routine that i do and made it about .3 mile and then had the classic symptoms, chest pain, and then pain down the left arm and shortness of breath. >> what room is this? >> as in the case of bill clinton, bare was told he had no options by the time he saw the doctor. within days woe need bypass surgery. >> in this instance this is sort of what i consider a medical failure. in other words, he got these narrowings and plaque despite our efforts to prevent it from progressing. and my goal would be, even though i'm a surgeon and treat these things, is to not have them get to this point. from a public health standpoint it had been decades in the making. >> you don't die with your first plaque. you develop atherosclerosis blockages really your whole life for many, many years before it causes a heart attack or stroke. >> and what the doctor told me next should ring a bell of hope for just about anyone who's ever worried about a heart attack. doesn't have to happen. >> one of the best kept secrets in the country in medicine is that doctors who are practicing aggressive prevention are really seeing heart attacks and strokes