Universal Definition of (heart attack)Myocardial Infarction (Type 1–2 MI)

[00:00:09][groaning] Yes, yes, yes, yes. This is another day.

[00:00:15]Another day in paradise.

[00:00:21]Crying.

[00:00:23]One love, one.

[00:00:28]Let's get together and feel all right.

[00:00:35]Let's get together.

[00:00:47]Son of man [groaning] creation one heart the music saying one heart yeah my guys welcome everyone welcome to my channel the wise guy welcome to this channel where we usually usually do good things good things means we talk about good issues so we are still continuing Katherine Katherine Say hi, [laughter] Katherine. How are you doing? Which state are you texting from? Hope you are going doing good. This is Benjamin the wise guy. Hope everyone that is watching has subscribed and is going to like the video that we're going to do today. You know, here we talk about health matters.

[00:01:37]We advise each other about mental health. We discuss about good things.

[00:01:42]And then we feel nice every time. You know, sometimes when you have time and you're perusing through your phone, you better get a place. You can chill off and release the stresses that you've been having through the day. And you know what, Benjamin the wise is that place. You know, [laughter] I can see Katherine, I can see Jamaican uncle have already say blessings to you, Dr. Benjamin, and everyone in the platform. Yeah, man.

[00:02:13]>> [laughter] >> A big man I say. So yes yes yes yes. We are still continuing and talking about heart conditions.

[00:02:22]Still continuing and talk about heart conditions. Mostly what we going to talk about is other types of heart attack.

[00:02:30]And you know before I start doing this thing I usually sing and say a song to relive the pleasures of life. You know like you just say one heart say one love let's get together and then see ah all of us I'm seeing all of us hear the music coming at ZW I'm still welcoming people before we continue with our talk I can see ATM Z10W checking in the house and saying hi atom big up yourself hope you coming in and subscribing. You know, when you subscribe, you'll get some notification telling you, "Hey, what up? What up?

[00:03:16]Benjamin the wise guy is live." The good vibe person. I'm Brazilian. Hey, that's nice. Good one. I'm coming from Kenya.

[00:03:25]At ZW, I'm a Kenyan doctor and I like sharing some healthy tips around here.

[00:03:32]You know, I like sharing healthy tips around here, man. And your support is good. When you come here, we discuss and we help each other grow in a good in a good way. That is the best thing that can ever happen to everyone. You know, good mental health and a good uh stable mental health. You see that atom 10Welcome to the channel. Welcome everyone who is watching. And if you are there, you have something medical. You have something that you need to discuss.

[00:04:04]You want to know more about it. Don't worry yourself, man. Don't worry yourself because the doctor is here.

[00:04:11]Doctor Ben out Benjamin the wise guy channel. You see my friend already kicked in the house. The coffee cake loving bish. Big up yourself Empress. Big up yourself Empress. It's been a while. We haven't talked. It's been a while we haven't talked. But yeah, I can see you here and I know you are well. I hope you're doing good and you're doing better than more before.

[00:04:38]You know, we get the healthy tips. We have some good friends that are coming.

[00:04:43]So, we discuss we still continuing with heart attack. Migraines, migraines, migraines, migraines, coffee cakes, I don't like headaches. Where are the headaches hitting you from? Front temporal region or you know we discussed about migraines. We discussed about cluster head. discussed about you remember the types of sephylas autonomic type sephalagious migraines where are they if they are temporal sides coffee cakes please take some paracetamol and use that one would help that one would help and take ample amount of water if there are but you need to take rest especially when you are feeling when you're tired and especially when you are feeling you you are overthinking or overwork for migraines. Sorry about that. Katherine, you're still here. Thanks a lot. I know you have subscribed. Welcome to this channel. Welcome to this channel. Crits from the back of the neck and right behind my left eye. Need up urgent care.

[00:05:55]They gave me a shot. Yes. When they come from this side, clips from the back. you know temporal lesions that those ones are called clusters cluster headaches they are type of migraines but they are called sephaladias so shorts are important but you need to stay away from bright lights use sometimes shades use shaded and also use serotonin agonist tablets serotonin agonist so merran is widely used I was vomiting dizzy and could not see Yes, those are cluster headaches. Cluster sephalagius cluster autonomic you know uh you need to use sumapritan you know you need to stay away from loud noise and bright lights and take rest coffee cakes I'm sorry for that I don't like you getting headaches and you know when you feel bad you have my number coffee cakes you you text me and tell me my doc man I'm not feeling well then I as you get treated I can advise more but you thank god you got help We thank God we've got help.

[00:07:04]Ah, Katherine is laughing. Hey, Katherine.

[00:07:08]Katherine is a new guest today. And Katherine is feeling better. You know, Katherine, which which country are you coming from?

[00:07:19]Yes, they gave me superan shot. Yeah, they gave you superan because it is a serotonin agonist. When serotonin comes out substance P from the nerves and then there is something that is called uh the the there are three chemicals that nerves release they they they are suppressed.

[00:07:42]Okay. So we we continue and uh I may need to go back on it but it gave me heart fluids. No, you tap her off slowly by slowly. You get the tablets, but tap her off slowly by slowly. You get it? H tap her off slowly by slowly. So, uh don't uh don't just uh go uh just a minute.

[00:08:11]Uh if you're coming in right now, please join the chat. Tell us where you are watching from and tell us where you are chilling from. H where you are chilling from so that we can interact. Look at beautiful people that are texting on the chat and a good friend like the coffee cakes is here.

[00:08:35]Coffee cakes I missed you. I didn't know you were feeling bad but uh thank god it is recuperating. Uh Jamaican uncle big man bless up every time. Jamaican. Hi.

[00:08:45]Thank you. I'm okay right now. first a few days already. Oh, nice, nice, nice, nice, nice, nice, nice, nice. Mhm. Let's talk about something that is uh um uh they are called I I was talking about the headaches and what I was looking for is trigeminal autonomic triinal autonomic sephalagius. Yeah.

[00:09:22]Yes. Yes. As I'm replying to people, we are coordinating here and we are talking, you know. Yeah. There are some things that we need to understand as we talk online. We help each other. If I'm a doctor and you have experience, we need to interact so that we make the society better. You know, as a doctor, I have the knowledge. as a person who has experience you also have the knowledge you may help someone. So come to the chat and tell us you know um you know this is what I feel about what you have said and we interact and we say we say this is what we can do. No uh we were talking about heart attack. We were talking about heart attack and uh uh we talked about heart attack. Let me talk about heart attack in perspective of the electroc cardiogram. If you have not seen that video yesterday, we have talked about heart attack concerning the ECG. So there are some types of you remember. Let me get this. I I I I showed people this this is the lines that you see when you look at the electroc cardiogram and we talked about ST elevation. ST elevation. If you see ST has elevated like this, you know, this is not normal, this is saying that your heart has is not getting enough oxygen. This is normal on the bat machine. So we talked about it yesterday and we said heart attack are categorized into two concerning the myioardial infection ST elevation and non ST elevation whereby you know if ST is elevated. Uh J Hank, welcome to the platform. Big up every time, my friends.

[00:11:09]If you come and you are watching, please don't forget to hit the like button, man. Don't forget. And if you're a new person, man, you do what you have to do, man. [laughter] Hit the subscription button, man.

[00:11:24]Subscribe so that you can be getting instant notifications, you know. Hit that. [laughter] Jhank is saying, "Greetings, family."

[00:11:33]Greetings, Jhag. So yesterday we categorized heart attacks in a perspective of ST elevation and an ST elevation. And the ST is these waves that you see on the electroc cardiogram.

[00:11:50]This is the ST whereby the heart muscles have contracted. Let me show you this heart here. Let me show you this heart here. The heart muscles have contracted.

[00:12:02]The P wave has come. The PQRST has contracted but there is a problem in relaxation of this heart. There is a problem whereby this heart cannot relax and come back to normal better so that it can pump again. It means the coronary the coronary vessels the blood vessels that are here I'm just giving a recap of yesterday. It means that the black vessels when the the heart pumps blood what happens this right ventricle this right ventricle pumps blood to the lungs and this left ventricle pump blood to the pumps blood to the body and while it's pumping blood to the body what happens the coronary arteries right and left brings again oxygenated blood to the heart muscles. So when it is pumping and you have less oxygen when it is pumping and you have less oxygen because arteries here have been blocked. These coronary arteries here have been blocked. What happens? It means your heart muscles will not have energy because oxygen gives you energy for metabolism and strength. So if you don't have oxygen, it means the coronary arteries are not passing blood well. So you'll get something like this. You'll get something like this one here, the ST that has either elevated or either gone down. So Awemba is here. My name is here. Amba, welcome to the platform. I know as you come in, you hit the like button [clears throat] and you tell other people, hey, the mentalist, the regga man, the doctor himself who injects the doctor who injects [laughter] who injects some good knowledge and enjoyment. You know me, I inject to people knowledge about medicine and I inject again some enjoyment. You know I'm the doctor of enjoyment and treatment. So welcome to the platform everyone. I can see you are watching me and feeling nicer as you watch me and feel nicer. Have you subscribed to this channel? Check check check check. Hit the like button my friend. So let's continue. Let's continue. So that one is what we did yesterday. If you need details, there is a video we did yesterday. Go back to that video and you will get enough of knowledge. So let's continue right now to to the other important issues. Let's continue right now to the other important issues. And what are the important issues? say the most important issue here is one other types of heart attack because yesterday we discussed you know this one explaining to people how this ECG came it had to take some time it had to take some time telling people how we place the probes how these waves come how what is Pwave you know you can go to the video and uh and go slowly by slowly but now today we are talking about randomly everything randomly everything and if everyone is here and watching I want to tell everyone please give a hug to my friend the coffee cakes the coffee cakes have not been feeling well migraines have been a problem so let's give a hug everyone who is here let's give a hug to coffee cakes coffee cakes get my hug relax is watching and you'll be Okay. Uh, feel nice. Uh, uh, feel nice. We pray that you'll be okay and healthy. So, if you are watching me and you know the coffee cakes is one of us, let's send some hugs to coffee cakes, my friend. Let's get some soothing hugs, some soothing words so that coffee cakes can can relax. Man, you you you are here and you know coffee cakes is one of our sister here. You know M is in the house. Let's give coffee cake some hugs, man. Some hugs and pumper her so that they can come down. She can come down, man. She can come down, you know. Yeah. Thanks so much for those that will send uh messages of, you know, relaxation to her. I'm waiting for those messages. I'm really waiting for them. Now, my good friends, today we are going to talk about universal definition of myioardial infection. We are going to go from type one to type five. Jamaican uncle that's amazing work also supporting dog. Hey Jang [laughter] you know me and Jamaican uncle we come we come from tough gong Jang please ask Jamaican uncle where tough gong is. You know when you hear about tough go this is where the song uh started where the song was played. This song was [laughter] no woman no cry. No woman no cry. Then I remember when we used to stay in a tournament yard in trench down. [laughter] [snorts] You already know where that song came from. No woman no cry. No woman no cry. The king of regga himself.

[00:18:08]You know Bob Mal himself sang that song.

[00:18:12]you you are watching me today. This is Benjamin the wise guy out the channel.

[00:18:19]Dr. Ben is my name and today we are talking about the other types of heart attack. Have you subscribed my friend?

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[00:18:28]Don't just walk away.

[00:18:32]You don't just swipe. You know when you swipe you kind like singing. When you are swiping to a channel like this and going and let me welcome people as I entertain a bit. You are kind like singing I'm walking away from the troubles in my life. Craig Davis I'm walking away to find a better place. No.

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[00:19:14]In this great future, we can't forget our past. No woman don't cry. M.

[00:19:25]I wish I had a guitar right now.

[00:19:29][laughter] Yes. Who is in the house? Who is in the house as you come in? As you come in, I can see M. I can see the coffee cakes. I can see Jamaica and uncle. Mia say J Hank in the house. My name's I can see everyone. My friends are here pumpering.

[00:19:47]And our new friend Katherine here saying hi doctor. You play. Yeah. Yeah. Yeah.

[00:19:54]Yeah. Yeah.

[00:19:56]I wish I had a guitar. Take it. You see the sun is fading away.

[00:20:04]That's the end of the day. Say that just to do like touch the moon like I'll be on my way.

[00:20:14]Say that you are something else.

[00:20:22]>> [laughter] >> Okay. But today I've talked in language and then you say just to do like touch the moon like I'll be on my way just one kiss and I'll go say [laughter] I wish I could be near the coffee cakes.

[00:20:45]The coffee cakes. I wish I could be near as you bring down the soprano. I'm doing my ultra like just to do like charge the moon like I'll be on my way.

[00:20:58]Yes, I've told you I'm the physician who inject you with medicine and I give you enjoyment. So if you are new to the channel, this is a channel where you feel nice. Just hit the like button and subscribe to the channel. Tell me where you're watching from as we discuss our topic. as we discuss our topic heart attack. As we discuss heart attack [laughter] is telling me I'm something else.

[00:21:30][laughter] How are you doing my friend? I'm coming from you know I come from Bor the land we love. Bor is a little Jamaica in in Kenya you know. [laughter] Yeah, yeah, yeah, yeah. So, let's talk about heart attack. As you come in, my people, as you check in, my people, tell me where you are watching from. If you're new to the channel, don't forget, don't forget to tell us where you're from. This is where you feel nice and you learn and we interact. Yes, I've not got the hugs, man. I want you to give the coffee cakes hugs. The coffee cake is back and she has been not feeling well and you know [clears throat] when your you you your sister, your brother, your mother, your uncle comes home after you know you pumper that person with love. You tell that person this is home.

[00:22:27]This is home. So you if you are watching pumper the coffee cakes with love. Let coffee cakes come back and feel this is home you know. Uh, give coffee cakes some hugs, some You know, [laughter] you guys don't do that, man. Don't do that. I'm still waiting for those good messages for the coffee cakes. Yeah.

[00:22:49]Yeah. Yeah. Now, we have other types of heart attack. And uh before I continue with other types of heart attack, what I want to tell you is heart attack is also called myiocardial infunction whereby myo means heart muscles cardio the heart infunctions death because of oxygen deprivation.

[00:23:14]There is no oxygen. So the cells cannot metabolize so they die off. So heart attack is just the death of muscles of the heart. Heart attack is just the death of muscles of the heart. So we have other types of categories of heart attack how we can categorize heart attack in another way you know in another way and these ways are these ways are this one we have the ECG the machine which gives us the waves these ones the ST elevation but we have the other one which is generalized time which gives us the universal way how we can categorize them without that machine. Yes, let's see how and if you have a question don't fail. This is a platform of discussion. Don't just listen, ask questions and give us some some ideas, some ideologies. You know, health matters is a matter of experience plus knowledge plus interaction. You know, experience plus knowledge plus interaction. [laughter] Yes, my friend. Right now, someone is watching and laughing. Someone is watching, feeling nice and nodding.

[00:24:34]Continue nodding, my friend.

[00:24:38]This is Dr. Ben channel and it is called Benjamin the Wise Guy. And if you are here and you're feeling nice, feeling I feeling that this is the place to be, hit the like button, my friend.

[00:24:55]Hit the like button. Don't to hit the like button. I wish my friend Savior Man will be here. [laughter] I haven't seen Savior Man for some time, but I know Savior Man will be around soon. No, there is the first one which is called potential heart attack.

[00:25:14]Potential potential heart attack. This one also is the one that um um just you are there walking, you are you are doing your things, you are laughing with some people, you are and then something that comes and attacks your heart and you're down. It is called potential heart attack. Refers to type one mioardial infunction which occurs when the coronary artery becomes suddenly blocked.

[00:25:47]You know when we talk and you see ah it gives you some good knowledge. So when what are the coronary arteries my friends? What are the coronary arteries?

[00:25:58]When we talk about coronary they means the heart muscle coron coronary vessels. Coronary vessels these ones coronary vessels. Coronary vessels the ones when the blood is pumped to the body through when the heart is pumping blood to the body going to the body. The coronary vessels they take some blood they come back to the heart. I they come back to the heart to help the heart get some energy when they they they are they are they are blocked when they are potentially blocked when they are just blocked potentially you know you know there is a problem that happens your heart does not get and you know what happens here is very fine here what happens is you can be having plague plague is Something that is building up in your in your something that is building up in your something that is building up in your vessel. Something that is building up in your vessel is what is called black. So let me take this as the coronary artery.

[00:27:13]The coronary artery this one. So cholesterol pllex cholesterol builds up. Cholesterol builds up and one day your pressure goes up and then it it is it is ruptures and then it comes here and forms and blocks. So blood will not pass to go this side. This one means immediately blood has stopped. You start having issues chest pain because there is no oxygen to your leading to formation of blood clots. overs blood clot forms at the rhombus flows and then you cannot feel you you start having chest pain. So according to something that is called universal myioardial infunction or we say another name for heart attack is myioardial infection. According to heart attack h universally type one mioardial infunction or type one heart attack caused by primary coronary plague [clears throat] coronary plague is the blockage by a clot cholesterol lipids you know something blocking your vein the mostly and the vein that I'm talking about is the vein that I'm talking about is this vein the vein that I'm talking about What is this pain? This artery that comes and serves your heart with blood erosion or fishes resulting in thrombosis got eroded. So thrombosis means blood is not passing aos develop cholesterol accumulates in the coronary artery wall. Inflammation causes plague formation. inflammation.

[00:29:05]The artery gradually narrows narrows. The artery narrows and when your artery narrows, it means not enough blood will go to the heart. And when it ruptures, when it ruptures, the way I've seen blood is exposed to the content, you form a thrombus. You form a thrombus and the clo may completely block the artery. The the clo will completely block the artery. And why are we talking about this arty?

[00:29:42]Every time we want to talk about this artery because it is the very important artery. Let me repeat about this artery.

[00:29:50]You know my cup of green tea must be here to give me some it's an antioxidant. So it's giving me some good good vibes and good you know my namesake has told me I'm something else I am something else and let me be my friends I will always repeat this because I this is your heart this is your good heart you see how it is this is your heart your heart that pumps blood and not the heart of emotions Don't tell someone you stole my heart, I'm in love with you. No, those ones are some issues. But physically, this is the heart, not the heart of emotions. No, the heart of supplying blood to the body is what? And it gives as you supply blood to the body, you are giving your body oxygen and nutrients. So, let's talk about this heart. Let's talk about and this is my flask. Let me put my flask here. And this is my flask. So people look here.

[00:30:59]Look here my people. The when when blood is coming when [clears throat] the oxygenated blood is coming from the vena here it comes and drops here. We have the the inferior and this one superior vena. So they drop they drop. It's your come on big one. it. So it drops blood to the atrium. The atrium. This one.

[00:31:28]This one is deoxxygenated. It does not have oxygen. You see? Let me stand. Let me stand. It does not have oxygen. So what do you get here? It it it the the actual node the actual node. This one.

[00:31:46]This one. The node. It it does what?

[00:31:50]the the the the cells here positive cells of sodium goes inside the cell and then it becomes positively charged. So when it is positively charged, you know what what happens? It contracts. That's where we get that's when we get the first P wave. Look at the Pwave. You see why I've written P?

[00:32:12]Yes. So when it contracts, it pushes blood here. You know, as they contract, because this one as it contracts, even this one is contracting. And why?

[00:32:24]Because we have this bundle here. this bundle that send signal here. So normally so when it is contracting and it is pushing blood here then we have the QRST comp QRS complex. The Q look here QRS complex Q it means Q this one signal has come and the heart is contracting. When the heart is contracting, it pushes blood to the pulmonary artery which is going to the lungs to get oxygen and as it pushes also it is pushing blood to the outer to go to the body.

[00:33:08]You see blood enters oxygenated deoxxygenated and then you push oxygenated goes to the body deoxxygenated goes to the lungs you get you get those two things you get those two things so this outer let's talk about the de oxygenated now let's talk about the oxygen blood from this side the red side oxygen blood. Oxygen blood goes to the body but part of it comes to the heart muscles through this coronary artery coronary artery and the left coronary artery which is divided into left anterior their left ventricle lateral you see they have so many branches here so this one I'm repeating because this is the main thing that you need to understand the main thing that you need to understand. So when this coronary arteries are blocked, these arteries that come back to the heart, that is where we have a problem.

[00:34:19]When these arteries are blocked, that is where we have a problem of coming back to the heart. If because if blood does not come to the heart my friend my friend my friend chest pain your heart muscle starts to die off.

[00:34:39]Even you if your legs does not get oxygen they will die off because oxygen helps metabolism and blood when it passes there it gives their nutrients.

[00:34:50]It gives their nutrients. So you we have said that myioardial eskeeia eskeeia means lack of oxygen delivery falls to other parts of the heart muscles become eskeemic they have no oxygen and then in function dead.

[00:35:12]If blood flow is not restored the cells around there they start dying.

[00:35:18]So the inner part is the one which starts because it is inner inner part inner part of the heart is away from the heart muscles that inside away from the heart muscles than inside inside. So the first part which is called the type one myioardial infunction it is based on blocking blocking of the coronary artery.

[00:35:49]You see you this is different heart attack is different from bundle block.

[00:35:57]There are some people who are given pacemakers.

[00:36:00]People who are given pacemakers they have a problem with bundles. Bundles are the bundles. This these green things you are seeing. This these green things.

[00:36:09]These ones are the ones which pass the electricical system of the heart making it easy to to pump pump making it easy to to contract and relax.

[00:36:20]You see to contract. So people that are put in place making machine just know they have this problem with this or they are born with another additional point.

[00:36:32]uh heat firing point which is the K bundle somewhere around the uh the left atrium here. So when this one hits it gives a non return electrical system N RT they are called nal nan ticardas tachicardas. So yes yes yes today we are talking about types of heart attack and the first heart attack we have talked about is types of heart attack or cell death in the heart attack is called myioardial infunction type one due to a sclerotic plague and this one mostly is cholesterol accumulates. This is how it happens.

[00:37:22]Cholesterol acculates in the coronary artery vessel. Inflammation causes plague formation. Inflammation if you know information inside the vessel means swelling. So the the the atom swells and gradually narrows. It's where I can see you big up big up every time. It's where I can see you in the house. And then we have rupture and erosion. So when the plague is built up and it ruptures this step two it breaks blood is exposed to the plague contents and it starts to form a thrombus which is a clot and then it blocks the it blocks the the vein and then the other end does not have what the other end not have oxygen and even blood is not reaching there. If blood is not reaching anywhere anywhere in your body just know that place will die off. Just know that the place will die off. Now we have risk factors that can make you be and we have gone through these things are universal to every type of every type of they in every type of uh what is called what they are in every type of heart attack or micardial infunction. So nonmodifiable you cannot modify your age, you cannot modify your sex, you cannot modify your family genetic makeup and you cannot modify your family history of these problems. You know they are genetically interring but what you can modify is your lifestyle.

[00:39:12]You can stop smoking. You can take drugs to reduce hypertension, hyper lipids. Lipids I mean cholesterol.

[00:39:22]You can stop smoking. And you knew you saw what smoking does. Hey, smoking.

[00:39:29]Excess alcohol intake is equals to excess destruction of your liver and some cells. So obesity, we talked about it. We talked about these things at large. You remember them? Chronic kidney diseases releasing reine every time and chronic stress chronic stress every time. You know this becomes a problem my friends. Symptoms. What are the symptoms? Typical symptoms. Severe chest pain, pressure, tightness, squeezing and heaviness around the chest and pain radiating to the left arm. Pain radiating to the left arm, jaw, shoulder, back. You know all these are symptom and you can get a shortness of breath sometimes sweating, dizziness, palpitation, anxiety or feeling of impending doom.

[00:40:23]Have you ever had someone you are talking to someone and this person is telling you what are you telling me? I'm not feeling okay. And then this person becomes like psychic at times. It is feeling of impending doom. These are typical symptoms in older people and women and people with diabetes. You know this may include fatigue, indigestion, epigastic pain, breathlessness with chest pain and sec is lack of enough oxygen [clears throat] in air. So that is type one in function. It is called it is called type one. potentials myioardial in function or let's say we call it [clears throat] we call it what type one or potentials there is another one which is called type twoh type two is called supply demand mismatch supply demand mismatch type two so that one is potentials potentials means you have a lot of cholesterols that are piling in your body. Hillary is here.

[00:41:40]Hillary out out [laughter] Hillary, how are you doing? You know, Hillary sometimes working hours and this type of you know makes us not to to reach each other my friend. But I know you are doing good and we are still talking about heart attack and sensitizing people about issues concerning heart attack. So type two mioardial in function supply demand mismatch. Yeah supply demand mismatch.

[00:42:12]And why are we talking about supply demand mismatch? Listen listen to this.

[00:42:19]Myioardial infection is caused by imbalance between the oxygen supply to the heart and oxygen demand. without acute coronary artery rupture or thrombosis or plague that is Hillary is from Nairobi Dr. Then, oh, Hillary, you know, when I look at you, you you you look international. You look international and you you need to say amen.

[00:42:49]Hillary, you need to say amen. You know, you look international. So when I say US Hillary from UK, you say amen. [laughter] [clears throat] Big up bro, hit the like and feel good.

[00:43:09]Big up bro, hit the like and feel good.

[00:43:13]Nairobi is the capital city of Africa.

[00:43:16]Very nice. Very nice. Very nice, Hillary. Very nice. That is true. The [clears throat] capital city of Africa.

[00:43:24]I will not finish that. So if you are watching me, you're still here and feeling good.

[00:43:31]Ask me a question. Don't just feel good and that, you know, and sometimes you you you scroll and go. Don't do that, man. Don't do that. Don't scroll and go.

[00:43:41]Don't scroll and go. What you do is you you you come, you watch, you you subscribe, and you hit the like button.

[00:43:49]You come, you watch, you subscribe, and you hit the like the like button. Okay, so this is type two. The other one, the first one was the coronary arteries are blocked. Blood is not going through the heart vessels in a good way. Now this is the second one. E mismatch. Type two mismatch. Coronary arteries supply oxygen rich blood to the myioardium. Myioardium are the heart muscles. So oxygen supply matches myocardium oxygen demand. Hm that is normal. But in type 2 MI is called heart attack. Myioardial infaction. Oxygen supply decrease. Oxygen demand increases.

[00:44:38]Hey the oxygen oxygen supply decreases.

[00:44:46]Blood is there but oxygen supply decreases.

[00:44:51]But the demand you need more oxygen but it is decreased. You get that or both.

[00:45:00]And you know what can cause that? Blood is going through your heart very well.

[00:45:06]Very nice. Blood is as the heart pumps.

[00:45:10]Blood goes from the coronary artery comes back to the heart muscles. The heart is still pumping. The heart is still pumping. Very well. Eh. But what is the problem? If the heart is going, it's getting enough blood. What is happening? This is called type two heart attack. Type two heart attack. Type two heart attack. The condition that reduces oxygen demand. One my people. One is anemia.

[00:45:44]Reduced oxygen means less oxygen is delivered to the heart.

[00:45:50]You can have your blood vessels all of them are good that goes to the heart but you are anemic hemoglobin is not enough your heart will not get enough oxygen then you start having yes you see that is different from the other one which is potential your heart vessels are blocked this is the other one type two yes you you get that you get That anemia I know you have started giving yourself some 1 2 three h you have started adding notes you know adding notes anemia is one of them so the other one can be the other one can be what pneumonia pneumonia can make you have heart attack yes and people say you know sometimes you can be in hospital, you receive a very lame patient, a patient who has read books, a patient who has Googled very well and asks you doctor here in Kenya doctors are called doctor why have you done have you not done any test and then you are saying I have pneumonia.

[00:47:10]My friend, pneumonia is a a word that only means lack of oxygen.

[00:47:19]Numo near air near lumo air lack of oxygen.

[00:47:30]Yeah.

[00:47:31]Do you need to to do some test so that you can know this person has pneumonia?

[00:47:40]medically and cleaning. You can analyze that person. You check the chest. You take a pulse oximeter like let me This is a pulse oximter this one. So let's see my let's check my oxygen levels. You press here. Let's check check my oxygen levels. Is someone seeing it? Check my oxygen levels. It will show you right now my oxygen levels.

[00:48:05]Hey my friends, I'm very healthy. Let me put a light. So that you can see check my oxygen levels 92 93. So when you just use this and you see a person has fever, a person has chest drawing, struggling to breathe and oxygen here at less than 85. You quickly know that this person has pneumonia and the heart muscles may not be getting enough.

[00:48:38]oxygen because the blood is going but they are not carrying enough oxygen because you your lungs have a problem.

[00:48:49]You see you see now you see now you have started learning one two three things about heart attack and that's why you can see people collapsing when they have pneumonia.

[00:49:01]So that is pneumonia. Lack of oxygen.

[00:49:05]You see my guys. So mine is okay. You have seen mine is 92. I'm doing healthy.

[00:49:11]I'm doing okay. So pneumonia, infectious pneumonia like bacterial pneumonia, fungal pneumonia. There is another one viral pneumonia. There is another one chemical induced pneumonia.

[00:49:25]Those all of them only making you not get enough oxygen to your lungs to your heart can make you have a heart attack.

[00:49:35]Something else that is very important and I'm saying seriously.

[00:49:42]How do people say things seriously?

[00:49:44][laughter] Yeah. How do people say things serious?

[00:49:52]have pulmonary emolism.

[00:49:57]Check. Palmonary means the the circulation of the lungs. Palmonary emolism means circulation of the lungs.

[00:50:08]Palmonary artery to the lungs. It is called palmonary emolism. So it means somewhere from the pulmonary valves from the right heart side going to the pulmonary artery to the lungs somewhere there is something that is blocking.

[00:50:32]Yes. Agnes Thomas, how are you doing? My friends Ai Agnes Thomas, which country are you coming from? Please tell me today.

[00:50:44]I forgot. Tell me today. I want to sing you a song. Sing me a song.

[00:50:52]Desert Channel, greetings, Jamaican uncle. Bless Maria Thompson. Good morning, Benjamin and everyone. Good morning, Maria.

[00:51:03]Maria, hey, I've spent all my life with you.

[00:51:11]All my life. That is a big tune from Masia. [laughter] Via from from Jamaica. So, Masia is a good name. It's a name of good people with big names, you know. Masia. Hey, I've spent all my life with you.

[00:51:34]All my life.

[00:51:36]Yes, desert channel. When are you inviting me to the desert to see the heat and heat and be heated with the heat? And Agnes Thomas tells me she comes from Granada. Ah, the land. I think Granada is the land of Is it an island or what?

[00:51:56]I'll check it up. I saw I saw Hello from South Australia, Chanti.

[00:52:03]Chanti, let me welcome my people before I continue with the heart attack. Let me welcome my people. So, Chanti, hope you have subscribed to this channel and interact with the people. If you have a channel, tell the people, tell these people that I have a channel and my channel is called Chanti. [laughter] I cannot spell ch South Australia.

[00:52:29]South Australian guys here my friends. I can see more people coming in and um and let me check in. Let me check in and big up some people like Jamaican uncle.

[00:52:40]Always big man in the house. Let me big up [laughter] Chanti. Chanti where are you coming from? Which country are you coming from?

[00:52:50]Hope you have subscribed to the channel right? Hope you have subscribed to the channel and you're doing good. Bless up and blessings to everyone. Jamaican uncle [laughter] Jamaican uncle loves loves loves Gregory Isaac. You know here in Kenya we call Gregory Isaac Gregory. [laughter] Mia Thompson. Big up every time. Bigger favorite drive Mia Thompson for your support and being here. Yes. Yes. Yes.

[00:53:24]Let's talk. Let's check again. Agnes Thomas from Granada. Agnes Thomas. Big up every time. Big up every time. And you know if loving you is wrong, I don't want to be right. You know [clears throat] that song. If loving you is wrong, I don't want to be right.

[00:53:49][laughter] [snorts] Go and search for that song. I know some people know it. If loving you is wrong, I don't want to be right. This is where we learn. We learn and we we learn and we feel good. No learning.

[00:54:03]Listen to this. Listen. [music] Oh, [music] [laughter] Gregory is my boy. Dr. Benjamin. Yes, I know. Listen to your boy. [laughter] Listen to your boy. Listen.

[00:54:29][music] Dr. Ben, you're hitting some [laughter] man will be give you diamonds and and all I had is love. Say darling, all I had is love. Jamaican uncle. [laughter] [music] >> I love you too much to ever stop liking you, my people.

[00:55:05]I [snorts] love you too much to ever stop liking you. So don't [laughter] so don't give me a step not to be your friend. I love you too much to ever stop liking you. Every new person that comes here, make sure you're hitting the like button. Do it, my friend. Hit the like button. Agnes Thomas, I usually see you supporting every friend of mine. Please do it. Do it. do is a fighter for the positivity even to my big man big mana himself now enjoying some vacation out the coasters look at I am Mara Jamaican uncle is here please see Jamaican uncle he's in the US out the outra somewhere called Jamaica the love we land so if you have a question about heart attack it is your time you can ask but right about now we were talking about about the second one. The second one which is called which is called um uh second MI which is the second part.

[00:56:16]The second part is called supply demand mismatch. Supply demand mismatch.

[00:56:22]H all your veins are okay. There is nowhere there is a blockage. The coronary arteries are passing blood the way they are supposed to be passing blood. But what may be the problem? What may be the problem my people? Pneumonia, COPD, esacusation. See chronic obstruction, pulmonary disease. You are always coughing.

[00:56:47][laughter] Yes. As you cough, it means your airway is being blocked. Emolism. Pulmonary emolism means the pipe that is supplying blood to the the pipe that is supplying blood towards the heart. The pipe that is supplying blood towards the heart. I want you to see this. The pipe that is supplying blood towards the heart somewhere to the lungs. Somewhere to the lungs. This one the right side blood goes to the heart to the lungs. [snorts] Somewhere there it is blocked. Somewhere there it is blocked. So if it is blocked what does it mean? It means no way enough blood will go to the lungs. And so not enough blood that is coming in with oxygen and then your coronary vessels do not have enough oxygen. You know you are learning and you're feeling nice.

[00:57:44]Learning and feeling nice. So that is the second supply demand. Your blood is okay but the oxygen that is being supplied to your doctor enough respect always big up big up and respect to Agnes Thomas Agnes Thomas on Sundays on Sundays we usually have a live on Jamaican uncle channel 900 p.m.

[00:58:14]U Georgia time 9 is it 9:00 p.m. time around that uh please come and we we chat. We usually have a live on stream.

[00:58:26]Please come there. Come there. So much we talk. You know [laughter] when you talk to people live in live, you know, you feel nice. You feel nice looking. The other time I saw bar walking exercise and I saw Hilda Taylor and I really felt nice. I feel nice looking at them and talking to them you know so I can so much join us there Dr. I'll be there, God willing. Thanks, Desert Channel. Hello, brother from another mother village. [laughter] But you guys, some of you have channels and you're not giving them shout outs, you know. And some people are just coming, new people are coming and watching and they'll come again and watch and you are not giving your channel shout out. Okay. Okay. Big up Jamaican uncle. Everyone who is watching, please go watch Jamaican uncle. Go watch Jamaican Uncle Channel.

[00:59:23]Go watch Desert Explorers. Everyone in go watch the coffee cakes loving bish there. Everyone that is in the house, go watch these people and give them the good salute. Advise them on good content and tell them you're doing a nice job.

[00:59:41]But here you can change. You know never fear criticism because it gives you a challenge when you are growing up. So if someone comes to your channel and tells you here you're doing this and this please do it in a better way embrace it so that you can have a challenging mind to grow and give good content. And you know when you give good content what people do they come to your channel and the growth is there. And of course when you grow what happens?

[01:00:12]Money comes in and you smile to the bank. [laughter] Maro has given me more adjectives smiling to the bank. So you guys don't fear criticism. Sometimes let them come in a positive way. So we have said supply demand. The second one is severe pneumonia, chronic obstructive pulmonary exacerbation, blockage, pulmonary emolism and respiratory failure.

[01:00:43]Hypotension or shock. Shock.

[01:00:48]The shock is not the electric shock. The one that you go and touch alive then you kind like [laughter] shock means you can have a septic shock.

[01:01:01]You can have an infection and you are hit but by a by shock h you you are dehydrated you get shock you can't do anything hypoalmic shock means you don't have enough volume of blood you have bleeding and you have shock cardiogenic shock means your heart cardiac muscles have stopped working and they are under shock so they cannot pump blood as needed. So shock can make you to have cardiac arrest. You know supply demand is not okay. Coronary artery spasms temporary narrowing of the coronary artery artery reduces blood flow.

[01:01:45]Narrowing spasms infections can make you to have spasm. Cholesterol plagues can make you to have spasm. You know coronary artery dissection tearing in coronary artery wall reduces blood flow.

[01:02:00]When you are bleeding internally your artery has teared blood reduces. You see but don't just watch me my friends. If you have a question please hit me with the question. Give me that question.

[01:02:14]Give me that question.

[01:02:16]Who has a question? My friends who has a question please give me the questions.

[01:02:21]Let me listen to your question. Let's advise each other. There are conditions that increase oxygen demands like tadia.

[01:02:30]The heart beating so fast. Hypertension.

[01:02:34]The heart pumps against pressure. Fever.

[01:02:37]Fever raises metabolic rate and cardiac workload. Doc, my cousin is having frequent palpitation and did an ECG and is given caval by the doctor. Is that a blocked artery?

[01:02:54]Do you want my guys to to to to repeat that question in the same uh um in the same platform with in the same sentence with let me repeat that again so people can hear it. You know some people watch but they don't read.

[01:03:17]MB says, "My cousin is having frequent palpitations and did an ECG and is given cavity roll by the doctor?"

[01:03:29]Yes.

[01:03:30]M not necessary. Palputations alone do not mean a blocked artery. And the fact that the c your cousin was prescribed caviro does not indicate coronary artery disease. It doesn't. The fact that what are palpitations? Let's learn from there first. I'm answering my JB.

[01:03:58]Pal palpitations are a racing heartbeat, a pounding heartbeat, flattering in the chest, skipped or extra beats. Let me repeat this. Look, this is normal. Let's take this as normal.

[01:04:19]This is slow.

[01:04:29]That is slow. This is faster.

[01:04:35]This one is exaggerated.

[01:04:40]So that one is called flatter. The heart beating like that one is called flatter. Even blood is not flowing. This one is takadia faster.

[01:04:54]This one is normal.

[01:05:00]This one is slow.

[01:05:07]Get that point. So palpitations are called by racing heartbeat, pounding heartbeat, tachicardium, skipped extra bit. They can be many conditions including anxiety, extra cafe releasing adrenaline, you know, alcohol or smoking, hypothyroidism, anemia because of demand and balancing, electro light imbalance like sodium and potassium, heart rhythm disorders. They are called arhythmia staticardia bricardia the ones that have been you know certain medication. So the ECG diagnosis of a blocked artery may not suggest it you know. So cathedral usually have anet. Ah you've answered us.

[01:06:06]Yes you've answered that precipitation are caused by anet cavone is a heart block tablets. It makes the heart muscles to to to reduce the the beat you know. So because she has anxiety it is the reason for palpitation. So [groaning] go go go to the mental health playlist share to your cousin anxiety disorder management. It will really help her.

[01:06:39]That one will make her even [clears throat] not to take those cavones.

[01:06:44]You deal with the problem. Anxiety may be non neural development problems in mental health but it may cause hypertension and heart problems.

[01:06:56]So that is the cause. Cavol only helps the symptom which is slowing the heart rate the heartbeat. Yeah. You get that my friend m your kuzo your cousin here we call them kuzo only needs relaxation relaxation.

[01:07:20]Yes.

[01:07:22]So we are talking about the second one and we have said several things about supply demand and we have said that pneumonia, COPD, chronic obstruction, pulmonary disorder, respiratory failure and other things that can make you have heart attack, oxygen not going to your heart, septic shock, hypoalmic shock, cardiogenic shock.

[01:07:52]Coronary artery spurs, coronary emolism, coronary artery dissection can make you to have these problems.

[01:08:02]There are some conditions that increase oxygen demands like tachicardia, hypertension, fever, hypotherism, we have said it and intense physical exercise and intense physical exercise. Those ones can make you to have problems when it comes to um to to oxygen demand. Can we we have five but we have just dealt with two. I think we add one then we call it a day. I can introduce one then we call it a day. So my friends that is how heart attacks come under diagnosis one we have said we diagonize them and we check if the ECG is telling us ST elevation.

[01:08:50]Second we diagonize them as generals potentials and oxygen demand you know those two. So that we have discussed. Now we have another one. That one is supply demand. We have another third one at attack which is called sudden cardiac death. Hey will I do that right now? I don't like talking about death. The patient dies before the test to confirm elevated biomarkers. No. Um I think these ones we will do them on another sadian but I can introduce it. I can introduce it. You see? So, hi best friend Ricardo Maldon. Ricardo, how are you doing?

[01:09:37][laughter] You go on so long, man. How are you doing?

[01:09:43]Ricardo, say hi to everyone in the chat.

[01:09:47]Say hi to everyone in the chat. My friends, Ricardo is in the chat and he's a a good friend of ours. Hope Ricardo you have subscribed there. You know when you subscribe it it gives an impression just like how we sing one stone and it gives about a feeling to wicked men. Ah one stone the man throw one stone and it gives about a feeling to all wicked men. So we have dealt with those two the the two one is very important.

[01:10:28]It is it is 9:48 a.m. from Jamaica. You are one love and your family. [laughter] Yeah. Yeah. Ricardo, thank you so much for that compliment there. Thank you so much. You know, Ricardo, let me read what Ricardo are saying. Ricardo, hit the like button and let's move on. Yes, move big time, you know, and share this content, my friend. I think right now we should be hitting 2,000, 3,000 and more.

[01:10:59]You know, if you share, we will we will go on and go on. It is 9:48 a.m. from Jamaica. And you are a nice one, love, and family. Thank you so much, Ricardo.

[01:11:12]Thank you so much for that compliment. I thank you for acknowledgement.

[01:11:16]Acknowledgement is a good thing, you know. So you it gives you the heart to continue and continue and continue. So let me [cough and clears throat] ask this question because I'mma do those others at another time. I will do those others at other time. What do you think generally generally a higher percentage of people get? What how can I frame it like like um what do you think in a higher percentage of people gives heart attack?

[01:11:59]Which percentage of high percent of people get what causes heart attack in a higher percentage of people? You know what can we say? Yeah.

[01:12:12]What causes heart attack in a higher percentage of people? What do you think nowadays?

[01:12:28]Let's not talk about the journals. Let's not talk about the journals that in a higher percentage of people what causes uh heart attack in a higher many people who get high heart attack. Many of the people who get heart attack what makes them to have heart attacks in a higher percentage of people you know you can uh all those things that we have talked about they may give someone a heart attack but what gives a higher percentage of people heart attack.

[01:13:09]It is important to to to know so that we avoid you know medicine is a a evolving and something that is growing daily and daily. Medicine is something that as we get new drugs [clears throat] as we are struggling to get new drugs evolution of more bacteras and viruses come in and more damages to the same problems that bring complication. they still remain the same or they become harder to treat or they become harder to treat. So the heart attack will only remain heart attack.

[01:13:49]But the things that brings these heart attacks, the things that brings these heart attack, what are they?

[01:14:02]What are these things that bring this heart attacks? in a higher percentage of people. So if you know or you can guess, please um please hit the I I want to create a poll. Hit hit the chat and tell us. I want to ask people, have you ever experienced or seen a person with heart attack?

[01:14:32]I I'm creating a poll.

[01:14:57]Y a question of yes or no. A question of yes or no. Yes or no. Those are two options. Have you ever experienced or seen a person with heart attack? A question of yes or no. So uh uh guys uh you are not answering me.

[01:15:18]Mhm. Let me see.

[01:15:20]Let me see here. Let me see who is answering out. You know I've linked this YouTube to some. So when I'm talking here, some people are listening the other side and I'm trying to scroll there to see the questions that they are putting up. So have you ever experienced or seen a person with heart attack or uh the other question is alcohol and drug and drugs? Yes, Maj has said alcohol and drugs.

[01:15:50]Alcohol and drugs. Nowadays people drink a lot, right?

[01:15:56]Nowadays uh people do drugs a lot and drink a lot. Why? Because of of stress.

[01:16:02]Is it stress induced or what?

[01:16:06]When you take a lot of drug you increase the chances of getting uh cholesterols and lipids.

[01:16:14]Uh cholesterols and lipids. That one may be a correct answer. That one may be a correct answer. This is the buildup of cholesterols and lipids. Uh so the cause is that [clears throat] alcohol and drugs, drugs like cocaine can get you a heart attack. Drugs like heroine, drugs like there are so many drugs that people abuse including prescribed drugs including anti anxiety drugs like benzoxils that people use that are prescribed in the hospital. They may cause heart attack. uh this is the buildup of fat through taking a lot of alcohol. If you take a lot of alcohol, you'll get fatty liver and fatty liver you start having something that is atheroscerotic plague. Atheroscerelotic plague. Now uh the most common uh cause of heart attack worldwide is called coronary artery disease.

[01:17:22]Atherosclerotic which accounts to 90% imagine which accounts to 90% of mioardial function.

[01:17:34]This is the buildup of fat, cholesterol, inflammatory cells. You know, when cholesterol builds up in the in the in the system, when cholesterol builds up in your vessels, they create inflammatory cells coming there and calcium. And you know, even the kidney stones, even the kidney stones, what they do, it's calcium accumulation with fats.

[01:18:03]causing something that is called Yes, doctor. Especially the younger generation. Yes, my friend from South Africa, our friend beauty told us in South Africa youths are really drinking.

[01:18:16]Youths are drinking a lot. Welcome everyone. I can see some new guys checking in. If you are new to the channel, don't fail to subscribe to the channel and like. Hey, let's increase the likes. If you have not liked, let's get to 20 something. Let's increase the likes as we go on with the with the talks. Increase the likes. Hit the like button. Double tap your screen man if you are watching me. Yes. So, uh when LDL the bad, you know, we have cholesterols that are good and bad. So, low density lipoprotein is a bad cholesterol because it sticks in your arteries and your blood and your body.

[01:18:58]But we have something that is called the high density lipoprotein.

[01:19:02]High density lipoprotein that clears the low density lipoprotein carries it away from your vessels and triglycerides.

[01:19:12]So triglycerides are hard cholesterols.

[01:19:16]So those ones when they go to your bloodstream and they they go to your bloodstream and they get there and when they get there what happens they form something that is called a plague the plague becomes unstable and ruptures I've explained that on the when I was explaining a lot and the major risk to these people is one maj stress nowadays people have depression a lot of stress and depression a lot of here in Jamaica also oh okay wow so these things they build up you form fatty livers you form cholesterol in your body you form everything that is circulating getting to your blood vessels and I will repeat the risk factors increase in age as you increase in age you need to check your nutrition male sex rise risk earlier in men after menopause women risk increases so male sex check on yourself as you age do exercise family history, genetic predisposition, predisposition.

[01:20:48]If you are a family, genetically you have issues with the heart muscles problems.

[01:20:54]But you see there are some things like smoking.

[01:20:58]Smoking.

[01:21:00]Smoking always promotes clot formation.

[01:21:04]H and it promotes clot formation. Why?

[01:21:07]Because the it stops the anticoagulants natural anticoagulants in your body and gives your body something that is called gives your body something that is called free radicals cancer markers increasing as atherosclerosis increasing atherosclerosis.

[01:21:32]So don't don't um always do things feeling you are feeling nice.

[01:21:44]Eh don't do things thinking that you are feeling nice. You know you have to do things in the right dimension.

[01:21:57]Right dimension means don't be carried by peer pressure. Don't be carried by whatever you think is your feeling nice.

[01:22:11]How can I call it?

[01:22:14]Something that you are you you have the urge to be doing and doing and doing every time.

[01:22:24]Don't be carried by them.

[01:22:26]Check on the future. If you are a parent, if you Dorothy, Dorothy, someone is calling that he has then he has gone. Calling then he has gone. You see? So if you are coming in, I know some people are coming in and uh they are wondering what I'm doing. Just know that this is Benjamin the wise guy. The channel is called Benjamin the wise guy but I do talks I do talks medical talks and also come to the channel and interact with the people that are here get interacted with the people that are here in the channel ask them some questions so smoking there are some people yes there are some people that if you tell them stop smoking they'll tell you I can't stay without smoking I don't feel good. So let me ask if you you don't feel good by not smoking and then you end up getting myioardial infection something that is called endocarditis.

[01:23:43]You rather don't feel that good and you live with it and you live longer without complication and drugs.

[01:23:52]Yeah.

[01:23:53]You go to a doctor. The doctor I've met some people. I've met some people. They come to hospital. You give them anti-hypertensives.

[01:24:03]You give them anti-hypertensives and they tell you, "I don't feel like taking this medication."

[01:24:12]The next time you visit, you see them, they are in the hospital, not even able to walk.

[01:24:20]Cardiac arrest.

[01:24:27]High blood pressure, drugs, not following doctor's advice. Eh, let's talk about nutrition.

[01:24:38]Nutritional care.

[01:24:40]Let's talk about nutritional care.

[01:24:48]There millers and controlled sugar levels. Obesity, physical inactivity. You don't like even walking. You have you have a car, you have everything in your house. You are done everything. You are a CEO not even doing anything.

[01:25:12]You you you see what I'm saying? You see what I'm saying? unhealthy eating habits.

[01:25:19]Excess alcohol, just like Maj has said, heavy intake can raise blood pressure and contribute to heart diseases and even cholesterol.

[01:25:30]Chronic stress can increase blood pressure. You know, so the most common cause of heart attack in a person is atheroskellerosis caused by cholesterols. caused by cholesterols.

[01:25:50]And those things that cause those cholesterols is genetics. Because there are some people genetically they have a lot of cholesterols production, the bad cholesterol.

[01:26:05]And there are some people their lifestyle is very bad. Your eating habits are not good. And you don't like exercise.

[01:26:15]Junky food. junky food.

[01:26:20]So you you see that don't take junky foods feeling that nice, feeling the sweetness. I I said feel the sweetness and life has a balance as you feel the sweetness. Yes. Uh J Hank, thank you so much for being here.

[01:26:43]As you feel the fitness, feel the pain by exercising and hitting the gym. Life has a balance. Feel the sweetness, reduce the calories. Feel the sweetness, reduce the calories.

[01:26:58]Or balance your eating habits.

[01:27:01]Two things.

[01:27:04]Drink the alcohol. Know that you you're going to get a problem as you get high. Feeling nice. Yeah.

[01:27:13]Singing. I want to get high.

[01:27:17]So high.

[01:27:19]I want to get high. [laughter] So high. Just know. H another thing is one is coming to hit you, you know.

[01:27:35]So as we continue, oh 3 minutes to go.

[01:27:38]Wow. Now anyone with any question you have? Anyone with any question before I call it a day? Before I call it a day, it has been a very good session and we have learned a lot. We have learned a lot of things here. We have learned some things that are important.

[01:27:58]Yeah.

[01:27:59]Anyone with any good question?

[01:28:04]Anyone with any good question before my time lapses?

[01:28:12]It has been one and a half hours of pure niceness. I call pure niceness because we are learning while interacting and talking to friends. You know it's not it's such a good thing when you are learning with your friends.

[01:28:27]Such a good thing when you are learning with your friends.

[01:28:32]Yeah.

[01:28:37]You don't know how to love me. I'm waiting for any last question.

[01:28:44]And as I'm I'm looking at some questions here or there, some questions that are coming someday night.

[01:29:01]Yes. Yes. I've really talked to them and uh I think some people are still here watching still watching. So if you have a question is your time to bring it so that we can all learn so that we can all learn.

[01:29:25]Anyone with any question or anyone that is on you are here or you want to meet the doctor and you are around Kenya, you will you can meet me if you have you want I can give my secretary your booking and then you can meet me a booking then you can meet me.

[01:29:49]Yes, the day has been cool. I think we have come to the end of the session. If you ever [clears throat] have any question, just email or send to the WhatsApp number that is always here. So you guys, let's meet to the next session. As we say, one love, one heart.

[01:30:08]Big up yourself all the time.

[01:30:14]>> [groaning]