Silent Killer: Understanding High Blood Pressure with Dr. Choctaw

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Reverend Andrew Collins.

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I want to give you a scripture, and then
after the scripture, I'll give you a

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prayer, and I want to read, uh, Psalms
37, and a few verses from that, you

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know, because this is such a dynamic
scripture, as a matter of fact, kind

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of relates to what we're talking about
today, uh, and it reads thus, For they

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shall soon be cut down like the grass.

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And with it as the green herb,
trust in the Lord and do good.

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So shall thou dwell in the land,
and verily thou shall be fed.

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Delight thyself also in the
Lord, and he shall give thee

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the desires of thine heart.

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Commit not thy way unto the Lord.

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Trust also in him, and he shall
bring it to pass, and he shall

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bring forth thy righteousness.

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Amen.

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As the light and the judgment as the new
day rest in the Lord and wait patiently

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for him fret not ourselves because of him
who prospers in his way because of the

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man who bring it wicked devices to pass.

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Let us go to the Lord in prayer.

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Father God, I'm ready to come
before your throne this morning, my

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father, we just want to thank you.

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Thank you, my father, for lying down
last night and are rising up this

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morning and closing our right minds.

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But all our spiritual, physical,
mental capacities function improper.

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Father God Almighty, it's all because
of you that we're here today, my father.

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Open our ears, my father, so we can
be able to receive, my father, what

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you have for us to receive today
through your servant, my father, Dr.

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Char Tama.

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Let us, my father, be of the wisdom and
knowledge that we need to understand

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the things we need to understand
and not only understand, but take

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it to heart and use the things, my
father, that he has for us to use.

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We ask this of you, we thank this of
you, And your daughter's on Jesus Christ.

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Holy name.

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Amen.

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Good morning.

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Welcome to the health, the wealth
and wise podcast, and also, uh,

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welcome to the leadership masterclass.

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Uh, we're going to, um, give you some.

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Very interesting information today
and we're going to talk about

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hypertension, high blood pressure.

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High blood pressure is probably
the biggest or close to the

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biggest problem in our country.

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A large number of people have, uh,
elevated blood pressure, um, and we

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decided with the masterclass that we
would basically look at basic topics of

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healthcare that most of us or many of
us may very well have, have issues with.

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And that's why we decided, uh, to do,
um, uh, high blood pressure today.

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I always like to start
off with my beliefs.

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And, and indeed, this is really the
reason why we're doing this at all.

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And I might add, this
is our second year now.

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We've been doing it for, um,
about 16 months, uh, every single

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second Saturday in the month.

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Um, I believe life is about
being of service to others.

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I believe knowledge is power.

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I believe leaders can change the world
and this is the leadership masterclass.

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So what does that mean?

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That means that not only what you
learn here, hopefully will you use

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it to help yourself, but you'll take
it out and use it to help others.

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And as I said, we're going to
talk about high blood pressure.

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Uh, now there are a lot of
other, uh, different types

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of ailments that we all have.

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Uh, most of the times I believe high
blood pressure is such a problem

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because we tend to ignore it.

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And in my opinion, and certainly
in my 50 years as a practicing

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physician, um, we don't, when I say
we, I'm talking about all patients,

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we don't completely understand it.

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And we'll get into some more of that,
uh, later, but it's one of the reasons

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why, uh, we decided that this month.

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We're going to spend a lot of
time on blood pressure, real

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basic stuff, real basic stuff.

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So we're going to define what
high blood pressure is, and

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that's part of the problem.

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One of the reasons why it's so confusing
is that there's so many definitions

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of what high blood pressure is.

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So the patient says, uh, uh, you
know, the doctor says, well, your

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blood pressure is a little high.

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And notice whenever he says a little
high, then you got to ask yourself,

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well, is it high or is it not high?

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But what, what is a little higher?

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What?

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What does that mean?

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And I can tell you this is really
true, and I was thinking about this

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when I was putting this together.

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One of the things that I think this
helped me to be a better physician is

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by going to law school because doctors
think in terms of black and white.

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You know, basically
what, let, lemme back up.

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Surgeons, I'm a surgeon.

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So we surgeons think in
terms of black and white.

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But lawyers don't think in
terms of black and white.

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Lawyers think in terms of grayness.

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And you say, well, what does that mean?

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You know, to a physician, either
you have acute appendicitis or

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you don't have acute appendicitis.

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You know, it's pretty black and white.

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To a lawyer, you know, so, so the
doctor was saying to the lawyer,

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you know, I, I don't understand why,
um, XYZ family is upset with me.

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You know, I, I, I did this and
I, I made them better and blah,

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blah, blah, blah, blah, blah.

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And the lawyer says, I don't care.

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The lawyer says, but you made a mistake
that you should not have made based on

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your knowledge, training, and experience.

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And so now you are negligible.

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So my point is that one of the things I
want you to think about, come on in Ms.

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Crow.

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You can sit up front.

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As a seeker, you right up here.

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Oh, okay.

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Okay.

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Oh, okay.

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I'll, I'll, I'll, I'll, I'll, I'll, I'll.

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So my people send it back.

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Gotcha.

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Gotcha.

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So, so what, so one of the things
that we're going to try in the next

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four to five minutes or so that we're
together is to define exactly what

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it is, and more importantly, to let
you know why it's such an issue.

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We're going to talk about the
effects of high blood pressure,

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hypertension, same thing.

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How to measure it, and we're going
to spend a lot of time on how do

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you measure your own blood pressure.

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You would be amazed, in my judgment, how,
um, maybe healthcare or we physicians

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have not done as good a job as we should
have in explaining to patients exactly

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how to measure their own blood pressure.

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And to this day, a lot of patients don't
know how to measure their own blood

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pressure, or whether it's a little high
or not a little high, and we're going to

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get into that and why that's a problem.

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And we'll mention about,
um, some of the medications.

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I always like to say that whatever we
talk about with the master class, because

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you're in the leadership master class,
not just any master class, uh, we expect

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you to be able to go out and teach others.

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You know, this is where you, thank you.

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Uh, this is where you do one,
teach one, uh, that sort of thing.

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See, see one, do one, teach one.

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So we, we expect you
to be able to do that.

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If you ever want to know more
information, uh, what, what I

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expect you to do is to look it up.

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So look it up.

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Now you may say, well, you
know, I'm not, I, I don't, I

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don't like that computer stuff.

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And my, my next time is going
to be, do you have a cell phone?

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And I'm going to bet that everybody
has a cell phone, 90 percent of us,

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your cell phone is your computer.

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It is a computer.

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You know, I always keep mine with
me, you know, got mine right here.

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It is your computer.

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And so if you want to look up something,
you go to the search part of your cell

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phone and you put in high blood pressure,
push the button, and it'll give you a

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whole thing about high blood pressure.

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So not only do we want you to be able
to have the knowledge, we want you

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to always be able to have access.

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to knowledge.

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Remember, knowledge is power.

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Knowledge is power.

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So hypertension is high blood pressure.

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Now, one of the first things is,
let's, let's take some time with this

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slide because there, there, there
are a number of words on here that

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add to the confusion in my judgment
that we provide with patients.

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First, the word normal,
normal blood pressure.

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Okay.

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Uh, normal blood pressure is
120 over 80, two numbers, top

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number 120, bottom number 80.

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And if you don't remember any, any
numbers, just remember 120 over 80 because

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everything is going to be based on where,
how far, how close you are to 120 over 80.

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Okay.

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So one would say 120 over
80 is normal blood pressure.

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ideal blood pressure, the
blood pressure that you want.

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Now notice on this slide, now we
talk about elevated blood pressure.

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Right.

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Still, second number is 80, but top
number, the 120 can go from 120 to 129.

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Okay.

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This is where the term, a little
high blood pressure comes in.

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You know, people say, well, you know,
you're, you're, you're a little high,

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but we aren't going to do anything.

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You're, you're a little high, you know,
and the problem is that that little

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term there is with the doctor or it
varies with the clinic that you go to.

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Okay.

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right?

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And so then you say, well,
is my blood pressure high?

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Is it not high?

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That's all I want to know.

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Don't, don't give me all that other stuff.

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Do you need to treat it or
do I not need to treat it?

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That's all I want to know.

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I don't need to know the background,
but this is part of the confusion.

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Then we get to high blood pressure
stage one, getting more confusing now.

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So this is where not only is
the top number high, right?

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High meaning above 120, 120 to
129, or elevated, 120 to 129.

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The bottom number is also above 80, okay?

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So now we have an elevation of
the top and the bottom number, and

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that's what a number of physicians
call high blood pressure stage one.

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As we get older, that blood
pressure starts creeping up a bit.

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It does.

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Or to put it another way, maybe if you're
70 years of age and you're, you're, you're

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systolic, the top number is 129, you know,
I may not put you on medication for that.

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I may say, well, you know, you're
70 years old, you know, you

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don't have any other symptoms.

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Why don't we just watch blah, blah, blah.

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Because remember when I bring in
medication, now I'm bringing in

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potential complications, right?

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Okay.

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So, and, and, and this is another
thing I want you to always remember,

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uh, three words, risk benefit ratio,
risk benefit ratio, whatever treatment

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you get in healthcare, there's going
to be a risk with that treatment,

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there's a benefit with that treatment,
and then you look at the ratio.

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So what, what is it you want to know?

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What you want to know is, Dr.

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Choctaw, you want me to take.

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Aspirin, okay, is the risk, is the
benefit of me taking aspirin greater

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than the risk of me taking aspirin?

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That's all you want to know.

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And, and I submit you want to ask
that question about everything.

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You know, if I, if I tell you that I, you
need to let me take out your appendix.

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You want to say, well, Dr.

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Choctaw, is the benefit of you taking
out my, my appendix Greater than the

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risk of you taking up my appendix.

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That's what we call when we say
ratio It's like a fraction risk

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on on the top and benefit on the
bottom So you always want to ask you

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always want to ask that question?

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Okay.

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Okay So let's go to the
fourth hypertension stage two.

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All right, remember 120 over 80
That's the number you want to

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keep in your mind 120 over 80.

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So now hypertension stage number two
the top number 120 is 1 40 or higher.

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I had a patient not too long ago to
say to me, you know, but doctor, my,

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my, my blood pressure is always 1 40
over something, something, something.

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And my doctor told me that that's
just where my blood pressure is.

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You know, not to worry about it.

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Well, you know, that
blood pressure is high.

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According to most, most folks, evaluation
140 over higher high or higher top

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number 90 or higher bottom number.

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So let me just summarize what I just said.

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Normal blood pressure is 120 over 80.

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00:13:18,550 --> 00:13:20,100
That's, that's the gold standard.

232
00:13:20,910 --> 00:13:22,770
You can have the bottom number.

233
00:13:23,024 --> 00:13:25,734
You can have the top number be
a little higher and then it's

234
00:13:25,734 --> 00:13:27,545
considered elevated blood pressure.

235
00:13:28,045 --> 00:13:34,464
Uh, if it's 120 to 129, if that top
number is 130 or above, that's considered

236
00:13:34,464 --> 00:13:37,924
high, but the bottom number is normal.

237
00:13:38,374 --> 00:13:41,004
If the bottom number goes up,
that's also considered high.

238
00:13:41,005 --> 00:13:44,035
So both can be up or down
depending on whether you have

239
00:13:44,035 --> 00:13:45,005
high blood pressure or not.

240
00:13:45,214 --> 00:13:49,784
So, so you're getting, getting a feel for
why this is sort of confusing, you know,

241
00:13:49,974 --> 00:13:56,575
and so now multiply that by, let's say, In
a 20, 30 year period of time, you see 10

242
00:13:56,575 --> 00:13:58,815
different doctors or 10 different offices.

243
00:13:59,194 --> 00:14:03,784
that take your blood pressure 10 different
ways in 10 different locations, right?

244
00:14:03,944 --> 00:14:07,964
And so you can see how the patient
said, okay, is it elevated or is it not?

245
00:14:08,425 --> 00:14:09,814
Is it high or is it not?

246
00:14:09,824 --> 00:14:13,125
Do I do, do I need medication
or do I not need medication?

247
00:14:13,324 --> 00:14:15,414
So we're going to go
through this a bit more.

248
00:14:15,454 --> 00:14:20,770
And then of course the higher, is when
you get up to 180, 160, 180 systolic, top

249
00:14:20,770 --> 00:14:27,399
number, or certainly more than 120, bottom
number, then, then, then you're thinking

250
00:14:27,409 --> 00:14:30,859
about getting into the emergency room
or to the hospital or seeing somebody.

251
00:14:31,180 --> 00:14:33,499
Because then that's,
that's what we call crisis.

252
00:14:33,499 --> 00:14:34,579
That's very, very high.

253
00:14:37,100 --> 00:14:39,479
Same number, just, just
looking at it a different way.

254
00:14:41,059 --> 00:14:45,165
One of the things that's confusing, as
I said before, is, you know, It is the

255
00:14:45,215 --> 00:14:50,974
physician's discretion about whether
you should be treated or not, and

256
00:14:50,994 --> 00:14:53,315
everybody does not do it the same way.

257
00:14:53,575 --> 00:14:58,064
Specifically, all physicians don't
do it the same way, which adds

258
00:14:58,064 --> 00:15:00,305
to the confusion for the patient.

259
00:15:00,305 --> 00:15:04,555
The patient says, well, you
know, when I went to see Dr.

260
00:15:04,555 --> 00:15:10,405
Jones, She told me that if my
blood pressure was 135 over

261
00:15:10,425 --> 00:15:12,435
85, I need to be on medication.

262
00:15:13,164 --> 00:15:15,805
But when I went to see, uh, Dr.

263
00:15:15,884 --> 00:15:19,765
Thomas, he told me that that
was okay, that that was okay.

264
00:15:19,765 --> 00:15:20,765
So, so which is it?

265
00:15:21,045 --> 00:15:21,654
Which is it?

266
00:15:22,124 --> 00:15:24,764
Just remember, 120 over 80.

267
00:15:25,045 --> 00:15:27,514
However, there are
exceptions to some extent.

268
00:15:27,694 --> 00:15:32,374
If I am 70 years of age and
older, I am asymptomatic.

269
00:15:32,645 --> 00:15:35,405
Um, um, et cetera, et cetera, et cetera.

270
00:15:35,614 --> 00:15:39,094
Um, then the doctor said, well, we're
going to watch it and I'm going to

271
00:15:39,104 --> 00:15:42,694
have you come back and have them
to check your blood pressure again.

272
00:15:42,864 --> 00:15:46,314
Um, there are organizations like Kaiser
that actually have a whole team of

273
00:15:46,354 --> 00:15:50,175
people and they have nurses and they
said, well, we'll have you come in

274
00:15:50,175 --> 00:15:52,719
once a month and we'll, we'll check
your blood pressure once a month.

275
00:15:52,989 --> 00:15:55,099
Okay, and we'll sort of get into that.

276
00:15:55,679 --> 00:15:57,020
What is systolic blood pressure?

277
00:15:57,020 --> 00:16:00,089
Systolic blood pressure, all
this has to do with the heart.

278
00:16:00,129 --> 00:16:03,800
When the heart squeezes
down, that's called systole.

279
00:16:04,199 --> 00:16:07,840
Because the heart is pushing blood out
of the heart into the blood vessels.

280
00:16:08,390 --> 00:16:14,589
When the heart relaxes, it squeezes down
systole, relaxes, that's called diastole.

281
00:16:15,020 --> 00:16:20,310
So systole, diastole,
systole, diastole, okay?

282
00:16:20,930 --> 00:16:25,839
And so the blood pressure, and then
the top number measures systole,

283
00:16:26,119 --> 00:16:27,959
bottom number measures diastole.

284
00:16:29,350 --> 00:16:31,270
You want both those numbers Normal.

285
00:16:32,050 --> 00:16:33,520
One 20 over 80.

286
00:16:33,790 --> 00:16:37,870
Now most of us in this room probably
are not one 20 over 80, including me.

287
00:16:38,480 --> 00:16:38,990
Okay.

288
00:16:39,350 --> 00:16:40,970
But, but, but that's the ideal.

289
00:16:40,970 --> 00:16:42,230
So we wanna start there?

290
00:16:42,290 --> 00:16:42,560
Yes.

291
00:16:42,740 --> 00:16:42,980
Oh,

292
00:16:48,365 --> 00:16:51,030
It's just one 20 over, but everybody else

293
00:16:56,905 --> 00:16:57,194
Okay.

294
00:16:57,214 --> 00:16:57,435
So.

295
00:16:59,765 --> 00:17:03,955
So, a patient is an important
member of the healthcare team.

296
00:17:03,965 --> 00:17:07,654
Now, one of the other, so we talked about
one of the, part of the confusion is the

297
00:17:07,654 --> 00:17:09,405
different numbers in different positions.

298
00:17:09,795 --> 00:17:14,545
The other part of this that ends up being
confusing for the patient is that you,

299
00:17:14,545 --> 00:17:19,764
the patient, are extremely important
in measuring your own blood pressure.

300
00:17:20,255 --> 00:17:21,175
So he said, well, Dr.

301
00:17:21,175 --> 00:17:24,465
Choctaw, why do I need to go see a
doctor if I have to measure myself?

302
00:17:24,735 --> 00:17:29,305
Because the reality is, uh, and I'm
sure many of you can identify with this,

303
00:17:29,525 --> 00:17:33,835
when you know that you have a doctor's
appointment at three o'clock on a Tuesday.

304
00:17:34,560 --> 00:17:35,200
Right?

305
00:17:35,649 --> 00:17:39,050
Two o'clock, you know, you sort
of think, oh my god, I got to

306
00:17:39,050 --> 00:17:40,350
go in and see Choctaw again.

307
00:17:40,879 --> 00:17:41,340
Okay.

308
00:17:41,350 --> 00:17:45,240
Uh, you know, I hate, I hate going
and sitting in that waiting room

309
00:17:45,240 --> 00:17:49,049
and all the little kids running
around and, you know, I'd really

310
00:17:49,049 --> 00:17:53,810
rather be on the beach somewhere or
somewhere more like, but I got to go.

311
00:17:54,100 --> 00:17:54,809
What's my point?

312
00:17:54,810 --> 00:17:57,770
You already have some anxiety, right?

313
00:17:57,970 --> 00:18:01,260
Guess what that your blood
pressure, it brings it up.

314
00:18:01,695 --> 00:18:02,455
It brings it up.

315
00:18:02,655 --> 00:18:05,825
I remember when I was in medical
school, uh, we used to have this

316
00:18:05,865 --> 00:18:09,885
thing called, and some people still
talk about, white coat syndrome.

317
00:18:10,085 --> 00:18:14,295
You just see somebody in a white coat,
and boom, your blood pressure goes up.

318
00:18:14,405 --> 00:18:17,295
So, oh my goodness, are
they coming over where I am?

319
00:18:17,464 --> 00:18:18,724
Do I have a problem?

320
00:18:19,845 --> 00:18:20,235
Right.

321
00:18:20,525 --> 00:18:22,455
So what's my point?

322
00:18:22,495 --> 00:18:26,885
My point is your most accurate
blood pressure is what your blood

323
00:18:26,885 --> 00:18:29,025
pressure is most of the time.

324
00:18:29,375 --> 00:18:35,184
And that usually translates to what your
blood pressure is at home because you're

325
00:18:35,184 --> 00:18:39,734
at home more than you're in the hospital,
more than you're in a doctor's office.

326
00:18:39,735 --> 00:18:43,504
So that really is what your
accurate blood pressure is.

327
00:18:43,765 --> 00:18:45,884
Now, here's the kicker.

328
00:18:45,975 --> 00:18:47,975
The blood pressure
normally goes up and down.

329
00:18:48,520 --> 00:18:50,990
You get up in the morning, blood
pressure may be a little higher.

330
00:18:51,150 --> 00:18:53,250
Toward the afternoon, the blood
pressure may be a little lower.

331
00:18:53,460 --> 00:18:57,260
So it's never exactly the same, right?

332
00:18:57,540 --> 00:19:02,550
So as a result of that, since it's
more, more accurate at home than in the

333
00:19:02,550 --> 00:19:04,979
doctor's office, you have to measure.

334
00:19:04,979 --> 00:19:07,049
The doctor's not going to come
to your house and measure it.

335
00:19:07,610 --> 00:19:13,020
You need to know then how best to do
it to get the best results so that

336
00:19:13,020 --> 00:19:14,910
your treatment is the best for you.

337
00:19:16,040 --> 00:19:19,680
And the final thing with all
that is everybody is different.

338
00:19:20,370 --> 00:19:22,050
Everybody is different.

339
00:19:22,449 --> 00:19:27,469
And so you can see the complexity now of
high blood pressure, which we all talk

340
00:19:27,479 --> 00:19:30,759
about and we've all heard about and read
about and blah, blah, blah, blah, blah.

341
00:19:30,759 --> 00:19:32,979
So you're in the leadership masterclass.

342
00:19:32,979 --> 00:19:34,519
So you're going to know how to do this.

343
00:19:34,860 --> 00:19:37,174
And then you are going to teach
everybody else how to do it.

344
00:19:37,455 --> 00:19:37,975
All right.

345
00:19:40,405 --> 00:19:47,245
So, so a lot of time is we talk
about scope of the problem.

346
00:19:47,585 --> 00:19:50,635
And so the blood pressure,
it has a broad scope.

347
00:19:51,605 --> 00:19:54,565
Now, you know this, but I'm just
going to hit this real quick.

348
00:19:54,855 --> 00:19:57,349
It is a very, very serious problem.

349
00:19:57,640 --> 00:20:01,640
Uh, for all of us, it's, it's one
of the leading causes of stroke, uh,

350
00:20:01,650 --> 00:20:03,750
leading causes of loss of vision.

351
00:20:04,060 --> 00:20:07,809
Kidney disease is, is a significant
problem with consistent high

352
00:20:07,810 --> 00:20:12,529
blood pressure, bone loss,
sexual problems in men, um, heart

353
00:20:12,529 --> 00:20:15,010
disease, depression, and anxiety.

354
00:20:15,219 --> 00:20:19,220
So my point is, it's not
just in, in one area.

355
00:20:19,870 --> 00:20:20,330
Right?

356
00:20:20,480 --> 00:20:26,679
It's not, it's not like if I, if I,
if I break, if I fracture my leg, then

357
00:20:26,699 --> 00:20:28,240
it's just my leg that's the problem.

358
00:20:28,260 --> 00:20:33,270
It doesn't affect my heart if I break
my leg or doesn't affect my, my, uh,

359
00:20:33,280 --> 00:20:37,209
whether, whether I have any, whether I'm
depressed or not and that sort of thing.

360
00:20:37,399 --> 00:20:40,870
So it, it gives you an idea of what,
why we decided to talk about and why

361
00:20:40,870 --> 00:20:46,324
we've done so many, uh, Masterclass, so
many podcasts, uh, and the masterclass

362
00:20:46,384 --> 00:20:49,624
on high blood pressure, because
there's so many different parts of it.

363
00:20:50,034 --> 00:20:51,504
I'll just do this real, real quick.

364
00:20:51,844 --> 00:20:55,134
Um, about, close to about 50
percent of the people in this

365
00:20:55,134 --> 00:20:56,364
country have high blood pressure.

366
00:20:56,675 --> 00:20:57,864
Very common problem.

367
00:20:58,305 --> 00:21:05,374
Um, usually, um, of those
people who have it, only 25

368
00:21:05,374 --> 00:21:06,764
percent is it really controlled.

369
00:21:07,605 --> 00:21:13,345
And when I say control, I mean
120 over 80, or even 130 over 80.

370
00:21:13,355 --> 00:21:18,305
Those, I'm changing the upper number,
the bottom number stays the same, 80.

371
00:21:19,085 --> 00:21:23,835
So I'm talking about 120 to
125 to 130 over 80, okay?

372
00:21:24,075 --> 00:21:27,985
If that bottom number goes
up, 85, 90, now we're getting

373
00:21:27,985 --> 00:21:29,835
into a higher category, right?

374
00:21:30,105 --> 00:21:35,095
So my point is that even though it affects
Roughly 50 percent of the people in this

375
00:21:35,095 --> 00:21:39,774
country, of those 50%, only 25 percent
of the time is it really controlled.

376
00:21:40,534 --> 00:21:40,834
Alright?

377
00:21:41,265 --> 00:21:43,937
Now, you might say, well, why is that?

378
00:21:43,937 --> 00:21:45,474
Why is that?

379
00:21:46,554 --> 00:21:47,585
You don't feel it.

380
00:21:48,774 --> 00:21:51,804
You don't get pain when
your blood pressure goes up.

381
00:21:52,830 --> 00:21:56,250
There are people who will swear by,
oh, I can tell my, my blood pressure

382
00:21:56,250 --> 00:22:00,570
must be up because I'm, I'm really
well, most times it's not, it's not,

383
00:22:00,750 --> 00:22:02,829
you know, in other words, if someone
were to check your blood pressure at

384
00:22:02,870 --> 00:22:04,830
that moment, it would not be elevated.

385
00:22:05,020 --> 00:22:09,100
So my point is that the
signs that we normally use.

386
00:22:09,959 --> 00:22:15,149
So let us know when there's a problem with
ourselves physically are not applicable

387
00:22:15,810 --> 00:22:17,600
regularly with high blood pressure.

388
00:22:17,770 --> 00:22:20,990
You don't get the warning
sign, per se, which is why

389
00:22:20,990 --> 00:22:22,159
it's called the silent killer.

390
00:22:23,670 --> 00:22:24,699
It's why it's called the silent.

391
00:22:24,889 --> 00:22:27,439
It does not let you know,
OK, this is happening.

392
00:22:27,489 --> 00:22:28,539
You better do something.

393
00:22:28,929 --> 00:22:32,249
So what that does is it
puts more pressure on you.

394
00:22:32,794 --> 00:22:33,264
Right.

395
00:22:33,554 --> 00:22:37,165
So, so that, that's why we decided, you
know what, we're, we're just going to

396
00:22:37,195 --> 00:22:41,264
take a section and we're just going to
podcast little, little parts of high blood

397
00:22:41,264 --> 00:22:43,614
pressure, part of blood pressure in women.

398
00:22:43,844 --> 00:22:45,334
Remember, men and women are different.

399
00:22:45,445 --> 00:22:47,465
And we'll, we'll talk about that shortly.

400
00:22:47,755 --> 00:22:52,255
Um, and so just, just to address
that, but it's very, very common.

401
00:22:52,285 --> 00:22:53,235
It's very, very common.

402
00:22:53,625 --> 00:22:55,935
Uh, it's hot, it's usually
more of a problem in men.

403
00:22:56,265 --> 00:22:57,645
I'm talking about across the country now.

404
00:22:57,654 --> 00:22:58,135
I'm talking about U.

405
00:22:58,135 --> 00:23:01,574
S., United States of America,
that in men, that in women.

406
00:23:01,654 --> 00:23:05,584
Um, a major cause of stroke and
heart attack, which are probably

407
00:23:05,594 --> 00:23:07,145
the most common causes of death.

408
00:23:07,534 --> 00:23:10,205
In this country overall
stroke and heart attack.

409
00:23:10,835 --> 00:23:16,054
Okay, because all of these areas depend on
the blood getting to where it's supposed

410
00:23:16,064 --> 00:23:18,524
to go, when it's supposed to get there.

411
00:23:19,274 --> 00:23:22,314
And if that blood pressure is
high, as we'll talk about later,

412
00:23:22,344 --> 00:23:24,165
it damages the blood vessels.

413
00:23:24,314 --> 00:23:27,225
So the blood many times cannot
get there the way it should.

414
00:23:27,685 --> 00:23:30,705
This again is just a re
emphasis of what we just said.

415
00:23:31,235 --> 00:23:34,445
It can affect, it can cause
depression and anxiety.

416
00:23:35,375 --> 00:23:36,915
If you are constantly stressed.

417
00:23:37,520 --> 00:23:41,940
You're constantly worried, you're
constantly tense, you're constantly

418
00:23:42,090 --> 00:23:46,359
yelling and screaming, you can't, you
can't get happy, you, you, you don't feel

419
00:23:46,400 --> 00:23:51,039
comfortable, the world is closing in on
you, et cetera, et cetera, et cetera,

420
00:23:51,340 --> 00:23:56,849
uh, that, that many times, uh, can end up
being a problem because it ends up making

421
00:23:56,859 --> 00:23:59,089
the blood pressure worse, makes it worse.

422
00:23:59,420 --> 00:24:01,990
And these are some of the other
things that we just mentioned before.

423
00:24:04,390 --> 00:24:09,540
So what we want to do, our goal
today is one to have you knowledge

424
00:24:09,540 --> 00:24:11,240
about what the blood pressure is.

425
00:24:11,440 --> 00:24:15,420
Now you don't have to be an expert where
you're going to go out treating patients

426
00:24:15,440 --> 00:24:19,020
with blood pressure, but you want to
be able to take care of yourself and

427
00:24:19,039 --> 00:24:22,270
those around you and those around you.

428
00:24:22,270 --> 00:24:26,740
Remember the first belief, um, this
about being of service to others.

429
00:24:26,959 --> 00:24:29,490
So we don't want you to keep your
blood pressure under control.

430
00:24:29,490 --> 00:24:31,850
We want you to keep the blood
pressure of your husband, your

431
00:24:31,850 --> 00:24:35,610
wife, your kids, your grandparents,
you know, your close friends.

432
00:24:35,895 --> 00:24:40,004
You know, et cetera, et
cetera, right, because that's

433
00:24:40,004 --> 00:24:41,385
what leadership is all about.

434
00:24:42,145 --> 00:24:47,094
So, we want to, as much as
possible, prevent problems before

435
00:24:47,094 --> 00:24:50,365
they happen, because prevention
is always better than treatment.

436
00:24:51,095 --> 00:24:51,565
Makes sense?

437
00:24:51,565 --> 00:24:52,144
With anything.

438
00:24:52,395 --> 00:24:56,495
If you can stop it, then you don't
have to worry about treating it.

439
00:24:56,495 --> 00:25:00,925
And if you're going down the wrong
path, we want you to stop and come back.

440
00:25:01,310 --> 00:25:02,800
and and do it properly.

441
00:25:03,520 --> 00:25:07,100
You want to take your blood
pressure medication as prescribed.

442
00:25:07,810 --> 00:25:12,559
If you're confused about it, call your
doctor or text your doctor depending

443
00:25:12,560 --> 00:25:14,259
on what type of insurance you have.