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Aug. 5, 2023

Unlocking the Secrets of Longevity with Dr. William Choctaw

Unlocking the Secrets of Longevity with Dr. William Choctaw

Ever wondered how to leverage your personal power to craft a healthier, happier and long-lasting life? Get ready to explore the secrets of longevity with our distinguished guest Dr. William Choctaw. In this enlightening conversation, Dr. Choctaw diss...

Ever wondered how to leverage your personal power to craft a healthier, happier and long-lasting life? Get ready to explore the secrets of longevity with our distinguished guest Dr. William Choctaw. In this enlightening conversation, Dr. Choctaw dissects the essential habits needed for living a longer, healthier life, such as maintaining a well-rounded diet, staying active, and understanding nutritional labels. This isn’t about grueling workouts or drastic diets but about setting achievable goals based on your life stage. You'll learn how just two hours of moderate activity per week can have a profound impact on your long-term health and happiness. 

Unlock the secret to preventing heart problems, the world's leading cause of death, in our enlightening discussion with Dr. Choctaw. We delve into the importance of managing weight, cholesterol, and blood sugar levels, the need to routinely check blood pressure, and the role of sleep in maintaining heart health. It's all about taking ownership of your health and staying in tune – mentally, physically, and spiritually. So join us as we explore how you can harness your personal power to make healthier choices and take active steps towards a fulfilling life.

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Healthcare Quality Leadership Education Group

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The Host, Dr. William Choctaw; MD, JD, is a healthcare leadership expert, possessing a Medical Doctorate from the Yale University School of Medicine, and a Jurist Doctorate from Western University. Over a span of 50 years practicing medicine, he has served as Chief of Staff, Chief of Surgery, and as a member of the medical executive committee at Citrus Valley Medical Center over a 10 year period. Also, while practicing at Citrus Valley Medical Center, he served as Chief Transformation Officer, (developed a Robust Process Improvement/Lean Six Sigma program). Dr. Choctaw lectures nationally and internationally on medical leadership issues for hospital staffs, executives, and managers. He served as a Physician Surveyor on the Joint Commission. He's the author of 2 books, "Medical Malpractice: A Physician's Guide to the Law" and "Transforming the Patient Experience: A New Paradigm for Hospital and Physician Leadership, published by the Springer Publishing Co. He’s the President of Choctaw Medical Group, Inc., a clinical practice and medical legal consulting firm for medical staff executives, physician leaders, and hospitals.

Transcript
1 00:00:00,400 --> 00:00:03,099 Speaker 1: Welcome to the Healthy Wealthy and Wise podcast 2 00:00:03,099 --> 00:00:08,096 with doctor William Choctaw, MD JD. Our mission is to empower 3 00:00:08,115 --> 00:00:11,993 you with the knowledge and the tools you need to thrive in all 4 00:00:11,993 --> 00:00:16,210 aspects of your life. Join us now as we discuss everything 5 00:00:16,310 --> 00:00:19,969 from new attrition and exercise to money management and personal 6 00:00:19,969 --> 00:00:24,626 growth. Doctor Choctaw will provide insightful advice on how 7 00:00:24,626 --> 00:00:28,103 to improve your physical and financial health, as well as 8 00:00:28,103 --> 00:00:31,461 your emotional and mental well-being. Whether you're 9 00:00:31,461 --> 00:00:36,020 looking to boost your energy levels, unlike financial freedom 10 00:00:36,020 --> 00:00:40,377 or cultivate a more positive mindset we've got you covered. 11 00:00:41,637 --> 00:00:45,953 Get ready to become the best version of yourself. So let's 12 00:00:45,953 --> 00:00:50,570 get started. Here's doctor William Choctaw, MD JD. 13 00:00:51,271 --> 00:00:55,628 Speaker 2: Good morning. Welcome to the Healthy Wealth and Wise 14 00:00:55,807 --> 00:01:00,526 podcast. I'm Dr. William Chuck Tong, and I will be your host 15 00:01:00,526 --> 00:01:04,343 for this morning. Today, we're gonna talk about essential 16 00:01:04,644 --> 00:01:13,097 habits for long life. Essential habits for a long life. Our 17 00:01:13,097 --> 00:01:16,137 podcast is part of our Leadership Mass Class series, 18 00:01:16,137 --> 00:01:19,554 and we're delighted to have been with us. And so let's get 19 00:01:19,554 --> 00:01:23,692 started. I believe life is about being of service helping others 20 00:01:23,692 --> 00:01:29,399 . I believe knowledge is power. I believe leaders can change the 21 00:01:29,399 --> 00:01:33,677 world. If you're listening to this podcast, I'm gonna suggest 22 00:01:33,677 --> 00:01:37,034 that you're already a leader because you're interested in 23 00:01:37,034 --> 00:01:41,792 expanding your your knowledge and skill set, and welcome to 24 00:01:41,792 --> 00:01:45,558 all journey. We frequently talk about different topics and most 25 00:01:45,558 --> 00:01:49,757 of our topics tend to be healthcare associated. I am a 26 00:01:49,757 --> 00:01:54,054 physician with over fifty years experience in general surgical 27 00:01:54,153 --> 00:01:59,590 practice. And I these podcasts are based on my experience in my 28 00:01:59,590 --> 00:02:03,828 personal life and also with my patients. So we're gonna 29 00:02:03,828 --> 00:02:10,605 concentrate today about heart disease heart disease. Why? 30 00:02:11,125 --> 00:02:17,322 Heart disease is the single most common cause of death in the 31 00:02:17,322 --> 00:02:22,217 world. And particularly in the United States. Twenty five 32 00:02:22,217 --> 00:02:27,123 percent of deaths in our country is caused by heart disease and 33 00:02:27,123 --> 00:02:31,562 related issues. So it's a very, very important area to try to 34 00:02:31,562 --> 00:02:38,049 mitigate those systems that create a decrease in our long 35 00:02:38,049 --> 00:02:44,324 term survival and ultimate happiness. As we talk about the 36 00:02:44,324 --> 00:02:48,581 essential elements for him, we are gonna particularly 37 00:02:48,722 --> 00:02:52,789 concentrate all those areas where we use our personal power. 38 00:02:52,789 --> 00:02:57,108 Our personal power. But with me and by that is that we're gonna 39 00:02:57,108 --> 00:03:01,754 be talking about what we can control ourselves. There's a lot 40 00:03:01,754 --> 00:03:05,272 in life that we cannot control his individuals and his human 41 00:03:05,272 --> 00:03:08,790 beings. So we're gonna concentrate on what we can 42 00:03:08,790 --> 00:03:12,639 control out personal power. One, because we think that that's 43 00:03:12,639 --> 00:03:16,556 the most effective. Two, because we think that that's where most 44 00:03:16,556 --> 00:03:23,462 about actual strength is And we think that by doing that, we'll 45 00:03:23,462 --> 00:03:27,381 be more successful. Because quite honestly, those things 46 00:03:27,381 --> 00:03:33,228 that we can't control To some extent, control is illusory. And 47 00:03:33,228 --> 00:03:36,725 we spent a lot of times, many times trying to control people 48 00:03:36,884 --> 00:03:40,962 annual circumstances that are outside of our purview. So we're 49 00:03:40,962 --> 00:03:45,489 gonna try to retrain ourselves to look inward. And see those 50 00:03:45,489 --> 00:03:50,646 things that we can do to make life better and longer. The 51 00:03:50,646 --> 00:03:56,932 first essential element is for us to eat better. We can control 52 00:03:56,932 --> 00:04:01,620 what we eat. And basically, we all know this. But basically, we 53 00:04:01,620 --> 00:04:04,818 need to eat more fruits and vegetables. I like to say, we 54 00:04:04,818 --> 00:04:08,455 like to eat foods with more color, more different types of 55 00:04:08,455 --> 00:04:11,903 color in them. But fruits and vegetables is a good place to 56 00:04:11,903 --> 00:04:19,670 start. We wanna limit sweetened drinks, red processed meat, and 57 00:04:19,670 --> 00:04:25,547 food fat dairy products. And of course, we want to avoid trans 58 00:04:25,547 --> 00:04:28,884 fat So what is that latency? You said with doctor Chalka, how do 59 00:04:28,884 --> 00:04:33,321 I know whether this trans fat in the food that I get or that I 60 00:04:33,321 --> 00:04:38,958 purchase? How exactly will I know that? Well, we want to 61 00:04:38,958 --> 00:04:42,396 start to read more nutrition labels. In other words, when you 62 00:04:42,396 --> 00:04:46,043 go into the store, and you pick up the item that you want to 63 00:04:46,043 --> 00:04:52,548 purchase, read the label many times by law, Companies have to 64 00:04:52,689 --> 00:04:56,766 lay out on the label in detail what's in the product that you 65 00:04:56,766 --> 00:05:00,353 are buying. And if you wanna see the number of calories, the 66 00:05:00,353 --> 00:05:03,791 number of sugars, the number of carbohydrates, the number of 67 00:05:03,791 --> 00:05:08,879 fat, the number of protein, get in the habit. Of reading labels. 68 00:05:08,879 --> 00:05:15,285 A second essential to long left, long lives and thriving is 69 00:05:15,285 --> 00:05:20,062 being more acted. Notice I didn't use the word exercise. I 70 00:05:20,062 --> 00:05:24,079 said, be more acted. And that includes exercise. A lot of 71 00:05:24,079 --> 00:05:27,836 times when you say exercise, people think of getting on a 72 00:05:27,836 --> 00:05:31,834 track and running it, etcetera, etcetera. I'm saying, be more 73 00:05:31,834 --> 00:05:37,550 active physically. Get up, move around, walk around. As we do 74 00:05:37,550 --> 00:05:41,517 that, we have to set certain goals for ourselves because it 75 00:05:41,517 --> 00:05:45,636 really depends on which stage of life we are in. Right? If we 76 00:05:45,636 --> 00:05:49,334 are in junior high school and high school. They probably even 77 00:05:49,334 --> 00:05:54,132 have classes in school called physical education. So that's 78 00:05:54,132 --> 00:05:59,257 built into our schedule. As we graduate from high school and to 79 00:05:59,257 --> 00:06:05,004 college, we probably have to run around and walk more up and 80 00:06:05,004 --> 00:06:09,802 down stairs, etcetera, etcetera. And there's also physical 81 00:06:09,802 --> 00:06:14,199 education classes that we can take So many times that is built 82 00:06:14,199 --> 00:06:19,995 into our normal routine. But as we transition into the 83 00:06:19,995 --> 00:06:24,983 workforce, there are the sedentary problems or issues of 84 00:06:24,983 --> 00:06:30,550 life take effect. We may work where we sit at a desk. And we 85 00:06:30,550 --> 00:06:35,627 may sit at that desk for hours on on end. So then we have to 86 00:06:35,627 --> 00:06:40,033 get creative And we have to come up with ways that we can move 87 00:06:40,033 --> 00:06:47,050 around and again be more active. Activity, physical activity, in 88 00:06:47,050 --> 00:06:51,807 my judge is more than just basic exercise. It is both 89 00:06:51,807 --> 00:06:56,225 physical and mental, meaning that we're a physical moving 90 00:06:56,704 --> 00:07:00,343 Well, we like what we're doing, and that's the mental part. So 91 00:07:00,343 --> 00:07:04,300 I'd like to call it being more active as compared to go out and 92 00:07:04,300 --> 00:07:10,607 exercise x number of minutes. Speaking of that though, it is 93 00:07:10,607 --> 00:07:13,526 important for some of you who are very organized and very 94 00:07:13,526 --> 00:07:17,762 structured you want to know, well, how many minutes should 95 00:07:17,762 --> 00:07:22,661 exercise or be more active. In general, in terms of moderate 96 00:07:22,721 --> 00:07:28,776 activity, I would say about two hours per week. So you can 97 00:07:28,776 --> 00:07:32,733 divide that up into however you want. So many hours per day and 98 00:07:32,733 --> 00:07:36,353 so many minutes per day if that works for you. But the important 99 00:07:36,353 --> 00:07:41,060 thing is to be more active. And again, Activity. Increase 100 00:07:41,079 --> 00:07:47,456 activity plus enjoyment is what I call being more active. Okay? 101 00:07:47,915 --> 00:07:53,882 Physical exercise plus enjoyment is what I call increase 102 00:07:53,942 --> 00:07:57,639 activity. And that's an essential element that we need 103 00:07:57,639 --> 00:08:01,437 to work on practicing more. That's particularly true, 104 00:08:01,437 --> 00:08:06,074 obviously. If you are in the baby boom area, let's say you've 105 00:08:06,074 --> 00:08:09,434 worked thirty, forty, fifty years of your lives. And you're 106 00:08:09,434 --> 00:08:14,031 now slowing down. You're no longer working full time. You 107 00:08:14,031 --> 00:08:18,478 have more free time. Those are the years where you have to be 108 00:08:18,478 --> 00:08:22,776 even more circumspect about increasing your physical 109 00:08:23,334 --> 00:08:29,072 activity and mental component to that. That can certainly 110 00:08:29,091 --> 00:08:33,730 include things just walking just what taking a walk every day 111 00:08:33,730 --> 00:08:38,107 for a certain period of time, building it into your regular 112 00:08:38,167 --> 00:08:42,443 routine, but make sure you have physical and mental activity 113 00:08:42,624 --> 00:08:47,461 simultaneously on in your increased activity for the week. 114 00:08:47,461 --> 00:08:55,836 An essential element to long life. If you are a smoker, stop, 115 00:08:55,836 --> 00:09:01,062 real simple. If you are a smoker, quit. Now I realize that 116 00:09:01,062 --> 00:09:05,780 that's not always easy to do. But clearly, that needs to be on 117 00:09:05,780 --> 00:09:11,447 as part of your absolute plan. Smoking in this country is the 118 00:09:11,447 --> 00:09:15,706 most common preventable cause of death in the United States. 119 00:09:16,044 --> 00:09:22,332 Smoking. Again, I understand smoking is a habit. And habits 120 00:09:22,392 --> 00:09:26,899 are not easy to break, but is certainly one. That if you have 121 00:09:26,899 --> 00:09:30,937 this habit, you wanna stop. It damages smoking damages, the 122 00:09:30,937 --> 00:09:34,215 nicotine damages, the circulatory system. It increases 123 00:09:34,215 --> 00:09:38,631 the risk of other multiple type diseases. And let me say, when 124 00:09:38,631 --> 00:09:42,539 I say smoking, I'm including vaping, vaping, And I'm also 125 00:09:42,539 --> 00:09:46,238 including secondhand smoke. And a number of studies have shown 126 00:09:46,577 --> 00:09:50,484 that children who are around smokers parents who smoke or 127 00:09:50,484 --> 00:09:54,582 people in the homeless smoke also can have a secondary harm 128 00:09:54,881 --> 00:09:59,259 caused by smoking itself. So clearly, you want to eliminate 129 00:09:59,318 --> 00:10:04,335 smoking. If you are not able to do it yourself, seek help. You 130 00:10:04,335 --> 00:10:07,673 can seek help through your physician or or through other 131 00:10:08,133 --> 00:10:12,730 clinical support groups that can help you stop smoking. It is 132 00:10:12,730 --> 00:10:17,388 doable, and many people have done it. If you drink alcohol, 133 00:10:17,647 --> 00:10:22,953 I'm gonna suggest stop. Now I realize it's interesting. We 134 00:10:22,953 --> 00:10:26,591 don't have smoking commercials on television, but we have a 135 00:10:26,591 --> 00:10:32,217 plethora of alcohol commercials on television, I submit to you 136 00:10:32,217 --> 00:10:37,432 as a position that alcohol is just as dangerous to you in one 137 00:10:37,432 --> 00:10:42,150 way or another as smoking is and you should stop. Alcohol can 138 00:10:42,150 --> 00:10:46,758 damage your liver not to mention just the neurological effects 139 00:10:46,758 --> 00:10:50,975 of alcohol over a period of time on your brain, not to mention 140 00:10:51,076 --> 00:10:55,864 the activity when you are at drinking and how it affects your 141 00:10:55,864 --> 00:11:01,301 behavior and then your actions not to mention directly or 142 00:11:01,301 --> 00:11:05,219 indirectly the number of contributions in terms of auto 143 00:11:05,219 --> 00:11:09,576 accidents and other types of accidents, smoking and along 144 00:11:09,576 --> 00:11:12,445 with and alcohol along with smoking should be stopped. 145 00:11:13,524 --> 00:11:17,082 Shouldn't be stopped. I realize that that's not easy to do 146 00:11:17,082 --> 00:11:21,828 because it's a habit. I mean, for many, it's an addiction. And 147 00:11:21,828 --> 00:11:25,626 certainly, it's one of those situations where first, you 148 00:11:25,626 --> 00:11:29,693 admit that it's a problem, and then you seek help. If you never 149 00:11:29,693 --> 00:11:32,173 admit that it's a problem, most of times, you would not seek 150 00:11:32,173 --> 00:11:35,412 help. You will make an excuse just like with smoking well that 151 00:11:35,412 --> 00:11:38,778 helps me to relax Well, that makes me feel better. Well, I 152 00:11:38,778 --> 00:11:42,317 just think a little I don't take a lot, etcetera, etcetera, 153 00:11:42,417 --> 00:11:48,094 etcetera. Again, as a position with fifty years of experience 154 00:11:48,273 --> 00:11:53,070 in in medical practice, you need to stop. Another essential 155 00:11:53,129 --> 00:11:58,687 element for long life is healthy sleep. Now, sleep is something 156 00:11:58,687 --> 00:12:01,764 that we've always literally been figuratively taken for granted. 157 00:12:01,764 --> 00:12:04,673 Right. So, well, I sleep every night when you eat the healthy 158 00:12:04,673 --> 00:12:07,792 sleep. Well, you need to sleep a certain number of hours for a 159 00:12:07,792 --> 00:12:10,191 night tour adults, and we'll just stick with that for right 160 00:12:10,191 --> 00:12:14,008 now. I'm talking about seven to nine hours of sleep per night. 161 00:12:14,008 --> 00:12:16,767 Now some of you said, oh my goodness. I I can't sleep that 162 00:12:16,767 --> 00:12:20,903 vlog. That should be one of your goals. And when I say sleep, 163 00:12:21,083 --> 00:12:25,422 I'm not talking about light sleep. I'm talking about deep 164 00:12:25,601 --> 00:12:31,606 sleep. Rim sleep, r e m, rapid eye movement sleep. Okay. And 165 00:12:31,606 --> 00:12:35,695 how do you know when you're in deep sleep, dreaming? If you're 166 00:12:35,695 --> 00:12:39,373 dreaming, you're in deep sleep. And even if you may not remember 167 00:12:39,373 --> 00:12:43,051 what the dream was about, when you wake up, he said, wow, I had 168 00:12:43,051 --> 00:12:47,119 a dream, but a commitment was about But if you are dreaming, 169 00:12:47,119 --> 00:12:52,515 you're in deep sleep. So we want deep sleep for you when when 170 00:12:52,515 --> 00:12:56,952 you were sleeping at night. Studies have shown that if you 171 00:12:57,232 --> 00:13:01,870 that your body basically psychologically works out a lot 172 00:13:01,870 --> 00:13:05,739 of mental and psychological issues, while you're asleep, and 173 00:13:05,739 --> 00:13:08,577 that makes sense. Think about it. Think about all the things 174 00:13:08,577 --> 00:13:12,216 your brain has to do per day. It is working twenty four or seven 175 00:13:12,216 --> 00:13:15,683 while you are awake. Making sure to keep you on task, making 176 00:13:15,683 --> 00:13:18,522 sure that you do what you wanna do, making sure that you could 177 00:13:18,522 --> 00:13:21,801 do your job, making sure you take care of yourself and your 178 00:13:21,801 --> 00:13:25,947 family. Making sure you respond appropriately. That's a lot of 179 00:13:25,947 --> 00:13:30,304 work. Right? So there's a lot of extra stuff that's unnecessary 180 00:13:30,884 --> 00:13:34,482 that that that the brain needs to clean up. So think about 181 00:13:34,482 --> 00:13:38,809 sleep as that time that the brain does is clean up work. It 182 00:13:38,809 --> 00:13:44,126 sort of fine tune itself. It sort of polishes itself. It sort 183 00:13:44,126 --> 00:13:50,273 of makes sure that it's in maximum mode to be efficient for 184 00:13:50,273 --> 00:13:54,490 you the next day and the next day and the next day, HIP on the 185 00:13:54,490 --> 00:13:58,528 other hand, you deprive yourself of sleep. The brain 186 00:13:58,528 --> 00:14:03,274 does not have time to do this cleanup work, and that extra 187 00:14:03,274 --> 00:14:07,432 material that's no longer beneficial to you begins to back 188 00:14:07,432 --> 00:14:12,690 up and cause problems with the normal efficiency of the brain. 189 00:14:12,948 --> 00:14:17,187 So it makes sense. Think about that. So you need to sleep so 190 00:14:17,187 --> 00:14:21,874 that your brain can rest bottom line. You need to sleep so that 191 00:14:21,874 --> 00:14:26,292 your brain can rest. A rested brain is a more efficient brain 192 00:14:26,511 --> 00:14:30,568 and a more functional brain. So if you take care of your brain, 193 00:14:30,589 --> 00:14:34,386 it will take care of you. Health to sleep has been shown to 194 00:14:34,386 --> 00:14:39,224 improve cardiovascular disease. It's been shown to decrease 195 00:14:39,283 --> 00:14:43,042 depression again because the brain is able to work out a lot 196 00:14:43,042 --> 00:14:48,216 of those psychiatric and neurological issues that it may 197 00:14:48,216 --> 00:14:53,714 have or psychosocial issues that it may have. To improve your 198 00:14:53,714 --> 00:14:58,652 activity and your well-being when you are awake. Clearly 199 00:14:58,672 --> 00:15:02,200 sleep. Again, a good night's sleep has been shown to help to 200 00:15:02,200 --> 00:15:08,037 decrease blood pressure. And in some studies cholesterol and 201 00:15:08,037 --> 00:15:12,063 also obesity. Because a lot of these things are stress related. 202 00:15:12,063 --> 00:15:16,681 Right? They're stress related. So if you could sleep and have a 203 00:15:16,681 --> 00:15:25,086 good healthy sleep, then you're able to benefit in a number of 204 00:15:25,086 --> 00:15:30,332 different areas. Children many times have to sleep longer or 205 00:15:30,332 --> 00:15:33,590 more hours than adults and it's important to keep that in mind. 206 00:15:33,870 --> 00:15:36,947 And quite honestly, I can remember when I started out 207 00:15:36,947 --> 00:15:41,225 there was a surgeon. As interns, we used to stay pride in 208 00:15:41,225 --> 00:15:45,993 littlestly. And, you know, I think back now, how silly that 209 00:15:45,993 --> 00:15:50,071 was because, honestly, the more sleep you get, the more 210 00:15:50,071 --> 00:15:54,317 efficient you are, and the more functional you are in terms of 211 00:15:54,317 --> 00:15:57,537 doing whatever work you scheduled to do. It is important 212 00:15:57,537 --> 00:16:00,653 to manage your weight And when I said, manage your weight, I 213 00:16:00,653 --> 00:16:04,491 mean, I don't mean obsess over your weight. I mean, manage your 214 00:16:04,491 --> 00:16:08,149 weight. So how does one manage your weight? One, you should 215 00:16:08,149 --> 00:16:11,227 wait yourself to deal with it even before I have to get in the 216 00:16:11,227 --> 00:16:16,715 shower. You should know what your body mass index is. Your 217 00:16:16,715 --> 00:16:20,793 BMI. Now if you don't know what the BMI is, I'd recommend that 218 00:16:20,793 --> 00:16:24,091 you go to your your favorite search engine, Google, 219 00:16:25,448 --> 00:16:30,206 Microsoft, whichever one you like, and put in BMI, just those 220 00:16:30,206 --> 00:16:34,264 just those letters. And you'll get homeless definitions of what 221 00:16:34,264 --> 00:16:37,582 the BMI is, but you should be familiar with the BMI. Your 222 00:16:37,582 --> 00:16:41,681 bottom yes and nips and have an idea where you are on that scale 223 00:16:41,681 --> 00:16:45,538 Now, what's important about the BMI is that it is not perfect, 224 00:16:45,918 --> 00:16:49,635 but it can give you a general idea about whether you need to 225 00:16:49,635 --> 00:16:54,812 work harder or or or or less hard in terms of managing your 226 00:16:54,812 --> 00:17:00,210 weight. If you find that your biomass index is than it should 227 00:17:00,210 --> 00:17:04,846 be. In other words, that you are obese or overweight. Certainly, 228 00:17:04,846 --> 00:17:08,064 it's appropriate to seek help. And I would recommend seeking 229 00:17:08,064 --> 00:17:15,500 help from a a a expert with with weight management and weight 230 00:17:15,500 --> 00:17:19,288 loss. And I'm about medical expert. There are a number of 231 00:17:19,288 --> 00:17:23,246 different things that are available now to come to manage 232 00:17:23,246 --> 00:17:26,244 weight that were not available twenty to thirty years ago that 233 00:17:26,244 --> 00:17:30,482 includes appropriate medication. So I will start with the 234 00:17:30,482 --> 00:17:37,128 medical support system to help you with that. If you have been 235 00:17:37,128 --> 00:17:40,227 told by your position that you're cholesterol this high 236 00:17:40,287 --> 00:17:44,265 cholesterol that's a part of the type of material in the body, 237 00:17:44,664 --> 00:17:49,063 that if it continues to be high, it can start to clog up the 238 00:17:49,063 --> 00:17:54,979 arteries and create problems with heart attack. And and and 239 00:17:54,999 --> 00:17:59,836 and hard other hard issues. And so it's important to keep that 240 00:17:59,836 --> 00:18:04,433 in mind to make sure that your cholesterol is at a normal range 241 00:18:04,433 --> 00:18:07,612 . Now you may be given medication to manage your 242 00:18:07,612 --> 00:18:10,391 cholesterol. I would suggest that you take your medication 243 00:18:11,240 --> 00:18:14,438 faithfully, and if there are problems or issues with the 244 00:18:14,438 --> 00:18:18,435 medication that you inform your physician immediately. Blood 245 00:18:18,435 --> 00:18:22,792 sugar if you have a blood sugar problem, if you have been told 246 00:18:22,792 --> 00:18:26,351 that you are diabetic or maybe you've been told that you're pre 247 00:18:26,351 --> 00:18:30,169 diabetic, Maybe there's a very strong family history of 248 00:18:30,428 --> 00:18:34,247 diabetes in your family. You certainly want to be cognizant 249 00:18:36,223 --> 00:18:39,603 caring for your blood sugar. If you've been put on medication, 250 00:18:39,663 --> 00:18:44,549 obviously, you wanna take your medication as prescribed You 251 00:18:44,549 --> 00:18:47,728 wanna keep all your physician apartments, you wanna eat 252 00:18:48,787 --> 00:18:53,545 properly as recommended by your healthcare professional, And as 253 00:18:53,545 --> 00:18:56,682 a part of this, all of this, quite honestly, is connected. 254 00:18:57,022 --> 00:18:59,461 All these seven or eighties central elements that we're 255 00:18:59,461 --> 00:19:03,479 talking about, all connected And so you have to manage your 256 00:19:03,479 --> 00:19:09,316 weight and also exercise. And one of the ways to help to 257 00:19:09,316 --> 00:19:11,864 manage it, what pressure is that you should measure your blood 258 00:19:11,864 --> 00:19:15,981 pressure. You can get one of the blood pressure cups in the 259 00:19:15,981 --> 00:19:20,837 pharmacy. Innovative policy and learn how to measure your own 260 00:19:20,837 --> 00:19:24,715 blood pressure at home because indeed your blood pressure at 261 00:19:24,715 --> 00:19:28,114 home is probably more accurate many times than the reading of 262 00:19:28,114 --> 00:19:31,633 your blood pressure when you go to seeing the doctor. We have 263 00:19:31,633 --> 00:19:34,929 what we call the white coat syndrome. In many times, when 264 00:19:34,929 --> 00:19:38,087 individuals go to see a position, and they see their 265 00:19:38,087 --> 00:19:41,806 Bicos or walk into a building board, all those different Bicos 266 00:19:41,806 --> 00:19:44,773 and center scopes, that blood pressure may go up a little bit 267 00:19:44,773 --> 00:19:47,792 because they get a little uncomfortable, a little anxious. 268 00:19:47,792 --> 00:19:52,519 So you wanna get into the habit . Again, I've taken control of 269 00:19:52,519 --> 00:19:55,378 your blood pressure. That's true to what a lot of this is about 270 00:19:55,557 --> 00:20:01,314 in terms of your personal management of your health. And 271 00:20:01,314 --> 00:20:04,432 and follow your follow-up with the requirements to measure your 272 00:20:04,432 --> 00:20:08,029 blood pressure. Usually, that means that you sit with both 273 00:20:08,029 --> 00:20:12,768 feet firmly on the floor. It take a few minutes to relax, 274 00:20:13,586 --> 00:20:16,385 close your eyes, think of something relaxing and 275 00:20:16,385 --> 00:20:21,272 comfortable and then measure the blood pressure. Some can also 276 00:20:21,333 --> 00:20:25,010 do that standing, but you can stand up and measure your blood 277 00:20:25,010 --> 00:20:29,817 pressure also. But it's important that you do that and 278 00:20:29,817 --> 00:20:33,375 you get in the habit of doing that. Why? Because you're taking 279 00:20:33,375 --> 00:20:37,634 control of your health. And so you may have become a more 280 00:20:37,634 --> 00:20:41,892 important partner in your health management, I. E. In your 281 00:20:42,970 --> 00:20:47,428 potential heart problem or limiting limiting or preventing 282 00:20:47,567 --> 00:20:51,614 a potential cardiac problem. It's important to keep in mind 283 00:20:51,614 --> 00:20:55,153 that men and women are different in terms of how they present 284 00:20:55,491 --> 00:21:00,188 with heart attacks. In other words, when the blood supply to 285 00:21:00,188 --> 00:21:03,926 the heart is diminished to the extent that the heart stops 286 00:21:03,946 --> 00:21:08,032 beating, but does not be properly many times that can 287 00:21:08,032 --> 00:21:12,070 precipitate a fraud attack, which can result in death. Many 288 00:21:12,070 --> 00:21:15,479 years ago, certainly back when I was in medical school in the 289 00:21:15,479 --> 00:21:20,516 early seventies. We were taught that the classic heart attack 290 00:21:20,516 --> 00:21:23,693 was a crushed and subthermal chest pain in the middle of the 291 00:21:23,693 --> 00:21:27,971 chest that radiated to the right arm. That indeed is true, but 292 00:21:27,971 --> 00:21:32,079 it's probably true more for men than it is for women. Why is 293 00:21:32,079 --> 00:21:36,436 that? That's because those studies in those patients that 294 00:21:36,436 --> 00:21:40,933 gave us that information were all men. Because back in the 295 00:21:40,933 --> 00:21:44,571 sixties and the fifties people in these medical studies were 296 00:21:44,571 --> 00:21:49,949 men, they were not they did not include women. As a result, the 297 00:21:49,949 --> 00:21:53,866 whole different set of symptoms and sides occurred with women. 298 00:21:53,866 --> 00:21:58,544 And now you have physicians who specialize and health disease in 299 00:21:58,544 --> 00:22:03,582 women alone. And I would take that a step further. Not only 300 00:22:03,582 --> 00:22:07,888 are a lot of these studies based primarily on men. They're 301 00:22:07,888 --> 00:22:12,645 probably based primarily on one particular racial group in 302 00:22:12,645 --> 00:22:16,883 Caucasian. My point is very simple being, if you see 303 00:22:16,883 --> 00:22:23,318 patients who are from a diverse ethnic group, Hispanic, African 304 00:22:23,318 --> 00:22:27,076 American, Asian, etcetera, etcetera, American Indian. Many 305 00:22:27,076 --> 00:22:30,875 times, their symptoms may not be the classic symptoms that you 306 00:22:30,875 --> 00:22:34,054 would in some of these old textbooks, so you have to stay 307 00:22:34,054 --> 00:22:37,892 flexible and you have to evaluate the patient at that 308 00:22:37,892 --> 00:22:41,788 time. Certainly the most serious type of cardiac artery 309 00:22:41,788 --> 00:22:46,535 narrowing and the classic heart attack occurs. As the blood 310 00:22:46,535 --> 00:22:49,972 supply to the heart gets less and less and less. And so we 311 00:22:49,972 --> 00:22:53,911 wanna do things to prevent that to occurring. So in summary, 312 00:22:55,400 --> 00:22:59,518 let's call it healthy habits. You wanna stay tuned. What do I 313 00:22:59,518 --> 00:23:04,585 mean by staying tuned? You wanna stay tuned mentally physically 314 00:23:05,604 --> 00:23:14,137 and spiritually. M p s. Remember that mentally, physically, and 315 00:23:14,137 --> 00:23:18,944 spiritually. You need all three. Most of us do not like we work 316 00:23:18,944 --> 00:23:22,103 on one or the other, but you need all three and you need all 317 00:23:22,103 --> 00:23:25,630 three at the same time. So that you wanna drink more water, and 318 00:23:25,630 --> 00:23:29,468 that's one of the ways to stay healthy physically. Most of us 319 00:23:29,468 --> 00:23:33,826 don't drink enough water. It's certainly now as because of the 320 00:23:33,826 --> 00:23:39,133 effects of global warming, that the planet is getting hotter and 321 00:23:39,133 --> 00:23:42,832 we're here having record heat in different parts of the 322 00:23:43,050 --> 00:23:46,359 country and different parts of the world. And so for that 323 00:23:46,359 --> 00:23:49,718 reason, you wanna drink bottled water. You obviously wanna eat a 324 00:23:49,718 --> 00:23:53,824 balanced diet, a a balanced meal. And that includes having 325 00:23:53,824 --> 00:23:57,262 more fruits and vegetables. You wanna stay energized. You wanna 326 00:23:57,262 --> 00:24:00,701 interact with people more. You wanna get good sleep. You're 327 00:24:00,701 --> 00:24:04,778 seven to nine hours of sleep at night, so your brain has time to 328 00:24:04,778 --> 00:24:09,496 rest and revitalize itself for the next twenty four hours or so 329 00:24:09,496 --> 00:24:13,523 that it must function. And I'm gonna suggest as a part of those 330 00:24:13,523 --> 00:24:17,701 healthy habits, you wanna give to others, you would be amazed 331 00:24:17,961 --> 00:24:22,358 at how helping others, however that is, will end up making you 332 00:24:22,358 --> 00:24:26,436 to a better. Even if you just walk out and say good morning to 333 00:24:26,436 --> 00:24:31,194 somebody or have a nice day or thank you. Etcetera, etcetera. 334 00:24:32,253 --> 00:24:36,852 Whenever you help someone else, it reflects on you either 335 00:24:36,852 --> 00:24:40,579 consciously or unconsciously. And I would certainly encourage 336 00:24:41,199 --> 00:24:43,837 you to do that. And then, of course, you wanna do more 337 00:24:43,837 --> 00:24:48,023 exercise. My basic principles. God is in charge, principal 338 00:24:48,023 --> 00:24:51,942 number one, I am a position of faith. And I believe having God 339 00:24:51,942 --> 00:24:56,769 in my life has allowed me to be more effective both in terms of 340 00:24:56,769 --> 00:25:00,446 how I help my patients and how my patients have been able to 341 00:25:00,446 --> 00:25:04,673 help me. Personal number two, no bad days. I do not have bad 342 00:25:04,673 --> 00:25:08,990 days. I decided about thirty years ago that I had enough bad 343 00:25:08,990 --> 00:25:13,328 days than I chose. Not to have anymore. I've mentioned that 344 00:25:13,328 --> 00:25:16,487 because you too could stop having birthdays just by 345 00:25:16,487 --> 00:25:20,114 choosing not to. Don't sweat the small stuff. Most stuff is 346 00:25:20,114 --> 00:25:23,832 small. My experience has been in my life. So whenever I get 347 00:25:23,832 --> 00:25:26,419 upset and concerned about something, most of the times, 348 00:25:26,419 --> 00:25:30,057 it's not as big a deal as I thought it was. And usually, 349 00:25:30,057 --> 00:25:33,395 I'll be able to let those things go. Control the controllables. 350 00:25:34,474 --> 00:25:37,553 Many times when I see patients doing my practice who are 351 00:25:37,553 --> 00:25:42,839 stressed, it involves some uncontrollable event or person 352 00:25:43,019 --> 00:25:46,737 that they are trying to control. And use it when we get down to 353 00:25:46,737 --> 00:25:50,654 the back, that those things you can't control and you need to 354 00:25:50,654 --> 00:25:54,742 let go that immediately that is allowed us to want to decrease 355 00:25:54,803 --> 00:26:00,579 that stress level. Forgive this is therapy principle number four 356 00:26:00,579 --> 00:26:06,646 . Bad things will happen to you, but you have to forgive 357 00:26:06,787 --> 00:26:10,854 individuals who do say those things. And you'll be amazed at 358 00:26:10,854 --> 00:26:14,412 how therapeutic that is for you. And finally, everything is 359 00:26:14,412 --> 00:26:17,650 relationship and relationships are based on mutual respect, 360 00:26:17,650 --> 00:26:21,208 mutual and good communication. If you have those three things, 361 00:26:21,208 --> 00:26:25,086 you have a good relationship. If you do not, then you have work 362 00:26:25,086 --> 00:26:30,442 to do. Let me say, if in conclusion, if you right now, as 363 00:26:30,442 --> 00:26:34,181 you listen to my voice, you are going through some things. 364 00:26:35,078 --> 00:26:38,797 Let's say you're struggling. Just remember, this two should 365 00:26:38,797 --> 00:26:44,613 pass. This two should pass. And finally, be the change you wanna 366 00:26:44,613 --> 00:26:48,071 see in the world. We all wanna make the world a better place. 367 00:26:48,451 --> 00:26:52,828 So be the change. You wanna see in the world. Have a wonderful 368 00:26:52,887 --> 00:26:53,387 day. 369 00:26:54,367 --> 00:26:56,287 Speaker 1: Thanks for listening to the healthy, wealthy, and 370 00:26:56,287 --> 00:27:00,682 wise podcast with Dr. William Choctaw, MDJB. We hope you 371 00:27:00,682 --> 00:27:04,061 enjoyed this episode. In fact, if you found this episode 372 00:27:04,080 --> 00:27:08,567 helpful, you can support and subscribe to the podcast on your 373 00:27:08,567 --> 00:27:13,145 favorite podcast platform with the keywords Dr. William Choctaw 374 00:27:13,145 --> 00:27:18,282 . And you'll find it very quickly. Also, subscribing helps 375 00:27:18,282 --> 00:27:22,999 ensure that you don't miss any future episodes. And then take 376 00:27:22,999 --> 00:27:26,178 the next step of action and share it with your family, 377 00:27:26,237 --> 00:27:31,023 friends, and all your coworkers. They'll glad you did. So until 378 00:27:31,023 --> 00:27:35,621 the next time, live your best possible life, the best possible 379 00:27:35,621 --> 00:27:38,738 way You've been listening to the Healthy Wealthy and Wise 380 00:27:38,738 --> 00:27:42,797 podcast with doctor William Choctaw, MD JD.