Advanced Health Directives: A Guide to Making Your Wishes Known with Dr. William T. Choctaw

100:00:00,890 --> 00:00:02,730Coming up on this episode of the HWWP.200:00:04,450 --> 00:00:09,140One of the things that happened in2010, that was a law that was passed300:00:09,420 --> 00:00:11,059called the Affordable Healthcare Act.400:00:11,100 --> 00:00:16,670And this law is probably the most dramaticimpact on healthcare as any other law in500:00:16,670 --> 00:00:21,696this country probably more than Medicareand some people call it Obamacare and600:00:21,696 --> 00:00:25,436a lot of things that this law did, butone of the things that it codified.700:00:26,766 --> 00:00:29,386Welcome to the Healthy, Wealthy,and Wise podcast with Dr.800:00:29,386 --> 00:00:29,986William T.900:00:29,996 --> 00:00:30,546Choctaw.1000:00:30,706 --> 00:00:35,506MDJD, where the doctor helps youunlock your full potential by equipping1100:00:35,506 --> 00:00:39,906you with tools and knowledge in theareas of health, wealth, and wisdom.1200:00:40,216 --> 00:00:44,146Anchored in his experience as abusiness executive, a physician1300:00:44,146 --> 00:00:49,026surveyor for the joint commission,a former mayor, and over 50 years1400:00:49,036 --> 00:00:50,906of experience as a general surgeon.1500:00:51,406 --> 00:00:53,446You've got questions, he's got answers.1600:00:53,986 --> 00:00:54,846So let's get started.1700:00:55,486 --> 00:00:56,086Here's Dr.1800:00:56,086 --> 00:00:56,676William T.1900:00:56,696 --> 00:00:58,066Choctaw, MDJD.2000:01:00,316 --> 00:01:00,946Good morning.2100:01:01,566 --> 00:01:01,926Good morning.2200:01:02,696 --> 00:01:06,156Thank you very much for havingme present to you this morning.2300:01:06,486 --> 00:01:08,766Could we have the first slide please?2400:01:08,831 --> 00:01:12,411We're going to work somethinga little different here.2500:01:13,281 --> 00:01:15,751We're going to talk aboutadvanced health directives.2600:01:15,781 --> 00:01:20,371I'm a physician, I'm a general surgeon,and I've been in practice over 50 years.2700:01:20,401 --> 00:01:22,071Actually, I'm a general trauma surgeon.2800:01:22,771 --> 00:01:27,321So a lot of times when patients cometo me, they're in pretty bad shape,2900:01:27,471 --> 00:01:29,241and we move very, very quickly.3000:01:29,616 --> 00:01:30,636to get things done.3100:01:31,126 --> 00:01:36,596At the same time having been in practicefor about 50 years or so, I, I've seen3200:01:36,596 --> 00:01:41,046a lot of patients that I've gone toknow, many in this church and other3300:01:41,056 --> 00:01:45,276places, and so I've been a part of theirlives, and I want to share some of that3400:01:45,276 --> 00:01:49,586with you, particularly as it has to dowith advanced health care directives.3500:01:49,586 --> 00:01:50,546Next slide, please.3600:01:51,931 --> 00:01:54,311I always like to put up a littleoutline because I want you to3700:01:54,311 --> 00:01:55,681know what I'm going to talk about.3800:01:56,001 --> 00:02:00,351And I'm, I'm keeping my eye on thelady in the back to make sure that I3900:02:00,361 --> 00:02:02,461don't get in trouble by going over.4000:02:02,461 --> 00:02:04,711But we're going to talkabout end of life issues.4100:02:04,991 --> 00:02:06,011Go back please.4200:02:06,921 --> 00:02:09,851We're going to talk about end of lifeissues, we're going to talk about the4300:02:09,851 --> 00:02:12,301definition of advanced directives.4400:02:12,311 --> 00:02:15,641It can get a little confusing, andI'm going to try to see if I can4500:02:15,681 --> 00:02:17,351simplify it as much as possible.4600:02:17,351 --> 00:02:21,331We're going to talk about notaryand then about the who, what,4700:02:21,371 --> 00:02:24,351and how of advanced directives.4800:02:24,351 --> 00:02:25,306Next slide, please.4900:02:26,446 --> 00:02:30,576When I graduated from medical schoolin 1973, and some of you weren't even5000:02:30,576 --> 00:02:35,736born in 1973, I certainly appreciatethat, but when I graduated from medical5100:02:35,736 --> 00:02:41,536school, I felt that my job was tosave lives and stamp out disease.5200:02:42,146 --> 00:02:43,396No question about it.5300:02:43,586 --> 00:02:46,486My job is to keep peoplealive at all costs.5400:02:46,811 --> 00:02:47,381No matter what.5500:02:48,411 --> 00:02:52,521But as I got a little older, over those50 years that I've been in practice,5600:02:52,841 --> 00:02:55,691I would have patients who wouldcome into my office, and I remember5700:02:55,721 --> 00:03:01,531particularly one lady who was a partof my family, and she was 80 years old.5800:03:01,936 --> 00:03:04,986And she was a good, a young 80,we call a young 80, you know,5900:03:05,026 --> 00:03:06,426active, doing different things.6000:03:06,766 --> 00:03:09,546And I would say to her, I said, you know,my major, I said, you know, you're going6100:03:09,546 --> 00:03:12,136to, you're going to be 100 years old.6200:03:12,196 --> 00:03:14,376You know, I said, you're,you're, you're really going well.6300:03:14,726 --> 00:03:17,906And she would look at me and shesaid, I don't want to live to be 100.6400:03:18,606 --> 00:03:20,206I said, of course you do, mommy.6500:03:20,286 --> 00:03:21,566I said, you know, everybody wants to.6600:03:21,926 --> 00:03:24,656She said, no, I'm notinterested in being a hundred.6700:03:26,076 --> 00:03:27,506She said, I've lived a good life.6800:03:28,126 --> 00:03:32,536You know, and she was, she was aretired surgical nurse, by the way and6900:03:32,596 --> 00:03:34,416active in the church, in her church.7000:03:34,686 --> 00:03:39,976And what, what I learned from that wasdifferent people want different things.7100:03:40,931 --> 00:03:43,751Now my mind is, I say, oh yeah,I want to be a hundred, I want7200:03:43,751 --> 00:03:44,741to be a hundred and twenty.7300:03:44,981 --> 00:03:48,131But there are people who say, no,no, no, no, no, no, no, no, no, no,7400:03:48,181 --> 00:03:49,661I, I, I don't want to be a hundred.7500:03:50,391 --> 00:03:52,281And so next slide please.7600:03:54,181 --> 00:03:54,461Next slide.7700:03:55,011 --> 00:03:57,411Physicians have a duty to inform.7800:03:57,931 --> 00:04:00,041Patients have a right to refuse.7900:04:00,601 --> 00:04:01,931You know, I can say, well Mrs.8000:04:01,931 --> 00:04:04,091Jones, I want you to do X, Y, and Z.8100:04:04,571 --> 00:04:04,891Mrs.8200:04:04,891 --> 00:04:06,721Jones can say, thank you very much Dr.8300:04:06,721 --> 00:04:08,301Choctaw, but I don't think so.8400:04:09,356 --> 00:04:10,176I don't think so.8500:04:10,496 --> 00:04:11,196What's my point?8600:04:11,196 --> 00:04:13,746My point is embrace your rights.8700:04:14,596 --> 00:04:18,606You know, you see your physician,whoever he or she may be, but remember8800:04:18,616 --> 00:04:20,266you're the one that's in control.8900:04:20,266 --> 00:04:21,186Next slide please.9000:04:22,876 --> 00:04:27,926So, one of the big changes that hasoccurred and I say this a lot of9100:04:27,926 --> 00:04:31,516times when I talk to my physiciancolleagues and they're all upset9200:04:31,516 --> 00:04:33,116about something and blah, blah, blah.9300:04:33,476 --> 00:04:37,286And I would say to them, you know whatdoctors, it's no longer about you.9400:04:38,516 --> 00:04:39,776It's no longer about you.9500:04:39,866 --> 00:04:42,046It used to be about us, doctors.9600:04:42,846 --> 00:04:46,05673, when I graduated fromYale, we could do anything we9700:04:46,056 --> 00:04:47,146want because we were doctors.9800:04:47,896 --> 00:04:50,516The world of healthcare revolved around us.9900:04:50,906 --> 00:04:53,356That is no longer the case.10000:04:53,776 --> 00:04:55,286It's about the patient.10100:04:56,316 --> 00:04:57,096Patient rights.10200:04:57,846 --> 00:04:58,821What's my point?10300:04:58,821 --> 00:05:00,026My point is you have rights.10400:05:00,716 --> 00:05:01,906Embrace your rights.10500:05:01,906 --> 00:05:02,776Next slide, please.10600:05:04,426 --> 00:05:09,836So who are these people who are mostlikely in need of an advanced directive?10700:05:11,516 --> 00:05:12,676Older patients.10800:05:13,276 --> 00:05:17,186Now my definition of older patients isgoing to be people over 60 years of age.10900:05:17,426 --> 00:05:20,626Now already I apologize to you60 year olds in the audience.11000:05:20,626 --> 00:05:24,216Because you said, I am not old.11100:05:24,256 --> 00:05:25,486I, I understand.11200:05:25,536 --> 00:05:26,426I understand.11300:05:26,796 --> 00:05:28,756But I, I had to pick an age.11400:05:29,026 --> 00:05:31,006So I just arbitrarily chose 60.11500:05:31,036 --> 00:05:32,676So please don't be offended.11600:05:32,766 --> 00:05:32,986Yeah.11700:05:33,246 --> 00:05:35,556You of course will live foreverand I'm not talking to you.11800:05:35,556 --> 00:05:38,716Okay.11900:05:38,716 --> 00:05:40,636So older adults, obviously.12000:05:40,996 --> 00:05:46,406As we get older, it becomesmore challenging for us to12100:05:46,406 --> 00:05:48,046deal with the different issues.12200:05:49,306 --> 00:05:52,066And so it's one of the things whereyou want to start that planning12300:05:52,076 --> 00:05:55,806that Attorney Brown talked about,because a lot of that takes time.12400:05:56,066 --> 00:05:57,286It's confusing.12500:05:57,286 --> 00:05:57,926It takes effort.12600:05:58,646 --> 00:06:01,936And he did a remarkable job goingthrough that in 10 or 15 minutes.12700:06:02,866 --> 00:06:05,376Severe chronic illness, thereare a lot of patients who have12800:06:05,376 --> 00:06:09,786a lot of chronic illnesses thatmakes it more difficult for them.12900:06:10,336 --> 00:06:13,616To take care of themselvesand they just get tired.13000:06:14,381 --> 00:06:15,571They just get tired.13100:06:16,001 --> 00:06:19,551And my point is that this iswhen you want to start planning,13200:06:19,551 --> 00:06:20,871if not even before then.13300:06:21,171 --> 00:06:23,771And then individuals withadvanced in dementia.13400:06:23,771 --> 00:06:25,731Now let me say, dementiameans forgetfulness.13500:06:27,031 --> 00:06:30,411Let me say there is a normaltype of forgetfulness.13600:06:31,191 --> 00:06:32,721that occurs in all of us.13700:06:32,971 --> 00:06:36,741You know, we all forget our glasses, weforget our keys, and that sort of thing.13800:06:37,061 --> 00:06:40,791So, if, if you are forgetting something,or you're forgetting a little more,13900:06:41,051 --> 00:06:43,151I am not, I'm not talking about you.14000:06:43,611 --> 00:06:44,161Okay?14100:06:44,191 --> 00:06:46,391I, I'm not saying thatyou've got dementia.14200:06:46,781 --> 00:06:48,291I'm just saying, you justhave normal forgetfulness.14300:06:49,251 --> 00:06:49,641Okay?14400:06:49,941 --> 00:06:54,601Example of normal forgetfulness isforgetting your keys, or losing your keys.14500:06:54,651 --> 00:06:55,011Okay?14600:06:55,686 --> 00:07:00,606But dementia can go on to severetypes of dementia, or the extreme14700:07:00,656 --> 00:07:03,716types where you get into thingslike Alzheimer's and others.14800:07:04,136 --> 00:07:10,386So, to make that even more dramatic,if you forget your keys and then14900:07:10,386 --> 00:07:14,376you find them on the kitchen tableor in the bedroom, that's just15000:07:14,376 --> 00:07:15,976basically normal forgetfulness.15100:07:16,546 --> 00:07:19,736But if you forget your keys andthey're in the refrigerator,15200:07:21,416 --> 00:07:23,146then that's a problem, right?15300:07:23,506 --> 00:07:23,726Right?15400:07:23,736 --> 00:07:24,546You get my drift?15500:07:25,466 --> 00:07:28,286So it depends on whereyou are on that spectrum.15600:07:28,526 --> 00:07:33,666All of us, I'm 76 years old, allof us, I clearly forget stuff,15700:07:34,026 --> 00:07:35,606all of us are on that spectrum.15800:07:35,606 --> 00:07:38,056But if you're just with normalforgetfulness, that's okay.15900:07:38,056 --> 00:07:42,046But my point is, do it nowwhen it's not a problem so you16000:07:42,046 --> 00:07:42,896don't have to worry about it.16100:07:42,896 --> 00:07:43,606Next slide, please.16200:07:45,386 --> 00:07:45,886Next slide.16300:07:46,416 --> 00:07:53,176So, advanced directives is an umbrellaterm, an umbrella term for all16400:07:53,176 --> 00:07:54,626those things that are under there.16500:07:54,936 --> 00:07:58,966You know, the wills and trusts thatAttorney Brown talked about do not16600:07:58,966 --> 00:08:01,466resuscitate power of attorney, et cetera.16700:08:01,466 --> 00:08:01,966Next slide, please.16800:08:04,391 --> 00:08:08,501Other examples of advanced directiveshave to do with funeral arrangements16900:08:08,501 --> 00:08:11,091and, and health care decisions.17000:08:11,491 --> 00:08:14,881And again, the legal types ofthings that you would put in a will.17100:08:15,181 --> 00:08:19,211One of the ways to remember about advanceddirectives is to turn the name around.17200:08:19,631 --> 00:08:22,271It is given direction in advance.17300:08:23,231 --> 00:08:24,741Okay, that's all it means.17400:08:25,021 --> 00:08:29,331Advanced directors meansgiving direction in advance.17500:08:29,601 --> 00:08:31,351And so you want to do that now.17600:08:31,351 --> 00:08:33,531You want to do it whileit's not a major problem.17700:08:34,031 --> 00:08:37,461You want to do it whileyou're not very ill.17800:08:37,491 --> 00:08:38,271Next slide please.17900:08:39,846 --> 00:08:43,716Because we don't want you to bein this situation where maybe you18000:08:43,716 --> 00:08:46,916are not conscious, where maybe youcannot speak, or whether maybe you18100:08:46,916 --> 00:08:49,096don't even remember where you are.18200:08:49,856 --> 00:08:53,006And one of the reasons why thishas become a big, big deal is18300:08:53,006 --> 00:08:54,436we've just coming out of COVID.18400:08:54,896 --> 00:08:56,966And we've lost a lot of people in COVID.18500:08:56,966 --> 00:08:59,186Thousands and thousands of people per day.18600:08:59,911 --> 00:09:02,831Not per year, not per month,not per week, per day.18700:09:03,361 --> 00:09:08,231And the hospitals have all beenoverloaded and that sort of thing, and18800:09:08,231 --> 00:09:13,641it's highlighted the whole issue ofadvanced directives because everybody18900:09:13,951 --> 00:09:17,821does not want to be resuscitatedevery single time their heart stops.19000:09:17,861 --> 00:09:18,731Next slide please.19100:09:20,571 --> 00:09:23,041Studies have shown that there are alot of people who are interested in19200:09:23,051 --> 00:09:25,981advanced erection and heard aboutit, but very few people have done it.19300:09:26,281 --> 00:09:29,941And so what we're trying to do withthis program today and other things is19400:09:29,951 --> 00:09:32,531to get that 29 percent up much higher.19500:09:32,581 --> 00:09:33,421Next slide please.19600:09:35,526 --> 00:09:38,916An advanced directive is just aliving will, a piece of paper, next19700:09:38,916 --> 00:09:40,596slide please, it's a legal document.19800:09:40,916 --> 00:09:44,926There are two main parts of an advanceddirective, the living will that Attorney19900:09:44,926 --> 00:09:48,286Brown talked about, and somethingcalled the durable power of attorney.20000:09:48,576 --> 00:09:50,636The durable power of attorney is the who.20100:09:50,646 --> 00:09:53,976You may say, you know, I want myson Preston to be in charge of20200:09:53,976 --> 00:09:55,956everything that happens to me.20300:09:56,326 --> 00:09:57,026Next slide please.20400:09:58,951 --> 00:10:02,131So, very quickly, what are someof the things medically, and I'm20500:10:02,131 --> 00:10:05,841just talking about the medicalpart DNR, do not resuscitate.20600:10:05,841 --> 00:10:11,041Some patients may say, you know what,I've been in and out of the hospital20700:10:11,171 --> 00:10:15,041for X amount of time, and if my heartstops this time, just let me go.20800:10:16,166 --> 00:10:17,076Just let me go.20900:10:17,486 --> 00:10:20,036Now, I may say, Oh my God,I would never do that.21000:10:20,036 --> 00:10:24,716I, you know, I would want you to jump onmy chest every single time my heart stops.21100:10:24,716 --> 00:10:27,636But that's me.21200:10:27,976 --> 00:10:30,676That's not, that may not be you, right?21300:10:31,206 --> 00:10:33,366And so again, what have we learned?21400:10:33,376 --> 00:10:37,936We've learned is that youhave that right to decide what21500:10:37,956 --> 00:10:40,206happens to you and your health.21600:10:40,496 --> 00:10:45,186I don't have that right to dictate that toyou or force you to do it a certain way.21700:10:45,686 --> 00:10:49,416Do not resuscitate doesnot mean do not treat.21800:10:50,096 --> 00:10:55,486Do not resuscitate means that if myheart stops, you do not do CPR, but you21900:10:55,486 --> 00:10:59,566still give me medication, you still giveme tube feedings, you still give me IV22000:10:59,596 --> 00:11:01,386fluids, et cetera, et cetera, et cetera.22100:11:01,866 --> 00:11:02,786Next slide please.22200:11:03,981 --> 00:11:07,511Durable power of attorney, AttorneyBrown has already addressed some of that,22300:11:07,511 --> 00:11:12,261but you can in your advance directivedesignate somebody to be your, to be22400:11:12,271 --> 00:11:14,681the who, who's in charge of everything.22500:11:14,751 --> 00:11:15,671Next slide please.22600:11:17,191 --> 00:11:22,001Again in the state of California, theadvance directives is, includes durable22700:11:22,021 --> 00:11:23,921power of attorney and a living will.22800:11:24,331 --> 00:11:26,871Living will just means a willthat you make while you're22900:11:26,871 --> 00:11:28,111alive, which makes sense.23000:11:28,111 --> 00:11:28,721Next slide please.23100:11:30,846 --> 00:11:34,006The ideal time to do an advanceddirective, quite honestly,23200:11:34,026 --> 00:11:35,346is in a doctor's office.23300:11:35,576 --> 00:11:39,686When you go in for your regular checkup,you know, say, you know what, Dr.23400:11:39,686 --> 00:11:43,106Choctaw, I think I want to do oneof those advanced directive things.23500:11:43,426 --> 00:11:46,166Most doctors, and many doctors,will already have the forms there.23600:11:46,176 --> 00:11:50,126If not, when you go to a hospitalfor a hospital visit, say to the23700:11:50,126 --> 00:11:52,976people at the window, you know,I think I want to fill out one of23800:11:52,976 --> 00:11:54,606those advanced directive things.23900:11:54,926 --> 00:11:56,296And you can easily do that.24000:11:56,296 --> 00:11:57,126Next slide, please.24100:11:59,721 --> 00:12:02,991If you do it in the doctor's office,the patient is awake, you don't have24200:12:02,991 --> 00:12:05,631to rush, it's a lot of stuff going on.24300:12:06,001 --> 00:12:09,921Particularly when you become,in my area, in the hospital.24400:12:09,921 --> 00:12:10,671Next slide please.24500:12:11,861 --> 00:12:14,731Again, advanced directivesyou got to have two witnesses,24600:12:14,731 --> 00:12:16,061as Attorney Brown mentioned.24700:12:16,351 --> 00:12:18,821We're talking about the state ofCalifornia now, and now this may24800:12:18,851 --> 00:12:20,681vary whatever state you live in.24900:12:20,961 --> 00:12:25,381If you live in Texas or Illinois orwhatever, it may be a little different.25000:12:25,381 --> 00:12:27,071But we're talking aboutthe state of California.25100:12:27,071 --> 00:12:27,981Next slide, please.25200:12:29,191 --> 00:12:31,071You got to sign the advanced directive.25300:12:31,381 --> 00:12:33,621It's got to be validatedand you got to be competent.25400:12:33,631 --> 00:12:34,131Next slide.25500:12:36,171 --> 00:12:39,681Exceptions in terms of the people whocan witness in the state of California,25600:12:40,231 --> 00:12:41,961they cannot be your health care agent.25700:12:42,141 --> 00:12:45,251It can't be anybody who's involvedwith your care because that would be25800:12:45,251 --> 00:12:47,501considered a conflict of interest.25900:12:47,501 --> 00:12:48,171Next slide please.26000:12:48,316 --> 00:12:51,716And additionally, one of the twowitnesses cannot be related to26100:12:51,716 --> 00:12:55,336you, so that again, it does endup being a conflict of interest.26200:12:55,336 --> 00:12:58,976I've got three minutes left, and I'm,I'm, I'm gonna, I'm gonna get there.26300:12:59,146 --> 00:12:59,626Next slide please.26400:12:59,626 --> 00:13:07,921If, if, You choose not to have witnesses,then you have a notary, and Attorney Brown26500:13:08,391 --> 00:13:10,791has already gone over that specifically.26600:13:10,831 --> 00:13:14,521But you have, just like you wouldnotarize property, you have someone26700:13:14,521 --> 00:13:17,531to notarize your advanced erect.26800:13:17,591 --> 00:13:19,171Most hospitals should have that.26900:13:19,451 --> 00:13:21,241Some doctors offices might have that.27000:13:21,311 --> 00:13:22,331Next slide, please.27100:13:23,471 --> 00:13:26,721Again, you gotta have a driver'slicense to identify who you27200:13:26,721 --> 00:13:28,011are and that you're competent.27300:13:28,021 --> 00:13:29,111Next slide, please.27400:13:30,341 --> 00:13:36,606So, if we do what we're supposed todo, As physicians, as attorneys but27500:13:36,606 --> 00:13:41,126more importantly as citizens, andwe embrace our rights and, and, and,27600:13:41,126 --> 00:13:42,906and do what we're supposed to do.27700:13:43,276 --> 00:13:48,786Then those, those, those final years canbe a very, very smooth transition for us.27800:13:49,126 --> 00:13:52,066And both children and parents are happy.27900:13:52,456 --> 00:13:55,466And then we go ahead wherewe're supposed to go.28000:13:55,506 --> 00:13:56,406Next slide please.28100:13:58,096 --> 00:14:04,046So basically, just remember that chronicillnesses and memory issues are times to28200:14:04,046 --> 00:14:05,466start considering advanced directives.28300:14:05,886 --> 00:14:08,016Actually, you can do anadvanced directive any time.28400:14:08,376 --> 00:14:13,006That you can use an attorney, butyou don't have to use an attorney.28500:14:13,376 --> 00:14:16,866But if, if you do use an attorney,I would suggest that you get an28600:14:16,866 --> 00:14:18,396attorney like Attorney Brown.28700:14:18,966 --> 00:14:20,896Some of you may not know Bernie.28800:14:21,756 --> 00:14:22,636Bernie's been a member of St.28900:14:22,636 --> 00:14:23,986Stephen's for years.29000:14:24,261 --> 00:14:27,561He's, he sits on the Board ofDirectors for Servants Arms Food29100:14:27,571 --> 00:14:29,901Bank for 10 consecutive years.29200:14:30,331 --> 00:14:31,981And he's been, here, here.29300:14:34,251 --> 00:14:37,771And he's a very good friend ofmine, so I, I, I'm just delighted29400:14:38,111 --> 00:14:41,091that you've been able to see whyhe's such an outstanding person.29500:14:41,491 --> 00:14:42,461Next slide please.29600:14:43,961 --> 00:14:48,271So, in conclusion, I have oneminute left, in conclusion.29700:14:52,221 --> 00:14:56,491Be sure, one of the things wesay in the leadership masterclass29800:14:56,491 --> 00:14:57,881is that knowledge is power.29900:14:58,831 --> 00:15:00,111Knowledge is power.30000:15:00,961 --> 00:15:03,111My message to you.30100:15:03,321 --> 00:15:08,601It's to empower yourself and makesure that you have control over30200:15:08,601 --> 00:15:10,076the last few years of your life.30300:15:10,566 --> 00:15:11,721Thank you very much.30400:15:15,951 --> 00:15:18,561Thank you for listening to thisepisode of the Healthy, wealthy,30500:15:18,561 --> 00:15:20,709and Wise Podcast with Dr.30600:15:20,709 --> 00:15:22,731William t Choctaw, md.30700:15:23,901 --> 00:15:27,411Be sure to check out other greatepisodes covering areas of health,30800:15:27,621 --> 00:15:32,756wealth, and wisdom at WW Watch.30900:15:33,261 --> 00:15:36,341you there, be sure to checkout the books, blogs, and other31000:15:36,341 --> 00:15:38,491literature in your preferred format.31100:15:38,891 --> 00:15:43,511And don't forget to leave a review,subscribe, share, and support the podcast.31200:15:44,371 --> 00:15:45,501That's at thwwp.31300:15:47,431 --> 00:15:47,611com.31400:15:48,151 --> 00:15:51,851You've been listening to the Healthy,Wealthy, and Wise podcast with Dr.31500:15:52,071 --> 00:15:52,551William T.31600:15:52,551 --> 00:15:55,976Choctaw, MD, JB.