[{"_1":2,"_3":-5,"_4":-5},"loaderData",{"_5":6,"_7":8},"actionData","errors","root",{"_136":-5,"_137":-5,"_138":139,"_140":141,"_142":143},"routes/clips.$id.$slug",{"_9":10,"_11":12},"clip",{"_13":14,"_15":16,"_17":-5,"_18":19,"_20":-5,"_21":22,"_23":24,"_25":26,"_27":28,"_29":30,"_31":32,"_33":34,"_35":36,"_37":38,"_39":40,"_41":-5,"_42":-5,"_43":-5,"_44":45,"_46":-5,"_47":48,"_49":50,"_51":-5},"canonicalUrl","https://howleaderslead.com/clips/2103/focus-on-your-waistline-not-your-weight","id",2103,"title","Focus on your waistline, not your weight","subtitle","transcript","WEBVTT\n\n1\n00:00:00.000 --> 00:00:02.000\ntalk about those two things.\n\n2\n00:00:02.000 --> 00:00:06.000\n- Yeah, so the fat around your waist is metabolically active\n\n3\n00:00:06.000 --> 00:00:08.000\nand it will make your blood pressure higher.\n\n4\n00:00:08.000 --> 00:00:10.000\nIt is make your sugar levels worse.\n\n5\n00:00:10.000 --> 00:00:14.000\nIt is pro-inflammatory and inflammation is the gateway to disease,\n\n6\n00:00:14.000 --> 00:00:16.000\nheart disease, brain disease and cancer.\n\n7\n00:00:16.000 --> 00:00:20.000\nSo anything that you can do to make your waistline less\n\n8\n00:00:20.000 --> 00:00:23.000\nis gonna make you healthier with respect to all of those things.\n\n9\n00:00:23.000 --> 00:00:27.000\nBut liposection doesn't count because it's the fat around your organs.\n\n10\n00:00:27.000 --> 00:00:29.000\nThat's bad, not underneath your skin.\n\n11\n00:00:29.000 --> 00:00:33.000\nSo yeah, that's much more important measure I think than your overall weight.\n\n12\n00:00:33.000 --> 00:00:37.000\nAnd yeah, we've shown that studies, you know, the healthy parts of laughter.\n\n13\n00:00:37.000 --> 00:00:41.660\nLaughter has been linked to the healthy function of blood vessels such that\n\n14\n00:00:41.660 --> 00:00:43.000\nlike 10 minutes of laughter\n\n15\n00:00:43.000 --> 00:00:46.000\nis equivalent to 20 minutes of aerobic physical activity.\n\n16\n00:00:46.000 --> 00:00:50.000\nAnd that's just respect to, you know, your blood vessels and heart rate.\n\n17\n00:00:50.000 --> 00:00:52.000\nClearly we know a lot more is going on when we laugh.\n\n18\n00:00:52.000 --> 00:00:56.380\nThere are cancer clinics that start laughing sessions just because it's so\n\n19\n00:00:56.380 --> 00:00:57.000\nhealthy.\n\n20\n00:00:57.000 --> 00:01:01.250\nSo yeah, having a sense of humor, being able to not take everything too\n\n21\n00:01:01.250 --> 00:01:02.000\nseriously,\n\n22\n00:01:02.000 --> 00:01:06.000\nbeing grateful, hugely important with respect to our health.\n\n23\n00:01:06.000 --> 00:01:08.000\nYou worked along with the health center.\n","pretty_transcript","start_time",2559759,"end_time",2624159,"keywords","metabolically active, fat, blood pressure, sugar levels, laughter, aerobic activity, humor, grateful, gratitude, inflammation, brain, cancer, disease","slug","focus-on-your-waistline-not-your-weight","origin","cms","mux_playback_id","c700RwkbEiwlotwUR01YpAqIQOI8Uw01fBPpFEUG1efe9k","mux_asset_id","G5dyKZX51FuKjbwD256mXEzRswOaexZUX6cuU3i4cDM","leader_id",23,"episode_id",170,"updated_at","2025-02-26T20:23:36.000000Z","meta_title","meta_description","og_image_media_id","web_url","https://www.howleaderslead.com/clips/2103/focus-on-your-waistline-not-your-weight","og_image_url","leader",{"_13":36,"_100":101,"_102":103,"_104":105,"_25":106,"_107":108,"_61":109,"_58":109,"_110":111,"_68":112,"_39":113,"_114":-5,"_41":-5,"_42":-5,"_43":-5,"_115":116,"_88":117,"_44":118,"_119":120,"_121":122,"_46":-5,"_123":124,"_125":126,"_92":127,"_51":-5},"episode",{"_13":38,"_15":52,"_27":53,"_17":-5,"_54":55,"_18":56,"_20":57,"_58":59,"_60":-5,"_61":59,"_62":-5,"_63":64,"_65":66,"_67":-5,"_68":-5,"_69":70,"_71":72,"_73":-5,"_35":36,"_39":74,"_41":-5,"_42":-5,"_43":-5,"_75":76,"_77":78,"_79":80,"_81":82,"_83":-5,"_84":-5,"_85":86,"_87":-5,"_88":-5,"_46":-5,"_89":90,"_91":-5,"_92":-5,"_51":-5},"og_image_media","Use passion to drive change","use-passion-to-drive-change","summary","

Today’s guest is Dr. Holly Andersen. She’s a renowned cardiologist at New York Presbyterian Hospital and the founder of the Hands Only CPR movement.

She is on a mission to make sure everybody knows how to help someone in cardiac arrest. Because, as you’ll hear today, we can save a lot of lives if ordinary people like you and me know what to do when that happens.

Unfortunately, most people don’t … and it’s not easy to create the kind of awareness you need to change that. But Holly is an extraordinary leader. She is passionate about this mission. And she knows how to leverage that passion in order to drive change and action.

Now that’s a skill every great leader needs to master – and this episode will help you do it!

You’ll also learn:

One practical way you can naturally teach your team more in your day to day work
What to do when you have to deliver bad news
Tips for motivating stubborn people
How to bring awareness to your big goals

>>> LEARN HANDS ONLY CPR [30 seconds]: https://www.youtube.com/watch?v=WsH7l5jkanY

Take your learning further. Get proven leadership advice from these (free!) resources:

The How Leaders Lead App: A vast library of 90-second leadership lessons to stay sharp on the go

Daily Insight Emails: One small (but powerful!) leadership principle to focus on each day

Whichever you choose, you can be sure you’ll get the trusted leadership advice you need to advance your career, develop your team, and grow your business.

","WEBVTT\n\n1\n00:00:00.000 --> 00:00:07.470\nWelcome to How Leaders Lead, where every week you get to listen in while I\n\n2\n00:00:07.470 --> 00:00:08.220\ninterview some\n\n3\n00:00:08.220 --> 00:00:10.360\nof the very best leaders in the world.\n\n4\n00:00:10.360 --> 00:00:13.730\nI break down the key learning so that by the end of the episode, you'll have\n\n5\n00:00:13.730 --> 00:00:14.320\nsomething\n\n6\n00:00:14.320 --> 00:00:18.040\nsimple you can apply as you develop into a better leader.\n\n7\n00:00:18.040 --> 00:00:20.240\nThat's what this podcast is all about.\n\n8\n00:00:20.240 --> 00:00:25.430\nWell, February is American Heart Month, and I got to say, is something so many\n\n9\n00:00:25.430 --> 00:00:26.540\nof us already\n\n10\n00:00:26.540 --> 00:00:31.000\nhave on our minds after seeing Buffalo Bill's safety, Damar Hamlin go into\n\n11\n00:00:31.000 --> 00:00:32.040\ncardiac arrest\n\n12\n00:00:32.040 --> 00:00:34.760\nin week 17 of the NFL.\n\n13\n00:00:34.760 --> 00:00:38.210\nI don't know about you, but it was pretty scary to know that Damar was\n\n14\n00:00:38.210 --> 00:00:39.040\nreceiving CPR\n\n15\n00:00:39.040 --> 00:00:40.800\nright there on the field.\n\n16\n00:00:40.800 --> 00:00:45.440\nBut thank God the medics were there to do it because they saved his life.\n\n17\n00:00:45.440 --> 00:00:49.600\nThat's why today I want to talk to Dr. Holly Anderson.\n\n18\n00:00:49.600 --> 00:00:53.890\nShe's a renowned cardiologist at New York Presbyterian Hospital and the founder\n\n19\n00:00:53.890 --> 00:00:54.160\nof the\n\n20\n00:00:54.160 --> 00:00:56.800\nhands-only CPR movement.\n\n21\n00:00:56.800 --> 00:01:01.070\nShe is on a mission to make sure everybody knows how to help someone in cardiac\n\n22\n00:01:01.070 --> 00:01:01.880\narrest,\n\n23\n00:01:01.880 --> 00:01:06.020\nbecause as you'll hear today, we can save a lot of lives if ordinary people\n\n24\n00:01:06.020 --> 00:01:06.580\nlike you\n\n25\n00:01:06.580 --> 00:01:10.400\nand me know what to do when that happens.\n\n26\n00:01:10.400 --> 00:01:14.360\nUnfortunately, most people don't, and it's not easy to create awareness and\n\n27\n00:01:14.360 --> 00:01:15.720\nchange that,\n\n28\n00:01:15.720 --> 00:01:18.660\nbut Holly is an extraordinary leader.\n\n29\n00:01:18.660 --> 00:01:22.950\nShe's passionate about this mission, and she knows how to leverage that passion\n\n30\n00:01:22.950 --> 00:01:23.440\nin order\n\n31\n00:01:23.440 --> 00:01:26.000\nto drive change and action.\n\n32\n00:01:26.000 --> 00:01:30.080\nNow if that's a skill, every great leader needs to master.\n\n33\n00:01:30.080 --> 00:01:31.680\nSo let's get to it.\n\n34\n00:01:31.680 --> 00:01:41.290\nHere's my conversation with my good friend and soon to be yours, Dr. Holly\n\n35\n00:01:41.290 --> 00:01:43.040\nAnderson.\n\n36\n00:01:43.040 --> 00:01:46.070\nHolly, you were raised in Hamburg, New York, which is 10 minutes away from\n\n37\n00:01:46.070 --> 00:01:46.800\nwhere the Buffalo\n\n38\n00:01:46.800 --> 00:01:47.800\nBills play.\n\n39\n00:01:47.800 --> 00:01:53.150\nI know you're a big-time Bills fan, and you've endured four consecutive Super\n\n40\n00:01:53.150 --> 00:01:54.080\nBowl losses\n\n41\n00:01:54.080 --> 00:01:55.800\nin the 90s.\n\n42\n00:01:55.800 --> 00:01:58.800\nDo you ever think they'll win a Super Bowl?\n\n43\n00:01:58.800 --> 00:02:03.280\nIt's so hard to be a Bills fan, and yes, four years in a row is very tough, and\n\n44\n00:02:03.280 --> 00:02:03.720\ntheir\n\n45\n00:02:03.720 --> 00:02:07.040\nlast game was too tough too, but I'm hoping.\n\n46\n00:02:07.040 --> 00:02:11.310\nAnd speaking of the Bills, on January 2nd, I'm sure you were watching that game\n\n47\n00:02:11.310 --> 00:02:11.840\nagainst\n\n48\n00:02:11.840 --> 00:02:16.440\nthe Bengals when we saw Bills safety, De Mar Hamlin go down.\n\n49\n00:02:16.440 --> 00:02:20.980\nDid you have any idea, Holly, in terms of what was going on, and what were you\n\n50\n00:02:20.980 --> 00:02:21.880\nthinking?\n\n51\n00:02:21.880 --> 00:02:27.640\nI was watching, and I didn't see him initially fall, but I knew exactly what\n\n52\n00:02:27.640 --> 00:02:29.240\nwas going on.\n\n53\n00:02:29.240 --> 00:02:33.810\nI couldn't see what was going on behind the wall of people that was around him,\n\n54\n00:02:33.810 --> 00:02:34.000\nbut I\n\n55\n00:02:34.000 --> 00:02:37.520\nknew they were doing CPR and trying to resuscitate him.\n\n56\n00:02:37.520 --> 00:02:42.250\nAnd I was struck that so many people in the stadium and very seasoned\n\n57\n00:02:42.250 --> 00:02:43.440\ncommentators had\n\n58\n00:02:43.440 --> 00:02:45.040\nno idea what was going on.\n\n59\n00:02:45.040 --> 00:02:47.120\nThey were really bemiffed by this.\n\n60\n00:02:47.120 --> 00:02:52.120\nAnd unfortunately, I've seen it way too often, and it is the number one cause\n\n61\n00:02:52.120 --> 00:02:53.000\nof death for\n\n62\n00:02:53.000 --> 00:02:57.570\nstudent athletes, sudden cardiac arrest, and it can strike seemingly healthy\n\n63\n00:02:57.570 --> 00:02:58.680\npeople of\n\n64\n00:02:58.680 --> 00:03:01.640\nany age, often without warning.\n\n65\n00:03:01.640 --> 00:03:05.160\nAnd when I saw the rerun, I saw that he really didn't take a hard hit, right?\n\n66\n00:03:05.160 --> 00:03:08.900\nHe just fell down on a helmet right in his chest, and then he passed out a few\n\n67\n00:03:08.900 --> 00:03:09.360\nseconds\n\n68\n00:03:09.360 --> 00:03:13.130\nlater, which goes along with something called commotion cordis when you get\n\n69\n00:03:13.130 --> 00:03:13.840\nstruck in the\n\n70\n00:03:13.840 --> 00:03:14.840\nchest.\n\n71\n00:03:14.840 --> 00:03:17.510\nAnd there may be nothing wrong with his heart, and he still wanted to cardiac\n\n72\n00:03:17.510 --> 00:03:17.920\narrest.\n\n73\n00:03:17.920 --> 00:03:22.780\nBut I'm so glad we got him back, and I'm so glad people knew what to do around\n\n74\n00:03:22.780 --> 00:03:23.160\nhim.\n\n75\n00:03:23.160 --> 00:03:26.940\nI bet you know, as a doctor watching this, you had to have this tremendous urge\n\n76\n00:03:26.940 --> 00:03:27.600\nto just\n\n77\n00:03:27.600 --> 00:03:28.600\nspring into action.\n\n78\n00:03:28.600 --> 00:03:30.880\nI mean, how did you feel?\n\n79\n00:03:30.880 --> 00:03:34.720\nI was just happy that there was a stadium full of medics that knew what to do.\n\n80\n00:03:34.720 --> 00:03:39.460\nI mean, it wasn't that long ago when I, and I saw a, a Monie League basketball\n\n81\n00:03:39.460 --> 00:03:40.360\nplayer left\n\n82\n00:03:40.360 --> 00:03:44.510\nface down on the court, unresponsive, with no one in the, in the whole facility\n\n83\n00:03:44.510 --> 00:03:45.040\nknowing\n\n84\n00:03:45.040 --> 00:03:46.040\nwhat to do.\n\n85\n00:03:46.040 --> 00:03:48.600\nAnd EMS arrived and took him, but it was too late.\n\n86\n00:03:48.600 --> 00:03:52.810\nYou know, he died and, and his mother won a wrongful death suit against the\n\n87\n00:03:52.810 --> 00:03:53.520\nleague.\n\n88\n00:03:53.520 --> 00:03:55.720\nAnd there's just no reason for this.\n\n89\n00:03:55.720 --> 00:03:59.810\nIt's a message we have to get out that sudden cardiac arrest is very common,\n\n90\n00:03:59.810 --> 00:04:00.600\nand everyone\n\n91\n00:04:00.600 --> 00:04:02.080\nshould know how to save a life.\n\n92\n00:04:02.080 --> 00:04:04.870\nYou know, I have a mission to try to increase bystander response to victims of\n\n93\n00:04:04.870 --> 00:04:05.560\nsudden cardiac\n\n94\n00:04:05.560 --> 00:04:06.560\narrest.\n\n95\n00:04:06.560 --> 00:04:08.360\nYeah, we're going to talk about that.\n\n96\n00:04:08.360 --> 00:04:12.540\nAnd when you think about Demar, we were all on pins and needles waiting to find\n\n97\n00:04:12.540 --> 00:04:12.880\nout if\n\n98\n00:04:12.880 --> 00:04:14.920\nhe was going to be okay.\n\n99\n00:04:14.920 --> 00:04:18.370\nWhen we were told he was in critical condition and, and he's now thankfully he\n\n100\n00:04:18.370 --> 00:04:19.320\n's been discharged\n\n101\n00:04:19.320 --> 00:04:23.240\nfrom the hospital, which has been a huge relief.\n\n102\n00:04:23.240 --> 00:04:28.040\nWhat does rehab look like for a guy like Demar now?\n\n103\n00:04:28.040 --> 00:04:31.710\nYou know, I was really hopeful he would be okay because they did get to him\n\n104\n00:04:31.710 --> 00:04:33.000\nreally quickly.\n\n105\n00:04:33.000 --> 00:04:38.330\nAnd typically they cool somebody down who's had a cardiac arrest and they sed\n\n106\n00:04:38.330 --> 00:04:39.000\nate them.\n\n107\n00:04:39.000 --> 00:04:43.480\nSo it did take a while to find out if he was waking up and would be okay.\n\n108\n00:04:43.480 --> 00:04:44.600\nI don't know the details.\n\n109\n00:04:44.600 --> 00:04:48.180\nIt sounds like they haven't found anything wrong with his heart, which is great\n\n110\n00:04:48.180 --> 00:04:48.240\n.\n\n111\n00:04:48.240 --> 00:04:53.960\nHe has a lot of, you know, emotional psychological and physical recovery to do.\n\n112\n00:04:53.960 --> 00:04:55.680\nPhysically, he may be totally fine.\n\n113\n00:04:55.680 --> 00:04:59.270\nThey may not have found any kind of underlying heart condition, but you have to\n\n114\n00:04:59.270 --> 00:04:59.960\ndo a complete\n\n115\n00:04:59.960 --> 00:05:02.720\nheart workout, making sure everything's okay.\n\n116\n00:05:02.720 --> 00:05:07.640\nAnd some players do return to play after this, but this is football.\n\n117\n00:05:07.640 --> 00:05:09.400\nThis is very serious matter.\n\n118\n00:05:09.400 --> 00:05:14.880\nI don't know the details and I'm just hopeful he has a long, healthy life.\n\n119\n00:05:14.880 --> 00:05:18.630\nBy the way, as an aside, I have to ask you, did you see the bills kick off\n\n120\n00:05:18.630 --> 00:05:19.400\nreturn in their\n\n121\n00:05:19.400 --> 00:05:21.000\nvery next game?\n\n122\n00:05:21.000 --> 00:05:22.320\nIt was amazing.\n\n123\n00:05:22.320 --> 00:05:24.930\nAnd I was actually in the Buffalo airport because I had just been there and the\n\n124\n00:05:24.930 --> 00:05:25.240\nwhole\n\n125\n00:05:25.240 --> 00:05:27.040\nplace erupted.\n\n126\n00:05:27.040 --> 00:05:30.610\nYou know, Josh Allen, your big favorite here, you know, he was touched\n\n127\n00:05:30.610 --> 00:05:31.360\nafterwards.\n\n128\n00:05:31.360 --> 00:05:35.660\nAnd he said it had been three years and three months since the bills had\n\n129\n00:05:35.660 --> 00:05:36.920\nreturned a kickoff\n\n130\n00:05:36.920 --> 00:05:37.920\nfor a touchdown.\n\n131\n00:05:37.920 --> 00:05:41.160\nAnd of course, tomorrow's number was number three.\n\n132\n00:05:41.160 --> 00:05:44.480\nIt's almost like divine providence came into play there.\n\n133\n00:05:44.480 --> 00:05:49.610\nYou know, how often do you feel that as a doctor, divine providence coming in\n\n134\n00:05:49.610 --> 00:05:50.320\nand doing\n\n135\n00:05:50.320 --> 00:05:51.800\nwhat you'd never expect?\n\n136\n00:05:51.800 --> 00:05:55.610\nOh, there are things I see that I can't explain scientifically or medically all\n\n137\n00:05:55.610 --> 00:05:56.960\nthe time.\n\n138\n00:05:56.960 --> 00:06:01.870\nBoth wonderful things and also when somebody, they have a terminal illness,\n\n139\n00:06:01.870 --> 00:06:02.760\nthey hang on\n\n140\n00:06:02.760 --> 00:06:06.320\nuntil their son comes home from the army or something and they get to see him\n\n141\n00:06:06.320 --> 00:06:06.840\nand then\n\n142\n00:06:06.840 --> 00:06:08.680\nthey pass the next day.\n\n143\n00:06:08.680 --> 00:06:13.160\nSo yeah, there's a lot that goes on that we scientists, medical physicians can\n\n144\n00:06:13.160 --> 00:06:14.560\n't explain.\n\n145\n00:06:14.560 --> 00:06:18.490\nYou know, I read where 92% of cardiac arrest victims don't even make it to the\n\n146\n00:06:18.490 --> 00:06:19.000\nhospital\n\n147\n00:06:19.000 --> 00:06:22.120\nbecause the people around them don't know what to do.\n\n148\n00:06:22.120 --> 00:06:25.440\nYou cited the basketball player, unfortunately passed away.\n\n149\n00:06:25.440 --> 00:06:28.500\nAnd obviously the medical staff knew what to do with tomorrow and they resusc\n\n150\n00:06:28.500 --> 00:06:29.320\nitated him\n\n151\n00:06:29.320 --> 00:06:30.680\nwith CPR.\n\n152\n00:06:30.680 --> 00:06:33.600\nHow do you know when to take that kind of action?\n\n153\n00:06:33.600 --> 00:06:37.440\nYou know, when you see someone have a cardiac arrest, they go just like he does\n\n154\n00:06:37.440 --> 00:06:37.480\n.\n\n155\n00:06:37.480 --> 00:06:41.810\nThey go from looking perfectly fine to collapsing on the floor totally out and\n\n156\n00:06:41.810 --> 00:06:43.080\nthey're not breathing.\n\n157\n00:06:43.080 --> 00:06:46.740\nThey're not responsive and they start to look not good pretty quickly because\n\n158\n00:06:46.740 --> 00:06:47.280\nthere's no\n\n159\n00:06:47.280 --> 00:06:48.720\nblood circulating.\n\n160\n00:06:48.720 --> 00:06:52.080\nSo we have reduced saving a life to three easy steps.\n\n161\n00:06:52.080 --> 00:06:53.080\nCheck call compress.\n\n162\n00:06:53.080 --> 00:06:57.210\nCheck to see if somebody's breathing responsive, call 911 and begin chest and\n\n163\n00:06:57.210 --> 00:06:57.960\ncompressions\n\n164\n00:06:57.960 --> 00:07:00.240\nhard and fast in the center of the chest.\n\n165\n00:07:00.240 --> 00:07:04.110\nEvery minute without CPR, the chance of survival goes down by 10% within five\n\n166\n00:07:04.110 --> 00:07:04.860\nminutes brain\n\n167\n00:07:04.860 --> 00:07:07.040\ncells begin to die within 10 minutes.\n\n168\n00:07:07.040 --> 00:07:09.480\nThe chance of survival is virtually zero.\n\n169\n00:07:09.480 --> 00:07:14.480\nSo you can't wait for EMS to arrive and you don't have to be certified.\n\n170\n00:07:14.480 --> 00:07:17.340\nYou don't have to do mouth to mouth anymore and you're not going to get sued\n\n171\n00:07:17.340 --> 00:07:17.920\nbecause there's\n\n172\n00:07:17.920 --> 00:07:20.600\ngood Samaritan laws and every state to protect you.\n\n173\n00:07:20.600 --> 00:07:23.970\nAnd the worst thing you can do is nothing because you can't hurt someone who\n\n174\n00:07:23.970 --> 00:07:24.320\nmay die\n\n175\n00:07:24.320 --> 00:07:25.880\nwithout your help.\n\n176\n00:07:25.880 --> 00:07:30.640\nSo we just encourage everybody to learn how at handsonly.org in less than a\n\n177\n00:07:30.640 --> 00:07:31.440\nminute and\n\n178\n00:07:31.440 --> 00:07:35.760\nto understand what cardiac arrest is and be prepared to save a life.\n\n179\n00:07:35.760 --> 00:07:39.320\nAnd 70% of cardiac arrest victims happen in the home.\n\n180\n00:07:39.320 --> 00:07:42.460\nSo if you're going to do it, you're most likely going to do it on someone you\n\n181\n00:07:42.460 --> 00:07:42.920\nlove.\n\n182\n00:07:42.920 --> 00:07:46.170\nYou know, well, I have to congratulate you, Holly, on the fact that you've\n\n183\n00:07:46.170 --> 00:07:46.720\nlaunched this\n\n184\n00:07:46.720 --> 00:07:49.160\nmovement called hands only CPR.\n\n185\n00:07:49.160 --> 00:07:53.430\nYou know, tell us a bit more about it and the impetus that you had for starting\n\n186\n00:07:53.430 --> 00:07:54.600\nthis program.\n\n187\n00:07:54.600 --> 00:08:00.430\nYeah, well, I am a cardiologist and I was really sick of resuscitating people\n\n188\n00:08:00.430 --> 00:08:01.160\nbrought\n\n189\n00:08:01.160 --> 00:08:04.560\ninto our emergency room who had no brain viability.\n\n190\n00:08:04.560 --> 00:08:08.880\nSo we could get them back, but we couldn't get their brains back.\n\n191\n00:08:08.880 --> 00:08:14.160\nAnd I also grew tired of watching whole stadium full of people.\n\n192\n00:08:14.160 --> 00:08:17.370\nThere are plenty of soccer victims that had a cardiac arrest and just laid on\n\n193\n00:08:17.370 --> 00:08:17.880\nthe field\n\n194\n00:08:17.880 --> 00:08:21.640\nor were carried off the field with whole stadiums not knowing what to do.\n\n195\n00:08:21.640 --> 00:08:25.690\nSo it's been a huge kind of mission for me to do this because it's the lowest\n\n196\n00:08:25.690 --> 00:08:26.280\nhanging\n\n197\n00:08:26.280 --> 00:08:28.320\nfruit of saving lives as a cardiologist.\n\n198\n00:08:28.320 --> 00:08:31.370\nWe spend hundreds of millions of dollars for a fifth add-on drug with somebody\n\n199\n00:08:31.370 --> 00:08:31.880\nwith heart\n\n200\n00:08:31.880 --> 00:08:34.920\ndisease and we don't do too much with prevention.\n\n201\n00:08:34.920 --> 00:08:37.620\nSo the president of my hospitals, a cardiologist, I'm like, Steve, we've got to\n\n202\n00:08:37.620 --> 00:08:38.240\nmake a video\n\n203\n00:08:38.240 --> 00:08:41.800\nthat shows people how to do hands only CPR in less than a minute.\n\n204\n00:08:41.800 --> 00:08:47.070\nAnd then, unfortunately, it became very personal to me because my brother had a\n\n205\n00:08:47.070 --> 00:08:48.200\ncardiac arrest\n\n206\n00:08:48.200 --> 00:08:52.600\nat age 50 after coaching his son's soccer game.\n\n207\n00:08:52.600 --> 00:08:57.320\nAnd unfortunately, that was when he went in to take a nap at his beach house.\n\n208\n00:08:57.320 --> 00:09:02.120\nSo no one was there to see it happen and unfortunately, he wasn't saved.\n\n209\n00:09:02.120 --> 00:09:05.180\nBut the difference between life and death is knowing what to do and we want\n\n210\n00:09:05.180 --> 00:09:05.640\npeople to\n\n211\n00:09:05.640 --> 00:09:07.200\nknow what to do.\n\n212\n00:09:07.200 --> 00:09:10.800\nInterestingly enough, I was talking to Michael Bloomberg today.\n\n213\n00:09:10.800 --> 00:09:11.800\nOh, you were.\n\n214\n00:09:11.800 --> 00:09:14.840\nYeah, and I told him that I was going to have the opportunity to do this\n\n215\n00:09:14.840 --> 00:09:15.880\npodcast with you.\n\n216\n00:09:15.880 --> 00:09:20.020\nAnd he said that check call and compress should be as well known as stop, drop\n\n217\n00:09:20.020 --> 00:09:20.720\nand roll if\n\n218\n00:09:20.720 --> 00:09:22.800\nyou ever catch on fire.\n\n219\n00:09:22.800 --> 00:09:27.390\nWhat's the biggest challenge you have in trying to get a message like this out\n\n220\n00:09:27.390 --> 00:09:28.080\nto an entire\n\n221\n00:09:28.080 --> 00:09:29.080\ncountry?\n\n222\n00:09:29.080 --> 00:09:31.520\nYou know, it's obviously this is a huge undertaking.\n\n223\n00:09:31.520 --> 00:09:32.880\nIt's all in distribution.\n\n224\n00:09:32.880 --> 00:09:34.360\nYou know, Michael's great.\n\n225\n00:09:34.360 --> 00:09:36.200\nBloomberg's philanthropy's been helpful.\n\n226\n00:09:36.200 --> 00:09:40.090\nWe blanketed the city, New York City with this message, we've partnered with\n\n227\n00:09:40.090 --> 00:09:40.880\nthe Department\n\n228\n00:09:40.880 --> 00:09:45.760\nof Health, the Mayor's Office, the Giants, Broadway, the fashion industry.\n\n229\n00:09:45.760 --> 00:09:49.440\nAnd we've partnered with the PGA of America because golf courses are the fifth\n\n230\n00:09:49.440 --> 00:09:50.080\nmost common\n\n231\n00:09:50.080 --> 00:09:51.760\nplace for sudden cardiac arrest.\n\n232\n00:09:51.760 --> 00:09:55.520\nAnd we live on their website and we have a protocol on how to make your golf\n\n233\n00:09:55.520 --> 00:09:57.360\nclubs safe.\n\n234\n00:09:57.360 --> 00:10:01.350\nAnd we've also partnered with AT&T and we're all across the Pebble Beach Pro Am\n\n235\n00:10:01.350 --> 00:10:02.040\n, clearly\n\n236\n00:10:02.040 --> 00:10:03.040\nI'm a golfer.\n\n237\n00:10:03.040 --> 00:10:05.520\nSo, you know, you partner with who you know.\n\n238\n00:10:05.520 --> 00:10:08.680\nBut we're working on some more national partnerships.\n\n239\n00:10:08.680 --> 00:10:13.240\nThe American Heart Association, you know, is doing some work on this as well.\n\n240\n00:10:13.240 --> 00:10:19.210\nBut the reality is it's 360,000 Americans die every year from this out of the\n\n241\n00:10:19.210 --> 00:10:20.360\nhospital,\n\n242\n00:10:20.360 --> 00:10:23.680\n92% die before making it back to the hospital.\n\n243\n00:10:23.680 --> 00:10:27.440\nAnd we haven't changed the numbers on that in decades.\n\n244\n00:10:27.440 --> 00:10:30.960\nAnd I'm all for getting people certified, but that hasn't changed the numbers.\n\n245\n00:10:30.960 --> 00:10:35.440\nSo we really need to get this message out and I'm working to do it.\n\n246\n00:10:35.440 --> 00:10:36.920\nYou're working really hard at it.\n\n247\n00:10:36.920 --> 00:10:39.990\nYou're putting together all these presentations and pitches for all these\n\n248\n00:10:39.990 --> 00:10:41.080\norganizations.\n\n249\n00:10:41.080 --> 00:10:43.920\nAnd you've testified before Congress.\n\n250\n00:10:43.920 --> 00:10:47.320\nAnd I understand that you've got a trip to the White House coming up.\n\n251\n00:10:47.320 --> 00:10:50.200\nTell us a little bit about that, what you hope to accomplish.\n\n252\n00:10:50.200 --> 00:10:52.080\nWe think we have a trip to the White House coming up.\n\n253\n00:10:52.080 --> 00:10:57.090\nMy other passion professionally is heart disease in women because women's heart\n\n254\n00:10:57.090 --> 00:10:58.400\ndisease is\n\n255\n00:10:58.400 --> 00:11:01.440\nunder researched, under diagnosed and under treated.\n\n256\n00:11:01.440 --> 00:11:04.560\nAnd heart disease in women is the number one cause of death for women in the\n\n257\n00:11:04.560 --> 00:11:05.360\nUnited States\n\n258\n00:11:05.360 --> 00:11:07.440\nand now globally.\n\n259\n00:11:07.440 --> 00:11:10.890\nAnd unfortunately, heart disease, death due to heart disease is increasing in\n\n260\n00:11:10.890 --> 00:11:11.680\nthis country.\n\n261\n00:11:11.680 --> 00:11:14.200\nIt's increasing the fastest among young adults.\n\n262\n00:11:14.200 --> 00:11:16.600\nAnd it's increasing the fastest among young women.\n\n263\n00:11:16.600 --> 00:11:18.720\nAnd it's not even on their radar screen.\n\n264\n00:11:18.720 --> 00:11:21.870\nAnd once a woman gets diagnosed with heart disease, she will do worse and be\n\n265\n00:11:21.870 --> 00:11:22.400\nmore likely\n\n266\n00:11:22.400 --> 00:11:24.520\nto die from it than a man.\n\n267\n00:11:24.520 --> 00:11:27.760\nSo before I retire, we have to move the needle there too.\n\n268\n00:11:27.760 --> 00:11:31.920\nAnd you're a Presbyterian hospital and Ronald Perlman Heart Institute teamed up\n\n269\n00:11:31.920 --> 00:11:32.680\nwith Barbara\n\n270\n00:11:32.680 --> 00:11:37.390\nStreisand and Cedars Sinai in LA and started something called the Women's Heart\n\n271\n00:11:37.390 --> 00:11:38.240\nAlliance,\n\n272\n00:11:38.240 --> 00:11:43.490\nwhich is cardiologists from all over the country who have joined our mission to\n\n273\n00:11:43.490 --> 00:11:43.960\ndecrease\n\n274\n00:11:43.960 --> 00:11:45.840\nthe number of women dying from this.\n\n275\n00:11:45.840 --> 00:11:48.720\nAnd you get an audience when you travel with Barbara Streisand.\n\n276\n00:11:48.720 --> 00:11:52.320\nSo it opens a few doors.\n\n277\n00:11:52.320 --> 00:11:56.960\nBesides opening a few doors, what have you learned by being with Barbara?\n\n278\n00:11:56.960 --> 00:11:59.400\nWhat's really struck you from that experience?\n\n279\n00:11:59.400 --> 00:12:03.420\nWhat strikes me is that we can get in front of all the female senators and all\n\n280\n00:12:03.420 --> 00:12:04.120\nthe female\n\n281\n00:12:04.120 --> 00:12:08.350\ncongresswomen and John McCain and the head of the FDA, the head of the CDC and\n\n282\n00:12:08.350 --> 00:12:08.880\nthe head\n\n283\n00:12:08.880 --> 00:12:10.160\nof the NIH.\n\n284\n00:12:10.160 --> 00:12:13.920\nWe can fly down there and have an audience with them all in one day.\n\n285\n00:12:13.920 --> 00:12:17.030\nBut what's important is if you don't do the work beforehand and you don't do\n\n286\n00:12:17.030 --> 00:12:17.560\nthe work\n\n287\n00:12:17.560 --> 00:12:19.520\nafterward, it doesn't matter.\n\n288\n00:12:19.520 --> 00:12:21.840\nYou know, it's not just a day in the sun.\n\n289\n00:12:21.840 --> 00:12:23.080\nWe did a lot of work beforehand.\n\n290\n00:12:23.080 --> 00:12:24.240\nWe did a lot of work afterward.\n\n291\n00:12:24.240 --> 00:12:28.120\nWe came away with some very big accomplishments.\n\n292\n00:12:28.120 --> 00:12:32.090\nAnd one of them was that the FDA now has to release something called clinical\n\n293\n00:12:32.090 --> 00:12:33.360\ntrial snapshot.\n\n294\n00:12:33.360 --> 00:12:37.750\nSo we the consumer know who were the participants in either medicines or\n\n295\n00:12:37.750 --> 00:12:39.440\ntherapies that got FDA\n\n296\n00:12:39.440 --> 00:12:40.840\napproval.\n\n297\n00:12:40.840 --> 00:12:44.810\nAnd also we were very instrumental in getting the DOD, the Department of\n\n298\n00:12:44.810 --> 00:12:45.760\nDefense to fund\n\n299\n00:12:45.760 --> 00:12:48.160\nresearch and cardiovascular disease and women.\n\n300\n00:12:48.160 --> 00:12:49.160\nIt was nice to go down there.\n\n301\n00:12:49.160 --> 00:12:50.260\nIt was a really fun day.\n\n302\n00:12:50.260 --> 00:12:51.260\nIt was remarkable.\n\n303\n00:12:51.260 --> 00:12:54.320\nI think Barbara is very serious about this.\n\n304\n00:12:54.320 --> 00:12:55.320\nIt is her mission.\n\n305\n00:12:55.320 --> 00:12:59.460\nIn fact, there's something in cardiology called the Yentil syndrome that was\n\n306\n00:12:59.460 --> 00:13:00.060\ncoined by the\n\n307\n00:13:00.060 --> 00:13:02.480\nfirst female cardiologist out of the NIH.\n\n308\n00:13:02.480 --> 00:13:06.060\nAnd that is a woman doesn't get treated with her heart disease unless she looks\n\n309\n00:13:06.060 --> 00:13:06.440\nlike a\n\n310\n00:13:06.440 --> 00:13:07.800\nman with heart disease.\n\n311\n00:13:07.800 --> 00:13:09.560\nAnd that's kind of Barbara's movie.\n\n312\n00:13:09.560 --> 00:13:11.720\nSo there's synchronicity there as well.\n\n313\n00:13:11.720 --> 00:13:12.720\nAbsolutely.\n\n314\n00:13:12.720 --> 00:13:15.280\nAnd you know, it really strikes me here.\n\n315\n00:13:15.280 --> 00:13:16.280\nHere we are.\n\n316\n00:13:16.280 --> 00:13:17.280\nIt's February.\n\n317\n00:13:17.280 --> 00:13:22.350\nIt's February happens to be heart month, but heart month pales in comparison to\n\n318\n00:13:22.350 --> 00:13:22.900\nbreast\n\n319\n00:13:22.900 --> 00:13:26.460\ncancer awareness month, which is in October.\n\n320\n00:13:26.460 --> 00:13:30.430\nAnd that seems to be crazy because more women die of heart disease, as I\n\n321\n00:13:30.430 --> 00:13:31.340\nunderstand it,\n\n322\n00:13:31.340 --> 00:13:33.700\nthan all cancers combine.\n\n323\n00:13:33.700 --> 00:13:36.220\nWhy aren't more people talking about this?\n\n324\n00:13:36.220 --> 00:13:40.260\nI think it has to do with the fact that in the 1970s and 1980s, no one talked\n\n325\n00:13:40.260 --> 00:13:40.860\nabout breast\n\n326\n00:13:40.860 --> 00:13:41.860\ncancer.\n\n327\n00:13:41.860 --> 00:13:45.210\nIt was taboo to talk about until Susan B. Coleman, Betty Ford, came out and\n\n328\n00:13:45.210 --> 00:13:45.980\ntalked about their\n\n329\n00:13:45.980 --> 00:13:46.980\nbreast cancer.\n\n330\n00:13:46.980 --> 00:13:49.540\nWell, every woman talks about their breast cancer, most every woman, and they\n\n331\n00:13:49.540 --> 00:13:49.780\nhave a\n\n332\n00:13:49.780 --> 00:13:52.400\nhuge community to go to.\n\n333\n00:13:52.400 --> 00:13:55.920\nWomen don't like talking about the heart disease as much because they feel they\n\n334\n00:13:55.920 --> 00:13:56.280\nmaybe\n\n335\n00:13:56.280 --> 00:14:00.960\nstigmatize, that it's considered a man's disease, that they may be judged.\n\n336\n00:14:00.960 --> 00:14:04.570\nAnd you can go in and have a heart attack or have a stent put in and leave and\n\n337\n00:14:04.570 --> 00:14:05.100\nnot tell\n\n338\n00:14:05.100 --> 00:14:06.140\nanybody.\n\n339\n00:14:06.140 --> 00:14:07.240\nSo no one knows it.\n\n340\n00:14:07.240 --> 00:14:12.610\nAnd so women might also just die in their sleep and people attribute to other\n\n341\n00:14:12.610 --> 00:14:13.440\nthings.\n\n342\n00:14:13.440 --> 00:14:17.840\nSo women aren't talking about their heart disease, I had to take care of a\n\n343\n00:14:17.840 --> 00:14:18.600\nworld-known\n\n344\n00:14:18.600 --> 00:14:22.080\nfemale actor who had a heart attack and didn't want to come out and tell\n\n345\n00:14:22.080 --> 00:14:23.120\nanybody about it.\n\n346\n00:14:23.120 --> 00:14:25.080\nSusan Lucci is a patient of mine.\n\n347\n00:14:25.080 --> 00:14:30.660\nShe is beautiful, phenomenal, thin, athletic, had basically no risk factors.\n\n348\n00:14:30.660 --> 00:14:32.160\nAnd she had two stents put in.\n\n349\n00:14:32.160 --> 00:14:33.400\nAnd she's talking about it.\n\n350\n00:14:33.400 --> 00:14:34.680\nAnd that's what we need.\n\n351\n00:14:34.680 --> 00:14:35.880\nWe need more stories.\n\n352\n00:14:35.880 --> 00:14:38.860\nWhen people can tell their stories of heart disease, then as you know, stories\n\n353\n00:14:38.860 --> 00:14:39.480\nare important\n\n354\n00:14:39.480 --> 00:14:44.120\nin getting the message across and so we're working on that as well.\n\n355\n00:14:44.120 --> 00:14:47.670\nYou know, unfortunately, Lisa Marie Presley's death was a big story in the news\n\n356\n00:14:47.670 --> 00:14:48.640\nrecently.\n\n357\n00:14:48.640 --> 00:14:53.190\nAnd I heard you talk about something that really fascinated me, which was\n\n358\n00:14:53.190 --> 00:14:53.880\nbroken heart\n\n359\n00:14:53.880 --> 00:14:55.680\nsyndrome.\n\n360\n00:14:55.680 --> 00:14:59.280\nCan people really die from a broken heart?\n\n361\n00:14:59.280 --> 00:15:01.320\nPeople can really die from a broken heart.\n\n362\n00:15:01.320 --> 00:15:05.720\nIt was a syndrome that was not even recognized until the 1990s.\n\n363\n00:15:05.720 --> 00:15:08.640\nAnd it basically, the whole heart looks stunned.\n\n364\n00:15:08.640 --> 00:15:10.640\nIt stops beating.\n\n365\n00:15:10.640 --> 00:15:16.380\nAnd the mechanism is just this whole basically kind of adrenaline outbursts\n\n366\n00:15:16.380 --> 00:15:17.480\nfrom your body\n\n367\n00:15:17.480 --> 00:15:19.040\nthat stuns the heart.\n\n368\n00:15:19.040 --> 00:15:22.570\nAnd there's absolutely nothing wrong with a heart, but it's a stuns the heart\n\n369\n00:15:22.570 --> 00:15:23.000\nenough\n\n370\n00:15:23.000 --> 00:15:27.510\nto actually cause a cardiac arrest or make somebody go into terrible heart\n\n371\n00:15:27.510 --> 00:15:28.320\nfailure.\n\n372\n00:15:28.320 --> 00:15:32.450\nAnd if we can support them and if we can get them through this, then they go on\n\n373\n00:15:32.450 --> 00:15:32.880\nto not\n\n374\n00:15:32.880 --> 00:15:36.840\neven have a footprint trace of any of this happening.\n\n375\n00:15:36.840 --> 00:15:38.200\nBut yes, people can die from it.\n\n376\n00:15:38.200 --> 00:15:41.040\nAnd now that it's been described, we see it more and more.\n\n377\n00:15:41.040 --> 00:15:45.520\nSo it's really important to protect our hearts from too much emotional stress.\n\n378\n00:15:45.520 --> 00:15:48.320\nI can totally understand that.\n\n379\n00:15:48.320 --> 00:15:52.550\nAnd Holly, you're obviously a coveted guest on all the major TV networks and\n\n380\n00:15:52.550 --> 00:15:53.080\nyou're an\n\n381\n00:15:53.080 --> 00:15:55.000\non-air medical consultant.\n\n382\n00:15:55.000 --> 00:16:00.030\nAnd you know, I know you had a flurry of requests with the Demar Hamlin event\n\n383\n00:16:00.030 --> 00:16:01.240\nand then Lisa Marie\n\n384\n00:16:01.240 --> 00:16:02.640\nPresley.\n\n385\n00:16:02.640 --> 00:16:06.600\nHow do you get prepared to go on TV and do you enjoy it?\n\n386\n00:16:06.600 --> 00:16:10.670\nYeah, I don't get the prepared very often because it's usually a newsworthy\n\n387\n00:16:10.670 --> 00:16:11.280\nevent.\n\n388\n00:16:11.280 --> 00:16:15.890\nWhen I do have time to prepare it and I have gone on the morning shows, again,\n\n389\n00:16:15.890 --> 00:16:16.560\nit's very\n\n390\n00:16:16.560 --> 00:16:18.680\ntimely because it's usually around the news.\n\n391\n00:16:18.680 --> 00:16:19.680\nI like it a lot.\n\n392\n00:16:19.680 --> 00:16:22.140\nI think it's really important to get the word out because every time we have a\n\n393\n00:16:22.140 --> 00:16:22.520\nchance to\n\n394\n00:16:22.520 --> 00:16:25.780\ntalk about heart disease and sudden cardiac arrest and heart disease in women\n\n395\n00:16:25.780 --> 00:16:26.360\nand increase\n\n396\n00:16:26.360 --> 00:16:30.740\npeople's awareness and tell them that 80% of this disease is preventable and to\n\n397\n00:16:30.740 --> 00:16:31.240\ntake care\n\n398\n00:16:31.240 --> 00:16:32.240\nof themselves.\n\n399\n00:16:32.240 --> 00:16:35.900\nBut also if you think you're having symptoms to act on them, I think we save\n\n400\n00:16:35.900 --> 00:16:36.440\nlives.\n\n401\n00:16:36.440 --> 00:16:37.800\nSo I've always enjoyed it.\n\n402\n00:16:37.800 --> 00:16:39.280\nI've always felt it's important.\n\n403\n00:16:39.280 --> 00:16:41.480\nI love having the opportunity to do it.\n\n404\n00:16:41.480 --> 00:16:43.000\nWell, you do a great job.\n\n405\n00:16:43.000 --> 00:16:47.460\nAnd I thank you on behalf of the rest of the world of building awareness of\n\n406\n00:16:47.460 --> 00:16:48.440\nthis issue.\n\n407\n00:16:48.440 --> 00:16:55.230\nHey, you know, because you're listening to this, I can tell you're the kind of\n\n408\n00:16:55.230 --> 00:16:55.880\nperson\n\n409\n00:16:55.880 --> 00:16:58.520\nwho wants to learn how to lead well.\n\n410\n00:16:58.520 --> 00:17:02.230\nBut there's a lot of companies out there who want to take that desire and\n\n411\n00:17:02.230 --> 00:17:02.880\ncharge you\n\n412\n00:17:02.880 --> 00:17:09.600\n$500 or $1,000 or heck, even $20,000 to try and show you how to lead.\n\n413\n00:17:09.600 --> 00:17:11.600\nThat's just not right.\n\n414\n00:17:11.600 --> 00:17:14.870\nIf you want to be a better leader, I believe you deserve to have access to\n\n415\n00:17:14.870 --> 00:17:15.560\nsomething that\n\n416\n00:17:15.560 --> 00:17:19.360\nwill truly help you and it shouldn't cost a fortune.\n\n417\n00:17:19.360 --> 00:17:23.880\nSo I want you to go to howleaderslead.com and start my leadership class.\n\n418\n00:17:23.880 --> 00:17:25.840\nIt's really and truly free.\n\n419\n00:17:25.840 --> 00:17:30.480\nAnd after you take this class, you're going to feel more confident in your role\n\n420\n00:17:30.480 --> 00:17:30.840\nand you'll\n\n421\n00:17:30.840 --> 00:17:34.160\nbe on your way to getting big things done with your team.\n\n422\n00:17:34.160 --> 00:17:42.440\nGo check it out at howleaderslead.com.\n\n423\n00:17:42.440 --> 00:17:45.320\nI want to get more into how you lead because you are known for being an\n\n424\n00:17:45.320 --> 00:17:46.560\noutstanding leader.\n\n425\n00:17:46.560 --> 00:17:51.180\nBut first, tell us a story from your childhood that really shaped the kind of\n\n426\n00:17:51.180 --> 00:17:51.880\nleader you\n\n427\n00:17:51.880 --> 00:17:53.480\nare today.\n\n428\n00:17:53.480 --> 00:17:57.260\nI grew up in a, as you know, Hamburg, New York, which is a suburb, a large\n\n429\n00:17:57.260 --> 00:17:57.760\nsuburb in\n\n430\n00:17:57.760 --> 00:18:00.320\nthe snowbelt of Buffalo, New York.\n\n431\n00:18:00.320 --> 00:18:04.420\nAnd my father was a school teacher and my grandfather was a principal and my\n\n432\n00:18:04.420 --> 00:18:05.200\ngrandmother\n\n433\n00:18:05.200 --> 00:18:08.360\nwas a music teacher and organist.\n\n434\n00:18:08.360 --> 00:18:11.720\nAnd my father was also a swim coach and a football coach.\n\n435\n00:18:11.720 --> 00:18:17.870\nAnd so I had academics and athletics and music all stressed to me my entire\n\n436\n00:18:17.870 --> 00:18:18.560\nlife.\n\n437\n00:18:18.560 --> 00:18:21.720\nAnd I had an overachieving brother who excelled in all three.\n\n438\n00:18:21.720 --> 00:18:25.990\nSo I think that despite being from a community in upstate New York where many\n\n439\n00:18:25.990 --> 00:18:26.640\npeople are\n\n440\n00:18:26.640 --> 00:18:30.990\nborn and raised and lived there, I think I was very lucky to have a family that\n\n441\n00:18:30.990 --> 00:18:31.440\ninstilled\n\n442\n00:18:31.440 --> 00:18:36.400\nin me the importance of striving in all areas and the benefits one can read\n\n443\n00:18:36.400 --> 00:18:37.400\nfrom that.\n\n444\n00:18:37.400 --> 00:18:41.150\nYou know, when did you have that aha moment when you said you just absolutely\n\n445\n00:18:41.150 --> 00:18:41.600\nknew that\n\n446\n00:18:41.600 --> 00:18:43.640\nyou wanted to be a doctor?\n\n447\n00:18:43.640 --> 00:18:47.590\nYou know, most people know they want to be doctors very early and I went to\n\n448\n00:18:47.590 --> 00:18:48.280\nDartmouth\n\n449\n00:18:48.280 --> 00:18:52.970\nand I was really interested in studying the brain and biochemistry and behavior\n\n450\n00:18:52.970 --> 00:18:53.240\n.\n\n451\n00:18:53.240 --> 00:18:57.000\nAnd to study biochemistry, you have to take organic chemistry.\n\n452\n00:18:57.000 --> 00:19:01.200\nSo I was in an organic chemistry class my sophomore year and there about 100\n\n453\n00:19:01.200 --> 00:19:01.680\npeople\n\n454\n00:19:01.680 --> 00:19:04.460\nin the class and I realized that everybody in the class was going to be a\n\n455\n00:19:04.460 --> 00:19:04.960\ndoctor and\n\n456\n00:19:04.960 --> 00:19:07.360\nI'm like, hmm, I could be a doctor.\n\n457\n00:19:07.360 --> 00:19:10.680\nI came to the table late so I actually spent a lot more time probably\n\n458\n00:19:10.680 --> 00:19:11.680\ninvestigating it\n\n459\n00:19:11.680 --> 00:19:16.200\nthere and I went down to the NIH and was very lucky to work under a doctor who\n\n460\n00:19:16.200 --> 00:19:16.960\nwon the Nobel\n\n461\n00:19:16.960 --> 00:19:21.300\nPrize in medicine studying the brain in central nervous system studies and we\n\n462\n00:19:21.300 --> 00:19:23.000\nhad these amazing\n\n463\n00:19:23.000 --> 00:19:25.970\nscientists from all over the world that were studying in the field and they\n\n464\n00:19:25.970 --> 00:19:26.440\nwould come\n\n465\n00:19:26.440 --> 00:19:30.140\nback and write up their paper and it was really exciting medical research and\n\n466\n00:19:30.140 --> 00:19:30.600\nthat's\n\n467\n00:19:30.600 --> 00:19:37.030\nright when also the HIV virus was isolated and you saw these labs from Paris\n\n468\n00:19:37.030 --> 00:19:37.520\nand the\n\n469\n00:19:37.520 --> 00:19:42.610\nNIH collaborating and competing and then that doctor said, look, an MD is a\n\n470\n00:19:42.610 --> 00:19:43.440\nmuch better\n\n471\n00:19:43.440 --> 00:19:46.600\neducation than a PhD, you should just go get an MD because you can take care of\n\n472\n00:19:46.600 --> 00:19:47.040\npatients\n\n473\n00:19:47.040 --> 00:19:49.440\nand work with them and study them.\n\n474\n00:19:49.440 --> 00:19:53.590\nAnd so I went to medical school and what I found out in medical school is that\n\n475\n00:19:53.590 --> 00:19:54.040\nI love\n\n476\n00:19:54.040 --> 00:19:58.080\nthe science but I love taking care of patients and I loved thinking on your\n\n477\n00:19:58.080 --> 00:19:58.960\nfeet and I loved\n\n478\n00:19:58.960 --> 00:20:05.120\ncombining the science that you know and translating it into in patient care.\n\n479\n00:20:05.120 --> 00:20:07.040\nAnd the easy part is the science.\n\n480\n00:20:07.040 --> 00:20:11.890\nThe hard part is to effectively communicate with your patients and make them\n\n481\n00:20:11.890 --> 00:20:12.760\nunderstand\n\n482\n00:20:12.760 --> 00:20:16.000\nwhat they're going through and motivate them to take care of themselves.\n\n483\n00:20:16.000 --> 00:20:19.080\nSo that's the ever challenging part.\n\n484\n00:20:19.080 --> 00:20:21.980\nIt's fun and it's important to keep up with the science and be there and be at\n\n485\n00:20:21.980 --> 00:20:22.400\nthe top\n\n486\n00:20:22.400 --> 00:20:26.150\nof your game but the more challenging actually more fun part is to translate it\n\n487\n00:20:26.150 --> 00:20:26.960\ninto clinical\n\n488\n00:20:26.960 --> 00:20:29.520\nmedicine and do it for your patients.\n\n489\n00:20:29.520 --> 00:20:33.600\nWhat was it, Holly, that made you just fall in love with the human heart?\n\n490\n00:20:33.600 --> 00:20:37.740\nSo I stopped being into the brain biochemistry because neurologists, they don't\n\n491\n00:20:37.740 --> 00:20:38.200\nget to do\n\n492\n00:20:38.200 --> 00:20:39.200\nmuch, right?\n\n493\n00:20:39.200 --> 00:20:42.280\nI mean, it's really fascinating but once you make a diagnosis, there's not what\n\n494\n00:20:42.280 --> 00:20:42.640\nyou can\n\n495\n00:20:42.640 --> 00:20:46.010\ndo and I fell in love with cardiology, I fell in love with cardiothoracic\n\n496\n00:20:46.010 --> 00:20:47.200\nsurgery, I loved\n\n497\n00:20:47.200 --> 00:20:51.970\noperating on the heart, most amazing theatrical setting you could possibly be\n\n498\n00:20:51.970 --> 00:20:52.840\nin, stopping\n\n499\n00:20:52.840 --> 00:20:57.230\nsomeone's heart, operating on it and then restarting it, you know, and have\n\n500\n00:20:57.230 --> 00:20:58.160\nthem be restored\n\n501\n00:20:58.160 --> 00:20:59.160\nback to health.\n\n502\n00:20:59.160 --> 00:21:02.610\nAnd I thought about cardiothoracic surgery but you're in the operating room all\n\n503\n00:21:02.610 --> 00:21:03.120\nday long\n\n504\n00:21:03.120 --> 00:21:06.240\nwhich I love but they don't really take care of patients as much.\n\n505\n00:21:06.240 --> 00:21:09.480\nWe take care of patients, we work with the cardiothoracic surgery and we get\n\n506\n00:21:09.480 --> 00:21:10.200\nthem back.\n\n507\n00:21:10.200 --> 00:21:14.320\nSo I love following people throughout the course of their life but I think that\n\n508\n00:21:14.320 --> 00:21:14.840\ncardiology\n\n509\n00:21:14.840 --> 00:21:18.110\nis the scariest part of medicine because people can come and die and if you\n\n510\n00:21:18.110 --> 00:21:18.920\nmiss it, that's\n\n511\n00:21:18.920 --> 00:21:20.720\nthe thing they're most likely to die from.\n\n512\n00:21:20.720 --> 00:21:25.780\nSo you have to be comfortable with that kind of stress and it's so rewarding\n\n513\n00:21:25.780 --> 00:21:26.680\nthough because\n\n514\n00:21:26.680 --> 00:21:30.460\npeople can come and die and we can work and do procedures on them and turn them\n\n515\n00:21:30.460 --> 00:21:30.880\naround\n\n516\n00:21:30.880 --> 00:21:32.240\nand have them walk out of the hospital.\n\n517\n00:21:32.240 --> 00:21:35.920\nSo to me that was the most fun, exciting part of it.\n\n518\n00:21:35.920 --> 00:21:39.890\nYou describe it as fun, you just use the word fun, you just talked about people\n\n519\n00:21:39.890 --> 00:21:40.280\ndying\n\n520\n00:21:40.280 --> 00:21:44.410\nin distress but you've been quote of many times saying you went into cardiology\n\n521\n00:21:44.410 --> 00:21:45.080\nbecause it\n\n522\n00:21:45.080 --> 00:21:46.080\nwas fun.\n\n523\n00:21:46.080 --> 00:21:47.600\nIt was the most fun for sure.\n\n524\n00:21:47.600 --> 00:21:53.160\nI mean I think that clearly you can't get cavalier, we're used to saving people\n\n525\n00:21:53.160 --> 00:21:53.600\nand we\n\n526\n00:21:53.600 --> 00:21:58.270\nsave, you know, thank God we save the majority of people but the losses are\n\n527\n00:21:58.270 --> 00:21:59.160\ntough on that\n\n528\n00:21:59.160 --> 00:22:00.680\nand that never gets easy.\n\n529\n00:22:00.680 --> 00:22:04.240\nSo you have to make sure you're doing your best job.\n\n530\n00:22:04.240 --> 00:22:07.600\nAbsolutely and when you were coming up in your career Holly, did you have a\n\n531\n00:22:07.600 --> 00:22:08.040\npivotal\n\n532\n00:22:08.040 --> 00:22:11.840\nmoment that really changed the trajectory of your career?\n\n533\n00:22:11.840 --> 00:22:14.490\nYou know when I looked into heart disease and women I was one of the very, I\n\n534\n00:22:14.490 --> 00:22:14.960\nmean there\n\n535\n00:22:14.960 --> 00:22:18.580\naren't that many female practicing cardiologists and when I first started\n\n536\n00:22:18.580 --> 00:22:20.120\nlooking into cardiovascular\n\n537\n00:22:20.120 --> 00:22:22.520\ndisease women, very few people were talking about it.\n\n538\n00:22:22.520 --> 00:22:28.420\nSo I got invited as a first year faculty member to give a talk to all cardi\n\n539\n00:22:28.420 --> 00:22:29.680\nthoracic surgeons\n\n540\n00:22:29.680 --> 00:22:33.590\nin the tri-state area and they say can you talk about the socioeconomics of\n\n541\n00:22:33.590 --> 00:22:34.240\ntreating a\n\n542\n00:22:34.240 --> 00:22:35.840\nfemale patient with heart disease.\n\n543\n00:22:35.840 --> 00:22:39.240\nI'm like can I just talk about heart disease and women they're like okay.\n\n544\n00:22:39.240 --> 00:22:42.040\nAnd so I was the youngest faculty member there, I was the only women and I was\n\n545\n00:22:42.040 --> 00:22:43.080\ntalking to\n\n546\n00:22:43.080 --> 00:22:47.230\na huge audience of cardi thoracic surgeons and I knew that I was going to get\n\n547\n00:22:47.230 --> 00:22:48.120\nthem because\n\n548\n00:22:48.120 --> 00:22:51.940\nI put up this slide that said of the three major trials from which we learned\n\n549\n00:22:51.940 --> 00:22:52.560\nwho should\n\n550\n00:22:52.560 --> 00:22:58.560\nbenefit from bypass surgery of the 2,700 people enrolled in those three trials,\n\n551\n00:22:58.560 --> 00:22:59.960\n47 were women\n\n552\n00:22:59.960 --> 00:23:03.710\nand I knew they didn't know that and you know their jaw has dropped and I kind\n\n553\n00:23:03.710 --> 00:23:04.120\nof had\n\n554\n00:23:04.120 --> 00:23:07.940\nthem and the head of cardi thoracic surgery said you know Holly you should\n\n555\n00:23:07.940 --> 00:23:08.800\nreally devote\n\n556\n00:23:08.800 --> 00:23:10.160\npart of your career to this.\n\n557\n00:23:10.160 --> 00:23:11.160\nWe need to hear this.\n\n558\n00:23:11.160 --> 00:23:16.100\nSo that was the first year of my career and I respected him a lot and I did and\n\n559\n00:23:16.100 --> 00:23:16.640\nit's also\n\n560\n00:23:16.640 --> 00:23:19.120\nbeen tremendously fun.\n\n561\n00:23:19.120 --> 00:23:23.830\nYou're not only known for being a great doctor as I mentioned earlier you're\n\n562\n00:23:23.830 --> 00:23:24.600\nalso a great\n\n563\n00:23:24.600 --> 00:23:30.120\nleader in fact you were the second female chief resident in the history of NY\n\n564\n00:23:30.120 --> 00:23:30.880\nCornell\n\n565\n00:23:30.880 --> 00:23:34.560\nwhich is a huge honor, I mean that's a big honor.\n\n566\n00:23:34.560 --> 00:23:38.080\nTell me about that role and all you were responsible for.\n\n567\n00:23:38.080 --> 00:23:41.800\nYeah the chief resident is picked at the end of our training or the last year\n\n568\n00:23:41.800 --> 00:23:42.520\nof our training\n\n569\n00:23:42.520 --> 00:23:46.400\nwhich in internal medicine is three years and one of my best characteristics as\n\n570\n00:23:46.400 --> 00:23:46.680\nfar as\n\n571\n00:23:46.680 --> 00:23:49.120\nbeing a leader is like this job is so hard right.\n\n572\n00:23:49.120 --> 00:23:53.880\nI mean you have to love it because the hours are unbelievable and that year I\n\n573\n00:23:53.880 --> 00:23:54.640\nwas on call\n\n574\n00:23:54.640 --> 00:23:59.060\nevery third day for 24 hours but I was really responsible for the whole house\n\n575\n00:23:59.060 --> 00:23:59.640\nstaff for\n\n576\n00:23:59.640 --> 00:24:04.800\na year so you're really on call 24/7 and you have to motivate people.\n\n577\n00:24:04.800 --> 00:24:09.170\nYou know you have to lead I think it here with inspiration and keep reminding\n\n578\n00:24:09.170 --> 00:24:09.480\ndoctors\n\n579\n00:24:09.480 --> 00:24:13.920\nand training and doctors around you of what's important and what's important is\n\n580\n00:24:13.920 --> 00:24:14.400\npatient\n\n581\n00:24:14.400 --> 00:24:17.930\ncare and what's important is learning medicine and there's nothing more\n\n582\n00:24:17.930 --> 00:24:18.880\nimportant or fun\n\n583\n00:24:18.880 --> 00:24:22.670\nthan that like yes you run into problems and yes things can distract you and\n\n584\n00:24:22.670 --> 00:24:23.280\nyes things\n\n585\n00:24:23.280 --> 00:24:27.480\nhappen but we get to take care of patients we get to help them and we get to\n\n586\n00:24:27.480 --> 00:24:28.320\nlearn about\n\n587\n00:24:28.320 --> 00:24:33.120\nwhat I think all of us found is incredibly fascinating so I think it's about\n\n588\n00:24:33.120 --> 00:24:33.680\nyou know\n\n589\n00:24:33.680 --> 00:24:39.320\ninspiration optimism motivating others and reminding them of how lucky we are\n\n590\n00:24:39.320 --> 00:24:39.640\nto get\n\n591\n00:24:39.640 --> 00:24:44.920\nto do this and it worked you know it worked I think we all had a great time.\n\n592\n00:24:44.920 --> 00:24:49.390\nYou know you've said when you're a doctor it's your duty to educate other\n\n593\n00:24:49.390 --> 00:24:50.200\ndoctors and\n\n594\n00:24:50.200 --> 00:24:54.810\nyou know when I think of doctors this may be unfair but I think of doctors as\n\n595\n00:24:54.810 --> 00:24:56.040\nbeing individual\n\n596\n00:24:56.040 --> 00:24:57.560\ncontributors.\n\n597\n00:24:57.560 --> 00:25:02.170\nI don't really think of doctors being leaders sharing their knowledge with\n\n598\n00:25:02.170 --> 00:25:02.880\nothers.\n\n599\n00:25:02.880 --> 00:25:07.460\nWhere did you develop this desire to really reach out and share what you know\n\n600\n00:25:07.460 --> 00:25:08.200\nwith other\n\n601\n00:25:08.200 --> 00:25:09.600\ndoctors?\n\n602\n00:25:09.600 --> 00:25:12.940\nYou know the whole medical school education the whole residency training\n\n603\n00:25:12.940 --> 00:25:13.760\nprogram it works\n\n604\n00:25:13.760 --> 00:25:17.660\non the Socratic method right you learn while you're doing it and you teach we\n\n605\n00:25:17.660 --> 00:25:18.520\nkind of see\n\n606\n00:25:18.520 --> 00:25:22.360\nyou see one do one teach one you learn as much as you can and then your job is\n\n607\n00:25:22.360 --> 00:25:22.880\nto teach\n\n608\n00:25:22.880 --> 00:25:26.910\nfellow residents and younger doctors and that never stops you know I've been on\n\n609\n00:25:26.910 --> 00:25:27.520\nthe faculty\n\n610\n00:25:27.520 --> 00:25:31.490\nfor a long time so I taught the second year pathophysiology course to the\n\n611\n00:25:31.490 --> 00:25:32.400\nmedical students\n\n612\n00:25:32.400 --> 00:25:36.950\nand you're constantly teaching while you're working in the intensive care unit\n\n613\n00:25:36.950 --> 00:25:37.600\nas you're\n\n614\n00:25:37.600 --> 00:25:40.600\nrounding with patients so you kind of get used to doing both.\n\n615\n00:25:40.600 --> 00:25:43.230\nYou have to kind of think out loud and you're definitely asking them questions\n\n616\n00:25:43.230 --> 00:25:43.840\nall the time\n\n617\n00:25:43.840 --> 00:25:46.750\nbecause people remember things if you ask them questions which is why we use\n\n618\n00:25:46.750 --> 00:25:47.400\nthis Socratic\n\n619\n00:25:47.400 --> 00:25:51.110\nmethod but when it comes to preventive cardiology when it comes to\n\n620\n00:25:51.110 --> 00:25:52.760\ncardiovascular disease and\n\n621\n00:25:52.760 --> 00:25:57.010\nwomen when it comes to that part I think yeah it's our duty to teach emergency\n\n622\n00:25:57.010 --> 00:25:58.000\nroom doctors\n\n623\n00:25:58.000 --> 00:26:03.310\nand OBGYN doctors and pediatricians and everything else and I learned from them\n\n624\n00:26:03.310 --> 00:26:04.280\nas well so I do\n\n625\n00:26:04.280 --> 00:26:09.260\nthink it's part of our profession to continually to learn and continue share\n\n626\n00:26:09.260 --> 00:26:10.360\nknowledge and give\n\n627\n00:26:10.360 --> 00:26:11.360\nback.\n\n628\n00:26:11.360 --> 00:26:16.410\nYou know people come from all over the world celebrities royalty to get your\n\n629\n00:26:16.410 --> 00:26:17.040\ncare as a\n\n630\n00:26:17.040 --> 00:26:22.480\ndoctor describe what it's like to be in a work environment where excellence is\n\n631\n00:26:22.480 --> 00:26:23.720\nso expected\n\n632\n00:26:23.720 --> 00:26:28.420\nand what are you doing to drive that part of your culture into the rest of the\n\n633\n00:26:28.420 --> 00:26:29.080\nhospital?\n\n634\n00:26:29.080 --> 00:26:34.080\nWell I'm very lucky to be in a place where there's really excellence across the\n\n635\n00:26:34.080 --> 00:26:34.520\nboard\n\n636\n00:26:34.520 --> 00:26:37.720\nand I love working there and I love working with the surgeons and the other\n\n637\n00:26:37.720 --> 00:26:38.360\nspecialists\n\n638\n00:26:38.360 --> 00:26:43.700\nbecause I can feel so comfortable sending my friends and colleagues to them and\n\n639\n00:26:43.700 --> 00:26:44.280\nknow they're\n\n640\n00:26:44.280 --> 00:26:48.470\ngoing to get the best care. We have all people from around the world who come\n\n641\n00:26:48.470 --> 00:26:49.640\nto our hospital\n\n642\n00:26:49.640 --> 00:26:54.610\nand I remember once when I was an intern I think I'm Alda Marcos was my patient\n\n643\n00:26:54.610 --> 00:26:54.760\nand\n\n644\n00:26:54.760 --> 00:27:00.170\nI was running into seer and the guards stopped me because she had guards and\n\n645\n00:27:00.170 --> 00:27:00.840\nagain to be\n\n646\n00:27:00.840 --> 00:27:05.940\nable to talk to anybody about their health care to be able to have them get\n\n647\n00:27:05.940 --> 00:27:06.760\nyour trust\n\n648\n00:27:06.760 --> 00:27:10.870\nand certainly when you're younger that you have to try harder I think when you\n\n649\n00:27:10.870 --> 00:27:11.600\n're looking\n\n650\n00:27:11.600 --> 00:27:16.840\nvery young and fresh and you don't have a reputation you have to work extra\n\n651\n00:27:16.840 --> 00:27:16.880\nhard.\n\n652\n00:27:16.880 --> 00:27:20.160\nI think that the more you're in there the more confident you get and the better\n\n653\n00:27:20.160 --> 00:27:20.560\ndoctor\n\n654\n00:27:20.560 --> 00:27:23.120\nyou are so that comes across as well.\n\n655\n00:27:23.120 --> 00:27:27.700\nWell you're still very young but you have been practicing medicine for 35 years\n\n656\n00:27:27.700 --> 00:27:27.840\n. What's\n\n657\n00:27:27.840 --> 00:27:32.160\nthe wildest diagnosis that you ever made?\n\n658\n00:27:32.160 --> 00:27:35.950\nOne of them was I was still in my training when I remember and that was I was\n\n659\n00:27:35.950 --> 00:27:36.360\nin the\n\n660\n00:27:36.360 --> 00:27:42.390\ncardiac intensive care unit on call at night and I noticed this patient who\n\n661\n00:27:42.390 --> 00:27:42.720\neverything\n\n662\n00:27:42.720 --> 00:27:47.500\nlooked fine on him but he didn't look right to me like all his numbers looked\n\n663\n00:27:47.500 --> 00:27:47.800\nfine. He\n\n664\n00:27:47.800 --> 00:27:51.560\nsaid he was fine. He did not look right to me and I started watching much more\n\n665\n00:27:51.560 --> 00:27:51.840\nclosely\n\n666\n00:27:51.840 --> 00:27:56.470\nand I noted on his monitor that his rhythm started looking funny so I didn't EK\n\n667\n00:27:56.470 --> 00:27:57.320\nG on him\n\n668\n00:27:57.320 --> 00:28:01.750\nand he had something where the EKG was telling me that his heart was kind of\n\n669\n00:28:01.750 --> 00:28:02.720\nbobbing around\n\n670\n00:28:02.720 --> 00:28:08.240\nin his chest and that's something called cardiac tamponade where there is fluid\n\n671\n00:28:08.240 --> 00:28:09.280\nbuilding up\n\n672\n00:28:09.280 --> 00:28:12.340\naround the heart and it can build up so much that it just totally collapses the\n\n673\n00:28:12.340 --> 00:28:12.840\nheart and\n\n674\n00:28:12.840 --> 00:28:18.340\nit's a medical emergency and that's what I thought he had so I kind of jumped\n\n675\n00:28:18.340 --> 00:28:18.760\non him\n\n676\n00:28:18.760 --> 00:28:24.100\nand what I did is I underneath his ribs I put a needle into his heart to\n\n677\n00:28:24.100 --> 00:28:25.560\nextract the fluid\n\n678\n00:28:25.560 --> 00:28:29.260\nand what you want to see when you go in there is clear fluid because you know\n\n679\n00:28:29.260 --> 00:28:29.800\nthen do you\n\n680\n00:28:29.800 --> 00:28:33.640\nhave the fluid that's surrounding his heart that's compressing it and when I\n\n681\n00:28:33.640 --> 00:28:34.200\nwent in it\n\n682\n00:28:34.200 --> 00:28:38.240\nwas bloody fluid and you're like hoping that you didn't just go through the\n\n683\n00:28:38.240 --> 00:28:38.480\nheart and by\n\n684\n00:28:38.480 --> 00:28:41.180\nthe way right when I was starting to do this he was crashing right his blood\n\n685\n00:28:41.180 --> 00:28:41.720\npressure was\n\n686\n00:28:41.720 --> 00:28:45.910\ngoing down its heart rate was going up and as I pulled out all this fluid all\n\n687\n00:28:45.910 --> 00:28:46.560\nof a sudden\n\n688\n00:28:46.560 --> 00:28:50.620\nyou know he looked fine his blood pressure came up you know everything\n\n689\n00:28:50.620 --> 00:28:51.560\nstabilized so\n\n690\n00:28:51.560 --> 00:28:55.400\nit was one of those times where you had a truster instincts and I didn't really\n\n691\n00:28:55.400 --> 00:28:55.680\nhave\n\n692\n00:28:55.680 --> 00:29:00.160\nother people around but I got them there very quickly then and we saved him\n\n693\n00:29:00.160 --> 00:29:00.920\nbecause he would\n\n694\n00:29:00.920 --> 00:29:04.640\nhave died otherwise so that kind of sticks in my mind because again you know\n\n695\n00:29:04.640 --> 00:29:05.080\nyou can\n\n696\n00:29:05.080 --> 00:29:09.300\nknow all the medicine but you have to kind of trust your instincts and act on\n\n697\n00:29:09.300 --> 00:29:09.680\nthem I'm\n\n698\n00:29:09.680 --> 00:29:11.240\njust glad I was right.\n\n699\n00:29:11.240 --> 00:29:14.750\nWell speaking of that over the years I'm sure with all the diagnoses that you\n\n700\n00:29:14.750 --> 00:29:15.440\n've had to\n\n701\n00:29:15.440 --> 00:29:20.210\ndo you I'm sure you've missed at some point in time and everybody in your field\n\n702\n00:29:20.210 --> 00:29:20.760\nmisses\n\n703\n00:29:20.760 --> 00:29:25.620\nat some point in time and when you do that as you mentioned the stakes can't be\n\n704\n00:29:25.620 --> 00:29:26.640\nany higher\n\n705\n00:29:26.640 --> 00:29:32.590\nhow do you coach yourself and your team to think about this and to work through\n\n706\n00:29:32.590 --> 00:29:33.480\nfailure?\n\n707\n00:29:33.480 --> 00:29:37.320\nWell as you know you learn the most from your failures right you learn the most\n\n708\n00:29:37.320 --> 00:29:37.840\nwhen things\n\n709\n00:29:37.840 --> 00:29:44.960\ngo wrong not when things go right and so when something does go wrong and it\n\n710\n00:29:44.960 --> 00:29:45.120\ndoes you\n\n711\n00:29:45.120 --> 00:29:48.260\nhave to go over it with a fine tooth comb and learn as much as you can from it\n\n712\n00:29:48.260 --> 00:29:48.800\nand that's\n\n713\n00:29:48.800 --> 00:29:53.790\nhow I get young doctors through it who might be terribly terribly emotionally\n\n714\n00:29:53.790 --> 00:29:54.600\nupset maybe\n\n715\n00:29:54.600 --> 00:29:59.270\nwanting to quit medicine and you say look we've all been through it we all make\n\n716\n00:29:59.270 --> 00:29:59.960\nmistakes\n\n717\n00:29:59.960 --> 00:30:04.000\nwe all learn from mistakes and we learn the most from our mistakes and we learn\n\n718\n00:30:04.000 --> 00:30:04.520\nthe most\n\n719\n00:30:04.520 --> 00:30:06.320\nfrom our disasters.\n\n720\n00:30:06.320 --> 00:30:09.660\nI remember the face I remember the name of a woman came in when I was a\n\n721\n00:30:09.660 --> 00:30:10.360\nresident in\n\n722\n00:30:10.360 --> 00:30:14.390\nthe emergency room and she came in looking like pneumonia and sounded like\n\n723\n00:30:14.390 --> 00:30:15.040\npneumonia\n\n724\n00:30:15.040 --> 00:30:19.600\nand the acestics rate that all seemed like it was pneumonia so we treated her\n\n725\n00:30:19.600 --> 00:30:20.200\nfor pneumonia\n\n726\n00:30:20.200 --> 00:30:23.840\nand she died from a heart attack because it was a heart attack and I still\n\n727\n00:30:23.840 --> 00:30:24.480\nremember missing\n\n728\n00:30:24.480 --> 00:30:30.760\nthat one and yeah you know the losses aren't easy but you have to know to learn\n\n729\n00:30:30.760 --> 00:30:31.320\nthe most\n\n730\n00:30:31.320 --> 00:30:32.320\nfrom them.\n\n731\n00:30:32.320 --> 00:30:35.700\nI also remember having a great resident in the ICU and she told me at the end\n\n732\n00:30:35.700 --> 00:30:36.000\nof the\n\n733\n00:30:36.000 --> 00:30:38.810\nyear she goes I'm going to go into radiology and I'm like what you're going to\n\n734\n00:30:38.810 --> 00:30:39.200\ngo into\n\n735\n00:30:39.200 --> 00:30:43.500\nradiology you're so good she goes I go home and cry every night before bed I'm\n\n736\n00:30:43.500 --> 00:30:43.960\nlike you\n\n737\n00:30:43.960 --> 00:30:46.280\nshould go into radiology.\n\n738\n00:30:46.280 --> 00:30:48.520\nSo you know it's not for everybody.\n\n739\n00:30:48.520 --> 00:30:53.160\nAnd you mentioned this at some point every leader has to deliver bad news it's\n\n740\n00:30:53.160 --> 00:30:53.840\njust part\n\n741\n00:30:53.840 --> 00:30:56.000\nof the job of every leader.\n\n742\n00:30:56.000 --> 00:31:00.590\nHow do you show up in those moments and can you share with us one of the most\n\n743\n00:31:00.590 --> 00:31:01.520\nchallenging\n\n744\n00:31:01.520 --> 00:31:04.000\nmessages you've had to deliver?\n\n745\n00:31:04.000 --> 00:31:09.540\nWell one is to other doctors so when you are in charge of other doctors and\n\n746\n00:31:09.540 --> 00:31:10.360\ntaking care\n\n747\n00:31:10.360 --> 00:31:16.400\nof them and clearly somebody is not performing it to the level they should we\n\n748\n00:31:16.400 --> 00:31:17.240\ntend to be\n\n749\n00:31:17.240 --> 00:31:20.880\nvery supportive and give time you know give a lot of supervision a lot of\n\n750\n00:31:20.880 --> 00:31:22.760\nsupport in medicine\n\n751\n00:31:22.760 --> 00:31:27.470\nbut yeah I just sit down and talk to somebody that we had to leave our\n\n752\n00:31:27.470 --> 00:31:28.920\nresidency program\n\n753\n00:31:28.920 --> 00:31:32.500\nand a lot of that you know you just have to be honest and you have to again we\n\n754\n00:31:32.500 --> 00:31:33.200\nput patients\n\n755\n00:31:33.200 --> 00:31:37.160\nfirst you have to think of patients and in this profession you need to have we\n\n756\n00:31:37.160 --> 00:31:37.640\nneed to\n\n757\n00:31:37.640 --> 00:31:40.890\ngraduate doctors we need to train doctors who we feel comfortable putting out\n\n758\n00:31:40.890 --> 00:31:41.360\nthere in the\n\n759\n00:31:41.360 --> 00:31:46.620\nworld to do a wonderful job in taking care of patients and despite the\n\n760\n00:31:46.620 --> 00:31:47.800\ninvestment not\n\n761\n00:31:47.800 --> 00:31:50.680\neverybody can do that not everybody should do that.\n\n762\n00:31:50.680 --> 00:31:55.240\nYou remember Ollie the first time you had to tell a patient's family that their\n\n763\n00:31:55.240 --> 00:31:55.680\nloved\n\n764\n00:31:55.680 --> 00:31:59.360\none had passed and what did you learn from that?\n\n765\n00:31:59.360 --> 00:32:04.460\nI don't mind doing it because I feel like I can be pretty honest and strong\n\n766\n00:32:04.460 --> 00:32:05.160\ndoing it's\n\n767\n00:32:05.160 --> 00:32:11.070\nvery it's very painful very emotional but you have to be so present you have to\n\n768\n00:32:11.070 --> 00:32:11.640\nbe their\n\n769\n00:32:11.640 --> 00:32:14.990\nforum and you have to be there and tell them exactly what happened and tell\n\n770\n00:32:14.990 --> 00:32:15.640\nthem you did\n\n771\n00:32:15.640 --> 00:32:21.240\neverything and sometimes cry with them and know that you know you're going to\n\n772\n00:32:21.240 --> 00:32:22.080\ncontinue\n\n773\n00:32:22.080 --> 00:32:23.680\nto support them.\n\n774\n00:32:23.680 --> 00:32:27.850\nWhat I think is difficult is that you spend your time doing that and then you\n\n775\n00:32:27.850 --> 00:32:28.360\nhave to\n\n776\n00:32:28.360 --> 00:32:32.120\ngo back into the next patient's room and be there for them.\n\n777\n00:32:32.120 --> 00:32:36.130\nI was on the phone once when I was talking to a wife of my patient and you know\n\n778\n00:32:36.130 --> 00:32:36.400\nhe was\n\n779\n00:32:36.400 --> 00:32:41.000\nthis famous chef and he arrested at home and she's talking to me on the phone\n\n780\n00:32:41.000 --> 00:32:41.160\nwell where\n\n781\n00:32:41.160 --> 00:32:44.630\nI heard EMS was working on him and they were trying to get him back and I knew\n\n782\n00:32:44.630 --> 00:32:45.360\nat some point\n\n783\n00:32:45.360 --> 00:32:48.250\nthey weren't getting him back and I'm on the call with his wife and the guy's\n\n784\n00:32:48.250 --> 00:32:49.040\nlike 38\n\n785\n00:32:49.040 --> 00:32:54.490\nyears old with five kids and she was crying and I was crying and I you know I\n\n786\n00:32:54.490 --> 00:32:55.240\nhad to hang\n\n787\n00:32:55.240 --> 00:32:59.370\nup and go and see the next patient that was there and just be there for them\n\n788\n00:32:59.370 --> 00:33:00.520\nthat's hard.\n\n789\n00:33:00.520 --> 00:33:05.910\nYeah I can only imagine you know you know I talked to a mutual friend of ours\n\n790\n00:33:05.910 --> 00:33:07.320\nBill Aquabella\n\n791\n00:33:07.320 --> 00:33:13.510\nand you know he's a renowned art dealer who's been a guest on this podcast and\n\n792\n00:33:13.510 --> 00:33:14.240\nBill said\n\n793\n00:33:14.240 --> 00:33:18.840\nthat there's no one more empathetic and compassionate than you.\n\n794\n00:33:18.840 --> 00:33:23.530\nWhere do you think this really comes from Ollie and how do you spread those\n\n795\n00:33:23.530 --> 00:33:24.360\nbehaviors\n\n796\n00:33:24.360 --> 00:33:26.280\nto the people around you?\n\n797\n00:33:26.280 --> 00:33:30.240\nWell first of all Bill is one of my favorite people ever he's the best.\n\n798\n00:33:30.240 --> 00:33:35.200\nI could be pretty tough and competition too so I have a game face but you know\n\n799\n00:33:35.200 --> 00:33:35.840\nI was very\n\n800\n00:33:35.840 --> 00:33:42.500\nlucky to have a very affectionate loving mother and very warm and affectionate\n\n801\n00:33:42.500 --> 00:33:43.720\nand caring\n\n802\n00:33:43.720 --> 00:33:48.760\ngrandparents my mother's parents and I think that it's okay this is a human job\n\n803\n00:33:48.760 --> 00:33:49.080\nwe're not\n\n804\n00:33:49.080 --> 00:33:54.820\nsupposed to be robots you know a distant and communicating things in a non-\n\n805\n00:33:54.820 --> 00:33:56.160\npersonal way\n\n806\n00:33:56.160 --> 00:33:59.940\nI mean this is the most human job there is and I think that's wonderful about\n\n807\n00:33:59.940 --> 00:34:00.320\nit and\n\n808\n00:34:00.320 --> 00:34:04.400\nyou know if you're going to be getting emotionally involved with your patients\n\n809\n00:34:04.400 --> 00:34:05.080\nwhich I don't\n\n810\n00:34:05.080 --> 00:34:10.840\nknow how you're not then you're setting yourself up to some pain but that's the\n\n811\n00:34:10.840 --> 00:34:11.320\nonly way I know\n\n812\n00:34:11.320 --> 00:34:14.840\nhow to do it and it's been so rewarding.\n\n813\n00:34:14.840 --> 00:34:18.890\nWell Bill's not the only one who feels that you're compassionate not sure all\n\n814\n00:34:18.890 --> 00:34:19.760\nyour patients\n\n815\n00:34:19.760 --> 00:34:20.760\nfeel that way.\n\n816\n00:34:20.760 --> 00:34:25.990\nIn fact one of your patients the famous poet Frederick Seidel wrote a poem\n\n817\n00:34:25.990 --> 00:34:27.000\nentitled For\n\n818\n00:34:27.000 --> 00:34:32.660\nHolly Anderson and here's a couple of the verses she lost a very sick patient\n\n819\n00:34:32.660 --> 00:34:33.840\nshe especially\n\n820\n00:34:33.840 --> 00:34:39.560\ncared about the man died on the table it wasn't a matter of feeling any guilt\n\n821\n00:34:39.560 --> 00:34:40.760\nor doubt something\n\n822\n00:34:40.760 --> 00:34:47.200\nabout a doctor who can cure or anyway try but can also cry.\n\n823\n00:34:47.200 --> 00:34:49.480\nWhat does that poem mean to you?\n\n824\n00:34:49.480 --> 00:34:55.070\nI love Fred Seidel I think that he saw in me especially probably what prompted\n\n825\n00:34:55.070 --> 00:34:55.520\nhim to\n\n826\n00:34:55.520 --> 00:35:00.590\nwrite that that yeah it's more than just a job and that you're involved on\n\n827\n00:35:00.590 --> 00:35:01.520\nevery level\n\n828\n00:35:01.520 --> 00:35:05.790\npersonally and professionally and scientifically and yeah that's what makes it\n\n829\n00:35:05.790 --> 00:35:06.800\nkind of beautiful\n\n830\n00:35:06.800 --> 00:35:07.800\ntoo.\n\n831\n00:35:07.800 --> 00:35:11.180\nYou know I even heard that you've made special arrangements for one of your\n\n832\n00:35:11.180 --> 00:35:11.720\npatients to\n\n833\n00:35:11.720 --> 00:35:17.040\nwatch his daughter's wedding by video in the hospital room when he couldn't be\n\n834\n00:35:17.040 --> 00:35:17.040\nthere\n\n835\n00:35:17.040 --> 00:35:23.160\nand held his hand while his daughter walked down the aisle tell us that story.\n\n836\n00:35:23.160 --> 00:35:29.810\nOh boy this guy he was having such a horrible year of surgery after surgery to\n\n837\n00:35:29.810 --> 00:35:30.840\ntry to save\n\n838\n00:35:30.840 --> 00:35:36.420\nhis leg and it was quite complicated and his wife she never left her husband's\n\n839\n00:35:36.420 --> 00:35:37.040\nside she\n\n840\n00:35:37.040 --> 00:35:40.510\nfinally was going to leave to go to her daughter's wedding and he went back\n\n841\n00:35:40.510 --> 00:35:41.240\ninto another\n\n842\n00:35:41.240 --> 00:35:47.100\nemergent surgery and I said like look you go I'm going to stay here with him\n\n843\n00:35:47.100 --> 00:35:47.560\nand I actually\n\n844\n00:35:47.560 --> 00:35:51.180\nwas the only time I canceled my patients that afternoon I like you went to the\n\n845\n00:35:51.180 --> 00:35:51.840\noperating\n\n846\n00:35:51.840 --> 00:35:55.410\nmovement with him I came out that was a Friday here it was Saturday he was\n\n847\n00:35:55.410 --> 00:35:56.480\ngoing to miss his\n\n848\n00:35:56.480 --> 00:36:00.650\ndaughter's wedding and yeah we got the hospital to set up and it was not just\n\n849\n00:36:00.650 --> 00:36:01.440\nto see it was\n\n850\n00:36:01.440 --> 00:36:05.840\nback and forth so she got to talk to them and they got to talk to him and yeah\n\n851\n00:36:05.840 --> 00:36:06.400\nthat was\n\n852\n00:36:06.400 --> 00:36:08.120\na very special important moment.\n\n853\n00:36:08.120 --> 00:36:17.740\nWe'll be back with the rest of my conversation with Dr. Holly Anderson in just\n\n854\n00:36:17.740 --> 00:36:18.520\na moment you\n\n855\n00:36:18.520 --> 00:36:24.010\nknow Holly is so empathetic she can naturally just put herself in another\n\n856\n00:36:24.010 --> 00:36:25.200\nperson's shoes\n\n857\n00:36:25.200 --> 00:36:30.500\nfor other people empathy doesn't come as naturally but it's a vital leadership\n\n858\n00:36:30.500 --> 00:36:31.440\nskill because we\n\n859\n00:36:31.440 --> 00:36:36.040\njust can't lead well if we don't understand other people's viewpoints and how\n\n860\n00:36:36.040 --> 00:36:36.560\nthey're\n\n861\n00:36:36.560 --> 00:36:41.960\nfeeling fortunately empathy is a skill that you can develop that's a big\n\n862\n00:36:41.960 --> 00:36:43.120\ntakeaway I got\n\n863\n00:36:43.120 --> 00:36:47.870\nwhen I spoke with Johnny Taylor the president and CEO of Shurm the Society for\n\n864\n00:36:47.870 --> 00:36:48.920\nHuman Resource\n\n865\n00:36:48.920 --> 00:36:50.080\nManagement.\n\n866\n00:36:50.080 --> 00:36:55.360\nWe did some research just recently at Shurm 93% of employees said they would\n\n867\n00:36:55.360 --> 00:36:55.920\nleave a\n\n868\n00:36:55.920 --> 00:37:01.080\njob that they like okay a job we're imperfectly fine to go work for a more em\n\n869\n00:37:01.080 --> 00:37:03.000\npathetic organization\n\n870\n00:37:03.000 --> 00:37:07.550\nso if that doesn't make the case that this empathy is a business imperative and\n\n871\n00:37:07.550 --> 00:37:08.040\nnot just\n\n872\n00:37:08.040 --> 00:37:12.000\na feel good moral imperative I don't know what does.\n\n873\n00:37:12.000 --> 00:37:15.720\nJohnny has a lot of practical ideas for how you can develop more empathy and\n\n874\n00:37:15.720 --> 00:37:16.600\nbuild a stronger\n\n875\n00:37:16.600 --> 00:37:28.040\nteam go check it out episode 52 here on how leaders lead.\n\n876\n00:37:28.040 --> 00:37:32.840\nI mean how do you get stubborn patients to do what you want them to do.\n\n877\n00:37:32.840 --> 00:37:33.840\nI don't always.\n\n878\n00:37:33.840 --> 00:37:37.690\nI mean I once had this guy like I remember he had a heart attack he had a\n\n879\n00:37:37.690 --> 00:37:38.720\nstroke on Mother's\n\n880\n00:37:38.720 --> 00:37:43.950\nDay because I remember this and I spoke to him for years he sat on the computer\n\n881\n00:37:43.950 --> 00:37:44.360\nand I\n\n882\n00:37:44.360 --> 00:37:48.070\nate ice cream basically all day long and his wife came in and she was this\n\n883\n00:37:48.070 --> 00:37:48.760\nbeautiful you\n\n884\n00:37:48.760 --> 00:37:53.170\nknow well kept fit woman and finally she came to see me as a patient I'm like\n\n885\n00:37:53.170 --> 00:37:53.560\nyou know\n\n886\n00:37:53.560 --> 00:37:57.610\nyour husband's bad behavior might not kill him but I could tell it's killing\n\n887\n00:37:57.610 --> 00:37:58.520\nyou but\n\n888\n00:37:58.520 --> 00:38:01.630\nI think the trick is how do you motivate somebody to take care of themselves\n\n889\n00:38:01.630 --> 00:38:02.400\nyou have to find\n\n890\n00:38:02.400 --> 00:38:05.980\nout what drives them right maybe they're trying to stay alive for their grand\n\n891\n00:38:05.980 --> 00:38:06.440\nchild's\n\n892\n00:38:06.440 --> 00:38:10.080\nwedding maybe they're just trying to you know bend over to tie their shoe I\n\n893\n00:38:10.080 --> 00:38:11.000\nmean I think\n\n894\n00:38:11.000 --> 00:38:13.870\nthat I take care of some of the luckiest people in the world and they have no\n\n895\n00:38:13.870 --> 00:38:14.400\nidea they're\n\n896\n00:38:14.400 --> 00:38:19.740\nlucky so I try to also impress upon them that yes they might be suffering from\n\n897\n00:38:19.740 --> 00:38:20.320\nsuch and\n\n898\n00:38:20.320 --> 00:38:24.240\nsuch and such but I said like come around with me in the hospital because some\n\n899\n00:38:24.240 --> 00:38:24.440\nof those\n\n900\n00:38:24.440 --> 00:38:28.710\npeople are not leaving that hospital need kill to be in your shoes that you're\n\n901\n00:38:28.710 --> 00:38:29.320\ncomplaining\n\n902\n00:38:29.320 --> 00:38:33.050\nabout all day long so I can be I can be pretty tough my patients I'll do\n\n903\n00:38:33.050 --> 00:38:34.040\nwhatever it takes\n\n904\n00:38:34.040 --> 00:38:37.610\nto motivate them by the way it's also so rewarding because I get the best\n\n905\n00:38:37.610 --> 00:38:38.880\nfeedback from my patients\n\n906\n00:38:38.880 --> 00:38:42.590\ntoo and you know and and they're grateful and they share stories with me of\n\n907\n00:38:42.590 --> 00:38:43.080\ntheir success\n\n908\n00:38:43.080 --> 00:38:46.760\nstories and that's really important to me too.\n\n909\n00:38:46.760 --> 00:38:50.400\nThat's something when you look back Holly something that you've learned from\n\n910\n00:38:50.400 --> 00:38:50.880\none of your\n\n911\n00:38:50.880 --> 00:38:54.920\npatients that's had one of the biggest impacts on you.\n\n912\n00:38:54.920 --> 00:39:01.220\nOne of my patients who is a pretty well-known actress she said every day I get\n\n913\n00:39:01.220 --> 00:39:01.960\nup I look\n\n914\n00:39:01.960 --> 00:39:05.760\nmyself in the mirror and I say I forgive you.\n\n915\n00:39:05.760 --> 00:39:09.510\nNo matter what happens no matter what you do I think you got to forgive\n\n916\n00:39:09.510 --> 00:39:10.320\nyourself and\n\n917\n00:39:10.320 --> 00:39:13.990\nmove on and learn from it so that was motivating but I get to learn so much\n\n918\n00:39:13.990 --> 00:39:14.960\nfrom my patients\n\n919\n00:39:14.960 --> 00:39:18.230\nyou know I sit there I mean it's like the being in the front row of the theater\n\n920\n00:39:18.230 --> 00:39:18.720\nof life\n\n921\n00:39:18.720 --> 00:39:23.250\nand I really I've learned Irving Penn you know was talking to me about how he\n\n922\n00:39:23.250 --> 00:39:24.320\ndoes photographs\n\n923\n00:39:24.320 --> 00:39:29.550\nand and what he thinks about and and Andre Previn is talking to me about how he\n\n924\n00:39:29.550 --> 00:39:30.480\n's composed\n\n925\n00:39:30.480 --> 00:39:36.630\nand Sophia LeRan shared some recipes with me I mean I think and I also I had\n\n926\n00:39:36.630 --> 00:39:37.560\nthis woman\n\n927\n00:39:37.560 --> 00:39:43.700\nand she and her two sisters and cousins were in Auschwitz they were on three\n\n928\n00:39:43.700 --> 00:39:44.920\ndeath marches\n\n929\n00:39:44.920 --> 00:39:49.700\nif one of them got separated the one had to go find the three not vice versa\n\n930\n00:39:49.700 --> 00:39:50.040\nand that\n\n931\n00:39:50.040 --> 00:39:53.960\nhow she met her husband in the detention camp after the war and that she got\n\n932\n00:39:53.960 --> 00:39:54.640\nmarried in\n\n933\n00:39:54.640 --> 00:39:58.560\na wedding dress made out of a German parachute and that wedding dress is now in\n\n934\n00:39:58.560 --> 00:39:58.880\nthe the Jewish\n\n935\n00:39:58.880 --> 00:40:04.860\nMuseum and so I learned so much about the world from my patients and it's\n\n936\n00:40:04.860 --> 00:40:05.760\nalways so\n\n937\n00:40:05.760 --> 00:40:10.610\nfascinating I feel so lucky and grateful to be doing what I'm doing you know I\n\n938\n00:40:10.610 --> 00:40:10.840\n'll tell\n\n939\n00:40:10.840 --> 00:40:14.160\nyou something Holly you know we've talked about this with your hands only\n\n940\n00:40:14.160 --> 00:40:14.800\nmovement you\n\n941\n00:40:14.800 --> 00:40:19.120\nknow how to bring awareness to what you're doing and that's a skill that every\n\n942\n00:40:19.120 --> 00:40:19.680\nleader\n\n943\n00:40:19.680 --> 00:40:24.570\nneeds to learn how to do what can you share on this front that other leaders\n\n944\n00:40:24.570 --> 00:40:25.400\ncould apply\n\n945\n00:40:25.400 --> 00:40:28.690\nwhatever it is that they're trying to make happen in the world you know I think\n\n946\n00:40:28.690 --> 00:40:29.000\nyou got\n\n947\n00:40:29.000 --> 00:40:31.740\nto be passionate about it I think you got to love what you're doing if you're\n\n948\n00:40:31.740 --> 00:40:32.160\npassing\n\n949\n00:40:32.160 --> 00:40:37.560\nabout a message you find a way to make it work and we're all busy but if you're\n\n950\n00:40:37.560 --> 00:40:38.080\nbusy\n\n951\n00:40:38.080 --> 00:40:42.320\ndoing things you don't like then you're busy and unhappy but if you find things\n\n952\n00:40:42.320 --> 00:40:42.520\nthat are\n\n953\n00:40:42.520 --> 00:40:46.300\nimportant and these things are important to me then you find ways to get them\n\n954\n00:40:46.300 --> 00:40:46.800\ndone and\n\n955\n00:40:46.800 --> 00:40:50.640\nyou find people are also willing to help you get these done and I've had so\n\n956\n00:40:50.640 --> 00:40:52.120\nmany fantastic\n\n957\n00:40:52.120 --> 00:40:56.160\nyou know Nicole Kidman was the first person to help me with the hands only CPR\n\n958\n00:40:56.160 --> 00:40:56.680\ncampaign\n\n959\n00:40:56.680 --> 00:41:00.960\nbecause you know her father died of son cardiac arrest having lunch with her\n\n960\n00:41:00.960 --> 00:41:01.760\nsister and he\n\n961\n00:41:01.760 --> 00:41:04.800\nprobably shouldn't have died if someone knew what to do in the restaurant and\n\n962\n00:41:04.800 --> 00:41:05.320\nso so many\n\n963\n00:41:05.320 --> 00:41:08.370\npeople are touched by this and so many people are willing to help you that I\n\n964\n00:41:08.370 --> 00:41:08.960\nthink if you're\n\n965\n00:41:08.960 --> 00:41:13.180\nmotivated get things done doors open but I got to get more done yeah well I'm\n\n966\n00:41:13.180 --> 00:41:13.560\nsure you\n\n967\n00:41:13.560 --> 00:41:19.490\nwill you know and to truly have an impact as leaders we have to stay healthy\n\n968\n00:41:19.490 --> 00:41:19.920\nand I'd\n\n969\n00:41:19.920 --> 00:41:24.120\nlike you to get super practical with us for a minute here being that heart\n\n970\n00:41:24.120 --> 00:41:24.920\ndisease is the\n\n971\n00:41:24.920 --> 00:41:29.480\nnumber one cause of death what can we do to avoid this you know I think goes\n\n972\n00:41:29.480 --> 00:41:29.880\nback to what\n\n973\n00:41:29.880 --> 00:41:34.060\nyour grandmother told you get a good night's sleep sleep is under appreciated\n\n974\n00:41:34.060 --> 00:41:34.600\nsleep is\n\n975\n00:41:34.600 --> 00:41:38.580\nso important get a good night's sleep eat your fruits and vegetables have a\n\n976\n00:41:38.580 --> 00:41:39.240\ndiet that's\n\n977\n00:41:39.240 --> 00:41:43.890\nreplete with whole foods particularly a lot of plants the Mediterranean diet be\n\n978\n00:41:43.890 --> 00:41:44.400\nphysically\n\n979\n00:41:44.400 --> 00:41:48.030\nactive you know go outside run around play with your friends physical activity\n\n980\n00:41:48.030 --> 00:41:48.360\nis the\n\n981\n00:41:48.360 --> 00:41:51.750\nfountain of youth do something get your heart rate up but it's not just okay to\n\n982\n00:41:51.750 --> 00:41:52.280\nexercise\n\n983\n00:41:52.280 --> 00:41:56.530\nfor 45 minutes be active in your non-exercise time it's not okay to sit in\n\n984\n00:41:56.530 --> 00:41:57.720\nfront of a computer\n\n985\n00:41:57.720 --> 00:42:03.810\nall day long prolong sitting predicts cardiovascular risk and survival get up\n\n986\n00:42:03.810 --> 00:42:05.480\nand move and yes get\n\n987\n00:42:05.480 --> 00:42:08.860\nyour blood pressure get your sugar get your lip it's checked we can help you\n\n988\n00:42:08.860 --> 00:42:09.400\nwith that\n\n989\n00:42:09.400 --> 00:42:12.290\nbut the more I'm a preventive cardiologist the more I really also believe that\n\n990\n00:42:12.290 --> 00:42:12.600\nwhat we\n\n991\n00:42:12.600 --> 00:42:17.440\nchoose to think about directly impacts everything about our health so I think\n\n992\n00:42:17.440 --> 00:42:18.200\nthat people who\n\n993\n00:42:18.200 --> 00:42:21.630\nare able to see part of the glass that's half full people who are grateful\n\n994\n00:42:21.630 --> 00:42:22.320\npeople who have\n\n995\n00:42:22.320 --> 00:42:27.650\na sense of humor live longer and are happier than people who don't I've also\n\n996\n00:42:27.650 --> 00:42:28.400\nheard you say\n\n997\n00:42:28.400 --> 00:42:32.990\nfocus on your waistline not your weight you know why is that and and I've also\n\n998\n00:42:32.990 --> 00:42:33.600\nheard you\n\n999\n00:42:33.600 --> 00:42:37.840\nsay that having that such a humor you just mentioned at least a healthier way\n\n1000\n00:42:37.840 --> 00:42:38.320\nof life\n\n1001\n00:42:38.320 --> 00:42:43.370\ntalk about those two things yeah so the fat around your waist is metabolically\n\n1002\n00:42:43.370 --> 00:42:44.240\nactive and\n\n1003\n00:42:44.240 --> 00:42:48.320\nit will make your blood pressure higher it is make your sugar levels worse it\n\n1004\n00:42:48.320 --> 00:42:50.160\nis pro inflammatory\n\n1005\n00:42:50.160 --> 00:42:54.120\nand inflammation is the gateway to disease heart disease brain disease and\n\n1006\n00:42:54.120 --> 00:42:55.120\ncancer so\n\n1007\n00:42:55.120 --> 00:42:58.880\nanything that you can do to make your waistline less is going to make you\n\n1008\n00:42:58.880 --> 00:43:00.000\nhealthier with respect\n\n1009\n00:43:00.000 --> 00:43:03.620\nto all of those things but liposuction doesn't count because it's the fat\n\n1010\n00:43:03.620 --> 00:43:05.200\naround your organs\n\n1011\n00:43:05.200 --> 00:43:09.280\nthat's bad not underneath your skin so yeah that's much more important measure\n\n1012\n00:43:09.280 --> 00:43:10.240\nI think then your overall\n\n1013\n00:43:10.240 --> 00:43:14.470\nweight and yeah we've we've shown that studies you know the the healthy parts\n\n1014\n00:43:14.470 --> 00:43:15.600\nof laughter laughter\n\n1015\n00:43:15.600 --> 00:43:20.220\nhas been linked to the healthy function of blood vessels such that like 10\n\n1016\n00:43:20.220 --> 00:43:21.040\nminutes of laughter\n\n1017\n00:43:21.040 --> 00:43:25.310\nis equivalent to 20 minutes of aerobic physical activity and that's just\n\n1018\n00:43:25.310 --> 00:43:26.480\nrespect to you know\n\n1019\n00:43:26.480 --> 00:43:30.400\nyour blood vessels and heart rate clearly we know a lot more is going on when\n\n1020\n00:43:30.400 --> 00:43:31.040\nwe laugh there are\n\n1021\n00:43:31.040 --> 00:43:35.810\ncancer clinics that start laughing sessions just because it's so healthy so\n\n1022\n00:43:35.810 --> 00:43:36.800\nyeah having a sense of\n\n1023\n00:43:36.800 --> 00:43:42.000\nhumor being able to not take everything too seriously being grateful hugely\n\n1024\n00:43:42.000 --> 00:43:43.040\nimportant with\n\n1025\n00:43:43.040 --> 00:43:48.360\nrespect to our health you worked alongside a noted cardiologist the late Isad\n\n1026\n00:43:48.360 --> 00:43:49.280\nore Rosenfield\n\n1027\n00:43:49.280 --> 00:43:52.940\nwho was whose father-in-law actually came up with the first stress test\n\n1028\n00:43:52.940 --> 00:43:54.080\ndescribe that relationship\n\n1029\n00:43:54.080 --> 00:43:57.810\nand what did you learn from him what I learned from him you know he was quite a\n\n1030\n00:43:57.810 --> 00:43:59.040\nbit older than I\n\n1031\n00:43:59.040 --> 00:44:04.180\nand I was his fourth and final partner I think I had a natural tendency to be\n\n1032\n00:44:04.180 --> 00:44:04.960\nthis way anyway but\n\n1033\n00:44:04.960 --> 00:44:09.510\nhe certainly advanced it to treat your patients like they're human to have fun\n\n1034\n00:44:09.510 --> 00:44:10.000\nyou know to be\n\n1035\n00:44:10.000 --> 00:44:14.790\nhumorous to joke around when you can with them and he was famous he had Danny\n\n1036\n00:44:14.790 --> 00:44:15.840\nKay one time was his\n\n1037\n00:44:15.840 --> 00:44:20.340\npatient and he had Danny Kay dress up as a doctor and put a really like gloves\n\n1038\n00:44:20.340 --> 00:44:21.280\non and had a really\n\n1039\n00:44:21.280 --> 00:44:25.590\nlong needle and sent Danny Kay into a patient's room with this huge needle so I\n\n1040\n00:44:25.590 --> 00:44:26.800\nthink you know one\n\n1041\n00:44:26.800 --> 00:44:30.300\ntime my son was coming home from preschool you know he used to stop by my\n\n1042\n00:44:30.300 --> 00:44:31.520\noffice and see me and he\n\n1043\n00:44:31.520 --> 00:44:34.700\nwas like you know three feet tall and I had a little white coat from so I put a\n\n1044\n00:44:34.700 --> 00:44:35.680\nstethoscope on him I\n\n1045\n00:44:35.680 --> 00:44:38.970\nput a white coat on him I sent him into one of my patients expecting to see me\n\n1046\n00:44:38.970 --> 00:44:40.240\nand you know she\n\n1047\n00:44:40.240 --> 00:44:45.280\njust roared with laughter so I think you know to be human to joke around and to\n\n1048\n00:44:45.280 --> 00:44:46.400\nbe also you know\n\n1049\n00:44:46.400 --> 00:44:49.540\nput your hand on their arm when they're going through something it's okay to\n\n1050\n00:44:49.540 --> 00:44:51.360\njust be there comforting\n\n1051\n00:44:51.360 --> 00:44:55.180\nthem in a very human way and so he would come in the middle of the day knock at\n\n1052\n00:44:55.180 --> 00:44:55.920\nmy door he'd say\n\n1053\n00:44:55.920 --> 00:44:59.680\nexcuse me can I borrow Dr. Anderson a little bit and then he had me come out\n\n1054\n00:44:59.680 --> 00:45:00.720\nand he's like I got\n\n1055\n00:45:00.720 --> 00:45:04.340\nto tell you this joke I heard so in the middle of a very busy day when you're\n\n1056\n00:45:04.340 --> 00:45:05.440\npulled in a thousand\n\n1057\n00:45:05.440 --> 00:45:08.390\ndirections and you're just trying to get through the next patients he never had\n\n1058\n00:45:08.390 --> 00:45:09.360\ntrouble stopping to\n\n1059\n00:45:09.360 --> 00:45:12.710\nhave a good laugh or enjoying his day and I think I think that's why he was\n\n1060\n00:45:12.710 --> 00:45:13.920\nthere a practicing for\n\n1061\n00:45:13.920 --> 00:45:16.990\nas long as he was and I think that's important you know you have to be enjoying\n\n1062\n00:45:16.990 --> 00:45:17.920\nthe moment not just\n\n1063\n00:45:17.920 --> 00:45:22.660\nthinking about the future he wrote a book called live now age later what do you\n\n1064\n00:45:22.660 --> 00:45:24.160\nmean by that yeah\n\n1065\n00:45:24.160 --> 00:45:28.320\nI think that you have to live in the present take care of yourself now and a\n\n1066\n00:45:28.320 --> 00:45:30.240\nlot of that book is also\n\n1067\n00:45:30.240 --> 00:45:33.280\nabout preventive cardiology and preventive medicine what you can do to stay\n\n1068\n00:45:33.280 --> 00:45:34.720\nyoung and feel good\n\n1069\n00:45:34.720 --> 00:45:39.730\nand yeah put off aging till later and it's a mindset too right mr club champion\n\n1070\n00:45:39.730 --> 00:45:40.560\nat your age I\n\n1071\n00:45:40.560 --> 00:45:45.100\nmean you're like a big kid and I love your laugh and I think that's so healthy\n\n1072\n00:45:45.100 --> 00:45:46.320\nso yeah live now age\n\n1073\n00:45:46.320 --> 00:45:51.100\nlater I love that you know oh this has been so much fun and I want to have some\n\n1074\n00:45:51.100 --> 00:45:51.920\nmore with my\n\n1075\n00:45:51.920 --> 00:45:57.450\nlightning round of Q&A are you ready for this oh yeah I'm ready all right what\n\n1076\n00:45:57.450 --> 00:45:58.640\n's one word others\n\n1077\n00:45:58.640 --> 00:46:03.990\nwould use to describe you energetic what would you say is the one word that\n\n1078\n00:46:03.990 --> 00:46:05.200\nbest describes you\n\n1079\n00:46:05.200 --> 00:46:10.670\noptimistic if you could be one person for a day beside yourself who would it be\n\n1080\n00:46:10.670 --> 00:46:11.040\nand why\n\n1081\n00:46:11.040 --> 00:46:16.480\nI think I would be Cleopatra I mean nine languages she rolled over eight\n\n1082\n00:46:16.480 --> 00:46:18.800\ncountries she seduced two\n\n1083\n00:46:18.800 --> 00:46:24.350\nemperors with her intellect and charm it would have been an amazing interesting\n\n1084\n00:46:24.350 --> 00:46:25.360\ntime period to live\n\n1085\n00:46:26.400 --> 00:46:31.890\nyour biggest pet peeve gossip do you have a daily ritual you couldn't live\n\n1086\n00:46:31.890 --> 00:46:32.560\nwithout\n\n1087\n00:46:32.560 --> 00:46:39.410\nI do now and that is I meditate every morning and I and since uh covid I've\n\n1088\n00:46:39.410 --> 00:46:40.480\njournaled every morning\n\n1089\n00:46:40.480 --> 00:46:46.350\nand I found that so insightful and it's helped me grow and I stretch and I do\n\n1090\n00:46:46.350 --> 00:46:47.600\nsome core work every\n\n1091\n00:46:47.600 --> 00:46:52.500\nmorning so yeah that's my new routine and it's great now I know your husband\n\n1092\n00:46:52.500 --> 00:46:53.840\nDoug is a great friend\n\n1093\n00:46:54.560 --> 00:47:01.240\nis an avid golfer as well who be too oh it's so fun to have competition with\n\n1094\n00:47:01.240 --> 00:47:02.720\nDoug and and I think\n\n1095\n00:47:02.720 --> 00:47:05.950\nthat right now I'm beating him a little bit more often but I would say we\n\n1096\n00:47:05.950 --> 00:47:06.960\nplayed in the husband and\n\n1097\n00:47:06.960 --> 00:47:11.510\nwife yesterday and we're still married so that's a good thing what's harder\n\n1098\n00:47:11.510 --> 00:47:12.640\ncardiology or golf\n\n1099\n00:47:12.640 --> 00:47:17.440\ngolf you know and I was playing a lot of golf back in the day because I don't\n\n1100\n00:47:17.440 --> 00:47:17.760\nyou know would\n\n1101\n00:47:17.760 --> 00:47:21.030\nbe a mother of two I didn't get to compete as much but when I was somebody\n\n1102\n00:47:21.030 --> 00:47:22.080\nasked me once you know\n\n1103\n00:47:22.080 --> 00:47:25.220\nwhere do you practice seriously they said where do you practice and I said\n\n1104\n00:47:25.220 --> 00:47:26.000\nHudson National\n\n1105\n00:47:26.000 --> 00:47:30.160\nand they were clearly talking about medicine and I was talking about golf but\n\n1106\n00:47:30.160 --> 00:47:31.040\ngolf is definitely\n\n1107\n00:47:31.040 --> 00:47:36.250\nharder I was just inconsistent in cardiology as I am in golf then I I'd be in\n\n1108\n00:47:36.250 --> 00:47:38.160\njail do you have a\n\n1109\n00:47:38.160 --> 00:47:43.360\nhidden talent I used to play the violin so I'm still I'm pretty musical and\n\n1110\n00:47:43.360 --> 00:47:44.320\nsing and play a little\n\n1111\n00:47:44.320 --> 00:47:48.480\nwith piano probably not too many people know that your most treasured gift from\n\n1112\n00:47:48.480 --> 00:47:49.520\na patient I had a\n\n1113\n00:47:49.520 --> 00:47:54.520\nguy who is a composer and he was probably 80 years old he wrote a concerto for\n\n1114\n00:47:54.520 --> 00:47:56.240\nme by hand he came into\n\n1115\n00:47:56.240 --> 00:48:01.920\nmy office on Valentine's Day with his handwritten concerto dedicated to me and\n\n1116\n00:48:01.920 --> 00:48:03.360\nflowers and he had a\n\n1117\n00:48:03.360 --> 00:48:07.710\nyounger friend bring him in so that was probably the most romantic amazing gift\n\n1118\n00:48:07.710 --> 00:48:08.720\nI also had Irving\n\n1119\n00:48:08.720 --> 00:48:13.310\nPenn gift to me a photograph that I so admired and I was so touched by that\n\n1120\n00:48:13.310 --> 00:48:14.400\nbecause I know that's\n\n1121\n00:48:14.400 --> 00:48:18.560\nnot something he ever gets involved with but I was so touched by that as well\n\n1122\n00:48:18.560 --> 00:48:20.640\nif I turn on the radio\n\n1123\n00:48:20.640 --> 00:48:25.870\nin your car what would I hear you'd probably hear audiobooks I like nonfiction\n\n1124\n00:48:25.870 --> 00:48:26.880\nbiographies\n\n1125\n00:48:26.880 --> 00:48:32.020\nCatherine the Great the splendid in the vial I also am getting into philosophy\n\n1126\n00:48:32.020 --> 00:48:32.800\na little bit the\n\n1127\n00:48:32.800 --> 00:48:37.680\nDouda Chang and physics but I'm a collective music taste to Peter Gabriel David\n\n1128\n00:48:37.680 --> 00:48:38.160\nByrne\n\n1129\n00:48:38.720 --> 00:48:44.750\nLed Zeppelin Stravinsky so any combination of that what's something about you\n\n1130\n00:48:44.750 --> 00:48:45.680\nthat few people would\n\n1131\n00:48:45.680 --> 00:48:50.110\nknow yeah I think few people would know that I'm I'm also a physics nerd and I\n\n1132\n00:48:50.110 --> 00:48:51.200\nthink quantum physics\n\n1133\n00:48:51.200 --> 00:48:55.180\nright now is so fascinating okay that's the end of the lightning round and just\n\n1134\n00:48:55.180 --> 00:48:56.240\na few more questions\n\n1135\n00:48:56.240 --> 00:49:01.290\nwe'll wrap this up I understand you once won a club championship in golf and\n\n1136\n00:49:01.290 --> 00:49:02.480\nyou were eight and a\n\n1137\n00:49:02.480 --> 00:49:07.820\nhalf months pregnant is that really true or is that folklore oh it's absolutely\n\n1138\n00:49:07.820 --> 00:49:09.040\ntrue it was the hottest\n\n1139\n00:49:09.040 --> 00:49:13.560\nsummer in the middle of August but you know it's actually it's not that hard to\n\n1140\n00:49:13.560 --> 00:49:14.240\nplay golf\n\n1141\n00:49:14.240 --> 00:49:16.890\npregnant because it happens slowly and you have a big you know center of\n\n1142\n00:49:16.890 --> 00:49:17.920\ngravity and you can make\n\n1143\n00:49:17.920 --> 00:49:22.380\na good rotation and I had a nice co-pilot with me and I had lost to this woman\n\n1144\n00:49:22.380 --> 00:49:23.600\nthree years in a row\n\n1145\n00:49:23.600 --> 00:49:26.230\nso there's no way she was going to beat me four years in a row so it didn't\n\n1146\n00:49:26.230 --> 00:49:27.200\nmatter if I was pregnant\n\n1147\n00:49:27.200 --> 00:49:31.890\nor not it's just hard to play golf after you deliver but that was a thrill yeah\n\n1148\n00:49:31.890 --> 00:49:32.960\nwell I'm glad your\n\n1149\n00:49:32.960 --> 00:49:36.880\nchild didn't kick while you were in the midst of a big putt there you don't now\n\n1150\n00:49:36.880 --> 00:49:37.840\nas you mentioned\n\n1151\n00:49:37.840 --> 00:49:41.920\nyou'd lost to the same person for three straight years and you'd lost to that\n\n1152\n00:49:41.920 --> 00:49:43.200\nperson in the finals\n\n1153\n00:49:43.200 --> 00:49:49.600\nwhat had to shift mentally for you to to get on top well the first year she was\n\n1154\n00:49:49.600 --> 00:49:50.400\nmuch better golfer\n\n1155\n00:49:50.400 --> 00:49:54.000\nthan I was for sure but you know that's what's so great about competition\n\n1156\n00:49:54.000 --> 00:49:55.440\nbecause it's so painful\n\n1157\n00:49:55.440 --> 00:49:59.920\nto lose that it makes you become better right so you work on it more I mean I\n\n1158\n00:49:59.920 --> 00:50:00.720\nthink I remember\n\n1159\n00:50:00.720 --> 00:50:05.040\nevery single hole that I played when I lost to her I don't remember all what I\n\n1160\n00:50:05.040 --> 00:50:05.920\nwant but when I lost\n\n1161\n00:50:05.920 --> 00:50:10.820\nher I remember everything so I think I lost on 14 or 15 the first time and then\n\n1162\n00:50:10.820 --> 00:50:13.280\nI lost on 17 and\n\n1163\n00:50:13.280 --> 00:50:19.230\nthen I lost on 18 and so I just knew that next year I was coming I just knew I\n\n1164\n00:50:19.230 --> 00:50:20.720\nwas going to win I\n\n1165\n00:50:20.720 --> 00:50:23.760\njust was confident I think you have to have confidence when you're playing you\n\n1166\n00:50:23.760 --> 00:50:24.480\nknow you have to have\n\n1167\n00:50:24.480 --> 00:50:29.280\nconfidence on those tough short shots and I had confidence that day and it was\n\n1168\n00:50:29.280 --> 00:50:30.400\nso fun I think I\n\n1169\n00:50:30.400 --> 00:50:35.560\ngot her on on 15 and it was a fun day you're like every sick golfer you\n\n1170\n00:50:35.560 --> 00:50:37.760\nremember all those holes\n\n1171\n00:50:37.760 --> 00:50:42.570\nyou know just down to the last detail you know now in addition to everything\n\n1172\n00:50:42.570 --> 00:50:43.280\nthat you're doing in\n\n1173\n00:50:43.280 --> 00:50:46.760\nthe heart world you're on the board of the Michael J Fox Foundation for\n\n1174\n00:50:46.760 --> 00:50:47.920\nParkinson's research\n\n1175\n00:50:47.920 --> 00:50:52.460\nhow do you lead with hope when you're up against a disease that hasn't been\n\n1176\n00:50:52.460 --> 00:50:53.120\ncured yet\n\n1177\n00:50:54.240 --> 00:50:59.610\nbecause I think we're making so many great strides and our successes are have\n\n1178\n00:50:59.610 --> 00:51:01.760\ntranslated into other\n\n1179\n00:51:01.760 --> 00:51:05.070\nthings so when we first when I first joined the board of the Michael J Fox\n\n1180\n00:51:05.070 --> 00:51:05.680\nFoundation we thought\n\n1181\n00:51:05.680 --> 00:51:09.800\nParkinson's disease was this pretty simple disease where one cell line in\n\n1182\n00:51:09.800 --> 00:51:10.800\nsomething called\n\n1183\n00:51:10.800 --> 00:51:14.110\nthe substantia nigra in the brain dies and if we could figure out how to\n\n1184\n00:51:14.110 --> 00:51:15.680\nreplace this one cell or\n\n1185\n00:51:15.680 --> 00:51:20.000\nwhat it makes then we share Parkinson's we were so naive the more we learned\n\n1186\n00:51:20.000 --> 00:51:21.840\nthe more difficult it\n\n1187\n00:51:21.840 --> 00:51:27.080\nbecame so now now we know that it's much more like Alzheimer's disease in that\n\n1188\n00:51:27.080 --> 00:51:28.240\nParkinson's patients\n\n1189\n00:51:28.240 --> 00:51:33.490\nmake a protein that stays inside the cells that kind of mucks things up but we\n\n1190\n00:51:33.490 --> 00:51:34.640\nhave understood the\n\n1191\n00:51:34.640 --> 00:51:39.690\npathophysiology of that much better our strides have helped other neurodegener\n\n1192\n00:51:39.690 --> 00:51:41.200\native disease we\n\n1193\n00:51:41.200 --> 00:51:45.590\norganize Michael J Fox Foundation has organized Parkinson's research across the\n\n1194\n00:51:45.590 --> 00:51:46.480\nworld and so\n\n1195\n00:51:47.040 --> 00:51:52.660\nand also we set up a model where we call for research to give us their ideas\n\n1196\n00:51:52.660 --> 00:51:53.280\nand then we give them\n\n1197\n00:51:53.280 --> 00:51:57.370\nmoney and then we hear back from them in a real time like three six six months\n\n1198\n00:51:57.370 --> 00:51:58.080\n12 months later to\n\n1199\n00:51:58.080 --> 00:52:00.600\nsee how they're doing and if they're doing well we give them more money and if\n\n1200\n00:52:00.600 --> 00:52:01.360\nthey're not doing\n\n1201\n00:52:01.360 --> 00:52:04.480\nwell we either help them when we stop the money so we are sharing this\n\n1202\n00:52:04.480 --> 00:52:05.920\ninformation real time with\n\n1203\n00:52:05.920 --> 00:52:10.920\nevery other scientific researcher in the world and and that's really transform\n\n1204\n00:52:10.920 --> 00:52:12.400\nthings and like\n\n1205\n00:52:12.400 --> 00:52:15.830\nforward the progress and right now we have some really exciting drugs in the\n\n1206\n00:52:15.830 --> 00:52:16.720\npipeline and we didn't\n\n1207\n00:52:16.720 --> 00:52:20.520\nhave any in the past so we're very excited about what's going on then we're we\n\n1208\n00:52:20.520 --> 00:52:21.600\n're very excited and\n\n1209\n00:52:21.600 --> 00:52:26.310\nvery enthusiastic and the momentum is just picking up that's fantastic and you\n\n1210\n00:52:26.310 --> 00:52:27.520\nknow holly with all\n\n1211\n00:52:27.520 --> 00:52:31.140\nthe things that you have going on in your life I know that your family is\n\n1212\n00:52:31.140 --> 00:52:32.400\nnumber one in your life\n\n1213\n00:52:32.400 --> 00:52:36.060\nand I'm not just saying that I mean it is number one in your life how have you\n\n1214\n00:52:36.060 --> 00:52:37.200\nkept your family\n\n1215\n00:52:37.200 --> 00:52:41.790\nyour top priority while you're juggling such a successful career where you have\n\n1216\n00:52:41.790 --> 00:52:42.320\nall kinds of\n\n1217\n00:52:42.320 --> 00:52:47.630\ndemands and and so much responsibility and what you do I think you just you\n\n1218\n00:52:47.630 --> 00:52:48.560\nhave to be present\n\n1219\n00:52:48.560 --> 00:52:51.760\nyou know my kids are both in college now but when they they were home I would\n\n1220\n00:52:51.760 --> 00:52:52.640\nget home and spend as\n\n1221\n00:52:52.640 --> 00:52:57.780\nmuch time as I could with them we go out at night we go out on the weekends we\n\n1222\n00:52:57.780 --> 00:52:59.280\ntravel together I\n\n1223\n00:52:59.280 --> 00:53:03.150\nhave had so much fun being with my kids I I learned how to surf with my son\n\n1224\n00:53:03.150 --> 00:53:04.480\nhasn't helped my golf\n\n1225\n00:53:04.480 --> 00:53:08.700\ngame one bit but we had so much fun on you know going out to surf my son said\n\n1226\n00:53:08.700 --> 00:53:09.840\nsomething to me last\n\n1227\n00:53:09.840 --> 00:53:13.310\nyear that was really touching he said you know mom I'm college now everybody\n\n1228\n00:53:13.310 --> 00:53:14.240\nalways asked me about\n\n1229\n00:53:14.240 --> 00:53:17.930\nmom being a doctor and they're saying like they just expected me to say that\n\n1230\n00:53:17.930 --> 00:53:18.960\nyou know you were not\n\n1231\n00:53:18.960 --> 00:53:23.070\nyou weren't around as much and you know you were always around you were always\n\n1232\n00:53:23.070 --> 00:53:24.320\naround so that was\n\n1233\n00:53:24.320 --> 00:53:28.510\nthat made me feel great that that's great I love that you know when you when\n\n1234\n00:53:28.510 --> 00:53:29.440\nyou think about\n\n1235\n00:53:29.440 --> 00:53:34.020\ncardiology and in the next five to ten years what's going to be possible that\n\n1236\n00:53:34.020 --> 00:53:35.760\nisn't today you know\n\n1237\n00:53:35.760 --> 00:53:41.600\nwhat we do today for typical coronary artery diseases we bypass the disease and\n\n1238\n00:53:41.600 --> 00:53:43.680\nwe stent the disease\n\n1239\n00:53:43.680 --> 00:53:49.320\nright those are mechanical fixes of a blockage a mechanical problem but it\n\n1240\n00:53:49.320 --> 00:53:50.640\ndoesn't at all change\n\n1241\n00:53:50.640 --> 00:53:55.050\nof the disease but we're getting much better at drug therapies to try to melt\n\n1242\n00:53:55.050 --> 00:53:56.560\nthat atherosclerotic\n\n1243\n00:53:56.560 --> 00:54:00.170\nplaque those blockages and the arteries that supply the heart with blood and in\n\n1244\n00:54:00.170 --> 00:54:00.880\nsome of the new\n\n1245\n00:54:00.880 --> 00:54:05.410\ntechnologies are based on genetic research and right now we have a drug that\n\n1246\n00:54:05.410 --> 00:54:06.320\nyou may have heard\n\n1247\n00:54:06.320 --> 00:54:11.310\nof some of your on rapatha which is a pcs canine inhibitor for cholesterol\n\n1248\n00:54:11.310 --> 00:54:12.160\nlowering which does\n\n1249\n00:54:12.160 --> 00:54:16.370\ndramatic amounts of preventing this disease and causing regression of the\n\n1250\n00:54:16.370 --> 00:54:17.680\ndisease but now\n\n1251\n00:54:17.680 --> 00:54:23.270\nwith something called small interfering messenger RNA drugs which people are\n\n1252\n00:54:23.270 --> 00:54:24.240\naware of because of\n\n1253\n00:54:24.240 --> 00:54:28.440\nthe vaccines but using that technology we're now able to have the same results\n\n1254\n00:54:28.440 --> 00:54:30.000\nof huge cholesterol\n\n1255\n00:54:30.000 --> 00:54:36.240\nlipid lowering by a twice a year injection so if we can make therapy that easy\n\n1256\n00:54:36.240 --> 00:54:37.200\nto melt away this\n\n1257\n00:54:37.200 --> 00:54:40.290\nterrible disease I think we're going to have tremendous strides and you know\n\n1258\n00:54:40.290 --> 00:54:41.040\ncardiologists\n\n1259\n00:54:41.040 --> 00:54:44.320\nstudy of plumbers and electrics and some medicine and that's the plumbing part\n\n1260\n00:54:44.320 --> 00:54:45.040\non the electrical\n\n1261\n00:54:45.040 --> 00:54:49.660\npart our understanding of electrical parts in the heart and our ability to\n\n1262\n00:54:49.660 --> 00:54:51.920\nmanipulate it is also\n\n1263\n00:54:51.920 --> 00:54:56.740\nchanging and you know we're going to be able to fix rhythms of people that we\n\n1264\n00:54:56.740 --> 00:54:57.680\nhaven't been able to\n\n1265\n00:54:57.680 --> 00:55:02.550\nin a much easier way so cardiology continues to be incredibly exciting field of\n\n1266\n00:55:02.550 --> 00:55:03.360\nmedicine to be in\n\n1267\n00:55:03.360 --> 00:55:07.340\nbecause of the scientific advances if you could go back holly and you've had to\n\n1268\n00:55:07.340 --> 00:55:08.480\ncelebrate a career\n\n1269\n00:55:08.480 --> 00:55:14.490\nbut what would you tell your younger self I would tell myself to enjoy the\n\n1270\n00:55:14.490 --> 00:55:15.600\nmoment more\n\n1271\n00:55:15.600 --> 00:55:22.150\nand enjoy the beauty before you and the now more and be present instead of\n\n1272\n00:55:22.150 --> 00:55:23.360\nalways working so hard\n\n1273\n00:55:23.360 --> 00:55:27.840\nto achieve to get to some future goal I think that's important I still tell\n\n1274\n00:55:27.840 --> 00:55:29.440\nmyself that now so I think\n\n1275\n00:55:29.440 --> 00:55:32.970\nthat's words of advice to younger people I have so many stressed younger people\n\n1276\n00:55:32.970 --> 00:55:33.760\nthat come into my\n\n1277\n00:55:33.760 --> 00:55:37.260\noffice and sometimes I just say to them like you know don't take life so\n\n1278\n00:55:37.260 --> 00:55:39.200\nseriously and they look at me\n\n1279\n00:55:39.200 --> 00:55:42.510\nbut I think it gives them a little bit of reassurance especially coming from\n\n1280\n00:55:42.510 --> 00:55:43.200\nsomeone who\n\n1281\n00:55:43.200 --> 00:55:49.680\nis in such a serious job so holly what would be one piece of advice you would\n\n1282\n00:55:49.680 --> 00:55:50.720\ngive to aspiring\n\n1283\n00:55:50.720 --> 00:55:55.730\nleaders oh I think communicate communicate your mission communicate your your\n\n1284\n00:55:55.730 --> 00:55:56.880\nmessage do so\n\n1285\n00:55:56.880 --> 00:56:03.980\nwith optimism and enthusiasm tell the truth be honest and learn as much as you\n\n1286\n00:56:03.980 --> 00:56:05.760\ncan from everybody\n\n1287\n00:56:05.760 --> 00:56:09.680\naround from the lowest person to the highest person in your company listen\n\n1288\n00:56:09.680 --> 00:56:10.320\nlearn from them\n\n1289\n00:56:10.320 --> 00:56:15.490\nand recognize them if you could holly I'd like to close this podcast out with a\n\n1290\n00:56:15.490 --> 00:56:16.000\nstory\n\n1291\n00:56:16.560 --> 00:56:22.320\nthat would really highlight why it is that you do all that you do I took care\n\n1292\n00:56:22.320 --> 00:56:23.840\nof this woman\n\n1293\n00:56:23.840 --> 00:56:28.240\nfor years trying to take care of her heart fixing the blood pressure fixing the\n\n1294\n00:56:28.240 --> 00:56:29.200\nblockages\n\n1295\n00:56:29.200 --> 00:56:33.880\ngiving her all the medicines we had to treat her heart and her heart just kept\n\n1296\n00:56:33.880 --> 00:56:34.880\nfailing and and we\n\n1297\n00:56:34.880 --> 00:56:38.300\ncouldn't get it better and we couldn't get it better and sometimes we don't but\n\n1298\n00:56:38.300 --> 00:56:39.840\nthis woman was otherwise\n\n1299\n00:56:39.840 --> 00:56:45.490\nso alive and with it she was only 70 years old she had a family she had\n\n1300\n00:56:45.490 --> 00:56:46.800\nchildren and she wanted\n\n1301\n00:56:46.800 --> 00:56:50.360\nto live so much and she was in the intensive care unit and we were doing\n\n1302\n00:56:50.360 --> 00:56:51.760\neverything we can to kind\n\n1303\n00:56:51.760 --> 00:56:56.000\nof restore her heart and then we transfer her up to Columbia University where\n\n1304\n00:56:56.000 --> 00:56:56.800\nwe have a heart\n\n1305\n00:56:56.800 --> 00:57:01.260\ntransplant program and I didn't know if I'd ever see her again because she was\n\n1306\n00:57:01.260 --> 00:57:02.400\nreally so sick and\n\n1307\n00:57:02.400 --> 00:57:07.150\nshe went up there and she got a heart and I remember the day she walked back\n\n1308\n00:57:07.150 --> 00:57:08.960\ninto my office and she\n\n1309\n00:57:08.960 --> 00:57:13.760\nwalked back in and she was dressed and she was living and she brought her son\n\n1310\n00:57:13.760 --> 00:57:14.720\nin just to introduce\n\n1311\n00:57:14.720 --> 00:57:18.000\nher son to me and she said like I want you to meet Dr. Anderson this is the\n\n1312\n00:57:18.000 --> 00:57:19.360\nwoman that saved my life\n\n1313\n00:57:19.360 --> 00:57:23.760\nand she was she's back with her family and that that was such a thrilling\n\n1314\n00:57:23.760 --> 00:57:24.960\nimportant moment\n\n1315\n00:57:24.960 --> 00:57:29.240\nto have her walk in that room after we've been through so much well holly I\n\n1316\n00:57:29.240 --> 00:57:30.960\nhave to tell you I've\n\n1317\n00:57:30.960 --> 00:57:34.880\ndone a lot of podcasts and I've talked to a lot of leaders but I have never\n\n1318\n00:57:34.880 --> 00:57:36.240\ntalked to someone that\n\n1319\n00:57:36.240 --> 00:57:41.840\nis multi-talented as you I mean you've touched so many different things in such\n\n1320\n00:57:41.840 --> 00:57:42.720\na powerful way\n\n1321\n00:57:42.720 --> 00:57:47.930\nit's just amazing you know and there there's a superman and you are the Wonder\n\n1322\n00:57:47.930 --> 00:57:48.720\nWoman there's no\n\n1323\n00:57:48.720 --> 00:57:53.040\ndoubt about it so I want to thank you so much for being on this podcast well\n\n1324\n00:57:53.040 --> 00:57:53.760\nDavid you're very\n\n1325\n00:57:53.760 --> 00:57:57.720\nkind and I love your podcast I think how leaders lead is fantastic and and\n\n1326\n00:57:57.720 --> 00:57:58.640\nthank you for all you\n\n1327\n00:57:58.640 --> 00:58:02.830\ndo and you've done and your wife Wendy too and how much work and how much how\n\n1328\n00:58:02.830 --> 00:58:04.560\ncharitable you are\n\n1329\n00:58:04.560 --> 00:58:07.920\nwith your lives and in your good fortune so it's been my pleasure\n\n1330\n00:58:07.920 --> 00:58:22.540\nwell there's no doubt about it holly is a phenomenal person and her leadership\n\n1331\n00:58:22.540 --> 00:58:24.240\nis literally saving lives\n\n1332\n00:58:24.240 --> 00:58:29.440\nshe's so passionate about these vital issues of cardiac arrest treatment and\n\n1333\n00:58:29.440 --> 00:58:31.040\nwomen's heart health\n\n1334\n00:58:31.040 --> 00:58:35.840\nand it's the kind of genuine passion that only comes when you really understand\n\n1335\n00:58:35.840 --> 00:58:36.160\nthe\n\n1336\n00:58:36.160 --> 00:58:40.720\ndepths of the problem and you can empathize with the people who experience it\n\n1337\n00:58:40.720 --> 00:58:42.400\nhere's the thing\n\n1338\n00:58:42.400 --> 00:58:45.690\npeople are drawn to passionate leaders and when you can bring genuine\n\n1339\n00:58:45.690 --> 00:58:46.720\nunderstanding and\n\n1340\n00:58:46.720 --> 00:58:51.410\nempathy to a mission people are going to follow you so this week I really want\n\n1341\n00:58:51.410 --> 00:58:52.800\nyou to think about\n\n1342\n00:58:52.800 --> 00:58:58.490\nand tune into what you're really passionate about what problems really trouble\n\n1343\n00:58:58.490 --> 00:58:59.200\nyou what\n\n1344\n00:58:59.200 --> 00:59:04.770\nkicks your empathy into overdrive tune into those passions big and small\n\n1345\n00:59:04.770 --> 00:59:06.240\nnurture them that's how\n\n1346\n00:59:06.240 --> 00:59:10.820\nyou're really going to get others on board with you and make big things happen\n\n1347\n00:59:10.820 --> 00:59:11.760\nand hey there's one\n\n1348\n00:59:11.760 --> 00:59:17.170\nmore thing I want you to do I really want you to learn the three C's of hands\n\n1349\n00:59:17.170 --> 00:59:19.200\nonly CPR check call\n\n1350\n00:59:19.200 --> 00:59:24.920\ncompress it only takes you 30 seconds and it can save a life I'll make sure we\n\n1351\n00:59:24.920 --> 00:59:26.080\nlink to the youtube\n\n1352\n00:59:26.080 --> 00:59:31.270\nvideo in the show notes or you can just go to hands only dot org and watch the\n\n1353\n00:59:31.270 --> 00:59:32.320\nvideo there\n\n1354\n00:59:32.320 --> 00:59:36.560\nso do you want to know how leaders lead what we learned today is the great\n\n1355\n00:59:36.560 --> 00:59:37.760\nleaders use passion\n\n1356\n00:59:37.760 --> 00:59:43.690\nto drive change coming up next on how leaders lead is get this the one and only\n\n1357\n00:59:43.690 --> 00:59:44.800\ndoctor konda\n\n1358\n00:59:44.800 --> 00:59:48.670\nlisa rice the important thing in leadership is to recognize leadership\n\n1359\n00:59:48.670 --> 00:59:49.920\ncharacteristics in\n\n1360\n00:59:49.920 --> 00:59:53.780\nother people it's the same if you're a ceo it's the same if you're a university\n\n1361\n00:59:53.780 --> 00:59:54.720\nleader it's the same\n\n1362\n00:59:54.720 --> 00:59:59.620\nif you're in government you have to inspire others to lead so be sure to come\n\n1363\n00:59:59.620 --> 01:00:00.880\nback again next week\n\n1364\n01:00:00.880 --> 01:00:05.510\nto hear our entire conversation thanks again for tuning in to another episode\n\n1365\n01:00:05.510 --> 01:00:06.640\nof how leaders lead\n\n1366\n01:00:06.640 --> 01:00:10.430\nwhere every Thursday you get to listen in while I interview some of the very\n\n1367\n01:00:10.430 --> 01:00:11.440\nbest leaders in the\n\n1368\n01:00:11.440 --> 01:00:15.910\nworld I make it a point to give you something simple on each episode that you\n\n1369\n01:00:15.910 --> 01:00:16.960\ncan apply to your\n\n1370\n01:00:16.960 --> 01:00:27.600\nbusiness so that you will become the best leader you can be\n\n1371\n01:00:27.600 --> 01:00:56.600\n[ Silence ]","

David Novak 0:04

Welcome to How leaders lead where every week you get to listen in while I interview some of the very best leaders in the world, I break down the key learning so that by the end of the episode, you'll have something simple you can apply as you develop into a better leader. That's what this podcast is all about. Well, February is American Heart Month, and I gotta say, is something so many of us already have on our minds after seeing Buffalo Bills, safety, Demar Hamlin go into cardiac arrest in week 17 of the NFL. I don't know about you. But it was pretty scary to know that Damar was receiving CPR right there on the field. But thank God, the medics were there to do it, because they saved his life. That's why today, I want to talk to Dr. Holly Anderson. She's a renowned cardiologist at New York Presbyterian Hospital, and the founder of the hands only CPR movement. She is on a mission to make sure everybody knows how to help someone in cardiac arrest. Because as you'll hear today, we can save a lot of lives if ordinary people like you and me know what to do when that happens. Unfortunately, most people don't. And it's not easy to create awareness and change that. But Holly is an extraordinary leader. She's passionate about this mission. And she knows how to leverage that passion in order to drive change and action. Now that's a skill every great leader needs to master. So let's get to it. Here's my conversation with my good friend, and soon to be yours. Dr. Holly Anderson.

Holly, you were raised in Hamburg, New York, which is 10 minutes away from where the Buffalo Bills play. I know you're a big time Bill's fan and you've endured four consecutive Super Bowl losses and in the 90s Do you ever think they'll win a Super Bowl?

Dr. Holly Andersen 1:58

It's so hard to be a Bills fan. And yes, four years in a row was very tough. And their last game was too tough too. But I'm hoping

David Novak 2:06

and speaking of the bills on January 2, I'm sure you are watching that game against the Bengals. When we saw Bill safety Damar Hamlin go down. Did you have any idea Holly on in terms of what was going on? And what were you thinking?

Dr. Holly Andersen 2:21

I was watching and I didn't see him initially fall. But I knew exactly what was going on. I couldn't see what was going on behind the wall of people that was around him. But I knew they were doing CPR and trying to resuscitate him. And I was struck that so many people in the stadium and very seasoned commentators had no idea what was going on. They were really be miffed by this. And unfortunately, I've seen it way too often. And it is the number one cause of death for student athletes. Sudden cardiac arrest and it can strike seemingly healthy people of any age, often without warning. And when I saw the rerun, I saw that he really didn't take a hard hit right. He just fell down on a helmet right in his chest. And then he passed out a few seconds later, which goes along with something called Commotio Cordis when you get struck in the chest and there may be nothing wrong with his heart and he still went into cardiac arrest. But I'm so glad we we got him back and I'm so glad people knew what to do around him.

David Novak 3:23

I bet you as a doctor watching this, you had to have this tremendous urge to just sprang into action. I mean, how did you feel?

Dr. Holly Andersen 3:30

I was just happy that there was a stadium full of medics that knew what to do. I mean, it wasn't that long ago when I saw a mighty league basketball player left facedown on the court unresponsive with no one in the in the whole facility knowing what to do. And EMS arrived and took him but it was too late. You know he died and and his mother won a wrongful death suit against the league and there's just no reason for this. It's it's a message we have to get out that sudden cardiac arrest is very common, and everyone should know how to save a life. You know, I have a mission to try to increase bystander response to victims of sudden cardiac arrest.

David Novak 4:06

Yeah, we're going to talk about that. And and when you think about Damar we were all on pins and needles waiting to find out if he was going to be okay. When we were told he was in critical condition. And he's now thankfully he's been discharged from the hospital, which has been a huge relief. What does rehab look like for a guy like Damar? Now,

Dr. Holly Andersen 4:27

you know, I was really hopeful he would be okay because they did get to him really quickly. And typically, they call somebody down who's had a cardiac arrest and they sedate them. So it did take a while to find out if he was waking up and would be okay. I don't know the details. It sounds like they haven't found anything wrong with his heart which is great. He has a lot of you know, emotional, psychological and physical recovery to do physically he may be totally fine. They may not have found any kind of underlying heart condition, but you have to do a complete Heart workout making sure everything's okay. And some players do return to play after this. But this is football. This is very serious matter. I don't know the details, and I'm just hopeful he has a long healthy life.

David Novak 5:14

By the way, as an aside, I have to ask you, did you see the bills kickoff return in their very next game.

Dr. Holly Andersen 5:20

It was amazing. And I was actually in the Buffalo airport, because I just been there and the whole place erupted.

David Novak 5:26

You know, Josh Allen, your your big favorite air, you know, he was touched afterwards. And he said, had been three years and three months, since the bills had returned a kickoff for a touchdown. And of course, DeMars number was number three. It's almost like divine providence came into play there, you know, how often do you feel that as a doctor, divine providence coming in and doing what you'd never expect?

Dr. Holly Andersen 5:52

Oh, there were things I see that I can't explain scientifically or medically all the time. Both wonderful things. And also when somebody they have a terminal illness, they hang on until their son comes home from the army or something and they get to see him and then and then they pass the next day. So yeah, there's a lot that goes on that we scientists, medical physicians can't explain. You know,

David Novak 6:14

I read where 92% of cardiac arrest victims don't even make it to the hospital because the people around them don't know what to do. You cited the the basketball player, unfortunately passed away. Obviously, the medical staff knew what to do with Damar. And they resuscitated him with CPR. How do you know when to take that kind of action.

Dr. Holly Andersen 6:33

You know, when you see someone have a cardiac arrest, they go just like he does, they go from looking perfectly fine to collapsing on the floor totally out. And they're not breathing, they're not responsive, and they start to look not good pretty quickly because there's no blood circulating. So we have reduced saving alive to three easy steps check call, compress, check to see if somebody's breathing responsive, call 911. And begin chest compressions hard and fast in the center of the chest. Every minute, without CPR, the chance of survival goes down by 10%. Within five minutes, brain cells begin to die, within 10 minutes, the chance of survival is virtually zero. So you can't wait for EMS to arrive. And you don't have to be certified. You don't have to do mouth to mouth anymore. And you're not going to get sued because there's good samaritan laws in every state to protect you. And the worst thing you can do is nothing but you can't hurt someone who may die without your help. So we just encourage everybody to learn how at hands only.org In less than a minute, and to understand what cardiac arrest is, and be prepared to save a life and 70% of cardiac arrest victims happen in the home. So if you're going to do it, you're most likely going to do it on someone you love.

David Novak 7:42

You know? Well, I have to congratulate you, Holly on on the fact that you've launched this movement called hands only CPR. And you know, tell us a bit more about it and the impetus that you had for starting this program.

Dr. Holly Andersen 7:54

Yeah, well, I am a cardiologist. And I was really sick of resuscitating people brought into our emergency room who had no brain viability, so we could get them back. But we couldn't get their brains back. And I also grew tired of watching whole stadium full of people. There were plenty of soccer victims that had a cardiac arrest and just laid on the field or were carried off the field with whole stadiums not knowing what to do. So it's been a huge kind of mission for me to do this. Because it's the lowest hanging fruit of saving lives. As a cardiologist, we spend hundreds of millions of dollars for a fifth add on drug with somebody with heart disease. And we don't do too much with prevention. So the President, my hospitals, a cardiologist and like Steve, we got to make a video that shows people how to do hands only CPR in less than a minute. And then unfortunately, it became very personal to me because my brother had a cardiac arrest at age 50 After coaching his son's soccer game. And unfortunately, that was when he went in to take a nap at his beach house. So no one was there to see it happen. And unfortunately, he wasn't saved. But the difference between life and death is knowing what to do when we want people to know what to do.

David Novak 9:06

Interestingly enough, I was talking to Michael Bloomberg today. Oh, you. Yeah. And I told him that I was going to have the opportunity to do this podcast with you. And he said that check call and compress should be as well known as Stop, drop and roll. If you ever catch on fire, you know, what's the biggest challenge you have and trying to get a message like this out to an entire country? You know, it's obviously this is a huge undertaking. It's all

Dr. Holly Andersen 9:31

in distribution. You know, Michael's Great. Bloomberg Philanthropies been helpful. We blanketed the city, New York City with this message. We've partnered with the Department of Health, the mayor's office, the Giants Broadway, the fashion industry. And we've partnered with the PGA of America because golf courses have the fifth most common place for sudden cardiac arrest and we live on their website and we have a protocol on how to make your golf clubs safe. And we've also partnered with a TNT and we're all lacrosse, the Pebble Beach Pro Am clearly I'm a golfer. So you know, you partner with who you know. But we're working on some more national partnerships. The American Heart Association, you know, is doing some work on this as well. But the reality is, it's 360,000 Americans die every year from this out of the hospital 92% die before making it back to the hospital. And we haven't changed the numbers on that in decades. And I'm all for getting people certified. But that that hasn't changed the numbers. So we really need to get this message out. And I'm working to do it.

David Novak 10:35

Well, you're working really hard at it. So you're putting together all these presentations and pitches for all these organizations. And you've testified before Congress and and I understand that you've got a trip to the White House coming up. But tell us a little bit about that what you hope to accomplish.

Dr. Holly Andersen 10:50

We think we have a trip to the White House coming up my other passion professionally is heart disease in women because Women's Heart disease is under researched under diagnosed and undertreated and heart disease and women is the number one cause of death for women in the United States, and now globally. And unfortunately, heart disease deaths due to heart disease is increasing in this country. It's increasing the fastest among young adults. And it's increasing the fastest among young women. And it's not even on their radar screen. And once a woman gets diagnosed with heart disease, she will do worse and be more likely to die from it than a man. So before we retire, we have to move the needle there too, and your Presbyterian Hospital and Ronald Perlman Heart Institute, teamed up with Barbra Streisand and Cedars Sinai in LA and started something called the Women's Heart Alliance, which is cardiologists from all over the country who have joined our mission to decrease the number of women dying from this, and you get an audience when you travel with Barbra Streisand. So it opens, it opens a few doors.

David Novak 11:52

Besides opening a few doors, what have you learned by being with Barbara, what's really struck you from that experience?

Dr. Holly Andersen 11:59

What strikes me is that we can get in front of all the female senators and all the female Congress, women and John McCain and the head of the FDA, the head of the CDC and the head of the NIH, we can fly down there and have an audience with them all in one day. But what's important is if you don't do the work beforehand, and you don't do the work afterward, it doesn't matter. You know, it's not just a day in the sun. We did a lot of work beforehand. We did a lot of work afterwards. And we came away with some very big accomplishments. And one of them was that the FDA now has to release something called Clinical Trial snapshots. So we the consumer know who were the participants in either medicines or therapies that got FDA approval. And also, we were very instrumental in getting the DOD, the Department of Defense to fund research and cardiovascular disease and women. It was nice to go down there. It was a really fun day. It was remarkable. I think Barbara is very serious about this. It is her mission. In fact, there's something in cardiology called the Yentl syndrome that was coined by the first female cardiologists, head of the NIH, and that is, a woman doesn't get treated with her heart disease unless she looks like a man with heart disease. And that's kind of Barbara's movie. So there's synchronicity there as well.

David Novak 13:11

Absolutely. And, you know, it really strikes me that here we are, it's February and in February happens to be Heart Month. But Heart Month pales in comparison to breast cancer awareness month, which is in October. And that seems to be crazy, because more women die of heart disease, as I understand it than all cancers combined. Why are more people talking about this?

Dr. Holly Andersen 13:35

I think it has to do with the fact that in the 1970s and 1980s, no one talked about breast cancer, it was taboo to talk about until Susie B Coleman, Betty Ford came out and talked about their breast cancer. And now every woman talks about their breast cancer most every woman and they have a huge community to go to. Women don't like talking about the heart disease as much, because they feel like maybe stigmatized that it's considered a man's disease, that they may be judged. And you can go in and have a heart attack or have a stent put in and leave and not tell anybody. So no one knows it. And so women might also just die in their sleep and people attributed to other things. So women are talking about their heart disease. I had took care of a world known female actor who had a heart attack and didn't want to come out and tell anybody about it. Susan Lucci is a patient of mine. She is beautiful, phenomenal, thin, athletic, had basically no risk factors. And she had two stents put in and she's talking about it, and that's what we need. We need more stories when people can tell their stories of heart disease and as you know, stories are important getting the message across. And so we're working on that as well.

David Novak 14:43

You know, unfortunately, Lisa Marie Presley's death was a big story in the news recently and and I heard you talk about something that really fascinated me which was broken heart syndrome. It can people really die from a broken heart.

Dr. Holly Andersen 14:58

People can really die. From a broken heart, it was a syndrome that was not even recognized until the 1990s. And it basically the whole heart looks done, it stops beating. And the mechanism is just this whole, basically kind of adrenaline outburst from your body, that stuns the heart. And there's absolutely nothing wrong with the heart. But it's it's done to the heart enough to actually cause a cardiac arrest or make somebody go into terrible heart failure. And if we can support them, and if we can get them through this, then they go on to not even have a footprint trace of any of this happening. But yes, people can die from and now that it's been described, we see it more and more. So it's really important to protect our hearts from too much emotional stress,

David Novak 15:45

I can totally understand that, you know, and Holly, you're obviously a coveted guest on all the major TV networks, and you're an on air medical consultant. And, you know, I know you had a flurry of requests with the Damar Hamlin event and then Lisa Marie Presley, how do you get prepared to go on TV? And and do you enjoy it?

Dr. Holly Andersen 16:06

You know, I don't get the prepared very often, because it's usually a newsworthy event, when I do have time to prepare it and I have gone on the morning shows, again, it's very timely, because it's usually around the news. I like it a lot. I think it's really important to get the word out. Because every time we have a chance to talk about heart disease, and sudden cardiac arrest and heart disease and women, and increase people's awareness, and tell them that 80% of this disease is preventable, and to take care of themselves. But also, if you think you're having symptoms to act on them. I think we save lives. So I've always enjoyed it, I've always felt it's important, and I love having the opportunity to do it.

David Novak 16:41

Well, you do a great job. And you know, I thank you on behalf of the rest of the world building awareness of this issue. Hey, you know, because you're listening to this, I can tell you're the kind of person who wants to learn how to lead well. But there's a lot of companies out there who want to take that desire and charge you $500 or $1,000, or heck, even $20,000 to try and show you how to lead. That's just not right. If you want to be a better leader, I believe you deserve to have access to something that will truly help you. And it shouldn't cost a fortune. So I want you to go to how leaders lead.com and start my leadership class. It's really and truly free. And after you take this class, you're gonna feel more confident in your role, and you'll be on your way to get the big things done with your team. Go check it out at how leaders lead.com

I want to get more into how you lead because you are known for being an outstanding leader. But first, tell us a story from your childhood that that really shaped the kind of leader you are today.

Dr. Holly Andersen 17:52

I grew up in a as you know, Hamburg, New York, which is a suburb, a large suburb in the snowbelt of Buffalo, New York, and my father was a school teacher. And my grandfather was a principal and my grandmother was a music teacher and organist. And my father was also a swim coach and a football coach. And so I had academics and athletics and music, all stressed to me, my entire life. And I had an overachieving brother who excelled in all three. So I think that despite being from a community in upstate New York, where many people are born and raised and live there, I think I was very lucky to have a family that instilled in me the importance of striving in all areas and the benefits one can read from that.

David Novak 18:36

You know, when did you have that aha moment, when you said, you just absolutely knew that you wanted to be a doctor.

Dr. Holly Andersen 18:43

You know, most people know they want to be doctors very early, and I went to Dartmouth and I was really interested in studying the brain and biochemistry and behavior. And to study biochemistry, you have to take organic chemistry. So I was in an organic chemistry class my sophomore year, and about 100 people in the class. And I realized that everybody in the class was going to be a doctor now, like, I could be a doctor, I came to the table late so I actually spent a lot more time probably investigating it there. And I went down to the NIH and was very lucky to work under a doctor who won the Nobel Prize in Medicine studying the brain and central nervous system studies. And we had these amazing scientists from all over the world that were studying in the field, and they would come back and write up their paper. And it was really exciting medical research, and that's right when also the HIV virus was was isolated. And you saw these labs from Paris and, and the NIH collaborating and competing and then in the vet doctor said, look, an MD is a much better education than a PhD, you should just go get an MD because you can take care of patients and work with them and study them. And so I went to medical school and what I found out in medical school is that I love the science but I love taking care of patients and I loved thinking on your feet and I loved combining You know, the science that you know, and translating it into inpatient care. And the you know, the easy part is the science, the hard part is to effectively communicate with your patients and make them understand what they're going through and motivate them to take care of themselves. So that's the ever challenging part. You know, it's fun. And it's important to keep up with the science and be there and be at the top of your game. But the more challenging, actually more fun part is to translate it into clinical medicine and do it for your patients.

David Novak 20:29

What was it Holly that made you just fall in love with the human heart?

Dr. Holly Andersen 20:33

So I stopped being into the brain biochemistry because neurologists, they don't get to do much, right. I mean, it's really fascinating. But once you make a diagnosis, there's not much you can do. And I fell in love with cardiology, I fell in love with cardiothoracic surgery, I loved operating on the hearts, most amazing theatrical setting you could possibly be in stopping someone's heart operating on it, and then restarting it, you know, and have them be restored back to health. And I thought about cardiothoracic surgery, but you're in the operating room all day long, which I love but they don't really take care of patients as much we take care of patients we given we work with the cardiothoracic surgeons and the we get them back. So I love following people throughout the course of their life. But I think that Cardiology is the scariest part of medicine, because people can come in dying. And if you miss it, that's the thing they're most likely to die from. So you have to be, you have to be comfortable with that and of stress. And it's so rewarding, though, because people can come in dying, and we can work and do procedures on them and turn them around and have him walk out of the hospital. So to me, that was the most fun, exciting part of it.

David Novak 21:35

You describe it as fun. You just use the word fun. You just talked about people could die in distress. But you you've been quoted many times saying you went into cardiology because it was fun.

Dr. Holly Andersen 21:45

It was the most fun for sure. I mean, I think that clearly, you can't get Cavalier, we're used to saving people and we save, you know, thank God, we saved the majority of people. But the losses are tough, and that never gets easy. So you have to make sure you're doing your best job.

David Novak 22:03

Absolutely. And when you were coming up in your career, Holly, did you have a pivotal moment that really changed the trajectory of your career?

Dr. Holly Andersen 22:11

You know, when I looked into heart disease in women, I was one of the very, I mean, there aren't that many female practicing cardiologist and when I first started looking into cardiovascular disease, or women, very few people were talking about it. So I got invited as a first year faculty member to give a talk to all cardiothoracic surgeons in the tri state area. And they say, can you talk about the socio economics of treating a female patient with heart disease? And I'm like, Can I just talk about heart disease and woman they're like, Okay, and so I was the youngest faculty member there. I was the only woman and I was talking to a huge audience of cardiothoracic surgeons, and I knew that I was going to get them because I put up the slide that said, of the three major trials from which we learned who should benefit from bypass surgery, of the 2700 people enrolled in those three trials. 47 were women. And I knew they didn't know that and you know, their jaws dropped, and I kind of have them. And the head of cardiothoracic surgery said, you know, Holly, you should really devote part of your career to this, we need to hear this. So that was the first year my career and I respected him a lot. And I did. And it's also been tremendously fun.

David Novak 23:18

You're not only known for being a great doctor, as I mentioned earlier, you're also a great leader. In fact, you were the second female chief resident in the history of NY Cornell, which is a huge honor. I mean, that's a big honor. Tell me about that role. And all you are responsible for,

Dr. Holly Andersen 23:38

yeah, the chief resident is picked at the end of our training, or the last year of our training, which in internal medicine is three years. And one of my best characteristics, as far as being a leader is like, this job is so hard, right? I mean, you have to love it, because the hours are unbelievable. And that year, I was on call every third day for 24 hours, but I was really responsible for the whole house stuff for a year. So you really on call 24/7. And you have to motivate people, you know, you have to lead I think here with inspiration and keep reminding doctors and training and doctors around you have what's important. And what's important is patient care. And what's important is learning medicine. And there's nothing more important or fun than that, like, yes, you run into problems and yes, things can distract you. And yes, things happen. But we get to take care of patients, we get to help them and we get to learn about what I think all of us found was incredibly fascinating. So I think it's about, you know, inspiration, optimism, motivating others and reminding him of how lucky we are to get to do this. And it worked. You know, it will work. I think we all had a great time.

David Novak 24:44

You know, you've said when you're a doctor, it's your duty to educate other doctors and you know, when I think of doctors, this may be unfair, but I think of doctors as being individual contributors. I don't really think of doctors being leaders sharing their knowledge with others? Where did you develop this desire to really reach out and share what you know, with other doctors,

Dr. Holly Andersen 25:09

you know, the whole medical school education, the whole residency training program, it works on the Socratic method, right? You learn while you're doing it and you teach it, we kind of see you See One, Do One, Teach One, you learn as much as you can. And then your job is to teach fellow residents and younger doctors. And that never stops. You know, I've been on the faculty for a long time. So I taught the second year pathophysiology course, to the medical students, and you're constantly teaching while you're working in the intensive care unit, as you're rounding with patients, so you kind of get used to doing both. You have to kind of think out loud, and you're definitely asking them questions all the time, because people remember things if you ask them questions, which is why we use the Socratic method. But when it comes to preventive cardiology, when it comes to cardiovascular disease, and women when it comes to that part, I think, yeah, it's our duty to teach emergency room doctors and OB GYN doctors and pediatricians and everything else. And I learned from them as well. So I do think it's part of our profession to continually to learn and continue share knowledge, and give back.

David Novak 26:11

You know, people come from all over the world, celebrities, royalty to get your care as a doctor, describe what it's like to be in a work environment where excellence is so expected. And what are you doing to drive that part of your culture into the rest of the hospital?

Dr. Holly Andersen 26:28

Well, I'm very lucky to be at a place where there's really excellence across the board. And I love working there. And I love working with the surgeons and the other specialists because I can feel so comfortable sending my friends and colleagues to them and know they're gonna get the best care. We have all people around the world who come to our hospital. And I remember once, when I was an intern, I think Imelda Marcos was my patient, and I was running into see her and then a guard stopped me because because she had guards and again, to be able to talk to anybody about their health care to be able to have them get your trust. And certainly when you're younger, that you have to try harder, I think when you're looking very young and fresh, and you don't have a reputation and you have to work extra hard. I think that the more you're in there, the more confident you get, and you and the better doctor you are. So that comes across as well.

David Novak 27:22

Well, you're you're still very young, but you have been practicing medicine for 35 years, what's the wildest diagnosis that you ever made?

Dr. Holly Andersen 27:31

One of them was still in my training one I remember. And that was I was in the cardiac intensive care unit on call at night. And I noticed this patient who everything looked fine on him, but he didn't look right to me, like all his numbers look fine. He said he was fine. He did not look right to me. And I started watching much more closely. And I noted on his monitor that his rhythm started looking funny. So I did an EKG on him. And he had something where the EKG was telling me that his heart was kind of bobbing around in his chest. And that's something called cardiac tamponade, where there is fluid building up around the heart, and it can build up so much that it just totally collapses the heart. And it's a medical emergency. And that's what I thought he had. So I kind of jumped on him. And what I did is like underneath his ribs, I put a needle into his heart to extract the fluid. And what you want to see when you go in there is clear fluid, because you know, then do you have the fluid that's surrounding his heart that's compressing it. And when I went in, it was bloody fluid. And you're like hoping that you didn't just go through the heart. And by the way, right when I was starting to do this, he was crashing, right, his blood pressure was going down, his heart rate was going up. And as I pulled out all this fluid, all of a sudden, you know, he looked fine, his blood pressure came up, you know, everything stabilized. So it was one of those times where you had to trust your instincts. And I didn't really have other people around, but I got them there very quickly then, and we saved him because he would have died otherwise. So that kind of sticks in my mind. Because again, you know, you can know all the medicine, but you have to kind of trust your instincts and act on them. I'm just glad I was right.

David Novak 29:11

Well speaking that over the years, I'm sure with all the diagnoses that you've had to do you. I'm sure you've missed it at some point in time and everybody in your field misses at some point in time. And when you do that, as you mentioned, the stakes can't be any higher. How do you coach yourself and your team to think about this and to work through failure?

Dr. Holly Andersen 29:33

Well, as you know, you learn the most from your failures, right? You learn the most when things go wrong, not when things go right. And so when something does go wrong, and it does, you have to go over it with a fine tooth comb and learn as much as you can from it. And that's how I get young doctors through it who might be terribly, terribly emotionally upset, maybe wanting to quit medicine. And you say look, we've all been through it. We all make mistakes. We all learn from mistakes. And we learn the most from our mistakes. And we learn the most from our disasters. I remember the face, I remember the name of a woman came in when I was a resident in the emergency room, and she came in looking like the ammonia and sounded like pneumonia and the chest X ray, that all seemed like it was pneumonia. So we treated her for pneumonia, and she died from a heart attack because it was a heart attack. And I still remember missing that one. And, yeah, you know, the losses aren't easy. But you have to know, to learn the most from them. I also remember having a great resume in the ICU, and she told me at the end of the year, she goes, I'm gonna go into radiology, and I'm like, What, you're gonna go into radiology, you're so good, because I go home and cry every night before bed. I'm like, You should go into radiology. So you know, it's not for everybody.

David Novak 30:48

In you mentioned this, at some point, every leader has to deliver bad news. It's just part of the job of every leader. How do you show up in those moments? And can you share with us one of the most challenging messages you've had to deliver?

Dr. Holly Andersen 31:03

Well, one is, um, to other doctors. So when you are in charge of other doctors and taking care of them, and clearly, somebody is not performing to the level they should, we tend to be very supportive and get time, you know, give a lot of supervision and a lot of support in medicine. But yeah, I had, I had to sit down and talk to somebody that we had to leave our residency program. And a lot of that, you know, you just have to be honest, and you have to, again, we put patients, first you have to think of patients. And in this profession you need to have we need to graduate doctors, we need to train doctors who we feel comfortable putting out there in the world, to do a wonderful job and taking care of patients. And despite the investment, not everybody can do that. Not everybody should do that.

David Novak 31:50

You remember, Holly the first time you had to tell a patient's family that their loved one had passed? And what did you learn from that?

Dr. Holly Andersen 31:58

I don't mind doing it. Because I feel like I can be pretty honest and strong doing it. It's very, it's very painful and very emotional. But you have to be so present, you have to be there for them. And you have to be there and tell them exactly what happened and tell them you did everything. And sometimes cry with them. And know that, you know, you're going to continue to support them. What I think is difficult is that you spend your time doing that. And then you have to go back into the next patient's room and be there for them. I was on the phone once when I was talking to a wife of my patient. And you know, he was this famous chef, and he arrested at home and she's talking me on the phone well, where I heard EMS was working on him. And they were trying to get him back. And I knew at some point, they weren't getting him back. And I'm on the call with his wife and the guys like 38 years old with five kids. And she was crawling and I was crying. And I you know, I had to hang up and go and see the next patient that was there and just be there for them. That's hard.

David Novak 33:00

Yeah, I can only imagine, you know, you know, I talked to a mutual friend of ours, Bill acquavella. And, you know, he's a renowned art dealer who's been a guest on this podcast. And, and Bill said that there's no one more empathetic and compassionate than you. Where do you think this really comes from Ali? And how do you spread those behaviors to the people around you?

Dr. Holly Andersen 33:26

Well, first of all, Bill is one of my favorite people ever. He's the best, I can be pretty tough and competition too. So I have a game face. But you know, I was very lucky to have a very affectionate loving mother and very warm and affectionate and caring grandparents, my mother's parents, and I think that it's okay, this is a human job. We're not supposed to be robots, you know, distant and communicating things in a non a non personal way. I mean, this is the most human job there is. And I think that's wonderful about it. And, you know, if you're going to be getting emotionally involved with your patients, which I don't know how you're not, then you're setting yourself up to some pain, but that's the only way I know how to do it. And it's been so rewarding.

David Novak 34:14

Well, bill's not the only one who feels that you're compassionate. I'm sure all your patients feel that way. In fact, one of your patients, the famous poet, Frederick Seidel, wrote a poem entitled for Holly Anderson. And here's a couple of the verses. She lost a very sick patient she especially cared about the man died on the table. It wasn't a matter of feeling any guilt or doubt, something about a doctor who can cure or anyway try, but can also cry. What does that poem mean to you?

Dr. Holly Andersen 34:49

I love Fred Seidel. I think that he saw in me especially probably what prompted right that that yeah, it's more than just a job and that you're involved. I'm on every level, personally and professionally and scientifically. And yeah, that's what makes it kind of beautiful to,

David Novak 35:07

you know, I even heard that you've made special arrangements for one of your patients to watch his daughter's wedding by video in the hospital room when he couldn't be there and held his hand while his daughter walked down the aisle. Tell us that story.

Dr. Holly Andersen 35:23

Oh, boy, this guy. He was having such a horrible year of surgery after surgery to try to save his leg. And it was quite complicated. And his wife, she never left her husband's side, she finally was going to leave to go to her daughter's wedding. And he went back into another emergent surgery. And I said, like, Look, you go, I'm gonna stay here with him. And I actually was the only time I can't tell my patients that afternoon. I like you went to the operating room with him. I came out that was a Friday. Here. It was Saturday, he's gonna miss his daughter's wedding. And yeah, we got the hospital to set up. And it was not just to see it was back and forth. So she got to talk to them, and they got to talk to him. And yeah, that was a very special important moment.

David Novak 36:13

We'll be back with the rest of my conversation with Dr. Holly Anderson in just a moment. You know, Holly is so empathetic, she can naturally just put herself in another person's shoes. For other people. Empathy doesn't come as naturally. But it's a vital leadership skill, because we just can't lead well if we don't understand other people's viewpoints and how they're feeling. Fortunately, empathy is a skill that you can develop. That's a big takeaway I got when I spoke with Johnny Taylor, the President and CEO of Sherm, the Society for Human Resource Management.

Johnny Taylor 36:49

We did some research just recently at Sherm 93% of employees said they would leave a job that they like, okay, a job where I'm perfectly fine to go work for a more empathetic organization. So if that doesn't make the case, that this empathy is a business imperative, and not just a few good moral imperative? I don't know what does.

David Novak 37:11

Johnny has a lot of practical ideas for how you can develop more empathy and build a stronger team. Go check it out, Episode 52, here on how leaders lead.

Shifting gears a little bit here, how do you get stubborn patients to do what you want them to do?

Dr. Holly Andersen 37:32

I don't always right. I mean, I once had this guy, like I remember he had a heart attack, he had a stroke on Mother's Day, because I remember this. And I spoke to him for years, he sat on the computer, and I ate ice cream, basically, all day long. And his wife came in and she was this beautiful, you know, well kept fit woman. And finally she came to see me as a patient. I'm like, you know, your husband's bad behavior might not kill him, but I could tell it's killing you. But I think the trick is, how do you motivate somebody to take care of themselves, you have to find out what drives them, right? Maybe they're trying to stay alive for their grandchild's wedding, maybe they're just trying to, you know, bend over to tie their shoe. I mean, I think that I take care of some of the luckiest people in the world. And they have no idea. They're lucky. So I try to also impress upon them that yes, they might be suffering from such and such and such. But I said, like, come round with me in the hospital, because some of those people are not leaving that hospital need kill, to be in your shoes that you're complaining about all day long. So I can be I can be pretty tough my patients, I'll do whatever it takes to motivate them. By the way, it's also so rewarding because I get the best feedback from my patients too. And you know, and they're grateful and they share stories with me of their success stories. And that's really important to me, too.

David Novak 38:46

What's something when you look back, Holly, something that you've learned from one of your patients that's had one of the biggest impacts on you,

Dr. Holly Andersen 38:54

one of my patients who is a pretty well known actress, she said, every day I get up, I look myself in the mirror and I say, I forgive you. No matter what happens, no matter what you do, I think you got to forgive yourself and move on and learn from it. So that was motivating. But I get to learn so much from my patients. You know, I sit there, I mean, it's like the being in the front row of the theater of life. And I really, I've learned Irving Penn, you know, was talking to me about how we he does photographs and and what he thinks about and Andre Previn has talked to me about how he's composed. And Sophia Loren shared some recipes with me. I mean, I think I also I had this woman, and she and her two sisters and cousins were in Auschwitz. They were on three death marches. If one of them got separated, the one had to go find the three not vice versa. And then how she met her husband in the detention camp after the war, and then she got married in a wedding dress made out of a German parachute. And that wedding dress is now in the the Jewish Museum and So, I learned so much about the world, from my patients. And it's always so fascinating. I feel so lucky and grateful to be doing what I'm doing. You know, I'll

David Novak 40:10

tell you something, Holly, you know, we've talked about this with your hands only movement, you know how to bring awareness to what you're doing. And that's a skill that every leader needs to learn how to do, what can you share on this front that other leaders can apply? Whatever it is that they're trying to make happen in the world.

Dr. Holly Andersen 40:28

You know, I think you got to be passionate about it. I think you got to love what you're doing. If you're passionate about a message, you find a way to make it work. And we're all busy. But if you're busy doing things you don't like, then you're busy and unhappy. But if you find things that are important, and these things are important to me, then you find ways to get them done. And you find people who are also willing to help you get these done, and I've had so many fantastic, you know, Nicole Kidman was the first person to help me with the hands only CPR campaign because you know, her father died of sudden cardiac arrest, having lunch with her sister, and he probably shouldn't have died if someone knew what to do in the restaurant. And so so many people are touched by this and so many people are willing to help you that I think if you're motivated to get things done, doors open, but I gotta get more done

David Novak 41:12

yet. Well, I'm sure you will, you know, and to truly have an impact as leaders, we have to stay healthy. And I'd like you to get super practical with this for a minute here. Being at heart disease is the number one cause of death. What can we do to avoid this?

Dr. Holly Andersen 41:28

You know, I think it goes back to what your grandmother told you get a good night's sleep, sleep is under appreciated, sleep is so important. Get a good night's sleep, eat your fruits and vegetables have a diet that's replete with whole foods, particularly a lot of plants, the Mediterranean diet, be physically active, you know, go outside, run around, play with your friends, physical activity is the fountain of youth do something get your heart rate up, but it's not just okay to exercise for 45 minutes. Be active in your non exercise time. It's not okay to sit in front of a computer all day long. Prolonged sitting predicts cardiovascular risk and survival. Get up and move and yes, get your blood pressure, get your sugar, get your lipids checked, we can help you with that. But the more I'm a preventive cardiologist, the more I really also believe that what we choose to think about directly impacts everything about our health. So I think that people who are able to see part of the glass that's half full, people who are grateful people who have a sense of humor, live longer, and are happier than people who don't.

David Novak 42:27

I've also heard you say focus on your waistline, not your weight. Why is that? And and I've also heard you say that having that sense of humor you just mentioned leads to a healthier way of life. Talk about those two things.

Dr. Holly Andersen 42:39

Yeah, so the fat around your waist is metabolically active, and it will make your blood pressure higher it is make your sugar levels worse, it is pro inflammatory. And inflammation is the gateway to disease, heart disease, brain disease, and cancer. So anything that you can do to make your waistline less is going to make you healthier with respect to all of those things. But liposuction doesn't count because it's the fat around your organs. That's bad, not underneath your skin. So yeah, that's much more important measure, I think then your overall weight. And yeah, we've we've shown that studies, you know, the healthy parts of laughter, laughter has been linked to the healthy function of blood vessels such that like 10 minutes of laughter is equivalent to 20 minutes of aerobic physical activity. And that's just respect to you know, your your blood vessels and heart rate. Clearly, we know a lot more is going on when we laugh, there are cancer clinics that start laughing sessions just because it's so healthy. So yeah, having a sense of humor, being able to not take everything too seriously. Being grateful, hugely important with respect to our health.

David Novak 43:44

You worked alongside a noted cardiologist the late Isidore, Rosenfield, who was whose father in law actually came up with the first stress test. Describe that relationship and what did you learn from him?

Dr. Holly Andersen 43:55

What I learned from him, you know, he was quite a bit older than I and I was his fourth and final partner. I think I had a natural tendency to be this way anyway, but he certainly advanced it to treat your patients like they're human, to have fun, you know, to be humorous to joke around when you can with them. And he was famous, he had Danny Kaye one time was his patient, he had Danny Kaye dress up as a doctor and put a really like gloves on and had a really long needle and sent Danny k into a patient's room with this huge needle. So, you know, one time my son was coming home from preschool, you know, used to stop by my office and see me and he was like, you know, three feet tall, and I had a little white coat for him. So I put a stethoscope on him, I put a white coat on and I sent him into one of my patients expecting to see me. And you know, she just roared with laughter. So, I think you know, to be human to joke around and to be also, you know, put your hand on their arm when they're going through something. It's okay to just be there comforting them in in a very human way. And so, he would come in the middle of the day, knock on my door and say, Excuse me, can I borrow Dr. Anderson a little bit and they had me come out nice. Like, I gotta tell you this joke I heard. So in the middle of a very busy day when you're pulled in 1000 directions, and you're just trying to get through the next patient, he never had trouble stopping to have a good laugh or enjoying his day. And I think I think that's why he was there practicing for as long as he was. And I think that's important. You know, you have to be enjoying the moment not just thinking about the future.

David Novak 45:19

He wrote a book called Live Now age later. What do you mean by that?

Dr. Holly Andersen 45:23

Yeah, I think that you have to live in the present, take care of yourself now. And a lot of that book is also about preventive cardiology and preventive medicine, what you can do to stay young and feel good. And yeah, put off aging till later. And it's a mindset to right. Mr. Club champion at your age. I mean, you're like a big kid. And I love your laugh. And I think that's so healthy. So yeah, live now. Ah, later. I love that.

David Novak 45:48

You know, oh, this has been so much fun. I want to have some more with my lightning round of q&a. Are you ready for this?

Dr. Holly Andersen 45:54

Oh, yeah, I'm ready. All right.

David Novak 45:57

What's one word others would use to describe you? Energetic? What would you say is the one word that best describes you? optimistic? If you could be one person for a day besides yourself, who would it be and why?

Dr. Holly Andersen 46:11

I think it would be Cleopatra. I mean, nine languages, she rolled over eight countries, she seduced to emperors with her intellect and charm. It would have been an amazing, interesting time period to live.

David Novak 46:25

Your biggest pet peeve. Gossip. Do you have a daily ritual you couldn't live without?

Dr. Holly Andersen 46:33

I do now. And that is I meditate every morning. And I'm since COVID. I've journaled every morning. And I found that so insightful, and it's helped me grow. And I stretch and I do some core work every morning. So yeah, that's my new routine. And it's great.

David Novak 46:51

No, I know your husband, Doug, is a great friend is an avid golfer as well, who be too.

Dr. Holly Andersen 46:59

Oh, it's so fun to have competition with Doug. And I think that right now I'm beating him a little bit more often. But I would say we played in the husband and wife yesterday, and we're still married. So that's a good thing.

David Novak 47:10

What's harder cardiology or golf?

Dr. Holly Andersen 47:13

Golf, you know, when I was playing a lot of golf back in the day, because I don't you know, with being a mother of two, I didn't get to compete as much. But when I was somebody asked me once, you know, where do you practice seriously? They said, where do you practice? And I said, Hudson, national. And they were clearly talking about medicine. And I was talking about golf. But golf is definitely harder if I was just inconsistent in cardiology to say I'm a golf and I I'd

David Novak 47:36

be in jail. Do you have a hidden talent?

Dr. Holly Andersen 47:39

I used to play the violin. So I'm still I'm pretty musical. And sing and play a little bit piano. Probably not too many people know that

David Novak 47:46

your most treasured gift from a patient. I had a

Dr. Holly Andersen 47:49

guy who is a composer. And he was probably 80 years old. He wrote a concerto for me by hand. He came into my office on Valentine's Day with his handwritten concerto dedicated to me, and flowers. And he had a younger friend bring him in. So that was probably the most romantic, amazing gift. I also had Irving Penn gift me a photograph that I so admired. And I was so touched by that because I know that's not something he ever gets involved with. But I was so touched by that as well.

David Novak 48:19

If I turned on the radio in your car, what would I hear? You probably hear

Dr. Holly Andersen 48:23

audiobooks. I like nonfiction, biographies, Catherine the Great, the splendid and the vile. I also am getting into philosophy a little bit down to Chang and physics. But I'm eclectic music taste to Peter Gabriel, David Byrne, Led Zeppelin Stravinsky. So any combination of that?

David Novak 48:43

What's something about you that few people would know? Yeah, I

Dr. Holly Andersen 48:46

think few people would know that. I'm, I'm also a physics nerd. And I think quantum physics right now is so fascinating.

David Novak 48:53

Okay, that's the end of the lightning round. And just a few more questions. We'll wrap this up. I understand you once won a Club Championship in golf, and you were eight and a half months pregnant is is that really true? Or is that folklore?

Dr. Holly Andersen 49:06

Oh, it's absolutely true. It was the hottest summer in the middle of August. But you know, it's actually it's not that hard to play golf pregnant because it happens slowly. And you have a big, you know, center of gravity and you can make a good rotation. And I had a nice co pilot with me. And I had lost to this woman three years in a row. So there's no way she was going to be four years in a row. So it didn't matter if I was pregnant or not. It's just hard to play golf after you deliver. But that was a thrill.

David Novak 49:31

Yeah, well, I'm glad your child didn't kick while you were in the midst of a big butt there. You don't. Now, as you mentioned, you'd lost to the same person for three straight years. And you'd lost to this person in the finals. What had to shift mentally for you to get on top.

Dr. Holly Andersen 49:48

Well, the first year she was much better golfer than I was for sure. But you know, that's what's so great about competition because it's so painful to lose, that it makes you become better, right? So you work on it more. I mean, I I think I remember every single hole that I played, when I lost to her, I don't remember all what I won. But when I lost her, I remember everything. So I think I lost on 14 or 15 the first time and then I lost on 17. And then I lost on 18. And so I just knew that next year, I was coming, I just knew I was going to win, I just was confident, I think you have to have confidence when you're playing, you know, you have to have confidence on those tough Short Shots. And I had confidence that day. And it was so fun. I think I got around, and 15. And it was a fun day.

David Novak 50:34

You're like every sick golfer, you remember all those holes, you know, just down to the last detail, you know. Now, in addition to everything that you're doing in the heart world, you're on the board of the Michael J. Fox Foundation for Parkinson's research. How do you lead with hope, when you're up against the disease that hasn't been cured yet?

Dr. Holly Andersen 50:54

Because I think we're making so many great strides and our successes are have translated into other things. So when we first when I first joined the board of the Michael J. Fox Foundation, we thought Parkinson's disease was this pretty simple disease where one cell line in something called the substantia nigra in the brain dies. And if we could figure out how to replace this one cell or what it makes, then we cure Parkinson's, we were so naive, the more we learned, the more difficult it became. So now, now we know that it's much more like Alzheimer's disease in that Parkinson's patients make a protein that stays inside the cells that kind of mux things up. But we have understood the pathophysiology of that much better. Our strides have helped other neurodegenerative disease, we organized Michael J. Fox Foundation is organized Parkinson's research across the world. And so and also, we set up a model where we call for research to give us their ideas, and then we give them money. And then we hear back from them in a real time, like 366 months, 12 months later to see how they're doing. And if they're doing well, we give them more money. And if they're not doing well, we either help them when we stop the money. So we are sharing this information, real time with every other scientific researcher in the world. And that's really transformed things. And like forward the progress and right now we have some really exciting drugs in the pipeline, and we didn't have any in the past. So we're very excited about what's going on, then we're, we're very excited and very enthusiastic, and the momentum is just picking up.

David Novak 52:24

That's fantastic. And, you know, Holly, with all the things that you have going on in your life, I know that your family is number one in your life. And I'm not just saying that I mean that it is number one in your life. How have you kept your family your top priority while you're juggling such a successful career where you have all kinds of demands and so much responsibility and what you do,

Dr. Holly Andersen 52:46

I think you just you have to be present. You know, my kids are both in college now. But when they, they were home, I would get home and spend as much time as I could with them. We go out at night we go out on the weekends, we traveled together, I have had so much fun being with my kids I I learned how to surf with my son has helped my golf game one bit, but we had so much fun on you know, going out to surf. My son said something to me last year that was really touching. He said, you know, Mom, I'm in college. Now, everybody always asked me about mom being a doctor. And they're saying like, they just expected me to say that, you know, you were not, you weren't around as much. And you know, you were always around, you're always around. So that was that made me feel great.

David Novak 53:25

That's great. I love that. You know, when you when you think about cardiology and in the next five to 10 years, what's going to be possible that isn't today.

Dr. Holly Andersen 53:35

You know what we do today for typical coronary artery diseases, we bypass the disease, and we stent, the disease, right? Those are mechanical fixes of a blockage, a mechanical problem, but it doesn't at all change the disease. But we're getting much better at drug therapies to try to melt that atherosclerotic plaque those blockages in the arteries that supply the heart with blood. And some of the new technologies are based on genetic research. And right now we have a drug that you may have heard of some of your on Repatha, which is a PCS canine inhibitor for cholesterol lowering, which does dramatic amounts of preventing this disease and causing regression of the disease. But now with something called small interfering messenger RNA drugs, which people are aware of because of the vaccines, but using that technology, we're now able to have the same result of huge cholesterol lipid lowering by a twice a year injection. So if we can make therapy that easy to melt away this terrible disease, I think we're gonna have tremendous strides and you know, cardiologists are the plumbers and electricians of medicine and that's the plumbing part on the electrical part, our understanding of electrical parts in the heart, and our ability to manipulate it is also changing and, you know, we're gonna be able to fix rhythms of people that we haven't been able to in a much easier way. So cardiac He continues to be incredibly exciting field of medicine to be in because of the scientific advances.

David Novak 55:05

If you could go back all Yeah, and you've had to celebrate a career, but what would you tell your younger self,

Dr. Holly Andersen 55:11

I would tell myself to enjoy the moment more, and enjoy the beauty before you and then now more and be present, instead of always working so hard to achieve to get to some future goal. I think that's important. I still tell myself that No. So I think that's words of advice to younger people, I have so many stressed younger people that come into my office, and sometimes I just say to them, like, you know, don't take life so seriously, and they look at me, but I think it gives them a little bit of reassurance, especially coming from someone who is in such a serious job.

David Novak 55:46

So Holly, what would be one piece of advice you would give to aspiring leaders,

Dr. Holly Andersen 55:51

I think, communicate, communicate your mission, communicate your, your message, do so with optimism and enthusiasm. Tell the truth. Be honest. And learn as much as you can, from everybody around from the lowest person to the highest person in your company, listen, learn from them, and recognize them.

David Novak 56:12

If you could Holly, I'd like to close this podcast out with a story that would really highlight why it is that you do all that you do.

Dr. Holly Andersen 56:21

I took care of this woman for years trying to take care of her heart, fixing the blood pressure, fixing the blockages giving her all the medicines, we had to treat her heart and her heart just kept failing. And and we couldn't get it better, and we couldn't get it better. And sometimes we don't. But this woman was otherwise so alive. And with it. She was only 70 years old. She had a family, she had children. And she wanted to live so much. And she was in the intensive care unit. And we were doing everything we can to kind of restore her heart. And then we transfer her up to Columbia University where we have a heart transplant program. And I didn't know if I'd ever see her again, because she was really so sick. And she went up there. And she got a heart. And I remember the day, she walked back into my office, and she walked back in and she was dressed and she was living. And she brought her son and just to introduce her son to me. And she said like, I want you to meet Dr. Anderson. This is the woman that saved my life. And she was she's back with her family. And that that was such a thrilling, important moment to have her walk in that room after we'd been through so much.

David Novak 57:28

Well, Holly, I have to tell you, I've done a lot of podcasts. And I've talked to a lot of leaders. But I have never talked to someone that is multi talented as you I mean, you've touched so many different things in such a powerful way. It's just amazing. You know, there, there's a Superman and you are the Wonder Woman there's no doubt about it. So I want to thank you so much for being on this podcast. Well, David,

Dr. Holly Andersen 57:53

you're very kind and I love your podcast. I think how leaders lead is fantastic and and thank you for all you do and you've done and your wife Wendy to and how much work and how much how charitable you are with your lives and your good fortune. So it's been my pleasure.

David Novak 58:17

Well, there's no doubt about it. Holly is a phenomenal person. And her leadership is literally saving lives. She's so passionate about these vital issues of cardiac arrest treatment and women's heart health. And it's the kind of genuine passion that only comes when you really understand the depths of the problem. And you can empathize with the people who experience it. Here's the thing. People are drawn to passionate leaders. And when you can bring genuine understanding and empathy to a mission, people are gonna follow you. So this week, I really want you to think about and tune into what you're really passionate about what problems really trouble you what kicks your empathy into overdrive. Tune into those passions big and small, nurture them. That's how you're really going to get others on board with you and make big things happen. And hey, there's one more thing I want you to do. I really want you to learn the three C's of hands only CPR, check, call compress, it only takes you 30 seconds and it can save a life. I'll make sure we link to the YouTube video in the show notes. Or you can just go to hands only.org And watch the video there. So do you want to know how leaders lead? What we learned today is the great leaders use passion to drive change. Coming up next on how leaders lead is get this the one and only Dr. Condoleezza Rice

Condoleezza Rice 59:45

important thing in leadership is to recognize leadership characteristics and other people. It's the same if you're a CEO, it's the same if you're a university leader, it's the same if you're in government, you have to inspire others to lead so be sure to

David Novak 59:59

come back back again next week to hear our entire conversation. Thanks again for tuning in to another episode of how leaders lead where every Thursday you get to listen in while I interview some of the very best leaders in the world. I make it a point to give you something simple on each episode that you can apply to your business so that you will become the best leader you can be

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