Wednesday, March 30, 2016

The Heart of the Matter



I was raised in the South, where food is part of the culture. Southerners eat at weddings, at funerals, on holidays, for birthdays; and truly we eat because we’re awake. There’s breakfast with bacon, eggs, grits, toast with butter and jam, biscuits with butter and jam, and sometimes even breakfast steak; and it’s not complete without coffee loaded with cream and sugar. Our lunch might include fried chicken, country fried steak, fried catfish, or fried green tomatoes; and of course Coca-Cola or sweet tea. Then there is dinner (or supper) with steak and potatoes, roast beef, and even a few vegetables on occasion like fried okra, brown sugar glazed yams beans cooked with bacon fat, corn bread with butter or dinner rolls with butter, and more and more sweet tea. In the end, it was not very different from the kind of fare seen all over the country, just our own (mostly fried) variations. It’s called the Western diet; as opposed to other fare around the world that consist of more plant-based and whole foods.  I have dabbled in eating healthier foods at times in my life, the smoothies with spinach blended in to drown out the taste, or iceberg based salads with little or no nutritional value; but more or less I have spent much of my life caught up in the convenience of processed and packaged foods without paying very close attention to the amount of fats, oils, sugar and salt present in these easy to make foods.  And once I had a career, eating out became a real convenience; being able to go into a restaurant and have a meal without the effort of preparing it was just too easy to pass up with my emphasis on work and spending time getting ahead in career pursuits. The pinnacle of this convenience was fast foods, and going through a drive-thru for a burger and fries allowed even more time for pursuing other activities, often in a frenetic whirlwind.

This mostly Western diet for over six decades had an effect on me, however. It was a silent effect, even if very obvious. I weighed 50-60 pounds more than was healthy for my height and body frame, and I developed Type 2 Diabetes. Even being diagnosed with diabetes only slowed down my conspicuous consumption of unhealthy foods. All those decades, my body was accumulating cholesterol and impeding the ability of my organs to process the amounts and types of foods I was ingesting, especially my pancreas, which could not regulate the sugars I poured in on a daily basis.  Even more silently, the arteries around my heart were laboring hard to hide the fats, oils and cholesterol in my diet, but it was a losing battle.  At 63 years of age, I had a heart attack.

My right coronary artery was blocked, nearly 100%.  I had just given the message at a Sunday church service, when I felt a bit “under the weather.” I had been feeling fatigued, but I put that off to a stomach virus I had a few days before (on Thanksgiving Day). I began to sweat profusely, and I began to feel a tightness in my chest, as if the muscles in my chest were beginning to spasm. I excused myself to try to relax and “walk it off” but my chest progressively got tighter and tighter, with some pain beginning. Breathing became a bit more difficult, and I went back to the group I had been talking with.
“Are you okay?”
“I’m not sure.” 



A church member with a history of heart disease diagnosed the situation, and a member trained as an EMT was called over.  Together they hurried me off to a car and to the nearest hospital emergency room as my thoughts became clouded and unfocused.

Timely response by the people around me that day put the timeline of the unfolding events in my arteries in my favor, and I quickly found myself in a Heart Catheterization Lab where the Cardiologist on call placed 4 stents in my right coronary artery.  In the aftermath of the procedure, I felt better with more energy than I had in months!  Two good friends visited me the next day in the intensive care unit, one of whom had experienced a heart attack a few months earlier.  The other friend, a medical doctor, handed me a book titled “Prevent and Reverse Heart Disease” by Caldwell B. Esselstyn of the Cleveland Clinic.  The book explained how a whole foods, plant-based diet with no meats, no dairy, no oils and no fats could reverse heart disease. Esselstyn stated that the diet, including six serving of dark leafy greens daily, could make one “heart attack proof.”  The book was not just conjecture.  Esselstyn had done his research, and had real life case studies that illustrated the power of the diet.

Later that day, my Cardiologist made his rounds, and told me that I had two other arteries that were highly blocked, the left anterior descending (LAD), known as the “widow maker” and the circumflex. He said each of these arteries were blocked at about 70% and he urged me to remain in the hospital to have elective stents placed in those arteries. I devoured Esselstyn’s book and learned that elective stents can be problematic, often causing as many problems as they solve. But in order to decline the Cardiologist’s advice to stent those two arteries, I had to make a full commitment to Esselstyn’s diet.  It was a scary decision, and one I don’t wish on anyone.  The next day, I told the Cardiologist that I would not be doing the elective stents.  The day I left the hospital, I went to the grocery store, shopped in very selective aisles, and began the Esselstyn diet that I continue to follow.

The diet had some quick effects.  I began to notice some improvements in blood sugar readings.  I began to lose weight.  These were not the reasons I started the diet, but merely positive side effects of making the change in my eating habits.  I cut out all meat and dairy, all added fats and oils, along with foods high in fats and oils.  I searched diligently through labels to find foods without added fats or oils, and I ate dark leafy greens such as kale, Swiss chard, arugula, and spinach in salads.  I had to get creative, making my own salad dressings without oil.  One of the most difficult things to adjust to was to cut down dramatically on salt.  I scoured labels to find tomato sauce with no added salt.  I quit adding salt to foods.  This was a dramatic change for me, as I had been a chronic “salt-aholic,” putting salt in every dish and even adding salt after cooking.

After two months, my blood sugars, weight, and blood pressure (with help of medications) had improved a great deal.  But it happened again.  I was at a health expo, marketing my practice, when I began to sweat profusely.  After a few minutes, I knew what was happening; the constellation of symptoms was the same as before, and my chest tightened, my breath shortened.  I began to feel light headed this time, and after a few more minutes (angry minutes, this could not be happening again after all the changes I made) I knew I was about to lose consciousness.  I put my head on our display table and told a colleague next to me, “I’m going to lose consciousness.”  And I did.

I was discouraged, disappointed, and even angry.  How could I have another heart attack?  I was doing everything I knew how to do to reverse my heart disease!  Two more stents were placed in the same artery, the right coronary artery, and I was sent on my way. Though discouraged, I knew what the research showed about Esselstyn’s diet, and I continued to believe that this diet was my best hope to stay alive.  But I really wanted to know if what I had committed to was working. The test was to come just a few weeks after my second heart attack. After the first heart attack, my cardiologist had scheduled me for a cardiac stress test, a chemically induced version of the old treadmill test.  We kept that test scheduled.  About ten days after the stress test, I went to see the cardiologist to get the results. He noted that the “bad news” was that there were signs of damage in the right coronary artery (which had now six stents from two different events), but that he couldn’t tell if this result was from the stents or new damage, but that there was no indication to go in and do anything. But the news about the other two arteries he had wanted me to get elective stents in right after my first heart attack, well, that news just made my whole week!  He indicated that he could still detect reduced flow in those arteries, but this time he told me that there was no indication that we should go in and place stents!  This was what I needed!  Finally, some evidence that the heart disease might be reversing. The diet was working!

Heart disease is a silent killer.  The first indication that I had heart disease was my first heart attack. And the most common first symptom of heart disease is… death.  But it doesn’t have to be that way!  It took a heart attack to wake me up to the dramatic diet changes I needed to make.  But making changes in diet doesn’t have to wait for a life-threatening event, no more than one has to touch a burning stove to avoid getting burned.  Take a look at these resources and decide for yourself how much risk you want to take with your life.

http://www.forksoverknives.com/  (go to NetFlix and watch this documentary)
And join in locally in Northwest Florida: