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Matters of the Heart
4 Plays1 year ago
February is the month of hearts! Heart boxes full of chocolate, heart-shaped cards, chalky conversations hearts; but what about the most important heart - the one beating in your chest and keeping you alive? We at On Call have you covered because we're celebrating Heart Month, the time of year dedicated to learning and raising awareness about heart disease's leading cause of death in the U.S. April and Alicia put their heart health knowledge to the test, swapping cardiovascular facts and essential tips to keeping your ticker in top shape. Tune in for a heart-racing competition!
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Transcript
Childhood Trauma and On-Call Stress
00:00:00
Speaker
ever see indiana jones in the temple of doom growing up yes okay scarred me for life that and poltergeist long story we'll tell you that that one but um indiana jones in the temple of doom the guy grabs his heart like with his hand do you remember that like pulls it out of his body and i was like what in the world is happening it's like trauma childhood trauma folks this is on call house would be really cool to just wear scrubs all the time then you don't have to think about what you're gonna wear to work
00:00:28
Speaker
That is awesome.
00:00:30
Speaker
We're here to answer
Podcast Introduction and February Episode
00:00:31
Speaker
your questions.
00:00:31
Speaker
We can sit down and discuss them.
00:00:33
Speaker
Wait, I got to go.
00:00:34
Speaker
I'm on call.
00:00:35
Speaker
Wait, you're on call?
00:00:36
Speaker
I thought I was on call.
00:00:37
Speaker
Hey, everybody.
00:00:42
Speaker
Welcome back to On Call with April and Alicia.
00:00:44
Speaker
I'm Alicia.
00:00:44
Speaker
I'm April.
00:00:46
Speaker
And we're happy to have you guys back in February.
00:00:50
Speaker
Yep.
00:00:51
Speaker
Still cold.
00:00:51
Speaker
April, how are you?
00:00:53
Speaker
I'm good.
Weather and Groundhog Day Insights
00:00:54
Speaker
We actually had this like really bizarre day the other day where it was like 50 degrees.
00:00:59
Speaker
Oh, gosh, yes.
00:01:00
Speaker
And that's like, you know, I don't know.
00:01:01
Speaker
That's just how we are here in Maryland.
00:01:03
Speaker
But, you know, we're snow, like 20s, 30s.
00:01:07
Speaker
And then it was like, here, here's a 50 degree day.
00:01:09
Speaker
And now we're back to the coldness.
00:01:12
Speaker
We had something similar.
00:01:14
Speaker
I think it was actually, I want to say it was like 60, 61, 62, somewhere around there that I was like, what in the like global warming is happening right now?
00:01:25
Speaker
And now it's 17 degrees.
00:01:27
Speaker
So now we're cold again.
00:01:30
Speaker
It is a, it's a mentally unstable mother nature right now.
00:01:34
Speaker
She needs a straight jacket.
00:01:36
Speaker
What's going on in your world?
00:01:37
Speaker
It's hard to know what to put the kids in and all the things.
00:01:40
Speaker
I know.
00:01:41
Speaker
It's like, hey, so put shorts on, then put pants on top of your shorts, and then put a short-sleeved shirt and a long-sleeved shirt and a jacket, and then you can just slip through.
00:01:51
Speaker
Yeah, it's really frustrating.
00:01:54
Speaker
But our little buddy, Punxsutawney, when he didn't see a shadow, is that right?
00:02:03
Speaker
Yeah.
00:02:03
Speaker
Yeah.
00:02:04
Speaker
That's what that means.
00:02:04
Speaker
Yeah.
00:02:05
Speaker
I always forget that part.
00:02:06
Speaker
Like, is it, he didn't see it, but whatever it is, it means it's going to be more of this.
00:02:09
Speaker
Yeah.
00:02:10
Speaker
More of this.
00:02:11
Speaker
Whatever he did is more of it.
00:02:13
Speaker
Yes.
00:02:13
Speaker
Yeah.
00:02:14
Speaker
And we don't believe him.
00:02:15
Speaker
So, although I do believe him in this setting, so you might've won that battle.
00:02:20
Speaker
How, what's going on with you guys?
00:02:22
Speaker
Anything fun in the Burke household?
Family Life and Work Travels
00:02:24
Speaker
Um, not really.
00:02:26
Speaker
We're, we have basketball playoffs this weekend.
00:02:28
Speaker
So hoping that they do well with that.
00:02:31
Speaker
Um,
00:02:32
Speaker
And that's it.
00:02:33
Speaker
Been doing some traveling for work, getting out, visiting some of our sites and doing some presentations at schools, which is always fun.
00:02:40
Speaker
I love to talk to our like PA and NP students about what we do at sound.
00:02:43
Speaker
So good recruiting.
00:02:46
Speaker
Yeah.
00:02:47
Speaker
Yeah.
00:02:47
Speaker
Nice one.
00:02:48
Speaker
We did.
00:02:48
Speaker
I actually did a trivia with them, which was really fun.
00:02:51
Speaker
I mean, you know, there's nothing like
Adventures with the Roomba
00:02:53
Speaker
a competitiveness in a classroom.
00:02:54
Speaker
Yeah.
00:02:56
Speaker
Yeah.
00:02:56
Speaker
Well, you know, I love competition, April.
00:02:58
Speaker
Yeah.
00:03:00
Speaker
That's, that's my, um, that's my love language.
00:03:03
Speaker
I know.
00:03:06
Speaker
Um, I only thing happening with me right now, outside of the weather, you know, I talk about my Roomba before.
00:03:14
Speaker
Yes.
00:03:14
Speaker
Okay.
00:03:15
Speaker
Okay.
00:03:15
Speaker
I have all these videos.
00:03:17
Speaker
I almost, I feel like I've like have this compilation of videos as if it's like my first child.
00:03:23
Speaker
Like I should have like a first child book because I can't figure out...
00:03:28
Speaker
How like goofy it is.
00:03:30
Speaker
So the one the the one I was telling you about that came on like a couple episodes ago, like three in the morning, randomly, or just goes in circles, like, for no reason, it's just the weirdest things.
00:03:42
Speaker
I got to a point where I got so aggravated with it, I pick it up and threw it away.
00:03:49
Speaker
like walked it out to the garbage can, threw it away.
00:03:52
Speaker
It was probably also in the middle of a workday where I was slightly distracted because I was distracted enough to not remember I threw it away for a little bit.
00:04:00
Speaker
So then I was searching the house looking for it.
00:04:04
Speaker
Like, let's just say four or five days later, I'm like looking everywhere under beds, like in closets underneath.
00:04:13
Speaker
Like, wait, you threw it away and then you were looking for it?
00:04:16
Speaker
Yeah, but I was saying I threw it away, I think, in the middle of a workday because it was frustrating me.
00:04:21
Speaker
Like, I picked it up, threw it in this box that was sitting in my house that had, like, all this other garbage.
00:04:27
Speaker
Like, I was collecting...
00:04:29
Speaker
like old like gift bags and, you know, like a bunch of stuff to put out and recycling.
00:04:34
Speaker
So I had this really big box sitting at the garage door.
00:04:36
Speaker
So I like angrily must've just thrown it in there and then forgot a couple of days later I did that.
00:04:44
Speaker
So then I was like, see, this thing's so dumb.
00:04:46
Speaker
Like I can't even find it.
00:04:48
Speaker
And I was like, Oh, I threw it away.
00:04:51
Speaker
Then I did remember.
00:04:52
Speaker
So I ordered another one overnight.
00:04:54
Speaker
This one might be sillier than the first one.
00:04:57
Speaker
But I have videos to prove it because I'm telling you.
00:05:00
Speaker
It is almost on its own suicide mission that I can't figure out.
00:05:05
Speaker
It is committed to finding havoc.
00:05:08
Speaker
It is like there's this gap in my fridge.
00:05:13
Speaker
And I don't understand, like it loves the guy, but it like intentionally forces itself up under the fridge.
00:05:19
Speaker
And then it like alarms that it's stuck.
00:05:21
Speaker
I'm like, no crap.
00:05:23
Speaker
It's stuck because you keep going there.
00:05:25
Speaker
But I keep talking to it like it's an adult.
00:05:28
Speaker
I have so many freaking videos, April.
00:05:30
Speaker
You would never believe.
00:05:32
Speaker
Oh my goodness.
00:05:33
Speaker
And why I think these things are human, I don't know.
00:05:36
Speaker
I have no idea.
00:05:37
Speaker
But they are entertaining, but it doesn't bring out the best emotion of me.
00:05:43
Speaker
It's actually really quite frustrating.
00:05:45
Speaker
So we got new version 2025 Roomba.
00:05:49
Speaker
I think you need to get out of your house more.
00:05:52
Speaker
I think you might be right.
00:05:53
Speaker
I think you might be right.
00:05:56
Speaker
But this one I like is it's got like a mop on it too.
00:05:58
Speaker
Instead of the crazy cat lady, you're going to become the crazy Roomba lady.
00:06:02
Speaker
You're going to have a whole army in your house.
00:06:04
Speaker
I accept it.
00:06:06
Speaker
I accept the mission.
00:06:08
Speaker
It's just, it is, if I show you the videos, you're probably going to lie.
00:06:12
Speaker
I'm going to put them up.
00:06:13
Speaker
I promise.
00:06:14
Speaker
I just want to like string them all together so you could see like pre-2025 Roomba.
00:06:20
Speaker
RIP and then like our new one, it is, um, it is actually a site to be seen.
00:06:26
Speaker
And it's, it's really funny.
00:06:28
Speaker
I like, I, my kids will be like, why, why are you watching it?
00:06:31
Speaker
I'm like, I'm just going to see what it's about to do.
00:06:34
Speaker
It's like, I'm watching somebody do yard work or something.
00:06:36
Speaker
I don't get it.
00:06:37
Speaker
Like, I don't know.
00:06:38
Speaker
I've got this like weird obsession around it.
00:06:40
Speaker
So
00:06:42
Speaker
That's the only thing interesting in my life.
00:06:44
Speaker
And I guess right now it's hanging on the side of the ledge to go down.
00:06:49
Speaker
We have this drop down overlook area that drops down a floor.
00:06:54
Speaker
And it's right on the ledge.
00:06:57
Speaker
Where it's been for the last 24 hours, because now I feel like it's in timeout.
00:07:01
Speaker
It has got its own personality.
00:07:02
Speaker
And it's, it's like a child of mine.
00:07:05
Speaker
I don't know.
00:07:05
Speaker
And the kids will be like, mom, go put it back on the charger.
00:07:08
Speaker
I'm like, it's fine.
00:07:09
Speaker
It put itself there.
00:07:10
Speaker
It needs to stay there for a minute.
00:07:12
Speaker
I don't know.
00:07:12
Speaker
There's something wrong with me.
00:07:13
Speaker
I need help.
00:07:15
Speaker
Majorly.
00:07:15
Speaker
Yeah.
00:07:16
Speaker
You need to get out of your house.
00:07:18
Speaker
Shut up, April.
00:07:19
Speaker
I know.
00:07:22
Speaker
I know.
00:07:22
Speaker
We still have yet to buy a Roomba in my house.
00:07:26
Speaker
Well, don't because it might frustrate you.
00:07:28
Speaker
Actually, maybe I'll just like buy one for you so that you can feel my pain.
00:07:33
Speaker
Yeah.
00:07:34
Speaker
Well, do you remember when I sent you that picture of like somebody that made theirs like a ghost at Halloween?
00:07:39
Speaker
I fully expect a video of that this Halloween from you.
00:07:42
Speaker
On the Roomba?
00:07:43
Speaker
Yeah.
00:07:44
Speaker
I can't wait.
00:07:44
Speaker
I wanted to do Elf on the Shelf on the Roomba.
00:07:46
Speaker
They put like a broom with a sheet over there or something and made it a ghost.
00:07:49
Speaker
It's really funny.
00:07:51
Speaker
But I'm going to strap Elf on the shelf next year.
00:07:53
Speaker
I've already decided.
00:07:54
Speaker
I'm going to strap Elf on the shelf on the Roomba and I'm going to send it into my kids' rooms while they're sleeping.
00:08:00
Speaker
Just to be disruptive.
00:08:01
Speaker
Like 2 a.m., 3 a.m.
00:08:02
Speaker
I'm going to schedule it.
00:08:05
Speaker
Will they not hear that thing coming through their door?
00:08:07
Speaker
My kids will not.
00:08:08
Speaker
My kids sleep so soundly that
00:08:12
Speaker
It wouldn't wake them up.
00:08:13
Speaker
Are you kidding?
00:08:14
Speaker
No, I'm not kidding.
00:08:16
Speaker
Well, we could talk about this forever, but last episode we, we did like an honor of black history month and we're still February.
00:08:24
Speaker
And I think we could dive into a topic that literally keeps
Heart Health Awareness and Trivia
00:08:29
Speaker
us all going.
00:08:29
Speaker
Good.
00:08:31
Speaker
It's heart month.
00:08:32
Speaker
Did you like that joke?
00:08:33
Speaker
I did.
00:08:33
Speaker
That was great.
00:08:34
Speaker
Took a second to register.
00:08:35
Speaker
I'll be here all night.
00:08:38
Speaker
So like whether you're a healthcare professional or a patient or just somebody that's trying to keep in shape and they'll keep their heart in shape or whatever, like this episode is going to be for you.
00:08:47
Speaker
So one thing I would like to say is heart disease still remains the leading cause of death worldwide, but there is good news.
00:08:55
Speaker
Many cardiovascular issues
00:08:57
Speaker
really are preventable, right?
00:08:59
Speaker
With the right knowledge and the right lifestyle choices.
00:09:02
Speaker
So February isn't just about, like we just had Valentine's Day that passed.
00:09:06
Speaker
It's not just about chocolates and Valentine's Day, but it's also a time just to show some love to your own body, your own heart.
00:09:11
Speaker
So today I think you and I should put our cardiac knowledge to the test with some challenging and surprising, maybe even mind-blowing heart-related trivia.
00:09:21
Speaker
What do you think, April Burke?
00:09:23
Speaker
Let's do it.
00:09:23
Speaker
Okay.
00:09:25
Speaker
I have read on, you know...
00:09:27
Speaker
My shirt's red in honor.
00:09:28
Speaker
Do you?
00:09:29
Speaker
Oh, you're going to have to share the shirt.
00:09:32
Speaker
Yeah.
00:09:32
Speaker
All right.
00:09:33
Speaker
Well, let's do a little heart trivia.
00:09:36
Speaker
And how about you start?
00:09:38
Speaker
All right.
00:09:40
Speaker
I'm going to start with two truths and a lie.
00:09:43
Speaker
Oh, you're stealing from Alicia.
00:09:45
Speaker
I know.
00:09:47
Speaker
I like it because maybe you'll get it wrong.
00:09:49
Speaker
So I have to get my sticking already.
00:09:51
Speaker
That's right.
00:09:53
Speaker
It's our sticky note, sticky note, sticky note.
00:09:56
Speaker
And I believe April, we're 2-0 right now, right?
00:10:02
Speaker
Yeah, I'm winning.
00:10:04
Speaker
Oh, no, no, no, no.
00:10:06
Speaker
You're not.
00:10:07
Speaker
That's one thing I do pay attention to.
00:10:09
Speaker
Maybe not the RUBA, but I am paying attention to the score.
00:10:13
Speaker
Of course you are.
00:10:14
Speaker
Okay, so I'm 2-0 and we'll make it 3-0 by the end of this episode.
00:10:18
Speaker
Let's go.
00:10:19
Speaker
All right.
00:10:20
Speaker
Are you ready?
00:10:21
Speaker
I'm ready.
00:10:22
Speaker
Okay.
00:10:23
Speaker
Two truth and a lie.
00:10:24
Speaker
So you have to tell me which one is the lie.
00:10:25
Speaker
Okay.
00:10:27
Speaker
Runners have a 45% lower risk of heart disease or stroke.
00:10:33
Speaker
The average size of a heart valve is about the size of a quarter.
00:10:37
Speaker
Or the heart pumps on average four tablespoons of blood out every heartbeat.
00:10:46
Speaker
Tablespoons?
00:10:47
Speaker
Mm-hmm.
00:10:48
Speaker
I'm going to say it's C.
00:10:50
Speaker
Nope.
00:10:51
Speaker
You are wrong.
00:10:52
Speaker
Am I wrong?
00:10:52
Speaker
You are wrong.
00:10:53
Speaker
Tablespoons just sounded really like not enough.
00:10:57
Speaker
Like, well, maybe that's what's wrong with my brain.
00:11:00
Speaker
Yeah, maybe.
00:11:01
Speaker
I'm only getting four tablespoons of blood to my brain.
00:11:03
Speaker
No, just kidding.
00:11:06
Speaker
So you were wrong.
00:11:07
Speaker
which makes me super happy, but.
00:11:10
Speaker
Oh, that's mean.
00:11:11
Speaker
I'm just kidding.
00:11:12
Speaker
The correct answer was actually B about the size of the heart valve.
00:11:17
Speaker
So the runner.
00:11:19
Speaker
That was the thing, right?
00:11:21
Speaker
It was, yeah, I said a quarter.
00:11:22
Speaker
It's actually a half dollar.
00:11:24
Speaker
Oh, Susan B. Anthony.
00:11:26
Speaker
No, wait, is she, is Susan B. Anthony half dollar?
00:11:29
Speaker
I think she might be a dollar.
00:11:31
Speaker
Whoops.
00:11:35
Speaker
We'll fix that one in March, everybody.
00:11:37
Speaker
Keep going.
00:11:38
Speaker
All right.
00:11:40
Speaker
So the fact about runners is true.
00:11:42
Speaker
They do have about 45% lower risk of heart disease or stroke.
00:11:46
Speaker
And we do typically each heartbeat pumps approximately four tablespoons of blood.
00:11:52
Speaker
But if you look in a minute, we pump about 1.5 gallons of blood.
00:11:57
Speaker
So if you think about it, that's a pump rate that could fill an Olympic-sized swimming pool in less than a year from just our heart.
00:12:04
Speaker
Molly.
00:12:05
Speaker
I know.
00:12:05
Speaker
But, and then the valve is actually a half dollar, not the size of a quarter.
00:12:09
Speaker
So I tricked you.
00:12:11
Speaker
You did trick me.
00:12:12
Speaker
And, and I promise we'll follow up in women's history.
00:12:15
Speaker
My thoughts, Susan B. Anthony.
00:12:17
Speaker
Sorry, Susan.
00:12:18
Speaker
I think she's worth more than a half dollar actually.
00:12:21
Speaker
Okay.
00:12:22
Speaker
All right.
00:12:22
Speaker
Well, so I'm a zero.
00:12:23
Speaker
I I've got zero.
00:12:25
Speaker
You've, you've got zero.
00:12:26
Speaker
Okay.
00:12:27
Speaker
We're both tied.
00:12:28
Speaker
Perfect.
00:12:29
Speaker
All right.
00:12:30
Speaker
I got a true.
00:12:31
Speaker
I'm going to go true or false.
00:12:33
Speaker
All right.
00:12:35
Speaker
The heart has its own intrinsic pacemaker and can continue to beat even when it's disconnected from the body.
00:12:43
Speaker
True or false?
00:12:46
Speaker
Its own pacemaker?
00:12:48
Speaker
It says the heart has its own intrinsic pacemaker and can continue to beat even when it's disconnected from the body.
00:12:57
Speaker
I think it's true.
00:12:59
Speaker
You said true because...
00:13:01
Speaker
You're a cheater.
00:13:02
Speaker
But yes, you're absolutely right.
00:13:03
Speaker
Tell me why you think it's true first.
00:13:05
Speaker
Our heart has its own electrical system.
00:13:07
Speaker
The word pacemaker threw me off for half a second there.
00:13:11
Speaker
But we have our own electrical system in our heart that makes it work.
00:13:15
Speaker
So...
00:13:16
Speaker
Yes, you're actually correct.
00:13:18
Speaker
You know what it just reminds me of?
00:13:20
Speaker
When it's disconnected from the body.
00:13:23
Speaker
Did you ever see Indiana Jones and the Temple of Doom growing up?
00:13:26
Speaker
Yes.
00:13:27
Speaker
Okay.
00:13:28
Speaker
Scarred me for life.
00:13:29
Speaker
That and Poltergeist.
00:13:30
Speaker
Long story.
00:13:30
Speaker
We'll tell you that one.
00:13:31
Speaker
But Indiana Jones and the Temple of Doom, the guy grabs his heart with his hand.
00:13:37
Speaker
Do you remember that?
00:13:38
Speaker
And pulls it out of his body.
00:13:39
Speaker
And I was like, what in the world is happening?
00:13:42
Speaker
It's like...
00:13:44
Speaker
Trauma, childhood trauma, folks.
00:13:46
Speaker
That's like the stuff I was watching.
00:13:48
Speaker
But yes, it actually is very true.
00:13:50
Speaker
The SA node generates electrical impulses independently, but without circulation, here's the tricky part, the heart will stop due to lack of oxygen and ATP depletion.
00:14:00
Speaker
So it can.
00:14:02
Speaker
This is how we are actually like
00:14:05
Speaker
able to take hearts out, then transplant, but it's not going to keep beating for too much longer once it's removed.
00:14:14
Speaker
So it's interesting.
00:14:16
Speaker
It is interesting.
00:14:17
Speaker
Yes.
00:14:18
Speaker
So you're winning, allegedly.
00:14:20
Speaker
That's awesome.
00:14:21
Speaker
It's a great start.
00:14:25
Speaker
Well, this will be our sympathy episode.
00:14:27
Speaker
How about that?
00:14:29
Speaker
Oh, I don't like it anymore.
00:14:31
Speaker
I know.
00:14:34
Speaker
All right.
00:14:34
Speaker
You're next.
00:14:35
Speaker
Okay.
00:14:37
Speaker
So heart disease, so this is a true or false?
00:14:39
Speaker
Okay.
00:14:41
Speaker
Heart disease is the leading cause of death for all men and women.
00:14:47
Speaker
True or false?
00:14:49
Speaker
Heart disease is the leading cause of death for all men and women?
00:14:52
Speaker
I'm going to say false.
00:14:54
Speaker
In the United States.
00:14:55
Speaker
You're correct.
00:14:56
Speaker
That is false.
00:14:57
Speaker
So it is true for, well, why did you say false?
Understanding Heart Disease Risks
00:15:03
Speaker
Um, because I know we talk about like, it's a women's heart.
00:15:08
Speaker
Uh, we hear a lot about women's heart month.
00:15:09
Speaker
So I just assumed it had to be women had to be at higher risk.
00:15:13
Speaker
Um, well, it's actually false because, um, so it's the leading cause of death for people of most racial and ethnic groups in the U S however, which includes African-Americans, American Indian, Alaska, native Hispanic, and white men.
00:15:27
Speaker
But for women from the Pacific islands in Asian America,
00:15:31
Speaker
American Indian, Alaska Natives, and Hispanic women, heart disease is actually the second cause, leading cause of death, and it is second to cancer.
00:15:40
Speaker
Oh, that stinks.
00:15:41
Speaker
Any specific cancer or no?
00:15:43
Speaker
No, just I think cancer in general.
00:15:45
Speaker
Yeah, in general.
00:15:46
Speaker
Okay.
00:15:47
Speaker
Okay.
00:15:48
Speaker
Well.
00:15:50
Speaker
We got work to do, women.
00:15:52
Speaker
This is why we're doing this episode, right?
00:15:54
Speaker
That's right.
00:15:55
Speaker
All right.
00:15:55
Speaker
So I'm kind of digging the true or false.
00:15:58
Speaker
So I'm going to get you rapid fire April Burke.
00:16:00
Speaker
Ready?
00:16:00
Speaker
True or false?
00:16:01
Speaker
The left ventricle pumps more blood than the right ventricle.
00:16:04
Speaker
True or false?
00:16:06
Speaker
True.
00:16:07
Speaker
False.
00:16:09
Speaker
We are tied officially.
00:16:11
Speaker
Both ventricles pump the same amount of blood per week, period.
00:16:15
Speaker
However, though, the left ventricle generates more.
00:16:17
Speaker
higher pressure due to systemic circulation resistance, but that's it.
00:16:22
Speaker
They still pump the same amount of blood.
00:16:25
Speaker
Hmm.
00:16:26
Speaker
I guess that makes sense.
00:16:27
Speaker
All I did, I had to like trick you really fast.
00:16:30
Speaker
I was like, I'm going to find the hardest question I've written down so we can be even.
00:16:35
Speaker
I don't like you.
00:16:35
Speaker
I don't like playing games with you.
00:16:37
Speaker
I like you.
00:16:38
Speaker
I don't like playing games with you.
00:16:40
Speaker
Everybody you heard that April doesn't like me.
00:16:42
Speaker
I just took it back.
00:16:43
Speaker
We are accepting applications for new co-hosts currently.
00:16:50
Speaker
Does that mean that you're going or I'm going?
00:16:52
Speaker
I don't care.
00:16:53
Speaker
At this point you don't like me.
00:16:55
Speaker
I'm going to cry.
00:16:56
Speaker
Okay.
00:16:57
Speaker
On you my friend.
00:16:58
Speaker
Okay.
00:17:01
Speaker
True or false.
00:17:03
Speaker
High blood pressure can be referred to as the silent killer.
00:17:10
Speaker
True.
00:17:11
Speaker
So you are correct.
00:17:12
Speaker
It is true.
00:17:13
Speaker
Of course I'm correct.
00:17:15
Speaker
Of course.
00:17:16
Speaker
Yeah.
00:17:17
Speaker
So I think that people sometimes think, oh, well, you know, if I have a high blood pressure, I'll know because I have symptoms, but you may actually never have symptoms of high blood pressure.
00:17:25
Speaker
So don't wait for symptoms.
00:17:27
Speaker
The only way that you'll really know is to get your blood pressure checked.
00:17:30
Speaker
And early treatment of high blood pressure is really critical because if it's left untreated,
00:17:35
Speaker
It can cause heart attack, stroke, kidney damage, and other serious health problems.
00:17:38
Speaker
So this is my pitch for everybody, regardless of your age, to get a physical at least once a year.
00:17:45
Speaker
So I know so many, you know, we've, working in the hospital, seen so many young patients over the years come in with abnormal labs, abnormal vital signs, that they had no idea because they're asymptomatic, but are actually super sick and had no idea.
00:18:01
Speaker
And, you know, you can go to, like, your hospital
00:18:04
Speaker
most like neighborhood pharmacies, you know, you can go to the back by the pharmacy and check your blood pressure yourself.
00:18:10
Speaker
Just know the normal ranges too.
00:18:13
Speaker
You don't have to wait once a year for that doctor's appointment.
00:18:16
Speaker
Correct.
00:18:17
Speaker
Yeah.
00:18:18
Speaker
I like that one, April.
00:18:19
Speaker
I'm going to give you an easy one because this is one I just want to talk about in general.
00:18:22
Speaker
So hang on to your hat and then we'll, I'll just keep us even, you know, cause you'll get this right.
00:18:28
Speaker
Then we'll at least be even.
00:18:30
Speaker
Okay.
00:18:32
Speaker
True or false.
00:18:33
Speaker
A heart attack always causes chest pain.
00:18:36
Speaker
False.
00:18:37
Speaker
Right.
00:18:37
Speaker
We know this, but this one's important to me.
00:18:41
Speaker
Really like many heart attacks when people come in, especially with women.
00:18:45
Speaker
So we're talking about heart month, women, women, diabetics, they can present atypically.
00:18:51
Speaker
So you can have you like we think about like that crushing chest pain, like, oh, like I have this pain in my chest.
00:18:58
Speaker
How many patients, April, have you had?
00:19:00
Speaker
Well, you may not be able to count them, but how often do you see patients that come in that have had MIs or heart attacks that they really didn't have chest pain when it was happening?
00:19:13
Speaker
What were the things that they said to you that were their presenting symptoms?
00:19:20
Speaker
Oh, I mean, it's general, right?
00:19:21
Speaker
Like they'll be short of breath when they're moving around or they feel kind of weak or fatigued or they just like don't feel right.
00:19:27
Speaker
You could just be nauseous, like feel like you're going to vomit.
00:19:30
Speaker
Yeah.
00:19:31
Speaker
Atypical.
00:19:31
Speaker
It can be really general symptoms.
00:19:32
Speaker
Jaw pains.
00:19:33
Speaker
Like how many times have we heard about jaw pain?
00:19:36
Speaker
Yeah.
00:19:36
Speaker
Back pain, like referred pain.
00:19:39
Speaker
You said shortness of breath, and that's like sometimes shortness of breath without chest pain.
00:19:43
Speaker
There are really so many things that I would love to just like really drill into our listening audience if you're non-medical.
00:19:51
Speaker
to know that that it can even show up as like dyspepsia, like heartburn.
00:19:56
Speaker
It could feel like heartburn.
00:19:58
Speaker
Sometimes it just feels like heartburn.
00:19:59
Speaker
So if you're experiencing something sudden out of the blue, like just make sure you get that checked.
00:20:04
Speaker
But not all heart attacks show up as the way we see them in movies.
00:20:09
Speaker
So it was really one that I was willing to give a point.
00:20:12
Speaker
You're welcome, listening audience, that I gave a point to April for this one.
00:20:16
Speaker
But your lives mean more than me winning.
00:20:18
Speaker
So I
00:20:20
Speaker
this is an important one.
00:20:21
Speaker
And I don't know that we even talk about this one enough.
00:20:23
Speaker
It is important.
00:20:24
Speaker
And you said for, you know, non-healthcare providers, but even healthcare providers, especially if you're a new provider listening, you know, don't discount some of those general symptoms and people who have risk factors, you know, so.
00:20:35
Speaker
Absolutely.
00:20:36
Speaker
Absolutely.
00:20:37
Speaker
So important one.
00:20:38
Speaker
All right, let's go last round here.
00:20:40
Speaker
All right.
00:20:41
Speaker
Well, I think this one is going to be an easy one for you too, but I actually think it's really important to talk about.
00:20:45
Speaker
So these ones are hard to make hard because of our medical knowledge, but true or false?
00:20:51
Speaker
Patients who are having leg pain is never associated with heart disease.
00:20:56
Speaker
Say that one more time.
00:20:57
Speaker
Patients having leg pain is never associated with heart disease.
00:21:03
Speaker
False.
00:21:04
Speaker
That is false.
00:21:05
Speaker
Tell me about it.
00:21:07
Speaker
So I think this is important to talk about because...
00:21:11
Speaker
We typically think of leg pain as something like, oh, I probably just pulled a muscle or whatever, I just sprained it.
00:21:17
Speaker
But actually, if you have leg pain that especially occurs like after walking for a little bit or exercising, it could actually be a sign of a condition that's called peripheral arterial disease, which is where you're having blocked arteries in your legs.
00:21:30
Speaker
caused by plaque buildup.
00:21:31
Speaker
And this is actually a risk factor for heart attack and stroke, because if you're having those plaque buildups in your legs, you could also be having plaque buildup in your heart.
00:21:40
Speaker
So I love that you bring this up.
00:21:44
Speaker
So, but sorry to cut you off, April.
00:21:46
Speaker
I just, I love, I love, this is kind of along the lines of that, like previous true or false.
00:21:52
Speaker
I love that you're saying this because we do kind of compartmentalize our bodies, don't we?
00:21:58
Speaker
Like what happens in the legs are the legs.
00:22:01
Speaker
What happens in the heart is the heart.
00:22:03
Speaker
And what happens in the brain is the brain.
00:22:05
Speaker
But if we've got vessels in the heart that can get plaque buildup, we have vessels in the brain that can get plaque buildup and we have vessels anywhere we've got vessels.
00:22:15
Speaker
The body just doesn't go like, I'm only going to go to the heart.
00:22:19
Speaker
So that's actually a really, really great question.
00:22:22
Speaker
And it's worth me getting it right for sure.
00:22:28
Speaker
But seriously, in all seriousness, these are actually really great
00:22:33
Speaker
Topics for people to think about.
00:22:35
Speaker
The body just doesn't choose one area.
00:22:37
Speaker
They don't silo the way we do necessarily.
00:22:40
Speaker
Yeah.
00:22:40
Speaker
You know, and some like pain certainly still is musculoskeletal, but you know, there is some that is not.
00:22:45
Speaker
So always, always good to, if you're concerned, always good to get checked out.
00:22:49
Speaker
So absolutely.
00:22:49
Speaker
I like that one.
00:22:50
Speaker
Okay.
00:22:51
Speaker
So then mine is going to be a, well, we're going to stick with true and false.
00:22:56
Speaker
I like this true or false.
00:22:57
Speaker
True and false would be funny, but true or false.
00:23:01
Speaker
Stress.
00:23:03
Speaker
Increases the risk of cardiac events primarily through its effects on cholesterol levels.
00:23:09
Speaker
You changed your word there.
00:23:10
Speaker
Say it again.
00:23:12
Speaker
Stress increases the risk of cardiac events primarily through its effects on cholesterol levels.
00:23:20
Speaker
That's false.
00:23:22
Speaker
You're right.
00:23:23
Speaker
Why do you think it's false?
00:23:24
Speaker
Because it's not cholesterol.
00:23:26
Speaker
Your stress doesn't impact your cholesterol.
00:23:28
Speaker
All right.
00:23:29
Speaker
Well, I was trying to throw you off.
00:23:30
Speaker
So yeah, stress can actually.
00:23:32
Speaker
I know, but you slipped up and said cortisol.
00:23:35
Speaker
I know I did.
00:23:36
Speaker
And I don't know why, because cortisol is not even on my page.
00:23:40
Speaker
It's, you know, it's one of those days, folks.
00:23:43
Speaker
But false.
00:23:45
Speaker
Stress can actually, April, indirectly affect cholesterol, just so you know.
00:23:50
Speaker
But with respects to the heart, its main cardiovascular impact is through increased like epinephrine and norepinephrine, which elevate the blood pressure and then promote endothelial dysfunction.
00:24:02
Speaker
So endothelial being the lining of our our valves or our vessels.
00:24:06
Speaker
So it stress can impact cholesterol.
00:24:12
Speaker
but just not for the question I asked.
00:24:15
Speaker
So I try to trip you up.
00:24:16
Speaker
I wish you smart for that.
00:24:18
Speaker
But in all seriousness, you are smart, April.
00:24:21
Speaker
I know I am smart.
00:24:22
Speaker
Wait, wait, wait, wait.
00:24:24
Speaker
Before you, before you close us, who won?
00:24:27
Speaker
We were tied.
00:24:27
Speaker
I don't like that.
00:24:30
Speaker
You're so sad.
00:24:32
Speaker
I am, but I'm still winning.
00:24:34
Speaker
So I'm, I'm three in your one, one.
00:24:39
Speaker
No, we don't count the time.
00:24:40
Speaker
Like we're just, so we're going to stay two and L. Uh, well, I guess we're, you're two zero and one and I'm who do you want to win this episode?
00:24:53
Speaker
Okay.
00:24:54
Speaker
No, just kidding.
00:24:55
Speaker
Sorry, April.
00:24:56
Speaker
I cut you off.
00:24:56
Speaker
I apologize.
00:24:58
Speaker
No, you're all good.
00:24:59
Speaker
Um, but also in all seriousness, heart health, um, is really important.
00:25:02
Speaker
So I know that we're, you know, playing a trivia game, but in, you know, really it is very important.
00:25:07
Speaker
We have seen it, um,
00:25:09
Speaker
you know, many times with patients with heart disease and how the impacts that it has on them.
00:25:12
Speaker
So it is extremely important, as I mentioned, to get your annual physicals.
00:25:17
Speaker
If you're having symptoms that you're concerned about, you know, go see your healthcare provider and just make sure in general that you're taking good care of yourself.
00:25:25
Speaker
You know, we as healthcare providers are always talking about, you know, eating healthy and, you know, exercise and things like that.
00:25:31
Speaker
But it really does, as Alicia mentioned at the beginning of this episode, a lot of the heart disease that we see is preventable.
00:25:37
Speaker
Even in patients who have family histories of heart disease, there's still a lot that you can do to maintain your own heart health and prevent problems for yourself down the road.
00:25:45
Speaker
So take good care of yourselves.
00:25:48
Speaker
You know, go see your health care providers on an annual basis at a minimum.
00:25:52
Speaker
Don't ignore symptoms that you don't think fit.
00:25:55
Speaker
Yes.
00:25:55
Speaker
If it doesn't feel right, get it checked out.
00:25:57
Speaker
Yeah.
Closing Remarks and Audience Engagement
00:25:59
Speaker
And as always, thank you for joining us.
00:26:01
Speaker
We would love to hear any feedback that you have.
00:26:03
Speaker
If you have any suggestions for new episodes or any even questions and things like that for us, you can reach out to us at OnCallPodcasts at SoundVisitions.com.
00:26:11
Speaker
You can also find us on Instagram at OnCallWithApril and Alicia.
00:26:15
Speaker
And please subscribe so that you know when our episodes are coming out.
00:26:19
Speaker
And thanks for joining us again.
00:26:22
Speaker
Absolutely.
00:26:23
Speaker
And until the next episode, you guys stay well and we will stay on call.
00:26:28
Speaker
Have a good one everybody.