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How not to end up like Bill Clinton (re: heart health)
cbs.com ^ | Sep 4, 04 | Larry Magid

Posted on 09/04/2004 11:28:53 AM PDT by churchillbuff

The moment I heard about former President Bill Clinton's sudden need for heart bypass surgery I started having palpitations in my own heart. Clinton is 58, I'm 57. Clinton, like me, has long struggled with his weight but is now pretty close to the right weight. Clinton, also like me, stays in shape and exercises regularly.

The president has been overweight in the past but he recently slimmed down. At a book signing on Wednesday, he said, “I workout a lot, and I went on 'The South Beach Diet' for a while, that helped, but the combination -- I have a wonderful man that comes in two or three times a week and we workout."

Clinton, until a couple of days ago, was symptom free. Aside from slightly high cholesterol and borderline high blood pressure, he appeared to be in good cardiac shape until he experienced chest pains and shortness of breath on Thursday.

An exam at the hospital didn’t turn up any problems but, on Friday morning, the doctors called him back in for an angiogram, which revealed significant blocking in his coronary arteries.

Clinton was lucky. Sometimes the first sign of heart problems is a heart attack or even death. After his bypass surgery, the former president is likely to “experience a normal life curve,” according to Dr. Vincent Guadiani, a Redwood City-based cardiac surgeon who practices at Sequoia Hospital.

The question I keep pondering is what should the rest of us do? Is it really necessary to wait until you have chest pains to see a doctor or is there something we can do to prevent heart problems?

The heart, says Dr. Guadiani “is a pump that works a lot like the motor in your car. It can run just fine until it suddenly runs out of gas.” In other words, it’s not uncommon for an apparently healthy person to suddenly experience some type of heart problem.

Still, there are ways to test the heart, says Dr. Guadiani. “The way to defeat the disease is to go look for it and that’s best done by stressing the heart so it has to do a lot of work and then test it."

A "stress test" typically involves exercising on a treadmill while you’re hooked up to equipment that monitors your heart. The test, according to the American Heart Association, “can show if the blood supply is reduced in the arteries that supply the heart.”

Dr. Guadiani likens a stress test to revving the engine on a car. “A car may idle perfectly well, but then sputter if you step on the gas.” By putting a patient on a treadmill, you stress the heart. “Whether you have symptoms or not,” said Dr. Guadiani, “a test will show that there is a problem.” The test is non-invasive and very safe, except for patients with severe heart problems, he said.

He recommends the test for anyone over 50, especially for males or anyone with a family history of heart disease or diabetes or if they smoke. You can ask your doctor to refer you to a cardiologist who can perform the test.

Not all cardiologists agree. Dr. Mark Perlroth of Stanford Medical School said that it is not normal procedure to perform any tests on asymptomatic patients unless there are significant risk factors such as obesity or diabetes. Based on Clinton’s condition prior to Thursday, there would have been no indication for any tests. An angiogram, which was performed on President Clinton after doctors suspected possible problems, is an invasive test that involves inserting a small tube through a blood vessel to the coronary arteries and then injecting a die that shows up on an X-Ray. Although complications are unlikely, they can occur. My mother, for example, suffered a stroke during an angiogram in 1990. The procedure is only performed if there is an indication of a problem.

Dr. Guadiani points out that that there are limits as to what medicine or even lifestyle can do to predict or prevent heart problems. “Deep in the American psyche is the notion that if we do everything right nothing bad will happen.” But that’s not the case. People who do everything right can have problems and then “there are people with certain genetic structures that smoke, drink and do well.

British Prime Minister Winston Churchill (1874-1965) was quite overweight, smoked, drank and had one of the world’s most high stress jobs. He had a heart attack when he was 80, suffered three bouts of pneumonia and two strokes yet survived until he was 91 and led an active life during his eighties.

Still, there are things you can do to improve your odds. You can have your cholesterol and blood pressure checked. If cholesterol and blood pressure can’t be brought down by diet and exercise they can be controlled through medication. In addition to the stress test, the doctor also advises people in their fifties to get a colonoscopy.

Like most doctors, Guardiani recommends a good diet, regular exercise and weight control which, of course, improves your odds but doesn’t guarantee anything.

Finally, he says, “don’t worry” which is exactly the advice I needed. There is only so much we can do to control our health but when it comes to staying alive, there are some factors that our outside of our control


TOPICS: Culture/Society; Editorial
KEYWORDS: health; heart
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1 posted on 09/04/2004 11:28:53 AM PDT by churchillbuff
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To: churchillbuff
"...I have a wonderful man that comes in two or three times a week and we workout."

...that's a woman, baby.

2 posted on 09/04/2004 11:30:20 AM PDT by RichInOC (Bill Clinton lies like an All-Star, parties like a rock star, and hammers like a porn star.)
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To: churchillbuff

Perhaps it is Clintons diet of fatty women


3 posted on 09/04/2004 11:34:13 AM PDT by al baby (please only one screen name per person)
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To: churchillbuff

I have never had a chest pain, but had 5 bypasses in 1999 and I am doing great.


4 posted on 09/04/2004 11:38:29 AM PDT by Big Horn (A waist is a terrible thing to mind.)
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To: al baby

Gennifer said he eats them like a champ.


5 posted on 09/04/2004 11:39:40 AM PDT by RichInOC (Bill Clinton lies like an All-Star, parties like a rock star, and hammers like a porn star.)
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To: churchillbuff

The "Former Occupant of the Oval Office, 1993-2001" managed to build up a LOT of really bad karma in his 58 years of life, and sometimes judgment comes while you are still living.


6 posted on 09/04/2004 11:51:03 AM PDT by alloysteel
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To: churchillbuff

One thing for sure, as Bill Clinton awaits imminent life saving surgery, he must be thankful that he lives in America and "Hilliary Care" was rejected.


7 posted on 09/04/2004 11:54:55 AM PDT by Mike Darancette (Absence of evidence is not evidence of absence.)
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To: alloysteel

Never mind the karma. That Hoover of a nose put away more dollars worth of cocaine than I'm likely earn in several lifetimes. Maybe he's seeing the same doctors that are keeping Keith Richards alive.

Nobody, but nobody in the mainstream media has addressed the recreational drug levels self administered by Clinton.


8 posted on 09/04/2004 11:56:11 AM PDT by MarkBSenior
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To: churchillbuff
Hey... wanna send Billy-Blyth a get-well message... hmmm?

Key in clintonfoundation.org and click around till you see how to send him your own, personal message!

He says he's 'a-little-scared'... guess he's feeling his own mortality.

I told him to “hang in there”... I said, “I can wait 20 years to have the privilege of pissing on your grave!”

BTW...Churchill most definitely would not be above draining the snake on the rapists plot!

9 posted on 09/04/2004 12:03:44 PM PDT by johnny7 (“C'mon... you sons-'o-bitches wanna live forever?!” -'Fighting' Dan Daley USMC)
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To: churchillbuff; Dr. Eckleburg; bondserv

Granted it was an apostate church, still I can't help but muse that maybe he should not have preached a sermon on morals last Sunday and coming out, accused the president of committing false witness.


10 posted on 09/04/2004 12:05:13 PM PDT by D Edmund Joaquin (There are three that bear witness in earth, the Spirit and the water and the blood 1 John 5:8)
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To: MarkBSenior
Nobody, but nobody in the mainstream media has addressed the recreational drug levels self administered by Clinton.

Roger Clinton: "My brother has a nose like a vacuum cleaner"

I'll be very surprised if anyone in the MSM, or even FOX, brings this subject up. Someone should ask Geraldo how much blow the Slick One has used. I bet he has a good idea.

Nah, just blame the Big Mac's. That's the easy answer.

11 posted on 09/04/2004 12:13:46 PM PDT by Norman Arbuthnot
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To: churchillbuff

Thanks for posting this.

I just had an echo-cardiogram the other day, and I have to meet with my Physician in a few days in order to review the results. I am not certain what to expect but I still have it on my mind a lot.

My Doctor does not seem concerned, but I still will likely feel better after the visit when he gives me the "everything OK" signal.


12 posted on 09/04/2004 12:16:01 PM PDT by Radix (Not all Muslims are terrorists, but so far all ot the terrorists have been Muslim.)
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To: churchillbuff
How not to end up like Bill

Oh, that's easy: Turn away from the dark side and repent your scumbag ways.

13 posted on 09/04/2004 12:18:50 PM PDT by LibWhacker (It is the black heart of Islam, not its black face, to which millions object)
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To: Mike Darancette

Thing is, even if Hilary-care was implemented, he still would have had top-nothch care. See the VIP and well-to-do would always have means to get what they want , when they want. That is the snake-oil salesman part of the Dems. There socialism supposedly helps the little guys but in the long run its the little guy that pays for it not them.


14 posted on 09/04/2004 12:34:33 PM PDT by L`enn
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To: Radix

I think cocaine usage would show up as scarring on the heart muscles, not coronary blockage.


15 posted on 09/04/2004 12:49:19 PM PDT by Honestfreedom
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To: Stars N Stripes

Read your post, and thought I'd ping you here.

It is on my mind a lot.


16 posted on 09/04/2004 1:03:28 PM PDT by Radix (Not all Muslims are terrorists, but so far all of the terrorists have been Muslim.)
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To: churchillbuff
If Hillary told him once she told him a thousand times during their campaigns:

"Don't lift those heavy bags of Chinese contributions- you'll strain your heart. Get a dolly."

But he wouldn't listen.

17 posted on 09/04/2004 1:22:31 PM PDT by mrsmith ("Oyez, oyez! All rise for the Honorable Chief Justice... Hillary Rodham Clinton ")
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To: churchillbuff

save this info


18 posted on 09/04/2004 1:24:36 PM PDT by krunkygirl
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To: MarkBSenior
"Nobody, but nobody in the mainstream media has addressed the recreational drug levels self administered by Clinton"

That's riiiiiiight!!!!

BILL CLINTON'S "HEART-HEALTHY" LIFESTYLE

19 posted on 09/04/2004 1:39:22 PM PDT by soozla ("I used to think I was indecisive, but now I'm not too sure............"-John Kerry)
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To: Honestfreedom
9 out of 10 coronary docs will tell you that most "blockages" today are cleared using the balloon method - UNLESS there are complications which result in the need to do invasive surgery, such as quad-bypass.....complications such as "scarring of the heart valves, resulting in the need to replace one or some"......

Drs. prefer to use a non-invasive procedure, if AT ALL possible!!
20 posted on 09/04/2004 1:43:35 PM PDT by soozla ("I used to think I was indecisive, but now I'm not too sure............"-John Kerry)
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