DOCTOR'S BLOG
23 Reasons to Get a Heart Scan
1. Heart disease is the leading killer in the USA for both men and women.
2. About 610,000 people a year die from heart disease.
3. One in four deaths is related to heart disease.
4. 735,000 Americans have heart attacks annually.
5. Heart disease kills about the same number of people annually as does cancer, lower respiratory disease, and accidents combined.
6. 47% of sudden death from heart attacks occurs outside the hospital. This suggests that people do not understand the risk and/or symptoms of heart attacks.
7. Men are at higher risk than women.
8. African-American men are 35% more likely to have heart disease.
9. High blood pressure, high cholesterol, and smoking are key risk factors for heart disease.
10. About 47% of Americans have at least one of these risk factors.
11. Family history of heart disease increases your chances of having a heart attack.
12. Diabetes, poor diet, physical inactivity, obesity, and excessive alcohol use greatly increase your risk of heart disease.
13. Oklahoma has one of the highest incidences of heart disease in all of the USA.
14. About 800,000 people a year have a stroke.
15. Heart disease and stroke cost about $313 billion a year in healthcare costs and lost productivity.
16. The American Heart Association predicts the annual cost of heart disease will exceed 1 trillion dollars by 2035.
17. According to the American Heart Association, your risk of cardiovascular disease is 50% at age 45.
18. It is 80% at age 65.
19. The emotional pain and suffering inflicted on people is unmeasurable.
20. No one wants to die too early.
21. Heart disease can be treated and prevented.
22. Screening for heart disease is easy.
23. Not knowing if you are at risk is not very smart!
Heart disease does not have to keep kicking our proverbial butts! Screening is very simple. A heart scan is an inexpensive way to screen for cardiovascular disease. It is not perfect, but you do get valuable information to help evaluate your personal risk for coronary heart disease.
A CT heart scan measures the amount of calcium that builds up in the arteries that feed your heart. It can be correlated to a degree of blockage in those arteries. It is not super accurate in the sense that you will not get a number such as 76% blockage. It will get you in the ballpark. It will generally correlate to no blockage, mild, moderate, or severe blockage. If you are in the moderate or severe category, generally you should have more testing.
Most places will do a heart scan for around $50. Insurance does not cover heart scans. Since you are paying cash for it, you do not need a doctor’s order. Simply call your favorite place and schedule.
Remember, this is only a screen. If you are having any symptoms at all, check with your doctor. You can still have problems in spite of having a normal heart scan. It is not perfect, but you do get good information and it is relatively inexpensive. (It is also pain-free!)
If you have a family history of heart disease or if you have other risk factors such as smoking or hypertension, start screening around age 40 to 45. If you score a zero (perfect), probably good to get one every five years. If you do not score a zero, I would check more often.
Oh. I just had mine and I scored a 23. My previous one was a zero. I have a strong family history of coronary artery disease. I am going to repeat in one year and I am going to double-check my lipid panel and watch my blood pressure closely.
Time to go exercise!
Wishing You an Amazing Life,
Dr. Curtis Brown
What Is Your Purpose in Life?
WThe most popular book in the world is The Holy Bible. It has had more copies produced than any other book. The second most published book is not even close to the Bible. The second one, however, is fairly recent. It is The Purpose-Driven Life by Rick Warren.
Knowing one’s purpose is essential to living a fully productive life. If you do not understand why you exist, then you will have difficulty making good decisions about your future and even your present. You will be taken with the current of popular opinion and may end up in a place you do not want to be in.
Earlier in the year, we talked about what you want written on your tombstone. How do you want to be remembered? This really gets you thinking about your character and your influence. I think this is a good starting point (the end of your life) on understanding your purpose.
Everyone and everything has a purpose. Even if you do not believe in a Creator, honest people will come to the conclusion that everything has a purpose. If you really believe we evolved from some primordial mist, then the only thing that makes sense is that we evolve to a specific end or purpose. We cannot evolve, and it not serve a purpose or benefit. Everyone and everything is designed for some purpose or use. We may not understand it with our limited sight or knowledge today, but there are no accidents.
I believe we are uniquely created by a loving God and that we all have purpose or reason for existence. I believe God has created each of us to fulfill roles only we can. The roles may be similar to others, but they will be unique to each of us.
Our purpose for life may be experienced differently as we go through different stages of life or life events; but at the core, our purpose or reason for breathing stays the same throughout our life spans.
We are never too old (or too young, for that matter) not to have a purpose. Many of my geriatric patients struggle with why they are still alive. They often feel like they have completed their purpose for living. There are many reasons for this, but at its core is the belief that they are no longer contributing.
Our sense of worth often comes from our sense of how we contribute to society, especially our families. If we feel we are not contributing, then often we will feel worthless. Eventually, we feel worthless.
I was at both of my grandfathers’ deaths. I watched as they took their last breaths and watched the monitors flatline. To this day, I am still learning from them. I will compare myself to them when I am close to the end. They showed me how men end well. They never quit leading me. You are never too old or too sick not to have a purpose. You will always have a purpose as long as you have air in your lungs.
You must know what your unique purpose in life is! I want to challenge you to think about your purpose, your reason for breathing. And I want you to write it down. It does not need to be elegant or even elaborate. I think the simpler it is, the easier it is to understand and to follow.
I recently reviewed my purpose and wrote down thoughts as they came to my mind.
“I exist to glorify God in all I say and do. I do this mainly through helping others to improve their health and lives. I experience God most when I am serving His children and enjoying the outdoors. Learning is another common way I enjoy God. Therefore, I will be a lifelong learner who loves God and helps others on their journey.”
This statement is basically a filter for me when it comes to decisions about how I am to spend “my” (it is all His anyway) money and time. It is a fairly broad statement and leaves me lots of leeway, but it is still one of my first filters. The things I do and spend my time on need to fit with this in some way or fashion.
We all have a purpose and a unique design. What is yours? Don’t be shy: tell me in the comments.
Wishing You an Amazing Life,
Dr. Curtis Brown
Supplements: To B or Not to B
Today, I am blogging about B vitamins. I recently said fish oil was my favorite supplement. Well, a close second is my B-complex vitamin.
Many people believe B-12 helps with energy. I have patients come in to my clinic asking for a B-12 shot frequently. It gives them a little boost. I do not think it lasts very long and again there is probably a placebo effect. We have had a retired NFL player report he and many of his teammates would take a B-12 shot right before the game. He said they would look for any kind of edge they could find and believed B-12 gave them a boost.
Most people can supplement with oral B-12 and be just fine. There are a few people who are missing an intrinsic factor in their stomachs and will benefit from the shots.
I think the B-complex supplement I take helps me some with energy but also with mood. I know it may sound a little crazy, but I think I am generally a little happier when I am taking it.
B-12 has shown to improve homocysteine levels in our blood. Low homocysteine levels have been associated with cardiovascular risks. I do not routinely check homocysteine levels, but many holistic doctors do.
Supplementing with B-12 has some other reported benefits. One of the more interesting ones is how it helps to maintain healthy DNA. There is a common process in our bodies called methylation. It is responsible for many different functions. One of them involves keeping our DNA healthy. If you are low on B-12, it can affect your ability to properly methylate.
I get all of my supplements from Thorne Research. They are one of the top supplement manufactures in the world. They have recently partnered with the Mayo Clinic. They only provide their supplements through medical providers. If you want to use their products, use my code, HCP1050950. I am an affiliate, and this means I get a commission if you buy from them. Some patients just use them for education only. They have a fairly extensive library of articles on different supplements and uses.
I hope you have found this information helpful.
Wishing You an Amazing Life,
Dr. Curtis Brown
Dr. Curtis Brown's Favorite Supplement
I have recently been blogging about supplements. If you have read my blogs, you know I have put a disclaimer out. These are my opinions only. I am sure others will have different opinions than mine.
I do not think there is a single supplement that is right for everyone. So, be sure to communicate with your healthcare provider before starting any supplements.
My general advice on all supplements is to give them a try and see how your body responds. If you feel better, I count it successful. Is it real or is it placebo? Better is better, and I leave it at that. If it doesn’t help, probably okay to stop it.
My favorite (or at least the one I take the most) is fish oil. Fish oil has many reported benefits and there are several small studies that back them up. To be honest, there are also studies that do not support the daily use for fish oil.
I take fish oil to improve my lipid panel and to help with arthritis or joint inflammation. My joints simply feel better when I am taking my fish oil routinely. I am like everyone else and will forget to pick some up and stop taking it for a little while. Before long, I will start to stiffen up, and then I will remember to get back on my fish oil.
It usually takes about 2–3 weeks for my joints to respond. I think it helps me. I understand it may just simply be the placebo effect, but I feel better.
Fish oil has been shown to help with triglyceride levels and many other things. I have written more about fish oils and their benefits in my e-book, The Caleb Journey.
Up next: B vitamins.
Wishing You an Amazing Life,
Dr. Curtis Brown
Supplements: Are They Right for You?
It has been estimated that Americans spend $25–33 BILLION a year on supplements! Now that is a lot of supplementing. Multivitamins are very common and probably the most taken across various ages and cultures. I did a search on supplements and got over 15 million hits on Google.
So, are they really good for you? Don’t most of the supplements or vitamins just run right through us? How do you know what to take? These are very common questions people have and there are many different opinions and answers to these questions.
I want to be real clear. I take supplements. I do not have any great studies to support my use of supplements. I only have my years of experience as a family doctor and my own personal experiences with the use of supplements. I have done extensive reading and continue to improve my own knowledge on the subject. I am in no way an expert on supplements.
So, if you are still reading this, understand these are my opinions.
I am often asked about the absorptions of supplements and how your body uses them. I do believe some of the supplements are probably excreted from our bodies fairly rapidly. If you take a B vitamin, it does not take very long (15–30 minutes) before your urine becomes bright yellow. So why take them if they get out of your system so fast?
My first answer is to compare supplements to water. Water basically just goes right through our system. But I have to believe the water does some good along the way. I think supplements are much the same. They may go right through us, but I think they do some good along the way.
Secondly, I am sure not all the B vitamin ends up in my urine right away. I do think it will circulate through my body and be used if needed. It helps ensure the systems in my body that use the B vitamins have plenty of it.
Which supplements should you take? Again, a very common question. My answer is: it depends. It depends on what you are expecting or needing as far as supplements. It depends on your overall health status and your nutrition. It depends on your genetics. I do not think there is a one-size-fits-all. A growing athletic adolescent is going to have some different requirements than a guy in his sixties.
I do think the first thing to start with is to be sure you are doing the basic things well. Eating clean will help your overall wellness and health more than any supplement can. If you are not exercising regularly, get started. Try to get 7–8 hours of sleep and drink plenty of water.
My next blog will be about my personal favorite supplement.
Wishing You an Amazing Life,
Dr. Curtis Brown
Supplements: To Take or Not to Take?
I have been helping people with their health issues for 30 years now and I believe I have learned a lot of things over those decades. I have learned we do not necessarily always know the truth. Medical opinions change with increased knowledge and better information.
I remember when we told everyone to quit eating eggs if you needed to lower your cholesterol. Well, now we have decided it is okay to eat some eggs in moderation. It used to be common practice to advise all women to take calcium. Now, not so much. Calcium probably will not hurt you, but it also probably does not help as much as we thought.
Medical advice and opinion tend to shift and change all of the time. There are some basic truths (at least, I think there are) that still make sense. For instance, if you have high blood pressure, you should do everything you can, including taking medication if necessary, to reduce your blood pressure to normal levels. This will dramatically lower your risk of heart attack and/or stroke. Getting regular sleep is really good for your overall energy and mood. Regular exercise will increase your energy and enhance your life. Still true!
Supplements are very popular today. I personally take them and I think they are helpful. However, recently I was listening to a popular wellness radio show and the host was taking lots of supplements. He was recommending all sorts of stuff to help with weight loss, memory, fatigue, energy, skin, bloating, and a multitude of other common ailments.
I tried to calculate how much it would cost to take everything he was recommending as a must-have. NO ONE could afford to spend that kind of money! It was over a thousand dollars a month.
Again, I am not against supplements. I take them myself. But I think some common sense should be used in deciding which supplements to take. Part of the problem of deciding what to take is filtering through all the noise around supplements.
Many mainstream doctors avoid recommending supplements altogether. We have been trained to look for documentation of efficacy through double-blind studies. It is really hard to find long-term, double-blind studies when it comes to supplements. I know there are a few good studies, but they are often biased in their design.
Over the next few weeks, I will blog about my thoughts and recommendations on supplements. I will not quote any studies. These recommendations will be based off of my personal experience and my own research of available information (which changes frequently).
I hope you will find this information practical and informative.
Wishing You an Amazing Life,
Dr. Curtis Brown
A Simple Key to Happiness
Read the first three in this series:
The Most Important Thing about Trying to Lose Weight
Understand Your Why
Brain Hack for Weight Loss
Isn’t it true we all just want to be happy? Are you happy right now? Do you have healthy relationships? Are you financially ok? How is your health? Are you growing spiritually? How is your family life?
How you answer these basic questions often determines your level of happiness. I want to slow down and have you think about some really basic things I believe can increase your level of happiness.
We all have a basic understanding or belief about how life should be. We all have a blueprint, if you will, on how to build our lives. At any given moment, your sense of happiness is determined by how well your current situation measures up to your blueprint for life. Think about it for a moment. Think of the different areas in your life: financial, health, relationships, family, and spiritual. How happy are you in each of these areas? Rate yourself on a scale of 1–10. How happy are you?
Chances are if you rate yourself fairly happy, your current situation aligns well with your ideas on how your life should be. For instance, if your financial goals are to have six months of living expenses set aside for an emergency fund and you have achieved that goal, you probably have some sense of contentment. I would imagine you have other financial goals as well, but I hope you are getting the point I am trying to make.
Now if you are not happy in some areas of your life, why not? Chances are that area of your life does not match up with your blueprint. Well, why not? Do you feel loved and respected by your spouse? Are you growing spiritually? Why or why not?
Our energies flow to our focus. If you want to be happy, focus on what is important to you, your blueprint for life. If you are struggling in a certain area, it is probably because you have not been focused on that area of your life. Maybe you are a dad who is working hard providing for your family, but you are neglecting your kids and things at home are not matching up to your blueprint. Focus on the family; balance the work-family continuum. I know it is not always as easy or simple as I have made it sound. But I do know it is true: your energy will flow to your focus.
If you are not happy in an area of your life, stop for about 15 minutes today and develop a plan to change your focus. Write your plan down on paper or on your smartphone, and review it daily. It will only take a few minutes. It helps to start the time with thinking about two or three things you have to be thankful for. Develop an attitude of gratitude. In a couple of weeks, take the time and reevaluate your situation. Focus and adapt!
Now the real key to a successful life is to have a lasting blueprint for life. Make sure your foundation of your blueprint is laid on the Cornerstone.
Wishing You an Amazing Life,
Curtis Brown MD
Brain Hack for Weight Loss
Read the first two in this series:
The Most Important Thing about Trying to Lose Weight
Understand Your Why
I really believe most of us can do just about anything when we put our minds to it. Now, I am not talking about crazy things that are physically impossible like flapping our arms to land on the moon. It is a matter of focus and what we focus on.
In recent blogs, I have written about the importance of deciding to do something and then having a compelling vision of your future. This compelling vision should help you overcome in times of struggles, and the struggles always come.
Today, I want to give you a simple brain hack to help you in your struggles in the moment. But first, let’s talk about some ways to prevent getting into struggles.
Why is it we often find ourselves dwelling on the things we are trying to avoid? Adam and Eve had acres of good trees to choose from, but they seemed to focus on the forbidden fruit.
My friend Rick Thompson tells a story about teaching his young son to ride a bike. He found an open parking lot on a weekend that was huge, but it had a couple of light poles in the middle of the lot. His son kept saying he was afraid he would hit the light pole. Now, there were literally acres of parking lot free from the light poles. But what do you think happened? His son went straight for the light pole!
The truth is our energy will flow to where we focus. If you are trying to lose weight and you are constantly thinking about food, where do you think you will end up? Probably at the refrigerator or the cabinet where the chips and cookies are.
The Bible encourages us to dwell on what is good and pure and noble. Keep thinking about your preferred future. How will you feel when you drop the weight? How much more energy will you have? How will your self-image change? Write down your goals and benefits and review them daily. Get on the scale every morning and decide tomorrow will be better. Make it happen!
When you are in the moment of a struggle, and you must decide between pain versus pleasure, now versus later, what can you do to improve your odds? Most of us have patterns we have developed over the years. Our spouses and close friends can often predict how we will react to a certain situation. It is the same with temptations of all kinds. We have thought patterns that usually lead to a behavioral reaction.
The key is to interrupt the thought patterns. We have to disrupt the routines of our neuropathways. It usually takes some energy and action.
One of the things I will do is simply get up and move. Get a drink of water or take a look out of the window. Do something to change my focus.
Our energy will follow our focus. Change your focus. I heard of one guy who would pinch his nose and make a noise. It disrupted his neuropathway and changed his focus. It helps if you immediately think of something funny or otherwise good. This will start changing your neuropathways and with time, the temptation will lose its grip on you.
Decide, create vision, focus on the good!
Wishing You an Amazing Life,
Curtis Brown MD
Read Part 4: A Simple Key to Success.
Understand Your Why
In a recent blog, The Most Important Thing about Trying to Lose Weight, I wrote about the most important thing for improving your health and losing weight: simply to decide to do so. Over the years, I have found those people who have succeeded have chosen to make it happen. They are proactive and take responsibility for their own health and weight loss goals.
Again, the concept is really simple. First you must decide! If you are thinking, I will do this when I have more time or money or my situation changes, chances are you will never take action. Most of us are like water: we tend to go to the level of least resistance.
Deciding is the first step. Deciding is the most important thing, but it is not everything. I have decided and have started many things only to give up in a few short days or weeks.
To really stay with it when things are a little tougher, you must have a compelling reason, a compelling why. Remember, we basically make decisions based off of pain versus pleasure.
For me to stick with something, even when it is painful, I must have a compelling vision of future benefit or pleasure. The scale must be tipped to the pleasure side for me to decide in the moment. Now the problem becomes in the moment; if I eat this now, I will have some pleasure and relief of pain. I must have a compelling vision of future benefits that outweigh the current situation. It has to have more attraction, more benefits in my mind, than my current situation.
People who are successful at losing weight understand delaying temporary pleasure for permanent results will ultimately give them more pleasure. So, you must get a clear vision of your future desires. What do you think it will feel like when you have reached your goals? What health benefits will you have obtained? How much more energy will you have? How much better will you feel about your body?
First, decide it is important. You cannot move beyond this until you know that you know it is important. Next, create in your mind a compelling future vision. Write it down. Keep a journal of your thoughts and desires. This vision must be strong and compelling. You will need to draw energy from it when you are tired. Set a goal with a timeline and tell someone. Better yet, team up with some friends and journey together to better health.
Wishing You an Amazing Life,
Curtis Brown MD
The Most Important Thing about Trying to Lose Weight
I have had the privilege of helping thousands of people improve their health over my 25+ years of being a family doc. Unfortunately, I have also not been able to help many people. Oh, I can give them the necessary information and/or medications, but many people just seem unable to move the needle. They seem stuck in a rut or even worse, continue down a bad path to decline.
I have discovered a simple, basic principle that successful people have in common. It is so simple that many people will not believe me, but I know it is the truth. It is not hard to understand and yet so many are simply unable to do it.
The simple truth is people who lose weight or otherwise improve their health decide to do so! This is the foundation of making improvements in your life. You must first decide. It must become important to you.
People know they should do something. They know they could do something. How many times have you said, “I should lose weight or I should start eating clean or I should start exercising?” I have “should” all over myself at certain times in my life!
So, the simple dirty little truth to the reason you cannot lose weight is you have not really decided to do so. I know I will get a lot of push-back, but just hear me out.
I know weight loss is complicated and hard. Heck, I have been trying to lose the same 20 lbs. now for a couple of years. I know it is hard and I have planned and strategized to lose the weight and have had some success but not lasting.
The bottom line is I have chosen to be where I am today. The choices I have made have led me to where I am now.
We are basically binary people. Every decision we make is simply deciding between pain or pleasure. Think about it for a second. When you really decide something is important to you, you will find a way to make it happen. Now, I am not talking about unrealistic things such as swimming to Hawaii or flying to the moon.
The problem comes in the moment. When you are tired or stressed, your willpower is not as strong as it would be when you’re not so stressed or tired. In the moment, you chose to relieve yourself of the stress by eating something or doing something that is not so healthy for you over the long haul. You chose temporary pleasure to avoid the pain you find yourself in. Pain versus pleasure. This concept of pain versus pleasure is true in all areas of your life.
So, the first thing you must do is to decide your health is important to you. I found I have this natural tendency in me to judge myself by what I intend to do but to judge others by what they actually do! My intentions are turned into deeds, when I actually decide and take action. I really have not truly decided until I act. The road to good health is paved with good decisions and not good intentions.
If you truly decide to do something, I am betting you can find a way to make it happen. Next time, we will discuss more on how you move from good intentions to taking action.
Wishing You an Amazing Life,
Curtis Brown MD