Latest / Heartwise / HW 2026-06-11 Safe Surgery - Charles Mills & Dr. James Marcum
Transcript
- 0:12Speaker 1: This is Heartwise, offering practical tips and time proven guidelines
- 0:16Speaker 1: to make your life healthier, happier, and more fulfilling. Today
- 0:20Speaker 1: you'll learn simple, Bible based principles for building and maintaining
- 0:24Speaker 1: optimum mental and physical health, all while deepening your relationship
- 0:29Speaker 1: with your creator. Here's your Heartwise host, doctor James Markham.
- 0:36Speaker 2: Hello everybody, and welcome to Heartwise. And I've been making
- 0:40Speaker 2: these programs with our guests for quite a number of years,
- 0:44Speaker 2: and you think after a while you've talked about every
- 0:46Speaker 2: different health topic possible. But Charles, today we have a
- 0:50Speaker 2: topic that I don't think I can remember ever making
- 0:53Speaker 2: a radio program on. And would you like to introduce
- 0:56Speaker 2: that topic that we're going to talk about today?
- 0:58Speaker 1: Absolutely And I think you're I think you're absolutely right.
- 1:01Speaker 1: We have not talked about this, and it's time that
- 1:03Speaker 1: we do that. I got to say, doctor Markham, you
- 1:06Speaker 1: and your fellow physicians represent one of our best hopes
- 1:11Speaker 1: for health and one of our scariest elements along that journey.
- 1:15Speaker 1: You prod us, you poke us, you scan us, inject us,
- 1:20Speaker 1: drug us, take our temperature, check our blood pressure, and
- 1:23Speaker 1: even ask us to take our clothes off. But sometimes
- 1:26Speaker 1: you want to cut us. You want to unapologetically gaze
- 1:31Speaker 1: right into our inner selves like nothing else can. That's
- 1:36Speaker 1: the scary part. Surgery sometimes a necessary stop on our
- 1:41Speaker 1: road to health. But we shouldn't worry, right, We should
- 1:44Speaker 1: know that modern medicine has made surgery totally safe these days,
- 1:48Speaker 1: Am I right? Doctor Markham?
- 1:50Speaker 2: Well, you know surgery has made some great progress. In fact,
- 1:55Speaker 2: out of all the things that modern medicine has helped
- 1:57Speaker 2: with over the years, you know, i'd have to rank aesteesia.
- 2:00Speaker 2: Once you got anesthesia, we could put people to sleep
- 2:03Speaker 2: because years ago, people with a bad gallbladder or appendicitis
- 2:07Speaker 2: or problems in their bowels or bleeding inside, they would
- 2:11Speaker 2: die right away. So surgery for them is a life saver.
- 2:15Speaker 2: There's certain other type of surgeries that I know. My
- 2:17Speaker 2: father in law has a pacemaker. Without a pacemaker, his
- 2:21Speaker 2: heart would have stopped, so that's something that's also very useful.
- 2:25Speaker 2: So surgery does have benefits, but it also has risks.
- 2:29Speaker 2: Now you know, there's certain types of surgery that's being
- 2:32Speaker 2: done that are risky and the benefits might not be
- 2:34Speaker 2: worth it. And you hear about people occasionally having bad
- 2:37Speaker 2: things happen during cosmetic surgery. You know, sometimes there's some
- 2:42Speaker 2: people that have a procedure called LiPo suction where they
- 2:45Speaker 2: have fat really sucked out of them. There's some risk
- 2:48Speaker 2: related to that. So everything that we that I talk
- 2:51Speaker 2: about as a physician really talks about risk management, which
- 2:56Speaker 2: is riskier having the condition or having the treatment. And
- 3:00Speaker 2: now I see myself in the modern medicine is modern
- 3:04Speaker 2: medicine is great at treating symptoms, but we also want
- 3:07Speaker 2: to treat get people to get at the cause of
- 3:10Speaker 2: disease as well. So today we've had to our website,
- 3:13Speaker 2: that's our Heartwires Ministries dot org. A lot of people
- 3:17Speaker 2: have asked questions about surgery, so Charles, we want to
- 3:20Speaker 2: answer their questions today.
- 3:22Speaker 1: Well, of course, number one question that we're getting is
- 3:25Speaker 1: doctor Markham, which surgeries are the most risky and why?
- 3:30Speaker 2: And that's a very common question that I get because
- 3:32Speaker 2: I take care of a lot of elderly patients between
- 3:35Speaker 2: eighty and ninety and one hundred years old, and sometimes
- 3:38Speaker 2: they need surgery and they want to know whether the
- 3:40Speaker 2: risk of surgery is worth the risk of the anesthesia
- 3:44Speaker 2: and the other associated problems. So the risk the surgeries
- 3:49Speaker 2: that are most risky okay to a person. Are the
- 3:53Speaker 2: vascular surgeries Okay, we've heard of those aneurysm repairs. That's
- 3:59Speaker 2: a risky surg one on the neck where they clear
- 4:02Speaker 2: out blockages in the neck card corotit interdirectomy that that
- 4:06Speaker 2: can be risky at time. So so those those are
- 4:10Speaker 2: some of the higher risk surgery. Some of the big
- 4:12Speaker 2: bowel surgeries, okay, that can be a little bit on
- 4:16Speaker 2: the risky side. Now surgery is like cataracts and skin
- 4:21Speaker 2: cancer removals, some of those are much lower a risk
- 4:25Speaker 2: of surgery. So so those are some of the things
- 4:28Speaker 2: that we want to talk about when a person has
- 4:30Speaker 2: surgery or is it going to be a surgery where
- 4:32Speaker 2: they put you know, a bad back surgery, whether there
- 4:35Speaker 2: asleep for hours and hours and hours, Well, that's going
- 4:37Speaker 2: to be more risky than a mole removal surgery. So
- 4:41Speaker 2: whenever someone comes in, I ask them which surgeries are
- 4:45Speaker 2: are are are they going to have? And what's the risk? Now,
- 4:48Speaker 2: a lot of the surgeries people have to have, you know,
- 4:51Speaker 2: if you don't have it, something bad happens, So in
- 4:53Speaker 2: that case the risk is worth taking. But there's some
- 4:56Speaker 2: surgeries that might be elective or it might be a
- 4:58Speaker 2: big orthopedic surg and a person that has lots of
- 5:02Speaker 2: risk and you say, well, which is worse getting a
- 5:04Speaker 2: new hip, are new or joint or taking the risk,
- 5:09Speaker 2: especially if they have a lot of other health problems.
- 5:11Speaker 2: The risks that might that might entertain with surgery, whether
- 5:13Speaker 2: that may infection, increase risk of heart attack, increase risk
- 5:17Speaker 2: of stroke, or some of these other things. So the
- 5:20Speaker 2: surgeries are important to talk about to your doctor about
- 5:23Speaker 2: the risk associated with them. But some of the bigger surgeries,
- 5:26Speaker 2: the ones that are the risk is anytime someone cuts
- 5:29Speaker 2: into your thorax or abdomen. Those are usually quite a
- 5:32Speaker 2: bit of risk because they put a lot of stress
- 5:35Speaker 2: on the body. There's lots of fluid shifts, and they
- 5:38Speaker 2: also have a lot of blood loss. So the way
- 5:40Speaker 2: I think of anything from the waist up when they're
- 5:42Speaker 2: cutting in you, that's pretty much risky. Surgery anywhere out
- 5:45Speaker 2: of there outside of brain surgery might be a little
- 5:48Speaker 2: bit less risky.
- 5:49Speaker 1: Now you've identified that the whole concept of going to
- 5:53Speaker 1: sleep using the anesthesia, there yea that there's risk with that.
- 5:57Speaker 1: What is so risky about going to sleep?
- 5:59Speaker 2: Well, you know, well, a lot of people don't understand
- 6:01Speaker 2: the risk of anesthesia, but people don't understand the way
- 6:04Speaker 2: that medicine works. Sometimes you know, you can get them
- 6:08Speaker 2: to sleep and you can't get them to wake up
- 6:09Speaker 2: so early. Sometimes if you take the tubes that's breathing
- 6:12Speaker 2: out too quickly, they don't get good oxygen in their body.
- 6:16Speaker 2: Sometimes their gag reflexes is disrupted and they do something
- 6:20Speaker 2: called aspirate where they've stomach content sometimes can go into
- 6:23Speaker 2: the lungs. Now, that's much lower now that we keep
- 6:25Speaker 2: people with empty stomachs, but sometimes in emergency surgery you
- 6:29Speaker 2: can't do that. And any type you have anesthesia, there's
- 6:33Speaker 2: risk of terrible things happen, like allergic reaction reactions. There's
- 6:37Speaker 2: a condition called malignant hyperthermia where these can trigger very
- 6:42Speaker 2: high temperatures to occur in the body. Those things are
- 6:45Speaker 2: very dalian and the risk of any anesthesia. So my
- 6:48Speaker 2: dad used to give anesthesia. He says, you know, the
- 6:51Speaker 2: risky part is getting the plane off the ground and
- 6:55Speaker 2: on the ground, you know, the landing in the air,
- 6:58Speaker 2: it's not so bad. Everything has its risk, and you
- 7:01Speaker 2: also have to talk about well risk. You know, certain
- 7:03Speaker 2: people that have bad lungs the risk of anesthesia might
- 7:06Speaker 2: not be worth it, and we do other risks, other anesthesia,
- 7:09Speaker 2: it's less risky. Sometimes we can give local Sometimes it's
- 7:12Speaker 2: just too risky to put a person to sleep because
- 7:14Speaker 2: of their lungs are bad or other morbid conditions. So
- 7:18Speaker 2: that's a good question for everyone, is do you think
- 7:20Speaker 2: my body is strong enough to undergo anesthesia. That's why
- 7:23Speaker 2: I'm involved in it because a lot of patients come
- 7:25Speaker 2: to me and say, listen, what's the risk of this surgery?
- 7:28Speaker 2: Is a risk worth the benefits? And are there anything
- 7:31Speaker 2: that we can do before the surgery to lower the risks?
- 7:34Speaker 1: Now you can give them a stress test? Is this important?
- 7:37Speaker 1: Does that help?
- 7:38Speaker 2: Well? You know, it's it's sometimes it's helpful if we're
- 7:41Speaker 2: concerned about the heart. But usually people before surgery, I
- 7:45Speaker 2: don't really have you know, Sometimes I can just talk
- 7:47Speaker 2: to them and I can ask them if they're if
- 7:50Speaker 2: they think they can, if they you know, I ask
- 7:53Speaker 2: the questions and I can tell whether they're unstable or not,
- 7:56Speaker 2: because there's like I said, remember, there's no tests that
- 7:59Speaker 2: prevents predict heart attack.
- 8:01Speaker 1: Now the stress test we're talking about that that mean
- 8:02Speaker 1: it doesn't mean they're having a bad day at work.
- 8:04Speaker 2: I mean, no, mean this is this is where we walk,
- 8:07Speaker 2: you know, walk them on a treadmill or or we
- 8:11Speaker 2: do a nuclear treadmill where we put stress on the
- 8:13Speaker 2: body and see how a person reacts, because you know,
- 8:17Speaker 2: surgery is stress on the body, so so, but other
- 8:20Speaker 2: ways we can get at the same thing. Is I
- 8:22Speaker 2: can ask them, you know, I ask them, can you
- 8:24Speaker 2: walk up two flights of stairs? Can you walk four
- 8:27Speaker 2: blocks without getting real short of breath without having chest pain?
- 8:31Speaker 2: And if they can do that, if their functional status
- 8:34Speaker 2: is good, then their risk is a lot lower. For
- 8:36Speaker 2: for instance, people that can't do those type of things
- 8:39Speaker 2: you know, have a lot of chest pains or when
- 8:41Speaker 2: they do things that tells me that their cardiovascular risk
- 8:44Speaker 2: is probably higher and they might not want to undergo
- 8:48Speaker 2: surgery because they might have a risk of heart attack.
- 8:50Speaker 2: So some people I can tell in the office by
- 8:53Speaker 2: asking them certain questions. If I can't really tell, I said,
- 8:55Speaker 2: listen to check the status of your heart. We might
- 8:58Speaker 2: want to do a stress test first. That might help
- 9:00Speaker 2: me assess your cardiovascular risk.
- 9:04Speaker 1: Now you mentioned earlier that the surgeries can affect the
- 9:09Speaker 1: heart and there may be problems with the heart and
- 9:12Speaker 1: having even a heart attack during surgery. How does that happen.
- 9:16Speaker 2: Yeah, well, there's many different ways people can have heart
- 9:19Speaker 2: attacks during during surgeries, and if you think about it,
- 9:23Speaker 2: one of the causes is the adrenaline. The adrenaline surges
- 9:26Speaker 2: can trigger vascular disease. Whenever you undergo surgery and put
- 9:30Speaker 2: stress on the body, the body likes to have blood clots,
- 9:34Speaker 2: so you're a condition called prothrombodic. Whenever you lose blood,
- 9:38Speaker 2: the volume shifts. That puts more stress on the body,
- 9:42Speaker 2: and all these things can destabilize these plaques that are
- 9:44Speaker 2: in the body. They also can make if you have
- 9:47Speaker 2: fixed cornary blockage, they can make that worse as well.
- 9:51Speaker 2: Some people that the stress on the body from triggers
- 9:54Speaker 2: these plaque ruptures, and some can have funny heart rhythms
- 9:57Speaker 2: when they're when they're blood volume shifts or or the
- 9:59Speaker 2: stress in the body. So there's lots of different causes
- 10:02Speaker 2: of cardiac events around surgery. And some of these things
- 10:05Speaker 2: are predictable, or we can say what the risk is,
- 10:08Speaker 2: whether you are low risks, middle risk, or high risk,
- 10:11Speaker 2: and some of the things we just can't predict. So
- 10:13Speaker 2: we're going to keep talking about this Charles after break
- 10:16Speaker 2: and if you have questions, send them to our website
- 10:20Speaker 2: Heartwives Ministries dot orgy, because that's the way we form
- 10:23Speaker 2: our programs. We're going to be right back after this
- 10:25Speaker 2: break talking about is surgery safe for you?
- 10:43Speaker 1: In his book The Ultimate Prescription, now available from Tendale
- 10:47Speaker 1: House Publishers, Cardiologists doctor James Markham writes, the very first
- 10:52Speaker 1: deception we face in this world today is the thought
- 10:54Speaker 1: that modern medicine can fix anything. To be brutally honest,
- 10:58Speaker 1: modern medicine can't fix a thing. The doctor can set
- 11:01Speaker 1: a leg, but as for the healing of that broken bone,
- 11:04Speaker 1: the doctor can only watch and be amazed. Here's the
- 11:07Speaker 1: scary part. People who experience heart disease, who suffer from cancer,
- 11:11Speaker 1: who fight debilitating pains, who stand in lines at drug
- 11:15Speaker 1: stores waiting to fill their endless prescriptions, who sit and
- 11:17Speaker 1: watch television commercials extolling the power of the latest and
- 11:20Speaker 1: greatest pharmaceutical firmly believe that their doctors or the pills
- 11:24Speaker 1: are providing a cure to their ills. They think they're
- 11:27Speaker 1: getting fixed. They're wrong. Doctor Markham's book The Ultimate Prescription
- 11:32Speaker 1: is available from Amazon dot com and wherever quality books
- 11:36Speaker 1: are sold. To learn more about health from a biblical perspective,
- 11:39Speaker 1: visit Heartwisemanistries dot org. I'd like to take a moment
- 11:44Speaker 1: to invite you to visit the Heartwise Ministries team on
- 11:47Speaker 1: the internet. Stop by Heartwisemistries dot org and discover for
- 11:51Speaker 1: yourself that optimum health is not the result of favorable genes,
- 11:54Speaker 1: of the right commendation of pharmaceuticals. No, optimum health is
- 11:58Speaker 1: the result of making the right eight choices each and
- 12:01Speaker 1: every moment of each and every day. If you're like me,
- 12:04Speaker 1: you're probably a little confused about what the media and
- 12:06Speaker 1: marketing moguls are feeding us. There are a lot of potions,
- 12:09Speaker 1: pills and promises out there. Some work, some don't, and
- 12:13Speaker 1: some are downright dangerous. Whom do you believe? Whom do
- 12:16Speaker 1: you trust? Board certified cardiologist doctor James Markham, a founder
- 12:20Speaker 1: director of Heartwise Ministry, says, there is a source of
- 12:23Speaker 1: information that can be trusted and followed. That's the Bible,
- 12:28Speaker 1: God's Owner's Manual as he calls it. For us, All
- 12:31Speaker 1: the information you find on Heartwiseministries dot org is information
- 12:34Speaker 1: backed by Biblical truth. It can be trusted because God
- 12:38Speaker 1: can be trusted, So stop by, won't you. That's Heartwiseministries
- 12:42Speaker 1: dot org.
- 12:52Speaker 2: Hello, I'm doctor James Barkham. I'm talking today with Charles Mills.
- 12:56Speaker 2: We're answering your questions about a subject, is surgery safe?
- 12:59Speaker 2: And the first segment, we've talked about different types of
- 13:03Speaker 2: high risk surgery that are higher risk. We've talked about
- 13:07Speaker 2: when you have surgery whether the risk is worth the benefits.
- 13:10Speaker 2: We've talked a little bit about anesthesia and things that
- 13:13Speaker 2: can cause heart attacks, and these are very interesting things
- 13:17Speaker 2: because we want everyone to have complete knowledge and have
- 13:20Speaker 2: the right questions to ask if you should undergo surgery,
- 13:23Speaker 2: because if you undergo surgery, we want it to be
- 13:25Speaker 2: as safe as possible and put you under the least
- 13:28Speaker 2: amount of risk. But right now, I don't know any
- 13:31Speaker 2: surgery that has no risk, so everything out there we
- 13:34Speaker 2: have to look at the risk versus the benefits. Charles,
- 13:38Speaker 2: we have any more questions.
- 13:39Speaker 1: Yeah, we were talking about the heart attacks during surgery
- 13:43Speaker 1: and doctor Markham as a cardiologist, is there any way
- 13:45Speaker 1: you can predict This is a question from the Heartwives
- 13:47Speaker 1: Indistries dot org website. Is there any way to predict
- 13:51Speaker 1: heart attacks during surgery? Is one person more likely to
- 13:55Speaker 1: have it than the other.
- 13:56Speaker 2: Right, Well, unfortunately, there's no way we can predict heart attacks,
- 14:00Speaker 2: just like we can't predict heart attacks in the general population.
- 14:04Speaker 2: So I can't say to any individual person that know,
- 14:07Speaker 2: you're not going to have a heart attack, but I
- 14:09Speaker 2: can estimate their risk. Okay, people that have heart disease,
- 14:17Speaker 2: people that have diabetes, people that have problems with their kidneys,
- 14:23Speaker 2: people that have had old heart attacks, people that smoke,
- 14:28Speaker 2: those people have a higher risk of having cardiovass disease.
- 14:33Speaker 2: In fact, we have scores that we can look at
- 14:35Speaker 2: people and if they have this factor, this factor, this factor,
- 14:39Speaker 2: we say they have a two percent risk, or if
- 14:41Speaker 2: you have free of these, we have an eight and
- 14:43Speaker 2: a half percent risk. So we can sort of give
- 14:46Speaker 2: a feel for how risky the surgery is just by
- 14:50Speaker 2: talking to a person and knowing their family history. As
- 14:54Speaker 2: as far as predicting heart attack, I can tell you
- 14:57Speaker 2: you know, if you have a lot of chest pain,
- 15:00Speaker 2: if you have a stress test that show you have
- 15:01Speaker 2: lots of part of the hearts, it's not getting enough disease.
- 15:05Speaker 2: If you have a lot of smoking history, diving in
- 15:08Speaker 2: the oxygen, yes, then we can certainly tell you that
- 15:11Speaker 2: you are at the highest risk of developing heart attack.
- 15:14Speaker 2: And then sometimes even though I tell people that they're
- 15:17Speaker 2: at the highest risk, the surgery still has to be done.
- 15:21Speaker 2: And then if that's the case, then we want to
- 15:23Speaker 2: do everything we can possibly to lower that risk. If
- 15:27Speaker 2: the surgery has to be done and they're at high risk,
- 15:29Speaker 2: everything possible to lower that risk.
- 15:31Speaker 1: Now, that was a question that came up next on
- 15:33Speaker 1: the Heartwives Dot or website. Is there anything I can
- 15:37Speaker 1: do to lower the risk of surgery? Now, you've mentioned
- 15:39Speaker 1: several of the problems that we have. Smoking is one
- 15:43Speaker 1: I would imagine, doctor Markham, that you would lower the
- 15:45Speaker 1: risk by simply stop smoking.
- 15:47Speaker 2: Absolutely, Charles, you would lower that risk by stopping smoking.
- 15:52Speaker 2: Other things that you would lower your risk of doing
- 15:54Speaker 2: is some people need to take what we call beta blockers. Okay,
- 15:59Speaker 2: those are medicines that block adrenaline that can be very helpful,
- 16:04Speaker 2: and people that are undergoing vascular surgery serve on their
- 16:07Speaker 2: neck or blood vessels, they had better outcomes of giving
- 16:11Speaker 2: a medicine to lower cholesterol. Cholesterol lowering medications can lower
- 16:16Speaker 2: these risks up to thirty percent. And the reason they
- 16:20Speaker 2: say that is because it helps stabilize the plaques inside
- 16:23Speaker 2: the body, just like the cigarettes destabilized plaques. Cholesterol does.
- 16:28Speaker 2: Now I don't have data on this, but anything that
- 16:30Speaker 2: diet wise you would think that would cause oxidation would
- 16:33Speaker 2: increase your risk. Anything that would prevent oxidation would help
- 16:37Speaker 2: your risk. So of course eating a healthy diet should
- 16:40Speaker 2: lower your risk. So statins can lower your risk. Taking
- 16:44Speaker 2: beta blockers can lower your risk. Now, if you're in
- 16:47Speaker 2: the highest risk of persons, you say, we do a
- 16:51Speaker 2: stress test, and you do terrible on the stress test,
- 16:54Speaker 2: some people would would benefit from a process is called revascularization,
- 16:59Speaker 2: will be held open up the blockages. We can do
- 17:03Speaker 2: that in a couple of ways. One of them is
- 17:04Speaker 2: a court of a big problem, and that's bypass surgery, okay.
- 17:09Speaker 2: And other than some people need bypass surgery. Some people
- 17:12Speaker 2: we can do that with stints, okay. And there's different
- 17:15Speaker 2: types of stints we can put in. One is called
- 17:17Speaker 2: a bear metal stint. However, if we put a bare
- 17:21Speaker 2: metal stint in, we have to put off the procedure
- 17:24Speaker 2: for a while because the stints have to sort of
- 17:26Speaker 2: heal in place. So when they do that, we have
- 17:29Speaker 2: to put people on platelet agents to help prevent blood
- 17:32Speaker 2: clots on the new stints. So we have to put
- 17:35Speaker 2: the you know, if we put a bare metal stint,
- 17:37Speaker 2: we have to put off the surgery for at least
- 17:39Speaker 2: six weeks. Sometimes, if we put in a special stint
- 17:43Speaker 2: called a drug eluting stint, we have to put a
- 17:46Speaker 2: surgery off for as much as you know, a year,
- 17:49Speaker 2: even because those stints, you know, we replace you know,
- 17:53Speaker 2: the disease of the blockages with a foreign object. The
- 17:56Speaker 2: foreign object wants to clot and we have to protect
- 17:59Speaker 2: that and it takes an amount of time to grow
- 18:02Speaker 2: tissue into thelium around that so it doesn't want to
- 18:04Speaker 2: clout as much. Now, which patients do I frequently send
- 18:08Speaker 2: for revasterization before surgery. Well, people that are having like
- 18:12Speaker 2: let's say they have an aneurysm inside them, okay, or
- 18:15Speaker 2: they have a bad blockage in the neck. Well, we
- 18:18Speaker 2: know that if you have a blockage in your neck,
- 18:19Speaker 2: there's always a chance you have a blockage in your heart,
- 18:22Speaker 2: or if you have a blockage damaging the blood vessel
- 18:24Speaker 2: in the order, there's a chance that you would have
- 18:26Speaker 2: a blockages in your heart or blockage in your legs.
- 18:28Speaker 2: So for those people we do a stress as we say,
- 18:31Speaker 2: oh man, you're one of the people that also have
- 18:33Speaker 2: blockages in your heart. Well, since those some of those
- 18:36Speaker 2: surgeries you know, need to be done, we want to
- 18:39Speaker 2: do them under the safest manner. And so some people
- 18:41Speaker 2: we have to bring extra blood to the heart and
- 18:43Speaker 2: unless it's life threatening, put off these other surgeries for
- 18:46Speaker 2: a while to lower a person's risk of doing that.
- 18:49Speaker 2: So that's another way in small groups we can bring
- 18:53Speaker 2: extra blood to the heart. We've talked about beta blockers.
- 18:56Speaker 2: We want everyone to be healthy by quitting smoking, eating
- 18:59Speaker 2: healthier food. You know, if you can exercise and get
- 19:02Speaker 2: in good physical shape, that's bound to help them as well.
- 19:05Speaker 2: So all these are little things that you can do
- 19:07Speaker 2: to lower your risk before surgery.
- 19:10Speaker 1: Have you ever had a case doctor Markham where you said, okay, listen,
- 19:14Speaker 1: you need to do some things here so that your
- 19:17Speaker 1: surgery will go smoother. You need to change your diet,
- 19:20Speaker 1: you need to stop smoking, you need to exercise more,
- 19:22Speaker 1: you need to drink more water, you need to lower
- 19:24Speaker 1: your stress levels. Have you ever seen a person do
- 19:27Speaker 1: that over time and then realize that because they've done
- 19:30Speaker 1: all those things, they don't need the surgery.
- 19:32Speaker 2: Yeah, that's a good one. A couple of years ago,
- 19:36Speaker 2: I took care of a lady that was going to
- 19:40Speaker 2: have an elective knee surgery, and she was diabetic and
- 19:43Speaker 2: her blood sugar wasn't very good control. Her heart was
- 19:46Speaker 2: in pretty good shape. I said, listen, you know, since
- 19:47Speaker 2: this is elective you want to put off. Why don't
- 19:49Speaker 2: you know you really want to lower your risk? Heal, Well,
- 19:51Speaker 2: let's get this diabetes under good control. She was a
- 19:54Speaker 2: type two diabetic, and type two diabetic is a disease
- 19:58Speaker 2: of having too much bad. So we talked about that
- 20:01Speaker 2: and the diet. We talked about fat on her and
- 20:04Speaker 2: she took it very seriously. Charles. She was on two
- 20:06Speaker 2: diabetic medicines that weren't working very good. Well, even though
- 20:10Speaker 2: she couldn't walk well, she got in a pool and
- 20:13Speaker 2: she swam every day. She really cut back her fat
- 20:16Speaker 2: almost to zero, and she worked hard for five or
- 20:19Speaker 2: six months. She lost about fifty pounds. In fact, she
- 20:22Speaker 2: got off her blood sugar medicines. And when she lost
- 20:24Speaker 2: her weight, she noticed that the change of the diet
- 20:27Speaker 2: improved her inflammation and the extra fat was making inflammatory
- 20:31Speaker 2: cido kinds which hurt her knee, and by the time
- 20:34Speaker 2: that was done, her knee just didn't bother her that much,
- 20:36Speaker 2: so she decided against surgery. Now, that is an extreme
- 20:41Speaker 2: and in every situation doesn't happen that way, and that
- 20:45Speaker 2: was very much an elective surgery. But it is possible
- 20:48Speaker 2: to improve your body. So maybe you don't need another story.
- 20:52Speaker 2: I'll tell you is a fellow that had a bunch
- 20:55Speaker 2: of these cysts all over his body, you know, these
- 20:57Speaker 2: funny things that kept popping up. And I said, you
- 20:59Speaker 2: know a lot of these are associated with diet, and
- 21:01Speaker 2: he was going to have laser surgery on all of this,
- 21:03Speaker 2: and why don't you give it a month, And why
- 21:05Speaker 2: don't you go on this really more of a plant
- 21:07Speaker 2: based diet and try not to eat all these ugly
- 21:09Speaker 2: stuff that you've been eating and see if they some
- 21:11Speaker 2: of them don't go away. And guess what, as he
- 21:14Speaker 2: started eating better, these fatty parts of his body that
- 21:17Speaker 2: were being stored on the outside, they gradually went away,
- 21:20Speaker 2: so he didn't have to take the risk of surgery.
- 21:23Speaker 2: So yes, there is ways that if you live healthy,
- 21:26Speaker 2: you can lower the risk of for sure lower the risk,
- 21:30Speaker 2: but also sometimes prevent surgery. Some of the elective surgeries,
- 21:33Speaker 2: and you know, you think about surgeries like liposuction, you know,
- 21:37Speaker 2: does that really need to be done? You know some
- 21:39Speaker 2: people can avoid that if they live healthy, so, you know,
- 21:42Speaker 2: but some of the take home points today we want
- 21:45Speaker 2: to leave people with is, yes, every surgery has its risk,
- 21:48Speaker 2: there's benefits. You need to really go to your doctor
- 21:51Speaker 2: before they put you to sleep to make sure your
- 21:54Speaker 2: risk is as low as possible. If you're having vascular surgery,
- 21:58Speaker 2: there's strong evidence that a cholesterol medicine and helps you out.
- 22:01Speaker 2: If you're making a lot of adrenaline, beta blockers can
- 22:04Speaker 2: help you out. If you can't walk up of two
- 22:06Speaker 2: flights of stairs because of chest pain or shortness of breath,
- 22:09Speaker 2: this could be a very high risk surgery for you,
- 22:11Speaker 2: and you really might want to see a specialized physician
- 22:14Speaker 2: to see if it's really worth the risk and anything
- 22:16Speaker 2: that might be done to lower your risks.
- 22:18Speaker 1: Well. I like the idea, as you do, of prevention
- 22:22Speaker 1: and anything we can do starting today that we can
- 22:26Speaker 1: incorporate into our lives, into our lifestyle, and you have
- 22:30Speaker 1: often said on this program that we really can't do
- 22:33Speaker 1: it alone. We need to have a heavenly father. Take
- 22:36Speaker 1: us by the hand and lead us through these things.
- 22:38Speaker 1: God is willing to show us what we need to do.
- 22:41Speaker 1: He's willing to take us by the hand and bring
- 22:44Speaker 1: us to programs like this where we can hear this.
- 22:46Speaker 1: We can go to the Hearts dot org website, Heartwisesmindistries
- 22:50Speaker 1: dot org website. We can check that out as well.
- 22:52Speaker 1: There are things we can do to educate ourselves with
- 22:55Speaker 1: our hand in God that just might lower the risk
- 22:58Speaker 1: of surgery or in some cases, and I praise God
- 23:01Speaker 1: for this every time it happens, remove the need for surgery.
- 23:05Speaker 1: And I think we need to be able to do that,
- 23:07Speaker 1: and that requires a relationship with God, a walk with God,
- 23:11Speaker 1: and a constant learning of what God has in mind
- 23:14Speaker 1: for us. Isn't that the way it is?
- 23:15Speaker 2: Doctor Markam That is so well said Charles. And we're
- 23:18Speaker 2: out of time today, but you know, there's such a
- 23:20Speaker 2: wealth of information and wisdom that you just shared and
- 23:23Speaker 2: we just want to keep that thought with everyone today
- 23:25Speaker 2: and we will hope everyone learns something about how to
- 23:29Speaker 2: lower their risk today of surgery and to think twice
- 23:32Speaker 2: about it. The internet also has tons of good information,
- 23:36Speaker 2: so we want to thank you today for joining Charles
- 23:38Speaker 2: Mills and myself on Heartwise. Invite you to go to
- 23:40Speaker 2: our website that's Heartwiseministries dot org. We'll be happy to
- 23:45Speaker 2: answer your questions. Thanks for joining us and we wish
- 23:48Speaker 2: you the best of health.
- 24:00Speaker 1: Thank you for joining us today on Heartwise. If you'd
- 24:03Speaker 1: like more information on how to build and maintain optimum physical, mental,
- 24:07Speaker 1: and spiritual health, log onto Heartwiseministries dot org. Heartwise is
- 24:12Speaker 1: a listener supported program and your partnership with us would
- 24:16Speaker 1: be greatly appreciated. Once again, our web address is Heartwisemanistries
- 24:20Speaker 1: dot org