WATCH THIS To Avoid Heart Attack: Lifestyle, Food & Painkillers - Dr. Ramakanta | FO328 Raj Shamani

29:05So, this is very important that the family is more than a generation. With that, you can change the lifestyle, so many things that you can change the family's genes, you can control at least it can be modified. can control it. Because a lot of people say that my grandfather or my grandmother are used to hear a lot of grandparents or grandparents about heart attacks. That he was the father but he didn't have a father or mother. So now I was raised and I wouldn't have any heart related disease. No, it cannot also happen. So that gene can come after that. And if there is a family history whose family has always been in the house and has always been in the house or diabetes.

29:46and diabetes. There are many things that they need to do, which will be better. That is true. And I agree. But no one does not do anything and watches podcasts today and then thinks that I will start from where. Which one thing they need to keep absolutely attention to and they can save themselves? I tell everyone that the world is the best medicine that can keep the person good. It's called exercise. It's called exercise. It's called exercise. It's called exercise. There are many studies that clearly show exercise also reduces your chances of cancer. Liver, kidney, brain, all the things. I tell everyone that God is one of the most likely, exercise.

30:36Exercise is an important thing I want to do. When I listen to this study, I don't exercise. I don't want to go straight and run away from 20 kilometers. For example, I had a patient who had bypassed his boy who was very overweight. He advised that exercise. One month after a month I called the phone call and said, sir, it had a heart attack. He had a heart attack. He had a heart attack but it didn't block but he had a heart attack. What was it? He went to the gym and started spinning at the high speed. So, my advice is to listen to this and listen to this, go straight and go to gym. Don't do much exercise.

31:13Do your body exercise for 15 days. Get a guide or a fitness expert who can help you. Slowly slowly do it. Number one. Number two, don't do more than one day. Don't do more exercise. You can see that the maximum heart attack in the marathon is one kilometer or one mile. Because in the last one mile everybody wants to push. Quite often you read, suddenly exercise, a lot of things are related. Don't push yourself too much. So do routine, everything to do moderation is good for body, good for health. Now we are talking about some family histories where their family is wrong. birth familyfrageandbox ו清楚 مشاهsite

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32:13lindo ڈ مشاهsite no bie lindo ڈ average. So our average which is our food in the house, our sodium level is very big. Add-on modern Indian food will be 25-30. Pizza burger, add-on butter, add-on 20. But let's go, I give pizza, burger and junk junk. I'm just talking about eating at home. How much is our food in the house? And sodium level is more. Do you think there's a problem there? 10.9 it's a good problem. Yeah, it's very high. Our Indian habit of taking sugar I will give western population If you go to USA It's a sports crazy country Everybody does exercise Because new generation They are going to Indian way If you look at it They are all going to Indian way They are more obese And you see that effect After 20 years Same thing I will just digress Between 1997 and 2007 10 years time USA Because of this strict enforcement Because more than enforcement Internal enforcement People The heart disease came down by 27 % Today it is going to go up again The same thing with us What is happening is You don't do exercise Indian by and large very sedentary When you do exercise Your sodium gets out in the sweating No So when you take 10 gram If you do regular vigorous exercise No you are not going to get hypertension When you combine everything with a we have got a very high carbohydrate diet very refined carbohydrate diet sugar content very high which means salt no exercise it is a very dangerous combination when you do everything okay somebody doing everything good 10 gram sodium you don't want to make that you have to take everything in the proper context don't look at only one so with our lifestyle etc I'll suggest 5 grams is a better idea rather than 10 grams.

34:14Heart health care vegetarian diet is better than non-vegetarian? Overall, if you ask me, vegetarian diet heart health care is better than not. But Indian vegetarian diet is not. It's a proper natural vegetarian diet. It's a large amount of fruits, lots of nuts. Even our mouthful is good for the body. Like the Mediterranean diet. Up-road, madam, Mediterranean diet is better than not. It's a non-vegetarian diet. one yellow is not a bad person. Every person is different. So, if there is no problem with each other, if you take one yellow, if you take one yellow, if you take a week, you can take one yellow, one white one day, it's good for the fish.

34:54Especially salt water, it's good for the body. But if you have said egg yellow, because you have said egg white, you have said egg white, you should not eat egg yellow, you should not eat the heart patients who have cholesterol, Do you want to eat cholesterol or not? No, no. There are many negative things in this yellow. But can you eat it as a heart patient? Heart patients are multiple problems. You need to see how much cholesterol is. If someone has a cholesterol. Two to three yellow in a week is not even heart patient. There is no problem. So, a doctor came to our podcast. And he said that for heart patients, there is no one's yellow food.

35:35Is that right?

36:04I say true to true. So, it's very important that the rest of the body is doing everything. Suppose heart disease is exercising, your body is good, you are sleeping, you are doing yoga. That's okay. The cholesterol level depends on how much risk factor is. That's why you decide that you should have 70, 50, 40, 30. when you have a level of 40 to lower, because in the yellows there is also some additional nutritional factors, which is benefit. So, two or three times in a week there is no problem. So, you can do the rest of the rest. There is a lot of respect. The cholesterol is a lot of, the diabetes is a lot of badly controlled.

36:45In the artery, there is a lot of deposit. I will not advise you. Okay. So, when this happened, then someone was a doctor, he tweeted that the thing on Twitter, that it is a wrong information. how did he say it? And he said, I wanted to verify from you. Yes. He said, to the liver doc, he's on a channel and he tweeted, there is now scientific evidence that dietary cholesterol does not significantly impact blood cholesterol. And that consumption of eggs is healthy. Please consume at one whole egg a day, even if you have metabolic disease. It does not increase risk of all cause mortality or other adverse events.

37:30Many studies have shown safe levels of daily egg consumption and it was associated with lower risk of heart disease. Would you agree to this or not? I will not agree to that. This is a generalized statement. For healthy population, not a problem. Heart disease again, you have got multiple risk of heart disease. That's the reason I asked. Somebody comes to my bypass and says, what do I eat? I said, in the past, there wasn't anything If you don't have any restriction for your life, you will not add any restriction. So, for that, it's okay. One meal is not enough. We live in India. So, you have to look at metabolic diseases.

38:05Yes, there are people, especially Indian patients, if you see, our risk of heart disease is much more. Our diffuse nature of cholesterol deposit blockage, which is very much in western population, so, for them, any amount of cholesterol is bad. Even diet contributes 15%. 15 % for them is also very high. Because 10 years back or 15 years back, we were thinking that up to 100 or 150 bad cholesterol is fine. Today we know that the lower we keep, the better it is. Especially the risk factor, their cholesterol is to keep 30 to 40. One day 150 mg of cholesterol itself is dangerous. or 200 mg is dangerous.

38:54So it is a generalized statement. I'll prefer that like every person is not one. Everyone is different. So whoever has my heart I'll strongly suggest you have to be careful. So what are the myths of cholesterol? Cholesterol can be shown in a lot of wrong ways. So what are the myths that you want to do around cholesterol? Number one, cholesterol is not a bad thing. That's the myth first I want to break. Because I've got a whole media and People have a perception of cholesterol. Without cholesterol, no human being, no animal will survive. It is the basic fundamental block of body. Sales will work.

39:30For that, you have hormones, vitamins, all of that. So, cholesterol is okay. What's happening is, you will see, till 100 years back, all of the people eat this food in the world. So, now there is plenty of food. When you have plenty of food, obviously everything is not only cholesterol. You find many times, advertisement says that zero cholesterol. Margarine zero cholesterol Technical right But that food After eating It is not only What you eat The type of food You eat Which contributes To production Of cholesterol In the body Okay wait Zero cholesterol Products What do you think That is That is From eating In cholesterol So it is That is My bad It is They are Right Somebody Writing Zero cholesterol But They are Wrong You are Right You are You are Because That is That is In the body, there is cholesterol in the liver.

40:24So, where does the body produce 85 %? Also, the food that you eat, like 15 % are getting all the cholesterol. The cholesterol is not directly, the cholesterol is not directly. It is a precursor to the food that the cholesterol is getting. One thing is that there is cholesterol. The other thing is margarine, so many types of food. The food is zero cholesterol. cholesterol free diet yes cholesterol free the moment you eat it becomes more cholesterol in the body so those are the things one has to avoid so zero cholesterol things are not going to be able to study to study what content is it will be given to us so I have seen a lot of biscuits yeah technically right after writing it becomes more so it is bad it is said that in 100 years we have plenty of food everyone gets food So quantity of food and type of food has changed.

41:19So our cholesterol consumption has gone up. Even though 85 % of the body is made, which is 15 % of the extra layer, which is the risk factor for the heart disease, 15 % of the body is more. The person who says there is no problem with heart disease, it's okay. They can't do both. So that's why there is a personalized medicine. is different. Every person is different. Every person's cholesterol is different. So I will advise that the heart is a good heart. Let me show you the heart. Advice. This is a viral video. You see that it is bad. It is bad. It is bad. It is bad. It is bad. It is bad. But there is no scientific study.

42:08It is bad. Because it is reduced in the cell memory. in my life, I have less than that. It has Alzheimer's, it has cancer. Now, there is no scientific study, no one has seen that it has been so much. Okay, tell me, statin if you take continuously for five years, how many chances will increase life in life and living? How many chances of living? Because if cholesterol is less and controlled, five years it will be controlled and statin. So, it will affect the body If he doesn't take it, what is happening in the body? If he doesn't take it for five years. This is the starting point. Who is needed to advise him?

42:48Who is needed to be the heart disease? Who is already the heart disease? In the future there is a chance to be a complication. But with starting, these are very important. Lifestyle training, exercise, food, diabetes. 50 % for them is very high. This is very important. When it's not, starting is very safe. very small percentage of patients starting low tolerance nai karte hai unka body muscle pain hoota hai liver enzyme hoota hai both small percentage of patients un patient mein alternate medicine hai lot of research is going on injectable a gaya hai jis mein aap eek injection le le aato panther din tak aap karna nahi hai dousra injection hai 1 month 3 month 6 month le te hai uske baat saal mein 2 bar le le aato cholesterol control raha that's all for them.

43:39First line of treatment is again, before starting again, exercise, lifestyle change, diet, then you start in. Talking about medicine, because you talk about statin, you talk about pain killers. India is now in the epicenter in the world, where people take pain killers. Compared to other countries, India is taking pain killers. And that's what they typically say. right and normal growth countries are top 10 countries in comparison on a select population so Indians' likelihood painkillers choose 22 % more than normal people other countries right so we take a lot of painkillers so what do you think of painkillers heart disease chances increase is there any correlation see it has also because painkillers blood pressure Overuse of painkiller Blood pressure That's what I'm talking Indirectly Directly painkiller Doesn't cause But again Painkiller has multiple First thing I'll strongly advise Not to take like that Randomly I'll not advise anybody It's bad Especially elderly people It can affect kidneys It can affect Yes I'll definitely not advise USA is other way around They are the opium And other That is a Your That is a Pandemic now It is a huge problem Yes So the it is an indirect effect.

45:04Obviously it affects the increases use of again it is also partly related. It is very difficult to separate out the two. These are people who also have a little different type of lifestyle. So lifestyle effect also is there. So multiple effect that it is increases to leads to this hypertension. NSAID long term definitely affects the kidneys also increase the blood pressure. That indirect will affect you. So I will not advise again some brand name I don't want to tell it's so common, everybody knows in the village also the headache everybody becomes a doctor I don't want to take the name so that I'll not advise got it you know I have a tweet I have a tweet a few days ago that there are so many vitamins multivitamins, steroids painkillers and in the world Let me boil it down to three sentences.

46:03That was in the tweet. Kid, let me tell you this one thing. Best focused drug is eight hours of sleep. 100%. Best multivitamin is three liters of water every day. And best for you to recover and stay healthy. No amount of steroid is going to make you as healthy as 45 minutes of exercise. Absolutely. Do these three things and you will be healthier than half of the generation. You don't need all these steroids, multivitamins and focused drugs that you need in your body. The second one, best multivitamin I will say is a balanced diet. Is? Balanced diet. Balanced diet. I will put it, first and third I agree.

46:45Second one I will say. You are going to tweak it. Water is three liters or not, liters of water is not the best multivitamin. With that a balanced diet is the best multivitamin. Got it. And third one exercise. 100 % And this is always I say Subse best medicine Koi puchta hai Number one medicine exercise Exercise Kusse behter kus nahi hai Kusse sasta kus nahi hai True Okay Talking about Heart Heart attacks Heart related diseases Men or women Me hi different hota hai Oeh ek bohut meeth hai Only Till menopause Because hormonal protection Women ka heart disease incidence Come rata hai Lekin Menopause is not a difference in 5 years.

47:30It is dangerous. Women have heart disease or even heart treatment. Complication rates are higher. Heart attack is higher. So, it is a myth. Only they have. So, that is the reason if you see women quite often they smoke or etc. Strongly advise not to do because they will get into trouble. And young people all of a sudden heart attacks and heart disease Why has it increased so much? Because there was again an article on this That a doctor, a whole doctor's body in India was published That it was very common that children come to show their parents That their hearts are related and their families are going on Today it is not uncommon that children come to see their parents more than 25 % of the heart attacks and heart disease are below the age of 40 years this is all the lifestyle because of this.

48:32which we have told earlier, we have said risk factor, which is risk factor, that is the risk factor, that is the risk factor. say high blood pressure, diabetes, tobacco use, strong familiality, high cholesterol level and now we have added Indian patient after intra heart studies, lack of sleep, high carbohydrate and not having enough fruits. So these are all risk factors. Which is less than the heart of my heart. In young age, it doesn't happen that at least when you start to get a heart attack, you have to get a heart attack after 10-15 years. to get a heart attack? That is very interesting, very nice and very important question.

49:12When a heart attack is more than a year, the complication rate, death rate is very low. Because what happens normally? Like you told me, as you gave an example of pavement, it's a pain. So, there is a cholesterol deposit. There is a artery rate of loss. As it grows, it's slowly. when it happens in 10-15 or 20 years, I suppose the person also exercises well. So, the body opens up an alternate route. If that's in the morning, 90-95, then 100 % of the job happens, it takes over a alternate route. Even if it comes in a heart attack, it doesn't happen. Many times our patients admit in heart attack.

49:54Heart is not a damage. Heart is blocked, it's opened, so heart is completely damaged. But the recommended photomakeupon founder has couple moreover case. There is a very low stage for u.s. time. Exercise is not significant in my body. At some time, the alternative response becomesalf gears to turn away. Let's give number one. The other side of this load when the heart gets released too, they finally have targeted with heart attacks when necessary. The vedngatlus among the a자는 and excellent because of skin. With訴 vargin zapas have minor blockage. Toも impossible fl way of giving as some stress moderator can be considered, so what we have to do is the artery is broken.

50:30The cholesterol deposit is not strong. Like the pavement, your concrete problem is strong. With that, the blood pressure is not strong. The car is broken and the car is broken. The heart is like this. The cholesterol deposit is growing slowly and slowly, it is called the farm plaque. The plaque means cholesterol deposit. a soft plagues, everything is ag Ainw age stops interval, any be stressful condition a messy role she had bad so blood pressure temporarily extended, cut of stressful condition, blood pressure is very big, in that time, it goes up. When it goes up, it goes up to the ground and it becomes a clot.

51:17So, in young age, it becomes more than you. You have given the original answer to that. So, when you get in young age, there is no time for it to increase the circulation, number one. Number two, the majority of the attack is not happening. Suddenly, the attack comes from the clot.

51:42So you are saying that if someone has a heart attack, the chances are very low to a good heart. to a child. For a child, there is more complication, a heart damage, and there is more risk in life. But in young age, then the surviving chances are less? Compared to elderly. A senior citizen, so far, there is alternate circulation. In the attack, the heart damage is less. So, the risk is less. Young age, the rest of the organ is fine, but the heart is damaged, it is not damaged because there is no alternate circulation. Sir, you are dying young people. No, it is the most important thing. Everyone thinks that it is not what it is, it is not what it is, it is what it is.

52:34So, if you are scared, you can go through exercise and you can change lifestyle, but it is not a problem. But it is also shown that the ones who exercise are good. In his young age, the risk is less than a heart attack. I can show an angiogram. He is around 38. He is running marathon. The only good thing was that family was strong. He called himself to check. He got 70 % block and 80 % block. because he is doing exercise regularly, so he doesn't know how to do it. Okay, you said that heart blockage is getting started. How can you know? Coronary? Blockage is first to know symptoms. So, people don't have symptoms, at least majority of people have symptoms.

53:29What are symptoms usually? Because there is no stress concern, because the God has made it, whatever the artery blockage is, the rest of the time. When we talk about physical activity, the heart is more than enough. It is more critical, the heart is more adequate. If you have physical activity or mental activity or stressful conditions, then the body needs oxygen, the heart needs to be more difficult. What does the heart do? It is more difficult. So, if you have any stressful conditions in physical or mental conditions, I suppose you have a pain in the left side. Either the left side, like someone who has a stone, or a choking sensation, or like you take a rest and go, that is a heart problem.

54:19Or you go, suddenly a pain, and then you take a rest and go, that is a heart problem. Now, the anxiety is not directly on the heart. It's a very typical chest pain. What happens when people are gone to the dentist, people are gone to the stomach doctor. I operated a famous doctor from South. His daughter was suddenly going to the 39th age. For 6 months, he was going to the gastroenterologist and the pain was in the stomach. But it was a heart problem. So very common. Dentists, orthopedic doctors, they are in the stomach, so there is a risk factor. and his chest is normal, so you should check the heart.

55:09This is number one, you have symptoms. Suppose you have been suspect, then go to the doctor and both people with plain and normal, your heart is normal. This is not. The ECG will then know where your heart attack has already come Or it becomes difficult to get a painORT après problem So he will get tested now in warranting, otherwise is normal to get tested at once shakers have a AKA The problem is the first research to accomplish Don't want to overcome your goal At first you gave me to help others Now У got into head stress tests You are going to work in medicine Because exercise in life And you full of radiation When the heart rate is increased, the heart rate should be increased.

55:57At that time, the change will be changed. It is 100 % accurate. It is false positive, false negative. If you have not blocked, it can be positive. If you have blocked, it can be negative. The further test is called stress, thallium, stress, eco. It is more accurate. It is 95 % accurate. It should check.

56:19we can advise something about the city calcium score. City angiolog, city calcium score is different. City calcium score means it will indicate that your heart artery is how much calcium is. Calcium in the heart artery is how much it is. It shows you how much damage. What happens if you have any reason, So, this is how you understand, sugar, high sugar, high blood pressure, more salt, the stress under internal lining, the damage of the stress, the blood is healed, and calcium is deposited. Calcium is high, it means that there is a cholesterol deposit, and there is a blockage. So, I will advise next level, but the doctor's advice, don't go to your hospital, and do it again, it has a side effect.

57:07So CT calcium score and see if there is positive, the novel is again, doctor will decide that CT angio is not. CT angio is non-invasive. You die within 3 to 5 seconds only you have to hold your breath. You take the image and you know that. In that negative predictive, CT angio means that the accuracy is 99.99 % of the accuracy. It is not very accurate that it is not very accurate that it is not very accurate. Suppose 70, 60, 80. Because it is not critical, it is not very accurate. Because our three types of treatment is an angioplast medicine, angioplast medicine. Next I will talk about. Next I will talk about the city angiogram, next I will talk about the regular angiogram.

57:53In regular angiogram, you can put your hand on your hand and put your hand on your heart to the image. So, you can get the information on the patient's information. But you don't need an angiogram, you don't need a CT angio. You can see the doctor and do it. You can decide on the next level treatment. How much percentage of blockage depends on the patient's information. Got it. So, you can scan CT coronary. No need. CT scan, no one knows. I don't know. This should be known because the average CT scan is 500-800 X-ray equivalent. So, a repeated CT scan is a chance to increase cancer. So, this is the CT scan of our own indication.

58:36It's a very good test. So, it's not good to do random CT scan. So, when the doctor says specifically, specifically, when we do critical blockage, to do it. When all the tests are negative, suppose stress test, stress, some negative are, other patients have no symptoms, it can go through the 2-way. There is a term called phobia. Cardiophobia. Cardiophobia is that someone feels afraid of heart attack and they feel full time that they feel heart attack. Yes. If they feel acidity, they feel heart attack. All things are heart attack. So, this is a big fear that people are increasing. So those people who are afraid of heart attacks and feel full-time that they will come because of XYZ reasons, so they don't do the CT scan directly.

59:26I strongly advise you, don't do this. First, let me see the doctor, check it. CT scan further down the line is a test. It's a very specific procedure. Just like when you come and come and your heart is clear, don't do it. Because you have a radiation of 500-800. a certain radiation. Got it. And this is not a radiation for the body. Because I have talked about acidity. Tell me, when is it that there is pain in the heart or it is acidic pain? Like, many times there is pain in heart and you think that it is a pain in heart attack. Because you don't know how it is. But acidity also has. So, what is this indication?

1:00:06How can you differentiate between two? Unfortunately, both are next to each other. There are many symptoms. But by the way, the symptoms of your fraction of a second came. Suddenly you sit, work, switch, and the pain is being carried out. Usually, those who are not associated with stressful conditions, are not associated with heart related. On the other hand, people say that when they ask me, I ask them. I ask them, go to exercise. and when you go and exercise, you don't have anything to go. You don't have a pain, you don't have a pain, especially if you have a fraction of a second, that you have a very long time, usually, the pain is not a heart.

1:00:47The heart pain typically happens, when you have a physical effort, you have a pain, the pain is a pain, like the rest is running, it is a heart-related. As I repeat, when you exercise, everything is not a pain, you don't have a pain, it is a pain. and heart attack if someone comes like public cardiac who you have seen in the gym weddings where you see airports if someone has heart attack then which people do which actually patients suffocate or kill people and people do that they There are two types of heart attack and heart failure. Where the blood of the blood is blocked, it is more dangerous because it is blocked.

1:01:45Heart failure means that it cannot be done with heart pumping. It can be done with heart attack and other things. The heart is weak, heart pumping is weak, blood pressure is very high. At that time, it can be done with heart failure. Heart failure means that the breath gets very high. It's both similar symptoms. First you have to see heart failure or heart attack. If you have a heart failure, you have to take it immediately to hospital. You have to take it immediately to heart attack. If you have heart attack, you have to close it. So immediately you have to check the pulse first. You have to check the pulse here.

1:02:17The pulse is not going to be more aware of the brain. The brain is going to be more aware of the brain. You have to see the cardiac massage immediately. It's very important to do the cardiovascular exercise. What is this? Because the heart is closed, the brain is damaged in three minutes. Three minutes, you can revive the person, but the whole body will work, the brain will completely damage. So, as soon as you can revive the heart, you have to maintain circulation.

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1:03:19i When you are standing, you can get a liter of blood on the leg. If you have a flat, you can get a blood pressure and you can get the blood pressure. That is very different. First you check out the pulse. If you don't have a pulse, then you need to start the heart to do the restructure. What is the cardiopulmonary restructure? You need to massage the heart. should be. What happens? The heart is the head of the head. The head of the head is the head. The head of the head is the spine. You have to press 100 to 120 times per minute. CPR is called. After that, every 30 minutes, you need to take a breath.

1:04:05Because you need oxygen to be given. So, you need to open the mouth and open the mouth. to open it and give oxygen to them twice. So you should be able to repair this. You will see that in all places, in all public places, in India, there was a defibrillator. When a heart attack is closed, what happens? If it doesn't have an open, then suddenly the heart is closed. ..ricular

1:04:39ricular So immediately defibrillator, especially in public places in all places. So immediately defibrillate. When you don't have to immediately massage, call the ambulance, at least important doctors come. They will have defibrillator, they will have breathing machine, put pipe in the inside and massage. to take the hospital to the hospital. You can save a lot of money. That's why I will advise youngster to learn the CPR. It's very easy technique. Very easily you can learn. You should do it. Okay. Let's talk about relationships and heart attack. Okay. There is that people who are in a toxic relationship, who live in such environments where there are angry during It's an unprecedented environment.

1:05:19There are a lot of misunderstandings. There are a lot of suffocated feelings. So because you live in anger, stress, depression, you have inflammation in your body. And these things can actually cause heart diseases. There are many cases that maybe one partner is toxic and that's why another partner has a lot of hypertension. These are related to that. Absolutely. There is no question about it. A lot of tension, stress, all related. I've had this hypertension, both are related to that. Have you seen that people come from a lot of dominated families and then they come to you and maybe they open up.

1:05:58Yeah, they're related to that. But again, it's multiple factors that lead to that. Only one toxic relationship alone doesn't cause the heart attack. But it's associated with other risk factors. But it gives you a will to do nice things. But it does contribute. There's no question it contributes. My advice is again communicate, do counselling. try to sort out your issues life is more important so don't you know it's not possible then the other ways to do yeah and come out of the relationship and anger ka fark pardha hai oh yes see anger temporary anger for a very short period is not issue but continuous anger is bad we were talking about relationships

1:06:37a psychologist has also told me that there are studies also done multiple times that usually when a partner is lost, when you are actually in love, and if your wife or husband is dead, your chances are increasing in the same year, when you have heart attack or heart failure, because of loss. Absolutely. In fact, men are like that if they love their wife a lot, and their wife is dead, then their chances are increasing in the same year. Men, there's a reason. Because women, men all their life keep working hard They don't build up a relationship that much as women Women build up more support relationship with children, with family members So when there is a separation Suddenly one partner is lost Study has shown you are absolutely right Men has a much higher chance of dying quickly than women Women because there is a support system for them They have built up that support system, emotional support system They survive longer No, it all depends You need to develop that support system You need to develop You need to interact with the children You need to interact with the family members If you see people, men who have But either way or any relationship If they are deeply in love with each other The loss of one partner definitely has a serious impact And there is something called broken heart syndrome also I thought I will say that Both ways If it supports sudden loss of a spouse In really love Or even a regular love affair Break down and One is really really depressed And takes too much suck It's called broken heart syndrome It's a temporary condition Heart becomes completely weak To the extent it can kill the person also Heart age kya hoti hai?

1:08:29Heart age body Yes What is that? Tell me the concept of The concept comes from Physiological age versus chronological age The person could be, we are all used to go 70 years ago, 25 years ago, but we don't know how much it is inside. That's why some people live in 50 years, some 70 years, some 90 years, some 100 years. So, the 100 years of man and the 60 years of man will compare both in the 60s. In the last year, we will compare both. One and a hundred years, and one and a hundred years. We will see the body, that will be the body of the body. This is why physiological age and chronological age.

1:09:19Chronological age, when you start the age, physiological age means how is your body? But how does heart age work? There is a calculation. Your chronological age. There is a way of calculating. Every hospital, every society has that. there is marginal difference. Basically heart is a risk factor calculate. How much diabetes? How much blood pressure? How much sugar? How much stress you sleep? How much stress you sleep? It's based on various sources. online is available. You can go to all the societies. Yes or not. This heart is calculated. You can do it. It's based After studying millions of patients, after studying their data, what is happening?

1:10:09Almost all heart is calculated and similar principle. Minor and other are different. I calculate your age, diabetes, blood pressure, smoking habits, sleeping habits, food habits. You calculate your stress and it's worth it. How much time you feel, it's worth it. Then you get an idea. So we will put the link to the podcast here, the Asian Heart Institute, the heart is called later. Yes. So people can see their heart is not. But one, I'll say, I don't know about it. Suppose you have got a lot of things, you can reverse all things. What I'm talking about, you can do all things. If you do it, you can reverse all things.

1:10:57I have got many patients. One person said that he had to immediately an operation. He said no, he will change lifestyle and he will change the life. He was going to go to the same thing. Nice. So it is all the same thing. Same principles of heartache. He started to reverse the whole thing. You know here is a question. Because I know something like my friends specifically I know people who cigarette and alcohol and they do regularly frequently or two or three times they'll do this almost daily cigarette and alcohol one or two times they'll take it but the rest of the lifestyle are very good they'll eat healthy they'll do a workout regular they'll sleep so they say we'll manage overall it will damage that's the percentage who is not doing it, suppose if you are 70 years old, they are going to be 60 years old.

1:11:59Otherwise, if you are smoking, you are not doing it. Otherwise, you are not doing it. You are doing it. You are living 90 years old, you might live 8 years old, you might live 10 years old. You might get a smoking heart, you might not get cancer. Cancer will not prevent exercise. But what a healthy lifestyle excuse is to drink and smoke? Drink occasionally no problem, smoke I'll never advise And smoking is more dangerous If you are with friends who are smoking, you are as much as smoking It's called passive smoking Whatever smoking is as good as smoking It is as good as smoking It's called passive smoking Passive smoking is as bad as it is worse Absolutely And with that, vaping is more dangerous As well, it is very common.

1:12:48Those young people have a heart attack. First thing, two, three things. First thing, parents. Number one, majority, large number of them, IT or professional, finance, etc. who are working 24 hours, 18 hours all night. Very, very common. Number two, smoking. Vaping. And vaping. And I have got students 18, 19 years old who have got a heart attack. Hookah. Hookah is a new style now. These are all dangerous. So you are saying hookah vaping is as dangerous as smoking? Yeah, yeah. There is no difference. Why do you say nicotine is not in it? It causes also vasoconstitution. It causes your blood to become thick.

1:13:30So the vaping is a artery and it is narrow. And the blood is a clot. It is very common. So the vaping is a clot. I will not advise. No vaping. These are very bad. It was not bad. Explain. This is very important. because many people are vaping and saying we are smoking. Many people are smoking and we are smoking. What happens with vaping? If someone is vaping, then what happens? Your heart is constricted. Your blood is dry. So, heart attack is not due to blockage. Heart attack also is due to blood clot. Like COVID-19, people had a heart attack. One was blocked. In normal, without a block, because the blood of your body becomes more gross so it can be a plot so it won't be a block it won't be a block it won't be a block in a U.P.

1:14:25he is selling a Ram kit for 7 rupees have you heard of this? he is selling a Ram kit for 7 rupees and he is saying everyone should keep it in the jail this is their actually defense for heart patients so there are three balls in Ramkit in this Ramkit one is Ecosprin which is blood thinner one is Rosavastatin for cholesterol and one is Sorbitrate which is better heart function these are three balls that are sold in Ramkit and they are selling 7 rupees and they say keep everyone in your pocket is it good? so high-risk slogan is it good? It is very slow to release. Because the heart attack majority, most of the heart attack, the heart and the heart character, the blood is made.

1:15:21This is a good concept, but it is not. You have to understand. It is not. But the high risk people should keep them. Okay, so these three medicines are good to keep? Yes, but if someone is not blind, don't eat it blindly, or consult it by eating it. this is good for the heart but the high risk people are not the same as emergency if you keep the three of them it can be acidic because it can be if you take aspirin to your body you have to be careful but if you have a definite heart problem then it will be useful but how do you know you have to be really careful about it otherwise many patients will be aspirin to your body

1:16:12So, you have to be a little careful because many times you have acidity and heart attack are both symptoms. The same is very acidity, aspirin has to take your bleeding. But for three tests is very important medicine for heart pain. And heart attacks are definite suspect. Definite heart attack is where aspirin is dyspyrin. Dyspyrin is quickly dissolved and quickly into the body. That is more effective. And atorastatin is only a block. The angina means it is not blocked. but if you don't have any stress, you can keep it in the same way. These three tests are very good to keep the heart disease. You should keep it in the same way.

1:16:58You can take the heart disease, but if you don't have heart, you can check it out and do it blindly. Got it. Tell me, how does heart transplant happen? Is it successful today? Technically, heart transplant is the most easy surgery in our heart surgery.

1:17:19heart surgery is much more complicated in the heart transplant. Heart transplant is not successful because you have a heart that has been put up to the other person. So, the body of the body has been made, because there is a million years of evolution, there should not be any brain in the body. So, you should not be able to do it for a minute. If you don't have a minute, you will be able to do it. So, this is why the heart was rejected. So, the heart transplant was not successful. The heart transplant was not successful. So, the first heart transplant was successful. Then, the heart transplant was the most complicated and most dangerous surgery.

1:18:00Technically, it was very easy. But, it was a very complicated team effort. So, we should do heart transplant. We do this because we have only one heart. If you have at least two kidneys, liver is bigger, liver is bigger and you can transplant. You can give one. But the heart is the same. So the heart is not possible. So, whoever dies, we use the heart. Number one, the disease we have to die, we think that in one year, the hope of living in one year is very low. It is a check-up for him. There is a test, he does it. He does it. This is a patient's care for a year. He does it. He does it. When the heart is dead, the heart is dead.

1:18:50But the problem is that the heart is closed. One time the heart is closed, then the other person will put it in within 1-2 hours In that,

1:19:06the heart transplant was not possible in 1968. So what happened? Then they started having the concept of brain dead. Brain dead means that it was shown that the patient was shown in a million study. The brain was damaged. The brain worked well, but the human's chance was zero. So that's why there is a brain dead loss. Foreign country has a brain dead loss. In India in 1996, what is the brain dead? There is also a very strict criteria. There is a very strict government law. There will be multiple doctors who have to certify that it is brain dead. Then the body can be removed from the heart transplant.

1:19:53So the heart is working. The heart can be removed from the heart transplant. can do it. But what organ transplant is not possible that someone has died within two or three hours? It can be possible because it keeps the protection of the heart. But when the heart is closed, the other heart can be closed for the heart function. If the heart has already closed, you will find the person who is, who will come to the hospital and it is difficult to keep it. Technically not possible. Talking about transplant, Xeno transplant can you hear? Yes. How much is possible? How far we have Xeno transplant? That animal heart will look like human.

1:20:35See, there are multiple risk factors. Sorry, one second. Xeno transplant, people can understand what happens. Transplant means, you take a person from another person, take a person from another person. In another person, It means that there is another species. If there is a bandwagon, there is a pig, there is a pig, it is a heart leg. What is the evolution? The million years of evolution. That's why the body is protected. If you come in a foreign country, you will not live in a lot of time. The body rejects it. It's a system. Like a country, the other country is built, the other country is built, The soldiers are thrown away and they are thrown away.

1:21:22It's also made in the body. It's called fighting soldiers. Without that, no human will survive. When you see Covid, initially people died. Because the soldiers didn't have any acquaintance. After two years, the soldiers learned what was going on. It was finished. After two years, Covid was finished. Layman's Trump, what was the soldier in the body? that is the fight. That is the work of the soldier that has no heart, that is the same thing. So, the genotransplant is the problem. Because when the other person has the heart, when you put the heart in the body, the body is the defense mechanism, the cells, the soldiers, the fighting soldiers, you are the young people, the body is the young people.

1:22:07They go and get it out of the body. It's a bad thing. So, you get it all done, So, this is the same as you say, that you are in India. It is in India, that you are in India, that you think that India is not in India, so this is the same. So, this is the genotransplant and modifying the animal gene. Like in the pig heart, human, human, the human, the pig heart, the pig heart, the pig heart becomes the pig heart. It is the human heart. So, the fighting soldiers will think that it is going on to take time. Another very dangerous thing, people are very scared that this was COVID, that was not the virus.

1:22:59It was not a bad virus. So nowadays, the other type of animal is a human and a man. Some animal is a human, some animal is a human, some of the animal is a human. When the animal comes, the pandemic becomes a pandemic. It is a fear that the virus will be in the virus. When the heart is coming, it will be in the virus. can be. If the person comes, there is a chance of pandemic. These are two dangers. First, the most important is the technique that the human genes are transferred and is technical, but I am saying that in the future it will be the same. What happens is that many people will be used.

1:23:47Then you can make order. You can make yourself, because you It doesn't seem to be a lot of days to make it. So, you can do it. But this is a very long risk. It's a very long time. In the future, it's been transplanted. But it's not a lot of success. Now, it's a lot of time. In the University of Maryland, in 2022, they put a pig's heart in a human. And it went to 2 months and then failed. Very simple. The body's shoulder is removed. It's damaged. It takes time. How much time it takes? when we put a heart in humans in the world. 10-15 years, 10-15 years, it's been a minimum. So, the advantage is that the current technology is growing, the AI is growing, everything is getting faster.

1:24:32So, it's a chance to get faster. Another innovation in this field of heart, which I was seeing, we're going to be doing a lot of experiments. Spinach leaves are creating human heart tissues inside. Have you read about it? Again, these are all, yes, Basically, the heart, when the heart is damaged, what is very try in the back of the stem cells. Unfortunately, you still do not know that stem cells are original, when the heart is born and born, the cell is born. It can be a cell. It can be a body, a heart, a kidney, anything. What is it? But still, you don't know, what cell will we stimulate,

1:25:22it is something like that it is a futuristic technology so ultimately in future you can make to order your heart you can make to order your kidney but it is a long way 20-50 years. But it is a technological innovation, especially AI and big data, quantum computing, big data, AI, three technologies together is going to revolutionize. The thing that is 50 years ago is going to be 10-5 years ago. I am very firm believer. Nowadays, I give talk regularly about the future of healthcare. Now that you see healthcare, everything will change. in the 20-30 years. After the whole health care will change. He is sitting in the house, the phone will come to the doctor that after 2 days you have a heart attack.

1:26:11After 4 hours you have a stroke and will get back. But he is far away from 30-40 years. So what is the most advanced technology today for the heart surgery? For example, there are three types of heart surgeries. What are the types of surgeries? How many types of surgery do you have to feel a heart failure or a heart attack? Depends on the heart of the disease. See mainly the most common heart artery blockage, which is anginia heart attack. The other common heart heart disease is the same. It is a replacement, repair. Even without operation, without operation. The other is the child's birth defect.

1:26:50The other is the same. It is a surgery or without surgery. The fourth is the heart muscle defect. The heart muscle is weak. . . . . . . . . . . So, there is a lot of heart transplant. The punchline is electrical disturbance. Like electrical wire, it is electrical wire. So, the heart is working on the same thing. It is a signal station. It is a signal station. It is a signal that it will be down. So, broadly, five types of heart disease. So, it is all about the health. Where is the technology today? Because usually, I have heard the common words, layman's words, not researchers, that a bypass is a wall.

1:27:31It is a wall operation and a bypass operation. Two things usually do. This is common. This is common. It is common. What advanced technology is available today? Can you do robots? Because slowly, slowly, this is not invasible. Because it is that when someone gets upset, the more quickly it is better.

1:27:57It is not the right way. But currently the best thing is slowly slowly, slowly, slowly, slowly, slowly, slowly, slowly, slowly. Robotic is also in the future. Now robotic is also used to use the rest of the surgery, because kidney, your cancer is still being removed. But if you are removed from the heart, you will not remove the heart from the repair. It is not easy to repair. So, the heart, which is the problem, coming from migwww as the quit is repair it you can repair it with rob who can sekta She has Like today we say, the doctor. First, doctor had to do the operation. Today, many doctors can do without the operation.

1:28:42The doctor will go home in three days. So, the two methods improve. This is the latest test. The robotic improvement is happening. But it will be 10-15 years. After that, the heart surgery will be more than the robot. Okay, here is my last question. As a heart surgeon, as a cardiac surgeon, What is the most difficult day in your life? Very difficult question. Patient angle, I don't think it's difficult. Because for me, I think every time I will save the patient, when I will save the patient, I will say, whatever you work, it's not difficult.

1:29:32I am just trying to think what is the most difficult day. Sare difficult day my heart surgery not to be cured. There is no difficult day. I am not aware of it. It is so happy. I do not have any difference. I will give you an example. I was watching a story of a heart surgeon and he was telling that once he was doing heart surgery and he was saving a patient, his heart had been successful and had been hurt but after that, the patient's life will continue because the underlying disease was the patient's problem. He didn't diagnose him at the time. So, after that, he felt so bad that he could save the patient but he couldn't save it because I had blood pressure, I had a bad time, maybe blood pressure, which was the disease, he didn't test and then I had to go and tell them to go and tell them, I didn't have to save your parents.

1:30:32I have the same situation. I feel the pain when I tried everything and the patient didn't survive when I see the family crying. It's very difficult. Is that how it happened specifically? It happens. The patient doesn't survive when I say 99.5 % or 8 % until people die. and that is a very painful very difficult to internally also even my wife knows that two three days I don't sleep properly I know that she'll know that I've not got good sleep because something some problem has happened to a patient well thank you so much sir it was my pleasure it was lovely having you it was my pleasure my pleasure I really enjoyed thank you so much I enjoyed as well and definitely there's a reason why you are number one.

1:31:22It's evident in your passion and the way you explain things. So anything. Thank you so much. Thank you. It was an amazing experience with me. I've done a lot of podcasts. Yours were the best. Wow. Thank you so much. Family time, fun time, parties. Absolutely. Absolutely. Always I say, smell your roses. Never just go on working very hard all your life. Fun time for me, my family time. Of course, children are grown up now. Either way, good thing is, both my children have just joined me to be around six months back. Okay. My son is MBA from Harvard. He's a serial entrepreneur. He's a Forbes USA 30 under 30 Tech Entrepreneur of the Year.

1:32:00Sweet. My daughter is again MBA in healthcare and finance from Wharton. Wow. She's a venture capitalist out of San Francisco. Amazing. So, both my kids are here. Both your kids are stalwarts. And so are you. So, God has been kind. I'll put it this way. Thank you so much for watching this podcast till the end. Now you have to do three things. First of all, subscribe to this channel. Number two, tell us in the comments that you have any guests. And which topics you want to make a podcast. And that you will have a better help. And you will have a better value. And number three, this episode you will have to share with someone.

1:32:41And in the life of a positive change. And after listening to this podcast conversation, listen to the conversation, life will help because one conversation is enough to change someone's life. I'll see you next time. Until then, keep figuring out.