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Well crap. So just general feeling terrible.

What would be the solution? I need to know a.s.a.p.

Yup. I have reynauds& theres no cure

Thanks for the info. ❤

❤❤Solutions

I’ve had a few anxiety attacks in the past, very unpleasant, dizziness, sweating feeling panicky, but once I understood what they were I was able to control them better,

Siempre padecí el invierno desde pequeña. Siempre tenía los pies y las manos congeladas, pero eso cambió a partir de mi embarazo; después de dar a luz nunca más tuve problemas de frío.

So, how do you fix these problems?

The difference is if you can have a Jew. That's fighting with you. You will get both heart attack and the carrying arrests

😭😢🙏

Plumbing problem vs electrical problem?

Aka: old lady fat leg disease

I thought I was vaping a no nicotine vape, apparently was given it by a worker who placed them in the no nicotine display case. My blood pressure went up into the 220’s . Thank God I looked at and read the packaging, but when I looked at the vape itself, it said nothing about nicotine percentage.

It fucked my heart so badly, got attrial fibrillation . Smoking and vaping for me fucked up big time.

Are there medicines to be applied on varicos vains

Hi,I have a question.This type of damage recovers with medicines easily,right?

I’m very glad that Doctor Agarwal at Modern Heart and Vascular done a CT Scan of my heart and done a EKG. And amongst other tests and found out what is going on with my heart. I can not thank my doctor enough for caring about me as a patient. And I really like to watch the videos that my doctor does telling people that they need to get checked for heart problems. Heart problems is no laughing matter. Stay fit and get checked for heart disease. 😊❤

Unsure of the US, but here in the UK it is vital that a Vascular Scientist who is also a Phlebologist should be working together with an Interventional Radiologist while carrying out vein procedures.

This is a good procedure to have done if you’re having trouble with your legs. I highly recommend you going to see Doctor Agarwal @Modern HeartandVascular

❤️ Promo sm

I had this pain myself at random times

I thank you every day for being my amazing and wonderful ❤doctor. And for giving me a second look on life. After knowing that I had a Wodowmaker heart attack. And I thank God as well for letting me be in our kids and grandkids life longer.

I had the vein procedure done on both of my legs. It did help me out with the systems that I was having with aches, pain, charlie horses, RLS, you name it I had it. But I still have neuropathy in my feet. And oh my gosh it’s a pain that I wouldn’t want it on my worst enemy. And Dr. Agarwal @ModernHeartandVascular, is a fantastic, amazing and wonderful doctor that I would not trade for any other dr. Keep up the totally awesome and great work that you’ve done for me and my family. And for all of the other people that you have taken care of in the many years that you have been a cardiologist! ❤😍❤

I recognize that voice @Modern Heart and Vascular Ms. Brenda really good doctor as well. Keep up the great work everyone! ❤️🫶🏻❤️

If you want a young kids heart to be healthy, don't give them the jab

I have gone through The Whiteley Protocol at The Whiteley Clinic in London. My VI was caused by a long misdiagnosed blood clot in my left leg aged only 36 caused through the contraceptive pill. I went from nothing to a C6 15 years after the clot was cured. Was the best money I ever spent. I’m from the UK and would never go to a Cardiologist for venous issues. A vein specialist (Phlebologist) working together with an Interventional Radiologist are the experts who cured me of leg ulcers. Incidentally, I was and still am an extremely fit, athletic, slim runner when I suffered this freak blood clot.

My name is Pamala. I am a patient of this wonderful and amazing doctor. I can account to having the vein problems in both of my legs @Modern Heart and Vascular I had lots and lots of major problems with my legs Charlie horse, cramps, aches, pains, you name it I had it. Until Dr. Agarwal done the vein test for the both of my legs. It took a little while for my legs to get well from the procedure. Because the both of my legs of the veins were so so thin and they wanted to go there on way. So the dr had a hard time doing the vein procedure on me because of my crazy veins in my legs. But, I guarantee you that the vein procedure worked for me. I rarely have any issues at all. The reason why I have a tiny itty bit is my neuropathy in my feet. But other than that I am Charlie horse free, pain free, etc. And this is all thanks to this amazing and wonderful doctor. I had vein’s just like this in the video and it was no fun. Thank you again Dr. Agarwal for helping me.

What can i do about the pain and burning i can't walk i am in distress help help me please

What about to those who live abroad?

I really need help with this issue

Is venaseal safe?? Or is evlt and phelebectomy the better option? How would someone know if new veins come back worse after a procedure?

-Remember when you could bolt across the room and snatch the lamp before your child pulled it off the table? Right now you're just having trouble lifting your legs to walk and you hate seeing the varicose and bulging veins. Many people think it's just a muscular or cosmetic issue, instead, the problem lies beneath, Dr. Rajiv Agarwal with Modern Heart and Vascular Institute says whether it's the impact of having children or just aging, there's a modern, quick, and comfortable way to treat venous insufficiency, and there's no downtime. Good morning. - Good morning, Deborah, how are you doing? - I'm doing well, thank you. The body has about 60,000 miles of blood vessels, it's sometimes not a matter of if, but when something takes a turn and when we have some circulation issues our body starts to notice. - Yeah, that's right lots and lots and lots of people have lots of leg issues and they just ignore, especially our moms, they spend so much time taking care of us and they ignore themselves. They have lots of symptoms in their legs that can be cured forever, Deborah. But the point I made earlier, the problem is all times we either think, "Okay, that's just aging, that's just life." Or we think, "It's about our muscles or it's just cosmetic." And it's not all right when you have arteries and poor circulation. - What are the symptoms of that? - Arteries take blood from the heart and take it to our toes, and then the veins bring it back. The symptoms with arteries typically happen with exertion, so, if you get any tiredness in your legs, if you get any fatigue or cramping, but with walking, so that's the distinction. If it's with exertion it's arterial whereas venous disease tends to happen more at rest. So people, if they have symptoms at night, we see so many patients Deborah that say, "Oh my God, I don't sleep well, Dr. Agarwal, my legs bother me, my legs ache, I get cramps, charley horses, restless legs." There are little things that can be done nowadays to make all of those symptoms go away, Deborah. - What are some of the risk factors for both arterial disease and venous disease? We mentioned pregnancy being one of them. - Yeah, for arterial disease it's more of the traditional risk factors like smoking, diabetes, high blood pressure, high cholesterol, family history, and I will throw in COVID as well. Whereas with venous disease it's the pregnancies, the weight gains, the not moving around very much, just like teachers or flight attendants, store clerks, secretaries that are sitting or standing for prolonged periods of time and gravity is pushing the blood down and not allowing it to come back up. - It's a sedentary lifestyle that plays a big role into it? - Diagnosis is important, that can be quick and easy with you all, and then once you have the diagnosis you can see where someone is, there are different ways to address the issue, but one of the treatments you have is called VenaSeal. - Yeah, VenaSeal is our number one, it's a non-invasive simple treatment, it takes a minute or two to do, and basically what you're doing is you're injecting medical-grade glue into the veins in a painless way. And what you're doing is you're closing off that vein so the blood is returning through many other good veins, especially the deep system because the symptoms are there because of the damaged veins in the superficial system close to the skin. So you shut down those veins with glue. Now the blood is returning through the good veins and your symptoms are voila, gone. - Yeah, it's really a cool, neat process and people just get up and walk out. - Back in the olden days they did things called vein stripping, so a lot of people hesitate when they saw their parents or grandparents go through this hesitate going in that is not what you're doing today. - No, no, no, no, this is non-surgical. This tripping they would actually make an incision or remove the vein, we leave the vein in there and their symptoms are, their quality of life, their whole overall, just their wellness is just so different. You know, a patient I saw on Friday, she came back and said for the first time in her life she's back to dancing, she had not danced for years and that's her life. And now she's dancing around all day long. Another thing you all address is restless leg syndrome. - Yes, ma'am, a lot of people are misdiagnosed, they think that they have neuropathy or arthritis and really what they have is circulation problems. Restless leg syndrome, symptoms at night, mainly, and they feel like their legs are moving, so their sheets are moving, or their spouse may say, "Oh, you toss and turn too much," and these symptoms are because of circulation a lot of times. And a simple physical exam, a simple ultrasound in the office will diagnose that and we can make it go away for the most part. - Your procedures work so well you did it on your own mother who was now dancing around as well. Dr. Agarwal, thank you very much. - Thank you, Deborah. - To book an appointment with a board-certified cardiologist at Modern Heart and Vascular Institute visit them online at modernheartandvascular.com. You can call them at this number, it's 832-644-8930. Again, that's 832-644-8930, they accept most major insurances including Medicare. Appointments fill up fast so contact them today. By the way, they have doctors who are fluent in Spanish as well. Modern Heart is also seeing patients in two new locations in Tomball and in the Texas Medical Center with free parking.

What's with the young actors in a video about an age-related condition ?

This a class for 1st graders.

- If tired and heavy legs, and unsightly varicose veins have stopped you in your tracks my next guest can help you get up and moving again. Joining us with a non-invasive way to diagnose and treat the problem is Dr. Rajiv Agarwal with Modern Heart and Vascular Institute, good morning. - Good morning, Deborah, you're looking very nice. - Oh, thank you very much. When it comes to, I talked about varicose veins, tired, heavy, achy legs, a lot of people dismiss it as, "Okay, that's just a part of aging," or, "It's no big deal," but it really does impact your life. And if you see those outward symptoms then something else bigger is oftentimes lying beneath. - Yeah, that's absolutely right, Deborah, people do dismiss it as just everyday, common issues, but this is actually a medical problem. People think that they have restless legs or numbness in their legs and they think it's something else. No, it's a very common circulation problem, affects millions and millions of people. There are about 60 000 miles of blood vessels in our body and people need to pay attention to those symptoms. - Yeah, because when you have that circulation, Dr. Agarwal, what is that serving as a purpose for in our body? - There are two types of blood vessels, Deborah. Number one, you have arteries which take the blood from the heart to the toes, and then veins bring the blood back. So the function of the arteries is to take oxygenated rich blood to the tissues, the tissues use them and then the veins bring the blood back. Now, most of the symptoms in the legs are usually due to vein problems though. - So, arteries, poor circulation symptoms could include what? - Those symptoms are usually with walking, Deborah. So if people get any tiredness in their legs, any numbness in their legs, and they have symptoms with walking or going up a flight of stairs, it's usually arteries, whereas vein symptoms tend to happen more at rest. So if people have charley horses, restless legs, swelling, varicose veins that they see, just fatigue and tiredness that affects their sleep, there are millions of us Americans who are losing sleep at night and we think, "Ah, you know, it's okay." No, it's not okay, there are little things that can be done because these veins, as you see on the screen, have valves inside them, and if the valves are not working properly you get a lot of symptoms and those are so easy to fix nowadays, Deborah. - The risk factors for arterial disease include what? - Arterial disease is similar to any other blockages that you get, whether it's in the heart arteries, or your carotid arteries, or legs. So that would be diabetes, high blood pressure, high cholesterol, smoking, family history, and let's throw in COVID nowadays also because people that have had COVID, that inflammation that has happened in their body can accelerate the blockage process. - And then with venous disease, obesity could be a risk factor, stationary lifestyle, desk jobs, things like that. Hormonal issues, blood clots, varicose veins, and diabetes. Here's the deal, with either one of these issues, if you ignore it, generally speaking, things just get worse. How bad could it get? - Oh, it can get really bad. I mean, we see people whose quality of life and quantity of life is very adversely affected. We see people, just last week I had a couple of patients that I saw that came to us so late and they were recommended to have amputations by their doctors but we were able to do what we do and prevent those amputations. The earlier we catch this, the more options we have, Deborah. - For diagnosis, that's pretty simple for you all, right? - Very simple, step one is we talk with them, we listen to them. We examine their legs and see what the issue is, and then if needed, you get an ultrasound that will clinch the diagnosis. Basically, is it arterial, is it venous? How bad is it, and what do we need to do to fix it? Very easy. - And if there's a blockage you have almost kind of like what we jokingly call the Roto-Rooter procedure? - Yeah, for arterial blockages it's an outpatient procedure, you come in, we fix it, and you go home the same day. For vein disease it's a little bit different. It's done in the office and it could involve a five or ten minute procedure, and all these years of having significant vein issues, varicose veins, and charley horses, restless legs, and pains and discomfort pretty much gone. It's like magic, but it's not magic, it's a medical issue, we treat it, and your life is back to normal. And you've done it in the office and you get up and go along with your day. Also, we touched on restless leg syndrome, which I hear these commercials for, there's medicine for it, you want to get rid of the problem, not treat the symptom, yeah, you gotta aim for the cure. You find the root cause of the problem and 90% of the times, or sometimes even more, it could be circulation issues, you fix the circulation and it goes away forever. Again, we spend so much time taking care of our car our tires on the car but we ignore our own bodies. The legs are like tires, if your legs don't feel right we can help you we can get them back to normal. - The body is the ultimate machine, thank you very much. - Thank you, Deborah. - To book an appointment with a board certified cardiologist at Modern Heart and Vascular Institute visit them online at modernheartandvascular.com or give them a call, here's the number, it's 832-644-8930. Again, that's 832-644-8930. They accept most major insurances including Medicare. Appointments fill up fast so contact them today. And by the way, they have doctors who are fluent in Spanish as well. Modern Heart is also seeing patients in two new locations in Tomball and the Texas Medical Center with free parking.

That it will kill you.

My blood pressure only got out of control when I was married and had to deal with my wife. Alleviated that condition over 30 years ago.

In the U.S. a person dies every 34 seconds from heart disease. What if you could prevent a heart attack before it happens? The latest technology can take the guesswork out of knowing your heart health so you can be proactive. Dr. Rajiv Agarwal with the Modern Heart and Vascular Institute shares how that works and who should take advantage of it, good morning. - Good morning, Deborah, how you doing? - Good, you know, so many of us rely on symptoms to tell us that something might be wrong and that we should go to the doctor, but in the case of a heart attack, as we've mentioned before, sometimes the first symptom is the actual heart attack. - That's correct. Actually, one out of three people who we definitively diagnose with heart attacks have not had symptoms. I mean, some people think that the only symptom that they'll experience is , "I feel like there's an elephant sitting on my chest." No, that's not the case, there's so many other symptoms that mimic a heart attack that people need to be aware about. - Other people, another misstep that we make is that we assume that the heart attacks happen to other people. For example, we think that it's only people who are obese, or old, or just men, it's a man's disease. - No, no, no, it's definitely not just a man's disease. Women are actually pretty much 50/50 with men having heart disease. We always encourage our women to get mammograms and all of that, and women have to remember that heart disease is the number one cause of death for them, and it's 15 to 30 times more likely than breast cancer. So, we support the mammograms and all of that but we need all women to start thinking about heart disease, primarily. - We've moved the bar from hoping we don't have a heart attack to knowing if a heart attack could be coming. So, you know, why wait for that to happen? We also have to, in health care, I think for a lot of us, need to move more toward that proactive. You can actually, with the CT scan, predict if a heart attack could be around the corner? - The CT technology, it's been around for a few years but the more sophisticated, up-to-date scanner, like the one that you're seeing on the screen there, it's 128 slice scanner, which means we can scan your heart literally in one to two seconds and the information you get from there is profound. We can see if you have any calcium buildup in the arteries of your heart, which in turn means blockages, and blockages are what cause heart attacks. So, to have this amazing technology that can pick up heart disease at such an early, early stage, especially if you've had COVID, especially if you have risk factors. I mean, I don't know why everyone wouldn't get that done. - And I gotta tell you, for me, I was like, I went in there and my mindset was, if something's wrong, I have time to fix it, or if nothing's wrong, gives me peace of mind. Luckily for me, you explained to me what you saw on that scan there, you said, "You're good, you're not gonna have any heart issues." But you mentioned, especially if you had COVID, this is the reason why we're seeing so many younger people with some heart issues coming in. - Absolutely, and just the other day we had a 41-year-old guy, Deborah, who came in 'cause he really wasn't having much symptoms, he was getting a little more out of breath, and lo and behold, he had a 95% blockage in the widowmaker artery that one of our internationalists fixed up. And he, had he just relied on, "Well, I'm gonna wait until I have more symptoms," he probably wouldn't be alive today. I mean, this is hitting all of us very hard at an earlier and earlier age these days. - And you're seeing it in people who have done everything proactively, good diet, they work out, they're runners and the whole bit, you've seen those folks come in and have an issue? - Absolutely, so some people think that, "Well, I don't smoke, or I'm not diabetic, I'm not overweight," no, no, no, let's not fall into that trap. Heart disease does not discriminate. Yes, those people that have more risk factors are at higher risk, but even people that have no risk factors, again, especially if you've had COVID. And the other risk factor that I'll really point out would be family history. If you've had any family members, I would say below the age of 65, that have had heart disease, strokes, stents, bypass surgeries, please don't wait get yourself screened early because we can prevent what happened to them from happening to you. - What are the next steps if someone goes in and you say, "Okay, we see some significant blockage here," what would be the next step then? - Yeah, really, it depends on their symptoms and possibly some test results. If they have no symptoms, and let's say, a stress test or pet scan is normal, then we can manage it conservatively just with medications. That may be an aspirin, cholesterol medication, and really focus on prevention from the lifestyle standpoint. But if they have a bad blockage, then nowadays, it's outpatient. You come in, you get a stent, you go home, very, very minor stay at the hospital. There are a lot of things that can happen to us that are out of our control, this is something that can be in our control with this technology. - Dr. Agarwal, thank you. - Thank you, Deborah. Modern Heart and Vascular Institute has a special offer for "Great Day" viewers. Throughout February you can get two heart scans for only $149. Bring a loved one, or bring a family member; or friend. Dr. Agarwal will review your scans himself. To sign up give them a call at this number, it's 832-644-8930. Again, that's 832-644-8930 or you can book your appointment online at modernheartandvascular.com. Modern Heart is also seeing patients in two new locations in Tomball and in the Texas Medical Center as well, with free parking.

0:05 Having HSV2 and a sore throat at the same time was the worst ordeal I have ever had and had it not been for the help through the herbal remedy I received from Dr. Agboya, I would have gone berserk. We should praise GOD for the gift of natural remedies and I hope that anyone with chronic disease or any health issues can turn to herbalist Dr. Agboya for his effective herbal treatment. Here’s RUclips channel

But how come no ones talks about going for an ECG and/or Tnl tests !!

Maybe if everyone could afford a CT scan they would be able to get one, until then people will continue to ignore chest pain as it is just heart burn or it will pass... But that will never change, it's all about the dollars and not the patients wellbeing like they try to claim it is

- Welcome back to "Great Day." When people have tired legs that feel heavy or have spasms many times they think it's a muscular problem. When they have ulcers that won't heal and discoloration that looks like a bruise they might think it's a dermatology problem. Instead, for millions of people it's a symptom of vein disease. Joining us with a simple, non-invasive way to diagnose and treat the problem is Dr. Rajiv Agarwal with Modern Heart and Vascular Institute, good morning. - Good morning, Deborah, how you doing? - Good, all right, the role of course, of veins is so important that when something shuts down, when you have vein disease, or poor circulation, it shows up somewhere. - So there are two types of blood vessels that we have in our body. First one, are arteries which take blood from the heart to the toes, and then veins bring them back. Veins are just more visible. People see the blue color on the skin, they're usually seeing the veins, and we have about 60,000 miles of blood vessels in our body. -60,000 miles, that's a lot. - That is a lot. Arteries, the basic symptoms that you might have a problem with your arteries. - So the key there, Deborah, is with arterial disease you have symptoms with walking. So if you get fatigue, tiredness, burning, heaviness in your legs with walking. So some patients say, "When I'm walking at Walmart, halfway my legs hurt." Or, "When I'm walking to the mailbox," those are more arterial symptoms. Whereas venous symptoms tend to happen more at rest. People will say at night or when I'm sitting down or lying down I get cramps, or charley horses, restless legs, and swelling, and heaviness. So the distinction is with walking or at rest and that's what we want our viewers to learn about that. - So what are the risk factors for arterial disease? - Arterial disease is more like heart disease so anyone with diabetes, blood pressure, cholesterol elevation, smoking, obesity, lack of exercise, stress, so anything that causes blockages anywhere you get blockages in the arteries. Venous is very different. Venous tends to be more of just gravity dependent. So people that are not moving around a lot, doctors, nurses, teachers, flight attendants, store clerks that are sitting or standing for prolonged periods of time. Get that in obesity, hormones those, are big risk factor as well. - So anybody, if any of these symptoms sounded familiar or they're in that high risk group, the best thing to do is to get it diagnosed to figure out exactly what's going on. And that diagnosis for you is non-invasive and you can do that fairly quickly. - It's very simple, Deborah. Step one is, we have them come in, we talk to them and see what symptoms they have. Second, we do a very focused, thorough physical examination of their legs and their heart and try to figure out, is it more arterial, is it more venous? And then we do very limited testing which usually includes a painless, non-invasive, simple ultrasound that tells us where the problem is and how our approach will be to fix it. Very easy, people think that it's gonna be painful, or this, or, no, it's very simple, takes 10-15 minutes and we get an answer. - And even the fix today is different. This is when you become, not only a cardiologist, but also a plumber using a Roto-Rooter technique in some cases. - Yes, yes. So, we have a full team and the arterial side is what you treat with Roto-Rooter. So if someone has a blockage you bring them in for an outpatient minor procedure, painless, they go home same day and you open up the blockage literally using a Roto-Rooter drill type of machine. And sometimes they need a stent, sometimes they don't. For vein disease it's very different, that's done in the office, takes 5, 10, 15 minutes if needed. Initially, we always ask them to do more conservative measures like try compression stockings or elevate their legs, but for a lot of people that doesn't work. Imagine having to wear extra clothing, compression stockings in Houston summer weather, so, they come back to us and say, "No, no, I don't want to do that, I've tried it,, it's not working, give me a cure." And that's what we can do non-surgically is give them a cure and their symptoms are, voila, gone forever. - Another symptom that a lot of people deal with, it keeps them up at night is restless leg syndrome. - And a lot of people are misdiagnosed that they think it's restless leg syndrome where they're given medications for it, or it's neuropathy; or muscle pain, it's really from their circulation. The goal is not to just find their symptoms and give them a pill, our goal is, you have symptoms, what's the root cause of it? And make it go away. For example, my mom, she was given two medications for restless leg syndrome and we did some simple screening on her and it was her veins. We fixed her veins and for five years now she's been on no medications for her legs and she's had no symptoms in her legs. So let's not fall in the trap of just taking pills for everything, let's try to find the root cause and make it go away. - You're a good doctor and a good son, thank you very much. - Thank you, Deborah. - All right, to book an appointment with a board-certified cardiologist at Modern Heart and Vascular Institute visit them online at modernheartandvascular.com or give them a call at 832-644-8930. Again, that's 832-644-8930. They accept most major insurances including Medicare. Appointments fill up fast so contact them today. And by the way, they have doctors who are fluent in Spanish as well. It only takes a minute to schedule a vein screening and it could save your legs and make getting around a lot more comfortable.

- Good morning, everyone, and welcome to "Great Day Houston Medical Monday." We're starting with the heart. Earlier this month former Houston Texan and picture of health, J.J. Watt, got a lot of people's attention with this tweet he wrote, "I went into AFib on Wednesday, had my heart shocked back into rhythm on Thursday, and I'm playing today." AFib affects millions of Americans and many don't even know they have it. Joining us to explain what that is and other conditions involving the heart and circulatory system is cardiologist Dr. Rajiv Agarwal with Modern Heart and Vascular Institute, good morning. - Good morning, Deborah how are you? - Good, a lot of us have heard that term AFib might not realize what it is, and the thing, of course, that got our attention is when somebody like J.J. Watt has it. But the fact the matter is, like I said, a lot of people do and don't even know. - Right, AFib stands for atrial fibrillation. And basically, what that means is the top chamber of the heart, which are called the atria, is just fibrillating instead of squeezing nicely. So you have the synchrony, or the top and the bottom chambers of the heart are just out of sync and a lot of people, like you said, don't know it. But symptoms like just fatigue, and tiredness, and getting out of breath that we tend to say, "Well, I don't think I just slept right," or, "I have stress," or, this or that, can be your only symptoms of AFib. - Yeah, and need to take it seriously because if it's untreated it could lead to heart failure and stroke, and can also cause poor blood flow. Another thing that can cause poor blood flow is vein disease, and like, we rely on them, obviously, of what 60,000 miles of basically veins that we have carrying oxygen to and from? - Right, so arteries take the blood from the heart and take it to our tissues, and organs and veins bring it back. And there are thousands and thousands of miles of highways of veins and arteries, and a lot of people have symptoms, Deborah, and they just don't know it at all. - And because some of those symptoms, for example, when we talk about the arteries and have poor circulation, tiredness in our legs, we think it's a muscular issue, right? Fatigue in the legs, burning in the legs, mainly in the calf muscles, and usually experience with walking or exertion. - Right, that's the key distinction, is if your symptoms are with exertion. So if your legs bother you, they feel tired, burning, fatigue with exertion, it's more likely to be arterial disease. Whereas, if you have symptoms more at night or when you're sitting, like cramps or charley horses, or restless legs, swelling, so more stationary symptoms, those are more likely to be due to bad veins. - With arterial disease what are some of the risk factors? - So, the traditional risk factors, Deborah, like smoking, diabetes, high blood pressure, high cholesterol, stress, and might we throw in these days, COVID, which accelerates the blockages process. So that's for the arteries. For the veins, it's more stationary life, so gravity. People that are sitting or standing for prolonged periods of times, obesity, women on birth control medications, they're more likely to get blood clots and vein disease. - You mentioned COVID, so is that one of the symptoms of what we call long COVID? - Yeah, it can be. I mean, you can get symptoms related to your heart, we're learning that it can affect the blood vessels as well months and years down the road, absolutely. - How do you diagnose it? 'Cause I know a lot of people will not come in if they think that the diagnosis process is something that they think is crazy. It really is very quick for you and non-invasive. - It's very simple. So if you have symptoms, first thing we do is we talk to you, we try to figure out is it more arterial or is it more venous? And then we examine your legs, again, trying to see clues for arterial versus venous. And most of the times you end up getting an ultrasound of your leg veins and leg arteries which clinch the diagnosis. And if it's there, the treatments are so, so simple. - Yeah, and some of those treatments might include the blockage treatment, we call it kind of the Roto-Rooter process. - For the arteries it's very simple, it's all outpatient, you come in, you have a blockage, we can fix it. We have a whole team that does that and the blockages open up, you go home within an hour or two and you're good to go, you're walking, you feel great. And for vein disease it's different. - 'Cause there's some conservative things that we can do, compression socks, leg elevation, losing weight can make an impact, but then you can go further if you need to. - Yes, yes, so if the conservative treatments don't work then we can do a simple in-office vein treatment, which could be an ablation, it takes 10-15 minutes, painless. Let me say that again, painless. You come in, we do it, you can drive yourself home, go back to work, and within a few days they're like, "Wow, I didn't know my legs could feel this good." - We're looking at these before and after right here, 'cause a lot of times people will see, again, those veins that are the bulging veins. Sometimes a lot of the, just the coloration, or sometimes even like the leg ulcers, and again, they think that's a skin issue or a muscular issue, but need to realize that it's something different. In fact I had a friend who, she went to a doctor who was not a cardiologist who said, " I think I can take care of that in my office." And they kept treating this wound, but not treating the underlying condition. So it's not really gonna get any better if you don't get to the root cause. - You hit the nail on the head, you've gotta get to the root cause of the problem and treat it. And most of these patients that have restless legs, or wounds and ulcers, it's actually due to circulation problems and we've fixed it on thousands of patients and their wounds and ulcers have completely healed up. - Address that restless leg syndrome 'cause we know there are medications out there for that and sometimes medications can address the symptoms but don't get to the root cause. Again, that's what you like to do, it's like, why are we having these problems? Let's fix that. - So, restless legs, number one, is when you feel like your legs are needing to move to get comfortable, mostly at night, but it can happen during the daytime too. And like you said, many people are misdiagnosed with other issues or just restless leg syndrome when it's really due to circulation problems. My mom had it, we fixed her veins and she's been five to six years now with zero restless legs and no medications for it. So, treat the root cause of the problem and not just put a Band-Aid on it with pills. - And Dr. Agarwal, for people who've come in and gotten their issues taken care of, overall health is better too, when you consider that oxygen can circulate freely throughout the body you take care of so many other issues and pain, and the whole bit. - Yes, just like we tell our patients, just like a good car needs to have good drivers on it, your body needs to have good legs on it. And if you're having leg issues we can help. - Dr. Agarwal, thank you very much. - Thank you. - All right, to book an appointment with a board-certified cardiologist at Modern Heart and Vascular Institute visit them online at modernheartandvascular.com. You can also give them a call at this number, it's 832-644-8930, again, that's 832-644-8930. They accept most major insurances including Medicare. Appointments fill up fast so contact them today. By the way, they have doctors who are fluent in Spanish as well, they can address all issues of the heart. It only takes a minute to schedule a vein screening and it could save your legs and make getting around a lot more comfortable, make you a lot healthier.

Damaged veins in your legs left untreated can cause serious problems down the road. Here to tell us the signs and symptoms of vein disease, and discuss the best treatment options before it's too late is cardiologist Dr. Rajiv Agarwal with Modern Heart and Vascular Institute, good morning. - Good morning, Deborah, go Astros! - Go Astros, absolutely. I'm sure that a lot of people who are watching from home because they can't get up and walk those city blocks to get down to that parade. When it comes to arteries and vein disease, if you have a problem with that your entire body is impacted. - Yeah, your whole body has thousands and thousands of miles of blood vessels, arteries take blood from the heart and go to the toes and arms, and wherever and veins bring them back, so very important to have excellent circulation, Deborah. - Like most situations, if you catch it early it's easier to treat but even advanced cases you've been able to take care of. But a lot of people probably dismiss those symptoms in the beginning because they think it's just, you know, a muscular issue, or, " I'm just tired," or, "It's just age." Let's talk about some of the arteries' poor circulation symptoms. - Yeah, the artery symptoms, the key factor is that they happen with exertion. So if someone has symptoms in their legs, with walking, then it's more likely arteries. So you get fatigue, tiredness, numbness in the legs, but with exertion. whereas with the veins you get symptoms at rest. So if you get swelling, varicose veins, fatigue in the legs, charley horses, cramps, just any achiness in the legs, but more at night or while you're sitting or standing, it's way more likely to be veins. And it's all preventable and curable. - Yeah, let's talk about some of the risk factors, start with arterial disease. - Arterial disease, like any blockages you get in any of the arteries including the heart or legs, so you have diabetes, blood pressure, cholesterol, smoking, stress, obesity, those are the most common ones for arterial disease. - And venus? - Venus is a more sedentary lifestyle, so people that aren't moving a lot. Secretaries, flight attendants, teachers, hey, lotta teachers are home today 'cause schools are closed, they know what I'm talking about, they get fatigue with standing or sitting. And the risk factors being overweight, sedentary lifestyle, and birth control medications also do damage to the veins. - To diagnose, is actually pretty easy so people don't have to worry about that. It's non-invasive, they come in, you sit down, and first of all, talk to them, get a good record of what's going on, but it's very easy to diagnose. - Very, very easy. Some people are afraid that we're gonna be doing too much for them. No, no, no, we talk with them, we figure out is it more likely to be arterial or venus? Then you get a ultrasound of the legs, which pretty much clinches the diagnosis. Of course we're examining the legs looking for those varicose veins, spider veins, just any skin changes. A lot of people even have wounds and ulcers that they've gone on for months untreated and we can make them go away with the proper treatment. - And Dr. Agarwal, this is such an important point to that. I have talked to so many people who said, "Yeah, I went to my dermatologist,"or, " I went to," and it's not a dermatological issue, that's kind of the symptom of the problem. But as you always say, let's get to the root of the problem so that you don't have those symptoms. What are some of the treatments? I know there's like the Roto-Rooter, we joke about the Roto-Rooter procedure which can be very quick and easy for people. That's for the arteries. So if you have blockages in your arteries we have you come in, outpatient procedure, you come in, you go home the same day. We can open up the blockages with literally a Roto-Rooter type of device that's called an atherectomy device. You can clean up the blood vessel, open it up, and then you go home. For the vein disease, that's very different, that's done in the office, you don't even have to go to any hospital or facility. There are multiple ways to fix veins, it could be heat, it could be glue, it could be foam, but initially we start with compression stockings. The veins get bigger and we bring the veins back to normal size with the compression stockings and a lot of times that's all it takes. But sometimes people need procedures and they're done in the office. - One of the other things that you treat that can be a result of vein disease is restless leg syndrome, also a lot of swelling. I have a woman who I met, she is so upset that she can't wear her go-go boots because she's like, "I go to zip them up and they won't zip because my legs start swelling in the middle of the day." But you can also address those issues. - Yes, actually, my mom had swelling and she had some restless legs and we fixed her veins. This was a few years ago, she has not had an inch of swelling since then. So these symptoms can be gone away. Like you said, find the root cause of the problem, you address it, you make it go away, non-surgical, done in the office, insurance covers for it, and it's a life changer. It's like having a car with four new tires put on, your life just changes immediately, within a week you're walking better, your balance is better, you're sleeping better, you wake up refreshed, you just feel good. - So your Mom feels good now but is she wearing go-go boots? - She feels great and she's been rooting on the Astros. - All right, get her a pair of boots, orange boots on top of that. Thank you, Dr. Agarwal. - Thank you, Deborah. To book an appointment with a board-certified cardiologist at Modern Heart and Vascular Institute. Visit them online at modernheartandvascular.com or give them a call at this number 832-644-8930. Again, that's 832-644-8930. They accept most major insurances including Medicare. Appointments fill up fast so contact them today. And by the way, they have doctors who are fluent in Spanish as well. It only takes a minute to schedule a vein screening and it could save your legs and make getting around a lot more comfortable.

- Well, Doctor, thank you so much for waking up with us, always a pleasure to have you on my show. - Thank you, Maggie. - Well, we're talking about something really important that can affect a lot of people, heart disease. So tell us a little bit more about this. - Heart disease is by far the most common cause of death, hospitalizations, and disability in our country, every few seconds someone has a heart attack and dies from it, and the great thing is, is that they're all preventable. People, if they get screened properly, and early, and pay attention to their symptoms we can prevent their heart disease. We really can. - Yes, let's prevent them. I know that this is in my family, heart disease, and it's so important to get screened. So, first of all, who should be coming to see you? - Great question, so the people that are at the highest risk. There are two groups of them. Number one, the ones that have risk factors. So that would be diabetes, high blood pressure, high cholesterol, smoking, family history of heart disease, obesity, those people are at risk. Number two are the ones that have symptoms, Maggie, the ones that have chest discomfort. The typical symptom is more of a heaviness, like someone is sitting on my chest, but it can be pretty much any symptom in the chest, shortness of breath, light-headedness, palpitations, or just fatigue, lack of energy. Grandma used to be energetic and now we went to visit her and she's just, you know, she's more tired, more fatigued, that may be her only sign of heart disease. So those are the two groups of people that are at the highest risk, Maggie. - So then once we make the appointment with you tell me a little bit about the process, what will you do with us? - So, as with any heart disease or vascular disease, step one is talking with our patients, that's where we really excel, is trying to extract the information that we need to make good decisions for them, by just listening to them and asking appropriate questions. Then we do a thorough physical examination on them, we listen to their heart, their carotid arteries, feel the pulses, blood pressure, heart rate, do an electrocardiogram or EKG on them. And when appropriate we all order further testing which could include an ultrasound of the heart, stress test, and other things. One of the things that you see behind me is a scanner that very few people have. This scanner here can diagnose heart disease, blockages, get this, in two seconds. - What? - A two second scan, we can tell you if you have calcium buildup inside your arteries of the heart, two seconds, Maggie, - Two seconds, and it can save your life. So I don't know about you all out there, but I definitely want to make an appointment with you. Where can people go for more? - They can use our website, it's modernheartvascular.com, or call us 832-644-8930. Our passion is to prevent and we want to do that for everyone. - Well, thank you for the work that you do and definitely want to reach out to you if we have any of these issues. Thanks so much, Doctor. - Thank you.

- It took a minute for us to figure out all the initial symptoms from the Coronavirus when it first hit. Now, with three years of research there could be a lingering connection between COVID-19 and heart issues. Here to share symptoms to look out for and when to see a cardiologist post-COVID is Dr. Rajiv Agarwal with Modern Heart and Vascular Institute, good morning. - Morning, Deborah, how are you? Happy New Year! - Happy New Year to you too. So with COVID we obviously knew the first thing it seemed to hit were the lungs and then a lot of people got through COVID and started talking about this thing called long COVID and they were having all kinds of issues, whether they couldn't taste or smell anymore. I have one friend who says she's got this persistent back pain that she had during COVID that will not go away. But now we have more information to work with that really points to some heart issues? - Yeah, you know, initially we thought that it's just a primary lung issue but it's not, it has lots of effects on the heart. There's several ways it affects the heart. Number one, during the acute phase when you have COVID you get less oxygen in your body because the lungs are flooded with inflammation, or blood clots, or what have you. Secondly, you can get inflammation directly in the heart muscle and we've seen people that develop congestive heart failure something called cardiomyopathy and the other thing is something called a cytokine storm. And basically what that means is when you get COVID the body just attacks the viruses, you get a severe attack from chemicals in the body that attack the virus, but unfortunately, those chemicals can attack healthy heart tissue as well. And that can cause a lot of rhythm problems, a lot of heart disease that we're seeing months and years now after COVID, Deborah. - Can that make it even worse for somebody who had existing heart disease? - Absolutely. They're already at risk, they have a strike, whammy already and now they get an infection that drops their oxygen levels, that drops their heart rate, or raises their heart rate, or affects their blood pressure, their heart function, and these people come in really sick at the hospital. What our goal is to avoid them from going to the hospital and educate them about when to see their primary care doctor or a cardiologist. - What are some of the symptoms to look for post-COVID and how long after COVID are we seeing this? - Oh, we're seeing them immediately, we're seeing them months later. We're even seeing them years later. I saw a patient this week, yesterday, who had COVID in 2019 and has been having symptoms for two plus years now and finally came in to get checked out. But the common symptoms that we're seeing in patients, number one, chest discomfort, number two, shortness of breath, number three, palpitations and fatigue. So let's go through each one. The chest pain, the key with all of these symptoms is that, are they with exertion? So if you get chest discomfort with exertion and you rest and it goes away, the shortness of breath, you walk to the bathroom, you walk to your car, you're getting out of breath, don't ignore it. And palpitations are when you feel like your heart's racing or you feel a flutter, or a skip in your heartbeat, not to be ignored. But most commonly still, Deborah, is fatigue. People are living with poor quality of life and that's not acceptable. They've had COVID, they have fatigue, they need to get checked out. I can tell you stories of hundreds of patients that have seen us for fatigue, we found that their heart was involved, we took care of that and their quality of life is back to normal now. - Some of the symptoms that you mentioned kind of mimic having an actual heart attack. So I know a lot of people right now are kind of freaked out, so let's look at when you should call the doctor, when you should probably just go ahead and head to the hospital. When you have shortness of breath, that you talked about. When do you call your doctor and when do you cut bait and say, "I probably need to go in?" - If the symptoms are severe. So if you're seeing that you have blue lips, you're having severe severe chest discomfort, your oxygen levels are very low, you need to get proper care. Don't go to your cardiologist, don't go to your primary care, that's probably the time to go to the hospital. But if the symptoms are manageable, yes, you're symptomatic, but it's not to the point where you feel like you're dying, then certainly come in and see us or some cardiologist and get checked out. The goal is to find it early and make it go away. - So there are heart issues that we talked about related to COVID but is an actual heart attack more likely after COVID? - It depends. There are two common types of heart attacks that we talk about, there's type 1, which is due to blockages and clots, it's less likely. I mean, I saw a 41-year-old guy recently who was a basketball player, playing full court basketball with his three boys, he came in as a second opinion to us, he had a 99% blockage in the widowmaker artery. Don't tell me that he had that blockage before COVID because he was playing full court basketball. So it does cause type 1 heart attacks, but less likely. More commonly are what are called type 2 heart attacks which is from the stress of the COVID affecting the heart, whether the heart rate goes up, the oxygen level goes down, those are way more likely. - Is the COVID damage permanent? - It can be. But you know, the key is to get screened early. We're learning more and more about this. My message to the audience today would be, is that, if you're having symptoms please don't ignore them, please don't say that, "Well, they'll go away on its own, "it's something I ate." If you've had COVID and you're having any of these symptoms please get checked out . There's so many patients that we've been able to bring back to normal quality of life because they didn't wait. - And of course, Dr. Agarwal, we know that heart attacks are the number one killer of men and women around the world, at a certain age if you just get checked out, period, whether you've had COVID or not, because oftentimes the first sign of an actual heart attack is the actual heart attack. - Exactly, you're right. So I would encourage our audience if they're 50 and above get screened regardless. It's like getting a mammogram on time for women, get screened on time and if you're diabetic or have strong family history start even earlier, it could save your life. - Thank you, Dr. Agarwal. - Thank you, Deborah. - To book an appointment with a board-certified cardiologist at Modern Heart and Vascular Institute visit them online at modernheartandvascular.com. You can also call them at this number, it's 832-644-8930, again, that's 832-644-8930. They accept most major insurances including Medicare. Appointments fill up fast so contact them today. And by the way, they have doctors who are fluent in Spanish as well. It only takes a minute to schedule a heart screening and that could, as he said, "Save your life."

- Well, Doctor, thank you so much for waking up with us, always a pleasure to have you on my show. - Good morning, Maggie, thanks for having me. - So, we're talking about back to school and teachers out there, I feel so bad, you were saying that they have problems with poor circulation and varicose veins, why are they more susceptible? - Yeah, the teachers and a lot of other professions, but especially teachers, they're on their feet all the time, they're educating our future leaders of the world and their job requires that they're sitting or standing for prolonged periods of time. And because of gravity pushing the blood backwards down instead of allowing it all to come up is what leads to the circulation problems. - And a lot of times, I mean, I know I've heard of them, varicose veins, those special pantyhose, you like dread it. But what is it exactly? - Yeah, so, varicose veins, first of all, are just big, engorged, large veins, typically in our legs 'cause gravity is affecting farthest from the heart which are the legs. So these veins become visible on the skin. And the pressures inside these veins is very high. And that pressure is what causes the further stretching and symptoms. So typically we'll get symptoms of cramps, charley horses, restless legs at night, swelling, just discomfort, achy legs, and it is all preventable. And you said about the compression stockings, those are a good, simple, conservative way to help them because what they're doing is they're compressing the veins, hopefully back to normal size. But, for a lot of people they're just Band-Aids, they don't cure the problem. We have ways where we can actually make it go away for good. - Okay, I like that because those, they're not very attractive, Doctor, those stockings, I'm not gonna lie. So, what do we do if we want to come see you, like how can you help treat this? - Yeah, so the treatments are actually very simple. As we tell our patients, you drive yourself in, we do the treatment and you drive yourself back home, there's no recovery, there's no downtime. Basically, what we're doing, Maggie, is we're shutting down that vein with either heat, or glue, or foam, it's a very minor local anesthetic injection and you're closing that vein so now the blood returns through the many other good veins. And the symptoms that were there from that one or two veins are no longer present. So, non-invasive, pretty much painless, outpatient, takes 10 minutes and your quality of life, your sleep, your leg health is back to normal. - Well, this gets an A+ in my book. So, where can people go for more and to visit you? - Well, our website is www.modernheartandvascular.com or they can call us at Modern Heart and Vascular at 832-644-8930. We would love to restore their leg health. - Thank you so much for your time, Doctor, I appreciate you. - Thank you, Maggie

(upbeat music) - Heart disease is the number one killer of men and women around the world. When most people have a heart attack it seems to come as a surprise. Sometimes there are symptoms, but oftentimes, a heart attack comes with no warning at all. New technology can help you stop this life-threatening event before it happens. Dr. Rajiv Agarwal is a cardiologist at Modern Heart and Vascular Institute. He is passionate about sharing how easy the screening is and what to do if you are a heartbeat away from a problem. Good morning, Dr. Agarwal. - Good morning, Deborah, how are you? - Good, all right, let's get some kind of myths or misunderstandings out of the way. First of all, people oftentimes say, "Oh, heart disease, that's a men's thing isn't it?" It's a woman's thing too. - Oh, absolutely, it affects both genders pretty equally. And women have to be careful, especially around the menopausal years. And of course later on. It's not a disease for only men, it affects both genders. - Yeah, definitely. I know a number of people who have actually had heart attacks and they all said it took them by surprise, and we were surprised. Even people who seemed like they were very fit, they were not smokers. So there are not always symptoms present, but if there are some symptoms what are they generally, and i know they can differ between men and women, and individuals? - They do differ, but the most common symptoms, Deborah, would be if there's any discomfort on the chest, if there's any heaviness, pain, like a weight on their chest. And if it goes down the left arm it's a little bit more concern, shortness of breath, if you break out into a cold sweat for no reason, if you're nauseated. But the key thing is most heart disease symptoms happen with exertion. If you get chest discomfort when you're lying down or without physical activity, it's less likely, but it's with physical activity it's way more likely to be heart related. - Yeah, and we know that a weaker heart, or heart disease can come with age, it can come with obesity, but don't make the mistake of thinking that those are the only things that can cause a heart problem. You can be young and look like you're healthy and have a heart issue. - Absolutely, the key risk factors are, like you said, age, obesity, but let's not forget about the high blood pressure, the diabetes, the high cholesterol, stress. I mean, during these COVID times we have so much stress for all of us and we're seeing so many younger and younger people that are coming in with heart attacks to the hospitals that are stress related. And a lot of people have turned to smoking as well, unfortunately, and that is a key risk factor for heart disease. - Yeah, a lot of times what brings us in is a symptom that bothers us so much that it brings us in. You're saying, "Don't even go that far, you can prevent this," because you have that preventative technology, what are you talking about? - That's right, Deborah, we have a ct scanner that is a 128-slice ct scanner, what that does is in less than one to two seconds, Deborah, we're able to look inside the heart and see how much calcium buildup there is in the arteries of the heart. Literally, it takes one to two seconds. And, the amazingness is that you find these blockages at such an early, early stage that you prevent. You find them early, you don't have to wait for them to progress and then you're needing stents or bypass surgeries, we find them early and then we can do some medications, lifestyle modifications, to make sure that these blockages do not get worse. The key is prevention, absolutely. - And I had this scan done, and I gotta tell ya, it just took a matter of seconds and gave such great peace of mind when you could look at all those things in my heart, my lungs, and said, "Okay, you're good to go." So who should get screened? - The screening process really is for people, if they're diabetic or have family history I would start at the age of 40. But with no risk factors or no symptoms, then 50 and above would be very, very reasonable. The statistics show that after the age of 50 people's risk of heart disease goes up significantly. But if they're diabetic or have family history then 40 is very reasonable. - It's interesting because we talked about women also are at risk just as much as men. When you say breast cancer to women, we immediately pay attention to that, but you say heart disease is more likely to be an issue. - Yes, and women forget, including my mom and my wife, they go for their mammograms regularly, but God forbid you ask them to come for heart screening, they forget that heart disease is 30, 3-0, 30 times more likely than breast cancer causing morbidity and mortality for them. So yes, all women should be aggressively screened for heart disease. They're passionate about their breast health, and we are too, but we need them to be equally, if not more passionate about their heart health. - Modern Heart and Vascular Institute. If you find blockage then what's the next step? - Well, first step is that we talk with them. We see what risk factors they have and we try to modify their risk factors. Sometimes they need medications, for example, a lot of patients that do have cholesterol buildup, we put them on a cholesterol medication if they tolerate it, and we have a lot of options for people that are intolerant to the typical statin medications. And if we found their blockage at such a later stage where they're having symptoms and it needs to be fixed, then it gets fixed. But the goal of the technology is to prevent and find stuff early. Aand there are non-invasive, non-surgical ways to do that now Deborah. - As i found out myself. Dr. Agarwal, thank you very much. - Thank you, appreciate it. - Modern Heart and Vascular Institute is offering a free heart scan to the first 50 callers over the age of 65. To sign up give them a call at this number, it's 832-644-8930, that's 832-644-8930. Or you can book your appointment online at modernheartandvascular.com. And of course, if you fall into any of those categories we mentioned earlier you might want to get checked like I did, but to be clear, the special offer only applies to those over 65 years old.

Today, I learned something new! Arteries deliver the blood to your muscles and veins bring it back to the heart. Neat!

I thought having this disease was as a result of my old age, while I was diagnosed of heart disease Dec. 19 2020, I used series of medication but I was still having the severe pain, until I used an herbal mixture from Dr. Gbenga which I saw on RUclips and I was completely cured, I appreciate Dr. Gbenga for his help