Preventing Heart Dangers in Child Athletes: A Guide

1 00:00:00,501 --> 00:00:02,424 Speaker 1: Welcome to the healthy, wealthy and wise 2 00:00:02,524 --> 00:00:08,125 podcast with Dr William Chokta, MDJD. Our mission is to empower 3 00:00:08,164 --> 00:00:11,917 you with the knowledge and the tools you need to thrive in all 4 00:00:12,118 --> 00:00:16,204 aspects of your life. Join us now as we discuss everything 5 00:00:16,285 --> 00:00:19,823 from nutrition and exercise to money management and personal 6 00:00:19,862 --> 00:00:24,753 growth. Dr Chokta will provide insightful advice on how to 7 00:00:24,794 --> 00:00:28,064 improve your physical and financial health, as well as 8 00:00:28,123 --> 00:00:31,460 your emotional and mental well-being. Whether you're 9 00:00:31,481 --> 00:00:35,936 looking to boost your energy levels, unlock financial freedom 10 00:00:35,936 --> 00:00:40,228 or cultivate a more positive mindset, we've got you covered. 11 00:00:41,880 --> 00:00:45,901 Get ready to become the best version of yourself? So let's 12 00:00:45,941 --> 00:00:50,347 get started. Here's Dr William Chokta, MDJD. 13 00:00:51,619 --> 00:00:55,783 Speaker 2: So what is sudden cardiac risk? Number one is the 14 00:00:55,884 --> 00:01:00,243 most common cause of death in athletes. Now let me back up and 15 00:01:00,243 --> 00:01:04,879 put some things in perspective. This is very, very rare. This 16 00:01:04,900 --> 00:01:07,599 is not something that happens every day, once a month, it 17 00:01:07,620 --> 00:01:10,727 probably doesn't even happen once a year, which is probably 18 00:01:10,748 --> 00:01:14,799 why you haven't even heard of it before. But it does happen. And 19 00:01:14,799 --> 00:01:17,313 the point I'm trying to make and I'll make this one, or try 20 00:01:17,334 --> 00:01:21,448 to make this one throughout out, especially this morning is if 21 00:01:21,509 --> 00:01:25,900 this athlete or this child is your child or your family member 22 00:01:25,900 --> 00:01:28,602 , you don't care about the numbers. You don't care if it's 23 00:01:28,802 --> 00:01:33,542 one in 100, one in 1,000, one in 50,000. You don't want it to 24 00:01:33,581 --> 00:01:37,707 happen to your child. So we'll talk about some mitigation 25 00:01:37,748 --> 00:01:41,161 things that I recommend that could be done, and even some 26 00:01:41,200 --> 00:01:44,370 things that I think parents can do, just sort of help with this. 27 00:01:44,370 --> 00:01:48,829 But we'll get into that a bit later. Remember this guy this is 28 00:01:48,829 --> 00:01:53,454 Bronny James. Bronny James, if you don't know, is the son of 29 00:01:53,875 --> 00:01:57,504 the great LeBron James, probably one of the most famous 30 00:01:57,563 --> 00:02:03,766 basketball players in our time. Needless to say, bronny is his 31 00:02:03,825 --> 00:02:11,447 son same genes. So no big surprise that Bronny decides 32 00:02:11,467 --> 00:02:15,843 that he must follow dad's footsteps. No big surprise there 33 00:02:15,843 --> 00:02:20,335 and he's obviously very, very good, or he wouldn't be on these 34 00:02:20,335 --> 00:02:24,826 teams and he wouldn't have been drafted by one of the best 35 00:02:24,866 --> 00:02:28,762 schools with teams in the country USC. But Bronny is the 36 00:02:28,822 --> 00:02:32,875 reason for this particular discussion, because Bronny is 37 00:02:32,935 --> 00:02:39,200 not. He's relatively unique, but he's not that unique. And the 38 00:02:39,381 --> 00:02:42,530 argument that I'm going to try to make, starting now and toward 39 00:02:42,530 --> 00:02:47,347 the end of this discussion, is we can do more, in my judgment, 40 00:02:48,048 --> 00:02:54,149 to protect our student athletes. My grandson is named Vincent. 41 00:02:54,360 --> 00:02:57,724 He's a star soccer player, all the things, whatever you want to 42 00:02:57,724 --> 00:03:01,925 call it, graduated from high school this year as well as the 43 00:03:01,965 --> 00:03:06,645 way to college next year. There are hundreds, if not thousands, 44 00:03:06,724 --> 00:03:11,082 of athletes just like Bronny and Vincent, and my point is I 45 00:03:11,143 --> 00:03:17,639 think we can do a better job in helping and protecting them. Now 46 00:03:17,639 --> 00:03:21,610 , when we talk about sudden cardiac death, let's back up and 47 00:03:21,610 --> 00:03:25,585 say but what is the most common cause of heart problem, which 48 00:03:25,645 --> 00:03:30,920 is rare, okay, in young people or in athletes? And the most 49 00:03:31,001 --> 00:03:35,536 common cause, the most common type of heart problem in young 50 00:03:35,576 --> 00:03:40,483 people is something called myocarditis. Now, everything in 51 00:03:41,948 --> 00:03:47,229 medicine has a meaning. So when we say myo, myo means muscle 52 00:03:48,901 --> 00:03:56,021 Carp, c-r-d means heart and ids means inflammation of. So when I 53 00:03:56,021 --> 00:04:00,912 say myocarditis, I'm talking about inflammation of the heart 54 00:04:00,951 --> 00:04:07,360 muscle, again a relatively rare problem, but it does occur. So, 55 00:04:07,561 --> 00:04:13,197 in general, this is considered to be the most common reason why 56 00:04:13,197 --> 00:04:18,009 young people may very well have cardiac death in their youth. 57 00:04:19,199 --> 00:04:23,370 However, it is not the most common reason for sudden cardiac 58 00:04:23,370 --> 00:04:27,761 death, which is why we're mentioning it in context and 59 00:04:27,800 --> 00:04:30,867 just want you to be aware of it. But myocarditis is not what 60 00:04:30,887 --> 00:04:35,084 we're going to talk about today. Okay, so with myocarditis and 61 00:04:35,163 --> 00:04:38,151 as the name implies, if you have an inflammation of your muscle, 62 00:04:38,151 --> 00:04:41,269 let's say the heart muscle, usually you're going to have 63 00:04:41,329 --> 00:04:44,257 symptoms over time. You're going to have soreness, you're going 64 00:04:44,278 --> 00:04:47,982 to have discomfort, you're going to have pain. So, myocarditis 65 00:04:48,101 --> 00:04:51,709 reded. It is a serious problem, but it is something that occurs 66 00:04:51,889 --> 00:04:56,360 over time. It is something that occurs over time. What I'm 67 00:04:56,401 --> 00:05:01,350 talking about is sudden cardiac arrest, something that happens 68 00:05:01,430 --> 00:05:04,803 immediately, and this is what we're going to focus on this 69 00:05:04,843 --> 00:05:11,786 morning. When sudden cardiac arrest occurs and this is when 70 00:05:11,867 --> 00:05:16,245 you are in a crowd or you're in a store, you're out walking on 71 00:05:16,264 --> 00:05:18,951 the street, you're in a park and , all of a sudden, the person 72 00:05:19,139 --> 00:05:22,689 suddenly drops to the floor, to the ground, because the heart 73 00:05:22,709 --> 00:05:28,201 just stops, sudden cardiac arrest. Most of these, 74 00:05:28,401 --> 00:05:32,350 understandably, are going to be outside of the hospital. As you 75 00:05:32,389 --> 00:05:35,601 might imagine, many of these patients are not sick. Again, 76 00:05:35,641 --> 00:05:38,305 we're talking about athletes. They're not ill in general. 77 00:05:38,920 --> 00:05:41,528 They're running around like any other healthy young person would 78 00:05:41,528 --> 00:05:48,137 be. So their survival depends on them being in a hospital or 79 00:05:48,156 --> 00:05:51,226 close to a hospital where they can get certain types of 80 00:05:51,247 --> 00:05:54,644 treatment. So what am I saying? I'm saying those types of 81 00:05:54,663 --> 00:05:58,440 treatments should be outside of the hospital. And then, very 82 00:05:58,461 --> 00:06:04,351 specifically, one is the deprivileged, the automatic 83 00:06:04,391 --> 00:06:08,882 deprivileged, which can easily be portable. You will see them 84 00:06:08,961 --> 00:06:12,540 in some airports when you go to catch your plane. You will see 85 00:06:12,562 --> 00:06:15,615 them in some malls, shopping malls where a lot of people are, 86 00:06:15,615 --> 00:06:20,726 where crowds of people congregate, because anybody can 87 00:06:20,807 --> 00:06:25,401 subtly have a cardiac arrest if you have some pre-existing 88 00:06:25,422 --> 00:06:33,108 cardiac condition. So let's sort of take another look at this. 89 00:06:35,660 --> 00:06:41,093 The most common diagnosis in patients, young people, who have 90 00:06:41,093 --> 00:06:47,062 sudden cardiac arrest, is what we call cardiomyopathy. Okay, 91 00:06:47,406 --> 00:06:52,026 cardiomyopathy. Again, let's break the word up medically 92 00:06:52,307 --> 00:06:56,464 Cardio. Cardio is a heart my over. We're talking about muscle 93 00:06:56,464 --> 00:07:01,910 Opathy. We're talking about a disease of the heart and muscle 94 00:07:03,021 --> 00:07:05,165 and this is a disease that you're born with. It's not 95 00:07:05,225 --> 00:07:07,911 anything they did. It's not anything that they should or 96 00:07:07,930 --> 00:07:11,086 should not have reported. It's not anything that they ate or 97 00:07:11,187 --> 00:07:14,420 it's not an injury. They were born with. It's in their genes, 98 00:07:15,000 --> 00:07:17,906 it's from mom and dad and grandma and great dad and all 99 00:07:17,947 --> 00:07:21,862 the way up that genetic chain. Okay, and because they were born 100 00:07:21,862 --> 00:07:26,060 with it, they don't know. They have it. They don't, and that's 101 00:07:26,120 --> 00:07:30,968 part of the problem. The good news is we know that the 102 00:07:31,028 --> 00:07:34,300 majority of these patients, these young people, could be 103 00:07:34,360 --> 00:07:38,891 diagnosed with a simple test called an electrocardiogram, an 104 00:07:39,050 --> 00:07:42,389 EKG. This is where they hook up the things to your heart and 105 00:07:42,408 --> 00:07:47,305 they have you lay down and then they run the strip and it just 106 00:07:47,444 --> 00:07:50,009 monitors your heartbeat, shows you how your heart is beating. 107 00:07:50,610 --> 00:07:53,680 So keep that in mind. We're going to come back to that. Most 108 00:07:53,680 --> 00:07:58,509 of these problems could be diagnosed ahead of time by 109 00:07:58,569 --> 00:08:02,543 getting a basic test. I don't know how much it costs, but it's 110 00:08:02,543 --> 00:08:11,064 not that expensive. Most sports programs do not do EKGs on the 111 00:08:11,225 --> 00:08:15,863 athletes, right? So we're going to talk about that a bit later 112 00:08:15,884 --> 00:08:23,225 too. And so then the issue is well, if the team won't do it, 113 00:08:23,375 --> 00:08:28,017 who should do it? If it's my son or my grandson, how do I 114 00:08:28,079 --> 00:08:32,216 protect him. How do I make sure that everything is okay? Let's 115 00:08:32,235 --> 00:08:37,201 say, my kid plays club soccer and every Saturday or Saturday 116 00:08:37,240 --> 00:08:40,557 and Sunday they go off for a team, but for a game. How do I 117 00:08:40,616 --> 00:08:46,361 make sure that my 20-year-old, my 15-year-old, does not end up 118 00:08:46,402 --> 00:08:50,956 having acute cardiac arrest, a sudden cardiac arrest? Again, 119 00:08:51,417 --> 00:08:55,578 it's a rare problem based on numbers, but indeed it does 120 00:08:55,620 --> 00:09:01,600 happen. Just a general review Most people who have heart 121 00:09:01,642 --> 00:09:06,384 disease, who are adults, have what's called coronary heart 122 00:09:06,404 --> 00:09:11,404 disease. The coronary artery is the main artery that supplies 123 00:09:11,585 --> 00:09:15,399 the heart. Think of the heart as a muscle. Think about your fist 124 00:09:15,399 --> 00:09:19,361 Heart's, about the size of your fist ball down. It's a muscle. 125 00:09:19,796 --> 00:09:23,660 It pumps blood throughout the body. What makes that muscle 126 00:09:23,721 --> 00:09:26,182 work, among other things, is the muscle getting good blood 127 00:09:26,201 --> 00:09:30,823 supply. If you clog up the arteries or the canals that take 128 00:09:30,823 --> 00:09:34,322 the blood to that muscle, that muscle won't work nearly as well 129 00:09:34,322 --> 00:09:37,022 . And that's usually what happens as we get older and 130 00:09:37,123 --> 00:09:40,956 older and older and depending on our lifestyle, our eating 131 00:09:41,015 --> 00:09:44,638 habits, whether we exercise and not, etc. And then we end up 132 00:09:44,658 --> 00:09:48,000 with coronary artery disease. Young people and when I say 133 00:09:48,020 --> 00:09:51,316 young people I'm talking about less than 21 years of age don't 134 00:09:51,376 --> 00:09:56,159 have problems with the coronary artery in general. If they have 135 00:09:56,200 --> 00:10:00,205 heart problems, it's going to be caused by cardiomyopathy, 136 00:10:00,556 --> 00:10:04,643 something that they were born with Again, very rare, very rare 137 00:10:04,643 --> 00:10:10,196 . But if it's your child, you don't care with the muscle. So 138 00:10:10,297 --> 00:10:14,123 who are these kids? Well as we said, they're young, less than 139 00:10:14,163 --> 00:10:18,101 25 years of age. They play the basic sports basketball, 140 00:10:18,162 --> 00:10:23,745 football. Some have theorized that because they are athletes 141 00:10:25,355 --> 00:10:30,697 and this is where the hormones are highest in athletes or in 142 00:10:30,716 --> 00:10:34,179 teenagers rather not as in teenagers that this is why 143 00:10:34,201 --> 00:10:36,621 there's the self-worth. No one knows whether that's true or not 144 00:10:36,621 --> 00:10:40,879 . That's just a theory, but we do know that the body is 145 00:10:40,919 --> 00:10:45,004 changing at different stages of life and doing different ages, 146 00:10:45,095 --> 00:10:49,197 and whether that change is associated with hormone changes 147 00:10:49,217 --> 00:10:52,437 that normally occurs in every single child we don't really 148 00:10:52,557 --> 00:10:57,360 know, but it's just something to keep in mind. So what we're 149 00:10:57,399 --> 00:11:01,735 talking about is the heart and heart-related problems. Again, 150 00:11:01,897 --> 00:11:05,440 in general, across the country, most common cause of death is 151 00:11:05,480 --> 00:11:11,417 heart disease. In general, across the country there is some 152 00:11:11,417 --> 00:11:16,157 data on sudden cardiac arrest in athletes, but it's very 153 00:11:16,317 --> 00:11:19,658 little data. And think about that. How would you do that 154 00:11:19,698 --> 00:11:23,279 study? Would you go around? Would you send out 155 00:11:23,320 --> 00:11:26,359 questionnaires to different teams and ask them to fill it 156 00:11:26,438 --> 00:11:31,505 out? Fill it out? Would a coach want you to give his players 157 00:11:34,195 --> 00:11:38,024 information or that you want them to fill out? Or would he 158 00:11:38,044 --> 00:11:40,307 say you know what? We don't want to deal with that sort of stuff 159 00:11:40,307 --> 00:11:42,698 . We're trying to want to gain. Here we're trying to go to the 160 00:11:42,739 --> 00:11:45,198 state championship and you're talking about something that 161 00:11:45,239 --> 00:11:49,038 doesn't even happen, but one in 40,000. Thank you very much, 162 00:11:49,254 --> 00:11:53,264 goodbye. So my point is, the reason why we don't know a lot 163 00:11:53,303 --> 00:11:57,524 about this is that there's not a lot of incentive, if you will, 164 00:11:58,075 --> 00:12:02,080 but research to be done about it . Again, I'll go back to my 165 00:12:02,120 --> 00:12:06,336 familiar friend. If it's your child, you don't care. You want 166 00:12:06,356 --> 00:12:12,326 the best for her or for him, if indeed he or she are athletic or 167 00:12:12,326 --> 00:12:15,437 involved in athletic competition. So we have some 168 00:12:15,477 --> 00:12:18,957 basic information, but it's old information, and it tells us 169 00:12:18,998 --> 00:12:22,080 basically what we already know that if you play basketball or 170 00:12:22,100 --> 00:12:25,222 football or soccer or any of those high intensity sports, 171 00:12:25,634 --> 00:12:29,015 you're more likely to have sudden cardiac arrest than if 172 00:12:29,035 --> 00:12:35,998 you participate in less dramatic sports. Again, as we said, 173 00:12:37,201 --> 00:12:42,317 cardiac arrest is different from heart attack and one of the 174 00:12:42,337 --> 00:12:46,379 things that we like to mention and we said it before heart 175 00:12:46,399 --> 00:12:50,662 attack is a plumbing problem. Cardiac arrest is an electrical 176 00:12:50,701 --> 00:12:54,717 problem Because, in addition to being a muscle, the heart also 177 00:12:54,879 --> 00:13:00,940 is an electrical unit. It's an electrical unit. So what do you 178 00:13:00,960 --> 00:13:03,558 do when you're sitting at home and all the lights go out or 179 00:13:04,019 --> 00:13:07,780 your TV doesn't work? You know, first thing you can call the 180 00:13:07,801 --> 00:13:10,903 repair people they have. First thing they'll say is unplug it 181 00:13:11,034 --> 00:13:14,840 and plug it back in again after five minutes. So that's what you 182 00:13:14,840 --> 00:13:18,384 do, right, because it's an electrical unit. So what are you 183 00:13:18,384 --> 00:13:21,878 doing? We used to call it an old-age rebooting. You know, I 184 00:13:21,937 --> 00:13:25,155 don't even think people use that term anymore. Think about it, 185 00:13:25,197 --> 00:13:28,498 then, because it's an electrical unit and sometimes the 186 00:13:28,557 --> 00:13:30,660 electrical current just don't do what they're supposed to do. 187 00:13:30,815 --> 00:13:34,942 Now I don't really understand it , but I know that more likely 188 00:13:34,981 --> 00:13:37,995 than not, unplugging it and plugging it back in works. So 189 00:13:38,015 --> 00:13:40,600 that's usually what I do. Well, the heart is sort of similar. 190 00:13:41,215 --> 00:13:45,743 The heart is sort of similar. In medicine we call that shocking 191 00:13:45,942 --> 00:13:51,538 the heart, we call that shock in the heart, and we do that with 192 00:13:51,558 --> 00:13:56,022 the defibrillation machine, and we'll mention that a bit later. 193 00:13:56,142 --> 00:13:59,135 Also, one of the things I do like to mention I've mentioned 194 00:13:59,155 --> 00:14:02,817 this before, but I think it's always important to mention that 195 00:14:02,817 --> 00:14:06,298 men and women experience heart attack. I'll tell my cardiac 196 00:14:06,339 --> 00:14:09,884 arrest now. I'll tell my heart attack which occurs in. Elderly 197 00:14:09,923 --> 00:14:15,059 patients or adult patients more often experience heart attack 198 00:14:15,080 --> 00:14:19,796 symptoms differently, and this is based on the fact that when I 199 00:14:19,796 --> 00:14:23,681 was in medical school in the 70s, the early 70s, the studies 200 00:14:23,740 --> 00:14:27,400 were based on men. You know, men were the only ones in the 201 00:14:27,421 --> 00:14:32,196 studies, and so what we learned, which is what triggers or 202 00:14:32,255 --> 00:14:36,000 stimulates our practice of medicine, was based on how men 203 00:14:36,100 --> 00:14:38,677 react when they have a heart attack, where you have a 204 00:14:38,697 --> 00:14:41,759 crushing sub-serminal chest pain in the middle of the chest that 205 00:14:41,759 --> 00:14:45,660 radiates to the right arm. What's important to understand, 206 00:14:45,855 --> 00:14:49,619 and what further studies have shown, is that that's not true 207 00:14:50,782 --> 00:14:57,325 with women necessarily, that indeed women I may not have the 208 00:14:57,546 --> 00:15:01,563 classic crushing sub-serminal chest pain in the middle of the 209 00:15:01,624 --> 00:15:06,099 chest, like somebody is sitting on your chest that then radiates 210 00:15:06,099 --> 00:15:10,020 to the left arm, that men have. Women may come in and they may 211 00:15:10,041 --> 00:15:12,457 say well, you know, I just sort of feel faint, I just feel a 212 00:15:12,477 --> 00:15:15,442 little lightheaded, or I just been a little short of breath, 213 00:15:15,554 --> 00:15:17,956 and I don't really know why I'm short of breath. You know I 214 00:15:17,975 --> 00:15:20,981 haven't been doing anything, I haven't been exercising or 215 00:15:21,001 --> 00:15:23,735 whatever. Yeah, I do have some chest discomfort, but it's not 216 00:15:23,775 --> 00:15:28,561 horrible. Blah, blah, blah, blah , blah. An entire area as I 217 00:15:28,640 --> 00:15:34,187 mentioned before of medicine now is now devoted to female 218 00:15:34,349 --> 00:15:40,479 cardiac health. Female cardiac health Medicine is one of those 219 00:15:40,619 --> 00:15:45,582 areas that evolves all the time and it will continue to evolve. 220 00:15:46,216 --> 00:15:50,663 It is not 100 percent today, it will not be 100 percent tomorrow 221 00:15:50,663 --> 00:15:55,418 . So my health care? But it continues to evolve. So it's one 222 00:15:55,418 --> 00:15:59,679 of the reasons why many times there's not a static best answer 223 00:15:59,679 --> 00:16:03,457 for what I should do all the time for my health, but just 224 00:16:03,479 --> 00:16:06,975 keep that in mind. I just think that's an important factor. I 225 00:16:06,996 --> 00:16:11,605 might also parenthetically add that health care also is noticed 226 00:16:11,605 --> 00:16:17,524 that very ethnic groups don't always respond the same way with 227 00:16:17,524 --> 00:16:21,355 a heart attack. Again, it depends on your genes, it 228 00:16:21,375 --> 00:16:24,981 depends on your culture, it depends on your habits, and on 229 00:16:25,022 --> 00:16:28,982 and on and on. So diversity is more than just something 230 00:16:29,043 --> 00:16:33,419 socially acceptable. It's good health care, it's smart health 231 00:16:33,461 --> 00:16:36,956 care, it's quality health care that you need to take that into 232 00:16:36,996 --> 00:16:40,884 consideration and not just sort of paint everybody with the same 233 00:16:40,884 --> 00:16:45,775 brush. One of the things that I've learned this has really 234 00:16:45,816 --> 00:16:48,522 been more particular since I've been doing these podcasts and 235 00:16:48,562 --> 00:16:54,062 masterclass discussions and research is how important he is 236 00:16:54,523 --> 00:16:58,623 to heart problems. Didn't really appreciate that five, 10 years 237 00:16:58,702 --> 00:17:05,003 ago, but with this year in the hottest year in the planet in 238 00:17:05,084 --> 00:17:10,123 our history, and whether you don't have to live in Arizona, 239 00:17:10,182 --> 00:17:14,801 in the desert or Palm Springs, we're supposed to be 100 degrees 240 00:17:14,801 --> 00:17:20,362 today. It's a problem. It's a problem. The way that he hurts 241 00:17:20,422 --> 00:17:24,261 you is primarily, or one of the main reasons it hurts is with 242 00:17:24,301 --> 00:17:28,500 your heart. How does that happen ? It makes your heart work more. 243 00:17:28,500 --> 00:17:33,457 Okay, so think about it. So if your heart is weak, let's say 244 00:17:33,497 --> 00:17:37,445 you've got some heart disease and you take medication for it 245 00:17:38,656 --> 00:17:42,782 and your heart is taking care of you, but you now increase and 246 00:17:42,823 --> 00:17:47,200 triple the demand on that heart. That heart may not be able to 247 00:17:47,480 --> 00:17:52,809 ramp up to that level and then the heart stops and you end up 248 00:17:52,829 --> 00:17:57,743 having a heart attack. Okay, so my point, my bottom line, is be 249 00:17:57,804 --> 00:18:01,020 very, very careful of the heat. Please, please, please, drink a 250 00:18:01,060 --> 00:18:05,338 lot of water. Please hydrate yourself, please remember that 251 00:18:05,500 --> 00:18:12,583 if it's 85 degrees outside and you're in a house or in a room 252 00:18:12,663 --> 00:18:17,736 that's a closed space and you do not have air conditioning, it 253 00:18:17,776 --> 00:18:21,875 may be over 100 degrees where you are in that closed space. So 254 00:18:21,875 --> 00:18:26,560 just in case it's 85 degrees outside, it may be 105 degrees 255 00:18:26,862 --> 00:18:30,977 where you are. So please be aware that. Likewise, if you're 256 00:18:30,997 --> 00:18:34,476 around young children, if you're around elderly people, make 257 00:18:34,516 --> 00:18:38,941 sure you double triple check on them Right. Don't assume that 258 00:18:38,961 --> 00:18:42,519 just because you feel okay, that they feel okay, they may not 259 00:18:43,175 --> 00:18:46,692 Right. And then, obviously, if there is any type of medical 260 00:18:46,752 --> 00:18:49,983 problem associated with that with the children or with the 261 00:18:50,064 --> 00:18:54,778 adults, it makes it worse. It makes it worse. So just please 262 00:18:54,837 --> 00:18:57,137 keep in mind that heat exhaustion, heat stroke, are 263 00:18:57,157 --> 00:19:00,640 real problems. They occur more and more People are dying from 264 00:19:00,720 --> 00:19:06,977 it, and so there are things that we can do to help them and what 265 00:19:06,977 --> 00:19:09,756 we do with these series of discussions and whatever. We 266 00:19:09,776 --> 00:19:12,761 talk about what we can do, we don't talk about stuff that 267 00:19:12,781 --> 00:19:15,717 other people control. We talk about what we can do Either to 268 00:19:15,757 --> 00:19:20,175 help ourselves or maybe to reach out and help somebody else. It 269 00:19:20,195 --> 00:19:25,373 might be at work, or be in the park, or be at a store, or be at 270 00:19:25,373 --> 00:19:31,674 church, or on and on and on. So let's get back to our topic 271 00:19:31,835 --> 00:19:35,198 Sudden cardiac arrest in young people. Again, it's a rare, but 272 00:19:35,218 --> 00:19:39,849 it's a serious problem. You may remember the sudden cardiac 273 00:19:39,910 --> 00:19:43,242 arrest that occurred in this young man, again 20 something, 274 00:19:44,315 --> 00:19:48,557 but his that's way some was a little different. He was 275 00:19:48,636 --> 00:19:53,396 actually hit in the chest so he had a trauma. Now, most of my 276 00:19:53,477 --> 00:19:58,798 life I have been practicing as a trauma surgeon my job. I'm one 277 00:19:58,818 --> 00:20:01,196 of those guys and called in at three o'clock in the morning 278 00:20:01,718 --> 00:20:06,076 when somebody has been hit by a car, a shot or stab, and we get 279 00:20:06,156 --> 00:20:09,865 in and we get in and do what we do to try to save that person's 280 00:20:09,925 --> 00:20:14,383 life. One of the most common cause of death in young people 281 00:20:15,144 --> 00:20:19,463 in general now less than 60, less than 50, tends to be trauma 282 00:20:19,463 --> 00:20:25,525 Cardiac disease, gunshot wounds , stab wounds, falls, et cetera, 283 00:20:25,525 --> 00:20:30,121 et cetera, et cetera. But in this case, this particular type 284 00:20:30,261 --> 00:20:35,718 of cardiac arrest was caused by a sudden blow to the heart which 285 00:20:35,718 --> 00:20:40,087 , is believed, interrupted the electrical system of the heart. 286 00:20:40,555 --> 00:20:45,715 Ok, it's like again, your TV is plugged into the wall but you 287 00:20:45,736 --> 00:20:49,665 take scissors and you cut the cord or you hit it very hard. 288 00:20:50,255 --> 00:20:54,546 You may interrupt the flow of that electricity and cause that 289 00:20:54,727 --> 00:21:03,208 area to not function properly. So what are some of the symptoms 290 00:21:03,208 --> 00:21:08,560 of sudden cardiac arrest? Now you're saying, okay, dr Chakta, 291 00:21:08,579 --> 00:21:11,267 you're saying sudden, but now you're talking about symptoms 292 00:21:11,674 --> 00:21:14,001 and what I'm talking about is. I'm talking about immediate 293 00:21:14,041 --> 00:21:17,497 symptoms. Let me give you a hypothetical. Let's say I'm 294 00:21:17,517 --> 00:21:20,628 coach of a soccer team. You can tell I talk a lot about some. 295 00:21:21,316 --> 00:21:25,260 That's what I'm going to do. But let's say I'm coach of a soccer 296 00:21:25,260 --> 00:21:30,444 team, all right, and there's Johnny who I think is just sort 297 00:21:30,464 --> 00:21:35,843 of a cut up. I think he just doesn't. He's a good player but 298 00:21:36,384 --> 00:21:40,636 he doesn't work as hard as he should work. And so after 299 00:21:40,676 --> 00:21:43,846 practice I have all the players to run around the field twice 300 00:21:45,794 --> 00:21:50,036 before they go in to get ready to go home. And so on this 301 00:21:50,116 --> 00:21:52,804 particular day, I tell him to do the same thing to run around 302 00:21:52,824 --> 00:21:57,824 the field. Johnny runs about halfway on the field and then 303 00:21:57,884 --> 00:22:02,537 stops. And I go up to Johnny and I said what's your problem? He 304 00:22:02,557 --> 00:22:05,119 said oh, coach, I'm just tired. I said well, everybody's tired. 305 00:22:05,755 --> 00:22:13,767 I said if you want to be in, boppe or Messi, or, or, or, what 306 00:22:13,767 --> 00:22:16,654 , what, what are the great players? You got a question and 307 00:22:16,694 --> 00:22:20,955 think about that's. That's the culture of sports, right, sports 308 00:22:20,955 --> 00:22:23,923 , and, and you know, superstar athletes. They pushed themselves 309 00:22:23,923 --> 00:22:28,356 beyond the limits. That's what we expected of them. When, when, 310 00:22:28,356 --> 00:22:32,791 when Mahomes spins around like a top five times and jumps up 311 00:22:33,133 --> 00:22:37,326 and throws the football a hundred yards and hits them by 312 00:22:37,346 --> 00:22:41,662 the end zone and wins the game, we said, wow, how did he do that 313 00:22:41,662 --> 00:22:46,516 ? You know, so we expect miracles from our athletes. My 314 00:22:46,576 --> 00:22:51,570 point is very simple, is that, particularly with children, we 315 00:22:51,590 --> 00:22:55,544 need to dial it back a more upon that. Sometimes, when little 316 00:22:55,585 --> 00:22:58,434 John is saying that he may really have a problem, he may 317 00:22:58,576 --> 00:23:02,830 not just be trying to get out of doing his job, because some of 318 00:23:02,851 --> 00:23:07,281 the early symptoms they're usually free is they may be more 319 00:23:07,281 --> 00:23:11,176 , more exhausted than normal for them. They may be more short of 320 00:23:11,176 --> 00:23:16,076 breath so that they aren't able to complete the task. They may 321 00:23:16,096 --> 00:23:19,502 feel dizzy or faint, which certainly you wouldn't expect in 322 00:23:19,502 --> 00:23:23,363 a 15 year old or a 16 year old. They may complain of chest pain 323 00:23:23,363 --> 00:23:26,728 . So my point is and this is probably really more for the 324 00:23:26,748 --> 00:23:31,241 coaches than and the people who work with groups of youth just 325 00:23:31,321 --> 00:23:36,884 be cognizant of that fact. I'll I'll. I'll give an example, 326 00:23:38,134 --> 00:23:40,624 another of yours I mentioned. I'm a trauma surgeon, a friend 327 00:23:40,663 --> 00:23:46,163 of mine who worked at Mount San Antonio College. I was a trainer 328 00:23:46,163 --> 00:23:49,182 . She was a trainer and she would be a trainer for a lot of 329 00:23:49,202 --> 00:23:52,699 the high school football games and her job would be to be on 330 00:23:52,719 --> 00:23:56,974 the field on the sidelines and if someone gets hurt or, you 331 00:23:57,015 --> 00:24:00,903 know, a sprains the leg or brains or whatever, she would go 332 00:24:00,903 --> 00:24:04,737 out and do whatever the trainers do whatever. But he 333 00:24:04,757 --> 00:24:07,845 came to me one day and she said Dr Chalka, I need you, I need 334 00:24:07,884 --> 00:24:12,960 you. I said okay. She said would you be interested in sort of 335 00:24:13,039 --> 00:24:18,115 working with me on the sidelines for high school games? I said 336 00:24:18,636 --> 00:24:23,559 you know, I'm really pretty busy . I don't really have a lot of 337 00:24:23,599 --> 00:24:27,837 time I deal with that. But she pushed me. She said you know, 338 00:24:27,857 --> 00:24:32,378 she said I'm worried. She said I'm really worried, and this is 339 00:24:33,162 --> 00:24:39,720 20 years ago. She said these kids get hit out there. And she 340 00:24:39,759 --> 00:24:43,701 said I'm not a doctor. She said but I'm not sure they should be 341 00:24:43,721 --> 00:24:46,440 going back into these games. Coach, that's okay, you'll be 342 00:24:46,500 --> 00:24:50,196 all right. You know they spray this or give them whatever. Okay 343 00:24:50,196 --> 00:24:53,247 , get back in the game, get back in the game. And she said I'm a 344 00:24:53,247 --> 00:24:57,801 little nervous. I'm a little nervous. Well, as the trainer, 345 00:24:57,843 --> 00:25:01,416 we sort of reached the compromise. One of the schools 346 00:25:01,457 --> 00:25:05,325 that she was the trainer was a school where my son is an 347 00:25:05,465 --> 00:25:15,715 athlete. Okay, I said, talk to me. I said okay, talk to me this 348 00:25:15,715 --> 00:25:19,439 is no Galas high school. And he decided, of course I was 349 00:25:19,479 --> 00:25:24,560 against it. He decided he wanted to play football. I said, oh 350 00:25:24,621 --> 00:25:28,717 God, you're in the world, I'm a trauma surgeon, why do you want 351 00:25:28,737 --> 00:25:34,923 to play football? But okay, okay , I'm trying to be a good parent 352 00:25:34,923 --> 00:25:38,397 , I'm trying to meet him halfway you know, what I mean. And I 353 00:25:38,438 --> 00:25:42,398 said okay, okay, okay. I said please be careful. So I told 354 00:25:42,439 --> 00:25:45,840 Cassandra, this is the trainer. I said I will do, because she 355 00:25:45,901 --> 00:25:49,596 also didn't know Galas. I said I will do it, for no, galas, I 356 00:25:49,635 --> 00:25:54,946 will be on the field for the team that my son plays on Friday 357 00:25:54,946 --> 00:26:00,173 nights. So she said okay, okay, and the coaches were very nice, 358 00:26:00,173 --> 00:26:04,097 they were very, very nice. And I went in with one and I told 359 00:26:04,117 --> 00:26:08,961 the coaches, I said if I say no, he's out, no discussion, no 360 00:26:09,202 --> 00:26:13,957 argument, no, it ends above. I said uh-uh, we clear Coach said 361 00:26:13,977 --> 00:26:17,097 yes, doctor, whatever, you say no problem, no problem. And they 362 00:26:17,097 --> 00:26:19,180 were, they were extreme. And I said we were very, very nice. 363 00:26:20,256 --> 00:26:26,006 But I said all that to say that sometimes our kids are in more 364 00:26:26,066 --> 00:26:29,580 peril than we think they are. You know, we all like the game, 365 00:26:30,056 --> 00:26:33,497 I love football and I love soccer, whatever but sometimes, 366 00:26:33,876 --> 00:26:38,928 sometimes, there's another side of that that we can improve 367 00:26:38,988 --> 00:26:43,759 about and I just wanted to sort of make that. So what should we 368 00:26:43,779 --> 00:26:46,903 do? Okay? So, dr Huffington, going on and on for the next 369 00:26:47,203 --> 00:26:51,236 couple of minutes, what is it we can do? I'm just a mom, I'm 370 00:26:51,256 --> 00:26:54,862 just a dad, I go out and I take my folding chair and I sit it 371 00:26:54,902 --> 00:27:00,261 down and I share for my son. I must admit I was particular with 372 00:27:00,261 --> 00:27:03,816 my kids. Now I watch my grandkids, but with my kids I 373 00:27:03,855 --> 00:27:08,837 was one of those parents that you how would you say? Not 374 00:27:08,877 --> 00:27:11,825 necessarily that you would want to come to a game, but I was 375 00:27:11,865 --> 00:27:17,930 very engaged and my son, the big , impressive, who lives in San 376 00:27:17,950 --> 00:27:20,921 Diego, was actually a superstar. I'm not just saying that 377 00:27:20,942 --> 00:27:26,057 because he was a superstar, but he really was a superstar and he 378 00:27:26,057 --> 00:27:31,844 was very, very fast. So he played on offense, used a center 379 00:27:31,844 --> 00:27:35,377 forward and the teams knew that so they would double, triple 380 00:27:35,397 --> 00:27:39,560 team and that sort of thing, but when he would get the ball he 381 00:27:39,580 --> 00:27:43,961 would take off. And when he would take off on the field, I 382 00:27:44,000 --> 00:27:48,980 would take off on the side. It's like true confection. So he's 383 00:27:49,000 --> 00:27:52,723 running on the field. I'm running on the side of the golf 384 00:27:52,763 --> 00:27:55,875 wrestling golf, and he's like, yeah, I'm going to run on the 385 00:27:55,895 --> 00:27:58,262 side of the golf. And now I'm yelling at the other team you 386 00:27:58,323 --> 00:28:06,781 can't catch him, he's too fast. I saw him on paper, my son. And 387 00:28:06,801 --> 00:28:09,815 so what they do? They knock him down. That's what soccer players 388 00:28:09,815 --> 00:28:13,208 do. If they can't catch him, they trip you. You don't believe 389 00:28:13,208 --> 00:28:17,656 that. You watch it in the program. Anyway, I digress. So 390 00:28:17,676 --> 00:28:21,096 what's my point is that soccer is an exciting game. Sports is 391 00:28:21,156 --> 00:28:24,365 an exciting thing, but we have to look at how we can protect 392 00:28:24,444 --> 00:28:29,624 our kids. So we have to be aware that there are things that we 393 00:28:29,644 --> 00:28:32,839 can do, the better we are doing. So what are some of the things 394 00:28:32,859 --> 00:28:37,559 that we can do? I recommend these. This is just me. Whatever 395 00:28:37,559 --> 00:28:41,691 sports your child plays for, this high school or club sports 396 00:28:42,192 --> 00:28:46,078 that they should have a physical exam. Now, most times that I 397 00:28:46,118 --> 00:28:49,478 think it's probably a rule they do have a physical exam. You 398 00:28:49,498 --> 00:28:52,589 know, I think I remember in my office and wronged it many years 399 00:28:52,589 --> 00:28:56,844 ago I used to do the exams of different teams who played in 400 00:28:56,864 --> 00:29:01,175 the area. So I think they do get a physical exam. But if you do 401 00:29:01,195 --> 00:29:05,355 a good physical exam, number one not just check the boxes it 402 00:29:05,375 --> 00:29:08,083 should be something like oh, you asked questions about it, do 403 00:29:08,103 --> 00:29:10,298 your knowledge? Is anybody in your family ever had heart 404 00:29:10,380 --> 00:29:14,041 problems? Do your knowledge? They may not know and that's 405 00:29:14,122 --> 00:29:18,199 okay, but at least it should be more than that. But my record I 406 00:29:18,219 --> 00:29:22,160 think kids should get EKJs and I realize that that's just you 407 00:29:22,180 --> 00:29:25,996 know. People can go crazy with that Because for a number of 408 00:29:26,037 --> 00:29:29,885 reasons, number one is the rare problem that's sudden cardiac 409 00:29:29,945 --> 00:29:36,577 arrest. Most kids aren't going to have it and I'm sure that the 410 00:29:36,577 --> 00:29:40,106 last thing a high school coach wants to think about or wants 411 00:29:40,186 --> 00:29:44,222 parents think about, or a club coach wants parents think about 412 00:29:44,323 --> 00:29:48,659 is oh my God, my son adored me and I've had heart problems. 413 00:29:49,040 --> 00:29:52,701 Blah, blah, blah, blah, blah. Again, I realize that that's 414 00:29:52,760 --> 00:29:56,836 challenging, but I go back to my original point. If it's your 415 00:29:56,855 --> 00:30:02,317 child or if it's your grandchild , you don't care. You want zero 416 00:30:02,858 --> 00:30:07,748 chance of harm to your child, or your and not only your child, 417 00:30:07,788 --> 00:30:10,923 to your neighbor's child, your friend's child or whatever. 418 00:30:11,795 --> 00:30:14,836 Nobody wants injury or problems to occur with kids. So my first 419 00:30:14,876 --> 00:30:18,556 recommendation is they have a good history and physical. My 420 00:30:18,576 --> 00:30:23,205 second recommendation they have an EKJ active screening test. 421 00:30:23,226 --> 00:30:26,018 That's a screening test. Now some are well, you know it's too 422 00:30:26,018 --> 00:30:29,345 expensive and and you know these things don't have a lot of 423 00:30:29,345 --> 00:30:32,961 money and that may be true, but I'd say I've seen a lot of kids 424 00:30:32,961 --> 00:30:38,096 on the on the corner with signs for car washes, to get uniforms 425 00:30:38,096 --> 00:30:43,086 and to get this, and that you know, I think folks are doing 426 00:30:43,105 --> 00:30:46,902 for something more substantive. Or, you know, I think parents 427 00:30:46,961 --> 00:30:49,980 can do it. Parents can get to get their parent meetings, their 428 00:30:49,980 --> 00:30:53,798 their teen moms and teen dads. There's no way in the world you 429 00:30:53,817 --> 00:30:58,296 can't get together and raise money to buy a little tiny EKJ 430 00:30:58,336 --> 00:31:02,765 machine and have someone make sure they use it each season for 431 00:31:02,765 --> 00:31:08,355 the kids. People should be educated about risk factors. And 432 00:31:08,355 --> 00:31:13,486 my third suggestion is everybody, everybody, everybody 433 00:31:13,747 --> 00:31:19,703 should know CPR. Let me say that again Everybody should know CPR 434 00:31:19,703 --> 00:31:22,880 . I was absolutely delighted. I got an email from I think it was 435 00:31:22,880 --> 00:31:27,825 Shelley Shaw, the church. Here they have a CPR test and I said 436 00:31:27,946 --> 00:31:33,630 yes yes, go play, steven. I think that's what why? Why, 437 00:31:34,214 --> 00:31:37,959 number one, there is no downside . There's no downside to knowing 438 00:31:37,959 --> 00:31:43,642 CPR. And, who knows, you may be the one on a field somewhere 439 00:31:44,223 --> 00:31:48,156 where a kid drops or an adult drops and people sort of stand 440 00:31:48,176 --> 00:31:50,169 around looking because they don't know what to do and 441 00:31:50,209 --> 00:31:52,519 they're afraid, and they're afraid to touch or whatever. 442 00:31:52,539 --> 00:31:55,481 Whatever you may be the ones that you know, okay, you turn 443 00:31:55,521 --> 00:31:58,461 them over. You do the things that you know to do, to do CPR. 444 00:31:59,295 --> 00:32:02,082 So please, please, please, take the class that you have not get 445 00:32:02,142 --> 00:32:06,682 certified. So my third recommendation is that you'd be 446 00:32:06,781 --> 00:32:10,519 some adult on these teams I don't care whether school team 447 00:32:10,679 --> 00:32:16,622 or club team. That's a certified CPR person, you just need one. 448 00:32:17,115 --> 00:32:22,419 But but gotta go to every game. Gotta go to every game. Cpr, and 449 00:32:22,419 --> 00:32:25,204 I won't go into a lot of detail . Cardiopulmonary resuscitation 450 00:32:25,244 --> 00:32:29,864 is what it stands for, basic things a third compression and 451 00:32:29,884 --> 00:32:33,382 two breaths Again, take the class and then you'll learn 452 00:32:33,521 --> 00:32:36,538 specifically what it's about. The other thing that we talk 453 00:32:36,578 --> 00:32:39,818 about is the deep privilege. It's a little thing in a cute 454 00:32:39,838 --> 00:32:44,259 little green case like this is not that big, you know. I think 455 00:32:44,499 --> 00:32:48,554 every, every game, one of these things should be in the audience 456 00:32:48,554 --> 00:32:51,102 , somewhere. They could be on the culture side or it could be 457 00:32:51,142 --> 00:32:55,817 with a parent, but you gotta go to every game. These are not 458 00:32:55,836 --> 00:32:58,894 difficult to use, basically. You open them up. Open them up, 459 00:32:58,994 --> 00:33:01,902 they tell you what to do, but in essence they're they have like 460 00:33:01,922 --> 00:33:05,559 two little sticky pads and you put them in different places on 461 00:33:05,579 --> 00:33:09,661 the chest and you push the button Again, unplugging your TV 462 00:33:09,661 --> 00:33:13,343 when it goes out. You know, and what you're doing is you're 463 00:33:13,442 --> 00:33:17,759 shocking the heart's electrical unit to get it beating again, 464 00:33:18,954 --> 00:33:24,145 and if you can do that, you just saved the person's life. Done, 465 00:33:24,646 --> 00:33:29,497 okay. So why wouldn't one want to do that? Why wouldn't one 466 00:33:29,537 --> 00:33:32,734 want to do that? You do not have to be a doctor, you do not have 467 00:33:32,734 --> 00:33:36,788 to be a nurse, you can just be a concerned person. You know? 468 00:33:37,529 --> 00:33:41,938 And again, that fits within our Massaclass podcast. We're 469 00:33:41,958 --> 00:33:44,490 talking about changing the world , we're talking about knowledge 470 00:33:44,529 --> 00:33:48,926 and power. We're talking about I am my brother's keeper, or my 471 00:33:48,967 --> 00:33:53,335 sister's keeper, or my grandchild's grandson or 472 00:33:53,355 --> 00:33:57,827 granddaughter's keeper, okay. So this is something that is 473 00:33:57,867 --> 00:34:04,395 doable. I realize it is challenging, I realize that. So 474 00:34:04,455 --> 00:34:12,878 what we want to do is we want zero cardiac arrest, with 475 00:34:13,018 --> 00:34:16,449 efforts. Again, going back to what we said in the beginning. 476 00:34:16,469 --> 00:34:20,943 Again, when we go into the hospital we tell the chiefs of 477 00:34:20,983 --> 00:34:30,355 staffs and the CEOs and say you know what? You guys had 2% risk. 478 00:34:30,355 --> 00:34:38,769 This year. You had 98% good results. We want 100. 98 is good 479 00:34:38,769 --> 00:34:42,197 , but we want 100. Now what are we saying? We're raising the 480 00:34:42,237 --> 00:34:46,690 standards, we're raising the goals. I think my grandchild is 481 00:34:46,731 --> 00:34:52,206 worth 100%. I think my kid is worth 100%. I don't want 98%, 482 00:34:52,427 --> 00:34:58,157 97%, 96%. We were talking earlier because the brother 483 00:34:58,257 --> 00:35:03,235 Collin is from the Air Force industry before he retired the 484 00:35:03,275 --> 00:35:07,266 people who left with a lot of this quality management and 485 00:35:07,467 --> 00:35:14,838 Jesse also is aware of this, he's an AT&T former employee Our 486 00:35:14,838 --> 00:35:16,989 people, particularly the airline industry, who figured 487 00:35:17,168 --> 00:35:22,869 out that if we can't keep planes in the sky, people will not fly 488 00:35:22,869 --> 00:35:25,994 . Does that make sense? We're talking about basic stuff here, 489 00:35:26,155 --> 00:35:31,371 right? If I have a business and my business is flying you from 490 00:35:31,913 --> 00:35:36,329 Los Angeles to Chicago, but every third one of my planes 491 00:35:36,449 --> 00:35:39,679 falls out of the sky, you're not going to fly, which I have. A 492 00:35:39,699 --> 00:35:41,170 lot of things. 493 00:35:41,652 --> 00:35:43,860 Speaker 4: It's not that you don't like me, it's not that I'm 494 00:35:43,860 --> 00:35:44,603 not a nice person. 495 00:35:44,643 --> 00:35:51,155 Speaker 3: You said Dr Chachot, you need to get the quality out. 496 00:35:51,155 --> 00:35:51,155 497 00:35:51,295 --> 00:35:55,164 Speaker 2: I'm not going to take that risk. Why in the world 498 00:35:55,186 --> 00:35:58,371 would we take the risk without trickery? I realize it made me a 499 00:35:58,371 --> 00:36:05,592 little radical. What am I recommending? Again, I'm just 500 00:36:05,652 --> 00:36:09,945 about done Zero risk. All the kids should have history and 501 00:36:09,965 --> 00:36:17,496 physicals. The kids should have screening EKGs. I think that 502 00:36:17,617 --> 00:36:24,092 parents should basically approach the coach and suggest 503 00:36:24,112 --> 00:36:30,465 them Let me call it a party. If you are a soccer mom or a soccer 504 00:36:30,465 --> 00:36:35,956 dad, do not I repeat, do not go to your son's soccer goal and 505 00:36:35,976 --> 00:36:41,873 say hold on, why don't you guys have an EKG? My son didn't get 506 00:36:41,934 --> 00:36:48,411 an EKG. Mad back all these kids. The coach is going to run for 507 00:36:48,431 --> 00:36:52,619 you. She's going to run for you. You have to be diplomatic. You 508 00:36:52,639 --> 00:36:59,422 can say I listened to this presentation or this podcast and 509 00:36:59,422 --> 00:37:02,188 this speaker was talking about this net. I could get the 510 00:37:02,208 --> 00:37:07,137 parents together and we could purchase an EKG. If we did that, 511 00:37:07,137 --> 00:37:11,842 could we set up a way? My next door neighbor is a doctor and he 512 00:37:11,842 --> 00:37:15,490 said he'd be willing to do it for free. You have to help the 513 00:37:15,510 --> 00:37:19,746 coaches out. That makes sense, because your goal is to help the 514 00:37:19,746 --> 00:37:23,322 child. You don't want to scare the coach to death. Your goal is 515 00:37:23,322 --> 00:37:26,030 to help the child. Sometimes you have to be a little 516 00:37:26,050 --> 00:37:29,867 diplomatic about it the same thing you purchased in the 517 00:37:29,907 --> 00:37:32,833 D-privileged Again. I'm sure the D-privileged is a little more 518 00:37:32,893 --> 00:37:36,849 expensive, but they are horrible , horrible, expensive. I think 519 00:37:36,949 --> 00:37:40,757 every team should have one. That D-privileged should be carried 520 00:37:41,164 --> 00:37:45,215 by a parent or an adult. It should be somebody who is going 521 00:37:45,235 --> 00:37:50,788 to be at every game. I think that's the end. You have to know 522 00:37:50,788 --> 00:38:01,990 how to use it. That's the bottom line. In summary, most 523 00:38:02,231 --> 00:38:07,360 sudden cardiac arrests are very, very rare. When they occur, the 524 00:38:07,360 --> 00:38:11,016 most common reason for their occurrence is hypertrophic 525 00:38:11,036 --> 00:38:14,666 cardiac myopia. This is the weakness of the heart. Most of 526 00:38:14,768 --> 00:38:19,061 it is congenital. It is not something that's related to diet 527 00:38:19,061 --> 00:38:22,331 or exercise or injury. It's something that they were born. 528 00:38:23,675 --> 00:38:28,447 It most commonly occurs in kids or athletes who are less than 25 529 00:38:28,447 --> 00:38:33,677 years of age. It's a cardiac arrest which is an electrical 530 00:38:33,717 --> 00:38:37,036 problem. It's not like a heart attack, which is a plumbing 531 00:38:37,076 --> 00:38:40,266 problem where the arteries to the heart get clogged up with 532 00:38:40,286 --> 00:38:48,219 cholesterol. The treatment requires CPR because again, the 533 00:38:48,260 --> 00:38:52,838 heart has stopped. The heart has stopped. Then we get into the 534 00:38:52,878 --> 00:38:56,367 definition of what's the definition of death. The 535 00:38:56,387 --> 00:39:00,074 definition of death medically usually depends on the brain, 536 00:39:02,117 --> 00:39:05,150 the reason why we don't call that death when the heart stops 537 00:39:05,791 --> 00:39:10,387 because you've got a few minutes , just a few, to get that blood 538 00:39:10,447 --> 00:39:15,777 back to the brain, because it's a brain death that in hospitals 539 00:39:15,797 --> 00:39:19,358 there may be some organizations that go back to it. That's when 540 00:39:19,559 --> 00:39:24,914 we get into the thing about brain death or death. That's why 541 00:39:24,914 --> 00:39:28,664 we don't call I don't call sudden cardiac arrests, somebody 542 00:39:28,664 --> 00:39:31,934 who doesn't know what it does, because they aren't dead. They 543 00:39:31,954 --> 00:39:35,110 aren't dead but you've got very little time. That's why you need 544 00:39:35,110 --> 00:39:37,844 to be certified, you need to know what you're doing. You 545 00:39:37,864 --> 00:39:41,954 don't have a lot of whatever. Again, when I went into the 546 00:39:41,974 --> 00:39:46,152 emergency room, that was no discussion, that was no meeting, 547 00:39:46,152 --> 00:39:50,949 that was no voting. I said A, b , c, d and it would be done. The 548 00:39:50,949 --> 00:39:53,275 team would get it done and the team would end up saving the 549 00:39:53,315 --> 00:39:59,452 patient. Preventive measures again, they should have good 550 00:39:59,492 --> 00:40:02,606 health and physicals they all do , I'm sure, health and physical 551 00:40:02,646 --> 00:40:06,679 screenings, but they need to be quality. Additionally, I 552 00:40:06,760 --> 00:40:10,911 recommend they should have screening EKGs. The AED, the 553 00:40:10,951 --> 00:40:15,885 defibrillator, again should be included in the CPR class and 554 00:40:15,925 --> 00:40:20,815 folks should know how to do that . Our goal is basically zero 555 00:40:20,835 --> 00:40:26,592 cardiac arrest for our children. My basic principle God is in 556 00:40:26,612 --> 00:40:30,907 charge. I'm a position of faith and I believe, but for God being 557 00:40:30,907 --> 00:40:35,356 in my life, I would not be blessed the way I am, and he 558 00:40:35,398 --> 00:40:42,059 continues to bless me each day. I do not have any bad days. I 559 00:40:42,199 --> 00:40:46,248 used to have bad days, but about 30 years ago, pastor Revis, I 560 00:40:46,268 --> 00:40:51,179 decided that I don't need any more bad days, so I got rid of 561 00:40:51,259 --> 00:40:59,016 all of them. I got rid of all of them and so now I have good 562 00:40:59,056 --> 00:41:03,952 days and I have great days. If it is raining, it's a great day. 563 00:41:03,952 --> 00:41:08,789 If the sun is shining, it's a great day. What's my point? It's 564 00:41:08,789 --> 00:41:12,722 how you look at it. It's how you look at having to do with 565 00:41:12,742 --> 00:41:16,572 the day. It's your perspective. If it's not working for you, 566 00:41:16,612 --> 00:41:20,507 change your perspective. You have that control. Don't sweat 567 00:41:20,527 --> 00:41:24,496 the small stuff. Most stuff is small. Frequently I use the 568 00:41:24,516 --> 00:41:29,713 stress. I still stress, but I just don't stress much about 569 00:41:29,753 --> 00:41:32,128 things that would happen. I sort of figure out that most of the 570 00:41:32,168 --> 00:41:35,795 time when I said most, I'm talking about 90, 95% of the 571 00:41:35,815 --> 00:41:40,833 time what I was stressing about was small and insignificant. So 572 00:41:40,893 --> 00:41:44,208 I learned to let those things go , for givenness is therapy. 573 00:41:44,248 --> 00:41:49,358 Principle number four when I perceive that something has 574 00:41:49,438 --> 00:41:52,150 happened or someone has said something to me that's negative 575 00:41:52,891 --> 00:41:57,168 in some way. I have learned to forgive immediately. It does not 576 00:41:57,168 --> 00:42:00,536 matter what the facts are, I don't care, it does not matter 577 00:42:00,577 --> 00:42:03,230 who did what to do, who was right and who was wrong. Just 578 00:42:03,289 --> 00:42:07,485 forgive, just forgive, and you'll be amazed that by doing 579 00:42:07,527 --> 00:42:11,494 that, out therapeutics that is not only for the other person, 580 00:42:11,514 --> 00:42:16,291 but it's also therapeutic for you. And finally, my final basic 581 00:42:16,291 --> 00:42:19,806 principle is everything is relationship. Relationships are 582 00:42:19,826 --> 00:42:22,914 based on three things Mutual stack, mutual trust and good 583 00:42:22,954 --> 00:42:28,974 communication. If you are in a good relationship, if you have 584 00:42:29,014 --> 00:42:32,369 good communication, you have those three things. You're in a 585 00:42:32,409 --> 00:42:36,304 good relationship. If you do not have those three things, then 586 00:42:36,324 --> 00:42:42,297 you have work to do. Let me also say that this series is part of 587 00:42:42,297 --> 00:42:49,494 the Health and Wealth and Wise podcast. This podcast comes out 588 00:42:49,755 --> 00:42:59,635 almost weekly. The subscription website wwwBudsproutcom 2101003. 589 00:42:59,635 --> 00:43:03,762 I would encourage you to subscribe. All of these 590 00:43:03,961 --> 00:43:08,112 presentations are on podcasts, and so if you want to go back 591 00:43:08,172 --> 00:43:10,847 over something two or three or four times, just for your own 592 00:43:10,867 --> 00:43:17,429 leisure, listen to them on the podcast. Finally, be the change 593 00:43:17,869 --> 00:43:20,896 you want to see in the world. Are there any questions? 594 00:43:23,264 --> 00:43:25,612 Speaker 1: We do have a question from online, okay. 595 00:43:39,757 --> 00:43:42,179 Speaker 2: Next. Okay, good, yes , I think they said Patricia. 596 00:43:47,050 --> 00:43:48,074 Okay, go ahead, pat. 597 00:43:51,731 --> 00:44:00,628 Speaker 4: No, you're a miracle. You're a miracle. I'm nice and 598 00:44:00,648 --> 00:44:01,150 I'm mean. 599 00:44:03,027 --> 00:44:03,831 Speaker 2: Matt, are you there? 600 00:44:05,474 --> 00:44:05,695 Speaker 4: Yes. 601 00:44:06,648 --> 00:44:07,371 Speaker 2: Okay, go ahead. 602 00:44:13,367 --> 00:44:13,929 Speaker 3: What are you doing? 603 00:44:20,661 --> 00:44:25,760 Speaker 2: I'm still not able to hear you. Pat, Looks like 604 00:44:25,780 --> 00:44:26,483 you're keeping you. 605 00:44:33,146 --> 00:44:33,949 Speaker 4: Snap to the ground. 606 00:44:36,259 --> 00:44:37,855 Speaker 3: Okay Is. 607 00:44:37,936 --> 00:44:43,349 Speaker 2: Pat talking. Go ahead , go ahead, pat, hold on, we're 608 00:44:43,369 --> 00:44:46,010 coming to you, go ahead. 609 00:44:47,309 --> 00:44:49,827 Speaker 4: You're doing what church needs. God forbid. 610 00:44:49,847 --> 00:44:54,391 Someone is going to the park. Is everyone at the church 611 00:44:54,431 --> 00:45:00,795 connected? You're doing what church should do. 612 00:45:03,047 --> 00:45:04,914 Speaker 2: You mean, like the deep regulator that we were 613 00:45:04,934 --> 00:45:09,911 talking about? It's a regulator. I honestly don't know what we 614 00:45:10,050 --> 00:45:10,472 have here. 615 00:45:11,864 --> 00:45:12,909 Speaker 4: I thought it was one here. 616 00:45:14,467 --> 00:45:19,168 Speaker 2: Oh, yes, I'm leaving, I'm going to get a bite of the 617 00:45:19,208 --> 00:45:26,809 K-tron, they're telling me, my wife's saying yes, so I guess I 618 00:45:27,010 --> 00:45:27,771 have to believe that. 619 00:45:30,447 --> 00:45:34,873 Speaker 1: As a matter of fact, since Rob is in question, with 620 00:45:34,893 --> 00:45:35,795 similar to that. 621 00:45:36,135 --> 00:45:38,449 Speaker 2: Go ahead, Pat. Is she educated? 622 00:45:38,469 --> 00:45:43,789 Speaker 1: that she asked is there consideration in 623 00:45:43,809 --> 00:45:46,155 purchasing an AED for the church ? 624 00:45:47,266 --> 00:45:50,090 Speaker 2: Pat, I'll address that. I do not know, but I was 625 00:45:50,150 --> 00:45:55,490 starting to recommend that they, like the nursing ministry or 626 00:45:55,510 --> 00:46:00,911 some of the ministries, put that into motion, since we want to 627 00:46:00,931 --> 00:46:01,474 get to church, okay. 628 00:46:01,925 --> 00:46:03,773 Speaker 1: I think over here the nurse station is right. 629 00:46:04,547 --> 00:46:07,367 Speaker 2: It's one there, but they can double check. Okay, pat 630 00:46:07,367 --> 00:46:11,152 , could you do me a favor? Could you double check and see if 631 00:46:11,172 --> 00:46:14,382 they do have one? Okay. 632 00:46:15,126 --> 00:46:18,824 Speaker 3: I've been to one before and it wasn't accepted. 633 00:46:21,556 --> 00:46:24,126 Speaker 2: But I think, now that we have a question, yeah, we 634 00:46:24,186 --> 00:46:27,552 are going to see the other person, okay, and then it's team 635 00:46:27,552 --> 00:46:27,552 . 636 00:46:28,034 --> 00:46:28,856 Speaker 3: B yes. 637 00:46:28,916 --> 00:46:29,197 Speaker 4: Yeah. 638 00:46:33,090 --> 00:46:35,476 Speaker 3: Yes, we have a question. 639 00:46:38,670 --> 00:46:41,465 Speaker 2: Pat, can I give you a suggestion. If you have any 640 00:46:41,525 --> 00:46:48,525 difficulty with that, would you let me know? I said, if you have 641 00:46:48,525 --> 00:46:51,371 any difficulty with them getting the AED, would you let 642 00:46:51,411 --> 00:46:59,090 me know. Okay, okay, okay, no problem, any other questions? 643 00:46:59,512 --> 00:47:04,817 Speaker 4: Answer yes, you mentioned being born, I guess, 644 00:47:04,836 --> 00:47:11,483 with a partner it's a really good but substantially normal. 645 00:47:12,447 --> 00:47:19,795 Speaker 3: About 25 years ago I got a new one. I guess it was 646 00:47:19,815 --> 00:47:23,768 born. Okay, it's born. 647 00:47:23,788 --> 00:47:30,376 Speaker 4: and then, by the time it changes it's going to take a 648 00:47:30,376 --> 00:47:31,898 year? 649 00:47:32,079 --> 00:47:40,065 Speaker 2: I do. It's a long time ago, right? So is it so? A 650 00:47:40,106 --> 00:47:45,396 partner, a partner, a partner, a partner, a partner, a partner? 651 00:47:45,416 --> 00:47:49,588 Yes, I suspect he probably was Okay. And again, remember, if 652 00:47:49,628 --> 00:47:53,864 you're an athlete, particularly if you're a superstar athlete, a 653 00:47:53,864 --> 00:47:57,427 professional athlete, you're in excellent physical condition. I 654 00:47:57,427 --> 00:47:59,994 mean, you've had a lot of training, a lot of this and that 655 00:47:59,994 --> 00:48:06,054 , and so my surmise would be that it probably was a 656 00:48:06,074 --> 00:48:11,251 congenital problem and that's why it didn't show up on some of 657 00:48:11,251 --> 00:48:15,766 those other types of tests. I don't know why, and I think also 658 00:48:15,766 --> 00:48:18,735 that's an example of what I was mentioning earlier that our 659 00:48:18,815 --> 00:48:21,791 knowledge I'm talking about in healthcare now continues to 660 00:48:21,871 --> 00:48:25,291 evolve. You know, probably back then people didn't pay that much 661 00:48:25,291 --> 00:48:28,648 attention to it. I think clearly people are paying more 662 00:48:28,688 --> 00:48:29,371 attention now. 663 00:48:32,557 --> 00:48:37,132 Speaker 3: CPO. Come on, let's just say Humbay CPR. 664 00:48:42,514 --> 00:48:43,255 Speaker 4: Oh, I see. 665 00:48:48,371 --> 00:48:50,695 Speaker 2: We've got spotters who are running around the 666 00:48:50,715 --> 00:48:53,989 church trying to find the AED, see if they have a good idea. 667 00:48:54,885 --> 00:48:57,757 But no, I mean. But to go back to your part, brother Kate, I 668 00:48:57,797 --> 00:49:00,567 think that's exemplary of what I was talking about. We're still 669 00:49:00,586 --> 00:49:04,851 learning about a lot of this stuff and, unfortunately, a lot 670 00:49:04,891 --> 00:49:08,202 of times, when people don't know why things happen or base 671 00:49:08,242 --> 00:49:11,710 hearings about it, we tend to want to go back to a default 672 00:49:11,751 --> 00:49:15,438 position, the thumb belief system. That's probably wrong. 673 00:49:15,905 --> 00:49:19,161 Well, all those people like so-and-so, they always get you 674 00:49:19,181 --> 00:49:22,438 know that sort of thing which is not based on any fact, which is 675 00:49:22,438 --> 00:49:25,389 not based on any science, and so those are some of the things 676 00:49:25,409 --> 00:49:29,128 that we always want to be careful of to get the facts, get 677 00:49:29,128 --> 00:49:32,346 the facts and help somebody get the facts. But hopefully we can 678 00:49:32,346 --> 00:49:38,829 stop it from happening in the future. Any other questions? 679 00:49:39,088 --> 00:49:42,590 Speaker 4: Yes, I'm a dr. Dr, dr , dr, dr, dr, dr, dr, dr, dr, dr 680 00:49:42,590 --> 00:49:46,492 , dr, dr, dr, dr, dr, dr, dr, dr , dr, dr, dr, dr, dr, dr. A 681 00:49:46,512 --> 00:50:15,001 certain thing now 40 zrobi, dr, dr, dr, dr, dr, dr, dr, dr, dr, 682 00:50:15,021 --> 00:50:15,684 dr, dr, dr, dr, dr. 683 00:50:26,480 --> 00:50:32,635 Speaker 2: Dr, dr, dr, dr. Right Number one everybody's a little 684 00:50:32,635 --> 00:50:38,916 different, so all age of verbalations are not created 685 00:50:38,996 --> 00:50:44,005 equal. Some may very well be hereditary, some may not, so it 686 00:50:44,025 --> 00:50:48,266 would depend on in your particular family. The other 687 00:50:48,306 --> 00:50:54,413 factor when you say over 70, one can argue that everybody after 688 00:50:54,452 --> 00:50:57,648 a certain period of time may very well have some type of 689 00:50:58,010 --> 00:51:03,476 diabetic problem, heart problem, whatever, just based on age. So 690 00:51:03,476 --> 00:51:07,447 my point is that that may not all necessarily be related to 691 00:51:07,527 --> 00:51:13,478 genes at all, but the answer would be knowing her specific 692 00:51:14,425 --> 00:51:19,914 situation and what the positions diagnose as the reason why she 693 00:51:19,934 --> 00:51:23,288 would end up having that particular problem. 694 00:51:26,606 --> 00:51:30,615 Speaker 4: Yeah, her mother was a 40. Her brother was probably 695 00:51:30,635 --> 00:51:35,961 died. I think he was 50 or less in the 1940s. So that's the end 696 00:51:36,041 --> 00:51:40,173 of the story. Some of her brothers and sisters got it. 697 00:51:40,193 --> 00:51:41,827 Some of them did. That's why. 698 00:51:42,128 --> 00:51:47,012 Speaker 2: I was asking Could it be a genetic Sure? And again, 699 00:51:47,052 --> 00:51:49,889 it depends on why they died. They may not have died from a 700 00:51:49,929 --> 00:51:55,052 heart condition, it may have been something else. Okay, thank 701 00:51:55,052 --> 00:51:55,172 you. 702 00:51:56,186 --> 00:52:07,447 Speaker 3: What this is. What about renovation? You can hear 703 00:52:07,507 --> 00:52:10,452 more about people talking about they have fluid around the arm 704 00:52:10,851 --> 00:52:13,876 or fluid around the lungs. What's that all about? 705 00:52:16,206 --> 00:52:18,552 Speaker 2: That's the next one question. She's calling it. 706 00:52:18,800 --> 00:52:22,824 That's called congestive heart. What happens is going back to 707 00:52:22,844 --> 00:52:27,344 the analogy of the heart being a muscle. As a muscle, that heart 708 00:52:27,344 --> 00:52:30,231 is going to pump fast and flow, depending on what it has to do. 709 00:52:30,231 --> 00:52:34,981 Over time, that muscle may start to get tired Again. This 710 00:52:35,001 --> 00:52:39,521 is what we're talking about. Over 70, 75, no longer. It can 711 00:52:39,541 --> 00:52:42,659 occur sooner than that, but I'll just use that as a example. The 712 00:52:42,659 --> 00:52:47,949 heart is not as efficient. It's still pumping, but it's not as 713 00:52:48,048 --> 00:52:52,610 efficient. Instead of being 90% efficient, maybe it's 80% 714 00:52:52,670 --> 00:53:00,010 efficient. A sign of heart inefficiency is swelling or 715 00:53:00,050 --> 00:53:04,141 deeming because that blood is not moving around as fast. Now, 716 00:53:04,202 --> 00:53:06,161 that could be other reasons for that. I'm not saying that's 717 00:53:06,242 --> 00:53:10,019 every reason, but that could be one of the signs of that. We 718 00:53:10,059 --> 00:53:13,309 call that heart failure, or sometimes it's called CHL, 719 00:53:13,550 --> 00:53:16,822 congestive heart failure. That could be one of the causes. Now 720 00:53:16,862 --> 00:53:19,255 that could be other reasons and certainly the other reasons why 721 00:53:19,295 --> 00:53:22,969 people have a deemum from varicose veins, on and on and on 722 00:53:22,969 --> 00:53:27,128 . Now what you were describing is probably early, or certainly 723 00:53:27,188 --> 00:53:30,242 the early stage of heart failure . There's medication for that 724 00:53:31,005 --> 00:53:33,864 that helps to treat. Digoxin is one of the main medicines used 725 00:53:33,885 --> 00:53:34,347 to treat that. 726 00:53:38,123 --> 00:53:40,668 Speaker 3: It can be when you have a surgery, like with the 727 00:53:40,728 --> 00:53:45,061 heart, with the bullet around the heart. When they have the 728 00:53:45,101 --> 00:53:50,978 surgery, then they end up when they say it's a whole air is 729 00:53:51,559 --> 00:53:55,748 getting in, but they won't do the surgery right then because I 730 00:53:55,748 --> 00:53:59,744 guess it'd be too much for the first heart. Later on, depending 731 00:53:59,744 --> 00:54:03,112 on the situation, they'll go back in. I'm just asking. 732 00:54:04,222 --> 00:54:07,070 Speaker 2: Well, it depends on but you said it correct it 733 00:54:07,112 --> 00:54:10,221 depends on the situation and depends on what the 734 00:54:10,260 --> 00:54:14,402 circumstances are. My point is that I would need more 735 00:54:14,443 --> 00:54:17,780 information about why do they have a surgeon Basically. 736 00:54:18,402 --> 00:54:23,905 Exactly what type of surgery do they have? Certainly, one of my 737 00:54:23,925 --> 00:54:28,679 professors a year once said anybody can operate, but if it's 738 00:54:28,679 --> 00:54:32,409 surgeons or physicians should know when to operate. If the 739 00:54:32,469 --> 00:54:36,164 judgment part of it it sounds like in this situation not known 740 00:54:36,164 --> 00:54:41,262 all the details that the judgment of the surgical team 741 00:54:41,322 --> 00:54:45,702 was we can come back and do this the next time. I certainly may 742 00:54:45,722 --> 00:54:47,606 judge not necessarily a heart surgeon, because I did GI 743 00:54:47,626 --> 00:54:53,186 surgery and sometimes doctors do that because part of what our 744 00:54:53,206 --> 00:55:00,289 response was to do was think the first principle first do no 745 00:55:00,349 --> 00:55:04,487 harm, first do no harm. So if we can do it safely, then we'll go 746 00:55:04,487 --> 00:55:08,065 ahead and do it. If we have to come back a second time or third 747 00:55:08,065 --> 00:55:11,172 time and that's safest, then that's what they do. Any other 748 00:55:11,193 --> 00:55:11,393 questions? 749 00:55:14,130 --> 00:55:26,007 Speaker 3: Yes, hold on, I'm going to watch after you, don't 750 00:55:26,027 --> 00:55:28,400 shout out to Alison Tameis, and I have a quick question. Could 751 00:55:28,481 --> 00:55:32,487 you briefly explain the relationship between the heart, 752 00:55:32,867 --> 00:55:34,471 blood pressure and kidney? 753 00:55:35,693 --> 00:55:38,688 Speaker 2: Okay. Okay, as we mentioned at the heart of the 754 00:55:38,728 --> 00:55:41,300 month, the pumps are brought around throughout all of the 755 00:55:41,340 --> 00:55:45,644 bodies, every part of the body. An important part of that is the 756 00:55:45,644 --> 00:55:48,983 kidney. In terms of the blood supply to the kidney, now I'm 757 00:55:49,003 --> 00:55:51,855 sort of overthinking a lot of this, because there are a lot of 758 00:55:51,855 --> 00:55:55,746 hormones that both the kidney puts out that affect how the 759 00:55:55,786 --> 00:55:59,885 heart does that, and the kidney's job it's to filter the 760 00:55:59,945 --> 00:56:04,603 blood, to take impurities out of the blood, so that the whole 761 00:56:04,664 --> 00:56:09,309 system works appropriately. If the kidney is not functioning 762 00:56:09,329 --> 00:56:12,980 properly for whatever reason, either from some de-noble 763 00:56:13,179 --> 00:56:18,251 problem or damage or injury, it does not remove those things as 764 00:56:18,331 --> 00:56:21,994 much. That then makes the heart have to work harder, and I guess 765 00:56:21,994 --> 00:56:25,619 the best way to think about it is everything is connected. If 766 00:56:25,679 --> 00:56:29,548 every organ system does this job to the maximum, everything 767 00:56:29,590 --> 00:56:33,806 works smoothly. But if one system starts to break down, it 768 00:56:33,827 --> 00:56:36,880 then starts to affect those other systems and that could end 769 00:56:36,880 --> 00:56:43,358 up causing total organ failure. All right, thank you, you're 770 00:56:43,378 --> 00:56:43,818 welcome. Yes. 771 00:56:49,606 --> 00:56:54,331 Speaker 4: Dr Chateau, I'm a family of three kids. Two and I 772 00:56:54,672 --> 00:57:01,286 was older now, but probably my kids are communes and they were 773 00:57:01,327 --> 00:57:05,704 all involved in stomp-a-toot. Yes, the hardly they went to a 774 00:57:05,764 --> 00:57:11,001 physical exam. Because it was needed, Right, okay, and even 775 00:57:11,021 --> 00:57:14,925 the physical was pretty simple it was just coughing, right. I 776 00:57:15,047 --> 00:57:19,784 understand, that was it. The question is, as a doctor, as a 777 00:57:19,965 --> 00:57:26,358 primary physician, can you order an EKG for the kids? Oh, okay. 778 00:57:26,599 --> 00:57:30,728 Speaker 2: I understand Well, so if you're not a parent or a 779 00:57:30,748 --> 00:57:33,782 grandparent, you can get your own EKG. I mean, you can take it 780 00:57:33,782 --> 00:57:39,083 to your doctor, which sure you can do that. And let's say, the 781 00:57:39,103 --> 00:57:42,081 team said, no, we're not going to do that, we just aren't going 782 00:57:42,081 --> 00:57:44,965 to do too much. You can certainly do that independently, 783 00:57:44,965 --> 00:57:45,806 it's not wrong with that. 784 00:57:46,489 --> 00:57:51,266 Speaker 4: Sure. So the question is my primary physician can 785 00:57:52,630 --> 00:57:54,452 order that even though there is no? 786 00:57:55,739 --> 00:58:01,327 Speaker 2: Yes, you may get into the insurance thing, because a 787 00:58:01,367 --> 00:58:03,541 lot of insurance that we're not going to pay for that because 788 00:58:03,581 --> 00:58:07,181 there's no reason or whatever, whatever, and that may be a 789 00:58:07,202 --> 00:58:11,722 situation where you just may pay out of pocket for it. But most 790 00:58:11,804 --> 00:58:14,722 of times it depends on how worth it. It's not going to be that 791 00:58:14,764 --> 00:58:17,726 expensive. It depends how much you're concerned about it. But 792 00:58:17,806 --> 00:58:23,722 answer the question. Yes, you can do that, absolutely Okay. 793 00:58:24,103 --> 00:58:28,213 Thank you very much. Have a wonderful day Right here, peter. 794 00:58:28,213 --> 00:58:28,213 795 00:58:33,949 --> 00:58:35,952 Speaker 1: Thanks for listening to the Healthy, wealthy and Wise 796 00:58:35,952 --> 00:58:40,764 podcast with Dr William Choctaw , mdjd. We hope you enjoyed this 797 00:58:40,764 --> 00:58:44,746 episode. In fact, if you found this episode helpful, you can 798 00:58:44,786 --> 00:58:49,005 support and subscribe to the podcast on your favorite podcast 799 00:58:49,005 --> 00:58:53,523 platform with the keywords Dr William Choctaw and you'll find 800 00:58:53,563 --> 00:58:59,246 it very quickly. So subscribing helps ensure that you don't miss 801 00:58:59,246 --> 00:59:04,349 any future episodes. 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