The Healthspan Podcast

Why VO2 Max is the Ultimate Predictor of Longevity with Chestiny Fair

In this episode of the HealthspanMD podcast, Robert Todd Hurst, MD, FACC, FASE, a board-certified cardiologist, dives into the science of longevity with special guest Chestiny Fair, an exercise physiologist and professor of exercise science. They explore the critical role of fitness in promoting a long, healthy life, emphasizing the importance of VO2 max as a predictor of mortality. The conversation also covers the benefits of regular exercise, the impact of strength training on longevity, and the often-overlooked aspects of stability and balance in maintaining overall health. 
Key Timestamps: 
[00:27] Introduction by Dr. Lisa Hurst on the challenges in primary care 
[02:42] Overview of the essentials of longevity: strong body, healthy brain, and disease prevention 
[04:52] The importance of fitness in longevity and overall health 
[07:14] Discussion on VO2 max and its significance as a predictor of mortality 
[18:43] Differences between traditional VO2 testing and the portable VO2 Master device 
[25:38] Experiences with VO2 max testing and its impact on athletes and general population 
[32:45] How changeable is VO2 max and the role of consistent training 
[39:49] The importance of stability, balance, and flexibility in aging 
[46:53] Integrating fitness components for a comprehensive approach to longevity 
This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor.
 For more information and to schedule an appointment, visit HealthspanMD.com or call 480-847-2575. 
Connect with us on LinkedIn, Facebook, Instagram, and YouTube 
This show is produced by Mathew Blades and Sam Robertson. 
 

The Ultimate Guide to Pain-Free Living and Longevity with Dr. Matt Gloyd

Welcome to the Healthspan Podcast, where Robert Todd Hurst, MD, FACC, FASE, a board-certified cardiologist, explores the science of longevity and optimal health. In this episode, Robert Todd Hurst, MD, FACC, FASE is joined by Dr. Matt Gloyd, a distinguished physical therapist and founder of PT3, to discuss the critical role of physical activity, mobility, and injury prevention in achieving a long and healthy life. Together, they delve into practical strategies for starting or restarting exercise safely, the importance of flexibility and balance, and the innovative approaches used at PT3 to enhance patient outcomes. 
Key Timestamps: 
00:02 - Introduction by Dr. Lisa Hurst on revolutionizing primary care 
02:20 - Robert Todd Hurst, MD, FACC, FASE discusses the importance of physical activity for longevity 
05:14 - The impact of injuries on health and strategies to avoid them 
07:25 - Dr. Matt Gloyd's unique approach to physical therapy 
12:16 - The significance of mobility and flexibility in maintaining health 
19:19 - Dr. Gloyd's personal journey with cancer and its influence on his practice 
28:28 - Addressing stiffness and pain in older adults 
32:58 - A case study of a patient’s transformation through physical therapy 
40:08 - The role of physical therapy before surgery 
44:54 - Challenges of the insurance model and the benefits of concierge care 
47:17 - How to learn more about Dr. Matt Gloyd and PT3 
This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor.
For more information and to schedule an appointment, visit HealthspanMD.com or call 480-847-2575. 
Connect with us on LinkedIn, Facebook, Instagram, and YouTube 
This show is produced by Mathew Blades and Sam Robertson. 

Mental Health Coaching as a Key Component in Longevity-Focused Care with Dr. Melissa Lewis-Duarte

In this episode of the Healthspan Podcast, Robert Todd Hurst, MD, FACC, FASE and special guest Dr. Melissa Lewis-Duarte, a stress management expert, delve into the science of stress and its profound impact on our health and longevity. They discuss the phenomenon of broken heart syndrome, the importance of resilience, and practical, evidence-based strategies for managing chronic stress. Listeners will gain insights into how stress manifests physically and mentally and learn actionable tips to improve their overall well-being. 
Key Timestamps: 
00:00: Introduction by Robert Todd Hurst, MD, FACC, FASE 
02:30: Overview of the podcast and today's focus on stress and longevity 
04:45: Explanation of broken heart syndrome 
07:00: Acute vs. chronic stress and their impacts on health 
09:30: Introduction of Dr. Melissa Lewis-Duarte 
13:00: Dr. Lewis-Duarte's personal journey with stress and its effects 
16:20: Identifying when stress becomes a problem 
18:45: The interconnectedness of mind and body 
21:10: Myths about stress and the importance of mental health in overall wellness 
25:50: Effective strategies for stress management, starting with breathing exercises 
29:30: Importance of gratitude practices 
35:05: Building resilience and the integrative approach to health 
41:00: Creating virtuous cycles in health habits 
46:35: How to connect with Dr. Lewis-Duarte and access her resources 
This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor.
For more information and to schedule an appointment, visit HealthspanMD.com or call 480-847-2575. 
Connect with us on LinkedIn, Facebook, Instagram, and YouTube 
This show is produced by Mathew Blades and Sam Robertson. 

Why Should You See An Electrophysiologist for Afib? Dr. Divya Varma, Top EP in AZ, Discusses Afib Management, Triggers, Ablation Procedures and More

Welcome to the HealthspanMD Podcast with Dr. Robert Todd Hurst, MD, FACC, FASE. In this episode, we dive deep into the science of longevity and explore the critical issues surrounding heart rhythm problems.  
Featuring the highly respected electrophysiologist, Dr. Divyashree Varma, this episode is packed with valuable insights and practical advice for anyone interested in heart health. 
Timestamps: 
00:01:27 - Introduction by Lisa Hurst: Revolutionizing primary care with HealthSpanMD. 
02:25 - Welcome to the HealthspanMD Podcast: Discussing heart rhythm issues and their impact on longevity. 
04:44 - Dr. Hurst's ER story: The importance of verifying diagnoses. 
06:57 - Introduction of Dr. Divyashree Varma: Understanding the role of an electrophysiologist. 
09:08 - Common heart rhythm problems: From atrial fibrillation to ventricular arrhythmias. 
11:22 - Warning signs of serious heart conditions: What to watch out for. 
13:43 - The rise of consumer rhythm monitoring devices: Benefits and limitations. 
16:01 - The challenge of diagnosing intermittent symptoms: Strategies and tools. 
18:15 - Atrial fibrillation epidemic: Statistics, risks, and the role of technology. 
20:36 - Improving AFib care: The need for early referral to electrophysiologists. 
22:53 - Evolution of AFib management: From medication to modern ablation techniques. 
25:15 - Contemporary AFib care: The importance of early diagnosis and treatment. 
27:38 - Innovations in AFib ablation: Safety, efficacy, and patient outcomes. 
29:59 - Different ablation strategies: Radiofrequency, cryoablation, and pulse field ablation. 
32:18 - Four pillars of AFib treatment: Stroke prophylaxis, rate control, rhythm control, and risk factor modification. 
34:37 - Risk factor modification: A whole-person approach to managing AFib. 
36:56 - Effective risk factor management: Case studies and outcomes. 
39:19 - Quality of life impacts of AFib: Strategies to help patients live well. 
41:37 - Advice for aspiring electrophysiologists: Empowering the next generation of doctors. 
44:00 - Conclusion and call to action: Educate yourself, seek second opinions, and be proactive in your health care. 
Tune in for an enlightening conversation on how to take charge of your heart health and improve your longevity with expert insights from Dr. Robert Todd Hurst, MD, FACC, FASE and Dr. Divyashree Varma.  \
This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor.
For more information and to schedule an appointment, visit HealthspanMD.com or call 480-847-2575. 
Learn more about HealthspanMD at HealthSpanMD.com  
Connect with us on LinkedIn, Facebook, Instagram, and YouTube 
This show is produced by Mathew Blades and Sam Robertson. 

How to manage a high calcium score and why lowering it isn't the goal with Dr. Lisa Hurst

Welcome to the HealthSpanMD podcast with Dr. Robert Todd Hurst, a board-certified cardiologist and creator of HealthSpanMD.  
In this episode, Dr. Hurst delves into the intricacies of coronary artery calcium scoring, a powerful tool to assess an individual's risk for heart attack, stroke, and death. Joined by Dr. Lisa Hurst, a board-certified internal medicine physician, they answer common questions about this critical test and its implications for longevity and heart health. 
Timestamps: 
00:01 - Introduction and welcome by Dr. Robert Hurst 
01:02 - Importance of coronary artery calcium scoring for longevity 
03:20 - Historical context and development of the Agatston score 
05:42 - Who should get a coronary artery calcium score? 
07:57 - Correlation between calcium scores and blockages in arteries 
10:17 - Interpretation of different calcium score ranges 
12:37 - Frequency of getting a coronary artery calcium score test 
14:57 - How to manage a high calcium score and why lowering it isn't the goal 
17:14 - Does a high calcium score mean a higher risk of heart attacks? 
19:26 - Do high calcium scores necessitate further testing or procedures? 
21:47 - When might a high calcium score lead to stenting or bypass surgery? 
24:01 - Invitation for reviews and closing remarks by Dr. Lisa Hurst 
Diagnosed with a High Coronary Artery Calcium Score and unsure about what to do next? Get Dr. Hursts Free Guide – A Preventive Cardiologists Framework for Treating High Coronary Artery Calcium – Download today by going to HealthspanMD.com/CACS 
 
This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor.
Learn more about HealthSpanMD at HealthSpanMD.com  
Connect with us on LinkedIn, Facebook, Instagram, and YouTube 
This show is produced by Mathew Blades and Sam Robertson. 

Dr. Lisa Hurst's Approach to High-Quality, Whole-Person Primary Care

Welcome to the HealthSpanMD Podcast, where we explore the future of high-quality healthcare with Dr. Robert Todd Hurst, board-certified cardiologist, and creator of HealthSpanMD.  
Join us as we delve into the broken system of primary care and discuss new models of proactive, whole-person healthcare that put patients first.  
In this episode, we are joined by Dr. Lisa Hurst, a renowned primary care doctor with over 20 years of experience at the Mayo Clinic to learn how HealthSpanMD Primary Care is revolutionizing patient care with personalized, collaborative partnerships and a dedicated health coach. 
 
Timestamps: 
00:00: Introduction by Dr. Robert Todd Hurst 
00:45: The current state of healthcare and primary care frustrations 
03:05: The shortage of primary care doctors and the impact on patient care 
05:22: Introduction of Dr. Lisa Hurst and her background 
07:32: Challenges in primary care today 
09:47: What is proactive primary care? 
11:56: The importance of preventing heart disease 
14:13: The concept of whole-person care 
16:35: Creating a true relationship and collaborative partnership with patients 
19:00: The importance of spending adequate time with patients 
21:24: Summarizing the approach of HealthSpanMD Primary Care 
23:42: How to schedule an appointment with HealthSpanMD 
24:00: Conclusion and invitation to leave a review 
This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor.
Learn more about HealthSpanMD at HealthSpanMD.com  
Connect with us on LinkedIn, Facebook, Instagram, and YouTube 
This show is produced by Mathew Blades and Sam Robertson. 

The Best Treatment For Chronic Insomnia, Risks of Sleeping Pills and Making up Lost Sleep

Hi, I'm Dr. Robert Todd Hurst, a board-certified cardiologist and creator of HealthSpanMD. In today's podcast, I am joined by HealthspanMD Primary Care's own Maggie Thayer, PA. We delve into one of the foundational tools for optimal health and longevity that is often underrecognized—sleep! We explore how Cognitive Behavioral Therapy for Insomnia (CBTI) can change negative thought patterns, discuss the risks of sleep medications, and share personal and patient success stories. We uncover practical strategies for better sleep and the importance of resilience in achieving long-term health.
 
Timestamps:
00:00: Introduction by Dr. Robert Todd Hurst
00:36: The Power of Thoughts in Sleep - Exploring how CBTI helps change negative thought patterns.
01:36: Personal Sleep Struggles - Dr. Hurst shares his challenges and journey to better sleep.
03:03: The Hidden Dangers of Sleep Medications - Discussing risks like higher death rates and depression.
07:46: Interview with Maggie Thayer - Insights from a physician assistant on treating chronic sleep issues.
10:03: Misconceptions About Sleep - Addressing myths such as the need for eight hours of sleep.
14:40: CBTI Explained - Overview of Cognitive Behavioral Therapy for Insomnia.
24:13: Personal Success Stories - Maggie shares her personal experience with CBTI.
28:48: Practical Tips for Better Sleep - Effective strategies to improve sleep quality.
38:15: The Importance of Resilience - How mental resilience contributes to better sleep and longevity.
40:30: Patient Success Story - A profound patient experience that highlights the importance of sleep in managing health issues.
This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor.
Thank you for joining us on the HealthSpanMD podcast. We hope you've gained valuable insights into the importance of sleep for your health. For more information and to schedule an appointment, visit healthspanmd.com.

The Role of Muscle in Vitality and Resilience As You Age, Setting Realistic Goals and Avoiding Injury

Welcome to the HealthspanMD Podcast, hosted by Dr. Robert Todd Hurst, a board-certified cardiologist and the creator of HealthspanMD. In today's episode, we delve into a vital topic for maintaining a long and vibrant life: muscle health.
**Timestamps:**
00:00 Introduction: Dr. Hurst introduces the importance of muscle health as we age and the common struggles people face, such as lifting grandkids or everyday objects.00:43 Importance of Muscle: Dr. Hurst discusses why muscle health is crucial for overall well-being, including its impact on metabolism, weight, blood pressure, cholesterol, and more.03:05 Muscle and Resilience: Exploring the connection between muscle health and resilience, especially in recovery from surgeries and hospitalizations.05:20 Special Guest Introduction: Ryan Neslund PT, DPT, CSCS, Clinic Director from Spooner Physical Therapy Biltmore, joins the podcast to share his expertise on muscle health, strength training, and injury prevention.07:33 Role of Muscle in Longevity: Ryan and Dr. Hurst discuss how strength training improves resilience and overall health, emphasizing the mental and physical benefits.09:53 Starting Strength Training: Ryan offers advice on beginning a strength training regimen safely, including the importance of expert guidance and the role of physical therapy.12:15 Overcoming Barriers: Addressing common psychological and physical barriers to strength training, including injury concerns and misconceptions about bulking up.14:32 Personalized Training Plans: How physical therapists can provide personalized exercise plans to accommodate individual needs and limitations.16:51 Prevention and Injury: The role of physical therapy in injury prevention and the importance of consulting experts before starting a new exercise regimen.19:13 Building Muscle Safely: Tips for safe strength training, including the importance of proper technique and avoiding overtraining.21:35 Choosing the Right Trainer: Guidelines for selecting a personal trainer who understands your age group and physical condition.23:58 Insurance and Physical Therapy: Navigating insurance coverage for physical therapy and the benefits of direct access to physical therapists.26:23 Proactive Health Approach: The evolving role of physical therapy in proactive health management and chronic disease prevention.28:44 Effective Strength Training: Setting realistic goals and expectations for building muscle and the importance of a gradual approach.31:05 Balance and Stability Training: The significance of stability and balance exercises in preventing injuries, particularly in older adults.33:06 Recovery and Rest: Understanding the role of rest and recovery in a strength training program and avoiding burnout.35:16 Muscle Building Expectations: Setting realistic expectations for muscle building, especially in older adults, and the concept of muscle memory.37:40 Case Study: Dr. Hurst shares an inspiring case study of a patient who successfully built muscle and lost fat post-ICU stay.39:59 Exciting Developments: Ryan discusses new initiatives at Spooner Physical Therapy, including their new app and membership programs.42:25 Final Thoughts: Dr. Hurst and Ryan emphasize the importance of physical therapy in maintaining health and longevity and how to get started.
This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor.
Join us as we explore the vital role of muscle health in achieving a long, vibrant life with expert insights from Dr. Hurst and Ryan Neslund PT, DPT, CSCS. Don't forget to leave us a review and follow us on our social media channels @HealthspanMD for more health tips and updates.

Testing Lp(a), Treating a Family History of Heart Disease and Cholesterol Myths w/ Mathew Blades

Join us as Dr. Robert Todd Hurst, a board-certified cardiologist and founder of HealthspanMD, delves into critical heart health topics alongside Matthew Blades, a renowned radio personality turned podcaster. Today's discussion focuses on lipoprotein(a), often referred to as the 'horrible cholesterol', and its impact on heart health.
 
Time Stamps:
00:02 - Introduction by Dr. Robert Hurst
01:44 - Guest introduction: Matthew Blades, his transition from radio to podcasting
04:06 - Matthew's personal journey with family heart disease
06:27 - The tragic impact of genetic predispositions in Matthew’s family
08:50 - Effective communication in medical practice
11:05 - Discussion on the misunderstood cholesterol particle, LP(a)
13:10 - The dangerous effects of LP(a) on heart health
15:30 - The role of LP(a) in clotting disorders and other health risks
17:48 - The limitations of lifestyle changes in managing LP(a)
20:01 - Enhancing health span versus lifespan
22:28 - Treatments and patient care strategies for LP(a)
24:44 - Historical treatments and their effectiveness
26:47 - The evolution of cholesterol management and preventive measures
28:37 - Advanced treatments and their varying impacts on LP(a)
30:26 - The challenges and costs associated with aggressive treatments
32:25 - The ethics and personal choices in experimental treatments
34:22 - The broad impacts of knowing one's LP(a) status
36:42 - The holistic approach to managing heart health
38:39 - The importance of mental and spiritual health in overall wellness
40:48 - Matthew's proactive changes post-diagnosis
43:10 - Family health discussions and genetic awareness
45:32 - Breaking the cycle of familial health issues
47:54 - The debate over aspirin use in primary prevention
50:13 - Decision-making in medical treatments
52:36 - The importance of LP(a) testing and proactive health management
54:56 - Closing remarks and disclaimer
This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor.
Thank you for joining us on this enlightening journey into heart health with Dr. Hurst and Matthew Blades. We hope this episode empowers you with the knowledge to make informed decisions about your health and inspires you to take proactive steps towards a healthier, more vibrant life. Remember, it's never too late to start making changes that can significantly impact your health span and quality of life.

A Deep Dive into Integrative Medicine Dr. Randy Horwitz Director of Integrative Medicine at University of Arizona

In this episode, Dr. Robert Todd Hurst, a board-certified cardiologist and founder of HealthspanMD, takes us on an exploratory journey into the heart of integrative medicine.
With special guest Dr. Randy Horwitz, a renowned expert in the field, they unravel the complexities of nutrition, critique the motives of the pharmaceutical industry, and illuminate the path toward holistic health.
 
Time stamps:
- **[00:00]** Introduction by Dr. Hurst, touching on Michael Pollan's nutrition philosophy, the skepticism toward the pharmaceutical industry, and the Nova scale for food processing.
- **[00:40]** The focus shifts to integrative medicine, challenging myths and sharing Dr. Hurst's transformative patient story from his Mayo Clinic days, highlighting the impact of integrative approaches.
- **[02:58]** Dr. Hurst recounts a significant encounter with a patient suffering for a decade, illustrating the profound difference integrative medicine can make in seemingly hopeless situations.
- **[05:18]** Introduction of Dr. Randy Horwitz, discussing his vast accomplishments and his role in advancing integrative medicine, followed by an explanation of what integrative medicine entails.
- **[07:39]** Discussion on navigating the financial and insurance barriers in integrative medicine, introducing the concept of a hybrid healthcare model.
- **[09:56]** Debunking common myths about integrative medicine, emphasizing its compatibility with conventional medicine, and the importance of evidence-based practice.
- **[12:21]** The conversation turns to the critical role of nutrition in health, the dangers of ultra-processed foods, and the simplicity of adopting Michael Pollan's dietary guidelines.
- **[17:12]** A closer look at the challenges of nutritional studies and the importance of a personalized approach to diet in integrative medicine practices.
- **[19:35]** Probiotics and the microbiome are examined, shedding light on the evolving understanding of probiotics in health and disease management.
- **[24:22]** The potential benefits and considerations in taking multivitamins, emphasizing the importance of quality assurance and individual dietary needs.
- **[31:34]** The use of probiotics in clinical practice, the significance of the microbiome in health, and navigating the complexities of probiotic supplements.
- **[38:46]** Wrapping up, the future of integrative medicine, personalized care, and advice on finding quality integrative healthcare providers are discussed, showcasing Dr. Hurst's and Dr. Horwitz's visions for a healthful future.
This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor.
Dr. Hurst and Dr. Horwitz invite listeners to reevaluate their health practices, consider integrative medicine's potential, and understand the power of a holistic approach to well-being.