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Speaker 1: What's up, its way up with Angela Yee, and I'm

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Speaker 1: excited to have doctor Rachel Bond here with me today.

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Speaker 1: Doctor Rachel Bond is a board certified attending cardiologist and

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Speaker 1: a woman's heart health and prevention specialist. And also I

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Speaker 1: saw you recently have been on it to serve as

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Speaker 1: Madam President elect of the American Heart Association Greater Phoenix

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Speaker 1: Board of Directors.

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Speaker 2: So congratulations on all of that. Thank you, thank you.

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Speaker 3: I'm looking forward to it, and.

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Speaker 1: I just want to put all of that out there

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Speaker 1: because as we're having these discussions that I think are

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Speaker 1: so important when it comes to heart health and when

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Speaker 1: it comes to Black women and heart health, I just

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Speaker 1: want to make sure people understand who we're speaking to

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Speaker 1: and why it's a great pleasure for us to have

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Speaker 1: you here today, because I know you're super busy and

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Speaker 1: took time out to travel here to come and do this.

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Speaker 3: Yes, but I wouldn't have missed it for the world.

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Speaker 3: This is really the core for me in terms of

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Speaker 3: my passion just to speak to the community and make

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Speaker 3: sure that the community sees the faces of what doctors

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Speaker 3: and cardiologists actually look like work that we're doing and

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Speaker 3: dactor Rachel ban I would also want to point out

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Speaker 3: the fact that I think I read a statistic that

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Speaker 3: less than three percent of Black people are cardiologists. Yeah,

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Speaker 3: so actually, when you look at the medical field as

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Speaker 3: a whole, five point six percent, both male and female,

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Speaker 3: Black are just physicians in general when it comes to cardiologists.

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Speaker 3: For me, as a black female cardiologist, I make up

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Speaker 3: less than two percent of the population. So I'm a

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Speaker 3: unicorn when you think about it. And I'm honored because

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Speaker 3: I have patients that actually seek me because of what

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Speaker 3: I look like and who I am in my cultural background.

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Speaker 3: But there's a reason behind that, because we see statistically,

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Speaker 3: when you have somebody that you can identify with, outcomes

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Speaker 3: are better. They're more likely to listen to you, they're

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Speaker 3: more likely to believe you. They're also more likely to

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Speaker 3: advocate for you. And that really makes the biggest difference

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Speaker 3: when we see it in the medical field. And this

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Speaker 3: is especially important because because heart health is the leading

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Speaker 3: heart disease is the leading cause of death for Black women,

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Speaker 3: and I think people don't realize that the number one

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Speaker 3: leading cause exactly exactly. And I volunteer quite a bit

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Speaker 3: with many of our cardiovascular societies, one of them being

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Speaker 3: the American Heart Association, and they actually did a survey

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Speaker 3: recently where they saw that the black and brown community

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Speaker 3: were the least likely to realize that heart disease was

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Speaker 3: the leading cause, particularly in our young young population, so

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Speaker 3: women of reproductive age between the ages of thirty five

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Speaker 3: to fifty four. So we have to get the messaging

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Speaker 3: out there. When we look at those statistics, one in

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Speaker 3: three women will die of heart disease. The other most

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Speaker 3: common thing people think about is their biggest threat is

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Speaker 3: breast cancer, and that's about one in forty five women

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Speaker 3: will die of that. So one in three heart disease,

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Speaker 3: one in forty five breast cancer.

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Speaker 1: And I read that one in three black maternal deaths

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Speaker 1: is due to cardiovascular disease as well, and it's a

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Speaker 1: good indication that something is wrong. Also, if you have

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Speaker 1: preeclampsia and things like that, when you go into.

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Speaker 3: Labor exactly exactly, So now we're learning that pregnancy is

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Speaker 3: really a window to future health if you have any

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Speaker 3: of those complications. So what is pre eclampsia For those

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Speaker 3: that don't know, it's when your blood pressure could become

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Speaker 3: dangerously elevated. And it could affect other organs. It becomes

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Speaker 3: really dangerous for both the mother and the baby, and

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Speaker 3: sometimes the only option is delivery. We know that not

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Speaker 3: only does that impact your actual short term risk in

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Speaker 3: terms of cardiac events, but actually up to twenty years

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Speaker 3: after you deliver, you can still be at risk of

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Speaker 3: heart disease. So making sure you get your your numbers checked,

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Speaker 3: like your cholesterol, your blood pressure, you're talking to your

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Speaker 3: physician that your trust, you make sure you're exercising and

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Speaker 3: eating healthy. Those are ways to prevent that and decrease

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Speaker 3: that overall risk. But it's also important to know that

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Speaker 3: what happens during your pregnancy could actually indicate your future life.

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Speaker 3: And that's crazy for some people when they think about it,

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Speaker 3: because we have many women out there that are experiencing

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Speaker 3: these conditions because of the fact that they socially are

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Speaker 3: dealing with a lot of these extra stressors because they

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Speaker 3: have those lived experiences, and that's why we're seeing disproportionately

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Speaker 3: all of these conditions are affecting women of color, specifically

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Speaker 3: black women.

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Speaker 1: And the reason we have you here, Dakta Rachel Bon,

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Speaker 1: because some of these things, a lot of this can

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Speaker 1: be preventable so I want to make sure we discuss that.

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Speaker 1: But first I want to ask you what are some

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Speaker 1: signs that people should look for if there's something wrong,

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Speaker 1: Like if you could feel something, what would you say,

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Speaker 1: are some things that are indications that like, okay, I

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Speaker 1: need to get this checked out.

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Speaker 3: Absolutely, So that's a wonderful question. First and foremost, both

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Speaker 3: men and women experience the classic symptoms of chest pain.

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Speaker 3: So if you think about it in the movie, someone

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Speaker 3: clutching the center of their chest like an elephant is

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Speaker 3: sitting on their chest. But women more than men, may

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Speaker 3: also have other symptoms where they may feel shoulder pain,

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Speaker 3: they may feel nauseous, they may even feel tired or fatigued.

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Speaker 3: That don't underestimate the tiredness and the fatigue, especially if

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Speaker 3: you have risk factors for heart disease, because that could

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Speaker 3: be a sign that there is something going on and

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Speaker 3: you need to seek help immediately. Yeah, because sometimes we

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Speaker 3: think we're just exhausted, because we are we are exactly,

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Speaker 3: But then you have to know when is that something

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Speaker 3: that is an issue or something that you need to

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Speaker 3: get checked out. What are some other things that we

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Speaker 3: can do to help prevent heart disease in us? And

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Speaker 3: I do want to say, Coach Jesse's not here today,

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Speaker 3: but I'm doing this and I know you're familiar with

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Speaker 3: Coach Jesse as well. But the reason why I partner

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Speaker 3: it up with her to do this whole the detox

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Speaker 3: now is because there's just so many different things that,

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Speaker 3: like we said, are preventable, and if we pay attention

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Speaker 3: to our everyday habits and things that we have going on,

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Speaker 3: we can prevent a lot of this. So, you know,

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Speaker 3: let's talk about some of the things. Absolutely, So, as

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Speaker 3: you said so nicely, heart disease is very preventable. It's

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Speaker 3: actually preventable eighty percent of the time.

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Speaker 2: Wow.

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Speaker 3: The way to prevent it is by knowing your risk factors.

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Speaker 3: So the common ones that we can change, like your

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Speaker 3: blood pressure, your cholesterol, is your weight at goal, are

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Speaker 3: you eating healthy? Are you avoiding those toxins like cigarettes

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Speaker 3: and excessive alcohol use, and are you exercising. But I

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Speaker 3: think it's also important for us to sit down and

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Speaker 3: talk to our family and talk about our family history.

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Speaker 3: In communities of color, a lot of times, what I've

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Speaker 3: noticed is that those conversations aren't often happening around the

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Speaker 3: kitchen table. You know, Mom had high blood pressure. They

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Speaker 3: think it's sort of normal genetics, But what we don't

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Speaker 3: realize is did that lead to something else? And those

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Speaker 3: conversations need to happen because if you have a strong

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Speaker 3: family history of heart disease, unfortunately, that does predispose you

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Speaker 3: to having it as well. And getting yourself checked a

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Speaker 3: little bit earlier than what is recommended is usually what

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Speaker 3: we are offering patients because we want to start as

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Speaker 3: early as possible. A lot of the work I'm doing

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Speaker 3: right now also, yes I'm an adult cartiologist, but I

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Speaker 3: partnered with a lot of cardiovascular society is to also

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Speaker 3: start targeting the youth because we want to make sure

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Speaker 3: that we're educating the youth on knowing what their blood

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Speaker 3: pressure is and what even blood pressure means, and what

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Speaker 3: cholesterol is, and how to eat healthy and exercise and

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Speaker 3: distress because stress is another big risk factor for our

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Speaker 3: community that can increase our risk of heart disease.

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Speaker 1: It feels like it's so hard to de stress too,

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Speaker 1: because we say, Okay, we got to start doing this more,

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Speaker 1: doing that more, and some of these things can feel

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Speaker 1: overwhelming because it's kind of like, while I'm trying to

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Speaker 1: do this and figure this out. I can't even sleep

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Speaker 1: at night because my mind is racing thinking about all

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Speaker 1: the things that I have going on, thinking about finances,

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Speaker 1: thinking about what's going on in the United States and

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Speaker 1: even around the world. Sometimes it can feel like, well,

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Speaker 1: how do y'all expect me to distress when I have

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Speaker 1: all of these worries even right now? People thinking about

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Speaker 1: the economy, and how am I going to make this happen?

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Speaker 1: Will I ever be able to own a home? There's

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Speaker 1: so many things that people have to worry about.

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Speaker 3: I agree, I agree, And what I usually tell my

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Speaker 3: patience is take it one day at a time. Let's

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Speaker 3: achieve one thing if we could within that day, and

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Speaker 3: it doesn't matter if we're not able to achieve everything

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Speaker 3: we set out to do, but if we're achieving that

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Speaker 3: one simple thing, it's going to go a long way.

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Speaker 3: And a lot of times for us, particularly as black women,

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Speaker 3: we often take care of everyone else but ourself. So

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Speaker 3: having a moment for self care is such an important aspect,

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Speaker 3: and I myself am trying to practice what I preach.

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Speaker 2: You're like, I gotta I fail you. I was telling

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Speaker 2: somebody the other day.

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Speaker 1: We had a nice conversation on the phone and she

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Speaker 1: was just talking about all of the stress that she has,

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Speaker 1: and I was like, what are you doing for yourself though,

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Speaker 1: because you can't help everybody else if you're not doing

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Speaker 1: things to take care of yourself. And I told her,

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Speaker 1: I was like, even your family, I'm sure like they

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Speaker 1: can see how oppressive all of this is for you

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Speaker 1: and that kind of like energy can chancefer over. And

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Speaker 1: she was like, you're right, Like my son wants to

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Speaker 1: see me happy. He even told me, like, do something

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Speaker 1: for yourself. Mom, Like, I want you to do some

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Speaker 1: things for yourself, but it's so hard because we feel

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Speaker 1: like we have to give all the time.

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Speaker 3: Exactly and sometimes doing things for ourself for not just

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Speaker 3: doing spa days and taking off a day of work,

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Speaker 3: it's also going to the doctor because a lot of times,

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Speaker 3: because we're doing so much for others, we lose sight

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Speaker 3: of those general follow throughs that make the biggest difference

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Speaker 3: when it comes to our cardiovascular health.

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Speaker 1: One thing I also like to focus on is if

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Speaker 1: you can't do anything else, think about what are you

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Speaker 1: putting into your body and the nutrients and things that

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Speaker 1: you need. So when it comes to that, because and

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Speaker 1: I've always talked about this, but early on, when I

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Speaker 1: was in my twenties, I had like a scare with

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Speaker 1: high cholesterol, and I was so young, and I remember

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Speaker 1: the doctor telling me, look, if you don't take care

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Speaker 1: of this now, then later on in life, you'll be

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Speaker 1: on medication every single day. And that scared me enough

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Speaker 1: to be like, okay, let me think about what I'm eating.

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Speaker 1: You know, I love fried food, so back then I

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Speaker 1: was doing the most. I wasn't really working out. I

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Speaker 1: was just you know, going to work, doing what I

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Speaker 1: had to do, eating whatever I felt like eating. I

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Speaker 1: was ninety something pounds, so I wasn't thinking that anything.

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Speaker 1: People would look at you and think like, Okay, you know,

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Speaker 1: she looks healthy, she's skinny, she's whatever. And they can

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Speaker 1: look at somebody that's overweight and say, okay, that person

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Speaker 1: is unhealthy, but you don't know that. You don't know

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Speaker 1: what that person is doing. So can we talk about nutritionally?

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Speaker 1: What are some things that we can do to take

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Speaker 1: more control over our bodies?

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Speaker 3: Absolutely?

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Speaker 2: Absolutely.

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Speaker 3: One thing that we always are pushing for is having

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Speaker 3: the time to actually make our meals. Eating out Unfortunately,

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Speaker 3: although it tastes really good a lot, so many times

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Speaker 3: and it's so easy and social and social exactly, but

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Speaker 3: a lot of times there's ingredients in that takeout that

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Speaker 3: are not good for us. There's high amounts of sodium

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Speaker 3: and saur traded fat, and when we're cooking for ourself,

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Speaker 3: we want to be really very mindful about what we're

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Speaker 3: including in those ingredients. We want to have a low

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Speaker 3: sad traded fat diet. So that means cutting back on

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Speaker 3: the red meats and the fried foods. As you mentioned,

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Speaker 3: it doesn't mean getting rid of it completely, but thinking

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Speaker 3: about it in more of a moderation perspective. That's what

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Speaker 3: I always tell my patience. And you want to make

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Speaker 3: sure every plate is colorful, right, so we have to

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Speaker 3: have vegetables and salads with every meal because it does

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Speaker 3: actually make the biggest difference. I will say furthermore, with

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Speaker 3: the cholesterol, only twenty five percent of our cholesterol comes

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Speaker 3: from what we eat and also what we burn in

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Speaker 3: terms of our physical activity. The rest is genetics. And

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Speaker 3: this is why knowing your family history is so important.

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Speaker 1: Yeah, my dad definitely has high blood pressure, okay, Yeah,

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Speaker 1: and then the other thing is vitamins. And I know

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Speaker 1: part of why I teamed up with Coach Jesse is

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Speaker 1: to do these prevent her multi vitamins as part of

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Speaker 1: the detax now, and so I'm like, whatever we can

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Speaker 1: do to add our part. She does the D three

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Speaker 1: and the K two that helps our heart health, immune support,

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Speaker 1: bone strength, all of those things. And so it's kind

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Speaker 1: of like all in one when it comes to making

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Speaker 1: sure you take care of yourself.

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Speaker 2: Right exactly exactly.

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Speaker 3: I can't speak enough about vitamins on people under estimate

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Speaker 3: it and vitamin D. I'll touch upon that a little

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Speaker 3: bit because for communities of color, we often have a

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Speaker 3: severe deficiency. How do we get vitamin D through the

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Speaker 3: sun and the extra melanin that you have prevents that

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Speaker 3: from actually getting absorbed in that level getting higher than

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Speaker 3: what it should be. So this is why knowing what

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Speaker 3: your vitamin D levels is important because it does impact

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Speaker 3: cardiac health just like it impacts bone health and fertility

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Speaker 3: as well. People don't realize that. What bay do you

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Speaker 3: get into this work in particular? Yeah, so I'm actually

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Speaker 3: the first medical doctor in my family. I knew I

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Speaker 3: wanted to be a doctor when I was born.

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Speaker 2: That's what I tell my That's what my parents tell me.

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Speaker 2: I like this exactly exactly.

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Speaker 3: However, what really made me passionate about going into the

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Speaker 3: field of cardiology is because I learned very early on

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Speaker 3: that it is the leading cause of death in the

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Speaker 3: United States, and I wanted to make a big difference.

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Speaker 3: I'm a preventative cardiologist, so my goal is to prevent

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Speaker 3: heart disease. Like that, it sounds way more hopeful than

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Speaker 3: yes exactly. You know, I love my colleagues that fix

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Speaker 3: the blocked vessels and when there are conditions, and of

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Speaker 3: course I help with that as well, But my main

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Speaker 3: goal has really been to prevent cardiovascular disease and have

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Speaker 3: a conversation with patients so they better understand what their

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Speaker 3: risks are. As we mentioned, as we discussed earlier, we

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Speaker 3: can prevent heart disease eighty percent of the time, but

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Speaker 3: we're not going to do that if we don't know

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Speaker 3: what our risk factors are. When you think about this

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Speaker 3: current administration, it feels like there's a lot of blackages

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Speaker 3: when it comes to making sure that we're able to

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Speaker 3: do what we need, because the truth is, black women

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Speaker 3: are disproportionately affected. Black people are disproportionately affected when it

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Speaker 3: comes to heart disease also. But we do want to

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Speaker 3: make sure that there are some preventative things and access.

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Speaker 3: Has there been issues when it comes to that, or

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Speaker 3: do you feel like we're still on the right track.

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Speaker 3: I think we're still on the right track. I think

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Speaker 3: those that are doing the grassroot efforts are still making

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Speaker 3: sure that those people that need this care the most

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Speaker 3: are receiving the care. I think also a lot of

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Speaker 3: our national organizations are finding ways to combat what is

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Speaker 3: going on at the national level and even the global level.

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Speaker 3: When you think about it, one thing that's extremely important

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Speaker 3: is access. As you mentioned, and for even me as

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Speaker 3: a black female cardiologist that focuses and specializes in women's

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Speaker 3: cardiovascular health where I'm currently practicing, there are people that

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Speaker 3: have actually traveled very, very far.

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Speaker 2: To reach me.

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Speaker 3: One thing that's been really helpful is telemedicine, which is

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Speaker 3: where we're able to virtually meet with patients that may

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Speaker 3: live several zip codes away from us and they may

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Speaker 3: not have the luxury of driving to our office visit.

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Speaker 3: So that I'm hopeful about because at the larger scale,

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Speaker 3: I will say that we are still able to reach

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Speaker 3: the people that we need to reach. Another way we're

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Speaker 3: reaching them is getting into the community and partnering with

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Speaker 3: like the faith based community and trusted community leaders, And

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Speaker 3: I do a lot of work on my free time

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Speaker 3: whenever that is to make sure that I go out

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Speaker 3: into the community and I'm teaching and giving guidance on

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Speaker 3: what questions they should be asking their healthcare professionals when

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Speaker 3: they're having their office visits, so they overall understand what

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Speaker 3: their risks are. And I think that's making the biggest difference.

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Speaker 1: It's interesting because I was at All Star weekend and

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Speaker 1: I was a judge for this pitch competition, and one

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Speaker 1: of the pitches that made it to the top seven,

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Speaker 1: this gentleman he wants to bring he wants to bring

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Speaker 1: testing to barbershops, you know, so you can get your

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Speaker 1: blood pressure checked out, like while you're in the barbershop,

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Speaker 1: and actually train the barbers to be able to do things,

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Speaker 1: you know like that. So I think we have to

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Speaker 1: be really creative. But the other thing that really concerns

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Speaker 1: me is just from the ground level up as we're

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Speaker 1: talking about the numbers of people that look like you,

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Speaker 1: of black women who are you know, doing this work,

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Speaker 1: who are cardiologists just even starting like going to school

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Speaker 1: and getting on the path to be able to have

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Speaker 1: access to education. We know it takes a long time,

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Speaker 1: which I should, you know, and it does also take money,

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Speaker 1: and it also does take that from a young age

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Speaker 1: to be able to know this is what I want

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Speaker 1: to do. You knew from when you were born, you know,

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Speaker 1: And I know that's also not an easy thing for

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Speaker 1: people to be able to have access to grow up

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Speaker 1: and even see other people that look like them to

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Speaker 1: want to follow in those footsteps exactly.

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Speaker 3: And that's also why there are amazing organizations out there

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Speaker 3: that are trying to provide that mentor mentorship perspective. I

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Speaker 3: was so fortunate to have amazing mentors in my life,

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Speaker 3: but also sponsors, so people who brought me to the

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Speaker 3: table made sure I had a seat at the table

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Speaker 3: with them, and still to this day. You know, there

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Speaker 3: are periods in my life where I feel I'm often

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Speaker 3: overqualified and still not necessarily receiving what I want to achieve,

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Speaker 3: or maybe I have to work a little bit harder,

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Speaker 3: But that doesn't discourage me. It just actually pushes me

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Speaker 3: and motivates me to want to make sure that when

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Speaker 3: I'm speaking with my mentees, I make it easier for them,

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Speaker 3: and that's really my goal and my passion. And now

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Speaker 3: that I've understood that it's my passion, I also think

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Speaker 3: it's my purpose to help those that are going to

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Speaker 3: come after me. That way, their path is a little

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Speaker 3: bit easier than what my path was.

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Speaker 2: I love that.

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Speaker 1: See, all these things are important conversations, and I appreciate

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Speaker 1: the work that you're doing because, like I said, it's

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Speaker 1: not you know, there's not a lot of you that

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Speaker 1: people can reach out to. So I know it can

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Speaker 1: be overwhelming for you too to want to help everybody,

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Speaker 1: but to be like it's.

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Speaker 2: Only one of me that can do it.

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Speaker 1: But you know, we do have to start treating our

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Speaker 1: health like a priority, and that's one thing that I

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Speaker 1: want to make sure that we stress. So if heart disease,

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Speaker 1: like you said, if it runs in your family, you

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Speaker 1: want to stay ahead of the game.

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Speaker 2: Now you have to take action.

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Speaker 1: You have to find real solutions so you can stay

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Speaker 1: on top of your health. You can check out the

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Speaker 1: detox now dot com. Thank you, Coach Jesse for making

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Speaker 1: sure that you know that doctor Rachel Baum was able

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Speaker 1: to make it in here today to discuss this. And

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Speaker 1: if somebody was going to ask you right now, what

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Speaker 1: are some small steps that I can take to make

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Speaker 1: sure that I am going on the right path. Just

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Speaker 1: you know, sometimes you can't. You feel like I can't

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Speaker 1: do it all at once. But what are some things

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Speaker 1: that you would say are most important to do right now?

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Speaker 1: That's easy for people to be like, Okay, I can

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Speaker 1: handle that absolutely.

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Speaker 3: I think the most important thing is just regaining your peace,

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Speaker 3: realizing right, I mean, especially in this climate that we're in,

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Speaker 3: realizing that we are not necessarily in control of what's

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Speaker 3: going on around us, but we are in control of

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Speaker 3: how we react to that and respond to it. And

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Speaker 3: I want to emphasize that because, as I said, stress

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Speaker 3: unfortunately is likely going to be the leading cause of

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Speaker 3: why the brown and black community are having the high

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Speaker 3: rates of high blood pressure, cholesterol, diabetes, and cardiovascular disease.

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Speaker 3: So honing in on that is so important. But the

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Speaker 3: other thing that's important is making sure you're going at

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Speaker 3: least once a year to the doctor to get your

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Speaker 3: numbers checked, but not just know like, here's your numbers,

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Speaker 3: Understand what those numbers mean. Understand is my cholesterol high?

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Speaker 2: How high is it?

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Speaker 3: What can I do to actually lower it?

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Speaker 2: Is my blood pressure high? How high is it?

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Speaker 3: What can I do to lower it, because that's gonna

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Speaker 3: make your visits so much more meaningful. I always tell patients,

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Speaker 3: you know tax season is coming up, we go to

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Speaker 3: our accountant, we come prepared, right, we have questions.

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Speaker 2: Don't don't not pay your taxes?

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Speaker 1: Okay, they trust me, They will catch up to you

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Speaker 1: all those penalties, I agreed.

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Speaker 3: But with the preparedness you should be bringing to your accountant,

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Speaker 3: that's what you should be bringing to your doctor's office

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Speaker 3: as well, right, So come with questions, maybe bring a friend.

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Speaker 3: Having you know, four sets of two sets of ears

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Speaker 3: makes the biggest difference. Two sets of eyes makes the

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Speaker 3: biggest difference because you may miss things because you're so

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Speaker 3: nervous to hear what the doctor has to say. But

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Speaker 3: those are the little tiny tips that I would offer

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Speaker 3: your listeners today because it's going to make the biggest

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Speaker 3: difference in their heart health. All right, Well that tip

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Speaker 3: is for me because I keep on putting it off

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Speaker 3: and I know I need to go to the doctor

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Speaker 3: and get everything checked. So I'm actually I've been saying this,

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Speaker 3: but let me get it together. I am that person.

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Speaker 3: I don't want to be a hypocrite up here. But again,

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Speaker 3: I'm doctor Rachel Bond. How can people find you if

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Speaker 3: they want to just follow what you have going on,

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Speaker 3: get all great types of tips and information and who knows,

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Speaker 3: maybe even be a patient.

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Speaker 2: Yeah.

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Speaker 3: So I am on Instagram and social media at doctor

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Speaker 3: Rachel m as in Marie Bond, okay, perfect, Well, thank

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Speaker 3: you so much.

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Speaker 2: We appreciate you. Thank you.

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Speaker 1: I appreciate it well,