Time is Brain: Understanding the Urgency of Stroke Treatment and Recovery with Dr. William T. Choctaw, MD, JD

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Coming up on this episode of the
Healthy, Wealthy, and Wise podcast.

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You know, in terms of my Sunday school
class, if you wonder where the Holy

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Spirit resides, it resides in my opinion.

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Welcome to the Healthy, Wealthy,
and Wise podcast with Dr.

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William T.

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Choctaw, MD, JD.

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This podcast will provide you with
tools and actionable information

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you can use to help live a more
healthy, wealthy, and wise life.

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It's powered by the over 50 years of
medical experience of this Yale University

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Medical School trained surgeon, who is
also a Western State Law School trained

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attorney, with executive experience being
a former mayor of Walnut, California,

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as well as the current chairman of the
nonprofit Servants Arms, and as president

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of Choctaw Medical Group, Incorporated.

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This is the Leadership
Masterclass Edition.

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Already in progress.

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Robin, Andrew, call the phones.

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Okay everybody, what I want to do is
give you a scripture and then a prayer.

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Uh, our scripture this morning is going
to be James chapter 1, verses 2 through 4.

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I know it's very familiar with everybody,
but I, you know, the Lord gave it to him.

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I see it's so pertinent
for today's lesson.

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He says, My brother, encounter
all joy when you fall into various

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trials, knowing that the testament
of your faith produces patience.

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But let patience have its perfect
word, that you may be perfect

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and complete, lacking nothing.

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Let us go to the Lord in prayer.

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Father God Almighty, as we come to
you right now, we just want to thank

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you for this opportunity, my Father.

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First of all, to be in the land of
the living once more again, Father.

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We pray, my Father, that we will serve
and worship and glorify you, edify

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you, which you so richly deserve when
we travel down life's highway today.

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We pray that also we will be able to
strike from today's Subject matter

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that we have is coming from Dr.

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Chata, my father, things that we
need to use, my father, for us

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physically, mentally, my father, so
we can be all that you want us to be.

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So right now, we pray that
you continue to fill Dr.

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Chata with your Holy Spirit, wisdom, and
knowledge, so he can be able to distribute

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to us what you have for him today.

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We ask this of you, and we thank
this of you, in your daughter and

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son, Jesus Christ, Holy Name, Amen.

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Dr.

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Chata.

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Hey, good morning again.

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Welcome to the um, Leadership Masterclass.

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Sometimes I'm asked, how do I
decide which subjects to use?

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And there are a number of different
ways I do this, quite honestly.

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One, based on my experience, I go by
those subjects that are most common.

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You know, things like high blood pressure,
diabetes, stroke, are very, very common.

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And we know that that's going to
affect a large group of people.

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The other thing I do is that every day, I
review probably about five or ten medical

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type articles online, every single day.

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And most of the times that gives me an
idea about what the national trend is,

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uh, in terms of what's going on in the
country, uh, if there are new things that

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have to, um, uh, that have developed,
have been developed, I, I follow those

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up and try to bring those to you also.

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And so today we're going to
talk about stroke prevention,

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treatment, and recovery.

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Now we've, we've touched on the
subject of stroked in the past,

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but we've not gone into detail
about it as we're gonna do today.

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Um, and again, stroke is one of
those things that are very common.

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As always, we like to
start off with our beliefs.

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Why are we doing this?

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Why is there a masterclass?

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Um, and so, um, there was a very famous,
or is a very famous, um, um, uh, person

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named Simon Sinek, uh, who talks about.

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Uh, in terms of TED Talks, um, it says
that whenever you're going to do anything,

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you should tell people what you believe,
uh, because your belief sort of gives them

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an idea about where you're coming from.

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So I thought that was a very good idea.

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And so some, some years ago, uh, I
developed my beliefs and I'm, I'm

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always welcome to share that with you.

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I believe life is about
being observant to others.

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I believe knowledge is power.

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And I believe leaders
can change the world.

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Now, this masterclass
started, uh, last year.

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So we're coming up on two years,
uh, that we've been doing this,

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um, at this location at St.

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Stephen's.

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And the purpose is to inform
you, to educate you, and I define

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education by receiving information
that changes behavior, receiving

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information that changes behavior.

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Um, and the third, uh, What we
wanted is we want to motivate you.

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We want you to go out and do something
or to put it another way, we want you

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to use what you have learned to help
somebody else, including yourself.

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This is basically my opinion
about different issues.

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If you have a particular medical problem,
you first always want to consult your

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own health care professional because
everybody's a little different.

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It's one of the things
that we try to stress.

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All hypertension is not the same.

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All diabetes is not the same.

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All strokes are not the same.

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Um, and the way God made us
is we're individually unique.

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And our health care is
individually unique.

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So it's important to sort
of keep that in mind.

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So these, this information
is primarily advisory.

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But you always follow your, your,
your physician's recommendation

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about yourself specifically.

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So what I like to always do is to
define what we're going to talk about.

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Um, a stroke is a damage to the brain
that occurs when a blood vessel in

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the brain bursts or gets blocked.

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And we're going to go over
this a number of times.

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We're going to repeat this definition.

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Um, the whole thing is that the
body is a very complex, my term,

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human computer, the most complex
computer you can ever imagine.

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Uh, but it is extraordinarily beautiful
and intricate and how it works.

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Um, having said that, the body is
very sensitive to different things

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and also it is very variable.

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And one of the areas of the
body that's most is the brain.

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It's the brain.

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Um, it sits in the skull.

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Um, has different areas, and
we'll go over some of that.

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Um, uh, my personal opinion, uh, uh,
you know, in terms of my Sunday School

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class, if you wonder where the Holy
Spirit resides, It resides, in my opinion,

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in the prefrontal cortex of the brain,
frontal lobe, just my opinion, okay?

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So there is a location.

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You know, it's interesting, because we
used to have this philosophical discussion

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in college about Well, where is the mind?

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And where is the soul?

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And is it in the heart?

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Is it in the brain or whatever?

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So different people have different
opinions, but I'll just, just share my,

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my humble thoughts with you about that.

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But there is a location.

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It is there.

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There is a location.

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So, let's go ahead and get started.

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So, as a general overview,
about 800, 000 people in this

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country have strokes every year.

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Put that in context, uh, United States of
America has about 370 plus million people.

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Presently in 19, in, in 2024.

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Um, but every year close to a
million people have a stroke.

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Uh, my point is, it's very common.

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It's very common.

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Stroke is the number five.

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Some even say the number that the
third leading cause of death in this

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country from a medical condition.

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Um, about 690, 000 people.

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Um, have strokes that caused by blood
that cuts off, uh, by, by, uh, situations

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that cut off, uh, blood clots, that
cut off blood flow to the brain.

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Um, and what you want to do, uh,
within a stroke is remember, um,

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this is a phrase we use in healthcare
arts, time is brain, time is brain,

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and I'll, I'll go into that a little
more clearly, uh, as we, as we go on.

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So what's my point?

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My point is it's very calm.

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It's very calm.

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Uh, number two, it's, it's very
fast in the damage that it can do.

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Uh, and number three, uh, we can
help either ourselves or others when

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they have it, but we've got to have
knowledge, which is why it's good that

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you're in the leadership masterclass.

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Um, either to help
ourselves or to help others.

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And again, that's part of our design.

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So one of the main things is that
if you're having a stroke or you

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think somebody's having a stroke,
um, uh, you want to get them to a

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healthcare facility very, very quickly.

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And we'll go into what that looks like.

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And again, time is brain.

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And when I say time, I'm talking
about minutes, not hours.

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Minutes, not hours.

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Actually, about four or five minutes, so
it's really a very short amount of time.

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So what are some of the risk factors,
we're going to come back to the

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time issue, but what are some of
the risk factors, uh, that can

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occur, um, uh, that can increase
your risk of, of having a stroke?

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Well, certainly if you smoke, that
increases the risk of you having a stroke.

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Why is that?

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Because the nicotine
affects the blood vessels.

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It contributes to the damage of blood
vessels, and the blood vessels, as

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we know, are basically the avenues
of delivering blood to all parts of

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the body, including the brain, right?

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Heart disease, um, uh,
uh, uh, different types.

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can also contribute to stroke.

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Alcohol, uh, contributes to
stroke because alcohol damages

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different parts of the body.

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Now a lot of the literature will say
limits your, your alcohol intake.

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I say have zero alcohol intake,
and let me, let me parenthetically

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say that I do not believe that wine
is not alcohol, wine is alcohol.

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I do not believe that beer is
not alcohol, beer is alcohol.

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But I will tell you that somebody once
said, uh, that an alcoholic is somebody

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who drinks more than his doctor.

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Uh, so, so, so, so I can
tell you I do not drink.

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Uh, so zero, zero alcohol
is what I recommend.

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And so just, just keep that in mind.

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Uh, be active, be active.

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Uh, and when I say active, I'm not
saying that you'd be a marathoner

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like Reverend Collins or, or my
wife Lorena, but you gotta move.

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You gotta move.

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You gotta walk around.

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You gotta, Uh, walk around the city or
walk around your house or walk around

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your yard, go to the store three or
four times a day and walk around.

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But you want to do something.

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Why is that important?

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Because exercise basically
allows you to use the brain.

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Uh, your heart to keep your
heart healthy, pumps that blood

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around more, more regularly.

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Uh, and that also, um, allows
you to stay healthier and

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you got to eat healthy foods.

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And again, we're going to go back over
this again throughout this presentation.

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Um, if you are on hormone therapy, let's
say if you take birth control pills,

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uh, that may put you at a unique risk.

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Uh, for strokes, that's something you,
you, uh, uh, should communicate with

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your physician about because there
are many different types of pills that

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you can take, uh, to, to, to, um, um,
moderate your, your risk with that.

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So let's, again, go a little more deeper.

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One of the things that, another reason
why I decided to go over this subject

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again and in more detail is that this.

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month, this past month actually, the CDC
came out with new warnings about stroke.

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You see, the Center for Disease
Control, which is in Atlanta, Georgia,

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it is a governmental agency and if
you remember about COVID, the CDC

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was the one that we depended on for
guidelines because that's its job.

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It has a staff of doctors and nurses,
epidemiologists, et cetera, et cetera.

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Uh, and their job is to warn the public
about various types of health issues.

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And so one of the things that the
CDC Um, noted, and we'll mention

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this later, that the percentage of
strokes, um, um, is, has increased,

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um, uh, compared to the last 10 years.

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And more specifically, and we'll
talk about this a little later, it's

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increased in a certain group, certain
age group, uh, and it's basically

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those individuals who are less than 60.

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Okay.

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Normally you expect that as you
get older, as we get older, we

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have more and more and more, uh,
heart, more and more medical issues.

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And that's just normal.

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You know, I compare it to, um,
um, that car you got 50 years ago.

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Um, as that car continues to age, it
starts having all sorts of issues.

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Um, I know it's sort of a, a
crude example, but the human

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body is no different is my point.

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That as we get older, uh, certain things
start coming up that didn't come up 40

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or 50 years ago, um, among other things.

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But my point is, because in my
judgment, uh, there may be more of

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a sense of urgency about strokes and
about our knowledge about strokes.

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It's one of the reasons
we want to bring up.

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So there are two main types of strokes.

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One is stroke that comes from a
blockage of blood that goes to the

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brain, and the other that comes
from a bleed, a rupture of the blood

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vessel that takes blood to the vein.

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But the bottom line is that blood
is not getting to the, to the,

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to the brain tissue in the amount
and at the rate that it should.

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And that's the problem.

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That's the problem.

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As I mentioned before, from the CDC this
year said that, uh, as they, as they

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reviewed data and they monitor data 24
seven as they view data, they noticed.

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that there's an uptick in strokes
among, um, people who are less than 60.

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Those of us like myself who are in that 70
category, we view 60 as being very young.

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So if you're in that 60 category,
you're, you're like children to us.

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Now another issue about stroke,
and this should be no surprise.

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There's a higher rate in general of
strokes, uh, in certain minorities,

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particularly African Americans.

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Now there could be a number of reasons
for that, but I'm going to suggest

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that a major reason for it is, uh,
heredity, that it's in your genes.

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Why do I say that?

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One, because it's true, but the other
reason is that one of the areas of

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healthcare disparities in this country.

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What do I mean by health care disparities?

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Health care disparities is where
different groups are treated differently

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in terms of health care, both in terms
of why they have certain illnesses

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and how they should be treated.

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And it has not been uncommon that many
times minorities are treated differently

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than those who are not minorities.

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Sometimes intentionally,
sometimes not intentionally.

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A classic example I always like
to use is to attribute certain

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illnesses that certain minorities
might have to lifestyle only.

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This you may see with things
like, um, uh, diabetes.

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So you may see it with things like,
welcome, come on in, um, uh, with,

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with obesity, other types of things.

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Uh, and for years, in my opinion, uh,
people were sort of beat over the head

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with, well, you just need to change
this, you just need to change that,

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and you people are this and you people
are that, all along not appreciating

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the fact that a major contributor
to a lot of the healthcare issues

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we have come from mommy and daddy.

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Now I'm not saying it's always mommy and
daddy's fault, but what I'm saying is if

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it's in your genes, it's in your genes.

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And certain things like
hypertension could be in your genes.

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Obesity can be in your genes.

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Having a stroke can be in your genes.

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If it's in your genes, theoretically,
it may very well happen.

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Now, can you do things to mitigate it?

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Maybe.

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But my point is, it's not something
that you and you alone have done.

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Uh, and I'm trying to get rid of a lot of
this guilt that's been dumped on folks,

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uh, particularly minorities, because
you're different and if you were more like

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us, you wouldn't have all this problem.

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That's just hogwash.

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Absolute hogwash.

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And, uh, particularly, I've
given this talk many times.

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Um, particularly when we talk
about obesity and related

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issues, uh, there's a Dr.

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um, um, Jameson, um, um, um, at,
at Harvard who, uh, wrote a lot of

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articles on obesity and the cause of
obesity, but the bottom line is, it's

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a large percentage of it is genetic.

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It's in your genes.

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And if it's in your genes,
you can't help that.

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You can't help that.

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If you doubt that, look at somebody,
look at a family, four or five people.

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And if you look at that family, you can
see certain physical characteristics

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that are unique to that family.

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And one of those characteristics may
very well be body shape, uh, color,

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um, how they move, how they walk.

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Um, most of us have said,
I know I've got four kids.

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I can see my son distance
off and I can tell that it's

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him just by the way he moves.

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You know, I don't know why, but I
can, and I bet all of you can also.

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Because there are certain
things that are unique.

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To us that have to do with our genes.

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Okay, but let me go back to the
point African americans have a high

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percentage of stroke because many
times we have a high percentage of high

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blood pressure Diabetes and obesity.

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Okay, you put all those things together

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that can contribute to the stroke
Thank you for listening to the Healthy,

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wealthy, and Wise Podcast with Dr.

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William t Choctaw, MDJD.

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any of the previous episodes.

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00:18:50,550 --> 00:18:54,535
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00:18:56,530 --> 00:18:59,530
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Then tune in for the next
episode of the Healthy, Wealthy,

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00:19:07,430 --> 00:19:09,019
and Wise podcast with Dr.

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00:19:09,019 --> 00:19:09,580
William T.

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Choctaw, MD, JD.

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