my voice back in two.
I don't know what's going on. Anyway, stay tuned. We'll
right back every sound between seven and eight pm. I
usually do not have a hoarse voice. And I promise
(29:08):
my cardiology friend here, doctor Mike Wilson, that I am
not smoking. There's no camels around me. But anyway, go
to doctor Joglotti dot com find out about doctor Mike
Wilson and his practice. You can go to Euston MDS
dot org to find out more about doctor Wilson and
(29:28):
his cordiology practice. So for everybody that may be just
joining us now, final segment of your health first for
this Sunday evening. The main reason for having doctor Wilson
up here and to talk about this is that not
only in heart disease, but in other specialties, patients are
(29:50):
staying away. They are not feeling well, they are sick,
they have symptoms some could be serious in life threatening,
and they're not They're not calling because of COVID. They
are afraid to go to the er, they're afraid of
catching it. Go for a procedure, go for a chest
text ray, and so a lot of attention has been
(30:13):
made with heart disease and the number of heart attacks
that are being seen in the er are down. So
doctor Mike Wilson, welcome back again. Give everybody a thirty
thousand foot view of what you have been hearing, what
has been published and talked about.
Speaker 4 (30:28):
Hi Joe, thanks, thanks again for having me. The change
that's come about due to COVID is that we see
we hear a lot on the news and elsewhere about
the risk of COVID, and it is indeed a risk
each time we go out, when we're around other people,
there's a risk of contracting an illness and it could
have problems. The problem is that some people are placing
(30:53):
a bit too much associated risk on the virus and
not paying attention to the clear and present dangers that
many of them have. For example, if I have heart
disease and I begin to have chestis comfort, I know
I've got a problem. That's a clear and present danger
for that person. COVID is more of a distant and
(31:15):
much lower risk problem. However, having been on the news,
a lot of us weigh things improperly, so we don't
quite see with the right perspective, and fear of the
virus outweighs fear of what's actually.
Speaker 3 (31:30):
Happening to talk in numbers. If you are sixty years old,
have Diambet's and overweight, like you explained in the prior
section segment, and you're having this chestis comfort and shortness
of breath as a non cardiologist, and you may say, well,
(31:52):
this is you're underplaying it. You've got better than a
fifty to fifty chance of having a heart attack. You
may have a one in ten thousand chants of getting COVID.
So and again these are rough numbers, but try to
put it into perspective. I like this clear and present
danger something bad may happen to you, compared to the
(32:15):
COVID where it's a very low likelihood that something's gonna happen.
Speaker 4 (32:20):
It's a very good point you. If you start from
the premise that let's say you're fifty five years old,
you have high blood pressure, and you have diabetes, and
you begin to have chest dis comfort that you can't explain.
Right there, you're at roughly about a four out of
ten chance that your heart's the source of your symptoms.
(32:40):
If it is, then you look at about a thirty
day risk somewhere between one and twenty and one in
six of dying or permanent disability because of your heart disease.
On the other side of that, if you contract COVID,
If you contract COVID, you're risk of very serious illness
(33:02):
is much lower than that. So going out of your
house and taking the risk of contracting COVID because of
your concerns for a heart ailment is worth that risk.
Speaker 3 (33:16):
You know, I and the trouble that I have, and
I've had this problem from the beginning of COVID. We
are talking about the number of people that die every
day from COVID, and each each one of these deaths
is tragic. I am not in any way underplaying be
(33:40):
it an older person from a nursing home, or a
fifty year old or you know, the rare thirty year
old that runs a marathon that we hear dies of COVID,
and that, though cannot overshadow our thinking of the huh
hundreds of thousands of people that die every year from
(34:04):
heart disease, or are dying from liver disease, or they
are dying of lung disease related to smoking. We are
hyper focused on the and again it sounds very cold
to say this. You know, the three hundred people that
are going to die of COVID today compared to the
(34:27):
thousands that die each day of heart attack and stroke
and cancer and stuff like that.
Speaker 4 (34:32):
That's true. It's i think in large part because this
is new. It's a big change. Any rapid change is
very noticeable. What's happened with heart disease. Let's take hypertension
for example, is it is so common, it's so prevalent
and so lethal that it's kind of fallen into the
(34:54):
background and we somewhat ignore the risk associated. If you
leave your blood pressure one's sixty one eighty, the risk
of untreated hypertension is far greater than virtually any other illness.
Speaker 3 (35:07):
Yeah. Now, the main thing that gets people in trouble
is waiting. Okay, they're gonna sit this out. They're gonna check,
they're gonna set out, the chest pain, sit out, the
shortness of bread, set out, the difficulty walking, whatever the
symptom may be. What what happens when people wait and
(35:27):
they don't get that immediate cardiac intervention.
Speaker 4 (35:32):
What happens they're setting in business, time is money. Well,
when it comes to heart disease, if you're having a
heart attack, time is muscle. A heart attack occurs because
an artery fills up with a blood clot rapidly, usually
over fifteen or twenty minutes. Blood flow stops. At twenty minutes,
(35:54):
heart muscle cells start to die and the clock is ticking.
From that point forward. That's the time where if you
get the arteryopen, you can save the day. And those
first few hours are critically important in you living a long,
healthy and risk free life or happy life, or having
permanent disability because of heart attack.
Speaker 3 (36:15):
Yeah. So in the last two minutes here, doctor Mike Wilson,
for people listening tonight, and they are concerned, and we're
not going to be able to flip anybody's concern tonight,
but what is the rationale You want to give them
the common sense approach to how to really handle new
(36:39):
symptoms chest pain, shortness of breath, uneasy feeling in the chest,
and what they should do if this happens to them.
Speaker 4 (36:48):
The first and most important thing is if you don't know,
ask somebody who does. If you are thinking that you
have some symptoms that may be related to your heart
and you're not sure or the best thing is not
to wait it out and just hope it'll go away.
The best thing is to call somebody with some training
and run it by them. You can still use the telephone.
Speaker 3 (37:11):
So you're saying, call your doctor.
Speaker 4 (37:13):
Call your doctor absolutely.
Speaker 3 (37:15):
Including your family practitioner, your internist, gynecologists, all the specialists
you see.
Speaker 4 (37:21):
Your primary care physician is always the best first choice.
And then you can go from there.
Speaker 3 (37:27):
Right now, what about getting in the car and just
heading to the local urgent care center.
Speaker 4 (37:33):
If you're having symptoms that are coming and going and
right now you feel fine, and say, boy, I just
don't want to cause anybody bother. Remember that the heart
sometimes changes turns on a dime, so that if you're
having symptoms, let's say you've had a period of chest
discomfort and breathlessness and you're not sure, the best thing
(37:54):
to do is call nine one one.
Speaker 3 (37:56):
I would agree. I would agree, Mike, it's been great
as always, you articulate complicated things better than anybody.
Speaker 4 (38:05):
Well, thank you, thanks for having me.
Speaker 3 (38:06):
And so again the message for tonight, don't sit at
home if you have a new symptom and this could
be abdominal pain, unexplained vomiting, uh, don't sit it out.
And especially as doctor Wilson said, the most deadly thing
the clear and present danger is we don't want people
with heart disease or respectors for heart disease to sit home.
(38:31):
All right, everybody, thanks for tuning in. I got to
work on my voice. My goodness. Don't forget doctor Joglotti
dot com. We'll see you next Sunday evening. And if
you're sick, get it looked at. Don't sit at home,
take care, have a great night.
Speaker 2 (38:46):
You've been listening to your Health First with doctor Joe Glotti.
For more information on this program or the content of
this program, go to your Health First dot com.
Initialize sequence.
Speaker 2 (00:04):
Coming to you live from Houston, Texas, home to the
world's largest medical center.
Speaker 3 (00:08):
Bunch of pays Everything looking time to you.
Speaker 2 (00:19):
This is your Health First, the most beneficial health program
on radio with doctor Joe Bellotti. During the next hour,
you'll learn about health, wellness, and the prevention of disease.
Now here's your host, doctor Joe Bellotti.
Speaker 3 (00:50):
Well a good Sunday evening to everybody, Doctor Joe Galotti.
Every Sunday, we're here between seven and eight pm, and
that's where we want all of you to be tuned
in to your Health First.
Speaker 1 (01:04):
And our mission is to raise your health IQ make
you better consumers of health care. And we try to
package us in over an hour. It's an hour of
brain food that we try to supply you with and
with all of the questions about health and wellness, disease prevention,
(01:26):
what's good, what's bad, we try to share with you
the information that really cuts through all of the bull
and gives you actionable information. Things that you'll hear tonight
are things that you can employ in your own life
or the lives of people around you immediately, first thing tomorrow,
(01:49):
Monday morning. So that is our mission. All of us
here on the Your Health First Team and to be.
Speaker 3 (01:55):
Part of the program. Our website is very simple, doctor
Joe Gal. So when you go there, there's information about
me and the team, our practice, all of our social
media is posted there. You can take a glimpse of
the book that I wrote, Eating Yourself Sick. There's links
for where you could pick it up online. You could
(02:17):
send me a message, and again, all the social media
is there, YouTube, Instagram, Facebook, It's all there to communicate
and really have a back and forth dialogue with me
and the Your Health First Team and with all of
our great listeners across across the United States. We're broadcasting
from Houston, Texas, but available coast to coast and internationally
(02:42):
on the iHeartRadio app. I was in Switzerland and Austria
a few weeks ago, and of course I wanted to
tune into some of my favorite iHeartRadio programs, and I
thought maybe I'd be blocked realizing that I was you
know the url, or they realized where I was.
Speaker 1 (03:02):
But nope, I was able to listen to everybody, the news,
the sports, baseball, and so you can do it anywhere
you go. So take us on the road with you
in the next segment coming up, I want to talk
a little bit about social media.
Speaker 3 (03:20):
Now.
Speaker 1 (03:21):
I gave a talk a few weeks ago on social media.
The video should be posted on the YouTube page, and
it's it's it's it's sort of centered around live a disease,
but you could make use of it with whatever condition
(03:41):
that you may be interested. What is the role of
social media in heart disease or cancer, orthopedic injuries. So
that will be there, and I'll talk a little bit
more detail on sort of the take home messages that
I share with you. But again, to get to the
YouTube page, you have to go doctor Joegalotti dot com
(04:01):
and why you're there? Sign a prone newsletter. That's a
great way every Saturday. Even though the newsletter this week
went out early this morning, the newsletter is something that
we use as a vehicle to stay in touch with everybody. Okay,
So just sort of a side comment here. I worked
out this morning and afterwards I went to my local
(04:27):
Kroger to buy some food stuff to cook for today,
cook for the family. And they were a group of
boy Scouts that were selling popcorn for an upcoming camping
trip that they were going on.
Speaker 3 (04:49):
And so, first of.
Speaker 1 (04:50):
All A, I love the boy Scouts.
Speaker 3 (04:52):
B I really.
Speaker 1 (04:56):
Enjoy interacting with the younger people of our nation in
that they really are the foundation of what's going to
happen in the future. These are the people that are
going to be taking care of you and me, let's
face it, our children or our grandchildren. And they were
as adorable as ever. One was in first grade, one
(05:20):
was in sixth grade. The first grader said, now, my
brother's in fourth grade. You know, it's amazing how these
kids think. And the parents were there, very polite and kind,
and so when they were trying to sell me popcorn,
it was they were cuing them to say, what is
your favorite type? What would you like? Is it cash
(05:40):
or card? You know we take credit card. Absolutely adorable.
The parents were trying to train them, and of course
I personally just spent eight ten minutes with them, asking
them questions about school, asking them questions about the Scouts
where they were going. And in that time frame, there
(06:00):
must have been another thirty people that came and went
and just ignored these kids. Now, the popcorn that I
bought was twenty dollars, probably valued at about four ninety five,
but it's a donation and it's going to help the kids.
And of course you know that it's over priced. This
(06:23):
is not like do you take a coupon to buy
popcorn from these boy Scouts? But I feel the message
here and I feel like I'm obligated to say something.
The twenty dollars I spent was not going to tip
me over the edge. Now I would say, despite these
(06:45):
hard times, you have to look and say, what else
am I spending twenty dollars on? And everybody likes to say,
you know, you buy Starbucks, and you buy beer, and
you buy cigarettes, and you know, you buy junk food,
You go through, you know, through whatever.
Speaker 3 (07:01):
It may be.
Speaker 1 (07:01):
I'm not here to argue that, but I'm thinking to
support our children, support the next generation, give them some encouragement.
I just wanted to know why there was not a
line of people that wanted to fork over a twenty
dollars bill to help these boy Scouts get along. I
(07:26):
don't know what it is. Sometimes I believe we get
so wrapped up in our own issues that we don't
have two seconds to just step back for a moment
and say, you know what, maybe I'll help this kid out.
This kid might not be the most articulate. Maybe the
older kids are getting all the sales, and some schlumpy
(07:49):
looking kid that is in a somewhat ill sized Boy
Scout uniform isn't really getting the attention. But we can
make that kid's day by giving him a little attention.
Not to say that the parents aren't I'm not saying that,
but a total stranger comes over and pays attention to
(08:13):
this kid and forces them to talk, forces them to
interact and make their day and feel as if they
are successful in selling popcorn. As a boy Scout, I
would say, do not underestimate the positive impact that this
may have on a child's life. And so, while I
(08:36):
am not here tonight to be some sort of social
scientist with all of you, I do think when you
look at the health and wellness of these kids, they
need positive feedback.
Speaker 3 (08:49):
And so what I would leave with you is, next
time you see Boy Scouts, Girl Scouts Explorers.
Speaker 1 (08:57):
A band that is collecting money so that they could
go to the band jamboree in Colorado over the summer,
whatever it may be, pull over and donate a few
bucks to them. Your involvement is very important. You know,
I was thinking on the way home this morning. I
(09:19):
think all of these bands that are raising money, they
tend to have car washes. I don't know if that's
a phenomena that bands raising money have car washes and
other people are selling cookies and you know, other sort
of sweets. But anyway, just an observation, But anyway, I
(09:40):
think it behooves us all to volunteer and help these
kids out.
Speaker 3 (09:43):
All right, So.
Speaker 1 (09:44):
Hopefully next time you see a boy Scout or a
girl Scout or some other you know, school group that
is selling cookies, whatever it may be, look, if you
don't like to eat cookies, you know, buy them and.
Speaker 3 (10:02):
Bring them the work and share them with your coworkers.
That's what I would do. All right.
Speaker 1 (10:05):
We're going to take a quick break here doctor Joe Galotti.
Doctor Joegalotti dot com is our website.
Speaker 3 (10:11):
Stay tuned.
Speaker 1 (10:12):
We're going to be talking about social media and how
it applies to you the consumer, and to physicians and
nurses and doctors and the like, and how to Again,
I think this is all part of how to make
you a better consumer.
Speaker 3 (10:24):
Stand stay tuned, we'll break well. Thanks very much everybody
for tuning in on this Sunday evening. Thanks for joining
us so long. We're here every Sunday between seven and
EIGHTDM and don't forget go to our website, doctor joe
Galotti dot com, doctor Joey Galotti dot com, and that
is where you sign up for our newsletter. All of
our social media is there, and you could actually send
(10:45):
me a message. There is a link there that says
contact us, which is really contact me, yours truly, and
you can send me a message about whatever is on
your mind topics on health and wellness. You need help
trying to figure out what kind of specialists you need
to see. We're here to be a public service to
our listening community, but you have to go to doctor
(11:08):
Joeglotti dot com. All right. So a few weeks ago
I gave a presentation which is posted on the YouTube page.
It's a video that I made on the role of
social media. Now you may not realize it, but if
(11:29):
you're listening to this on the iHeartRadio app, this is
a form of social media. But for the most part,
social media in the grand scheme of things, is going
to be thought of as Twitter, Instagram, YouTube, Facebook, Pinterest,
and a whole gamut of sites that people follow along
(11:54):
Almost too many for me to name off here. And
it almost seems as if I learned about a new
social media site every week or so. But nonetheless, let
us talk about social media as the world wide Web
in general. And so in this day and age, patients
(12:14):
are going to social media, they're going to various websites
to get information. Now, I would say a lot of
my colleagues, a lot of very good colleagues, good practitioners,
well trained, experience, they've seen it all. They unfortunately, I
(12:36):
don't know how to say this, they cannot stomach the
idea of their patients going to social media, to the
web and getting information. For a couple of reasons. One
is there are patients that will come literally with fifty
pages of printed out information, highlighted yellow sticky notes, paper clips, etc.
(13:02):
And asking to analyze this. You know, is this something
that I should do? Should I be on this supplement?
Should I be on this therapy? Is this surgery safer
than what you're telling me? I don't know. Can I
go the natural route? And it is? It's really mind boggling.
And what happens is patients end up going down a
(13:26):
rabbit hole to find out information, and what turns out
as a relatively innocent search on rheumatorid arthritis takes you way, way,
way off the rails, way off the grid, and it
takes you to a place that you really don't want
to be. So when physicians are confronted with this, they
(13:49):
basically don't know how to communicate themselves out of this situation.
So one response is everything you're showing me is garbage,
which is basically discounting the time, effort, and interest that you,
the patient, you the consumer put in. The second thing
(14:12):
is that there might actually be some good information somewhat
nestled in with all of the other things that you
printed out or showed them on your iPad. And so
there are those colleagues of mine that want absolutely no
part of it, to the point where the patient will
(14:33):
almost be I don't want to say black ball, but
they'll say, oh, yeah, this is the lady, this is
the guy that comes in with all these crazy Internet
type stuff. But the way I frame it is that
when you look at the data on who is using
social media, there's about five billion people around the world.
(14:55):
So what does that tell you. All of our patients, customers,
our neighbors were all somehow making use of the Internet,
the world Wide Web, social media, wherever you may sort
of dive into. The second thing is the data would
show that most people that are regular users of the
(15:21):
Internet or social media, they are on about six different platforms.
So they're on you know, you know, the usual, I
don't have to list you here. They're on six different
apps for social media, and they're spending on average, this
is on average, over two hours a day investigating stuff
(15:45):
on the web. So a lot of people are doing it.
A lot of people are on different sites, a lot
of different sites, and they're spending a lot of time
looking at this. So you'd have to say that essentially
every single one e patients is searching out stuff on
the Internet and on social media. So my recommendation to
my colleagues, which I which I which I discussed in
(16:06):
the talk, is that you're going to have to jump
on the bandwagon. Now, you may not investigate every crazy
website that really has no factual basis for it, but
I think what you need to do is, as a
healthcare provider, have one or two or maybe three websites
(16:29):
that are within your domain of interest that you could say, look, Bob,
I understand your concern about the new diagnosis of LOOPIS,
but there's a lot of not so good information. These
are the two websites that I believe you should go
(16:51):
to for information. I go there. I like them. I
know the people that contribute and save your time, energy
and heartache by going to all these other things. Now
that's sort of a tall order. I could only hope
that some physicians will the other is. I recommended that
(17:11):
physicians become more comfortable. They start seeing the good, the bad,
the ugly on social media. And I would say within
every discipline, whether it's a surgical discipline, cancer care, orthopedics, neurology,
mental health, cardiology, pulmonary liver disease, like myself, you're going
(17:33):
to realize these are the good sites, these are the
social sites, and these are the absolute terrible sites to
stay away from. Patients want to be told what to
do or at least guided by their physicians, and it
really really behooves all of us to take an interest.
So when you see your doctor tomorrow or this coming week,
(17:55):
and you have a lot of social media or internet
related that you want to share, I.
Speaker 1 (18:02):
Would say it's okay to tell them. Look, I did
my own searching what do you think, but actually turn
it on them in a way to say, look, doctor Brown,
do you have any websites for lupus that you like?
Do you have any.
Speaker 3 (18:17):
Podcasts that you could listen to, any videos on YouTube
or Instagram that may be beneficial to help me out
to get through this tough time. So I think this
is where doctors definitely need to come up to speed
the public. The patients have to sort of come down
and sort of see I to I with their doctors.
(18:38):
But anyway, it's posted on YouTube and you could take
a look at it and let me know what you say.
All right, Newshether traffic is coming. Unfortunately, we can't say
anything about the astros now because they're eliminated. I'm doctor Joglotti.
Don't forget doctor Jogolotti dot com. We'll be right back.
Welcome back everybody, doctor Joglotti.
Speaker 4 (18:58):
And in a.
Speaker 3 (19:00):
Matter of a news break trafficing weather here on ktr H.
My voice I don't know what happened, I promise you all.
I am not smoking, but my voice just went sour
in the last ten minutes or so. But anyway, don't
(19:20):
forget doctor Joeglotti dot com is our website, and as promised,
doctor Mike Wilson, Cardiologist, no stranger to your health first,
is here in the studio tonight and we're going to
be talking about heart disease and COVID and people not
coming to the er. So Mike, thanks very much for
(19:40):
coming up tonight.
Speaker 4 (19:42):
All right, thank you for having me.
Speaker 3 (19:43):
So you are a cardiologist, why don't you first set
the stage to say, as a cardiologist, a range of
heart abnormalities that you take care of every day.
Speaker 4 (19:57):
Well, sure, they range varies from the very minor to
people with elevated blood pressure who need a little bit
of medicine, to the very major someone who's having chest
discomfort that might be a heart attack and something that's
eminently fatal. So there's quite a wide range within heart disease.
Speaker 3 (20:19):
Now, you know what one of the missions of this
program is to educate the public, and it's people may
not realize that because they have diabetes or family history
of heart disease, or high cholesterol and treglis rides, or
they're overweight, they may not fully appreciate their own risk
(20:43):
factor for heart disease. And when they develop some weird
symptom that they may not quite understand. They don't sort
of put the dots together to say, hey, wait a second,
this may be my heart. So how would you or
talk to everybody tonight about various conditions you have, risk factors, family,
(21:06):
and put it into context of heart disease and what
everybody needs to be thinking.
Speaker 4 (21:10):
That's a great point. All of us do the same thing.
We say, well, I feel good, things are going okay,
I feel just fine. So when something new rises up,
the first thought is, well, let me just wait and
see this if this will go away. So a realistic
approach to your own health is the first big step.
And one of those things is you pointed out. One
(21:33):
is look at your age. If you're over the age
of forty five, you're in the at risk group. If
you smoked, you know you're in the at risk group,
even though you may not want to admit it. High
blood pressure, diabetes, those are the things that say I'm
at risk for heart attack or other problems. So when
a new symptom arises, it should be taken seriously.
Speaker 3 (21:56):
Now do you find that the public that you're seeing
within the context of heart disease, they have a good
appreciation of this, Or when you sit down and have
that talk with them to say, look, this may be
your heart. Are they shocked when they say, well, gee,
I've got pre diabetes, I'm twenty five pounds overweight and
(22:19):
I smoked in college. Are they do they realize? They say, oh, yep,
I knew it, or they say, really, having pre diabetes
and a family history really puts me at that much risk?
Speaker 4 (22:32):
Doctor Wilson, Well, fortunately, the public education's gone a long way,
and most people do kind of generally have an idea.
What a lot of people don't recognize is the symptoms
don't stand up and wave a red flag. So half
the people who have a heart attack later look back
(22:52):
and say, but I thought it was going to hurt
more than that. So the symptoms of pressure, tightness, chest
has come it, that's worse when you exercise, or when
you get excited or get angry. Those are things that
might be the heart. And it doesn't always stand up
and wave a flag and say I'm a heart attack.
Speaker 3 (23:11):
You know, a lot of people may, like you said,
they may think that crushing chest pain radiating down their
left arm. I don't know if that's textbook and everybody's
gonna walk in.
Speaker 4 (23:23):
With that that's true. In fact, if you take everybody
who has a heart attack, there's a wide range of
the symptoms reported. Some people say, well, I had terrible
chest discomfort. Others say I just couldn't breathe and I
got very sweaty, or I got very nauseated. So it's
not always the classic presentation. So if you feel something
(23:46):
that's limiting your physical activity, or that when you become
stressed or angry, begins to limit or scare you, that's
the time to take note.
Speaker 3 (23:55):
All right, what we're gonna do. We're gonna have a
little drill right here. So I'm gonna give you a
condition disease risk factor and tell me what heart issue
this person may have. Let's just start off overweight. Somebody
is overweight. What's there the two or three heart issues
(24:15):
that may plate them?
Speaker 4 (24:17):
High blood pressure number one, two and three, and all
the sequelita that go with it.
Speaker 3 (24:23):
Okay, how about if you're a smoker.
Speaker 4 (24:27):
If you're a smoker, you're at high risk for virtually
every cardiovascular disease, in particular heart attack and stroke.
Speaker 3 (24:34):
All right, how about diabetes and a lot of people
out there are just a touch of diabetes. Now, not
too bad, Doctor Wilson, It's not that bad. I just
got a touch of diabetes, and me and my doctor
we're watching it, and I hate that term. We're watching it.
You know, it's like watching smoke come out of your
(24:55):
upstairs bedroom. You know, we're just we're just watching it.
So either pre diabetes, a touch of diabetes, or a
card carrying case of diabetes, what are their heart risk factors?
Speaker 4 (25:07):
The smoke coming out of the window is a perfect analogy.
Having diabetes is a is a physiological state that carries
more weight than just your blood sugar. So once once
you're abnormal, you are just plain abnormal. And the thing
that gets you if you're diabetic is heart attack. By
far and away.
Speaker 3 (25:29):
Now are all of the you know, smoking, overweight, diabetes,
you're talking about heart attack, cardiovascular disease, plaque in the arteries.
What about stroke?
Speaker 4 (25:42):
Stroke? Before we developed a way of treating high blood pressure,
stroke was really the number one killer. So when high
blood pressure and all of the tendant risk factors are ignored,
it is still one of the major risks that you face.
Speaker 3 (25:58):
Now symptomize the things that people complain of. If you
had to you hare at only one symptom. One complaint
that everybody out there tonight in radio land knows about
to think. Wait a second, this could be my heart.
Now I'll let you have issue number two, three and four.
(26:20):
But the number one complaint, the number one observation would be.
Speaker 4 (26:25):
What discomfort where in your chest? The most important thing
is that it's not always pain. In fact, the term
angina that we use medically is actually translated is anguish.
It's a sensation of something is badly wrong. It's not
always pain.
Speaker 3 (26:47):
What would you say after this pain or discomfort?
Speaker 4 (26:49):
Shortness of breath? Okay, the heart's job is to deliver,
and when it can't deliver, you become short of breath.
Speaker 3 (26:56):
So if you're out there and you have this chest discomfort,
an uneasy feeling, and you're short of breath, that is
a warning sign.
Speaker 4 (27:07):
That is a warning sign. That is something that you
need help in deciding whether or not it's serious or not.
Don't trust yourself and just hope that it's gonna go away,
because it may, and when it comes back next time,
that may be the last time.
Speaker 3 (27:23):
Now, I would I would say, and we've shared many
many patients over the years that patients, by nature, they
may not be the most sophisticated from a medical research standpoint.
They're not reading all the articles, but they sort of
know that chest pain, chest discomfort is not good. They
(27:48):
attribute it to GI symptoms, heartburn, indigestion, that double bean
burrito they had, That's why I'm having chest pain in
shortness of breath.
Speaker 4 (27:59):
Comment on that, it's very common that people will find
any available excuse to explain away discomfort as something other
than their heart, and it's primarily because we all do
the same thing. We want this not to be serious, fatal,
or something that actively interferes with our lifestyle.
Speaker 3 (28:19):
Right, So it is it's denial.
Speaker 4 (28:21):
It is denial, no question.
Speaker 3 (28:23):
We got to get over denial, all right, Mike, We're
gonna take a quick break. I'm with doctor Mike Wilson, cardiologist.
His website Houston mds dot org. To find out more
about Mike Wilson. I'm going to ask you why your
name is James and why we call you Mike. We will,
We'll get you know, we may have to get your
(28:44):
family on the phone anyway. I'm not to Joe Glotti.
I am going to get a glass of water and
see if I could get my voice back in two.
I don't know what's going on. Anyway, stay tuned. We'll
right back every sound between seven and eight pm. I
usually do not have a hoarse voice. And I promise
(29:08):
my cardiology friend here, doctor Mike Wilson, that I am
not smoking. There's no camels around me. But anyway, go
to doctor Joglotti dot com find out about doctor Mike
Wilson and his practice. You can go to Euston MDS
dot org to find out more about doctor Wilson and
(29:28):
his cordiology practice. So for everybody that may be just
joining us now, final segment of your health first for
this Sunday evening. The main reason for having doctor Wilson
up here and to talk about this is that not
only in heart disease, but in other specialties, patients are
(29:50):
staying away. They are not feeling well, they are sick,
they have symptoms some could be serious in life threatening,
and they're not They're not calling because of COVID. They
are afraid to go to the er, they're afraid of
catching it. Go for a procedure, go for a chest
text ray, and so a lot of attention has been
(30:13):
made with heart disease and the number of heart attacks
that are being seen in the er are down. So
doctor Mike Wilson, welcome back again. Give everybody a thirty
thousand foot view of what you have been hearing, what
has been published and talked about.
Speaker 4 (30:28):
Hi Joe, thanks, thanks again for having me. The change
that's come about due to COVID is that we see
we hear a lot on the news and elsewhere about
the risk of COVID, and it is indeed a risk
each time we go out, when we're around other people,
there's a risk of contracting an illness and it could
have problems. The problem is that some people are placing
(30:53):
a bit too much associated risk on the virus and
not paying attention to the clear and present dangers that
many of them have. For example, if I have heart
disease and I begin to have chestis comfort, I know
I've got a problem. That's a clear and present danger
for that person. COVID is more of a distant and
(31:15):
much lower risk problem. However, having been on the news,
a lot of us weigh things improperly, so we don't
quite see with the right perspective, and fear of the
virus outweighs fear of what's actually.
Speaker 3 (31:30):
Happening to talk in numbers. If you are sixty years old,
have Diambet's and overweight, like you explained in the prior
section segment, and you're having this chestis comfort and shortness
of breath as a non cardiologist, and you may say, well,
(31:52):
this is you're underplaying it. You've got better than a
fifty to fifty chance of having a heart attack. You
may have a one in ten thousand chants of getting COVID.
So and again these are rough numbers, but try to
put it into perspective. I like this clear and present
danger something bad may happen to you, compared to the
(32:15):
COVID where it's a very low likelihood that something's gonna happen.
Speaker 4 (32:20):
It's a very good point you. If you start from
the premise that let's say you're fifty five years old,
you have high blood pressure, and you have diabetes, and
you begin to have chest dis comfort that you can't explain.
Right there, you're at roughly about a four out of
ten chance that your heart's the source of your symptoms.
(32:40):
If it is, then you look at about a thirty
day risk somewhere between one and twenty and one in
six of dying or permanent disability because of your heart disease.
On the other side of that, if you contract COVID,
If you contract COVID, you're risk of very serious illness
(33:02):
is much lower than that. So going out of your
house and taking the risk of contracting COVID because of
your concerns for a heart ailment is worth that risk.
Speaker 3 (33:16):
You know, I and the trouble that I have, and
I've had this problem from the beginning of COVID. We
are talking about the number of people that die every
day from COVID, and each each one of these deaths
is tragic. I am not in any way underplaying be
(33:40):
it an older person from a nursing home, or a
fifty year old or you know, the rare thirty year
old that runs a marathon that we hear dies of COVID,
and that, though cannot overshadow our thinking of the huh
hundreds of thousands of people that die every year from
(34:04):
heart disease, or are dying from liver disease, or they
are dying of lung disease related to smoking. We are
hyper focused on the and again it sounds very cold
to say this. You know, the three hundred people that
are going to die of COVID today compared to the
(34:27):
thousands that die each day of heart attack and stroke
and cancer and stuff like that.
Speaker 4 (34:32):
That's true. It's i think in large part because this
is new. It's a big change. Any rapid change is
very noticeable. What's happened with heart disease. Let's take hypertension
for example, is it is so common, it's so prevalent
and so lethal that it's kind of fallen into the
(34:54):
background and we somewhat ignore the risk associated. If you
leave your blood pressure one's sixty one eighty, the risk
of untreated hypertension is far greater than virtually any other illness.
Speaker 3 (35:07):
Yeah. Now, the main thing that gets people in trouble
is waiting. Okay, they're gonna sit this out. They're gonna check,
they're gonna set out, the chest pain, sit out, the
shortness of bread, set out, the difficulty walking, whatever the
symptom may be. What what happens when people wait and
(35:27):
they don't get that immediate cardiac intervention.
Speaker 4 (35:32):
What happens they're setting in business, time is money. Well,
when it comes to heart disease, if you're having a
heart attack, time is muscle. A heart attack occurs because
an artery fills up with a blood clot rapidly, usually
over fifteen or twenty minutes. Blood flow stops. At twenty minutes,
(35:54):
heart muscle cells start to die and the clock is ticking.
From that point forward. That's the time where if you
get the arteryopen, you can save the day. And those
first few hours are critically important in you living a long,
healthy and risk free life or happy life, or having
permanent disability because of heart attack.
Speaker 3 (36:15):
Yeah. So in the last two minutes here, doctor Mike Wilson,
for people listening tonight, and they are concerned, and we're
not going to be able to flip anybody's concern tonight,
but what is the rationale You want to give them
the common sense approach to how to really handle new
(36:39):
symptoms chest pain, shortness of breath, uneasy feeling in the chest,
and what they should do if this happens to them.
Speaker 4 (36:48):
The first and most important thing is if you don't know,
ask somebody who does. If you are thinking that you
have some symptoms that may be related to your heart
and you're not sure or the best thing is not
to wait it out and just hope it'll go away.
The best thing is to call somebody with some training
and run it by them. You can still use the telephone.
Speaker 3 (37:11):
So you're saying, call your doctor.
Speaker 4 (37:13):
Call your doctor absolutely.
Speaker 3 (37:15):
Including your family practitioner, your internist, gynecologists, all the specialists
you see.
Speaker 4 (37:21):
Your primary care physician is always the best first choice.
And then you can go from there.
Speaker 3 (37:27):
Right now, what about getting in the car and just
heading to the local urgent care center.
Speaker 4 (37:33):
If you're having symptoms that are coming and going and
right now you feel fine, and say, boy, I just
don't want to cause anybody bother. Remember that the heart
sometimes changes turns on a dime, so that if you're
having symptoms, let's say you've had a period of chest
discomfort and breathlessness and you're not sure, the best thing
(37:54):
to do is call nine one one.
Speaker 3 (37:56):
I would agree. I would agree, Mike, it's been great
as always, you articulate complicated things better than anybody.
Speaker 4 (38:05):
Well, thank you, thanks for having me.
Speaker 3 (38:06):
And so again the message for tonight, don't sit at
home if you have a new symptom and this could
be abdominal pain, unexplained vomiting, uh, don't sit it out.
And especially as doctor Wilson said, the most deadly thing
the clear and present danger is we don't want people
with heart disease or respectors for heart disease to sit home.
(38:31):
All right, everybody, thanks for tuning in. I got to
work on my voice. My goodness. Don't forget doctor Joglotti
dot com. We'll see you next Sunday evening. And if
you're sick, get it looked at. Don't sit at home,
take care, have a great night.
Speaker 2 (38:46):
You've been listening to your Health First with doctor Joe Glotti.
For more information on this program or the content of
this program, go to your Health First dot com.
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