WEBVTT - Dr. Joseph Puma Talks Cardio Health Risks, Innovative Screening Technology More 0:00:00.480 --> 0:00:05.400 Wake that answer up in the morning. The Breakfast Club Morning. 0:00:05.440 --> 0:00:08.400 Everybody is the j n V. Charlamagne the guy. We 0:00:08.440 --> 0:00:10.360 are the Breakfast Club. We got a special guest in 0:00:10.360 --> 0:00:12.880 the building, doctor Joseph Puma. 0:00:13.640 --> 0:00:17.479 Welcome, Welcome, Thank you for having me here. I appreciate it. 0:00:17.920 --> 0:00:20.000 Doctor Joseph Puma, I've been telling you all about this 0:00:20.200 --> 0:00:23.400 souring medical scan. I didn't know. That's not what it's called. 0:00:23.640 --> 0:00:26.960 It's souring heart skin heart skink at Soorn Medical. But 0:00:26.960 --> 0:00:29.200 tell people what sorring medical is first, Doctor Pumer. 0:00:29.640 --> 0:00:35.080 Soren Medical is a cardiovascular medical practice. We have offices 0:00:35.159 --> 0:00:39.600 throughout four of the five boroughs UH. Generally we provide 0:00:39.680 --> 0:00:45.240 care in underserved communities where what often called health deserts. 0:00:45.560 --> 0:00:48.960 There's no hospitals or not many physicians around, and we 0:00:49.080 --> 0:00:52.760 try and meet patients who need out care where they live. 0:00:53.640 --> 0:00:57.600 And I told y'all I've had every cardiovascular test there 0:00:57.720 --> 0:00:59.680 is to have over the past few months. I had 0:01:00.160 --> 0:01:02.720 name some of them. That was the EKGs. What are 0:01:02.760 --> 0:01:03.480 some of the tests? 0:01:03.680 --> 0:01:09.040 I think you had stress tests before you came to us. 0:01:10.200 --> 0:01:11.440 You had a calcium score. 0:01:11.600 --> 0:01:15.560 Calcium score and yours absolutely not only was the best, 0:01:16.160 --> 0:01:18.679 it's the one that put my mind at ease the most. Well, 0:01:18.720 --> 0:01:21.080 thank you, especially after I got those results back. 0:01:21.600 --> 0:01:22.440 But why are they. 0:01:22.319 --> 0:01:24.640 Important for people of color to get their heart tested regularly? 0:01:25.080 --> 0:01:27.800 So it's important for people of color to get their 0:01:28.760 --> 0:01:32.440 heart tested period and not regularly because one of the 0:01:32.520 --> 0:01:35.600 challenges is they're not regularly getting they're heart tested. 0:01:37.880 --> 0:01:39.000 People of color. 0:01:38.800 --> 0:01:42.760 Have a almost one and a half to two times 0:01:43.160 --> 0:01:47.039 the rate of death from heart disease. They get the 0:01:47.200 --> 0:01:49.920 risk factors for heart disease, high blood pressure. They often 0:01:50.320 --> 0:01:53.120 develop high blood pressure at an earlier age. It's more 0:01:53.160 --> 0:01:57.240 difficult to treat. They have diabetes at a higher rate, 0:01:57.360 --> 0:02:00.880 also a risk factor for heart disease. When they have 0:02:01.000 --> 0:02:04.440 heart attacks, their outcomes are worse. They have a forty 0:02:04.480 --> 0:02:08.920 percent increased chance of dying from a heart attack as 0:02:08.960 --> 0:02:17.840 compared to whites in America, and they often have much 0:02:17.919 --> 0:02:21.720 higher rates seventy percent higher rates of congestive heart failure, 0:02:22.120 --> 0:02:25.600 which is very disabling, and they developed that often at 0:02:25.639 --> 0:02:26.440 an earlier age. 0:02:26.520 --> 0:02:30.040 Well, how can people get tested? Not how can they 0:02:30.080 --> 0:02:32.360 test it? Of course, but you know they tell you 0:02:32.400 --> 0:02:34.760 at forty five years old, you get a colonoscopy. They 0:02:34.760 --> 0:02:37.000 tell you at this age you do this At what 0:02:37.080 --> 0:02:39.280 age should people be checking their heart? And you know, 0:02:39.760 --> 0:02:41.959 I go to my doctor, you know, twice a year 0:02:42.320 --> 0:02:44.760 for checkups, and that one time has he said, all right, 0:02:44.800 --> 0:02:46.120 well you need to check out your heart or there 0:02:46.120 --> 0:02:48.000 as certain signs where maybe. 0:02:47.760 --> 0:02:49.400 People say you should check out your heart. 0:02:49.240 --> 0:02:51.240 Are certain signs where they should do certain things, or 0:02:51.280 --> 0:02:53.840 should they be at a particular age where this is 0:02:53.840 --> 0:02:55.480 where you should start doing it more and more and more. 0:02:55.600 --> 0:02:56.799 Yeah, So that's a great question. 0:02:56.840 --> 0:03:00.240 So the answer to that question, I think depends on 0:03:00.280 --> 0:03:03.760 whether you have symptoms or no symptoms. If you have 0:03:03.880 --> 0:03:08.120 symptoms of discomfort in your chest, shortness of breath, more 0:03:08.160 --> 0:03:13.160 easy fatigue, not able to do the usual level of exercise, dizziness, lightheadedness, 0:03:13.360 --> 0:03:17.200 doesn't matter what age you are, you should be tested 0:03:17.600 --> 0:03:20.160 because let's you remember, heart disease is the number one 0:03:20.680 --> 0:03:23.960 killer in America. And even though over the last forty 0:03:24.040 --> 0:03:27.240 years the rate of death from heart disease has come down, 0:03:27.560 --> 0:03:30.359 it has not come down for the black community. All 0:03:30.440 --> 0:03:34.239 those gains have been in the white community. So second, 0:03:34.320 --> 0:03:38.880 if you're not necessarily symptomatic, okay, overall, you're working, you 0:03:39.000 --> 0:03:43.720 feel good, but you're forty and older as a man 0:03:43.800 --> 0:03:46.800 or fifty year older as a woman, and you've smoked, 0:03:47.440 --> 0:03:52.160 have a family history of heart disease, have high blood pressure, diabetes, 0:03:52.240 --> 0:03:57.680 are high cholesterol, then you should be tested prior to 0:03:57.760 --> 0:04:01.480 the soaring heart scan or cats scanning in general of 0:04:01.520 --> 0:04:04.160 the heart. The only test we had to determine if 0:04:04.160 --> 0:04:06.920 you had heart disease was a stress test, but that's 0:04:06.960 --> 0:04:10.640 not nearly as accurate and doesn't define the heart arteries 0:04:10.720 --> 0:04:13.480 as Charlemagne. When you came in, we sent you images 0:04:13.520 --> 0:04:17.640 of your heart arteries. We gave you a risk assessment, 0:04:18.160 --> 0:04:22.159 but and it's costly. Stress testing almost ten times the 0:04:22.200 --> 0:04:25.840 course of a cat skin. But cat scanning now takes 0:04:26.040 --> 0:04:29.200 four minutes or less. If you come into our office 0:04:29.360 --> 0:04:32.520 less than fifteen minutes of your total time, and you 0:04:32.680 --> 0:04:36.440 have a fully accurate, greater than ninety seven percent accuracy 0:04:37.160 --> 0:04:42.400 of your heart anatomy, whether there's blockage, calcium, any disruption 0:04:42.520 --> 0:04:46.240 that could potentially cause a problem later on in life. 0:04:46.320 --> 0:04:48.039 Well, I was going to ask, So you know, you 0:04:48.080 --> 0:04:50.080 go to the dentist, you have a cavity, they can 0:04:50.080 --> 0:04:54.320 fix it right, flaus it whatever, colonoscope they clean your 0:04:54.320 --> 0:04:57.240 butt out right, So now they know you know what 0:04:57.240 --> 0:04:58.880 he knows what I mean. You know, they clean it out, 0:04:58.920 --> 0:04:59.800 they cut off the polyps. 0:04:59.800 --> 0:05:00.440 You know what it is. 0:05:01.320 --> 0:05:03.120 So if there is a problem with your heart, what 0:05:03.160 --> 0:05:06.040 are the procedures to can it be done right then? 0:05:06.040 --> 0:05:06.320 And there? 0:05:06.520 --> 0:05:08.479 Talk that talk doctor Pumber, This is good. Just just 0:05:08.480 --> 0:05:09.479 move me away when you told me. 0:05:09.720 --> 0:05:09.960 Yeah. 0:05:10.040 --> 0:05:15.080 So, nationally, Medicare is now approved putting heart stents right 0:05:15.200 --> 0:05:20.039 in the office in appropriate facilities. Uh. New York State 0:05:20.200 --> 0:05:23.400 has not yet approved that, but our center down in 0:05:23.440 --> 0:05:26.760 Lower Manhattan is built for that, and we have the 0:05:26.880 --> 0:05:30.800 latest technology and cardiac cathization labs where you could have 0:05:31.360 --> 0:05:34.520 a stent put right in at that time. 0:05:34.560 --> 0:05:38.440 So a stent, a stent is a. 0:05:37.680 --> 0:05:40.120 Metal scaffold that when you have a blockage in your 0:05:40.240 --> 0:05:43.279 artery through an artery in your wrist, we put a 0:05:43.279 --> 0:05:46.360 catheter up into the heart and then over a wire 0:05:46.720 --> 0:05:50.120 through the catheter, we can pass a metal stent over 0:05:50.160 --> 0:05:52.520 a balloon and dilate it and clear. 0:05:52.279 --> 0:05:53.159 Away the blockage. 0:05:53.480 --> 0:05:55.039 So the stint doesn't stay inside of it was just 0:05:55.080 --> 0:05:56.159 it just cleans out. 0:05:56.080 --> 0:05:58.479 It stays inside you. It does stay and becomes part 0:05:58.520 --> 0:05:59.520 of the artery wall. 0:06:00.160 --> 0:06:02.000 Okay, so you have a piece of metal in you 0:06:02.040 --> 0:06:04.320 so every time you go through tsa metal detector you. 0:06:04.480 --> 0:06:05.240 It won't go off. 0:06:05.320 --> 0:06:06.800 Okay, it doesn't. 0:06:06.960 --> 0:06:08.360 It doesn't go off. 0:06:08.440 --> 0:06:11.960 It's it's very it's very small, three and a half 0:06:12.000 --> 0:06:16.320 millimeters usually, but no, it doesn't set off metal detectors. 0:06:16.360 --> 0:06:17.960 You can use your microwave. 0:06:18.000 --> 0:06:21.240 But it's the most common treatment for blocked arteries in 0:06:21.279 --> 0:06:21.760 the world. 0:06:22.520 --> 0:06:26.200 Can you explain to people what causes heart attacks and strokes? 0:06:26.640 --> 0:06:29.080 Sure, that's a that's a great question. 0:06:29.520 --> 0:06:33.039 And I think and I think that it's not only 0:06:33.080 --> 0:06:36.800 a great, great question, great question in general, because it's 0:06:36.800 --> 0:06:40.400 the leading cause of death, but in the black community, 0:06:41.200 --> 0:06:45.360 the risk of it is so much higher. I know, Charlomage, 0:06:45.400 --> 0:06:47.839 you're you're from South Carolina. I told you my family. 0:06:47.880 --> 0:06:51.120 I raised in North Carolina, and in that part of 0:06:51.120 --> 0:06:54.039 the world, we called it the stroke belt from North 0:06:54.080 --> 0:06:59.320 Carolina down to Alabama. Primarily because black men in particular 0:06:59.480 --> 0:07:02.960 have high blood pressure at such an early age, so 0:07:03.120 --> 0:07:07.600 difficult to control, less likely for African Americans to control 0:07:07.640 --> 0:07:11.120 their blood pressure than white that the risk of stroke 0:07:11.840 --> 0:07:16.760 from that elevated pressure over time causes either a blood 0:07:16.800 --> 0:07:19.520 clot in one of the arteries to the brain, or 0:07:19.760 --> 0:07:21.240 it just ruptures. 0:07:22.200 --> 0:07:23.840 Same thing with heart. 0:07:23.600 --> 0:07:27.880 Attacks or similar At least over time, the body builds 0:07:27.960 --> 0:07:31.960 up plaque in the arteries. Plaque is just cholesterol and calcium. 0:07:32.320 --> 0:07:35.040 Some of it's from our diet, some of it's genetic, 0:07:35.600 --> 0:07:39.600 some of it is accelerated if you have diabetes. In fact, 0:07:39.680 --> 0:07:43.440 if you have diabetes, you have a three times higher 0:07:43.560 --> 0:07:47.320 risk of dying from a heart attack than someone who 0:07:47.440 --> 0:07:50.520 doesn't have diabetes. So if you have diabetes, that ought 0:07:50.560 --> 0:07:53.400 to be like a flashing neon sign, I need to 0:07:53.480 --> 0:07:59.480 see a cardiologist. And in communities of color, when they 0:07:59.560 --> 0:08:04.360 have high blood pressure and they have diabetes, when they 0:08:04.520 --> 0:08:07.040 end up with a heart attack or a stroke, they 0:08:07.160 --> 0:08:10.560 usually have worse outcomes, a higher risk of dying from it, 0:08:10.640 --> 0:08:13.600 and if they survive, they're more likely to have a 0:08:13.640 --> 0:08:17.600 lower functional status, to be in congestive heart failure, or 0:08:17.640 --> 0:08:21.520 to have physical abnormalities that they're not able to do 0:08:21.600 --> 0:08:23.200 their activities of daily living. 0:08:24.200 --> 0:08:26.560 I was going to ask it, you know, so for 0:08:26.600 --> 0:08:29.400 people that's listening right now, and a lot of people 0:08:29.400 --> 0:08:30.880 don't know some of the symptoms and some of the 0:08:30.880 --> 0:08:33.880 things that you're talking about. So when you talk of diabetes, 0:08:33.960 --> 0:08:37.440 high blood pressure, high cholesterol, or there's symptoms besides going 0:08:37.480 --> 0:08:39.280 to the doctor's something that people should look out for. 0:08:39.679 --> 0:08:41.640 A lot of people in our community are scared to 0:08:41.679 --> 0:08:44.160 go to the doctor or can't afford to, don't have insurance. 0:08:44.559 --> 0:08:45.960 So what are some of the signs that they should 0:08:46.000 --> 0:08:48.360 look at. Let's start with diabetes. What is a sign 0:08:48.480 --> 0:08:50.679 of diabetes that people should look out for. 0:08:50.960 --> 0:08:53.800 Yeah, so that's a great question. 0:08:53.920 --> 0:08:55.800 DJ Envy. First of all, I would say. 0:08:57.120 --> 0:09:01.360 Healthcare should not be just for or people will well 0:09:01.400 --> 0:09:03.000 off for people who have insurance. 0:09:03.040 --> 0:09:04.680 Healthcare should be a right in this country. 0:09:04.679 --> 0:09:09.280 There's no reason are There's just no reason why we 0:09:09.280 --> 0:09:12.720 should treat any not treat any human being that needs 0:09:12.720 --> 0:09:14.760 our help. Right, and if you come to any one 0:09:14.760 --> 0:09:17.200 of our offices, we take care of everyone, regardless of 0:09:17.240 --> 0:09:19.800 their ability to pay. 0:09:19.920 --> 0:09:21.560 So that's number one. Number two. 0:09:23.360 --> 0:09:26.360 High blood pressure and diabetes both when we're in medical 0:09:26.360 --> 0:09:29.640 school where taught, they're called the silent killers because they 0:09:29.679 --> 0:09:34.079 often don't have symptoms. Okay, but when they do. If 0:09:34.080 --> 0:09:37.240 you have high blood pressure, you might feel flushed sometimes 0:09:37.320 --> 0:09:41.000 during the day in your face. You might get headaches, okay, 0:09:41.280 --> 0:09:44.360 you might have chest discomfort, you might get short of breath, 0:09:44.679 --> 0:09:46.000 all right, you don't. 0:09:45.840 --> 0:09:46.800 Need to go to a doctor. 0:09:46.840 --> 0:09:49.040 You can go to any pharmacy even and they have 0:09:49.080 --> 0:09:52.000 a blood pressure cuff there usually yep, and they'll check 0:09:52.000 --> 0:09:56.280 your blood pressure. So simple screening for that. And remember 0:09:56.320 --> 0:10:01.079 something blood pressure diagnoses often it peaks in our thirties 0:10:01.679 --> 0:10:04.720 or in our fifties, So if you're in communities of 0:10:04.760 --> 0:10:07.200 color and you're in your thirties, you should at least 0:10:07.240 --> 0:10:11.280 get a screening for blood pressure. Diabetes also very elusive 0:10:11.320 --> 0:10:16.000 in terms of symptoms. Often the first symptoms a diabetic 0:10:16.040 --> 0:10:19.400 will feel is that they're very thirsty or they're urinating 0:10:19.440 --> 0:10:22.280 a lot, and that's because their sugar levels are high 0:10:22.640 --> 0:10:26.120 and it's making them urinate, which then makes them thirsty. 0:10:26.600 --> 0:10:30.760 They often feel weak, have a brain fog, they just 0:10:30.840 --> 0:10:35.880 never feel clear. And again simple pinprick of your finger 0:10:35.920 --> 0:10:37.720 can tell you if your sugar is high or low 0:10:38.200 --> 0:10:41.080 that you probably do need to go to a doctor 0:10:41.160 --> 0:10:45.760 to have that check. Where simple blood tests. But the 0:10:45.760 --> 0:10:49.880 bigger point is simple screening things or just self awareness. 0:10:50.679 --> 0:10:53.560 You bring up fear. Fear is a big issue. Fear 0:10:53.640 --> 0:10:59.800 is a big issue for many people. People don't come 0:10:59.800 --> 0:10:59.920 to me. 0:11:01.040 --> 0:11:03.480 It's it's not like I don't know if you're married 0:11:03.559 --> 0:11:05.000 or you have kids, but you know. 0:11:05.000 --> 0:11:08.679 You remember when you both married, you met my wife. 0:11:10.240 --> 0:11:11.360 I can't bring that up again. 0:11:12.520 --> 0:11:16.280 Wow, Carolinas, Okay. 0:11:15.920 --> 0:11:17.160 I can't bring that up again. 0:11:17.200 --> 0:11:20.240 But anyway, but you remember, like the first time you're 0:11:20.240 --> 0:11:22.840 pregnant and you go to the doctor, everyone's happy and 0:11:22.880 --> 0:11:25.360 it's an exciting time. When people come to me, they're scared. 0:11:25.920 --> 0:11:29.000 I'm not sure what's going on. They may not feel well, 0:11:29.040 --> 0:11:30.480 they may have a family history. 0:11:30.520 --> 0:11:32.280 So we have we have to deal with that fear. 0:11:32.640 --> 0:11:34.920 One of the ways you deal with that fear is 0:11:34.960 --> 0:11:38.839 by bringing health care to them, as opposed to saying, here, 0:11:38.880 --> 0:11:40.880 I'm in a big, fancy building, come to me. 0:11:40.960 --> 0:11:42.280 I'm really smart. 0:11:42.559 --> 0:11:45.640 We go to them, we want to be in their community, 0:11:45.760 --> 0:11:47.960 and then if there is an issue where they need. 0:11:47.880 --> 0:11:50.120 A test, make it easy for them. 0:11:50.160 --> 0:11:54.040 Okay, explain talk. You know, people are a lot smarter 0:11:54.120 --> 0:11:58.160 than sometimes we give them credit for. And understanding where 0:11:58.200 --> 0:12:00.760 they're from and and trying to learn about them and 0:12:00.800 --> 0:12:04.400 their family can help kind of bring people together and 0:12:04.440 --> 0:12:05.680 have an honest conversation. 0:12:05.960 --> 0:12:07.480 I think people want you to talk to about the 0:12:07.600 --> 0:12:09.720 You know, when I asked you what causes the heart 0:12:09.760 --> 0:12:11.280 attacks of scrips. I want you to talk about like 0:12:11.920 --> 0:12:14.880 the blockage and how the plaque breaks off and that stuff. 0:12:15.360 --> 0:12:19.360 So in the carnery artery, so for strokes, if you 0:12:19.400 --> 0:12:21.839 have high blood pressure, just the high blood pressure, right, 0:12:21.880 --> 0:12:24.240 It's the same as if you have high blood pressure 0:12:24.240 --> 0:12:25.640 in your water heater at home. 0:12:25.679 --> 0:12:27.880 If it gets to a certain level, boom, it just pops. 0:12:28.280 --> 0:12:29.559 But in the hard arteries. 0:12:29.720 --> 0:12:33.000 You can even have a mild to moderate plaque in 0:12:33.040 --> 0:12:37.600 your arteries and then some stressor you're smoking a cigarette 0:12:37.600 --> 0:12:40.360 one day, you're in an argument with someone, you're having 0:12:40.480 --> 0:12:43.640 stressful time at work, it can cause that plaque to 0:12:43.720 --> 0:12:46.920 rupture and then causes a blood clot And that's a 0:12:46.920 --> 0:12:52.400 big challenge. The reason when when you ask DJ Envy 0:12:52.440 --> 0:12:55.120 about who should have the scan or you know, and 0:12:55.160 --> 0:12:57.880 we said, even in people who are not symptomatic, if 0:12:57.880 --> 0:13:01.679 they have risk factors, they should have a scan. Because 0:13:01.760 --> 0:13:04.240 one in three people that have a heart attack find 0:13:04.280 --> 0:13:06.600 out they're having they have heart disease the day they 0:13:06.600 --> 0:13:07.800 have their heart attack. 0:13:08.080 --> 0:13:10.720 And out of those, one in three die the day 0:13:10.760 --> 0:13:11.800 they have their heart attack. 0:13:12.240 --> 0:13:16.760 So it's it's often unpredictable. So unless you know you 0:13:16.880 --> 0:13:20.440 have some plaque, then there are strategies as we discuss, 0:13:21.120 --> 0:13:25.439 whether it's statin medications, aspirind counseling to help you maybe 0:13:25.440 --> 0:13:32.400 stop smoking if you smoke, weight reduction, things of that 0:13:32.600 --> 0:13:37.400 nature that can help. But heart attacks are I like 0:13:37.440 --> 0:13:41.080 to think of it this way. You know, if you're 0:13:41.080 --> 0:13:44.000 having if you're lucky enough to have symptoms, it's kind 0:13:44.000 --> 0:13:45.520 of like when you're driving your car and the little 0:13:45.600 --> 0:13:49.319 light goes on, says the tires run and low right. Usually, 0:13:49.360 --> 0:13:51.320 if you're having symptoms or you see that light, you'll 0:13:51.360 --> 0:13:53.760 attend to it so that you don't end up with 0:13:53.840 --> 0:13:56.439 a blowout, let's say, on the on the highway. 0:13:56.720 --> 0:13:57.560 That's like a heart attack. 0:13:57.800 --> 0:14:00.839 But many people don't have symptoms until the day they 0:14:00.840 --> 0:14:01.680 have their heart attack. 0:14:01.800 --> 0:14:02.880 I was going to ask, you know, a lot of 0:14:02.880 --> 0:14:06.600 people feel like there's a difference between smoking weed and 0:14:06.640 --> 0:14:09.680 smoking cigarettes. Is there is there a big difference between 0:14:09.720 --> 0:14:12.440 the two or is it still putting smoke in your lungs. 0:14:12.520 --> 0:14:14.160 It's still putting smoke in your lungs. 0:14:14.679 --> 0:14:20.400 Different agents that's causing you causing the addiction, right, we 0:14:20.480 --> 0:14:23.360 get a different feel. You know, you get a high, 0:14:23.440 --> 0:14:27.080 let's say, from smoking weed, whereas nicotine is giving you 0:14:27.120 --> 0:14:28.400 a different kind of addiction. 0:14:29.080 --> 0:14:32.280 But it's the tar. It's the junk that's going. 0:14:32.080 --> 0:14:36.400 In the lungs that adversely affects you and eventually affects 0:14:37.560 --> 0:14:38.680 the arteries in the heart. 0:14:38.840 --> 0:14:42.000 What if I smoke joints, are smoking a bong, and 0:14:42.080 --> 0:14:43.960 I'm not using tobacco products. 0:14:44.920 --> 0:14:49.560 So non tobacco products are better than tobacco products. But 0:14:49.840 --> 0:14:53.120 as we saw, for instance, just with vaping, right early 0:14:53.160 --> 0:14:56.800 on with vaping, I actually encourage folks that I took 0:14:56.840 --> 0:15:00.760 care of that we're having trouble stopping cigarettes the vape 0:15:01.360 --> 0:15:03.600 because it gave them the nicotine, but it didn't give 0:15:03.640 --> 0:15:06.120 them the junk. But I don't think we have enough 0:15:06.160 --> 0:15:13.040 studies or really understand enough. What about edibles that has 0:15:13.080 --> 0:15:17.200 no effect, no significant effect from a cardiac standpoint. 0:15:19.280 --> 0:15:22.080 What if a pation doesn't have insurance. That's the other 0:15:22.120 --> 0:15:24.640 thing I found very impressive about Soeign Medical. 0:15:25.320 --> 0:15:29.120 So we take care of anybody we're in the community, 0:15:29.200 --> 0:15:33.680 whether we're in Inwood, Upper Manhattan, Harlem, Crown Heights, Brownsville, 0:15:33.720 --> 0:15:37.560 we have offices in all these communities. We have great physicians, 0:15:38.640 --> 0:15:43.600 and we take care of everybody. If they don't have insurance, 0:15:43.720 --> 0:15:46.520 at least testing in our office. We basically do for 0:15:46.560 --> 0:15:49.640 free quite honestly, even though we're not a free clinic 0:15:49.880 --> 0:15:54.320 per se, but we'll help patients to get them the 0:15:54.360 --> 0:15:57.000 care that they need. Either you're part of the community 0:15:57.400 --> 0:15:59.760 or you're not. Is really it's a buying every thing. 0:16:00.560 --> 0:16:03.280 There's really no in there's no in between. 0:16:03.400 --> 0:16:04.720 And y'all take insurance as well. 0:16:04.840 --> 0:16:06.200 We tell yeah, of course. 0:16:06.000 --> 0:16:09.720 We taken We take insurance and and we have a 0:16:09.800 --> 0:16:13.200 team to to get the prior authorizations. I mean, you 0:16:13.240 --> 0:16:15.320 know today insurance, it just happened. Just because you have 0:16:15.360 --> 0:16:19.000 a card doesn't mean you get great health care. There's 0:16:19.040 --> 0:16:22.520 a lot of work behind it. But but that's why 0:16:22.560 --> 0:16:24.720 we try and build loyalty with the people we take 0:16:24.760 --> 0:16:27.600 care of. We try and take time with them, and 0:16:28.240 --> 0:16:28.520 you know. 0:16:28.480 --> 0:16:29.240 We're there to help. 0:16:29.640 --> 0:16:32.080 And I want to read my results that that doctor 0:16:32.120 --> 0:16:35.280 Sorn sent me, because y'all send five things after you 0:16:35.280 --> 0:16:38.400 have the test. It's to images of your coronary heart arteries, 0:16:39.000 --> 0:16:42.200 your heartflow analysis of the arteries, right, what is that exactly? 0:16:42.640 --> 0:16:45.480 So the heartflow analysis is if there is any plaque 0:16:45.520 --> 0:16:48.600 in the artery. It's a Heartflow is a company based 0:16:48.600 --> 0:16:54.480 in California that has proprietary AI software that can actually 0:16:54.520 --> 0:16:58.640 assess the flow to determine if that plaque, that blockage 0:16:58.800 --> 0:17:02.320 is obstructive needs to be treated with a stent or bypass, 0:17:02.680 --> 0:17:07.879 or non obstructive needs aggressive medical therapy. It's amazing software. 0:17:08.200 --> 0:17:12.840 We use it on all our patients. And it's that alone, 0:17:12.880 --> 0:17:16.399 That software alone has been proven to make you to 0:17:16.480 --> 0:17:21.440 reduce mortality, increases survival by having cat the soreing heart 0:17:21.880 --> 0:17:23.120 scan with heartflow. 0:17:23.240 --> 0:17:24.880 And so y'all and y'all send the sore and heart 0:17:24.920 --> 0:17:28.840 scan final report. You send your blood work report. And finally, 0:17:29.119 --> 0:17:32.400 which I really loved, the ten year risk of cardiovascular 0:17:32.440 --> 0:17:34.600 events which is heart attack, stroke of death. Now this 0:17:34.640 --> 0:17:37.480 is what put my mind at ease. Overall, your results 0:17:37.520 --> 0:17:39.960 are excellent. Despite a high calcium score for your age, 0:17:39.960 --> 0:17:42.760 there is only minimal plaque in your heart arteries. Furthermore, 0:17:43.000 --> 0:17:47.840 your lipid cholesterol profile. Your cholesterol profile is excellent and 0:17:47.960 --> 0:17:50.879 well below goal on your current statin medication and aspirin, 0:17:50.880 --> 0:17:53.200 which I would continue. Your blood pressure and heart rate 0:17:53.200 --> 0:17:55.480 are those of a man twenty years younger. All these 0:17:55.480 --> 0:17:58.560 factors contribute to a very low ten year cardiovascular risk 0:17:58.600 --> 0:18:01.080 of only three point five percent optimal for men of 0:18:01.080 --> 0:18:02.680 your age would be three percent, So you are in 0:18:02.840 --> 0:18:05.440 very good shape. That put my mind at ease more 0:18:05.440 --> 0:18:08.840 than all of the tests I did prior to come 0:18:08.880 --> 0:18:10.160 into sovereign medical. 0:18:10.880 --> 0:18:14.200 And how long did it take, I. 0:18:14.119 --> 0:18:16.520 Mean four minutes to do this skin. I was looking 0:18:16.560 --> 0:18:18.800 at my heart within the next fifteen and I think 0:18:18.800 --> 0:18:20.400 I got those results the next day. 0:18:20.680 --> 0:18:24.439 That's correct. Yeah, yeah, that's that's that's correct. So I 0:18:24.640 --> 0:18:25.479 flipping it back to you. 0:18:25.600 --> 0:18:25.960 I need this. 0:18:26.000 --> 0:18:27.320 You need to sign me up. You know, I'm kind 0:18:27.320 --> 0:18:29.280 of upset. We do everything together. We got a colonosc 0:18:29.240 --> 0:18:29.800 compete together. 0:18:29.800 --> 0:18:30.320 That's not true. 0:18:31.359 --> 0:18:34.800 That is true. That is true. And he didn't call 0:18:34.880 --> 0:18:35.920 me for this one, which is fine. 0:18:35.960 --> 0:18:36.480 That is not true. 0:18:36.480 --> 0:18:37.600 I told you I was going to get it. You 0:18:38.160 --> 0:18:40.639 didn't say hey, I didn't know how to explain it. 0:18:40.800 --> 0:18:42.320 I was like, I'm going to get my heart looks 0:18:42.359 --> 0:18:46.840 at It's like I told you that I'm going to 0:18:46.840 --> 0:18:47.840 get one. You knew what that was. 0:18:47.960 --> 0:18:49.720 But yeah, So I need you to sign me up, doc, 0:18:49.760 --> 0:18:51.720 because I definitely want to check. I'm one of those 0:18:51.720 --> 0:18:54.480 people that I use my health insurance so if there's 0:18:54.520 --> 0:18:57.960 a problem of feeling I go some of the times 0:18:58.000 --> 0:19:00.440 it's very stupid. But my doctors looking me like, why 0:19:00.440 --> 0:19:02.240 are you back? Like I have tennis elbow and I 0:19:02.240 --> 0:19:03.720 don't even know what tennis elbow is. I haven't played 0:19:03.720 --> 0:19:05.560 tennis in ten years, but my elbow is still kind 0:19:05.560 --> 0:19:08.320 of rickety, rickety, rickety. But I would definitely like to 0:19:08.359 --> 0:19:10.200 sign up because I definitely would like to make sure 0:19:10.200 --> 0:19:11.040 that I'm here for my kids. 0:19:11.040 --> 0:19:13.320 I have six kids, so I want to make sure 0:19:13.320 --> 0:19:14.080 I'm here for my kids. 0:19:14.080 --> 0:19:16.920 You'd be welcome to come, and again, I just think 0:19:16.960 --> 0:19:20.840 the access making it easy, right. 0:19:21.760 --> 0:19:23.320 You know, you all are people. 0:19:23.000 --> 0:19:27.399 Of means and you know, but it's for everybody, and 0:19:28.000 --> 0:19:30.200 you can and you can really make a great impact 0:19:30.920 --> 0:19:34.280 for people who may have some fear, aren't sure what 0:19:34.320 --> 0:19:36.520 the entry point is, aren't sure what to do. 0:19:36.600 --> 0:19:38.960 So I appreciate you inviting me. 0:19:39.000 --> 0:19:43.120 I appreciate thanks taking the time and talking about it, 0:19:43.280 --> 0:19:45.639 and I hope we can help some people. 0:19:45.800 --> 0:19:48.399 And where can they get more information? I'll reach you directly. 0:19:48.720 --> 0:19:53.200 On our website soor in medical ny dot com. We're 0:19:53.200 --> 0:19:55.280 on Instagram. 0:19:55.440 --> 0:19:56.960 I've never been on any of these things. 0:19:56.960 --> 0:19:59.119 I've been practicing for over thirty years, but in the 0:19:59.160 --> 0:20:01.920 past year, all the young folks in our practice. 0:20:01.600 --> 0:20:02.800 Have us on Instagram and. 0:20:04.480 --> 0:20:08.560 On the website now and they can call the office 0:20:08.640 --> 0:20:09.680 or send us an email. 0:20:10.680 --> 0:20:12.600 As you saw, we respond right away. 0:20:12.640 --> 0:20:14.919 We get you in right away, and we give you 0:20:15.000 --> 0:20:19.040 comprehensive results, and if we think there's something more, we 0:20:19.119 --> 0:20:22.200 make sure that we shepherd you through your health care 0:20:22.280 --> 0:20:23.760