The truth about BP, SUGAR & CHOLESTEROL - Dr. B M Hegde

[0:00]Your blood pressure goes up and up and up after some time it is up. That is what is called high blood pressure. Your sugar is up that's called diabetes. Your cholesterol is up because cholesterol is not a disease but cholesterol has to go up because cholesterol is the base of all other steroids that are needed for your stress lifestyle diseases.

[0:17]Lifestyle diseases are lifestyle diseases. I'll tell you what happens. We were hunter-gatherers in the forest, some 10,000 years ago before we came to Pune. And what were we doing there?

[0:29]We had to protect ourselves from tigers and lions, snakes, all kinds of things. Nature said let people survive there also.

[0:39]So nature gave us an autonomic nervous system. If I said God, all of you will be angry, because you don't believe in God, when once you go to BSC level, you forget God.

[0:48]But do you know what Max Planck, the greatest physicist said about God? God said science ends in God, religion starts with God. That's all the difference.

[1:00]For religion, you must start with God, otherwise people don't follow you. For science, you go on science, science, science, science, you come to quantum physics, then you say, without God nothing happens here.

[1:10]It doesn't run like a clock what Newton and Einstein said. There's a different world altogether. Newton's world and Einstein's world is different from the real, what is called

[1:21]what is called the quantum worldview. I'll come to that later. Now anyway, so what did nature do, gave you an autonomic nervous system to protect you? So the sympathetic system and this parasympathetic system.

[1:34]Now when you saw a tiger and you want to run away from the tiger to survive? So to run you require glucose, to run you require your blood pressure to go up, to run you require your heart rate to go up, to run you require energy.

[1:47]All this comes from the stimulation of the sympathetic system. You get adrenaline coming. When the adrenaline comes to the liver, nature has kept gani bags of sugar in the liver called glycogen.

[1:58]So it stimulates the liver and neo gluco genesis, new sugar comes out. So you see the tiger there, your sugar goes up.

[2:04]Then you see the tiger you want to run your blood pressure goes up because the adrenaline. Your heart rate goes up chronotropicity, everything goes up and then you run, you run, run for your life and if you survive, all these things have come down.

[2:17]Now we have transplanted ourselves into society in the last 10,000 years, but our physiology is the same. We have same tigers now in the form of human beings.

[2:27]It may be your boss who is a tiger, it may be your wife who is a tiger, it may be your husband who is a tiger, it may be your junior colleague who is a tiger, it may be the peon in the principal's office who is a tiger.

[2:37]Now when you see that tiger, the same reaction occurs inside but you can't run away from the tiger. Supposing you are a wife and a tiger how can you run away from the wife? So your blood pressure goes up and you stand there and watch there and your blood pressure goes up and up and up. After some time it is up.

[2:53]That is what is called high blood pressure. Your sugar is up, that's called diabetes. Your cholesterol is up because cholesterol is not a disease but cholesterol has to go up because cholesterol is the base of all other steroids that are needed for your stress.

[3:06]So all these are diseases. Now what do we do in reduction in science? I give you a pill a chemical poison. I tell you what these are.

[3:15]And then what happens? You are happy. I have taken the pill. I've taken it from Dr. Bhushan who is a very good doctor. Your blood pressure comes down.

[3:24]Now the largest study of antihypertensive drugs in the what is called the MRC mild to moderate hypertension study which is published in 1985 showed NNT for antihypertensive drugs is 850.

[3:37]To benefit one patient with the fond hope of stroke or heart attack avoidance in the next five years, I am harming 850 people unnecessarily.

[3:49]And there of course the ADR risk is 2%. Which means 8.5 into 2 is 16 people. 16 people will die in next five years. One man might be saved, might be saved.

[4:02]What's the balance? If you know all these will you take these drugs?

[4:06]Now you can study this study MIT study, mitochondrial study. Write down.

[4:13]Mitochondria as Chi, Chi means energy.

[4:17]Mitochondria as Chi, c h i. In Chinese language is energy.

[4:25]And the man is, the man's name is Wallace, w a l l a c e, D C Wallace, Douglas C Wallace. He's a professor of genetics in Washington University.

[4:35]And the article is in a journal called Genetics, Genetics.

[4:40]Genetics.

[4:44]Okay? Year is 2004.

[4:50]I'm sorry, 2008. Volume is 179.

[4:57]And page is 727. Please read this. All these articles are free in the Internet, read that. And go and read it. It's a 10 page article. It'll take at least two days to understand it, because it's very complicated genetics in it.

[5:11]And very interesting message is, the Ayurvedic drugs which he tried, not from India, the Tibetan drugs, herbal drugs he tried, they were not having any one of these reactions.

[5:22]It goes inside and tags and gets digested, goes into the system, does good or doesn't do good but doesn't harm and doesn't go to the liver. So the liver is today we have an epidemic of what's called non-alcoholic cirrhosis, which I have never heard when I was a student in the 50s. Only alcoholics used to get cirrhosis.

[5:38]Now ordinary people, anybody goes to the doctor, says slight touch of fatty liver. My God, I get about 100 to 150 consultations, free consultations in the email every day. Half of it is fatty liver.

[5:49]I went for a checkup. I have a fatty liver. And for a change today, I had a Delhi University professor, senior professor who wrote to me, Professor Hegde, I am becoming to 65. I have not seen a doctor so far. My wife pestered me every day, I must have a checkup. Do you think I must have a checkup?

[6:05]I was so happy. I said don't have a checkup. You are 65 because you didn't see a doctor. And you'll be 100 if you're destined to be 100. If you go to a doctor, there's a good possibility that you will not see the 67th birthday.

[6:20]Delhi University professor. He said I have kept my records roughly from the age 5, I remember till today, I might have spent about 100 rupees with the doctor.

[6:31]Can you believe that? Delhi University professor, senior professor. I was so happy for a change. After a number of years I'm getting this because everybody says, I have not had a checkup, I have not had a checkup.

[6:42]Somebody asked did you have a checkup? I said I have not had a checkup. But I don't tell them that, you know, because I always believe in Ayurveda.

[6:49]The Ayurveda has a beautiful definition of health. What is the definition of health in the Western medicine?

[6:55]1947 Alma Mater definition, absence of physical, mental, spiritual, emotional, no environmental this, that, disease. Disease. This is which means it's a business definition which was done with the business purpose.

[7:10]If you want to know your healthy or not, you must go to the doctor, which means you must go for a checkup. It's a good business, isn't it? See checkup is the biggest business. You don't know that?

[7:20]Read this editorial in the BMJ called the screening industry.

[7:26]Screening industry written by the editor himself, Richard Smith. You say Richard Smith, BMJ, screening industry it will come up.

[7:33]And the fascinating article where he shows that screening is very simple. You're all mathematicians, Pune intelligent people. We don't have anything called normal in the human body. We don't know what's normal in the human body.

[7:45]We know average. Average everybody knows but normal we don't know. So how do you arrive at the average? 1000 people measure let us say height 1000 people, put a cow, Gausian Gausian distribution like a bell.

[7:58]And we put the mean plus two standard deviation. I don't know what it means. It means mean. And that mean is transferred automatically into normal. What is the normal height of Indian male? 5.4 plus minus 2.

[8:11]4.5 is also normal, 6.2 is also normal but they automatically become abnormal, it's called false positive. So for every one measure that you do, you get about 25 to 50 false positives.

[8:25]Suppose you go for a checkup today. Total body scanner. 500 parameters checked. 500 into 25, don't want 525, 5%. 500 into 25 is 2500 isn't it? 100 people go for a checkup, 2500 patients come out.

[8:41]Based on this, a very intelligent professor of medicine in Yale University asked one of her students, who is a patient?

[8:50]Good. Fantastic. The student gave the same answer.

[8:57]A man or a woman who goes to the doctor becomes a patient. The professor was shocked. She was a good girl, 52 and she had done her studies very well and she got shocked. Then she asked the doctor, when does he become a man or a woman again?

[9:10]Do you know what the student said? Rarely ever if ever. Because today you go to a doctor, he says, take this pill.

[9:18]Sir doctor when I am alright I can. No no no no. Don't stop it. Blood pressure will go to the sky. Take it every day for the rest of your life. Finished.

[9:27]Who is finished? Patient is finished. Drug company benefits.

[9:31]This is our practice of medicine. It's called reductionist science. You remember the bird coming in is cancer.

[9:39]And tablet going in is science. So this kind of a science.

[9:45]Please, before I forget, none of you go home and stop your medicines. What I am giving is not the prescription. It's only story.

[9:56]If you want to stop your medicine and if you think you are fine, please go back to your own doctor who has prescribed the medicine and discuss with him. No harm done.

[10:03]Ask your doctor two questions, doctor this pill you are given, no? What is the NNT of this pill? If your doctor knows the NNT, then you can talk to him. If he doesn't know why he has not heard the NNT, then no use talking to him.

[10:17]You ask him, what is the NNT doctor and what is the ADR? Two things only you have to ask. Every tablet that he prescribes, there is an NNT, there is ADR. And if you don't know, don't worry about it.

[10:30]Right? But nobody stops at home. This one fellow wrote to me the other day. I heard your lecture in Bombay and I have stopped my, I'm my blood pressure is normal, I stopped my blood pressure pill and I'm continuing to measure it's normal. But when I went to my doctor, he shouted at you and me together.

[10:46]And he said both of us are fools. I said for no fault, you got one more enemy. So because I didn't know who this man is, he heard my lecture somewhere.

[10:55]So after that I am warning all the people, I am not this is not a prescription, this is only an information. I am not your doctor, you are not my patient. Did you understand that? Okay. Thank