Participants: Timothy Howe and Sheryl McWilliams
Series Code: WM
Program Code: WM000390
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00:01 The following program presents principles
00:03 designed to promote good health 00:04 and is not intended to take the 00:05 place of personalized professional care. 00:08 The opinions and ideas expressed are 00:10 those of the speaker. Viewers are encouraged 00:13 to draw their own conclusions 00:14 about the information presented. 00:35 Hi, and welcome to Wonderfully Made. 00:38 My name is Sheryl McWilliams and with us 00:40 today as our guest is Dr. Timothy Howe. 00:42 Welcome Dr. Howe. Thank you Sheryl, 00:44 it's good to be with you again. 00:46 It's a wonderful opportunity 00:48 we have to talk about how the Lord has made us. 00:51 Yes, it is and he has made us well. 00:53 Yes, he has. Today, I would like to talk 00:55 with you about hypertension, 00:56 high blood pressure. I find it very interesting 00:58 that as we grow older it seems from time to time 01:02 that our blood pressure goes up. 01:03 Why is that? You know Sheryl 01:06 when I was in medical school 01:07 and that's been quite a few years ago 01:09 I'd to admit now. I was told that 01:13 a normal blood pressure is 100 plus your age. 01:17 Normal systolic that's the top number, 01:20 so if you were 60 a normal blood pressure 01:23 when I was in medical school was 160 01:27 we certainly wouldn't obey that today. 01:30 Absolutely not that's actually kind of scary, 01:32 yes it is a little frightening. 01:34 Today, we accept a much lower level 01:38 of blood pressure for being normal then 01:42 we did then. What is normal? 01:43 The Joint National Commission 01:47 on hypertension; JNC number 7 is the 01:51 seventh report they have made said that 01:53 normal blood pressure was less then 120 over 80. 01:58 Wow! When you get above 120 from 120 02:03 over 80 to 140 over 90 they call it 02:07 pre-hypertension and above 140 over 90 is clearly 02:13 hypertensive. Interesting now when 02:17 I go to the doctor they tell me my blood pressure 02:19 is you know 120 over 80 what do those numbers 02:22 really mean? 120 is the top number, 02:26 its 120 mm of mercury. The old doctors' offices 02:33 or even some of mine still has this, 02:35 has a column of mercury and it reflects 02:40 the height of the column of mercury in that tube 02:45 on the doctors valve. It's a measure of pressure, 02:49 the top number the systolic number is 02:54 when your heart contracts maximally 02:57 and it's the pressure in the artery 03:00 with heart contraction. The diastolic 03:03 or bottom number is with the heart 03:07 relaxed of course your blood pressure 03:10 doesn't go to zero between heart beats 03:12 if it did you would too, you just go down 03:16 you would go. You have to have some blood pressure 03:19 all the time if you wanna be here. 03:20 So, we have the systolic that's the top number 03:24 and the diastolic that's when the heart relaxes 03:27 and we measure the pressure in the artery 03:30 when the heart is relaxed that's the bottom number. 03:34 Okay, so is it required that the blood pressure 03:37 go up as we get older? No, it's not required. 03:40 We used to think that it was, 03:42 we thought that hardening of the arteries 03:45 was normal but now we know that's not the case 03:49 and regardless of your age 03:51 we know the following. That for every two points 03:55 your systolic blood pressure exceeds 120 04:00 your risk of having a heart attack 04:04 goes up 10 percent and your risk of having 04:09 a stroke goes up 15 percent. 04:12 Now let's do the numbers for a minute here. 04:15 Let's say you come into your doctors office, 04:17 the nurse measures your blood pressure 04:20 and she says ah that's very good today, 04:22 you are only 140/90, ah good. 04:25 I just have pre-hypertension, 04:28 oh I feel better. Wait a minute 04:30 that's 20 points of up from 120/80 divide 04:35 that 20 into an hour of 10. 04:38 If your blood pressure is 140/90 04:41 your risk of stroke is up 150 percent. 04:44 Wow! Your risk of having a heart attack 04:47 is of 100 percent, if you are 180 double it. 04:53 You know if your, so small amounts 04:57 of blood pressure change make 04:59 a big difference overall. That's so important 05:02 that we understand that normal blood pressure 05:05 is 120/80 or less. Above that we have 05:10 at additive risk all the way up. 05:13 So, it would than be wise for us to actually ask 05:17 our doctor what the value is and not just accept 05:21 though it's normal. It's so important for you 05:24 to know your blood pressure that is critical 05:28 and if you don't know your blood pressure 05:30 you should, if you have high blood pressure 05:33 get yourself a blood pressure cuff and measure 05:36 your blood pressure at home. 05:38 Now, I'll tell you that one of the mistakes 05:41 that we make in doctors offices 05:43 and you may make at home is measuring 05:46 your blood pressure just in your own time. 05:49 You know Sheryl if we were sitting here 05:51 together and into the studio rushed a gunman 05:54 and he pulled out a gun and he shot me 05:57 and I went over and then he said hands up 06:01 you are next. And then instead of shooting 06:03 you he measured your blood pressure 06:05 it would off the charts. And it should be 06:10 of course that's a normal response 06:12 your blood pressure goes up with fright 06:14 or with stress or with exercise. 06:17 And when you're measuring your blood pressure 06:19 for this level that we are talking 06:21 about the ideal you need to sitting quietly, 06:25 you need to have sat still for at least 06:28 five minutes in a calm environment. 06:31 Now, I can tell you in most doctors' office 06:34 the nurse calls your name you rush in, 06:36 you sit down, she takes your blood pressure 06:38 before you can even get your sleeve rolled up 06:40 and that's what I want you to know 06:42 you need to sit quietly for five minutes, 06:45 calmly, relax and then measure 06:47 the blood pressure. The worst thing 06:50 that I find in my medical practice is not 06:52 high blood pressure, but a blood pressure 06:54 that doesn't respond to normal activity. 06:58 If I put some on treadmill stress test 07:01 which I do quite frequently 07:02 and their blood pressure doesn't go up. 07:05 Well, they have got a sick heart 07:08 or if it starts to fall than I know 07:12 I am in a real trouble because we should have 07:14 a variable blood pressure but the number 07:17 we are talking about is you relaxed, 07:19 resting for five minutes measuring 07:23 that blood pressure and then if its above 120/80, 07:28 your risk of having a stroke or a heart attack 07:31 or another very interesting problem 07:34 is dementia; we hear a lot about that memory loss. 07:38 High blood pressure we know now is associated 07:41 with memory loss and that's the one 07:43 that it worries me, you know. 07:46 I don't want to get to the place where 07:48 I don't know who I am or who you are? 07:50 You know that's very important of course 07:52 and high blood pressure is related 07:54 to that one as well. I don't know 07:56 how many of our guests have ever had 07:58 memory issues. I certainly from 08:00 time to time lose track of things 08:03 and my blood pressure perhaps isn't 08:05 where it should be. So, this is a very good 08:07 conversation for me. You know, many of my 08:10 family members have high blood pressure 08:12 and they are faithful about taking 08:13 their medications. What are some other options 08:16 available to us to manage our blood pressure 08:19 perhaps that do not include medication 08:21 with lifestyle intervention? 08:23 First of all lets talk about medication, 08:25 medication can be very helpful 08:29 with high blood pressure and as I tell my patients 08:32 when they come in if they have high blood pressure 08:34 I want them on medicine if they don't get it down 08:39 within two or three visits naturally because 08:43 everyday that goes by that your blood pressure 08:46 is up is a day that you are at increased risk. 08:49 No question about that. I am not in favor of using 08:54 medicine as first line therapy, 08:56 I would like to decrease my use of medicine, 09:00 but medicine is a lot better 09:03 than high blood pressure. I have patients 09:05 that come in and they say oh I want to do it 09:08 naturally I say great, lets do it naturally 09:11 and so I tell them the things that they should 09:13 do to lower their blood pressure 09:14 and they comeback, they haven't done this, 09:16 they haven't done that, I say listen you got to go 09:19 on medicine. Oh, I wanna do it naturally. 09:21 Well, I want you to do it naturally too 09:24 but I want you to do something because 09:27 high blood pressure is a risk and we do have 09:29 very good medicines but here is the problem. 09:33 If you lower your blood pressure with medication 09:37 almost always you also lower your blood flow. 09:43 Ask anybody that's going on medicine 09:46 and they will tell you at least at first 09:48 and often the entire time they are on medicine 09:51 they feel a little sluggish why? 09:54 Because medicine takes the top right off 09:56 your performance. If you go on a beta-blocker 10:00 that's one type of a medicine, 10:01 it slows your heart rate. It decreases 10:05 the heart's contractility, 10:07 you don't have humph anymore. 10:10 So, not only do we decrease blood pressure 10:12 which is good, but we also decrease blood flow 10:16 and when we decrease blood flow we decrease 10:20 our performance, our physical ability 10:22 to perform work and to be active that's the problem 10:26 with blood pressure medicine. 10:27 Is not only you decrease pressure, 10:30 but you also decrease flow and ask 10:34 any gentlemen that's going on medicine 10:36 he can tell you the impotence is a problem, 10:38 why? Blood flows down, blood flow down 10:41 something else is down too and you need to remember 10:45 that medicine very helpful, 10:47 but there are problems. So, that is even 10:50 including the side effects of a medicine 10:52 and there are many drug effects, 10:54 there are problems with the 10:55 blood pressure medicines. Interesting, 10:58 so you mentioned that when a client comes in, 11:01 patient comes in, who is interested in perhaps 11:05 natural methods of lowering their 11:07 blood pressure, what are some of those 11:09 natural methods. Well, let me tell you a story. 11:11 This happened just last year. 11:12 I had a gentleman come into my practice. 11:14 He is one of my favorite patients and I have been 11:19 working on his blood pressure for a longtime. 11:22 He ate a pretty good diet. 11:23 He wasn't really overweight, 11:24 but he had a bit of a sweet tooth you know 11:27 and he was active, fairly active, 11:30 still vigorous in his seventies, 11:32 late seventies, and you know 11:35 I was just encouraging him and trying, 11:38 but he would, he want a hundred percent 11:40 with the program, and he said well I'll just 11:43 take a medicine. So we had him on medication, 11:45 and one day he came in and he had a stroke. 11:52 He was numb on the side of his face. 11:54 His hand wasn't working and he was having trouble 11:59 with the speech. And I am telling you this guy 12:02 I had his attention for the first time, 12:05 I had his full attention, and of course 12:08 we had to do something right away, 12:10 so we got the immediate problem taken care of 12:13 and unfortunately for him it was one of those 12:16 small strokes that resolves, and all of his 12:20 symptoms resolved. After they had resolved 12:22 I sat him down, and I talk to him, 12:24 and I said now tell me what did you do? 12:27 You know, how people sometimes 12:30 are little hesitant, they don't want to tell you 12:32 what they have done. And I said alright now 12:34 come tell me. He said alright this is what 12:36 happened. He said I was out working with my son. 12:40 His son is a cabinet maker and I was helping 12:44 him build things, and he said I didn't get a chance 12:47 to eat all day long. And I didn't drink 12:51 a lot of water, and I just kept working. 12:53 And when I got home I was so hungry, 12:56 he said and my wife would just made a 12:59 pan of brownies and I ate the whole thing. 13:03 He said and then he went to bed, 13:05 and he woke up with the stroke. 13:07 Well you know I talk to him, I said now listen 13:12 we are going to have to make some changes 13:15 and these are the changes I want you to make 13:18 and we will see how your blood pressures goes. 13:20 And I said now I can't stop your medicine 13:22 because if we stop your medicine right away 13:25 and your blood pressure goes up, 13:26 and you have another stroke 13:27 then we are in trouble. But we will watch you 13:30 closely and as your blood pressure is coming down 13:32 then we will decrease your medicine. 13:35 And he said well what are they, 13:37 I want to do them. Well I said oh good, 13:39 I hope you don't have to have a stroke to listen 13:41 to your doctor, but you know if you do 13:43 we will take it, right. So, I said no added salt, 13:47 none, no added salt. He said that's easy, 13:51 I don't use much now anyway. And then I said 13:54 I want you to walk thirty to sixty minutes 13:57 everyday. And I want you to cut out all sweets. 14:01 He said oh my wife makes the best, you know, 14:05 name what you like. I said you just try this 14:08 for two weeks, that's all two weeks, 14:10 no added sugar, none, no salt, and walk 14:16 and one more just for him although 14:18 there are some others, other people could do, 14:20 I want you to drink eight glasses of water a day. 14:23 So he did it, no added sugar, none at all. 14:27 He came back four days later and he said 14:32 you know I am having trouble, 14:33 I am having trouble. I said what 14:35 your trouble is. He said when I stand up, 14:37 I get light headed, and I almost pass out. 14:40 So, I said well sit down let's measure 14:43 your blood pressure, so I pumped his cuff up, 14:46 I measured his blood pressure, 14:47 his pressure was 110/60. I said well time to cut 14:52 your medicine down, so we cut it in half. 14:54 He came back a week later, I am still having 14:58 the same symptoms, I stopped his medicine. 15:00 He has been off it ever since. 15:02 He has been careful with his diet, 15:05 his blood pressure is right normal. 15:07 What was pushing his blood pressure up, 15:10 sugar because see sugar does an interesting thing. 15:15 Sugar when taken in excess; now see sugar is 15:19 what we really want, we like sugar, 15:21 our bodies runs on sugar. Some people say you know 15:25 sugar is bad for you, that's like me saying 15:28 gasoline is bad for your car, 15:30 it's not bad for your car, it's what your car needs, 15:33 but it needs at the right amount so do as our body, 15:36 and we take refine sugar we get too much. 15:38 So I said all refine sugar out, 15:41 and he was eating too much refined sugar 15:43 that was pushing his insulin level up, 15:46 and insulin raises the blood pressure 15:49 and it does some other interesting things. 15:51 It makes the blood more sticky; 15:54 so it clots more easily and that's why 15:57 he had a stroke. He had that load of sugar, 15:59 his blood pressure was up all from insulin 16:03 and his blood was too sticky, and it will clot 16:06 just like that and have a stroke. 16:08 Fortunately for him it went away. 16:10 Wow, so I am sure that many of you like sugar, 16:15 I certainly do. I understand that 16:18 by eating well, not too much refined sugar, 16:22 we can help to bring down our blood pressure, 16:24 you mentioned water. What effect is that 16:27 have on blood pressure? I'll come back to that, 16:29 let's talk about sugar just a minute, you know, 16:31 sugar thing is part of humanity. 16:34 If you take a little baby and instead of giving 16:38 the mother's breast like you should, 16:39 you put sugar water in the bottle 16:41 and you give him two bottles, 16:44 one with fifty percent sugar 16:45 and one with ten percent. They will suck 16:48 a lot harder on the fifty percent sugar 16:51 right from birth. So we like sweet things, 16:54 its part of our very nature, 16:56 but we need to moderate our diets just because 17:00 you want something doesn't mean its good for you, 17:02 and that's so important for us 17:05 to keep in our minds. So, we all like sweets. 17:08 How about water? Well you know one of the medicines 17:13 that we give people is diuretics. 17:16 Diuretics waste salt, they make your body 17:21 excrete salt in the urine and when you excrete salt 17:25 your blood pressure comes down. 17:28 You can do the same thing with water. 17:31 Water is a natural diuretic, 17:34 the more you drink the lower your 17:37 blood pressure goes. Now you can overdo it. 17:40 There are people they have a problem 17:43 and they drink too much water. 17:45 We call it psychogenic polydipsia that means 17:49 you are crazy and you drink too much. 17:51 Now really that's what it means 17:52 psychogenic polydipsia. You got to drink 17:55 a couple of gallons a day to pull that off, 17:58 but it is doable and then the salt in your body, 18:01 the serum sodium drops, and when it drops too low 18:05 then when you stand up you pass out, 18:07 you know because it drops like the man 18:10 whose blood pressure because 18:11 he was on medicine and he was started to live 18:14 a good diet, his blood pressure dropped too low, 18:17 these people do the same. This actually happened 18:20 to me when my husband and I lived in the Middle East 18:22 for a number of years, and it was really hot 18:25 there and I drank a tremendous 18:27 amount of water, my sodium level did in fact 18:29 go down and I began to get lightheaded. 18:31 I had no idea it was related to the 18:33 amount of water that I was drinking. 18:35 Here on the other hand, I don't drink enough. 18:39 Runners have this problem occasionally too. 18:42 They will go out and run a marathon 18:44 and they will drink too much water, 18:47 and then they have a problem and they get 18:50 hyponatremia low sodium and that can be 18:52 very dangerous. Most of us don't come 18:55 anywhere near that. How much water 18:58 should you drink? An easy way to figure it is this 19:01 if you weigh a hundred pounds you should have 19:03 six glasses of water a day. 19:05 For every twenty five pounds over that, 19:08 had a glass, so if you are two hundred, 19:10 ten, if you are one fifty, eight, one hundred, six. 19:15 And if you do that and eat a normal diet, 19:18 you will never have a problem with hyponatremia 19:21 low sodium, and you will lower your blood pressure. 19:24 Very important to drink adequate water. 19:26 It's even more important than salt restriction, 19:29 but if you do both I am not saying eliminate 19:32 all salt, that's not good, but avoid 19:35 the salty foods, avoid salt on the table, 19:39 the salt shaker, and have adequate water, 19:42 you will do really well with your blood pressure. 19:44 So we have talked about sugar, 19:46 we have talked about salt, 19:48 we have talked about water, 19:49 what other natural factors can help to lower 19:53 our blood pressure. Another factor 19:55 that's very important is eating foods 19:59 that are rich in potassium because 20:01 potassium is the balancing mineral 20:04 for sodium, and if you have too much sodium 20:08 and not enough potassium your blood pressure 20:10 goes up. If you increase your potassium intake 20:13 you get a balance that allows the muscle cells 20:17 in the blood vessels to relax better, 20:19 you relax those blood vessels. See most of us 20:22 think of blood vessels as like lead pipes, 20:24 they are just there, they don't move, 20:26 the don't do anything, that's not true, 20:28 blood vessels are living structures. 20:30 You know it's interesting if you look intensely 20:34 at a picture that's very detailed within seconds 20:38 the blood flow to the occipital cortex 20:41 that's where your sight cortex is increases 20:44 by 30 to 50 percent, wow, because some 20:47 blood vessels constrict and others relax. 20:50 Our blood vessels are very alive 20:53 and so if we balance that lowering the sodium, 20:56 raising the potassium it relaxes 20:59 the blood vessels, and eating a diet 21:02 that's rich in potassium really helps us 21:05 in lowering our blood pressure. 21:06 So eating those bananas on a regular basis 21:09 are pretty good. Bananas are certainly one of them, 21:12 bananas are rich in potassium, sour oranges, 21:15 they are rich in potassium, potatoes, 21:18 good old white potatoes are very rich in 21:21 potassium, mushrooms have quite a bit 21:24 of potassium in them, beans do, 21:26 all of those fresh fruit is the one to go 21:30 for though. Apples are wonderful for you, 21:33 they don't have as much potassium 21:34 but they are still wonderful fruit, 21:37 but almost all the other fruits are very rich 21:39 in potassium. So one of the things 21:42 I have in my patients do if their 21:43 blood pressure is up, as I say three pieces 21:46 of fruit a day and it will help your blood pressure, 21:48 and it certainly does. Interesting, 21:51 I know in my lifestyle I don't get as much 21:54 physical activity as I should. What role does 21:57 physical activity play in helping to control 21:59 one's blood pressure? Physical activity 22:02 is very important, you remember the gentleman 22:04 who had the stroke, what did I tell him to do? 22:06 Thirty to sixty minutes a day of walking. 22:09 I am sure there are some types of exercises 22:12 that won't lower your blood pressure, 22:14 I am not sure going to disco where the music 22:18 was loud and you are jumping around to that 22:20 stuff would lower your blood pressure, 22:21 you want exercise that's relaxing, 22:24 that's enjoyable, that will lower 22:28 your blood pressure the best walking, 22:30 working in your garden is excellent, lawn work. 22:34 When I was in medical school I had a classmate, 22:37 he was from another country and I was talking 22:41 with him one day about exercise. 22:43 He said you know America is such a funny country. 22:46 He says the only place in the world that 22:48 I have ever been where they will pay 22:50 someone else to mow their lawns, 22:51 so they can go jogging. You know pushing 22:54 that lawn mower is exercise and it's even 22:58 more exercise if you have one of those real ones 23:00 that you know you have to provide the power 23:03 for instead of the electric one, 23:06 but exercise moving, moving is what we need. 23:11 Oh, yeah you can get an exercise machine 23:13 that's fine, you can get a treadmill that's fine, 23:16 but I think exercise in the out of doors where 23:19 there is fresh air, where there is relaxation, 23:22 where you can deep breathes 23:23 really is the best to lower your blood pressure. 23:27 And the way it does it is your body is really 23:30 clever you know, you are wonderfully made, yes. 23:33 And if you go out and exercise, 23:35 you are pushing more blood through 23:37 those blood vessels. Your body says, 23:40 I guess he is gonna use these blood vessels 23:43 we better take care of them, it's sort of like 23:46 the roads that you drive on you know if nobody 23:49 drives on the road eventually 23:50 they let it decay and you get potholes 23:53 and this and that. More traffic 23:55 that drives on the road, the town comes along 23:58 and says we got the problem here, 23:59 we got a lot more traffic, we are gonna 24:00 have to repair this road, body does the same. 24:04 The more traffic on the blood vessels, 24:06 the more you use them with exercise, 24:08 the body says well we better make this work 24:12 better and so it enlarges the blood vessel 24:14 and it improves the blood flow, 24:17 the blood pressure drops. Remember with medication 24:21 the blood pressure drops, but so does the 24:23 blood flow with exercise the blood pressure drops, 24:27 and the blood flow comes up. 24:29 So your ability to do work, your well being, 24:34 your sense of energy actually increases 24:37 with exercise where as with medicine 24:39 it goes down. So being mindful about the amount 24:42 of water that we drink, the amount of 24:45 refined sugar that we consume, 24:47 our physical activity perhaps useful labor 24:50 is helpful. It certainly is useful labor is my 24:54 favorite thing to do. I would rather go chop wood 24:57 than lift weights. I was out talking with 25:01 my father-in-law just a few days ago. 25:03 He is 87 and he still out there working everyday 25:08 and he said let me show you what I do 25:10 for exercise. He is repairing a road 25:12 that goes out to his garden and he had 25:15 a pile of rocks there and he picked up a rock 25:18 about this big around and he picked it up 25:21 and he smashed it down on the ground, 25:23 and you know it broke, and then he picked up 25:25 the pieces and filled the potholes. 25:27 Well that's lifting weights and if you are 87 25:30 and can lift rocks like this and smash them, 25:33 that's useful labor, and you know the road 25:35 to the barn looks pretty good. That's wonderful, 25:38 what role does stress play in blood pressure? 25:41 Oh, stress plays a big role, remember 25:43 what I told you if someone came in here 25:45 and shot me and then he said you are next, 25:47 instead of shooting he took your blood pressure 25:49 it would be sky high, why is that? 25:51 Well as soon as you get stressed, 25:53 your adrenal glands and there are little glands 25:56 that sit right on top of your kidneys, 25:58 they secrete, they squeeze down, 26:01 and they secrete hormones, epinephrine, 26:04 norepinephrine immediately your pupils 26:07 dilate, your heart rate goes up, 26:09 and your blood vessels constrict like this, 26:12 and you get ready to run. Well you know 26:15 if this was 100, 200 years ago when someone 26:19 was behind you and says stick them up 26:22 and you had to run or you will be already 26:25 to run, but know you are in the office 26:28 and your boss says more work, 26:30 why don't you do a good job, 26:31 there is no where to run, and so we get all 26:35 those hormones ready for fight or fly, 26:37 and we don't know what to do with them, 26:39 and they turn inward and burn us up 26:42 rather than us burning them up, 26:43 and the best way to deal with stress is exercise 26:47 because it allows you to work those chemicals 26:51 out of your body. You know it's very important 26:54 for us to just relax a bit. 26:57 Meditation is wonderful, there are two kinds of 27:01 meditation of course there is 27:02 Eastern meditation that focuses on nothingness, 27:05 emptying the minds, and there is 27:07 Western meditation where we focus on a loving God. 27:11 You want relaxation; you want your blood pressure 27:14 to come down focus on the God that loves you. 27:18 It's so very important, more important 27:21 than anything else. It will solve 27:24 your blood pressure problems, 27:26 if you just do that. So, blood pressure 27:31 and our spirituality are connected. 27:34 They are, you can't separate the mind 27:37 and the body; they are one. Thank you Dr. Howe 27:42 and thank you audience for joining us, 27:44 I know there are many of us who have 27:45 blood pressure issues; myself on occasion 27:47 as well. So what I have learned is that 27:50 I need to be mindful of my stress 27:52 and I need to be mindful of the amount of sugar 27:54 that I consume, and the amount of water 27:56 that I consume of my overall lifestyle 27:59 as a whole, and then by paying attention to 28:02 those things and putting my life 28:03 in the hands of Christ my blood pressure 28:06 perhaps can be controlled. 28:07 Absolutely, very good, thank you. |
Revised 2014-12-17