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Dr. Crandalls
doctor, but he or she has a waiting room crammed full of patients and too often reaches for the prescription pad rather than teaching us and leading us to better health. I love and honor my calling as a doctor and appreciate more than I can say the countless medical professionals whose only concern is their patients welfare. I know, however, that doctors can fail to take proper account of the person before them. Ive experienced this as a patient, and Im a doctor myself. On top of that, medicine as its currently practiced is far more attuned to treating illness than reversing or curing it. Thats the unhappy truth. I take a different approach. I meet my patients where they are and use everything in the medical arsenal conventional medicine, emerging treatments, lifestyle changes, even alternative therapies to get the patient
In This Issue...
Heart Disease Comes from Many Causes................ 2 My Journey From Tribal Life to Modern Doctor..... 3 The Wake-Up Call: My Own Heart Battle. ............. 3 Case Study: A Traders Story.................................... 4 The Tools You Need to Win the Heart Fight. .......... 5 An Important Heart Test; Tobaccos Real Cost........ 6 Changes for the Better, Living a Full Life................. 7 Ask Dr. Crandall. .................................................... 8
Lets consider more closely what meeting you where you are means. If you were my patient and you were having a heart attack or were about to have one, I would put you in the hospital and use every tool modern medicine possesses to get you on the road to recovery. Thats what doctors do. But I wouldnt stop there. Once you had recovered sufficiently, I would use medications to help you meet my initial targets important indicators of your improving health. Then I would use changes in your diet, exercise regimen (assuming you have one!), and alternative therapies to help you live a long and productive life, disease free. The good news is this: You dont have to die or have your life impaired by heart disease. Most people these days can live well into their 90s. I have more than a few patients in my practice who are older than 100. I want you to live a full and healthy life because I have a profound belief that God has given everyone a role to play on this Earth. Thats why I must get you the help you need! As a committed Christian, I have found that people of faith often are more prepared than others to follow their path to true wellness. They typically have more self-discipline as a result of their powerful belief in having something to live for a purpose larger than themselves. So I talk and even pray with my patients about their relationship with God. I treat hearts, but we have souls, too, and both must be healthy in order to live a full life. Ive found that spiritual disciplines, such as prayer and fasting practices common to many
Dr. Crandalls Heart Health Report is a publication of Newsmax Media, Inc., and Newsmax.com. It is published monthly at a charge of $54.00 per year and is offered online and in print through Newsmax.com. Our editorial ofces are located at 560 Village Blvd., Ste. 120, West Palm Beach, FL 33409. The owner, publisher, and editor are not responsible for errors and omissions. Rights of reproduction and distribution of this newsletter are reserved. Any unauthorized reproduction or distribution of information contained herein, including storage in retrieval systems or posting on the Internet, is expressly forbidden without the consent of Newsmax Media. For permission, contact the publisher at : PO Box 20989, West Palm Beach, FL 33416. CEO Christopher Ruddy Associate Publisher Travis Davis Author Chauncey Crandall, M.D. Contributing Editor Harold Fickett Production/Art Director Elizabeth Dole To contact Dr. Crandalls Heart Health Report send e-mail to: askdrcrandall@newsmax.com. Subscription/Customer Service contact 1-800-485-4350 or customerservice@newsmax.com. Send e-mail address changes to customerservice@newsmax.com. 2010 Newsmax Media, all rights reserved. Please note that this advice is generic and not specic to any individual. You should consult with your doctor before undertaking any medical or nutritional course of action.
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religions have aided my patients in their recoveries and enriched their lives. Who am I? Im a Yale Medical School-trained, board-certified, interventional cardiologist (F.A.C.C., F.C.C.P.). I practice in Palm Beach, Fla., and many of Americas most powerful and wealthy people, including five billionaires, are among my patients. In fact, people fly in from all over America and from abroad to see me. I take care of people of modest means, too. But this summary hardly tells the story, especially when it comes to why I look at things differently than most doctors. From an early age, I was interested in medicine, but during my college and early graduate years, I also was fascinated by anthropology the study of men and women and their cultures. This interest endures and has enabled me to see things other Western physicians often cannot see.
faculty at the Medical College of Virginia in Richmond, Va. There I ran the heart-transplant program. This involved assessing every transplant candidates eligibility. This was truly holistic medicine, in the sense that the patients prior behavior, the presence or absence of other health conditions, the ability of his family to support his recovery everything had to be considered before a candidate received the green light for (or was denied) a new heart.
lowering statin drug, a blood pressure medicine, and had been told to cut out sweets. Forty pounds overweight, he had what we call metabolic syndrome, a combination of high cholesterol, high blood pressure, hyperglycemia (elevated blood sugar), and increased girth or belly fat. Metabolic syndrome is a heart-disease manufacturing machine. I put him on our program of aggressive heart-disease reversal. We gave him targets for cholesterol, blood pressure, blood sugar, and weight. He was asked to follow our heart-disease reversal diet very strictly for at least six months. I also put him on an exercise program: three days a week in a cardiac rehab facility and an hour of walking on the days he did not go to rehab. Through diet and exercise I wanted him to lose from 5 to 7 pounds per month. I saw the two weeks later and asked him how he was doing. His wife told me he was still eating his ice cream every night and not walking on his days off from cardiac rehab. At that point, I told him how quickly the stent could clog up. He might die from a heart attack and it could occur so quickly there would be no saving him. After that talk, our trader decided to get with the program.
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might be my heart. I boarded the plane, and the pain went away. When I arrived in Palm Beach, I picked up my bag, and the pain in my shoulder came back, now with a little pressure in my chest. But I was fine by the time I arrived home. It was late fall and the kids wanted to go to the beach that night to hunt for sea turtles. That sounded like lots of fun. So we went to the northern end of the island and my two boys, Chad and Christian, went racing around with flashlights. I walked along in the sand, or at least I tried: I could not go a dozen steps without severe pain in my chest. It was as if I had run laps around a track and had that liver ache that makes you stop, only this was far more intense. It was the most unbelievable pain imaginable. I would stop and rest, feel better, try to catch up with the kids, and then immediately feel the onset of pain once more. I didnt want to tell my wife, Deborah. I kept going through possible diagnoses in my head, try to convince myself that it couldnt be heart disease. At the end of the night I managed to make it back to the car. I drove home and the pain went away. I took a bunch of aspirin and went to bed, resolving to forget about the episode. I felt fine the next morning. I thought what I experienced might have been a fluke or brought on by stress. But I decided to test it. Deborah runs in the morning. I thought Id walk along behind her. (If I collapsed, I was sure she would see me on her way back to the house.) But I didnt make it to the end of the driveway without severe pain. I sat on the entryway steps and waited until she returned. It was hard to admit, but I finally said it out loud: Deborah, you have to take me to the hospital. Ive got a heart problem. I dont know why, but I do. By the time the medical team had me on the table, I was screaming in pain. I had whats called a widow-maker lesion. Three major arteries feed the heart, and the main one is called the LAD. It runs down the middle of the heart and feeds the bulk of the muscle. The widow-maker lesion is a blockage in medical terms, a stenosis at the very beginning of the
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artery. It shuts off the whole arterial bed that feeds most of the heart, and it usually results in death. Thats why the ache was so severe. My whole heart was crying out for blood, and it couldnt get any my LAD was 99 percent blocked! I had an emergency angioplasty and received two stents. I spent the night in the intensive care unit. The next day, I felt fantastic, and in the afternoon I pulled out the IVs, dressed, and prepared to leave. The nurses came running. You cant do this, they cried. But I insisted I was fine and left. (Doctors truly are the worst patients.) I learned from this episode that, if I wanted to continue making a significant contribution to this world, I had to take care of my health. I had to approach the matter like a Green Beret or Navy SEAL someone who is always prepared to go into battle because life often is a battle, as heart patients quickly learn. I had to get serious about exercise, stay on a restricted diet, get a periodic stress test, and pray for the healing of my body, for my and my familys sake. Lord, heal my heart; keep it strong so I can go the distance, I whispered.
topic for the next newsletter because all of the newsletters that follow will be looking at this central concern from various angles. After all, I dont want merely to help in your treatment for heart disease I want you to get well! In writing about these major topics I will draw on the latest studies and most advanced thinking. Ill detail enough of the science so that you can understand the concepts, but Ill do so in thoroughly understandable terms. The point of the discussion is for you to have information that you can incorporate into your own health discipline. Its for you to have information you can use every day to get well and to stay well. Every issue of the newsletter includes a fascinating case history. These case studies will go beyond the patients medical history to include that persons activities after becoming well. Many of my patients have led lives of greater significance after diagnosis than before. Heart disease can be not only debilitating but dispiriting. I want you to see that there is hope. You have much to live for. In each issue, Ill also have a section of quick takes, short items about promising treatments, new drugs, supplements, dietary considerations, and exercise. These will provide you with two or three things youll want to do right away to support your health. Each month, too, Ill field your letters and give direct responses to your questions. In this way I can address very specific concerns. So please write. I look forward to your letters. Send your questions to askdrcrandall@newsmax.com and be sure to include your name and your hometown. When I first began practicing cardiology at Beth Israel Hospital in New York, I saw heartattack patient after heart-attack patient come through the doors. We could help stabilize these patients and prescribe a few drugs, but there wasnt much else we could do. Many people in that era had multiple heart attacks; if they didnt die from the first one they were left debilitated. Thats just not true anymore. We have learned so much and are learning more every day. New therapies not only are on the horizon but also are being used today. The best of medicine from
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conventional medicine to alternative therapies that work can help you get well. Its really true! You have to do your part, too, of course. A doctor often will remind a patient of that fact as the patient leaves the office. The patient usually nods and makes promises. But both doubt that its actually going to happen, and with good reason. Habits are hard to change, and many of the habits that contribute to heart disease have been developed throughout a persons life. These habits often are associated, as well, with the best things in life such as sitting with the family around a table thats groaning with comfort food.
as healthy children. Likewise, our targets for high blood pressure (hypertension) and glucose have been revised downward. Western medicine has tried to be as forgiving as possible when counseling people about heart disease. Weve wanted to ask of our patients the minimum in terms of lifestyle changes since we know such changes are hard to make. But we havent really done anyone any favors. Its the truth the full truth that sets us free. I now aim for target counts for cholesterol and other risk factors that ensure, as much as humanly possible, that those I counsel will not suffer from heart disease.
How seriously should I take new health foods such as acai berries and pomegranate juice? Are these super antioxidant foods as helpful as some claim? Tanya L., New Orleans, La.
Acai berries and pomegranates are great sources of antioxidants. But so are blueberries and blackberries and other familiar fruits and vegetables. Antioxidants protect the body from the harmful molecules called free radicals. Free radicals may play a role in the development of coronary artery disease. A diet that includes plenty of fresh fruits and vegetables ones with which everyone is familiar will supply all the antioxidants anyone needs. Although acai berries and other exotic fruits may contain more antioxidants than more common berries and fruits, they are in no way so superior as to justify the prices charged for them. Just eat a small bowl of blueberries every day and youll be set on your antioxidants. To your heart health,