 Thank you for staying with us. I was just saying that we are very big on health. We've spoken about oral health, water, kidney. We've spoken even about the doctors Jack Maying from Nigeria. So I mean, why won't we talk about the heart? A very vital organ, very important actually. So your heart is a very vital organ and it's a muscle that pumps blood to all parts of your body. The blood pumped by your heart provides your body with the oxygen and nutrients it needs to function. Maintaining an healthy heart is crucial to leading a healthy life. Yet heart disease remains the leading cause of death worldwide. In Nigeria heart disease is no exception affecting many individuals each year. But there are steps you can take and lifestyle changes you can make to minimize your risk of cardiovascular disease and improve your heart's health. Please let's hear what you have to say. Remember you can join the conversation, send us an SMS on WhatsApp too. 0818 038 4663 You can also tweet at us. Ask Waishu Africa one with the hashtag Waishu. Mary, what lifestyle changes are you making to maintain your healthy heart? Well actually I know you go to the gym. Before you put that in my course, you have asked me now. Do you know what I mean, the gym? I know you go to the gym, which is a very good thing actually. I mean, I'm listening to you, go on. So what else do I do? I'm currently trying to adjust my, what's it called? Diet. I want to use more protein. Protein, protein. I don't know which one it is. I don't know if that necessarily helps. But I mean that's what I'm doing. I mean that's what I'm doing. So I also noticed because when I don't go to the gym, I'm trying to run. So and I'm really, I really want to get better at that. So I think running helps with that as well. I really miss the gym a whole lot, a whole lot. Please come back. I will, I will, I'll come back next week, I'll be back. I feel so bad that I haven't, I feel very unfit. So now I've noticed, I'm a very agile person, right? So I can walk, I can take very long walks, right? And people are always very surprised because maybe my body size and people expect that I cannot run, which is very funny to me because I'm why are you judging, right? But I can run and without losing my breath. But these days I notice that it's difficult for me to take such long walks. I get so tired. Even through the day, usually if I go to the gym in the mornings, I can get home and I'm just like that, right? I have that ginger that even helps my mental health as well. It puts me in a very good place. I noticed that since I stopped, all of that has just been dwindling. And I'm like, okay, you know what, I think it is time. And you've dindered me again this evening. So I think really actually. Come back. But you know, I have very burning questions about the heart because when I was actually reading about the heart earlier today and I discovered very interesting things. So I'm happy that we have an expert in the building with us today and she's no other person than Dr. Mounisola Dhanija. Dr. Mounisola Dhanija is the co-founder of Naving Healthcare and Naving Technology Services Lagos, Nigeria with medical experience spanning over 20 years. Dr. Dhanija built her pathway in medicine and cardiology working in the public sector where she got to the peak of her civil service career as well as reputable medical centers and hospitals in various capacities. Dr. Dhanija is the co-founder of Naving Healthcare and Naving Technology Services Lagos, Nigeria. Her passion for preventive cardiology led her to convene the Naving Healthcare 10,000 Heart Projects in order to help individuals detect, protect and correct cardiovascular diseases. She also teaches corporate heart health and workplace wellness and productivity workshops to improve staff health and productivity while reducing mortality from heart diseases and she's with us live in the studio, the very beautiful. Dr. Dhanija, we're pleased to have you in the studio today. I'm so glad to be here. Thank you so much for having me. We can't wait to ask you questions about it. Thank you for joining us. I was saying that I noticed that when I stopped exercising, I became lazy actually and very laid back. I get tired very easily and doesn't have anything to... What starts, what's going on there? It's what we call deconditioning. When you exercise, you condition your body to get used to working out. Once you stop, your body also... I don't want to use words stop. Your body also gets lazy or tired and then it just doesn't want to move until you now decide it has to move by force. So you need to go back to the gym. So we have to gym all our life. Well, you don't need to go to the gym to be active. So you know, you can walk, you can run, you can swim, you can play tennis, you can skip. So many things as long as you're not sitting down for more than two hours in a day. At a time. So ideally every two hours, you need to stand up and walk around and then you need to take a block time of 30 to 45 minutes every day to actually exercise. So gyms are great, but you can walk, you can dance, you can do house chores, you can swim, you can skip, you can play with your children, soccer roll on the floor. Just be active for 30 to 45 minutes every day and then every two hours you must get up from your seat and move around for like five minutes. Okay, so point one, every two hours you must get up from your seat. That's quite, I wouldn't say difficult. Actually if you work in an office because you know sometimes you're under so much pressure, you have deadlines, you have deliverables and sometimes it's you even find it difficult to get up to have lunch because you are just tied down to do whatever it is that you want to do. So I think it's, I think you just have to be intentional about it. When you decide that's what you want to do. If you own all the smart watches, many of them tell you to stand up at certain times. Exactly, so you don't have to do anything major. Just get up, walk to the door and come back or take your phone calls while standing. Right. Or you don't always have to send an e-mail to your colleague and just pop in oh hello can I get this or that and then you know just walk, just be more active. That's basically it. Interesting. So let's come to diets now because from the little I know I know that diet is a major contributing factor to the health, healthy state of the heart. Are there any particular diets that we should be on to make sure that we maintain a healthy heart? First of all I don't like the word diet. Diet, diet. When you say diet it connotes restriction and suffering and punishment and pain. So I like using the word lifestyle change. Just change the way you eat. Then diet is not just about what you eat. It's about what you consume in general. So what you eat as per food what you consume as per recreation alcohol, drugs what you're smoking, what you're swallowing, what you're eating because people eat drugs these days and also what you consume as per your mental health, the news you listen to, the people you surround yourself with. So everything is part of your diet. So talking about food the best kind of food for a good heart is food that grows from the ground. People always ask me that question. Not food that comes in a pack. So if you think about it what grows from the ground? Vegetables grow from the ground. Those are the core of your diet. Of course you need carbohydrates for your brain function to give you energy. Then you need protein to build your muscles and things like that. You need your vitamins and your minerals for your hormones and your well-being and your skin and things like that. Now when you start removing food groups and bulk from your diet then there's going to be a problem. Like when you say you want to go of carbohydrates for example then your brain suffers because your brain can only use glucose for energy. When you say you want to remove fat fat is extremely important because some hormones are made from fat some body processes need fat some body acids to be able to go on. Food that grows from the ground is the core and then your other nutrients like your carbs, your fats your protein as well. And water obviously. Of course water. So when we talk about protein I hear some people say for example, I'll use my dad as an example he doesn't want to hear that you are eating frozen chicken or frozen turkey he wants to kill the meat there and then and then make it all the fish or whatever it is he wants it fresh and he will tell you it's because he wants us to have a healthy heart cholesterol and you know all of that. And personally I don't like life chicken I don't like honestly I feel like it's just too fresh I don't like it. So we have a problem with my family right because when they do that and then they cook stew with it I'm not able to eat it because I can literally taste the chicken in it so I don't like it. So I'd rather it's fish or have them make something with fish since we shouldn't eat frozen food So does that have anything to do with does that affect the heart in any way? No. The only concern we may have about frozen food especially those that are imported is preservatives. But if you buy your chicken and you freeze it like we normally do and then you cook it 3, 4, 5 weeks after it should be fine. So protein is protein but the only issue with this imported frozen food is preservatives but not that the freezing process does anything bad to the heart that's not true. So I'm thinking that's the same thing for canned foods as well because I remember you said earlier that we should eat. So canned food is different. So when you want to preserve food by canning they generally add a lot of salt to it think of any canned food you know is almost always salty I don't want to name names canned beef canned fish canned so they add salt to preserve it sometimes they add oil or they add fat to improve the taste and also to preserve it so that's the issue with canned food so it's better you eat your beef from the cow whether fresh freshly slaughtered or whatever or slaughtered and then frozen and then you eat that instead of buying food in a can or in a packet. I agree with you personally I would also rather for example if I want to have minced meat I'll go to the grocery they minced it right there for you and then instead of buying the packed or the canned minced meat you said something about oil are there any particular kinds of oil that's healthier than the others? Well when you say healthy oil people tend to think you can have a limited quantity of oil once they say it's healthy now oil is oil you can make you add weight if you eat too much now there's some oils that are healthier than others mostly plant-based oils so the olive oils your soya oils those oils are better than animal fat obviously because they are much better and then our normal oils we eat in Nigeria palm oil is good but the problem with palm oil is when you now bleach palm oil you now turn it into something else you now increase the trans fat content of the oil and that's why you shouldn't really eat your palm oil you should try and eat it as close to the raw as possible so how do we eat your father? well that would be a problem interesting yeah because I mean you have to bleach the oil to make it what it is well also just you don't eat it too often but if you're diagnosed with having high cholesterol then you may need to look at that Mary okay I think I have three questions the first one would be what happens when you sometimes when I'm running my mind wants to go further but my heart beats is already probably very high or something so I keep thinking to myself how do I is that I control the pace do I stop and continue or like I think I don't really know how to explain it but if you want to go further but your body is telling you to hold on so first of all when you're exercising you need to listen to your body it's extremely important your heart rate should go up when you exercise even though that's a different disease so your heart rate should go up and when your body is telling you to stop you need to listen because the body is like a supercomputer it thinks for you so if your body is telling you to slow down you may need to and then maybe pick up the pace later because while we are trying to be healthy and while we are trying to improve our heart health we still need to be safe because safety is important so when that happens then obviously you need to slow down okay another question would be for panic attacks what would be what I say a solution how to come out of it because there is increased heart rate sometimes not as noticeable as what you can tell that something is going on so what would you say would be like a fix at that point I know you take a break okay so I've had a lot of patients referred to me especially young females with features of heart disease so they have palpitations they start to sweat oh my god my chest is paining me and then when you not take a history you now realise that this person doesn't have heart disease because heart disease doesn't just drop on someone there is usually something that starts first so there is usually like a predisposing factor or two or more so most of the time in these people when they have these panic attacks they have like you said palpitations their heart starts to race they can't breathe they don't get enough air so first of all you need to recognise it for what it is you need to know that okay I'm having a panic attack then like you said slow down take the breaths and do a lot of shall I say self talk positive self talk okay you know you need to calm down and all that but you cannot assume that all palpitations are a panic attack until you've seen a doctor and has checked your heart and has told you okay your heart is fine so this palpitations is probably due to something else okay so a panic attack is almost like an exclusion diagnosis you've excluded everything and then you now realise okay because there is no test for panic attack you can go to a lab and do a blood test and the blood test comes out and says oh your diagnosis is panic attack so you would have you know see the doctors you would have removed all other organic causes before when I decided okay you're having a panic attack and then when that happens like you said slow down take deep breaths and you know do a lot of self talk okay I'm fine there is nothing wrong with me I'm just having a panic attack and that should help and then when panic attacks are too frequent sometimes you may need to seek professional help because for some reason in this country this part of the world we think only crazy people see mental health physicians but that's not true that's another topic we've probably discussed that a lot of times mental health yeah so fair fair okay I think we have so many other questions alright but then we'll take a short break and when we come back we'll continue the conversation see you shall be welcome back if you just joined us we are still discussing lifestyle changes for a healthy heart with Dr. Monizola Adani please let's hear what you have to say remember you can join the conversation send us an SMS on WhatsApp too 0818384663 you could also tweet at us at Weshaw Africa 1 with the hashtag Weshaw so the call I thought I was going to ask these days we have people using a lot of supplements and intravenous yeah what effects do those things have do they have any negative effects on the heart okay first of all we need to understand that supplements don't really treat anything they supplement exactly just what the name what the name implies so you can't say using the supplement to treat hypertension for example or heart disease so let's get that out there now when you're putting anything into your vein it cannot be safe right it cannot be safe and many of these therapies are not done in hospitals I saw a picture of some IV therapy done in a bar as in bar a regular bar with yes so they're not safe they don't many of them are done by you know people who are not doctors in non-medical you know settings and things like that now if you're putting anything directly into your vein it's going to your heart directly there's a danger of allergic reactions and aphylaxis and even death and many of these things that people are injecting for weight loss or for beauty or for glow or whatever can be achieved by eating properly properly yeah so you don't really need that IV shot to be honest if you just change your diet it's so simple and they cause so much and there's the potential of causing more injury because even in hospitals when you're giving anybody anything IV you know behind your mind that this person could react to it there could be reactions there could be complications so everybody is careful so you can just take an IV supplement just because it's not safe okay I think I also have one question for the older generation I mean I should get all the certain things creep up on you what would you say would we still stick to diets and being active would that be the only thing you say is to prevent heart disease okay so 80% of people that passing from heart disease could have been saved if only the practice preventive medicine okay so preventive medicine like you said is activity and what you consume now regardless of how old you are you're not too old to exercise and people always think exercise is this big thing that you have to carry on the load or anything just be active don't just sit down on your chair and send all your grandchildren around as in someone taking off your shoes someone just bringing your food get up and move around your house that alone is exercise now apart from the heart exercise is really good for other things like in older women the older you get you lose bone density you lose muscle mass and things like that when you exercise you prevent that okay yes exercise improves mental function so it reduces the risk of dementia when you're old so you can't just say oh I'm old and I just sit down in one place and then so no matter how old you are you still need to be active I still need to eat properly so what are the major lifestyle habits that you would say are bad for the hearts okay I don't like combing from what is bad but since you asked that question first of all toxins and that's really common among young people these days toxins include alcohol includes anything you smoke whether it's shisha, whether it's vaping whether you're smiling anything that can emit smoke is bad for your heart so I said alcohol I said anything you smoke some medications that are not necessary skin bleaching some things people use for because when you rub those creams into your body it doesn't just disappear it enters your bloodstream and these are steroids some creams contain mercury and they enter your system and damage your organs kidneys, hearts and things like that wow yes so sedentary lifestyle is harmful so you can't just sit down in one place like a big boy you don't walk anywhere these days is a flex I don't walk anywhere I ride my car anywhere I'm going sorry but you're proposing yourself to heart disease and obesity obesity is also a problem now people for some reason think when you have arrived or when you've made so much money next thing is now to start expanding in all directions now I'm booming up fast what a way to push this I'm booming up fast expanding in all areas a risk factor for heart disease when you have a pork belly that's a risk factor for heart disease what else is bad or the beer drinkers beer is part of the toxins alcohol now what you consume packaged food these days I'm also kind of guilty sometimes we tend not to cook anymore everybody's on the move so we are all on our laps or doing something I remember when I was much younger when we were growing up in the 80s there was no fast food I think the first the first fast food place was I think it was Chicken George and that was in like 1983 or so then Mr. Big's came there was this big explosion because there everybody was slimmer if you look at your parents pictures I used to beg my mum to want to take fast food exactly so then we don't take cooked food then we buy food so what's the issue with fast food it's salty it has a lot of fat now it's salty because they have to make it tasty so there's MSG there's salt and things like that and then there's fat because fat makes food taste better that's the truth so there's lots of fats and things like that things are fried double fried deep fried refried fries and things like that so that's also bad so basically that's it and they're not drinking enough water people don't drink enough water I'm guilty of that because in Nigeria especially it's really hot it was a horrible day actually I think I had hot today I think I had a heat stroke today I couldn't really because after a while I felt like I was going to pass out you need to take in Nigeria hot humid environment at least 3 litres of water every day minimum because you're sweating 3 litres of water I'm sure you didn't put up to 1 litre I really really struggle with it I don't know how I can function I honestly don't understand my mum she has tried it I drink water like a bird I could probably drink water for people like you you can put your fruit into water and make it flavoured and make it flavoured not pack flavour of course as you just cut some fruit into it and make it taste nicer yes infused water that's what I can help because for me I don't drink a lot of water either sometimes if I'm not eating I'm not drinking water I barely ever get so thirsty except maybe I've been in the sun I've been out I've been busy I've been up and down and then I want to drink water if not you'd better hear me say I want to have water but I figured that if I put maybe lemon in my water or pineapple or apple because it's more interesting for me and then I'm now ginger to drink so you should probably try that I think another thing for me is you have to use the bathroom so frequently which is good for your kidneys yes it can be very inconveniencing but I also have one more question because then in alcohol I mean there's the famous myth about red wine yes heart if I had a dollar for every time someone asked that question I'd be the world's richest woman so red wine and the heart it's a slippery slope okay so first of all red wine contains alcohol yes and the alcohol contents of red wine varies from 10% to 20% depending on the kind of alcohol that you buy now the percentage is how alcoholic the red wine is now the red wine is made from grapes red grapes and these contain some kind of chemicals that's good for the heart but you need to look at how much red wine are you allowed per day now the daily intake of red wine is 120 ml to put that into context since we are in Lagos or in Nigeria a sachet of pure water is 500 ml half of that is 250 oh my days so you see that regular wine glass like half or like a third is what you are allowed every day because it has alcohol you cannot say oh because red wine is good for you you want to finish your bottle that's taking too much alcohol you are shaking tables now there are better ways to take care of your heart than drinking red wine have you exercised have you stopped smoking have you changed your mental diet who do you hang around are you sleeping properly that's another thing that is bad if you don't sleep are you always stressed are you consuming sugar because sugar is a whole different kind of toxin yes is that toxic as alcohol and all those other things so have you eliminated all those things are you exercising and all that so drinking red wine because it's good for the heart is really just an excuse to drink alcohol so talking about sugar I was also going to ask about dark chocolate because the same way they talk about red wine they also talk about dark chocolate so what is it about dark chocolate so dark chocolate is actually good for you it has some compounds that are heart friendly now the darker the chocolate like the more cocoa solids in your chocolate the better it is for you so that's why dark chocolate is better than milk chocolate better than white chocolate because white chocolate is really not chocolate it's just cocoa butter that's a different story entirely now dark chocolate because it's chocolate and it has some sugar and it's bitter but it could have been more bitter if they didn't put a bit of sugar in it so it still has sugar so you cannot take a whole part of dark chocolate for example and say you are taking care of your heart so you need to take you know it comes in those two squares it's never just one or two squares max three and that's it so you cannot just eat everything and say I'm taking care of my heart so you need to be careful about that I hope we heard that so this myth about red wine and dark chocolate I think if I hear Dr. Danja well it's all in the proper proportions which is really tiny which is really really tiny recently I've heard it about two or three people now and when I go back to look at it and I try to find out who these people really are what their lifestyle was I find out that most of them have been CEOs of sometimes multinationals or you know very large companies in Nigeria or even globally and then you hear that all this man just slept and he didn't wake up or you hear that he was walking out that he just slumped things like that what's that? okay so like I said earlier heart disease has no symptoms many times and many times they usually precursors so most people that have heart disease either have heart hypertension or they've had high cholesterol or they've been diabetic they've had you know all these things and many times they go unnoticed now sometimes even when they go unnoticed like you know you go to hospital you do your blood pressure sometimes you have no symptoms no matter how high your blood pressure is you're fine there's no pain there's no blood and most of the time it's pain and blood that get people to move to get help now many of these CEOs they are type A people they are stressed they are not sleeping they are under a lot of work stress personal stress and things like that they are mostly sedentary so many of them are obese they have you know these abdominal fat and makes them look like they've arrived many of them because they are stressed they need outlets you know to relieve their stress many of them smoke many of them drink many of them eat fast food think about after work drink and assume with the boys and things like that they do that a lot even when they go and play golf after golf they sit on the table with whiskey and things like that so they're indulging a lot and they're not exercising they're not doing all that and then because they are otherwise well they tend to ignore their health you know now because these sorts of people are my clients many times you call them Mr blah blah blah you have a clinic appointment or I'm in Madrid or I'm in London or I'm in Abuja or I'm meeting with this or that so they tend to neglect their health even though they can afford to take care of themselves and then how disease strikes without warning so maybe they are giving a presentation then they slump because they have a stroke or a massive heart attack or things like that it's unfortunate but we really need to take better care of ourselves that's actually because I didn't see it in that I mean I when I thought about it I'm like okay I can understand that we've been going through a lot of stress a lot of sleepless nights because they have presentations of bumping in but then I like what you said about neglecting their health right see your health is very important you can't afford to neglect it and say oh because there's some business meeting or there's something that you need to attend to you also need to prioritize your health and you've heard that right from the cardiologist herself look at Dandre I'm going to also ask what is the most bizarre case of a heart disease that you've experienced bizarre as in presentation or bizarre as in do you find bizarre because I've seen all sorts so what do you mean by bizarre I don't want the one that shocked you that you know too cute by surprising or something okay so so it must have been bizarre okay so it must have been when I was training when I was a resident so there are different types of heart disease and most of it there some heart diseases that you're born with and some heart diseases that you develop as you grow older now because I'm an adult doctor we tend not to see too many congenital heart disease that you're born with now so when I was in Luth I trained in Luth so this man walked in he was quite well you know six foot tall otherwise healthy and then he had some vague symptoms so I said okay let's do an echo now an echocardiogram like a heart scan where you scan the heart and you look at the heart and see how it's functioning you measure the walls and things like that so from your rudimentary biology you know that the heart has four chambers two up two down and you need all four chambers to function so I echoed this guy and he had just three and he was otherwise well that was really strange now this is the kind of person that you enter a fight within the boss and then he just keeps him on that's it and then the man will pass on then they'll be like ah they use jars killed somebody you know they killed somebody or you know is the neighbor that hide him somehow so many people are working around with all kinds of diseases so I always tell people I tell my friends I tell my children don't fight him properly because you never know what's on that people's shirts yes and just headbutt somebody or just thump the person's chest and the person just goes and then you were like I didn't do anything yes that's mean at what's point do you think one should be worried to maybe for example if I feel like is there anything like your heart's racing really fast and you're like this is abnormal maybe I should go to the hospital to check it out to be honest you see how this kind of sneaks up on you by the time you're having symptoms then there's already a problem so although people kind of don't like going to hospital when they are not ill I would advocate you go for your annual medical from as young as 20 now why 20 because people always say oh but I'm too young I've had people in my DM telling me oh I'm just 24 I cannot have heart disease my youngest hypertension patient came to me when he was 16 so you know and then because of our lifestyle I just said it now we're smoking everything smokable we're drinking everything drinkable we're snorting everything snortable everybody's fat nobody works anymore so the risk factors of heart disease are present in a lot of young people so before the average age of hypertension was 45 50 your parents age these days most of my patients are in their 30s or 20s late 20s so we need to don't wait to get a symptom just go for your annual medical and then don't assume any symptom is just a little symptom so if your heart starts to race or you're out of breath or you have any form of chest pain or you know you can't breathe properly you need to see your doctor it may just be a heart condition you just answered my next question actually because I was going to ask so how often should we actually check our heart every year if it's normal every year alright so at the point where I want to believe that as a cardiologist at the point where you have a patient of a heart disease or whatever then you're not giving not precautionary you're not giving treatment right okay it's been quite an interesting question do you have any other questions I think I don't know if it's a question but it's something about sleep because I think sometimes we're not even having a good night rest I mean we might you can sleep the amount of hours but then you know it's not you're not resting you know because I I realized for myself that I'm sleeping but like I wake up in a jerk and I used to do this thing where I turn off my screen time so no matter the time I wake up I can't open it too you know but over time I've just let it go so I just no say I'm waking up I'm checking my phone what are you looking for is something you know for sure I don't know probably something is going on mentally you know that I'm not able to settle you know so how maybe I should act how can we get proper rest you know because it's not even I don't even know if it's about the amount of hours any more because if you you can have three hours of a good rest you can have six hours of a night rest yes and just you know topping okay so I think first of all it's intention intention about it like you said screen time our phones are a big destruction for some reason we kind of think that something is going to happen to us if you don't check your phone immediately you wake up now you need to be intentional about that you need to have a nighttime routine I know it sounds like an old woman you know it needs to have a time where you turn off your phone and it should be at least two hours before you go to sleep so you cannot be texting right when you're trying to sleep you will not sleep but sometimes that's what puts you to bed that's not true sometimes you take looking at your phone or listening to your phone they're two different things right not looking at your phone sometimes I use white noises exactly and they're not always on your phone sometimes although we've all forgotten what CDs look like and CD players and things like that today still exist exactly so you need to be intentional about turning off screen time because when light shines into your eyes your brain thinks it's still daytime and it keeps you awake right so you need to turn off your phones at least an hour two hours before you go to bed and turn off the lights I mean sleeping with the lights on so since I can sleep with it aha I'm like it's too far you can't make it we all know this is legal the heat is principle it's a lot as cool as you can have a shower before bed try not to eat too close to when you want to sleep so that the food can digest quickly and you don't have indigestion when you wake up in the middle of the night resist the urge to carry your phone actually no people that lock their phones in another room when they want to sleep they won't have the urge to go and get the phone aha yeah that happens I'm so scared I will miss the alarm to wake up no no no the minute I pick up my phone trust me I'm awake for the next one exactly I'm awake for the next one look I'm so anxious so I'm to be at the gym for 6 a.m. my alarm is for 5 a.m. the anxiety between I've woken up at 5 I have another one for 5, 10 which is okay get ready that's just like it as well that's just like it as well you know 5, 10 comes and then there's another one by 5, 30 girl you're running 5, 40 you need to exactly I keep thinking that this is because my anxiety of late has been really high and I'm like I think I need to you know walk on that yes because it's very important it's not healthy it's not healthy so look I'm just just a round of conversation you said something about diagnosed in a 16 year old someone as young as 16 it's a heart disease manageable if they tell okay no not always now there are different types of heart disease so heart disease is not one thing there are different sorts of heart disease now having heart disease doesn't automatically mean that you're going to die next week although it's best prevented so when you have heart disease okay you've seen your doctor they've told you you have heart disease they can offer you treatment treatment of heart disease generally three ways okay first of all there's a lifestyle component obviously you need to stop doing all the things that can be supposed you to worsening your heart disease in the first place so stop alcohol stop cigarettes start exercising eat better and things like that the next thing is medication now many people have issues with taking medication for health well I find that these same people take medication for glue but that's another topic in time that's on that table so you need to use your medication okay and then the third option now if you've been told that you need surgery for whatever reason or you've been told you need medication you need to take your medication and you need to see your doctor regularly now it's okay to ask for a second opinion so let's say you come and take me and I tell you you need to do a procedure maybe you're like this girl is too fine she can't know what she's saying so you go and see another cardiologist that's fine but as long as especially two or most specialists have told you that this is your condition and this is the treatment you need to undergo it is well does not cure disease it's not my portion does not treat illness you know absolutely because that's our way it's part of the world follow your doctor's advice and do what you need to do if you need surgery try and get it if you can afford it raise funds blah blah blah if you need medication please follow it as the doctor prescribed and then do your lifestyle changes everything looks together I think lifestyle changes very easy to take home and for us young people I think the earlier the better we start you know and intentionality as well being very intentional oh doctor then it's been a pleasure having you my real pleasure I enjoyed it thank you so much Mary as well thank you thank you my dear lady for tonight thank you Chinelo Derrick Angkor alright so before we go do ensure you follow us on Instagram as we show Africa you can interact with us further drop a comment and most importantly social media engagements remember to like share comments and invite your friends and family to watch us and follow us if you miss today's quote here it says again the most deadly disease truly is the failure of the heart and this is by Oscar Arias see you tomorrow as it's been even though it might not be me but we are going to bring another great conversation to your screen again good night bye