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“AHEARTTOHEARTTALK-Oh,the thingsweneedtotalkabout...” ByWilliamG.Winter,DVM Everyoneknowswhatcausesheartattacks,thebiggestkillerofAmericans,right?Ofcourse.Aska roomfullofpeopleandtheywillsaysomethinglike“cloggedarteriesoftheheart”.Samefor strokes,“cloggedarteriesofthebrain”.Towhichtheywillmostoftenadd“fromeatingtoomuch cholesterol,donchaknow”.It’soneofthosemedical“facts”thatwehaveallgrownupwith, especiallysinceheartattacksandstrokeshavebeenontherisesincethe1950’s,heartattacksalone nowkillingastaggering700,000ayear.ThankGodforcholesterol-loweringstatins,babyaspirins andbloodthinners,right?Abouttheonlythingleftfordoctorstoargueaboutarethefinerpointsof whatcausesplaquetoforminthearteries.But,aswearestartingtosee,thesecholesterol-lowering techniquesarenotreallysavinglives,ifitworkedwhywouldsomanypeoplestillbedying? Likewise,thesuper-expensiveproceduressuchasbypasssurgeryorstentsaren’tsavinglives either.Somethingiswronghere. Asitturnsout,thewholedarnmythisunraveling.Firstcamethesurprisingnewsthatthe“lipid hypothesis”theoryofplaqueformationwasnevertrueatall.WecanthankDrRavnskovandhis book“TheCholesterolMyths”forredeemingthereputationofpasturedbaconandeggsfor breakfast,abiggobofgoodbutteronouroatmeal,andagoodgrass-fedsteakfordinner.Secondly, thereistheembarrassingdiscoverythatmanypeoplewhodieofaheartattackdidn’thaveany cloggingclotsintheirarteries!Correlationbetweencloggedarteriesanddeathfromheartattack, varyatautopsywithstudiesfromaslowas7%upto90%,so,evenifyoutakethehighestnumber everrecorded,whathappenedtotheother10%ofheartattackdeaths?Takingthisanotherstep further,thelongerthetimebetweenheartattackanddeath,themorelikelytherewouldbea blockageinthearteriesoftheheart.Thisdoesn’tmakesenseifcloggedarteriesarethecausal factor. ThestoryIamabouttotellyouislikealittlecherryIpickedoffofabananasplit,justforyou.My cherryisfromthestunninglecturegivenbyholisticMDThomasCowanattherecentandglorious WestonA.PriceFoundationAnnualConferencejustoutsideofPhiladelphia.TheWAPFconference is,yousee,sortofa“firstcousin”toAcresUSA,thiscousinbeingthecitycousinwhothinksmore abouteatingandwhattoeat,asopposedtothefarmcousinwhoeatstoo,butalsomakesallthe food.Anyway,twoamazingconferences.LetmejustsaythatDr.Cowanisthefirsttoadmitthathe is“outofthebox”,thatis,ratherunconventional.Scientific?Yes.Healingpatients?Verymuch so.Mostofusthinkthathe’ssortofliketheThomasEdisonofmedicaldoctors!Afoundingboard memberofWAPF,heguidesustoplaceswherenodoctorhasgonebefore.Here’sthatstoryI promisedyou,directfromDr.Cowan. OK,sowehaveestablishedthat(youhearditherefirst!)eatinggoodcholesteroldoesn’tcause plaquebuild-uporanyofthesubsequentdiseasesit’sbeenallegedtocause.It’srelativelyclear thatifonehashightriglyceridesinthebloodaswellasarterialplaquethatit’smorelikelydueto eatingtoomanycarbohydratesaswellasother“oxidizing”factors.Wearealsosayingthathigh bloodcholesterolisn’tevenariskfactorinpredictingheartdisease.Virtuallynocorrelation.But whatiscorrelatedarethethreemainriskfactorsforheartdisease:Emotionalandpsychological stress,Smokingcigarettes,andDiabetes.Riskfactorsthatareknowntoinflicttheirdamagemost severelyinthetiniestofbloodvessels,thealmost-microscopiccapillaries.Oddly,theseriskfactors haveneverbeenshowntodamagelargearteriesinanymajorway.Butwehavebeentoldfor70 yearsthatarteriesweresupposedtobetheproblem.Iftheknowntrueriskfactorswerereallyout theredestroyingmajorbloodvessels,whydon’twehaveplaquebuild-upinthemajorarteries,the bigonesthatgototheliver,thespleen,thekidneys,thepancreas,orotherorgans?Haveyouever heardofsomeonehavinga“spleenattack”?Meneither.Something’sdefinitelywrongwiththis theory,butdoctors,likefarmersIsuppose,resistchangingtheories,eveninthefaceofmassive evidence! Sohere’swherethemedicalfogisbeginningtolift,laidoutinverylogicalsteps.Alltheserisk factorsdodamagecapillariesandthedamageismostapparentforcellsinorgansthathavemassive needsforallthethingscapillariesdeliver,thatisoxygenandfood.Theseorgansalsomakealotof waste,thatis,carbondioxideandmonoxide.Ifthere’sinadequateoxygenorfood,oriftrashbuilds up,permanentdamageiseminent.Thosetwoorgansarethebrainandtheheart.Almost70%of theoutputofthebodyfeedsandtendstotheravenousbrainandhearttissue.Notonlydothesetwo organshavehighneedstheycannevertakeabreak.Notevenforafewminutes!Iftheprecious networkofcapillariesbecomedamaged,foodandoxygendoesnotarriveinadequatequantities. Toxicanaerobicfermentationoccurs,lacticacidbuildupresults,thepHofthetissuegetstooacidic andthetissuebeginstodie.Hello!Heartattackiscoming!Thisdeathofportionsoftheheart musclethatprecedesactualpatientdeath,isalsopainful,somethingwecall“angina”.It’salast minutecryforhelp. Dr.Cowansaysthenit’slikeabeaverdam.Oncethereisnecrosisanddamageinthetissue,blood cannotflowandthereisabuild-upofdebris(clotsandfibrinogen)upstream,inthiscaseinthe coronaryarteries.So,whatreallyhappensisthatpartoftheheartdiesfirstandthentheupstream arteriesbegintoclogup.Thisiswhytherearemoreblockedarteriesinpatientswholiveawhile afterthe“heartattack”.Thereismuchmoretimetobuildupdebrisandclots.Thisiswhysomany heartattackcauseddeathsshownoevidenceofaclotorcloggedartery. HowdoesDr.Cowanpreventhispatientsfromdying?BeingastudentofRudolfSteiner,thefounder ofBiodynamicFarming,whoalsodiscoveredthatmanyplantsintheworld“containpartsofus”. Steinerrevealedallthisaspartofhisunifyingtheory,hebelievedthatatonetime,longagoin Creation,wewereallone.Now,ifwegetsick,wejustneedtogolookingforour“missingparts”out thereinNature,it’sintherocks,theplantsandsometimestheanimals.Therearemanyplantsthat bearcardiacglycosides,isn’tthatinteresting?OneplantcontainsaglycosidecalledOubain (pronounced“WAH-bah-een”,afunwordtosay!)asubstancethatislike“insulinfortheheart”.Ina complicatedseriesofsteps,oubainisemergencyhelpforthekeepingtheheartaliveand healthy.Thismedicineslowsthewaveoftheheartbeat,thusbringinginmoreoxygenandeven convertingthetoxiclacticacidtopyruvate,ausefulfoodforheartmusclecells. Evenmoreinteresting,alongtimeago,doctorsfoundoutthatwemakeourownoubain,it’sfrom theadrenalcortexanditnourishesourownheart.EveryonecandothisTodiscoverit,thescientists trackedit’spathwaytotheheartbytaggingthesubstancethatcarriesitthere.Canyouguessthe natureofthatsubstance?Wereyouthinkingcholesterol?Well,that’swhatdoesthework!Youneed cholesteroltomakeitwork.Whenin-the-boxdoctorsgiveusstatindrugs,itlowersthepresenceof ourownoubainby85%.Whichgetsusbacktothebeginning! Dr.Cowanstartsallhiscardiacpatientsonaseriesofmoreorlesstraditionalbloodtestsand cardiacevaluations.Helooksfortrueindicatorsofcardiacrisk(youwillalsofindtheseexplainedin AlWatson’sneatlittlebook“21DaystoaHealthyHeart”)suchastriglyceridelevel(howmuch carbohydratesyou’vebeeneating),yourC-reactiveproteinlevel(atestofhowinflamedyouare), andahemoglobinteststhatrevealsyouraveragebloodsugarleveloverthepastweek.Ifyouhave diabetes,hewillneedtogetthatundercontrolfirst.Hewillalsoputyouona“Nourishing Traditions”diet,whichisahighanimalfat,lowcarbdiet(hey,whynotstartnow?!),perhapsthe GAPSdiet,whichwatchesglutenandcasein,he’llprescribetakingcodliveroil,CoQ10(anatural heartenzyme)andseveralnutriceuticals.Hestartsyouonasuperslowexerciseplanthatworksup torepetitionsofsuchthingsas12quickuphillclimbsperweek.Nothingtootough.Throughouthis past5yearsoftreatingheartdiseasepatientsinthismanner,hehasnotlostonepatienttoa myocardialinfarct(heartattack).Canyourdoctorsaythat?BonAppetit!