Latest / The Breakfast Club / INTERVIEW: Dr. Joseph Puma Talks Ozempic Rx, Weight Loss, Signs Of Heart Attack; Preventative Measures + More

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INTERVIEW: Dr. Joseph Puma Talks Ozempic Rx, Weight Loss, Signs Of Heart Attack; Preventative Measures + More · The Breakfast Club

• 0:00
  Speaker 1: Wake that answer up in the morning.
• 0:02
  Speaker 2: The Breakfast Club Morning everybody is the dj n V
• 0:07
  Speaker 2: Charlamagne the guy we are to Breakfast Club.
• 0:09
  Speaker 1: We got a special guest in the building, Doctor Joseph
• 0:11
  Speaker 1: Pulmer is hell Doctor Puma. Welcome.
• 0:13
  Speaker 3: Thank you for inviting me.
• 0:15
  Speaker 1: Now you know doctor Puma has been here before.
• 0:17
  Speaker 4: Yes, you know, but it's very important to note that
• 0:19
  Speaker 4: February is American Heart Month.
• 0:21
  Speaker 1: Correct, yes, as well as Black History Month. Of course
• 0:23
  Speaker 1: that's right. But that's why we have him here today
• 0:25
  Speaker 1: to talk about all things heart health.
• 0:26
  Speaker 2: Now, for people that don't know or didn't hear when
• 0:28
  Speaker 2: you were here previously, tell people.
• 0:30
  Speaker 1: What you do.
• 0:31
  Speaker 3: I'm a cardiologist. I'm the founder of Soeign Medical, which
• 0:36
  Speaker 3: is the largest independent cardiology practice in New York City.
• 0:41
  Speaker 3: My goals are to democratize healthcare. We have the objectively.
• 0:46
  Speaker 3: We won an award four quarters in a row for
• 0:48
  Speaker 3: the number one heart scan in America, the highest quality imaging.
• 0:53
  Speaker 3: We're insurance based. We take care of everybody that comes
• 0:57
  Speaker 3: through our doors, whether they're a billionaire or they're undomiciled.
• 1:03
  Speaker 3: Our goal is to be part of the communities that
• 1:05
  Speaker 3: we work in and to try and educate and help
• 1:09
  Speaker 3: people live longer.
• 1:10
  Speaker 4: Tell people all the time, man, you know, I've dealt
• 1:12
  Speaker 4: with real bad anxiety my whole life, so you know,
• 1:14
  Speaker 4: I always have the heart palpitations. I always feel like
• 1:17
  Speaker 4: I'm having a heart attack. So at the end of
• 1:19
  Speaker 4: twenty twenty two, I did like every single you know,
• 1:24
  Speaker 4: heart test you could imagine, but the one.
• 1:27
  Speaker 1: That put me at ease the most was the soaring
• 1:30
  Speaker 1: heart scan. Could you tell people what the sor and
• 1:32
  Speaker 1: heart scan is at the boom?
• 1:34
  Speaker 3: So when we image the heart, we're basically using a camera, right.
• 1:38
  Speaker 3: The soaring heart scan uses the fastest camera available in
• 1:41
  Speaker 3: the world. It's a cat scan. It's the only one
• 1:44
  Speaker 3: of its kind in New York City dedicated to evaluating
• 1:49
  Speaker 3: heart disease. And in a three to four minute scan,
• 1:53
  Speaker 3: we're able to see the arteries in the heart, see
• 1:55
  Speaker 3: if there's any blockage, to see if there's any plaque
• 1:58
  Speaker 3: build up of beginning of blockage calcification. We can see
• 2:03
  Speaker 3: the heart chambers, the major arteries in the body, the aorda,
• 2:06
  Speaker 3: pulmonary arteries. In addition, we get a limited view of
• 2:10
  Speaker 3: the lungs and other structures. But it's the most accurate scan.
• 2:14
  Speaker 3: It takes three four minutes. It's eliminated the need for
• 2:17
  Speaker 3: having stress testing, and more importantly, it's eliminated the need
• 2:21
  Speaker 3: and this is all pure reviewed published data. Eliminated the
• 2:26
  Speaker 3: need by almost half for having invasive heart catheterizations where
• 2:30
  Speaker 3: you have to go in the hospital and we have
• 2:31
  Speaker 3: to put catheters in. So a simple test, Charlemagne, I
• 2:36
  Speaker 3: think you're right. You've been a big promoter of mental health.
• 2:39
  Speaker 3: And you know about half the people that come to
• 2:42
  Speaker 3: cardiologists have symptoms that sound like it's from their heart,
• 2:46
  Speaker 3: but it's often just from anxiety and stress, and so
• 2:49
  Speaker 3: often that one simple scan, if it's completely normals like
• 2:53
  Speaker 3: yours dj Envy was perfectly normal, could put your mind
• 2:57
  Speaker 3: at ease and allow you to get on with your
• 2:59
  Speaker 3: life without worry.
• 3:01
  Speaker 2: Let's talk about the scan. So you know every year
• 3:03
  Speaker 2: I go get a physical, and I heard Charlomade talk
• 3:06
  Speaker 2: about this test that he did for his heart, and
• 3:09
  Speaker 2: you know how he felt comfortable after. So I have
• 3:12
  Speaker 2: six kids, so I like to as much as I
• 3:14
  Speaker 2: can try to prevent anything or try to check up
• 3:17
  Speaker 2: on anything. So I went and got the heart scan.
• 3:19
  Speaker 2: I didn't take that long like you said, maybe ten
• 3:21
  Speaker 2: minutes the longest I was in the office in totality.
• 3:25
  Speaker 2: So just tell people what it consists of, and we
• 3:28
  Speaker 2: can do a reading online. I'm fine with it, and
• 3:30
  Speaker 2: so let's go there. So people come there, and now
• 3:33
  Speaker 2: what happens when they get there?
• 3:34
  Speaker 1: Okay.
• 3:34
  Speaker 3: So the first thing I think that's important to understand
• 3:37
  Speaker 3: is number one, heart disease is the number one killer
• 3:42
  Speaker 3: in America. Okay. Even if you add all the cancers
• 3:45
  Speaker 3: in the world, in America together, heart disease kills more
• 3:49
  Speaker 3: people every year. And that's not to minimize, you know,
• 3:52
  Speaker 3: the effects of cancer. That's just to say this is
• 3:56
  Speaker 3: a major public health problem.
• 3:58
  Speaker 1: Correct.
• 3:59
  Speaker 3: Second, I appreciate you inviting me during Heart Health Month February,
• 4:04
  Speaker 3: because it's also Black History Month, and for the African
• 4:07
  Speaker 3: American community in particular, they die at twice the rate
• 4:12
  Speaker 3: of whites from heart disease. They develop high blood pressure
• 4:17
  Speaker 3: diabetes at a much earlier age, and so they're more
• 4:22
  Speaker 3: likely to have complications. What the sore and heart scan
• 4:25
  Speaker 3: does is you come in the office. You can arrange
• 4:27
  Speaker 3: it on your own. You can call Pound two fifty,
• 4:31
  Speaker 3: you can go on our website and schedule it at
• 4:33
  Speaker 3: your convenience. When you come in, you know, you get
• 4:36
  Speaker 3: the initial paperwork, which takes a minute or two. We
• 4:39
  Speaker 3: bring you in, We put an intravenous in an IV
• 4:42
  Speaker 3: in your arm. We bring you in the lab. You
• 4:45
  Speaker 3: lay on the table for the cat scan. Our unbelievable
• 4:51
  Speaker 3: nurses then will monitor your heart rate and blood pressure.
• 4:54
  Speaker 3: Because we're imaging a moving object as opposed to doing
• 4:57
  Speaker 3: a scan of your brain or your abdom in, which
• 5:00
  Speaker 3: is not moving. We want to get your heart rate
• 5:02
  Speaker 3: down to around sixty to sixty five, so they might
• 5:05
  Speaker 3: give you some intravenous medication to lower your heart rate.
• 5:11
  Speaker 3: They'll put a nitroglycerin under your tongue because that helps
• 5:14
  Speaker 3: dilate the arteries around the heart, so we get better
• 5:17
  Speaker 3: pictures and we can really see the flow. And then
• 5:19
  Speaker 3: we do the scan and all of that, as you said,
• 5:22
  Speaker 3: shouldn't be more than fifteen minutes in the office, and
• 5:25
  Speaker 3: the scan itself about three to four minutes.
• 5:28
  Speaker 2: Now, now, you did my scan a couple of months ago,
• 5:31
  Speaker 2: and I was very nervous, not nervous of what is wrong,
• 5:36
  Speaker 2: but I guess nervous about finding out right. I think
• 5:39
  Speaker 2: that's what most people like it. YEA, most people don't
• 5:42
  Speaker 2: want to find out if something is wrong.
• 5:44
  Speaker 4: Shoot, I do when it comes to the heart, because
• 5:46
  Speaker 4: tell them about that. We don't make a duck.
• 5:48
  Speaker 1: Yeah.
• 5:48
  Speaker 3: So again, just from the standpoint of understanding heart disease better,
• 5:56
  Speaker 3: a third of people who have heart attacks never even
• 5:59
  Speaker 3: knew they had heart disease before they had them. A
• 6:02
  Speaker 3: third of people who have heart attacks die the day
• 6:05
  Speaker 3: they have their heart attack. So it's not pleasant. So
• 6:08
  Speaker 3: some of this is silent. It grows as time goes on, right,
• 6:11
  Speaker 3: especially if you have risk factors high blood pressure, diabetes, smoke,
• 6:18
  Speaker 3: you're overweight, you're sedentary, if you have high cholesterol, or
• 6:22
  Speaker 3: a family history of heart disease. Okay, these are all
• 6:25
  Speaker 3: the things that as time goes on, the body changes
• 6:28
  Speaker 3: and you're building up plaque and blockage in the arteries.
• 6:32
  Speaker 3: But once you have the test, even if you have
• 6:36
  Speaker 3: a severe blockage, we can easily treat it. Nine out
• 6:41
  Speaker 3: of ten times, if a blockage is severe, the flow
• 6:44
  Speaker 3: is limited through the artery, and we have some objective data,
• 6:48
  Speaker 3: objective approaches to figuring that out. Nine out of ten
• 6:52
  Speaker 3: times we can treat it with a stent, which is
• 6:54
  Speaker 3: an outpatient procedure. Unfortunately, one in ten times you might
• 6:58
  Speaker 3: need open heart surgery. Yikes, but it's proven you'll live longer.
• 7:05
  Speaker 3: And even in the people who don't, who say they
• 7:07
  Speaker 3: don't have any symptoms, oftentimes after we've treated their arteries
• 7:11
  Speaker 3: in their heart, they come back to the office and
• 7:14
  Speaker 3: follow up and say, you know what, I actually feel better.
• 7:16
  Speaker 3: I didn't think I felt bad, but now I feel better,
• 7:21
  Speaker 3: So I understand there's a lot of stress and anxiety
• 7:24
  Speaker 3: about it. The other thing is if the scan is
• 7:28
  Speaker 3: completely normal, no plaque, no calcification, no blockage. Let's say
• 7:32
  Speaker 3: like your scan, that means over the next ten years,
• 7:36
  Speaker 3: your risk of having a heart attack, stroke, or death
• 7:39
  Speaker 3: is less than two percent. That is the best. That
• 7:45
  Speaker 3: is the best risk group you could be in. But
• 7:48
  Speaker 3: we're able even if there is mild or moderate plaque,
• 7:51
  Speaker 3: we're able to like me, right, we talked about your
• 7:55
  Speaker 3: risk factors, we talked about the goals of your cholesterol
• 7:59
  Speaker 3: treatment or blood pressure treatment, and once we know that,
• 8:03
  Speaker 3: your survival should be exactly the same or pretty close
• 8:08
  Speaker 3: to djenvis your life span. And in fact, we calculated
• 8:11
  Speaker 3: a risk and it was like two point five percent
• 8:14
  Speaker 3: over the next ten years, a risk of heart attack
• 8:17
  Speaker 3: Stroker death. So the key is just show up. You
• 8:21
  Speaker 3: never know what you find. You know, one of the
• 8:23
  Speaker 3: most amazing experiences I had last year, Charlemagne, was when
• 8:29
  Speaker 3: we attended your Mental Wealth Expo and oh thanks for
• 8:33
  Speaker 3: inviting us. I mean, it was inspirational to us. There
• 8:37
  Speaker 3: were thousands of people there. Many of them were there
• 8:40
  Speaker 3: because of mental health issues, but the reality is many
• 8:44
  Speaker 3: of them were there just because they were trying to
• 8:45
  Speaker 3: take charge of their health. They were searching for information.
• 8:49
  Speaker 3: And you're someone it's who are you? Are? Are people
• 8:52
  Speaker 3: that you know that have influence? People listen to you, okay,
• 8:57
  Speaker 3: and they trust you. And so we set up and
• 9:00
  Speaker 3: we were doing free blood pressure screenings. We must have
• 9:03
  Speaker 3: screened four hundred people that day. Wow, over two hundred
• 9:07
  Speaker 3: of them their blood pressure was out of control. And
• 9:10
  Speaker 3: out of that two hundred, about fifty or sixty didn't
• 9:13
  Speaker 3: even know they had high blood pressure. So just show up.
• 9:16
  Speaker 3: It's simple things. As a community, as physicians, we can
• 9:22
  Speaker 3: do screenings, for instance, in the local churches, barber shops,
• 9:27
  Speaker 3: you know, anywhere, really schools, and once you know, once
• 9:31
  Speaker 3: you have that information DJ Envy, then it's just a
• 9:34
  Speaker 3: matter of finding a doctor or a healthcare provider that
• 9:37
  Speaker 3: you have faith in, that you trust, and working with
• 9:40
  Speaker 3: them to control get on the right medicines and monitor
• 9:44
  Speaker 3: and control your blood pressure or your cholesterol or your diabetes.
• 9:47
  Speaker 1: Hey, I'm on stating from my cholesterol.
• 9:49
  Speaker 4: But you mentioned you keep missing a high blood pressure,
• 9:52
  Speaker 4: you keep missing the diabetes, you keep missing a crow.
• 9:54
  Speaker 4: What I find interested in that young Black people are
• 9:57
  Speaker 4: living with diseases more common at ages. They're living with
• 10:01
  Speaker 4: these diseases that should be that are usually more common
• 10:04
  Speaker 4: at old ages.
• 10:04
  Speaker 1: That's scared.
• 10:05
  Speaker 3: That's exactly right in the black community compared to the
• 10:09
  Speaker 3: white community. If the rate of high blood pressure in
• 10:14
  Speaker 3: Blacks between thirty five and forty nine is fifty percent
• 10:18
  Speaker 3: higher wow than whites. The rate of diabetes is forty
• 10:21
  Speaker 3: percent higher. And if you have these chronic diseases earlier,
• 10:27
  Speaker 3: they're more likely over time to cause complications, to have problems,
• 10:31
  Speaker 3: to cause heart attack and stroke. And even at sixty
• 10:35
  Speaker 3: five heart disease, Blacks are fifty percent more likely to
• 10:40
  Speaker 3: die of heart disease than whites. So these are chronic
• 10:44
  Speaker 3: problems that can cause devastating acute complications, and so finding
• 10:51
  Speaker 3: it early and treating it and following with the doctor.
• 10:57
  Speaker 3: From a physician standpoint, it's our job to make it easy.
• 11:00
  Speaker 3: It's our job to listen. It's our job to build
• 11:03
  Speaker 3: a relationship. It's our job to make sure when you
• 11:06
  Speaker 3: have a test, for instance, you get the results of
• 11:09
  Speaker 3: the test and we explain to you, you know, clearly
• 11:12
  Speaker 3: in language, you can understand what the implications are and
• 11:16
  Speaker 3: how best to treat it.
• 11:17
  Speaker 2: I was going to ask if you just, you know,
• 11:19
  Speaker 2: go over some of the stuff. So what are you
• 11:22
  Speaker 2: looking for when you're actually doing the skin of the heart. Now,
• 11:25
  Speaker 2: is it easy to detect plaque? And like you know,
• 11:28
  Speaker 2: where somebody does have plaque or somebody does have a problem,
• 11:31
  Speaker 2: you can actually fix the problem right then and there
• 11:33
  Speaker 2: correct in most cases.
• 11:35
  Speaker 3: In most cases in New York State, we still have
• 11:38
  Speaker 3: to bring it to the hospital to do it. Although
• 11:40
  Speaker 3: as you reflect, we have an ambulatory surgical center in
• 11:44
  Speaker 3: Lower Manhattan and we can fix lots of problems there,
• 11:47
  Speaker 3: But we're not allowed to go into the heart yet,
• 11:48
  Speaker 3: so we still have to do it in the hospital.
• 11:50
  Speaker 3: But if we see a widow macro allsion, we'll get
• 11:53
  Speaker 3: you in the hospital same day or next morning. But
• 11:57
  Speaker 3: the images we get, we get two things we get.
• 12:00
  Speaker 3: We get images of the arteries as if we did
• 12:04
  Speaker 3: a catheterization, so we can see blockage. And then we
• 12:07
  Speaker 3: do a what's called a heart flow. It's a company
• 12:10
  Speaker 3: in California that has this amazing artificial intelligence software that
• 12:15
  Speaker 3: can give us an objective assessment of flow in the
• 12:18
  Speaker 3: artery and we have some cut points that tell us
• 12:22
  Speaker 3: if it's significant or not any of the plaques and
• 12:25
  Speaker 3: that they might need a stent.
• 12:28
  Speaker 1: Is there a way to low cholesterol without taking medication? Yeah,
• 12:31
  Speaker 1: there are a lot of ways. Will be on statin
• 12:33
  Speaker 1: failbum right now.
• 12:35
  Speaker 3: You'll be on statins forever only because all the research
• 12:39
  Speaker 3: studies we have done are so powerful and show that
• 12:42
  Speaker 3: people who take statins live longer because of the reduction
• 12:44
  Speaker 3: in heart attack or stroke. However, through diet, exercise, you
• 12:49
  Speaker 3: can lower cholesterol and so some people don't necessarily need statins.
• 12:54
  Speaker 3: One of the first cholesterol medicines ever, I don't want
• 12:59
  Speaker 3: to say invented, but ever used to treat cholesterol is
• 13:02
  Speaker 3: actually a naturally occurring vitamin niacin that lowers cholesterol very well.
• 13:08
  Speaker 3: It has lots of side effects, which is why it's
• 13:10
  Speaker 3: not so commonly used. It can cause facial flushing. But
• 13:16
  Speaker 3: but yeah, there there are ways and and people who
• 13:18
  Speaker 3: are overweight. You're not overweight, so it's it's it would
• 13:21
  Speaker 3: be more difficult, but people are often overweight. I don't
• 13:24
  Speaker 3: think it's a big surprise that there's an obesity epidemic
• 13:29
  Speaker 3: in this country, and that affects blacks more than whites
• 13:32
  Speaker 3: as well. Diet and exercise can lower their cholesterol. We've
• 13:37
  Speaker 3: had many patients that through diet and exercise are able
• 13:42
  Speaker 3: to come off of diabetes medicines, less blood pressure medicines.
• 13:47
  Speaker 3: And now we have these these weight loss drugs. And
• 13:50
  Speaker 3: I'm smiling because I had I had a patient two
• 13:52
  Speaker 3: weeks ago that I discussed one of the weight loss drugs.
• 13:56
  Speaker 3: You know, there's like, I think three or four of
• 13:57
  Speaker 3: them now ozembig would go and when I told him,
• 14:03
  Speaker 3: you know, maybe we can talk about it and consider it,
• 14:06
  Speaker 3: he said no. Just this morning, I was listening to
• 14:08
  Speaker 3: The Breakfast Club and Charlemagne said that when you're on
• 14:12
  Speaker 3: these when you're on these weight loss drugs, you got diarrhea.
• 14:18
  Speaker 2: And it's one of the side effects. I thought they
• 14:19
  Speaker 2: said sometimes, right or no, that's that's what I right.
• 14:23
  Speaker 3: So it could be a side effect. Again, when you
• 14:25
  Speaker 3: read about side effects, these aren't often The side effects
• 14:28
  Speaker 3: are in the low single digit percentages.
• 14:31
  Speaker 1: I did have a homeboy who was on it. He
• 14:33
  Speaker 1: was an Ozmpic gold medalist, and he definitely had diarrhea.
• 14:36
  Speaker 1: He definitely said the side effah.
• 14:39
  Speaker 3: And it's possible listen there definitely.
• 14:41
  Speaker 2: What do you think about Ozmpic, like, because you know
• 14:42
  Speaker 2: it's a I guess it was supposed to be a
• 14:45
  Speaker 2: for diabetes, right to fight diabetes.
• 14:47
  Speaker 1: But people are using for weight loss.
• 14:49
  Speaker 2: Is that a healthy thing?
• 14:53
  Speaker 3: Is that a healthy thing? So it would be healthier
• 14:55
  Speaker 3: if you weren't overweight in the first place. Correct, But
• 14:58
  Speaker 3: but I don't think we should stigmatize people that are overweight.
• 15:02
  Speaker 3: Some people's metabolism is different. I think I am much
• 15:07
  Speaker 3: more on board now with these medications. At the American
• 15:10
  Speaker 3: Heart Association meetings in November of twenty twenty three, there
• 15:14
  Speaker 3: was for the first time a research study that prove
• 15:18
  Speaker 3: that patients who took these weight loss drugs ozempic and
• 15:22
  Speaker 3: Magovi which are the same drug, actually had a lower
• 15:25
  Speaker 3: risk of heart attacks and death. Really, so in certain populations,
• 15:31
  Speaker 3: usually what we do is, you know, we'll try and
• 15:34
  Speaker 3: counsel people. We'll try and work with them, educate them
• 15:36
  Speaker 3: on diet and exercise, and then monitor them to the
• 15:41
  Speaker 3: extent they can lose weight that way, that would be preferable.
• 15:44
  Speaker 3: But if they can't, there are options. I would prefer
• 15:47
  Speaker 3: a drug to surgery. You know, there are a lot
• 15:50
  Speaker 3: of surgical options to lose weight, but there's lots of
• 15:53
  Speaker 3: side effects. You know with surgery as well. You know,
• 15:57
  Speaker 3: patients lose weight. If patients have surgery for weight loss,
• 16:02
  Speaker 3: their weight loss is usually greater than if they take
• 16:05
  Speaker 3: the drugs. If you're taking the injections for weight loss,
• 16:09
  Speaker 3: maximum or the median I would say is about fifteen
• 16:12
  Speaker 3: percent of your weight, you know you'll drop. So if
• 16:16
  Speaker 3: you're two hundred and fifty pounds, you'll lose maybe thirty
• 16:19
  Speaker 3: five forty pounds.
• 16:20
  Speaker 2: Next last question on this, I know you're not here
• 16:22
  Speaker 2: for that, but what does ozempic do to make you
• 16:24
  Speaker 2: lose weight?
• 16:25
  Speaker 1: Like?
• 16:25
  Speaker 2: Does it you know, shrink your stomach? Like what does
• 16:27
  Speaker 2: it do where people lose weight in so fast?
• 16:30
  Speaker 3: So it affects metabolism and transit time. Okay, so you're
• 16:34
  Speaker 3: transiting your food that you eat much slower through through
• 16:38
  Speaker 3: the body, so you feel full more often. So most
• 16:41
  Speaker 3: patients who are on ozempic or wigovi or munjaro, they
• 16:49
  Speaker 3: don't have an appetite, they don't feel hungry. So I
• 16:51
  Speaker 3: saw someone yesterday, for instance, who had lost forty two
• 16:54
  Speaker 3: pounds than on it for six months. Wants to stay
• 16:56
  Speaker 3: on it, but he he said, he, you know, you
• 17:00
  Speaker 3: to eat three meals a day and have snacks. He
• 17:02
  Speaker 3: has one meal a day.
• 17:03
  Speaker 1: Now is that healthy? It depends, Yeah, every everything depends.
• 17:10
  Speaker 3: Again, it would be better if if if we could
• 17:13
  Speaker 3: do all these things naturally. It would be better if
• 17:14
  Speaker 3: we didn't need to use medications. It would be better
• 17:17
  Speaker 3: if people didn't need to see me. But uh, you know,
• 17:22
  Speaker 3: and I spent most of my career dealing with the
• 17:24
  Speaker 3: complications of all these problems. And and in the last
• 17:28
  Speaker 3: few years, I've really focused on on prevention and UH
• 17:32
  Speaker 3: and trying to increase awareness and education. So these conversations
• 17:38
  Speaker 3: are so important. What you all are doing is critically
• 17:42
  Speaker 3: important for all communities to start understanding these things. So,
• 17:48
  Speaker 3: you know, is it healthy? Would be better if we
• 17:50
  Speaker 3: didn't need.
• 17:50
  Speaker 1: It, right is American heart muff? What should people be
• 17:54
  Speaker 1: doing right now?
• 17:55
  Speaker 3: Doctor pum? So it's a heart month. I love February
• 18:02
  Speaker 3: because it's heart health month. Every place you turn, every media,
• 18:07
  Speaker 3: no matter how you consume media, you're going to see
• 18:09
  Speaker 3: something about awareness. Get your blood pressure checked, get blood tests,
• 18:16
  Speaker 3: check your your your sugar levels. Okay, go see your doctor.
• 18:21
  Speaker 3: If you don't want to do that, or you can't
• 18:23
  Speaker 3: do that, let's start getting healthy. Get off the couch.
• 18:26
  Speaker 3: You don't need to train for the marathon. How about
• 18:29
  Speaker 3: we just get off the couch. Or you know, on
• 18:31
  Speaker 3: the way home from work, before you go in, take
• 18:34
  Speaker 3: a brisk walk around the block. You know, in a
• 18:36
  Speaker 3: few weeks, try two walks, you know, two blocks. Just
• 18:40
  Speaker 3: start getting active. But I think that you know, February
• 18:44
  Speaker 3: is a great month because it's a great reset month.
• 18:48
  Speaker 3: We think about it, we talk about it, and hopefully
• 18:51
  Speaker 3: it encourages people to take charge of their health. What
• 18:54
  Speaker 3: what you know, since I've been on the show last time,
• 18:58
  Speaker 3: what's just amazed me and just blow me away is
• 19:01
  Speaker 3: how many people you've inspired and encouraged to take charge
• 19:05
  Speaker 3: of their health and to just show up. And then
• 19:09
  Speaker 3: the other thing I would do is if I was
• 19:10
  Speaker 3: a patient, I would put pressure on my doctors. Remember
• 19:14
  Speaker 3: when you go see the doctor. That doctor works for you.
• 19:19
  Speaker 3: So have a list of questions before you go in,
• 19:22
  Speaker 3: whether it's things you don't feel well about, or things
• 19:25
  Speaker 3: that you you know that you you're not sure about,
• 19:28
  Speaker 3: or side effects or your medicine. Have a list of questions.
• 19:31
  Speaker 3: Don't let them leave that room and do your questions
• 19:33
  Speaker 3: or answered. Don't let them leave that room until they
• 19:36
  Speaker 3: schedule the test to give you an answer. So really
• 19:39
  Speaker 3: it's just take charge of your own life.
• 19:41
  Speaker 2: I have one last question, signs of a heart attack?
• 19:46
  Speaker 1: Right?
• 19:47
  Speaker 2: And I think this is what gives a lot of
• 19:48
  Speaker 2: people anxiety. Wish all we were talking, what are the
• 19:51
  Speaker 2: signs of a heart attack?
• 19:52
  Speaker 1: Right?
• 19:52
  Speaker 2: Because you know, if you get a tingling in your
• 19:54
  Speaker 2: left hand, people think heart attack.
• 19:55
  Speaker 3: Right.
• 19:55
  Speaker 2: If you get pain on your left side, you think
• 19:57
  Speaker 2: heart attack. If your left arm hurt's heart attack? What
• 19:59
  Speaker 2: are the typic signs of a heart attack?
• 20:01
  Speaker 3: Yeah, that's that's actually a great question, and that's the
• 20:03
  Speaker 3: reason why so many people with anxiety come in. So
• 20:06
  Speaker 3: the typical signs of a heart attack. If you're watching
• 20:09
  Speaker 3: George Clooney and er, let's say, you know, is you
• 20:12
  Speaker 3: get tightness, pressure, like a crushing sensation in your chest,
• 20:16
  Speaker 3: we call it chest pain, but most people say it's
• 20:18
  Speaker 3: not really a pain. Okay, it's a crushing pressure in
• 20:22
  Speaker 3: your chest. You get shorter breath, you can get diaphyretic,
• 20:26
  Speaker 3: which means cold, clammy and sweaty. The symptoms often radiate
• 20:31
  Speaker 3: to the left arm, associated with numbness, and we're not
• 20:34
  Speaker 3: really sure why that occurs. The problem is in women
• 20:39
  Speaker 3: and in diabetics, they get atypical symptoms. What I just
• 20:45
  Speaker 3: described are the typical symptoms, so i'd expect a man
• 20:49
  Speaker 3: like yourself to have those symptoms, but women, in diabetics
• 20:53
  Speaker 3: diabetics can get atypical symptoms. They can feel fatigued, they
• 20:57
  Speaker 3: could feel a little shorter breath, they might feel digestion
• 21:01
  Speaker 3: like symptoms. People who have sharp chest pain chest pain
• 21:08
  Speaker 3: that increases when they take a deep breath. Chest pain
• 21:12
  Speaker 3: that occurs, you know, when they do a particular motion,
• 21:16
  Speaker 3: go to pick up a box or reach for something.
• 21:18
  Speaker 3: That's almost always not from your heart. That's almost always musculoskeleton.
• 21:27
  Speaker 3: But let's go back to anxiety. When you're anxious, your
• 21:32
  Speaker 3: heart rate goes up, you hyperventilate, you can get tightness
• 21:36
  Speaker 3: in your chest. It becomes hard to breathe and you
• 21:39
  Speaker 3: can get numbness in your arm, so it could be
• 21:43
  Speaker 3: exactly the same. The point is you're not alone out there.
• 21:47
  Speaker 3: You're not alone out there. There's people to help you. Go,
• 21:52
  Speaker 3: seek attention, take charge of your health, get the answer
• 21:55
  Speaker 3: you need so you can rid yourself of some of
• 21:58
  Speaker 3: this anxiety. That doesn't the anxiety will go away. You
• 22:01
  Speaker 3: might still have anxiety and panic attack, but at least
• 22:04
  Speaker 3: now you'll have the information to know I'm not having
• 22:06
  Speaker 3: a heart attack.
• 22:07
  Speaker 1: That's right, and that takes that That alone takes away
• 22:09
  Speaker 1: some of the anxiety. Industript there, give me your information,
• 22:12
  Speaker 1: doctor Pum. Tell me to find you well.
• 22:15
  Speaker 3: We have offices all over New York City, into New Jersey, Monroe,
• 22:20
  Speaker 3: even up in Middletown, New York. Soren Medical Andy dot com.
• 22:25
  Speaker 3: You can find us there. We have our Ambilitory Surgical
• 22:28
  Speaker 3: Center and our award winning sore and heart Scan is
• 22:31
  Speaker 3: based at one twenty Wall Street on the corner of
• 22:34
  Speaker 3: South Street, right across from the river near the South
• 22:37
  Speaker 3: Street Seaport. And we accept everyone and anyone, regardless of
• 22:43
  Speaker 3: your insurance status or ability to pay. We're here for
• 22:46
  Speaker 3: the communities that we serve. We have about twenty five
• 22:50
  Speaker 3: offices across the New York City area.
• 22:53
  Speaker 1: All right, well, thank you, doctor Puma. We appreciate you
• 22:55
  Speaker 1: for joining us.
• 22:56
  Speaker 3: Thanks so much, thank you all for having me here.
• 22:58
  Speaker 1: I really appreciate it. It's the Breakfast Club.
• 23:00
  Speaker 2: Good morning, wake that ass up Earth in the morning
• 23:03
  Speaker 2: for Breakfast Club.
• 23:08
  Speaker 3: H