ENJOYING A HEART-HEALTHY DIET: CASE HISTORIES
When it comes to making some changes in your diet, only you can make the decision to make that commitment. Some men and women have a difficult time taking the first step. Take the case of Dr John Smith. That’s not his real name, and in a moment you’ll see why I don’t want to identify him. I met Dr Smith at a Heart Association meeting in Dallas. After I interviewed him regarding his research, we chatted a while about our own lives. The subject of our cholesterol came up and it turned out his cholesterol level was dangerously high, sometimes nearly 7.8.
But Dr Smith did little about it. Seems he was so busy with his research, his patient load, and trying to achieve tenure at the university that he had no time for his own health. Asked what he had for dinner, he replied that he and his family ordered pizza quite often. His wife also was a physician and neither had much inclination to prepare food.
OK, I said, how about ordering the pizza without cheese, and then spreading some low-fat or non-fat cheese substitute on when it arrived. A minute or two in the oven and the pizza would be ready to eat. Well, he replied, that would be a lot of effort. He’d have to stock the cheese, make a special request over the phone, and he didn’t think he’d want to do that.
Hmmm, 1 thought, coming up with another suggestion. How about ordering the pizza with half the cheese, and getting all vegetable toppings? No, Dr Smith said, rather sadly shaking his head, that, too, would be too difficult, since his wife and children refused to eat a lower-fat diet.
Getting a bit exasperated, I said he could get half the pizza with half the cheese. Uh, no, he said, then he would have to somehow decide which half was which and, even then, it would take a special order. Besides, most of the time the kids ordered the pizza.
Needless to day, Dr Smith can’t find any time to do any exercise either. He was under enormous stress because of concerns over his tenure, but took no steps to alleviate that stress. And he was carrying about 9 kilograms of extra weight around his waist. To make matters worse, Dr Smith had a family history of heart disease. I wish him a lot of luck, but it’s going to take more than that. It’ll probably take a heart attack to get his attention. I hope he survives.
The next story is just as sad. I’ve heard it from at least two dozen women since writing The 8-Week Cholesterol Cure. Those women were trying to help their husbands get better after their heart attacks. That meant preparing more fish, more poultry and more low-fat foods in general. But instead of thanks those women got complaints. “Why the hell don’t we have steak any more?” “I’m tired of cereal. I want some bacon and eggs.” “Margarine just doesn’t taste as good. Get some real butter.” Many of the wives had tears in their eyes as they told their tales of woe.
Often cliches hold a lot of truth. You can lead a horse to water, but you can’t make it drink. Same with those husbands. I often tell such women to get some clothing catalogues and some cruise brochures and put them on the cocktail table. When asked by their husbands what those are all about, I tell the women to simply say they’re figuring out what to do with the insurance money.
Too harsh? Actually that usually gets a laugh, since I deliver that advice with a smile on my face and tongue in cheek. But the fact remains that no one can lead another’s life. You can’t force someone to take the steps necessary for cardiac recovery or any other aspect of health.
But for every negative story, I can tell a dozen positive ones. Take the example of Sam Horwitz. Sam is a very successful businessman who must travel and attend dinners frequently. He finds no problem in requesting a fish alternative at banquets and is almost never turned down. He has his travel agent automatically order a low-cholesterol meal on all his flights. Sam knows which restaurants serve a wide variety of foods he and his wife can enjoy. And through such efforts he has lowered his cholesterol from the 6.5 range to well under 5.2. He’s confident that he won’t ever have another heart attack.
Sam is typical of young, dynamic men who have taken charge of their own destinies. They won’t let that heart attack get in the way of living a full, rewarding life. And they know they have to take certain steps to provide the protection they want.
Keith Ingram, on the other hand, shows us how older individuals can also make remarkable recoveries. Even after having a bypass, performed by the eminent surgeon Dr Michael DeBakey, Keith didn’t do much to change his lifestyle. But then he was told that his disease had progressed to the degree that even another bypass was deemed inadvisable. “My doctor told me I wouldn’t survive it,” Keith said. At the age of 67 he couldn’t enjoy his retirement, lived the life of a cardiac cripple because of angina pains, and made life a living hell for his wife Lucille.
Then Keith took charge. He changed his diet almost overnight, getting fid of most of the fat, and adding a lot of soluble fibre. Despite the angina, Keith forced himself to walk, a little mote every day. To get his cholesterol down sufficiently from the horribly high point of 8.8, he took the prescription drug colestipol and took niacin daily. Knowing that he was doing something for himself, his attitude slowly changed for the better.
When I met him, Keith was 69, walking briskly five kilometres every day, with a normal blood pressure and a cholesterol reading under 5.2. His doctors are amazed. The angina pains are gone and he now lives his life to the fullest.
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Cardio & Blood/ Cholesterol