TELEARUBA — broadcast
20260811 043000 UTC
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[00:00:34] the heart muscle 60% of
[00:00:56] We continue with more information through First Glance.
[00:01:00] According to experts, maintaining
[00:01:03] exercise at least three times a week would help
[00:01:07] a person have excellent health, not
[00:01:10] only physical health, but also mental health. Today in
[00:01:14] First Glance we talk about your health, so take
[00:01:16] care of it.
[00:01:24] A study published in Biology magazine revealed that
[00:01:28] three hours a week of weight training
[00:01:31] serves as the best anti-aging for the
[00:01:34] body because it acts
[00:01:36] the Mini Mega and with the Mega directly as a brake on cell aging.
[00:01:39] And of the ones who are eligible for coronary bypass 500 people were followed and blood markers called
[00:01:42] telomeres were studied, and these telomeres, telomeres as
[00:01:46] such, are like a cap that is on the chromosome of
[00:01:49] DNA, and that cap is like, let's
[00:01:53] imagine, the shoelaces that have a plastic
[00:01:57] cap, and that cap can wear out, and it wears out
[00:02:00] with age, that's the telomere, and that's an indicator of
[00:02:04] cell aging. It was noted that through weight
[00:02:07] lifting, consistently
[00:02:11] it can be stopped and the function of the
[00:02:14] telomere can be restored, therefore you are protecting the
[00:02:18] DNA and the chromosome and that is like
[00:02:22] a rejuvenation of
[00:02:25] the cells. The researchers observed that performing exercises with
[00:02:28] weights or bands allowed the telomeres to lengthen their
[00:02:32] life, reducing that biological aging,
[00:02:35] because a decrease in telomeres means
[00:02:38] disease, a decrease in telomeres is also
[00:02:42] a promoter of chronic diseases,
[00:02:46] or unfortunately end of therefore it is extremely important the vision now that
[00:02:48] we have of exercise, how exercise affects the
[00:02:52] cells and protects them and creates
[00:02:55] like a shield, 8 years ago and that has a scientific
[00:02:58] basis, they start and they talk about
[00:03:02] 10 minutes, that with 10 minutes you already start to
[00:03:05] have significant changes, it can be
[00:03:08] increased up to 180 minutes,
[00:03:11] so that resistance and strength activity protects the cells, the
[00:03:15] muscle mass, helps the metabolism burn fat
[00:03:18] for cardiovascular health.
[00:03:21] In our viral
[00:03:28] section, we show these images in which a dolphin and its
[00:03:31] unfortunately deceased calf are seen
[00:03:35] on its back, traveling several kilometers.
[00:03:38] A scene recorded off the
[00:03:41] coast of Australia once again brought into focus the study of marine
[00:03:44] animals' grief. A video there, an organization dedicated
[00:03:48] to conservation showed a mother dolphin
[00:03:51] carrying the body of her dead calf while swimming alongside
[00:03:55] a group there in southern Perth, according to the publication. The
[00:03:58] entity dedicated to the research and conservation of whales and
[00:04:02] dolphins, identified the mother as Frakley, an
[00:04:05] individual they had been following for some time and who, according
[00:04:08] to their observations, had previously lost three
[00:04:12] other calves. The organization explained that the birth of a new
[00:04:15] specimen during the southern hemisphere winter implied
[00:04:19] an additional difficulty for its
[00:04:22] survival. In a social media post, the group
[00:04:25] stated that they still maintained expectations that this dolphin
[00:04:29] would be able to raise its calf. They then suggested
[00:04:32] that the animal may have died from pneumonia.
[00:04:36] Specialists consulted indicated that this type of behavior has been
[00:04:39] documented in different species of dolphins. There,
[00:04:42] a neuroscientist indicated a sanctuary for
[00:04:46] whales that this scene constitutes a mother grieving
[00:04:50] for her child. In her opinion, one of the most
[00:04:53] relevant aspects of the video lies in the presence of the rest of the herd
[00:04:57] that remains with the female during the transfer of the
[00:05:00] body. In other news, see these sad
[00:05:04] images of some fishermen who were
[00:05:08] kayaking and realized that there was a dog
[00:05:11] apparently tied to the side of a cliff. This apparently happened
[00:05:15] in Argentina.
[00:05:17] A group of fishermen sailing in a boat on the Paraná
[00:05:21] River found a dog tied with a rope on a
[00:05:24] cliff in what one of the men described as clear
[00:05:27] animal abuse. The rescue was
[00:05:30] recorded on video and shared by the YouTube channel, where
[00:05:33] it quickly garnered praise in the comments section. The
[00:05:37] images show the moment when the boat's crew
[00:05:41] stopped after spotting the animal immobilized on the shore. One of
[00:05:44] the men disembarked, cut the rope that kept the dog tied,
[00:05:48] and took him onto the boat. He wagged his tail, according to what he said. Once
[00:05:52] on board, the dog received caresses and, given the possibility that he had not
[00:05:56] eaten for a long time, they offered him half
[00:06:00] a milanesa. "It seems to me that they abandoned him," said one of the men in the
[00:06:02] video, observing the isolated place where the dog was.
[00:06:06] The channel creator went further and said: "I suspect they threw him there,
[00:06:10] not abandoned him. If anyone knows
[00:06:12] this dog and knows who owned him, they know he's not good,
[00:06:16] he's not a good person." The rescuers named him
[00:06:20] Pellegrini and he then continued his journey through
[00:06:23] part of the province of Buenos Aires.
[00:06:26] At this time, our recommended
[00:06:32] item of the day arrives, and it comes from Loto, the Aruba
[00:06:36] Lottery. The jackpot keeps growing.
[00:06:38] Loto, the Aruba Lottery, arrives with its tremendous jackpot for
[00:06:42] tomorrow, Tuesday, August 11,
[00:07:13] was recorded as it climbed onto a fishing
[00:07:17] vessel there, in the cabin as if
[00:07:19] nothing.
[00:07:21] A video recorded in the Mar del Plata area showed a sea
[00:07:25] lion entering a resting cabin of a fishing vessel, a scene that
[00:07:29] went viral in recent hours due to the animal's behavior inside the
[00:07:33] vessel. Far from being agitated by the presence of the
[00:07:36] crew, the mammal settled on a bunk and
[00:07:40] remained lying down in a relaxed posture. The sequence there
[00:07:43] began circulating on social media after the sailors themselves shared the
[00:07:47] images of the episode. The recording shows the animal
[00:07:51] inside the ship's resting area, resting on one of the
[00:07:54] crew's beds.
[00:07:57] This concludes our broadcast for today, from all our team that makes
[00:08:01] Primera Plana possible, we want to thank you for your loyal viewership,
[00:08:05] remember to stay connected to our social media, Facebook
[00:08:08] of Primera Plana also of TeleAruba to know everything
[00:08:12] unfortunate earthquake and the
[00:08:16] aftershocks that have occurred in Colombia. Continue with the good
[00:08:19] programming and see you tomorrow.
[00:10:07] welcome to another episode of Caribbean Medical
[00:10:09] TV. Today we're getting to the very core of your
[00:10:13] physical health, the very essence that guides you through
[00:10:16] life, the heart. While the
[00:10:19] Caribbean is unique in many ways, we unite with the
[00:10:22] rest of the world in the rise of one of the most common chronic health
[00:10:26] conditions, heart disease. Many of our
[00:10:29] Caribbean people, some unknowingly, are living with
[00:10:32] heart disease or know someone with this ailment.
[00:10:36] Unsurprisingly, this condition can influence our
[00:10:39] peace, our professions, our families, in short, our
[00:10:43] entire lives. Heart have three arteries
[00:10:47] and two arteries in the left side, that is what you call left main
[00:10:50] coronary artery. It divides into two. One is left
[00:10:54] anterior descending artery which supplies the blood supplies to
[00:10:59] the heart muscle and then the left circumflex
[00:11:03] artery which supplies to the 20% of the left side of the
[00:11:06] artery. And then right side, right coronary artery, we call it
[00:11:10] as it supplies to the 20% of the heart muscle. So
[00:11:14] in total, three arteries supply 100% of the
[00:11:17] heart muscle. So the main one is LAD, that is left anterior descending
[00:11:21] artery, left circumflex, right coronary artery supplies to 20%.
[00:11:25] The heart is the main one, pump the blood to different parts of the body,
[00:11:29] so the artery is supposed to be healthy and nice. The
[00:11:33] causes of heart disease are no mystery.
[00:11:36] Unfortunately, the risk factors are very common in our
[00:11:39] communities. There has been a decline in
[00:11:42] mortality, but that decline plateaued around
[00:11:46] 2019-2020 and in fact has started to increase
[00:11:50] again. Some of that was due to the excess mortality due
[00:11:53] to the COVID pandemic. But on top of that, there's been the
[00:11:57] epidemic of obesity and diabetes that
[00:12:01] is an added risk factor, thus cardiovascular disease has
[00:12:04] trended up over the last few years and cardiovascular disease
[00:12:08] mortality. So we still have a lot of work to do here in the
[00:12:11] Caribbean and around the world. Heart
[00:12:14] failure and cardiovascular disease are related.
[00:12:17] This is like a journey in the illness of the
[00:12:21] patient. The patient is starting point to have
[00:12:25] something that we call risk factors. For
[00:12:28] example, elevated high blood pressure that we call
[00:12:32] hypertension or high cholesterol or
[00:12:35] diabetes that leads to changes
[00:12:39] in the heart and the arteries. A concept
[00:12:42] for example, that our artery is getting older,
[00:12:45] stiff and good
[00:12:48] atherosclerosis.
[00:12:50] Finally, complications arise, for
[00:12:53] example, cerebrovascular disease,
[00:12:56] stroke, heart failure
[00:13:00] or kidney problems. If they are
[00:13:03] not addressed in the right manner, the patient can lead
[00:13:07] to very limited quality of life
[00:13:11] life. Every person is an
[00:13:15] individual, but definitely
[00:13:18] having risk factors, high blood
[00:13:21] pressure, high cholesterol, smoking
[00:13:24] and diabetes are the person that can lead to heart
[00:13:28] failure. If heart failure is not addressed or
[00:13:32] treated, the person, 50% of the
[00:13:35] persons die in the
[00:13:38] five years after the diagnosis
[00:13:41] because there are sometimes no warning symptoms. Many people are
[00:13:45] unaware they are at risk for heart problems. The key to
[00:13:49] prevention is being prepared. We had a 25
[00:13:52] year old young man recently who
[00:13:55] had no clue that he had anything. And when I
[00:13:58] listened, I heard the murmur of mitral stenosis, meaning that his mitral valve,
[00:14:02] the one on the left side between the top and bottom wasn't opening. And when we
[00:14:05] did the echo, it showed that he had severe stenosis, and he's 25
[00:14:09] and never had a clue that he had this disease. So we can go on forever with these
[00:14:13] stories, but what we're saying is if you identify, if you keep doing
[00:14:16] well-person checks, something will tip somebody off that something is
[00:14:20] wrong.
[00:14:23] Children have to be seen by a pediatrician or a GP
[00:14:27] or somebody who is listening for
[00:14:29] abnormalities, not just you getting vaccines and done, but
[00:14:33] listening for a murmur.
[00:14:35] Alert to the fact that a rash could mean be more than a rash,
[00:14:39] right? Just thinking of the diagnostic, because we say what you don't think of you will miss
[00:14:42] in terms of diagnosing. So if you
[00:14:45] do that, then there's a possibility.
[00:14:48] Unfortunately, I am seeing the
[00:14:51] incidence going up and I'm seeing it in younger patients. For
[00:14:55] example, I trained in the University of Calgary in Canada
[00:14:59] and in my training when I did these procedures, I did it in
[00:15:03] patients who were 60s, 70s. But in
[00:15:06] Guyana, I am doing procedures or stents on
[00:15:10] patients as young as 30s and in their 40s.
[00:15:13] And we did a study in between 2022 to
[00:15:16] 2023 where we looked at about 230
[00:15:20] patients who presented with this type of heart attack. We found that the
[00:15:24] average age was in the 50s. We found that they were
[00:15:27] predominantly male patients and a significant
[00:15:31] portion, almost 70%, were South Asians or East
[00:15:34] Indians. A lot of patients had diabetes,
[00:15:37] hypertension, and 80% of the patients
[00:15:40] presented late and did not receive the therapy within the 12
[00:15:44] hour period. The good news is that detection and
[00:15:47] treatment have been increasing in the Caribbean. The heart
[00:15:51] patient of today has more options than the heart patient of
[00:15:55] decades ago. I think as a whole, that the Caribbean is actually
[00:15:59] quite good at healthcare. So certain territories may be better
[00:16:02] at certain things, but we haven't had to send patients away for a
[00:16:06] long time actually. In terms of cardiovascular care
[00:16:08] specifically, we probably only sent pediatric
[00:16:12] cases for surgery. A lot of the pediatric cases are done by something called
[00:16:16] interventional procedures as well, and those patients do not have to go away.
[00:16:19] Adult cardiology patients do not go away for anything. So
[00:16:22] angioplasty, stents, surgical procedures
[00:16:25] including valve replacement and valve procedures. And this is within the Caribbean as a
[00:16:29] whole. And Trinidad specifically,
[00:16:31] quite in a good way, has the highest per capita of
[00:16:35] cardiologists in the Caribbean. So we have essentially all the
[00:16:38] cardiology specialties locally. A lot of people in their
[00:16:42] 30s and their 40s and their 50s don't think of healthcare as being part of a proactive
[00:16:45] thing. So waiting for something to happen, then go to the doctor. So we see
[00:16:49] both in men and women that, you know, the suddenness of cardiovascular
[00:16:53] disease, and it's one of those weird things that you have to look for. You can't just say, "I'm
[00:16:57] waiting for a symptom then to do a test." So it does mean going to your doctor, having a frank
[00:17:01] discussion. Again, it makes a difference what we're looking for. So if
[00:17:05] somebody has heart disease in the family, we might look a certain way. If it's a general checkup, it might
[00:17:09] be just a different way of testing. But we have the
[00:17:11] technology. This is not that is unique to some parts of the world.
[00:17:15] We have different ways of evaluation. We have CT scans, MRI machines, echo
[00:17:19] machines. So technology is available in the Caribbean. It is not unique to
[00:17:23] some other part of the world. We can do it. People just need to access
[00:17:26] it and again have that discussion with the healthcare provider wherever you are
[00:17:30] and see what is the best tool for you to come up with that information. In the
[00:17:34] Caribbean, we do have different levels of
[00:17:37] availability and access in different territories, right? So part of what
[00:17:41] the Caribbean Cardiac Society does is brings
[00:17:44] together the um that
[00:17:47] network, kind of strengthens that network, establish that network.
[00:17:50] There's some areas that they
[00:17:54] may not require setting up of a special area each
[00:17:58] country. So by meeting together, the team might
[00:18:01] say, "Listen, we are setting up this center for maybe PET
[00:18:05] scanning and we would encourage from all the other
[00:18:08] islands that you could come here." Another center might decide, "Well, look, we
[00:18:12] are going to do a lot of coronary intervention, and
[00:18:15] you difficult cases, you could bring them here." So you could have centers
[00:18:19] of excellence in different fields around the
[00:18:22] Caribbean. Relatively recently in St. Lucia, St. Lucia established this cardiac
[00:18:26] catheterization laboratory. And what we did is that we had, you know,
[00:18:30] persons coming from Martinique, persons coming from Jamaica, and it would have been
[00:18:33] cardiologists, cardiovascular nurses, cardiovascular technicians,
[00:18:37] traveling to help establish that cardiac catheterization
[00:18:41] center in St. Lucia. And that's what we like to do. We like
[00:18:44] to build capacity in the different regions. And yes, there is human resource capacity.
[00:18:48] We know that the equipment and the availability of disposables and so on are also very
[00:18:51] important. In the last years, we have faced the
[00:18:55] appearance of diverse drugs for treating common
[00:18:59] diseases, diabetes, hypertension, obesity.
[00:19:02] When we take a look at those patients, patients with
[00:19:05] obesity, hypertension, diabetes usually suffers not only from that
[00:19:09] condition but also affects heart,
[00:19:11] kidneys, liver and other organs. And that's
[00:19:15] the point when we, the different specialists, get together to
[00:19:18] treat the same patients. And in the last year, all of these
[00:19:22] medications usually work
[00:19:25] not in only one organ. Let me give
[00:19:29] you an example: we have some molecules that can
[00:19:32] protect the heart, at the same time that they protect the kidney,
[00:19:36] and at the same time that they protect the liver. So it is important
[00:19:40] to have the different specialist perspective
[00:19:43] of using this medication and the management of this problem.
[00:19:47] Beyond those traditional drugs that
[00:19:50] have been the cornerstone, there are new technologies that
[00:19:54] have to do with genetically
[00:19:57] manufactured or genetic alterations
[00:20:00] or new medicines that are based on gene
[00:20:04] technology. And the fact that the human genome
[00:20:08] has been identified and we can now have the technology to know
[00:20:11] the genes responsible. Scientists are now making
[00:20:15] gene therapies, antibodies
[00:20:18] that can target certain molecules in a body
[00:20:22] to bring down the cholesterol. It's quite
[00:20:25] amazing, and it resembles in many ways some of the
[00:20:28] advanced drug technologies that are used in cancer therapy, where you
[00:20:32] can target the focus. This is now being applied
[00:20:35] in cardiology. What
[00:20:39] presented was the work that we are
[00:20:42] doing in managing heart attacks, and there's one particular heart
[00:20:44] attack called STEMI, ST
[00:20:48] elevation myocardial infarction. What happens in in that
[00:20:51] case is that the artery becomes blocked
[00:20:54] 100%. So when that happens,
[00:20:58] patients will obviously get significant chest pains. Is that
[00:21:01] you have to open that artery as soon as
[00:21:05] possible, and the earlier you open that artery, the better the
[00:21:09] outcomes. So if you open that artery within the
[00:21:12] hours, you have a better chance, but there are certain
[00:21:16] therapies that you can give that would have to be given within
[00:21:20] 12 hours. In addition to that, the gold standard is actually taking the
[00:21:24] patient to the cath lab and trying to open that artery with
[00:21:27] a balloon that is called PCI. So
[00:21:31] my presentation was based on the work
[00:21:34] we're doing in trying to have this therapy available in
[00:21:38] all the 10 regions of Guyana. My area
[00:21:41] of focus is minimal invasive heart procedures, really percutaneous heart
[00:21:45] procedures, meaning doing heart valves or closing holes in the heart by just
[00:21:49] going through either an artery or the vein in the leg. These
[00:21:53] procedures are much safer than open-heart surgery. They require
[00:21:56] lower hospital time, lower hospital stay. They don't
[00:22:00] require ICU admission. So they of course save money and they
[00:22:04] save lives. My area of expertise is coronaries and
[00:22:07] blocked coronary arteries. So this is without question the most cutting-edge
[00:22:11] thing you can do for coronaries right now. The other thing that's
[00:22:14] been around and is emerging and evolving is stenting. We still
[00:22:18] stent more than half the patients who are eligible for
[00:22:21] stents. Those that are not eligible for stents are eligible for
[00:22:25] coronary bypass surgery.
[00:22:29] surgery right now, I'm doing about 99% of them are being done minimally
[00:22:32] invasive. So that's kind of the good news. The
[00:22:36] advances that we make are not in the technology, but in the amount of
[00:22:39] patients we can apply that technology. When I first started doing
[00:22:42] minimally invasive coronary bypass surgery, I did about 10% of my patients
[00:22:46] that way. Now, the equipment and the techniques and the
[00:22:50] and the devices have gotten so good that I can apply that
[00:22:53] technology to almost 100% of my
[00:22:55] patients. We're now on the cusp of
[00:22:58] learning how AI is
[00:23:01] interacting with the tools that we have been
[00:23:04] using. So now increasingly we're using
[00:23:08] AI to fine
[00:23:11] tune both the treatments that we're giving
[00:23:14] and also to help us with the complex decision making.
[00:23:18] We can now also ask AI, "AI, what do you think?"
[00:23:22] And and AI will promote, "Well, that's
[00:23:25] what it will suggest," and will suggest the strategy. Now, it's not that
[00:23:29] he's committed to doing that, but it's like having an experienced
[00:23:33] partner that can give you some advice, and you can think about
[00:23:36] it. And so that that's fantastic, especially
[00:23:39] for areas like in most Caribbean islands
[00:23:43] where you have few specialists or few
[00:23:47] super specialists who don't have an even your
[00:23:50] colleague always to bounce ideas off of. Now you can talk
[00:23:54] to AI and collaborate and
[00:23:57] disagree, and and at the end of the
[00:24:00] day, the doctor remains the one who makes the decision, but he
[00:24:03] always feels as if he's surrounded by colleagues who can
[00:24:07] give him another opinion. As with many chronic
[00:24:10] non-communicable diseases, healthy changes in lifestyle can
[00:24:14] go a long way toward keeping your heart healthy. It is all
[00:24:18] about prevention and the risk factor. We've gotten very good at treating
[00:24:21] heart attacks, at treating heart failure, at treating the
[00:24:25] end stages of the disease, but we're
[00:24:28] still behind in terms of preventing disease. The number
[00:24:31] one risk factor in the Caribbean and around the world remains
[00:24:35] and will remain up to the year 2050 is
[00:24:38] hypertension. The problem with hypertension is that people
[00:24:41] either don't get it measured, don't know they have it. Even if they have it,
[00:24:45] they feel okay. They don't feel it. And so they don't get it
[00:24:49] treated. So the number one
[00:24:52] modifiable risk factor right now. We're doing pretty well with
[00:24:55] cholesterol. People know their cholesterol. The statin
[00:24:59] drugs are ubiquitous to use and almost free of side
[00:25:02] effects. And so a lot more people are getting their cholesterol
[00:25:06] lowered. But as I mentioned, there's this rise in obesity and
[00:25:10] diabetes as the third risk factor by 2050. So we have
[00:25:12] to get our handle on that. And uh, so
[00:25:16] hypertension, obesity, diabetes are the areas that
[00:25:19] really need a lot to work over the next 20 years. The only way you
[00:25:23] know or you have information as to
[00:25:26] what your blood pressure is is if you are, if you are checking it. So you
[00:25:29] must know your numbers. You must check your blood pressure, okay?
[00:25:33] And for those who have got high blood pressure, then whatever is between
[00:25:37] yourself and your physician, your doctor, whatever
[00:25:40] decision has been made, then you want to adhere to those principles,
[00:25:44] because there are very good treatment
[00:25:47] methods that would control the blood pressure and therefore
[00:25:50] remove that risk or decrease that risk of
[00:25:54] complications such as aortic disease, aortic aneurysms,
[00:25:57] aortic dissection. Sometimes you see it in young pregnant women as well
[00:26:01] during pregnancy. The person because, you know, the blood pressure changes
[00:26:04] during pregnancy, sometimes you have women experiencing complications during
[00:26:08] their pregnancy where they've got high blood pressure, high blood pressure
[00:26:12] sometimes can occur in pregnancy, and if it's not well
[00:26:15] managed, you can also develop aortic dissections and complications
[00:26:19] of aortic rupture. Exercise is
[00:26:21] really the best medicine, it's better than any medication that I can
[00:26:25] prescribe, or any cardiologist can
[00:26:27] prescribe. Getting just simple walking, 7 or
[00:26:31] 8,000 steps a day should be the goal. There are very good
[00:26:35] studies now showing that's the level of exercise that reduces your
[00:26:38] cardiovascular risk. So, if you can get a smartwatch or
[00:26:41] smartphone or some Fit Bit, some way to count the number of
[00:26:45] steps you're doing a day and get really aim for that 7 or 8,000
[00:26:49] steps a day, that can control your weight, control your blood
[00:26:52] pressure, improve your overall cardiovascular risk profile.
[00:26:56] It's shown to reduce cancer rates as well. So,
[00:26:59] exercise is really the best medicine we have. One other
[00:27:03] aspect that's rising is the need to get good
[00:27:06] sleep. The condition of obstructive sleep apnea
[00:27:10] is there on the horizon and rising, and we realize a great
[00:27:13] contributor. So that's the other
[00:27:17] aspect that I think we need to clearly understand, that's creeping in
[00:27:20] as one of the things we need to pay attention to, not only diet and
[00:27:24] exercise, but good restorative
[00:27:27] sleep.
[00:27:33] There are two systems in the body, the sympathetic
[00:27:36] nervous system that is related to stress, and the
[00:27:40] parasympathetic nervous system that is related to
[00:27:43] relaxation. And every time we take a deep breath
[00:27:47] in and out, we're actually
[00:27:49] activating the vagus nerve, which
[00:27:53] in turn would cause relaxation
[00:27:57] after a small number of breaths. So,
[00:28:00] that this is why..." things like
[00:28:03] meditation and yoga are helpful because
[00:28:06] they actually help the physiology of the
[00:28:09] body. We are now realizing
[00:28:13] that what is really good are the good fats. Not
[00:28:17] all fats are good, the saturated fats for
[00:28:20] instance, but if you were to eat diets that
[00:28:23] are high in like avocado, which was one time thought
[00:28:27] to be something bad, olive oil, which is one of the best
[00:28:31] oils, and the good fats that come from
[00:28:34] nuts. In places like Cuba
[00:28:38] and a lot of the other places, Puerto Rico, because they eat so much
[00:28:41] rice and peas, they have found that there is less
[00:28:45] in the way of atherosclerosis.
[00:28:48] That too, with some meat and fish, will be a
[00:28:51] good diet. Of course, green
[00:28:55] leafy vegetables and foods, you know,
[00:28:58] which are around and in abundance, just to take a bit
[00:29:02] more effort to get them on the table. But if you
[00:29:06] use this, this will be one of the most helpful
[00:29:10] things in achieving a long life. Thank you, Dr.
[00:29:14] Tilacdarry. Good heart health is the key to quality of
[00:29:17] life. Do take all the precautions necessary to keep
[00:29:21] your body's engine working its best. And do be sure to
[00:29:24] subscribe to our YouTube channel to learn more about caring for your
[00:29:28] heart and to educate yourself on other medical conditions that affect
[00:29:33] you and your family. Coming up next, we'll look at the work of the
[00:29:37] Down Syndrome Family Network of Trinidad and Tobago and their
[00:29:40] efforts to raise
[00:29:41] awareness.
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