Transcript
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Speaker 1: Welcome to the
Healthy Wealthy and Wise podcast
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with doctor William Choctaw, MD
JD. Our mission is to empower
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you with the knowledge and the
tools you need to thrive in all
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aspects of your life. Join us
now as we discuss everything
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from new attrition and exercise
to money management and personal
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growth. Doctor Choctaw will
provide insightful advice on how
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to improve your physical and
financial health, as well as
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your emotional and mental
well-being. Whether you're
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looking to boost your energy
levels, unlike financial freedom
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or cultivate a more positive
mindset we've got you covered.
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Get ready to become the best
version of yourself. So let's
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get started. Here's doctor
William Choctaw, MD JD.
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Speaker 2: Good morning. Welcome
to the Healthy Wealth and Wise
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podcast. I'm Dr. William Chuck
Tong, and I will be your host
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for this morning. Today, we're
gonna talk about essential
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habits for long life. Essential
habits for a long life. Our
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podcast is part of our
Leadership Mass Class series,
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and we're delighted to have been
with us. And so let's get
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started. I believe life is about
being of service helping others
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. I believe knowledge is power.
I believe leaders can change the
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world. If you're listening to
this podcast, I'm gonna suggest
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that you're already a leader
because you're interested in
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expanding your your knowledge
and skill set, and welcome to
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all journey. We frequently talk
about different topics and most
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of our topics tend to be
healthcare associated. I am a
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physician with over fifty years
experience in general surgical
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practice. And I these podcasts
are based on my experience in my
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personal life and also with my
patients. So we're gonna
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concentrate today about heart
disease heart disease. Why?
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Heart disease is the single most
common cause of death in the
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world. And particularly in the
United States. Twenty five
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percent of deaths in our country
is caused by heart disease and
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related issues. So it's a very,
very important area to try to
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mitigate those systems that
create a decrease in our long
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term survival and ultimate
happiness. As we talk about the
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essential elements for him, we
are gonna particularly
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concentrate all those areas
where we use our personal power.
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Our personal power. But with me
and by that is that we're gonna
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be talking about what we can
control ourselves. There's a lot
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in life that we cannot control
his individuals and his human
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beings. So we're gonna
concentrate on what we can
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control out personal power. One,
because we think that that's
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the most effective. Two, because
we think that that's where most
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about actual strength is And we
think that by doing that, we'll
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be more successful. Because
quite honestly, those things
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that we can't control To some
extent, control is illusory. And
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we spent a lot of times, many
times trying to control people
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annual circumstances that are
outside of our purview. So we're
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gonna try to retrain ourselves
to look inward. And see those
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things that we can do to make
life better and longer. The
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first essential element is for
us to eat better. We can control
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what we eat. And basically, we
all know this. But basically, we
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need to eat more fruits and
vegetables. I like to say, we
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like to eat foods with more
color, more different types of
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color in them. But fruits and
vegetables is a good place to
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start. We wanna limit sweetened
drinks, red processed meat, and
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food fat dairy products. And of
course, we want to avoid trans
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fat So what is that latency? You
said with doctor Chalka, how do
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I know whether this trans fat
in the food that I get or that I
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purchase? How exactly will I
know that? Well, we want to
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start to read more nutrition
labels. In other words, when you
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go into the store, and you pick
up the item that you want to
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purchase, read the label many
times by law, Companies have to
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lay out on the label in detail
what's in the product that you
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are buying. And if you wanna see
the number of calories, the
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number of sugars, the number of
carbohydrates, the number of
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fat, the number of protein, get
in the habit. Of reading labels.
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A second essential to long
left, long lives and thriving is
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being more acted. Notice I
didn't use the word exercise. I
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said, be more acted. And that
includes exercise. A lot of
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times when you say exercise,
people think of getting on a
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track and running it, etcetera,
etcetera. I'm saying, be more
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active physically. Get up, move
around, walk around. As we do
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that, we have to set certain
goals for ourselves because it
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really depends on which stage of
life we are in. Right? If we
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are in junior high school and
high school. They probably even
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have classes in school called
physical education. So that's
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built into our schedule. As we
graduate from high school and to
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college, we probably have to
run around and walk more up and
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down stairs, etcetera, etcetera.
And there's also physical
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education classes that we can
take So many times that is built
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into our normal routine. But as
we transition into the
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workforce, there are the
sedentary problems or issues of
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life take effect. We may work
where we sit at a desk. And we
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may sit at that desk for hours
on on end. So then we have to
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get creative And we have to come
up with ways that we can move
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around and again be more active.
Activity, physical activity, in
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my judge is more than just
basic exercise. It is both
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physical and mental, meaning
that we're a physical moving
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Well, we like what we're doing,
and that's the mental part. So
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I'd like to call it being more
active as compared to go out and
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exercise x number of minutes.
Speaking of that though, it is
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important for some of you who
are very organized and very
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structured you want to know,
well, how many minutes should
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exercise or be more active. In
general, in terms of moderate
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activity, I would say about two
hours per week. So you can
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divide that up into however you
want. So many hours per day and
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so many minutes per day if that
works for you. But the important
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thing is to be more active. And
again, Activity. Increase
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activity plus enjoyment is what
I call being more active. Okay?
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Physical exercise plus enjoyment
is what I call increase
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activity. And that's an
essential element that we need
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to work on practicing more.
That's particularly true,
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obviously. If you are in the
baby boom area, let's say you've
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worked thirty, forty, fifty
years of your lives. And you're
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now slowing down. You're no
longer working full time. You
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have more free time. Those are
the years where you have to be
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even more circumspect about
increasing your physical
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activity and mental component to
that. That can certainly
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include things just walking just
what taking a walk every day
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for a certain period of time,
building it into your regular
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routine, but make sure you have
physical and mental activity
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simultaneously on in your
increased activity for the week.
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An essential element to long
life. If you are a smoker, stop,
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real simple. If you are a
smoker, quit. Now I realize that
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that's not always easy to do.
But clearly, that needs to be on
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as part of your absolute plan.
Smoking in this country is the
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most common preventable cause of
death in the United States.
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Smoking. Again, I understand
smoking is a habit. And habits
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are not easy to break, but is
certainly one. That if you have
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this habit, you wanna stop. It
damages smoking damages, the
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nicotine damages, the
circulatory system. It increases
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the risk of other multiple type
diseases. And let me say, when
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I say smoking, I'm including
vaping, vaping, And I'm also
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including secondhand smoke. And
a number of studies have shown
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that children who are around
smokers parents who smoke or
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people in the homeless smoke
also can have a secondary harm
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caused by smoking itself. So
clearly, you want to eliminate
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smoking. If you are not able to
do it yourself, seek help. You
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can seek help through your
physician or or through other
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clinical support groups that can
help you stop smoking. It is
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doable, and many people have
done it. If you drink alcohol,
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I'm gonna suggest stop. Now I
realize it's interesting. We
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don't have smoking commercials
on television, but we have a
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plethora of alcohol commercials
on television, I submit to you
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as a position that alcohol is
just as dangerous to you in one
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way or another as smoking is and
you should stop. Alcohol can
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damage your liver not to mention
just the neurological effects
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of alcohol over a period of time
on your brain, not to mention
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the activity when you are at
drinking and how it affects your
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behavior and then your actions
not to mention directly or
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indirectly the number of
contributions in terms of auto
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accidents and other types of
accidents, smoking and along
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with and alcohol along with
smoking should be stopped.
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Shouldn't be stopped. I realize
that that's not easy to do
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because it's a habit. I mean,
for many, it's an addiction. And
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certainly, it's one of those
situations where first, you
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admit that it's a problem, and
then you seek help. If you never
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admit that it's a problem, most
of times, you would not seek
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help. You will make an excuse
just like with smoking well that
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helps me to relax Well, that
makes me feel better. Well, I
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just think a little I don't take
a lot, etcetera, etcetera,
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etcetera. Again, as a position
with fifty years of experience
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in in medical practice, you need
to stop. Another essential
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element for long life is healthy
sleep. Now, sleep is something
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that we've always literally been
figuratively taken for granted.
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Right. So, well, I sleep every
night when you eat the healthy
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sleep. Well, you need to sleep a
certain number of hours for a
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night tour adults, and we'll
just stick with that for right
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now. I'm talking about seven to
nine hours of sleep per night.
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Now some of you said, oh my
goodness. I I can't sleep that
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vlog. That should be one of your
goals. And when I say sleep,
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I'm not talking about light
sleep. I'm talking about deep
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sleep. Rim sleep, r e m, rapid
eye movement sleep. Okay. And
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how do you know when you're in
deep sleep, dreaming? If you're
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dreaming, you're in deep sleep.
And even if you may not remember
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what the dream was about, when
you wake up, he said, wow, I had
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a dream, but a commitment was
about But if you are dreaming,
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you're in deep sleep. So we want
deep sleep for you when when
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you were sleeping at night.
Studies have shown that if you
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that your body basically
psychologically works out a lot
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of mental and psychological
issues, while you're asleep, and
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that makes sense. Think about
it. Think about all the things
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your brain has to do per day. It
is working twenty four or seven
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while you are awake. Making
sure to keep you on task, making
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sure that you do what you wanna
do, making sure that you could
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do your job, making sure you
take care of yourself and your
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family. Making sure you respond
appropriately. That's a lot of
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work. Right? So there's a lot of
extra stuff that's unnecessary
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that that that the brain needs
to clean up. So think about
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sleep as that time that the
brain does is clean up work. It
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sort of fine tune itself. It
sort of polishes itself. It sort
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of makes sure that it's in
maximum mode to be efficient for
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you the next day and the next
day and the next day, HIP on the
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other hand, you deprive
yourself of sleep. The brain
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does not have time to do this
cleanup work, and that extra
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material that's no longer
beneficial to you begins to back
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up and cause problems with the
normal efficiency of the brain.
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So it makes sense. Think about
that. So you need to sleep so
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that your brain can rest bottom
line. You need to sleep so that
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your brain can rest. A rested
brain is a more efficient brain
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and a more functional brain. So
if you take care of your brain,
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it will take care of you. Health
to sleep has been shown to
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improve cardiovascular disease.
It's been shown to decrease
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depression again because the
brain is able to work out a lot
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of those psychiatric and
neurological issues that it may
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have or psychosocial issues that
it may have. To improve your
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activity and your well-being
when you are awake. Clearly
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sleep. Again, a good night's
sleep has been shown to help to
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decrease blood pressure. And in
some studies cholesterol and
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also obesity. Because a lot of
these things are stress related.
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Right? They're stress related.
So if you could sleep and have a
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good healthy sleep, then you're
able to benefit in a number of
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different areas. Children many
times have to sleep longer or
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more hours than adults and it's
important to keep that in mind.
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And quite honestly, I can
remember when I started out
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there was a surgeon. As interns,
we used to stay pride in
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littlestly. And, you know, I
think back now, how silly that
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was because, honestly, the more
sleep you get, the more
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efficient you are, and the more
functional you are in terms of
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doing whatever work you
scheduled to do. It is important
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to manage your weight And when
I said, manage your weight, I
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mean, I don't mean obsess over
your weight. I mean, manage your
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weight. So how does one manage
your weight? One, you should
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wait yourself to deal with it
even before I have to get in the
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shower. You should know what
your body mass index is. Your
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BMI. Now if you don't know what
the BMI is, I'd recommend that
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you go to your your favorite
search engine, Google,
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Microsoft, whichever one you
like, and put in BMI, just those
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just those letters. And you'll
get homeless definitions of what
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the BMI is, but you should be
familiar with the BMI. Your
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bottom yes and nips and have an
idea where you are on that scale
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Now, what's important about the
BMI is that it is not perfect,
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but it can give you a general
idea about whether you need to
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work harder or or or or less
hard in terms of managing your
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weight. If you find that your
biomass index is than it should
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be. In other words, that you are
obese or overweight. Certainly,
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it's appropriate to seek help.
And I would recommend seeking
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help from a a a expert with with
weight management and weight
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loss. And I'm about medical
expert. There are a number of
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different things that are
available now to come to manage
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weight that were not available
twenty to thirty years ago that
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includes appropriate medication.
So I will start with the
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medical support system to help
you with that. If you have been
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told by your position that
you're cholesterol this high
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cholesterol that's a part of the
type of material in the body,
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that if it continues to be high,
it can start to clog up the
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arteries and create problems
with heart attack. And and and
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and hard other hard issues. And
so it's important to keep that
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in mind to make sure that your
cholesterol is at a normal range
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. Now you may be given
medication to manage your
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cholesterol. I would suggest
that you take your medication
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faithfully, and if there are
problems or issues with the
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medication that you inform your
physician immediately. Blood
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sugar if you have a blood sugar
problem, if you have been told
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that you are diabetic or maybe
you've been told that you're pre
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diabetic, Maybe there's a very
strong family history of
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diabetes in your family. You
certainly want to be cognizant
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caring for your blood sugar. If
you've been put on medication,
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obviously, you wanna take your
medication as prescribed You
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wanna keep all your physician
apartments, you wanna eat
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properly as recommended by your
healthcare professional, And as
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a part of this, all of this,
quite honestly, is connected.
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All these seven or eighties
central elements that we're
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talking about, all connected And
so you have to manage your
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weight and also exercise. And
one of the ways to help to
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manage it, what pressure is that
you should measure your blood
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pressure. You can get one of the
blood pressure cups in the
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pharmacy. Innovative policy and
learn how to measure your own
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blood pressure at home because
indeed your blood pressure at
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home is probably more accurate
many times than the reading of
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your blood pressure when you go
to seeing the doctor. We have
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what we call the white coat
syndrome. In many times, when
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individuals go to see a
position, and they see their
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Bicos or walk into a building
board, all those different Bicos
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and center scopes, that blood
pressure may go up a little bit
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because they get a little
uncomfortable, a little anxious.
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So you wanna get into the habit
. Again, I've taken control of
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your blood pressure. That's true
to what a lot of this is about
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in terms of your personal
management of your health. And
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and follow your follow-up with
the requirements to measure your
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blood pressure. Usually, that
means that you sit with both
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feet firmly on the floor. It
take a few minutes to relax,
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close your eyes, think of
something relaxing and
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comfortable and then measure the
blood pressure. Some can also
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do that standing, but you can
stand up and measure your blood
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pressure also. But it's
important that you do that and
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you get in the habit of doing
that. Why? Because you're taking
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control of your health. And so
you may have become a more
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important partner in your health
management, I. E. In your
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potential heart problem or
limiting limiting or preventing
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a potential cardiac problem.
It's important to keep in mind
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that men and women are different
in terms of how they present
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with heart attacks. In other
words, when the blood supply to
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the heart is diminished to the
extent that the heart stops
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beating, but does not be
properly many times that can
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precipitate a fraud attack,
which can result in death. Many
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years ago, certainly back when I
was in medical school in the
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early seventies. We were taught
that the classic heart attack
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was a crushed and subthermal
chest pain in the middle of the
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chest that radiated to the right
arm. That indeed is true, but
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00:21:27,971 --> 00:21:32,079
it's probably true more for men
than it is for women. Why is
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that? That's because those
studies in those patients that
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gave us that information were
all men. Because back in the
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sixties and the fifties people
in these medical studies were
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men, they were not they did not
include women. As a result, the
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whole different set of symptoms
and sides occurred with women.
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And now you have physicians who
specialize and health disease in
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women alone. And I would take
that a step further. Not only
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are a lot of these studies based
primarily on men. They're
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probably based primarily on one
particular racial group in
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Caucasian. My point is very
simple being, if you see
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patients who are from a diverse
ethnic group, Hispanic, African
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American, Asian, etcetera,
etcetera, American Indian. Many
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times, their symptoms may not be
the classic symptoms that you
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would in some of these old
textbooks, so you have to stay
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flexible and you have to
evaluate the patient at that
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time. Certainly the most serious
type of cardiac artery
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narrowing and the classic heart
attack occurs. As the blood
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supply to the heart gets less
and less and less. And so we
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wanna do things to prevent that
to occurring. So in summary,
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let's call it healthy habits.
You wanna stay tuned. What do I
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mean by staying tuned? You wanna
stay tuned mentally physically
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and spiritually. M p s. Remember
that mentally, physically, and
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spiritually. You need all three.
Most of us do not like we work
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on one or the other, but you
need all three and you need all
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three at the same time. So that
you wanna drink more water, and
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that's one of the ways to stay
healthy physically. Most of us
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don't drink enough water. It's
certainly now as because of the
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effects of global warming, that
the planet is getting hotter and
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we're here having record heat
in different parts of the
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country and different parts of
the world. And so for that
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reason, you wanna drink bottled
water. You obviously wanna eat a
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balanced diet, a a balanced
meal. And that includes having
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more fruits and vegetables. You
wanna stay energized. You wanna
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interact with people more. You
wanna get good sleep. You're
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seven to nine hours of sleep at
night, so your brain has time to
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rest and revitalize itself for
the next twenty four hours or so
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that it must function. And I'm
gonna suggest as a part of those
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healthy habits, you wanna give
to others, you would be amazed
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at how helping others, however
that is, will end up making you
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to a better. Even if you just
walk out and say good morning to
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somebody or have a nice day or
thank you. Etcetera, etcetera.
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Whenever you help someone else,
it reflects on you either
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consciously or unconsciously.
And I would certainly encourage
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you to do that. And then, of
course, you wanna do more
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exercise. My basic principles.
God is in charge, principal
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number one, I am a position of
faith. And I believe having God
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in my life has allowed me to be
more effective both in terms of
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how I help my patients and how
my patients have been able to
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00:25:00,446 --> 00:25:04,673
help me. Personal number two, no
bad days. I do not have bad
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days. I decided about thirty
years ago that I had enough bad
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days than I chose. Not to have
anymore. I've mentioned that
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because you too could stop
having birthdays just by
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00:25:16,487 --> 00:25:20,114
choosing not to. Don't sweat the
small stuff. Most stuff is
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small. My experience has been in
my life. So whenever I get
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00:25:23,832 --> 00:25:26,419
upset and concerned about
something, most of the times,
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00:25:26,419 --> 00:25:30,057
it's not as big a deal as I
thought it was. And usually,
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I'll be able to let those things
go. Control the controllables.
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Many times when I see patients
doing my practice who are
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00:25:37,553 --> 00:25:42,839
stressed, it involves some
uncontrollable event or person
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00:25:43,019 --> 00:25:46,737
that they are trying to control.
And use it when we get down to
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00:25:46,737 --> 00:25:50,654
the back, that those things you
can't control and you need to
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00:25:50,654 --> 00:25:54,742
let go that immediately that is
allowed us to want to decrease
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00:25:54,803 --> 00:26:00,579
that stress level. Forgive this
is therapy principle number four
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00:26:00,579 --> 00:26:06,646
. Bad things will happen to you,
but you have to forgive
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00:26:06,787 --> 00:26:10,854
individuals who do say those
things. And you'll be amazed at
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00:26:10,854 --> 00:26:14,412
how therapeutic that is for you.
And finally, everything is
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00:26:14,412 --> 00:26:17,650
relationship and relationships
are based on mutual respect,
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00:26:17,650 --> 00:26:21,208
mutual and good communication.
If you have those three things,
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you have a good relationship. If
you do not, then you have work
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00:26:25,086 --> 00:26:30,442
to do. Let me say, if in
conclusion, if you right now, as
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00:26:30,442 --> 00:26:34,181
you listen to my voice, you are
going through some things.
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00:26:35,078 --> 00:26:38,797
Let's say you're struggling.
Just remember, this two should
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00:26:38,797 --> 00:26:44,613
pass. This two should pass. And
finally, be the change you wanna
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00:26:44,613 --> 00:26:48,071
see in the world. We all wanna
make the world a better place.
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So be the change. You wanna see
in the world. Have a wonderful
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00:26:52,887 --> 00:26:53,387
day.
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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
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the next step of action and
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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
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00:27:38,738 --> 00:27:42,797
podcast with doctor William
Choctaw, MD JD.