CPR for Life

What can 3 trillion gut bacteria do to your heart? - Part 2

World expert cardiologist Dr. Tang of the Cleveland Clinic, takes us into the universe of the gut microbiome and describes the little-known ways that food impacts the heart.

 

Find out how you can make meaningful, tangible, durable improvements to your health at cprhealthclinic.com

 

(Below is a portion of the AI-generated transcript, if you want the whole thing sign up for the newsletter at cprhealthclinic.com)

 

Dr. Tang: Nowadays there is a lot of option for us to actually get people to live their full lives and even for some of the sickest patients , who, had a really rough time after a heart attack,

 

Dr. Sagar: We're back with Dr. Tang. Renowned cardiologist and researcher to continue the conversation on the effect of the gut on the heart.

We left off talking about nutritionally deprived populations.

Dr. Sagar: When you say nutritionally deprived populations, I think a lot of people are gonna be thinking of areas where there is no food at all. But are you talking about that or are you talking about our modern day world where all the food is coming from a gas station?

Dr. Tang: Well, I think that that is an evolving trend. But for example I'm talking about in the 1930s, forties, fifties, that there are some people that have some nutritional deficiency that we actually fortified many of the foods and all that. So we actually did put in a lot of nutrients for the assumption of , benefit.

But I think it is okay if we know what we put in. The problem is there's a lot of things that we don't know is in the food right now. Particularly things that are, highly processed and , and there are studies out there, we don't know what they are, but I think we know that some of them may not be.

So there are people who have isocaloric food with crossover study that look at processed foods versus not processed food, and they have certainly see, you know, problems with, metabolic or weight change or whatnot. So that's actually, , puzzling because if you have the same type of food, but yeah, it's processed versus not, , why would they be different?

 Certainly something made them different. And so that's why I'm trying to say , it's, we still have a lot to learn because I think it would guide us in our public health efforts to try and, you know, at least advise our patients what to do. Right now we as clinicians are not very good at understanding what they are eating and even.

 Explaining to them what they should eat. Many people are very motivated to actually change their diet. There are many very excellent organizations and many very vocal clinicians and many pathways, but the research on this is challenging. It's very challenging to study diet because it's such a complex intervention.

 And, and there's a lot of really strong cultural beliefs in, in food, , if I actually ask all these people, ask everybody, how is your diet, , even quantifying the amount is difficult, let alone qualifying what they are eating. And there's a lot of strong beliefs out there about whether some things are good or bad.

 

 

 

What can 3 trillion gut bacteria do to your heart? - Part 1

World expert cardiologist Dr. Tang of the Cleveland Clinic, takes us into the universe of the gut microbiome and describes the little-known ways that food impacts the heart.

 

Find out how you can make meaningful, tangible, durable improvements to your health at cprhealthclinic.com

 

(Below is the AI-generated transcript, if you want the whole thing sign up for the newsletter at cprhealthclinic.com)

Dr. Tang: the small molecules that float in our body and we know of course we've got cholesterol and sugar, but there are many other things

 

Dr. Sagar: I am honored to have with us Dr. W h Wilson Tang, to share just a portion of the knowledge that he has with us. Dr. Tang is a leading researcher and cardiologist practicing at the Cleveland Clinic and the Lerner Research Institute. He studied neural and molecular sciences prior to attending medical school at Harvard, and then did residency training at Stanford and a cardiology fellowship at the Cleveland Clinic with further fellowship there into heart failure and cardiac transplantation.

His research work focuses on finding and understanding the underlying mechanisms that lead to heart disease, and for his significant work, he was awarded the Distinguished Scientist Award from the American College of Cardiology in 2022 . So thank you for coming on today.

Dr. Tang: Thank you for having me.

Dr. Sagar: Before we get into. The real details. This is a very specialized area of research, or at least it seems that way to me, being on the outside. How did you get from just thinking about going to medical school, to finding yourself here doing cardiac transplantation, medicine, and researching poop?

Dr. Tang: Well if you say it that way, it's kind of interesting, but truly it was just like most things is serendipity. I've always long to , be a good doctor and be a good cardiologist. And I was fortunate enough to come here to the Cleveland Clinic where I learned a lot, and I stayed here as staff and specialized in heart failure transplant.

That's my day job. But as we continue to see our patients they are more questions than answers. I think most doctors would recognize that and is really the patients that got us to think about, , or rechallenge what we are doing and what are the things that get them sick and continue to let the disease progress.

And if you think about a heart failure transplant is really the, the common final pathway to, , progressive heart diseases, whatever you've got, coronary disease or valve disease or arrhythmia, or the heart just get weak got hit by a virus or whatnot. And what we have continued to really struggle with is, How the different organs interact with each other in terms of promoting disease.

So I had the fortunate to work with many very brilliant minds both in terms of people working with me , and people that we trained and have explored various different ways. I was I jokingly called a closet nephrologist before. I wanna, I've always liked the physiology of kidney so as most trainees and so, and one of my favorite areas also endocrine.

So what would combine cardiology, endocrine and nephrology? We heart failure. And so what we have is a lot of people who are continually congested, patients with progressive cardiorenal problems. And one of the well known, you know, facts of renal dysfunction is progressive accumulation of uremic toxins.

 

Dr. Sagar: To translate from science to English. Heart failure is linked to not just the heart and vessels, but hormones and the kidney. Cardio means heart renal means kidney nefro also means kidney. You remove toxins are things that will do harm. If not eliminated by the kidneys. Also you're about to hear the term metabolite and that's just a tiny molecule made in the process of metabolism.

 

Dr. Tang: And that area actually got us interested early on in look at metabolites that are accumulating in the body that causes problems that lead to cardiovascular disease.

How To Eat To Prevent, or Reverse, Heart Disease - Part 2

Part 2! Nutritionist Heather Borders (former astronaut trainer and engineer) takes us into the nuts and bolts of how to eat when heart disease is a concern.  

Find her at Kailo Nutrition 

 

Find out how you can make meaningful, tangible, durable improvements to your health at cprhealthclinic.com

 

(AI generated transcript below, so there may be errors; for the full transcipt, join the email list at cprhealthclinic.com)

Heather Borders: No one really prepared me for how much of it it's gonna have to talk to people about carbohydrates,

C p r. It's what happens after someone dies as a last ditch high intensity effort. Unlike the movies, it usually fails. What if we used that drive while we're still alive to heal ourselves? Welcome to C P R for life where we help you understand how to reclaim your health by changing your everyday life.

I'm Dr. Sagar Doshi, board certified in both lifestyle and emergency medicine and Certified Health Coach.

Our health is like a vehicle. I've seen too many people, including my own family, crash their health because they don't realize they are the ones driving. This podcast aims to help each of us take the wheel and learn where to go. But even though these conversations are evidence-based, they are just for your education.

So please talk with your physician before making changes.

Let's pick up where we left off in our last conversation.

Heather Borders: this isn't a no fat lifestyle. This is a low fat lifestyle.

Dr. Sagar: So two

questions based

on that

Track 1: Mm-hmm. Mm-hmm. ...Yeah.

Dr. Sagar: and then go ahead, answer that. And then I

Track 1: So I would say that the average American probably being generous here, is probably getting in 30 to 40% of their calories coming from fat. It, there may be other sources that say it's more, but that's usually what we're seeing. And for most people, weight loss, we need to get under 20% of calories coming from fat.

and in some of the more extreme or stricter plant-based interventions, you'll see them get down to 10% calories from fat. And so that is a situation where not eating out much of all, you're not getting any oils. and you're getting your fats from, avocados and nuts and seeds and not too much

So

So that is a very plant, you can't get that, you can't do 10, 15% with much animal protein in your diet and with much processed foods , that's a pretty plant forward diet. Yeah.

Dr. Sagar: Yeah, and so that less than 10% is for people that have real concerning heart disease and don't want it

Track 1: Yeah.

Dr. Sagar: progress

Track 1: I use this analogy for a lot of GI issues, but it goes, it goes a long way with other things too. But if someone has a broken leg, like a really bad broken leg, they have to get it realigned. They gotta go put a cast on it, and they're gonna hang out in a cast for six to eight weeks, if not longer, for it to heal.

And some of the direction that the doctors are gonna tell you is don't put weight on it, don't walk on it, don't get it wet. And for the average person who is ambulatory and doesn't have a broken leg, walking is a healthy activity. and swimming, if you wanna get it wet, showering, it's a good idea.

So it is a very unique situation when someone has a very, a broken leg that they have to follow certain protocol for a while so that it heals.

 

How To Eat to prevent, or reverse, heart disease - Part 1

Nutritionist Heather Borders (former astronaut trainer) takes us into the nuts and bolts of how to eat when heart disease is a concern.  

Find her at Kailo Nutrition 

 

Find out how you can make meaningful, tangible, durable improvements to your health at cprhealthclinic.com

 

 

 

Partial Transcript Below (AI-generated, so there may be errors - if you want the whole transcript sign up for the newsletter at cprhealthclinic.com)

 

Nutritionist Heather Borders: we have our whole life ahead of us. I don't wanna be controlled by, the clinical world. I don't wanna have to be chained to a doctor. I don't wanna have to be chained to medication.

C p r. It's what happens after someone dies as a last ditch high-intensity effort. Unlike the movies, it usually fails. What if we used that drive while we're still alive to heal ourselves? Welcome to C P R for life where we help you understand how to reclaim your health by changing your everyday life.

I'm Dr. Sagar Doshi, board certified in both lifestyle and emergency medicine and Certified Health Coach.

Our health is like a vehicle. I've seen too many people, including my own family, crash their health because they don't realize they are the ones driving. This podcast aims to help each of us take the wheel and learn where to go. But even though these conversations are evidence-based, they are just for your education.

So please talk with your physician before making changes.

Sagar: Welcome everybody today with me. We have a wonderfully interesting and knowledgeable guest. Her name is Heather Borders. She's a culinary dietician and the founder of Kylo Nutrition, a culinary nutrition practice in Florida. Her focus is on chronic diseases such as diabetes, heart disease, and autoimmune disease.

Sagar: She became a Food for Life instructor with P C R M, which is the Physician's Committee for Responsible Medicine and has a certificate in plant-based cooking from ru, and she's also done the plant-based Nutrition course from E Cornell. She's collaborated with Dr. Michael Clapper with the Moving Medicine Forward Initiative and starting in 2023.

Sagar: She's helping with building the nutrition curriculum for a new lifestyle medicine program in Texas called New Me Health. In addition to her degree in nutrition, she has degrees in aerospace engineering, mechanical engineering, and business. You have an unusual entry into healthcare. I see on your website there's a picture of you floating in an airplane in a zero G plane. Tell me how you made your way from the engineering world, even into the engineering world, and now are a plant-based nutritionist.

Nutritionist Heather Borders: Thank you again for having me. Basically fell in love with space science , I was really young. I, I remember the, the challenger accident. I was, watching it in school and I just, I lo I, it, it kind of perverse, but that really got me started. I really was very fascinated with the space shuttle program and. I went to space camp every year from seventh grade to 12th grade, and I

Nutritionist Heather Borders: program they had at Huntsville, Alabama. And I just knew, as soon as I understood what college was and how it worked, I knew I was gonna major in aerospace engineering and I had my eyes set on working for nasa.

Nutritionist Heather Borders: I didn't know what I was gonna do, but I knew that that was the direction so, I, I just loved it and I thought, I just think, I still think space science is the coolest thing ever I love watching video and footage from space and looking back at earth and and things like that. So I graduated from Auburn University with my degree in aerospace engineering and I made my way to Johnson Space Center in Houston. And I was just one of those incredibly fortunate souls to get a position in what they call Mission Operations Directorate. And I was part of the crew training team. And so that is NASA speak for astronaut trainers. So 22 year old engineering majors are training your astronauts and it is quite

Nutritionist Heather Borders: job ever.

Dr. Sagar: Yeah.

Nutritionist Heather Borders: and so I landed in. The and thermal, systems department. So that's what I trained and I was assigned to the International Space Station astronauts. At that time it was divided into shuttle and is s and so I was is S trainer specific to electrical and thermal systems. So you show up to the Johnson Space Center and they put you into NASA school and you learn what you're about to teach.

Nutritionist Heather Borders: So it's a train the trainer program and you learn about the systems on the space station and you, and then you get further training on what you need to know so that you can train the new astronauts coming in.

Nutritionist Heather Borders: And then I did that actually only for about a year in change. And then I switched. I found this group that focused on. The health side and the medical side of, of training for the crew members. And I switched over to what was called the countermeasure systems instructor. So I got to train the astronauts on the exercise hardware that they used and how to

Nutritionist Heather Borders: and how to fix it when it broke, how not to break it, and then how to fix it when they did break it.

Dr. Sagar: Step one, don't break it. Step two, after we know you're gonna break it,

Nutritionist Heather Borders: fix it and. that was an introduction to space medicine. my introduction to life sciences came from the body responded to space flight and I was hooked. I just thought that was the coolest thing ever. I really thought it was very unique and just cool your, your spine kind of grows and you have headaches and you might get nauseated and how your blood shifts and your fluid shifts and, the, the bone loss that you get from extended time in space.

Nutritionist Heather Borders: Cuz again, the ISS crew members spend six months up there, whereas shuttles, they might spend 10 to 21 days up there. It's totally different. That was, that was kind of my introduction to being interested in life sciences where I'd never really been interested in that before. And that got me started, down the path of wanting to learn more about how does the body work on earth. And and so, at that time, which I was there from 2000 to 2005. With every new administration you get a new NASA administrator and it's , I don't know. I always felt it was like getting a new c e o every four or eight years and they were changing you. You might be on a program that gets cut because the new administrator and administration doesn't wanna do that. And I survived several layoffs. Not just layoffs, but just program cancellations. And I

Dr. Sagar: Oh, wow.

Nutritionist Heather Borders: Again, at that time there was no Elon and there was no sort of Richard Branson. Where else can I train astronauts? This is, I felt

Dr. Sagar: Mm-hmm.

Nutritionist Heather Borders: actually. And I just said, well, I wanna go back to school and I wanna get a business degree and I want to learn about. biomedical engineering. I thought, well, it's still life sciences, still it's engineering. And and that's kind of where I was in Houston. So I went to Rice and I did the dual degree program where it was a master's of engineering and a master's of business, and you just do it at the same time. And so at the time I tech, my degree is technically in mechanical engineering, but I took all biomedical engineering classes and so, so that that time my eyes were set on medical devices.

Nutritionist Heather Borders: So now I was kind of just

Nutritionist Heather Borders: So I moved from Houston to Jacksonville, Florida to work for a large medical device company called Medtronic and it was the ear, nose throat division. So yeah,

Dr. Sagar: Okay. I didn't even know that went that high. I really just know Medtronic from the heart. That's it.

Nutritionist Heather Borders: Yeah.

Dr. Sagar: Pacers, defibrillators,

Nutritionist Heather Borders: So so it was great. It was kind of intense actually, now I felt like it was science. There was this an undercurrent, it was very sciencey, but at the same time it was really just a business job. It was a marketing job. so,

Dr. Sagar: Huh.

Nutritionist Heather Borders: yeah, that was kind of my introduction to, to business. It was product manager role, so I managed the product. I, I was managing all things tonsils and adenoids. so

Nutritionist Heather Borders: all

Dr. Sagar: Okay. That's really close to the mouth though. So I see where this is going.

Nutritionist Heather Borders: So it's actually a good point in my world at that time, The big question was, or, or desire, I guess you could say, was how do we decrease the pain from a tonsillectomy? Because if you look at across the board how much pain a tonsillectomy causes, it's right up there with childbirth.

Nutritionist Heather Borders: And I've actually talked to women who's given birth and they're , I'll go through birth before I go through a tonsillectomy again.

Dr. Sagar: What

Nutritionist Heather Borders: it's really especially if you're an adult. Now most cases are with kids, but even with kids, it's horrible. It's a very painful procedure. And and so it was all about which device is gonna cause less thermal damage and which device is gonna harm the nerves less.

Nutritionist Heather Borders: And, recovery from say, six days to three days, that, I mean, it was literally that that's what we were doing. And you look at the data in, in past, I'd say 30, 40 years ago, most people got a tons ectomy due to strep throat. But if you look nowadays, it's usually cuz of obstructive sleep apnea. And I always felt like, why isn't anybody asking why that happened? And why are we bothering with trying to decrease pain from six days to three days? Why don't we start asking ourselves, do we need to do this procedure?

Dr. Sagar: Yeah, go a little further back.

Nutritionist Heather Borders: it, it started to really resonate with me. And this, to be fair, this was after I had found a plant-based diet, I'd found the plant-based diet in the middle of my time there. that was what really made me start to feel a little, more interested in nutrition and preventative, well, health and wellness and, started me ask, it's just I started asking questions, and one's really at that time in the circles that I was in, was really trying to decrease the number of procedures.

Nutritionist Heather Borders: They were just trying to decrease the amount of pain from the procedure. And I

Dr. Sagar: Yeah, they're focused.

Nutritionist Heather Borders: backwards.

Dr. Sagar: So how did you discover that plant-based diet?

Nutritionist Heather Borders: my husband and I met in, in college And I haven't known him to have low cholesterol so throughout our twenties it was, it was not even kind of high. It was two fifties and above, through our twenties.

Nutritionist Heather Borders: in the beginning we didn't really do anything about it cuz you're young and dumb. And then it just kept getting higher and higher and higher and it would bounce around two 30 s, 2 50, 2 70, 2 80. And finally we just kind of said, okay. I, I don't even remember when, but at some point we started to pretend to care and I think we tried to eat well and exercise and, and,

Dr. Sagar: what did that mean for you at at that time?

Nutritionist Heather Borders: I think it meant no obvious junk food and possibly focusing on the chicken and fish.

Nutritionist Heather Borders: Right. So a lot of ate and we were total Americans and we were totally young. We were eating out a lot. So I think we tried to not eat out as much, but I really feel like it was, it was not a very deliberate, thoughtful strategy. It was okay, we're just gonna say we're,

Dr. Sagar: Yeah, I'd say that's a very common people can identify with that. I would say

Nutritionist Heather Borders: So at, when I was at Medtronic, and this was about 2011, we had one of those biometric screenings, and my husband's cholesterol was the first time it had gone over 300, so it was three 11 and his triglycerides were 3 0 5. And....

 

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When You Stop Moving, So Does Your Heart - Part 2

Make your heart younger and stronger- even if you've had a heart attack.  Dr. Franklin is an internationally renowned exercise scientist and he breaks down the relevant science into usable chunks.  

Check out his newest book, GPS for Success, at DrBarryFranklin.com

If you need help turning knowledge into action get a free consultation at cprhealthclinic.com

 

 

 

Transcript (for the whole transcript, sign up for the newsletter at CPRHealthClinic.com):

(This transcript is auto-generated and may have errors)

 

Dr. Franklin: Number one, I say to all patients, what are the 10 most empowering two-letter words?

 

Dr. Sagar: In the last segment, we left off talking with top exercise scientist and cardiac rehabilitation expert Dr. Barry Franklin about overdosing on exercise.

Dr. Franklin: so you're asking, you're saying to me, Barry, is it possible to get too much of a good thing? Yes. Mm-hmm.

Dr. Sagar: how do I know if I'm getting too much of a good thing?

Dr. Franklin: Well I in general if you're sore from one workout to another if you're tired, if you find yourself tachycardic, you're probably getting too much. People who do what we call high volume, high intensity exercise, in our experience and in the literature have two reported mal adaptations.

Dr. Franklin: Things you don't want. Number one, higher levels of coronary calcium. So marathon runners have higher levels of coronary calcium, which as you well know, is a 4runner for cardiovascular disease. Now, that's the bad news. The good news is in those same marathon runners, when we look at their blockages, the coronary artery blockages, They have more stable plaques, they're less likely to rupture, more stable, cuz there's more calcium and less lipid.

Dr. Franklin: Whereas the inactive guy has a thin fibrous cap and a large lipid core, those are vulnerable plaques and they're more likely to rupture so that calcium may not be all that bad. The note is that higher level, higher incidents about heart rhythm, irregular irregularity called atrial fibrillation.

Dr. Franklin: Atrial fibrillation can predispose somebody to transient ischemic attacks little strokes or major strokes, so to speak. Lots of studies now suggest that veteran endurance athletes are two to 10 times more likely to develop atrial fibrillation in older age, two to 10 times more likely to develop that.

Dr. Franklin: You say, gimme the thresholds, one study came out and said over 2000 hours of vigorous to high intensity exercise, and another study said, over 20 years, they're more likely to develop incident atrial fibrillation, which is in irregular heart rhythm irregularity, which people to stroke or transient ischemic attack.

Dr. Franklin: The good news is if you can get those guys to start walking and markedly reduce their exercise dosage and intensity, oftentimes that atrial fibrillation with more modest routines can revert to what we call irregular heart rhythm or normal sinus rhythm. So those are two adverse effects, potentially adverse effects that extreme exercise regimens can confer.

Dr. Sagar: You mentioned soreness and tachycardia. Did you mean after the exercise bout having, still being sore before or rather when you get to your next workout

Dr. Franklin: Yeah.

Dr. Sagar: having a fast heart rate by the time you get, all right, so not during

Dr. Franklin: Not, during, no. That, that's afterward can for days then they're probably doing too much.

Dr. Sagar: Okay.

Dr. Franklin: Yeah. look at it. Look at it this way. If, if you say to me from a standpoint of survival, here's something that people will find astounding. If you're a runner beyond, how many minutes per day do the mortality benefits level off the, the answer is go to when.

Dr. Franklin: And colleagues, Lance, at 2011, I've cited this study a thousand times when, and colleagues Lance, 2011 and basically what they found, looking at all the data, is runners who run more than 40 to 45 minutes per day. The, the survival benefits plateau plateau at about 45%. So that's, that's pretty damn good.

Dr. Franklin: But if you run two hours or three hours a day, you're not any healthier. And there may be some signs that there's what's called a reverse J shaped curve where you're, in general, the more you do, the lower the risk. But if you get to the extremes, the risk starts going up again.

Dr. Sagar: Yeah. If you get to that cumulative 2000 hours or

Dr. Franklin: Yeah.

Dr. Sagar: 20 years,

Dr. Franklin: You, you're more likely to develop atrial fibrillation, so it's possible to get too much of a good thing. Yeah.

Dr. Sagar: Okay. What about in terms of strength training? Is there too much of a good thing there?

Dr. Franklin: My knowledge, no. I mean, you can get huge muscle, muscle mass, and in fact, the studies years ago showed that elite weightlifters had lower aerobic capacities than normal healthy men, to tell you the truth. You know, they'd be bulk bulked up and so on and so forth. So, I suppose it's possible with with, with, with strength training.

Dr. Franklin: I personally think strength training is a great compliment to an aerobic training program. Shouldn't replace it, but should compliment it. It lowers heart rate and blood pressure when you're lifting any given load. So the stronger you are, the lower the heart and blood pressure carrying suitcase or whatever.

Dr. Franklin: It improves muscle strength and muscle endurance to a greater extent than does aerobic training. It maintains or enhances basal metabolic rate. So Payson says to me, geez, I wanna, I wanna lose weight. My answer is, I want you to compliment that aerobic training with some resistance training, because that really doesn't do very much for the basal metabolic rate.

Dr. Franklin: It'll, the, the resistance training will maintain or enhance muscle mass, which will preserve the BA or enhance the basal metabolic rate and burn more calories throughout the day. So those are all good reasons to use resistance training to compliment aerobics.

Dr. Sagar: Yeah. Fantastic. And I'm gonna ask you about all those different kinds of exercises in a little bit........

 

 

 

When You Stop Moving, So Does Your Heart- Part 1

Make your heart younger and stronger- even if you've had a heart attack.  Dr. Franklin is an internationally renowned exercise scientist and he breaks down the relevant science into usable chunks.  

Check out his newest book, GPS for Success, at DrBarryFranklin.com

If you need help turning knowledge into action get a free consultation at cprhealthclinic.com

You NEED to know this about Heart Disease, Part 2

Part 2! of the conversation with interventional and preventative cardiologist, Dr. Heather Shenkman.

Find out how heart disease is found and treated; something that applies to most adults in this country.

 

To find more of Dr. Shenkman's recommendations and explanations, check out her website.

 

This is the heart risk calculator I mention in the show.

 

Ready to grab a hold of health and take it back?  Schedule a free appointment.

You NEED to know this about heart disease, Part 1

CPR Health Clinic- Bring Your Health Back to Life.

 

This starts the heart attack series for this season of podcasts; how to avoid them and heal from them.  Dr. Shenkman is a heart doctor specializing in prevention and procedures.  We talk about what heart disease is and what we can do to prevent and reverse heart disease.  Check out her website and her book here!

 

www.cprhealthclinic.com - Make a free appointment to bring your health back to life.

Returning Soon

Hi everybody!

My brief hiatus turned out to be a little longer than expected. But good news! I'll soon be releasing the first in a series of podcasts specifically on heart disease and what we can do to prevent and reverse it. Worldwide, cardiovascular disease kills about 28 people per minute!

The first episode of this season will come out within the next several days, and then another one every couple of weeks-ish. Make sure you're subscribed so that you don't miss an episode. Thank you.

 

www.cprhealthclinic.com

 

Update on CPR

Hi guys,

Taking a brief hiatus to make sure I publish episodes worth your time.  

Sign up for the newsletter at cprhealthclinic.com and also take the stress course, CPR for the Mind.

 

Take Care!