Latest / The Breakfast Club / Dr. Joseph Puma Talks Cardio Health Risks, Innovative Screening Technology More

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Dr. Joseph Puma Talks Cardio Health Risks, Innovative Screening Technology More · The Breakfast Club

• 0:00
  Speaker 1: Wake that answer up in the morning. The Breakfast Club Morning.
• 0:05
  Speaker 2: Everybody is the j n V. Charlamagne the guy. We
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  Speaker 2: are the Breakfast Club. We got a special guest in
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  Speaker 2: the building, doctor Joseph Puma.
• 0:13
  Speaker 3: Welcome, Welcome, Thank you for having me here. I appreciate it.
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  Speaker 4: Doctor Joseph Puma, I've been telling you all about this
• 0:20
  Speaker 4: souring medical scan. I didn't know. That's not what it's called.
• 0:23
  Speaker 4: It's souring heart skin heart skink at Soorn Medical. But
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  Speaker 4: tell people what sorring medical is first, Doctor Pumer.
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  Speaker 5: Soren Medical is a cardiovascular medical practice. We have offices
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  Speaker 5: throughout four of the five boroughs UH. Generally we provide
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  Speaker 5: care in underserved communities where what often called health deserts.
• 0:45
  Speaker 5: There's no hospitals or not many physicians around, and we
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  Speaker 5: try and meet patients who need out care where they live.
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  Speaker 4: And I told y'all I've had every cardiovascular test there
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  Speaker 4: is to have over the past few months. I had
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  Speaker 4: name some of them. That was the EKGs. What are
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  Speaker 4: some of the tests?
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  Speaker 3: I think you had stress tests before you came to us.
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  Speaker 3: You had a calcium score.
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  Speaker 4: Calcium score and yours absolutely not only was the best,
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  Speaker 4: it's the one that put my mind at ease the most. Well,
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  Speaker 4: thank you, especially after I got those results back.
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  Speaker 1: But why are they.
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  Speaker 4: Important for people of color to get their heart tested regularly?
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  Speaker 5: So it's important for people of color to get their
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  Speaker 5: heart tested period and not regularly because one of the
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  Speaker 5: challenges is they're not regularly getting they're heart tested.
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  Speaker 3: People of color.
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  Speaker 5: Have a almost one and a half to two times
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  Speaker 5: the rate of death from heart disease. They get the
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  Speaker 5: risk factors for heart disease, high blood pressure. They often
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  Speaker 5: develop high blood pressure at an earlier age. It's more
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  Speaker 5: difficult to treat. They have diabetes at a higher rate,
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  Speaker 5: also a risk factor for heart disease. When they have
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  Speaker 5: heart attacks, their outcomes are worse. They have a forty
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  Speaker 5: percent increased chance of dying from a heart attack as
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  Speaker 5: compared to whites in America, and they often have much
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  Speaker 5: higher rates seventy percent higher rates of congestive heart failure,
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  Speaker 5: which is very disabling, and they developed that often at
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  Speaker 5: an earlier age.
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  Speaker 2: Well, how can people get tested? Not how can they
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  Speaker 2: test it? Of course, but you know they tell you
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  Speaker 2: at forty five years old, you get a colonoscopy. They
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  Speaker 2: tell you at this age you do this At what
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  Speaker 2: age should people be checking their heart? And you know,
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  Speaker 2: I go to my doctor, you know, twice a year
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  Speaker 2: for checkups, and that one time has he said, all right,
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  Speaker 2: well you need to check out your heart or there
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  Speaker 2: as certain signs where maybe.
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  Speaker 1: People say you should check out your heart.
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  Speaker 2: Are certain signs where they should do certain things, or
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  Speaker 2: should they be at a particular age where this is
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  Speaker 2: where you should start doing it more and more and more.
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  Speaker 3: Yeah, So that's a great question.
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  Speaker 5: So the answer to that question, I think depends on
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  Speaker 5: whether you have symptoms or no symptoms. If you have
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  Speaker 5: symptoms of discomfort in your chest, shortness of breath, more
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  Speaker 5: easy fatigue, not able to do the usual level of exercise, dizziness, lightheadedness,
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  Speaker 5: doesn't matter what age you are, you should be tested
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  Speaker 5: because let's you remember, heart disease is the number one
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  Speaker 5: killer in America. And even though over the last forty
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  Speaker 5: years the rate of death from heart disease has come down,
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  Speaker 5: it has not come down for the black community. All
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  Speaker 5: those gains have been in the white community. So second,
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  Speaker 5: if you're not necessarily symptomatic, okay, overall, you're working, you
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  Speaker 5: feel good, but you're forty and older as a man
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  Speaker 5: or fifty year older as a woman, and you've smoked,
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  Speaker 5: have a family history of heart disease, have high blood pressure, diabetes,
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  Speaker 5: are high cholesterol, then you should be tested prior to
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  Speaker 5: the soaring heart scan or cats scanning in general of
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  Speaker 5: the heart. The only test we had to determine if
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  Speaker 5: you had heart disease was a stress test, but that's
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  Speaker 5: not nearly as accurate and doesn't define the heart arteries
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  Speaker 5: as Charlemagne. When you came in, we sent you images
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  Speaker 5: of your heart arteries. We gave you a risk assessment,
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  Speaker 5: but and it's costly. Stress testing almost ten times the
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  Speaker 5: course of a cat skin. But cat scanning now takes
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  Speaker 5: four minutes or less. If you come into our office
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  Speaker 5: less than fifteen minutes of your total time, and you
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  Speaker 5: have a fully accurate, greater than ninety seven percent accuracy
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  Speaker 5: of your heart anatomy, whether there's blockage, calcium, any disruption
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  Speaker 5: that could potentially cause a problem later on in life.
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  Speaker 2: Well, I was going to ask, So you know, you
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  Speaker 2: go to the dentist, you have a cavity, they can
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  Speaker 2: fix it right, flaus it whatever, colonoscope they clean your
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  Speaker 2: butt out right, So now they know you know what
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  Speaker 2: he knows what I mean. You know, they clean it out,
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  Speaker 2: they cut off the polyps.
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  Speaker 1: You know what it is.
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  Speaker 2: So if there is a problem with your heart, what
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  Speaker 2: are the procedures to can it be done right then?
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  Speaker 1: And there?
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  Speaker 4: Talk that talk doctor Pumber, This is good. Just just
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  Speaker 4: move me away when you told me.
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  Speaker 3: Yeah.
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  Speaker 5: So, nationally, Medicare is now approved putting heart stents right
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  Speaker 5: in the office in appropriate facilities. Uh. New York State
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  Speaker 5: has not yet approved that, but our center down in
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  Speaker 5: Lower Manhattan is built for that, and we have the
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  Speaker 5: latest technology and cardiac cathization labs where you could have
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  Speaker 5: a stent put right in at that time.
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  Speaker 3: So a stent, a stent is a.
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  Speaker 5: Metal scaffold that when you have a blockage in your
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  Speaker 5: artery through an artery in your wrist, we put a
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  Speaker 5: catheter up into the heart and then over a wire
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  Speaker 5: through the catheter, we can pass a metal stent over
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  Speaker 5: a balloon and dilate it and clear.
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  Speaker 3: Away the blockage.
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  Speaker 1: So the stint doesn't stay inside of it was just
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  Speaker 1: it just cleans out.
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  Speaker 3: It stays inside you. It does stay and becomes part
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  Speaker 3: of the artery wall.
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  Speaker 2: Okay, so you have a piece of metal in you
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  Speaker 2: so every time you go through tsa metal detector you.
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  Speaker 3: It won't go off.
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  Speaker 1: Okay, it doesn't.
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  Speaker 3: It doesn't go off.
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  Speaker 5: It's it's very it's very small, three and a half
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  Speaker 5: millimeters usually, but no, it doesn't set off metal detectors.
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  Speaker 3: You can use your microwave.
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  Speaker 5: But it's the most common treatment for blocked arteries in
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  Speaker 5: the world.
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  Speaker 4: Can you explain to people what causes heart attacks and strokes?
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  Speaker 3: Sure, that's a that's a great question.
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  Speaker 5: And I think and I think that it's not only
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  Speaker 5: a great, great question, great question in general, because it's
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  Speaker 5: the leading cause of death, but in the black community,
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  Speaker 5: the risk of it is so much higher. I know, Charlomage,
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  Speaker 5: you're you're from South Carolina. I told you my family.
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  Speaker 5: I raised in North Carolina, and in that part of
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  Speaker 5: the world, we called it the stroke belt from North
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  Speaker 5: Carolina down to Alabama. Primarily because black men in particular
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  Speaker 5: have high blood pressure at such an early age, so
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  Speaker 5: difficult to control, less likely for African Americans to control
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  Speaker 5: their blood pressure than white that the risk of stroke
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  Speaker 5: from that elevated pressure over time causes either a blood
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  Speaker 5: clot in one of the arteries to the brain, or
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  Speaker 5: it just ruptures.
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  Speaker 3: Same thing with heart.
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  Speaker 5: Attacks or similar At least over time, the body builds
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  Speaker 5: up plaque in the arteries. Plaque is just cholesterol and calcium.
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  Speaker 5: Some of it's from our diet, some of it's genetic,
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  Speaker 5: some of it is accelerated if you have diabetes. In fact,
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  Speaker 5: if you have diabetes, you have a three times higher
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  Speaker 5: risk of dying from a heart attack than someone who
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  Speaker 5: doesn't have diabetes. So if you have diabetes, that ought
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  Speaker 5: to be like a flashing neon sign, I need to
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  Speaker 5: see a cardiologist. And in communities of color, when they
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  Speaker 5: have high blood pressure and they have diabetes, when they
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  Speaker 5: end up with a heart attack or a stroke, they
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  Speaker 5: usually have worse outcomes, a higher risk of dying from it,
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  Speaker 5: and if they survive, they're more likely to have a
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  Speaker 5: lower functional status, to be in congestive heart failure, or
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  Speaker 5: to have physical abnormalities that they're not able to do
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  Speaker 5: their activities of daily living.
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  Speaker 2: I was going to ask it, you know, so for
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  Speaker 2: people that's listening right now, and a lot of people
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  Speaker 2: don't know some of the symptoms and some of the
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  Speaker 2: things that you're talking about. So when you talk of diabetes,
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  Speaker 2: high blood pressure, high cholesterol, or there's symptoms besides going
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  Speaker 2: to the doctor's something that people should look out for.
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  Speaker 2: A lot of people in our community are scared to
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  Speaker 2: go to the doctor or can't afford to, don't have insurance.
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  Speaker 2: So what are some of the signs that they should
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  Speaker 2: look at. Let's start with diabetes. What is a sign
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  Speaker 2: of diabetes that people should look out for.
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  Speaker 5: Yeah, so that's a great question.
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  Speaker 3: DJ Envy. First of all, I would say.
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  Speaker 5: Healthcare should not be just for or people will well
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  Speaker 5: off for people who have insurance.
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  Speaker 3: Healthcare should be a right in this country.
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  Speaker 5: There's no reason are There's just no reason why we
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  Speaker 5: should treat any not treat any human being that needs
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  Speaker 5: our help. Right, and if you come to any one
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  Speaker 5: of our offices, we take care of everyone, regardless of
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  Speaker 5: their ability to pay.
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  Speaker 3: So that's number one. Number two.
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  Speaker 5: High blood pressure and diabetes both when we're in medical
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  Speaker 5: school where taught, they're called the silent killers because they
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  Speaker 5: often don't have symptoms. Okay, but when they do. If
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  Speaker 5: you have high blood pressure, you might feel flushed sometimes
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  Speaker 5: during the day in your face. You might get headaches, okay,
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  Speaker 5: you might have chest discomfort, you might get short of breath,
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  Speaker 5: all right, you don't.
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  Speaker 3: Need to go to a doctor.
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  Speaker 5: You can go to any pharmacy even and they have
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  Speaker 5: a blood pressure cuff there usually yep, and they'll check
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  Speaker 5: your blood pressure. So simple screening for that. And remember
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  Speaker 5: something blood pressure diagnoses often it peaks in our thirties
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  Speaker 5: or in our fifties, So if you're in communities of
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  Speaker 5: color and you're in your thirties, you should at least
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  Speaker 5: get a screening for blood pressure. Diabetes also very elusive
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  Speaker 5: in terms of symptoms. Often the first symptoms a diabetic
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  Speaker 5: will feel is that they're very thirsty or they're urinating
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  Speaker 5: a lot, and that's because their sugar levels are high
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  Speaker 5: and it's making them urinate, which then makes them thirsty.
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  Speaker 5: They often feel weak, have a brain fog, they just
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  Speaker 5: never feel clear. And again simple pinprick of your finger
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  Speaker 5: can tell you if your sugar is high or low
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  Speaker 5: that you probably do need to go to a doctor
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  Speaker 5: to have that check. Where simple blood tests. But the
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  Speaker 5: bigger point is simple screening things or just self awareness.
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  Speaker 3: You bring up fear. Fear is a big issue. Fear
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  Speaker 3: is a big issue for many people. People don't come
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  Speaker 3: to me.
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  Speaker 5: It's it's not like I don't know if you're married
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  Speaker 5: or you have kids, but you know.
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  Speaker 4: You remember when you both married, you met my wife.
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  Speaker 3: I can't bring that up again.
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  Speaker 1: Wow, Carolinas, Okay.
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  Speaker 3: I can't bring that up again.
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  Speaker 5: But anyway, but you remember, like the first time you're
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  Speaker 5: pregnant and you go to the doctor, everyone's happy and
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  Speaker 5: it's an exciting time. When people come to me, they're scared.
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  Speaker 5: I'm not sure what's going on. They may not feel well,
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  Speaker 5: they may have a family history.
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  Speaker 3: So we have we have to deal with that fear.
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  Speaker 5: One of the ways you deal with that fear is
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  Speaker 5: by bringing health care to them, as opposed to saying, here,
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  Speaker 5: I'm in a big, fancy building, come to me.
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  Speaker 3: I'm really smart.
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  Speaker 5: We go to them, we want to be in their community,
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  Speaker 5: and then if there is an issue where they need.
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  Speaker 3: A test, make it easy for them.
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  Speaker 5: Okay, explain talk. You know, people are a lot smarter
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  Speaker 5: than sometimes we give them credit for. And understanding where
• 11:58
  Speaker 5: they're from and and trying to learn about them and
• 12:00
  Speaker 5: their family can help kind of bring people together and
• 12:04
  Speaker 5: have an honest conversation.
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  Speaker 4: I think people want you to talk to about the
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  Speaker 4: You know, when I asked you what causes the heart
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  Speaker 4: attacks of scrips. I want you to talk about like
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  Speaker 4: the blockage and how the plaque breaks off and that stuff.
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  Speaker 5: So in the carnery artery, so for strokes, if you
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  Speaker 5: have high blood pressure, just the high blood pressure, right,
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  Speaker 5: It's the same as if you have high blood pressure
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  Speaker 5: in your water heater at home.
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  Speaker 3: If it gets to a certain level, boom, it just pops.
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  Speaker 3: But in the hard arteries.
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  Speaker 5: You can even have a mild to moderate plaque in
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  Speaker 5: your arteries and then some stressor you're smoking a cigarette
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  Speaker 5: one day, you're in an argument with someone, you're having
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  Speaker 5: stressful time at work, it can cause that plaque to
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  Speaker 5: rupture and then causes a blood clot And that's a
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  Speaker 5: big challenge. The reason when when you ask DJ Envy
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  Speaker 5: about who should have the scan or you know, and
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  Speaker 5: we said, even in people who are not symptomatic, if
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  Speaker 5: they have risk factors, they should have a scan. Because
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  Speaker 5: one in three people that have a heart attack find
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  Speaker 5: out they're having they have heart disease the day they
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  Speaker 5: have their heart attack.
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  Speaker 3: And out of those, one in three die the day
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  Speaker 3: they have their heart attack.
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  Speaker 5: So it's it's often unpredictable. So unless you know you
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  Speaker 5: have some plaque, then there are strategies as we discuss,
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  Speaker 5: whether it's statin medications, aspirind counseling to help you maybe
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  Speaker 5: stop smoking if you smoke, weight reduction, things of that
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  Speaker 5: nature that can help. But heart attacks are I like
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  Speaker 5: to think of it this way. You know, if you're
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  Speaker 5: having if you're lucky enough to have symptoms, it's kind
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  Speaker 5: of like when you're driving your car and the little
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  Speaker 5: light goes on, says the tires run and low right. Usually,
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  Speaker 5: if you're having symptoms or you see that light, you'll
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  Speaker 5: attend to it so that you don't end up with
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  Speaker 5: a blowout, let's say, on the on the highway.
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  Speaker 3: That's like a heart attack.
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  Speaker 5: But many people don't have symptoms until the day they
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  Speaker 5: have their heart attack.
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  Speaker 2: I was going to ask, you know, a lot of
• 14:02
  Speaker 2: people feel like there's a difference between smoking weed and
• 14:06
  Speaker 2: smoking cigarettes. Is there is there a big difference between
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  Speaker 2: the two or is it still putting smoke in your lungs.
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  Speaker 3: It's still putting smoke in your lungs.
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  Speaker 5: Different agents that's causing you causing the addiction, right, we
• 14:20
  Speaker 5: get a different feel. You know, you get a high,
• 14:23
  Speaker 5: let's say, from smoking weed, whereas nicotine is giving you
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  Speaker 5: a different kind of addiction.
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  Speaker 3: But it's the tar. It's the junk that's going.
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  Speaker 5: In the lungs that adversely affects you and eventually affects
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  Speaker 5: the arteries in the heart.
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  Speaker 4: What if I smoke joints, are smoking a bong, and
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  Speaker 4: I'm not using tobacco products.
• 14:44
  Speaker 5: So non tobacco products are better than tobacco products. But
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  Speaker 5: as we saw, for instance, just with vaping, right early
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  Speaker 5: on with vaping, I actually encourage folks that I took
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  Speaker 5: care of that we're having trouble stopping cigarettes the vape
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  Speaker 5: because it gave them the nicotine, but it didn't give
• 15:03
  Speaker 5: them the junk. But I don't think we have enough
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  Speaker 5: studies or really understand enough. What about edibles that has
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  Speaker 5: no effect, no significant effect from a cardiac standpoint.
• 15:19
  Speaker 4: What if a pation doesn't have insurance. That's the other
• 15:22
  Speaker 4: thing I found very impressive about Soeign Medical.
• 15:25
  Speaker 5: So we take care of anybody we're in the community,
• 15:29
  Speaker 5: whether we're in Inwood, Upper Manhattan, Harlem, Crown Heights, Brownsville,
• 15:33
  Speaker 5: we have offices in all these communities. We have great physicians,
• 15:38
  Speaker 5: and we take care of everybody. If they don't have insurance,
• 15:43
  Speaker 5: at least testing in our office. We basically do for
• 15:46
  Speaker 5: free quite honestly, even though we're not a free clinic
• 15:49
  Speaker 5: per se, but we'll help patients to get them the
• 15:54
  Speaker 5: care that they need. Either you're part of the community
• 15:57
  Speaker 5: or you're not. Is really it's a buying every thing.
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  Speaker 5: There's really no in there's no in between.
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  Speaker 1: And y'all take insurance as well.
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  Speaker 3: We tell yeah, of course.
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  Speaker 5: We taken We take insurance and and we have a
• 16:09
  Speaker 5: team to to get the prior authorizations. I mean, you
• 16:13
  Speaker 5: know today insurance, it just happened. Just because you have
• 16:15
  Speaker 5: a card doesn't mean you get great health care. There's
• 16:19
  Speaker 5: a lot of work behind it. But but that's why
• 16:22
  Speaker 5: we try and build loyalty with the people we take
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  Speaker 5: care of. We try and take time with them, and
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  Speaker 5: you know.
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  Speaker 3: We're there to help.
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  Speaker 4: And I want to read my results that that doctor
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  Speaker 4: Sorn sent me, because y'all send five things after you
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  Speaker 4: have the test. It's to images of your coronary heart arteries,
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  Speaker 4: your heartflow analysis of the arteries, right, what is that exactly?
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  Speaker 5: So the heartflow analysis is if there is any plaque
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  Speaker 5: in the artery. It's a Heartflow is a company based
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  Speaker 5: in California that has proprietary AI software that can actually
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  Speaker 5: assess the flow to determine if that plaque, that blockage
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  Speaker 5: is obstructive needs to be treated with a stent or bypass,
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  Speaker 5: or non obstructive needs aggressive medical therapy. It's amazing software.
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  Speaker 5: We use it on all our patients. And it's that alone,
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  Speaker 5: That software alone has been proven to make you to
• 17:16
  Speaker 5: reduce mortality, increases survival by having cat the soreing heart
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  Speaker 5: scan with heartflow.
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  Speaker 4: And so y'all and y'all send the sore and heart
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  Speaker 4: scan final report. You send your blood work report. And finally,
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  Speaker 4: which I really loved, the ten year risk of cardiovascular
• 17:32
  Speaker 4: events which is heart attack, stroke of death. Now this
• 17:34
  Speaker 4: is what put my mind at ease. Overall, your results
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  Speaker 4: are excellent. Despite a high calcium score for your age,
• 17:39
  Speaker 4: there is only minimal plaque in your heart arteries. Furthermore,
• 17:43
  Speaker 4: your lipid cholesterol profile. Your cholesterol profile is excellent and
• 17:47
  Speaker 4: well below goal on your current statin medication and aspirin,
• 17:50
  Speaker 4: which I would continue. Your blood pressure and heart rate
• 17:53
  Speaker 4: are those of a man twenty years younger. All these
• 17:55
  Speaker 4: factors contribute to a very low ten year cardiovascular risk
• 17:58
  Speaker 4: of only three point five percent optimal for men of
• 18:01
  Speaker 4: your age would be three percent, So you are in
• 18:02
  Speaker 4: very good shape. That put my mind at ease more
• 18:05
  Speaker 4: than all of the tests I did prior to come
• 18:08
  Speaker 4: into sovereign medical.
• 18:10
  Speaker 3: And how long did it take, I.
• 18:14
  Speaker 4: Mean four minutes to do this skin. I was looking
• 18:16
  Speaker 4: at my heart within the next fifteen and I think
• 18:18
  Speaker 4: I got those results the next day.
• 18:20
  Speaker 3: That's correct. Yeah, yeah, that's that's that's correct. So I
• 18:24
  Speaker 3: flipping it back to you.
• 18:25
  Speaker 1: I need this.
• 18:26
  Speaker 2: You need to sign me up. You know, I'm kind
• 18:27
  Speaker 2: of upset. We do everything together. We got a colonosc
• 18:29
  Speaker 2: compete together.
• 18:29
  Speaker 4: That's not true.
• 18:31
  Speaker 1: That is true. That is true. And he didn't call
• 18:34
  Speaker 1: me for this one, which is fine.
• 18:35
  Speaker 3: That is not true.
• 18:36
  Speaker 4: I told you I was going to get it. You
• 18:38
  Speaker 4: didn't say hey, I didn't know how to explain it.
• 18:40
  Speaker 4: I was like, I'm going to get my heart looks
• 18:42
  Speaker 4: at It's like I told you that I'm going to
• 18:46
  Speaker 4: get one. You knew what that was.
• 18:47
  Speaker 2: But yeah, So I need you to sign me up, doc,
• 18:49
  Speaker 2: because I definitely want to check. I'm one of those
• 18:51
  Speaker 2: people that I use my health insurance so if there's
• 18:54
  Speaker 2: a problem of feeling I go some of the times
• 18:58
  Speaker 2: it's very stupid. But my doctors looking me like, why
• 19:00
  Speaker 2: are you back? Like I have tennis elbow and I
• 19:02
  Speaker 2: don't even know what tennis elbow is. I haven't played
• 19:03
  Speaker 2: tennis in ten years, but my elbow is still kind
• 19:05
  Speaker 2: of rickety, rickety, rickety. But I would definitely like to
• 19:08
  Speaker 2: sign up because I definitely would like to make sure
• 19:10
  Speaker 2: that I'm here for my kids.
• 19:11
  Speaker 1: I have six kids, so I want to make sure
• 19:13
  Speaker 1: I'm here for my kids.
• 19:14
  Speaker 5: You'd be welcome to come, and again, I just think
• 19:16
  Speaker 5: the access making it easy, right.
• 19:21
  Speaker 3: You know, you all are people.
• 19:23
  Speaker 5: Of means and you know, but it's for everybody, and
• 19:28
  Speaker 5: you can and you can really make a great impact
• 19:30
  Speaker 5: for people who may have some fear, aren't sure what
• 19:34
  Speaker 5: the entry point is, aren't sure what to do.
• 19:36
  Speaker 3: So I appreciate you inviting me.
• 19:39
  Speaker 5: I appreciate thanks taking the time and talking about it,
• 19:43
  Speaker 5: and I hope we can help some people.
• 19:45
  Speaker 4: And where can they get more information? I'll reach you directly.
• 19:48
  Speaker 5: On our website soor in medical ny dot com. We're
• 19:53
  Speaker 5: on Instagram.
• 19:55
  Speaker 3: I've never been on any of these things.
• 19:56
  Speaker 5: I've been practicing for over thirty years, but in the
• 19:59
  Speaker 5: past year, all the young folks in our practice.
• 20:01
  Speaker 3: Have us on Instagram and.
• 20:04
  Speaker 5: On the website now and they can call the office
• 20:08
  Speaker 5: or send us an email.
• 20:10
  Speaker 3: As you saw, we respond right away.
• 20:12
  Speaker 5: We get you in right away, and we give you
• 20:15
  Speaker 5: comprehensive results, and if we think there's something more, we
• 20:19
  Speaker 5: make sure that we shepherd you through your health care
• 20:22
  Speaker 5: journey to good health.
• 20:23
  Speaker 4: Everybody needs to go do this, man, I've had too
• 20:25
  Speaker 4: many friends, you know, either having heart attacks or having
• 20:28
  Speaker 4: strokes over the past few years, are dying of heart
• 20:30
  Speaker 4: attacks and strokes. So you should definitely go to us
• 20:33
  Speaker 4: soron medical and get the soroing hearts can.
• 20:35
  Speaker 2: Absolutely, I'm going as soon as I can, and I
• 20:37
  Speaker 2: appreciate you so much for joining us.
• 20:39
  Speaker 1: Thank you very much, doctor Joseph Pumer. It's the Breakfast Club.
• 20:42
  Speaker 1: Good morning, wake that answer up in the morning.
• 20:45
  Speaker 4: The Breakfast Club.