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with our meals at mcdonalds. that's what they should do. just blow back with some like, i don't know, what would we get? >> free:00 yo gram? -- free an -- angiogram? >> mcdonalds should launch a campaign and talk about how many people they employ, how many lives they save by serving billions and billions of people afford blee. >> and charities they do. >> if they were in charge of world hunger they would have solved it by now. >> how many times did they refuse me a happy meal because i was 34? i don't need to be with a kid to say i have one and i am bringing it home to them? >> how many times were you at the er getting the toy removed? >> i would always get my hands on one greg, e bay. >> they always talk about the alternatives at mcdonalds and they are awful. it is like gravel, twigs. >> apples. >> apple slices, ew. >> you don't go to mcdonalds to eat a salad.
on him. and that was 1986, i think. so, two, three heart attacks and then, a bypass in which they put in new vessels. couple of years go by, he develops pain again, another heart attack. they study him again with an angiogram and find out, some of the arteries they put in have clogged and they do an angioplasty on him. and they put in a balloon and op up the blocked vessel. couple of years later he develops an arrhythmia and what do they do, give him a defibrillator. this man reflects every advance in medical treatment that there has been in the last 30 years, he has had the bypass, he has had the angioplasty, he has had the defibrillator, and, then, a couple of years ago, he develops
just don't kill him, you know? so no, i don't think that he believed it for a second that he was going to go down and honest to god i didn't either. if he was giving meet impression that he wasn't going to go down i was going to give him the impression right back out that he wasn't going to go down and that's just how we are as a band. >> larry: doctor, how was this treated? >> well, you know the first thing we did, mr. king, was that as soon as we transferred him to the barrow neurological institute we began a series of examinations looking at his blood vessel and we did two angiograms within hours of his admission. one is called a ct angiogram and doesn't involve any injections in his arteries and when that is negative -- it's a good screening test, it's probably positive in 95% of patients but when that's negative we move onto a second, more invasive and riskier type of angiogram and these tests were also more somewhat dangerous to mr.
michaels because he suffers from type one diabetes and the kidneys can be damaged by these dyes so we were very concerned about limiting the amount of dye that we gave. after that second angiogram was negative we kind of -- you know had a good sigh of -- we breathed a sigh of relief, but we know that about, oh, maybe 10% of the time, we miss the aneurysm on that first start of the studies so he wasn't out of woods that the point and we still remained you know, very, very concerned for him. >> larry: still concerned? >> no, not at this point. now, his seventh day in the hospital, we did a third angiogram. and our experience is that if a third angiogram is negative, then there's really nothing wrong with the blood vessels. as a mentioned about 10% of the time we miss an aneurysm or some other problem with the blood vessels on the first set of studies, but if we do this delayed second set of studies
in his arteries and when that is negative -- it's a good screening test, it's probably positive in 95% of patients but when that's negative we move onto a second, more invasive and riskier type of angiogram and these tests were also more somewhat dangerous to mr. michaels because he suffers from type one diabetes and the kidneys can be damaged by these dyes so we were very concerned about limiting the amount of dye that we gave. after that second angiogram was negative we kind of -- you know had a good sigh of -- we breathed a sigh of relief, but we know that about, oh, maybe 10% of the time, we miss the aneurysm on that first start of the studies so he wasn't out of woods that the point and we still remained you know, very, very concerned for him. >> larry: still concerned? >> no, not at this point. now, his seventh day in the hospital, we did a third angiogram. and our experience is that if a third angiogram is negative,
enzyme called traponin. >> what does he look forward to? the weeks ahead? >> from what i understand -- i'm not privy to all the investigations that were done, but from what i understand, a stress test was done, and perhaps an angiogram, and it was decided that no further procedures such as stents or bypass surgery is indicated at that time. so he will be managed using a combination of medications. these medications are often medication that lower cholesterol, medication that affect the lining of the arterial wall, and medications that affect the platelets, which are important blood cells which often lead to the occurrence of this particular condition, so medications such as aspirin and plavix are also medications that are often used. >> should he reduce his
exertion, or if in fact, there is any question in your mind, about what this pain might be, see your doctor. and make sure that you get worked up with an acg, a stress test, if necessary, a 64 multi--slice ct angiogram that visualizes the arteries and if necessary an angiogram. but i think it is better to be safe than sorry. and anybody who has chest pain the nature of which or reason for which is not clear, make sure that it's not cardiac. >> jamie: and on this show we've talked about other things, people with heart problems can do and c-reactive proteins and we'll try and do more topics, and for women who take estrogen or hormone replacement therapy, what are the side effects -- one of the side effects is you can
start with something that was on a lot of people's mind this week, plaintiff clinton's heart procedure, on thursday he went to the hospital, after having chest discomfort. and they said when he was lying down he felt pressure on the chest and what happened to him, and what was the procedure? >> well, you know, four or five years ago, he had a quadruple bypass and four of the arteries in his heart were blocked and he had surgery and either put a vain or artery and bypassed the blockage, and he has been absolutely fine, i mean, working like crazy, and i don't know how he does it so he could recognize symptoms that he had, reminiscent of what he had originally and he was smart enough to go right to the hospital, they did another angiogram on him and identified new blockages in one of his arteries and open itted it up wa balloon and put it in with a-rod to keep it open and he went home
2004, president clinton underwent a successful quadruple bypass operation to free four blocked arteries. this is a p that was active for eight years in his presidency certainly kept it up and in the years afterwards. i want to bring in dr. stephen seagal. he with s with the new york university medical center to explain this procedure. what has happened to the former president with the two stents placed and what does that actually mean moving forward. the condition of president bill clinton. >> i don't have any privileged information regarding directly what happened. going strictly what i'm hearing from you guys. but essentially what happens when you do an angiogram, that was discussed earlier, inject dye into the arteries of the heart. you are able to see where there are blockages. and from that you are able to insert tubes with balloons in them. and you are able to dilate and enlarge those obstructions.
symptoms. that worried him, they were worked up, he was found to have angina. that is the pain that you get due to narrowing of the coronary arteries in the heart. he was evaluated. he had an angiogram. he was found to have blockages and he had a bypass. the bypass was successful. but the this changed his life. here was a man who never thought in terms of heart disease for himself, running marathons, never any symptoms. in physical condition, a physical, physical devotee. and it is extremely important because it not only deals with how to cope with the emotional shock but the goes into detail how, when should he plan to go to work. what kind of work will he be able to do. and jamie, how should she