Description:
Douglas is on deck for open heart surgery and decided to join the show just minutes before air time to inspire others through sharing his courageous journey. He heard that Dr. Mehrzad Zarghouni, Interventional Radiologist with Houston Vein & Vascular, was going to be on the show as guest co-host since Dr. Phillips was on call and taking care of an urgent heart patient at Ohio Health. So, he popped on just before our producer Aikman did the final countdown. Why? Douglas wanted to thank Dr. Z, who was named U.S. Vascular Doctor of the Year 2022 by advocacy nonprofit The Way To My Heart, for saving his life. Douglas had shown up to see Dr. Z a few months ago for a procedure to unblock arteries in his legs because of a disease known as Peripheral Artery Disease, which is defined by plaque build-up in mainly the leg arteries which restricts blood flow, causing debilitating pain.
The way Dr. Z described the situation, Douglas seemed off that morning and was complaining of fatigue and chest pain. Dr. Z canceled the procedure and sent Douglas immediately to the emergency department and called a friend , an Interventional Cardiologist, who was on call that day to urgently assess him and who was able to get diagnosed and stabilized.
Douglas has a rare ailment known as apical hypertrophic cardiomyopathy, which is when the walls of the heart become thicker than they should be and this excessive thickening can cause the heart to become more stiff and leaves less room for blood to fill the heart.
Douglas is now on deck for open heart surgery next week to improve his prognosis.
During the show Douglas was able to ask our guest panel questions to ease his fears about the procedure and what to expect post-procedure. The Way To My Heart Nurse Practitioner Kay Smith was able to provide an in-depth explanation of Douglas' situation. Nurse Practitioner/CRNA Kathryn Walker, a former cardiac anesthesiologist, who's also CEO of Revitalist, a group of mental wellness treatment centers, walked Douglas step-by-step through what to expect from the moment he's wheeled down to the operating room clear through recovery. Dietitian Melissa Hooper (www.dietitianmelissa.com) answered Douglas' questions about how to improve his nutritional health following open heart surgery including cutting cholesterol, animal fats, and processed foods out of his diet.
Also, in the show's Save My Piggies segment, Dr. John Corl, Interventional Cardiologist with Christ Hospital in Cincinnati, Ohio is joined by his patient Marcia to talk about how the right doctor and "modern medicine" changed her life and made her "new" again. Marcia discusses how she was able to push through the pain associated with blocked arteries in her legs, known as peripheral artery disease, to help re-route blood flow through the body’s network of collateral vessels that lay dormant until you need them to improve circulation. This collateral network kept her legs alive until she was able to find Dr. Corl through The Way To My Heart, and he was able to clear multiple severe blockages in her upper thighs and lower abdominal region. She now walks more than 10,000 steps daily.
Description:
You don’t want to miss this compelling episode of The Heart of Innovation, not only because it has the potential to save life and limb through a deep dive into how walking can help create a ‘natural bypass,’ but because a patient shares his story of how a second opinion changed his life.
In segment three, Duke and his vascular specialist Dr. Yazan Khatib at First Coast Cardiovascular Institute in Jacksonville, Florida talk about how a leg amputation was thwarted. Duke has Peripheral Artery Disease (P.A.D.), which is a chronic circulation issue in mainly the legs. Duke had multiple interventions and bypasses to restore blood flow to his legs before finding Dr. Khatib. The catalyst for Duke seeking help from Dr. Khatib was the point where his previous doctor told him that it wasn’t worth his time and energy financially to delay what he believed was the inevitable, which was amputation. It was Duke’s Primary Care Physician who told him to get a second opinion before amputation. Four years later, Duke is still walking on two feet thanks to regular maintenance by Dr.Khatib and lifestyle modifications, especially walking.
Walking is the best medicine for P.A.D. That’s why during this episode, hosts Kym McNicholas and Dr. John Phillips spend the majority of time leading up to the Save My Piggies segment and afterwards talking to Interventional Radiologist Dr. Lorenzo Patrone, 2022 European Patient Champion and 2020 Global Vascular Doctor of the Year, about why walking is the best medicine for P.A.D. and other circulation issues. Mass General Hospital Vascular Surgeon Dr. Anahita Dua also shares how to walk effectively to wake up and grow your collateral network to help improve circulation without intervention.
P.A.D. is defined by a narrowing of the arteries, mainly in the legs, due to plaque build-up. When flow is restricted, muscles, organs, and tissue are starved of critical nutrients, including oxygen. This may cause symptoms, such as leg pain and cramping when walking (claudication). Even worse, it could prevent healing of sores on your feet, leading to ischemia, meaning tissue loss. Wounds need oxygen to heal. Your body does have a back-up system. It's the collateral network, known as your body's "natural bypass."
The collateral network consists of smaller vessels available to handle extra demand. What makes them so special is they have the ability to expand and even grow if necessary to keep up with demand.
Walking helps to accelerate this process.
When you walk or exercise, your heart starts to pump harder and faster to circulate blood to deliver oxygen to your muscles, organs, and tissues. If arteries can't handle the additional rush of blood flow, the collateral vessels re-structure to meet the increased demand.
Think about it like our freeway system. If there's an obstacle such as an accident on the freeway blocking the flow of traffic, more cars veer off on to side roads to continue moving forward towards their destination. Collateral vessels, like side roads, can vary in capacity, but unlike side roads collateral vessels can expand and grow with increased demand. The extent to which your collateral network can keep up with demand, depends on the individual and stage of disease.
The collateral network's effectiveness may be limited in individuals with advanced age PAD and those with smaller vessel disease below-the-knee. That's why it's important to get a full vascular assessment. During this assessment, discuss with your physician:
For those without Critical Limb Threatening Ischemia (CLTI), standard protocols for treating P.A.D. suggest a three-month program that consists of medical and exercise therapy. During that time, physicians assess whether an antiplatelet drug and/or a vasodilator, coupled with brisk walking will help your body to increase flow not only through narrowed arteries, but also through the collateral network.
If you are post-procedure, following an intervention or bypass, your physician will prescribe a walking regimen to help maintain the recently treated vessels open, as well as to continue to maintain and build your collateral network. If a covered stent is used or bypass is performed collateral vessels will be impacted in those areas, but walking will remain critical to increase demand for blood flow to maintain those vessels open.
Some facilities offer a formal Supervised Exercise Therapy (SET) program to support walking as medicine for P.A.D. patients. If your physician doesn’t have a formal walking program, go to TheWayToMyHeart.org to sign up for My Steps, which is a text-based program designed to meet each individual patient’s needs and goals to increase long-term accountability.
Description: Chronic physical illness can lead to depression and anxiety, resulting in a mental health crisis which can further jeopardize a patient's health. The Heart of Innovation hosts Kym McNicholas and Dr. John Phillips are joined by The Way To My Heart's Nurse Practitioner Kay Smith, legendary business and financial reporter Bambi Francisco (Founder and CEO of Vator.TV), and Revitalist (Mental wellness treatment center chain in six states including Tennessee and Kentucky) CEO Kathryn Walker to talk about the problem and innovative solutions to improve mental health in patients with chronic physical ailments.
Today’s show kicked off with a couple inspirational quotes by Queen Elizabeth II to celebrate the impact she’s had on the world during her reign:
“Everyone is our neighbour, no matter what race, creed, or colour.”
“When peace comes, remember it will be for us, the children of today, to make the world of tomorrow a better and happier place.”
Queen passed away this past week of what may have been a massive stroke, although upon publish of this article, cause of death had not been released to the public. Dr. Phillips commented on the prevalence of strokes in the elderly, and the importance of getting checked annually for one common cause, which is atrial fibrillation, an irregular and often rapid heart rate that can lead to blood clots. Now that the COVID-19 lockdown has lifted and hospital facilities are starting to operate again at a normal rate, it’s important for everyone to C.H.A.T. with their doctor about vascular health, which means to ask their physician to check their Carotids, Heart, Abdomen (Aneurysm), and Toes (arteries and veins).
The discussion on vascular health backed into the topic of the day, which is mental health and chronic physical illness. Bambi Francisco runs a content distribution network, Vator.TV, which includes regular salons on mental health. Her next event, “Future of Behavioral and Mental Health is October 26th where topics will include “Reinventing the doctor’s role”, “Future of Clinics”, “Lifestyle” and more. The premise for the event as well as how she began her discussion on mental health, is that for at least a decade, about one out of five Americans suffered from some sort of mental disorder. In the case of depression, it’s become almost an epidemic rom being a rare condition 50 years ago. Critics have argued the rise has a lot to do with pathologizing normal psychic and somatic behavior, meaning society’s idea of normal often means never feeling sad or hopeless. Covid and policies around the lockdown that kept kids out of schools has contributed to the elevated levels of mental stress. But it’s also weighed heavily on those with chronic illnesses.
Kathryn Walker, CEO of Revitalist, who’s also an ICU Nurse explains why chronic physical illnesses can impact mental well-being and how psychedelics such as ketamine are becoming more accepted as mainstream treatment. Nurse Practitioner Kay also discusses the importance o Virtual Reality in the treatment of mental health issues and Bambi Francisco highlights the rise in faith-based technologies to improve mental well-being.
Diane, a patient with Peripheral Artery Disease (P.A.D.), which is a chronic circulation issue, talks about the impact of P.A.D. on her mental state and how finding the right vascular specialist who uses advanced minimally invasive tools and techniques can make all the difference in the world in not only providing pain relief, but also restoring hope, her mental state, as well as her love life.