Now why is CIMT not more popular it has to do with perspective
and therefore the technique is a problem
now what do I mean by that well here's where you're looking you're trying to get that common
carotid and that bulb and then the external carotid internal carotid and it's an issue
of perspective you know you look at these guys and given their the perspective from the camera
it looks like they're holding up the Eiffel tower that's not really what's going on well with CIMT
if you come through and you take a picture it takes the picture of the plaque on the opposite
side of the artery from where the IMT ultrasound wand is and if you take it here it looks like
there's little or no plaque however if you came through in this direction you see significant
plaque that's where the problem is because it's not concentric and the same all the way around
you have to be really good more than fastidious you have to be obsessive compulsive about your
quality control mechanisms for watching your CIMT technologists your ultrasound
techs as they do what we call the interrogation so as I've shown before and plenty of other
videos this is a big thick plaque but there's no inflammation in there this plaque is not so
big but it's got an inflammation area as you see immune cells have come in they've released
a lot of fluid they've released things called cytokines things attracted cyto means cell kine
means to attract so they're attracting more immune cells into a spiral of creating inflammation now
that's still a little bit theoretical even though I'm showing you a picture did either of you see
the video we did a couple of weeks ago showing what inflammation looks like on the outside it's
just like what the pathologist said when he did the autopsy on Tim Russert he said you go inside
the arteries and they look like the face of a teenager with a bad case of acne these just little
pustules all over on the inside and that's what that is so that's what we're looking for because
again if those pop those are close to the flowing blood liquid blood the cytokines if they touch the
flowing blood it will cause a clot and that's what happened to this person it killed it this is not
the liquid plaque the liquid plaque is more of a grayish brown color like this
like that that's more liquid plaque that's forming in here this black is the clot itself
the larger part of this plaque broke off went to the heart and killed this patient
why wait for a disease and hope for a cure I used to be an ER doc my name is Ford Brewer
I quit ER after a few years because it was just so frustrating most of the things bringing people
into the ER are things that should have been prevented including heart attack stroke number
one cause of death number one cause of permanent disability people think that you're just gonna
have those and that they're not predictable both of those are wrong they are predictable
and you don't have to have them usually it's lifestyle lifestyle is more important than
supplements and even prescription drugs and even stents and surgery but the current times are tough
major financial impact with the lockdowns that most states have been going through
we've been working on a way to make this much more affordable with a subscription process and
that's exactly what we're announcing today we've got two levels one is the Silver Membership where
you get access to our courses a private webinar each month and access to our supplement store
and supplement recommendations and prescription or I would suggest even more so the Gold Membership
you can get a script for a Freestyle Libre and find out what your blood sugar metabolism is doing
on a daily basis and you can get a lab order for inflammation OGTT and insulin survey you can also
get a 30 minute one-on-one with me so I'm looking forward to seeing you cost is no longer an excuse
so if you're interested go to care.prevmedhealth.com/Membership or call us at 859-721-1414
859-721-1414 or email
us at myhealth@prevmedheartrisk.com looking forward to seeing you thank you