That Expert Show interview with Dr. John Osborne, American Heart Association

How to prevent a heart attack and other cardiovascular event according to boaard certified preventive cardiologist Dr. John Osborne of State of the Heart Cardiology and the American Heart Association

  • Cardiovascular disease is still the #1 killer of men and women in America
  • 40% of people in the U.S. die from cardiovascular disease
  • These deaths are greater than the next seven causes of death combined including cancer and car crashes
  • There has been a 30% reduction in cardiovascular disease over the last 20 years
  • Still, one person every 38 seconds dies from a heart attack or heart attack
  • The first symptom of cardiovascular disease in half of men and 2/3 of women is death
  • Commonly overlooked symptoms of heart attacks in women: nausea, fatigue, back pain, shortness of breath
  • The "Hollywood Heart Attack" symptoms like pain on left side or pressure on the chest only occur in 1/3 of women who experience heart attacks
  • Consider your risk factors: diabetes, smoking, high blood pressure, high cholesterol, and family history
  • New guidelines released by the American Heart Association involved new tools used to diagnose cardiovascular disease
  • One of these tools is the coronary artery calcium score. It's like a coronary colonoscopy.
  • If you are asymptomatic, your doctor should do an ASCBD risk score that takes into account these factors and if your risk of an event over the next ten years is in the  7.5-20% range,  you should obtain one of these scores with a CAT scanner. There's no prep and it can cost less than $100, though at this point most insurance companies don't cover it.
  • If you're concerned you have a heart issue, don't take "no" for an answer as you're dealing with doctors and nurses especially since it's extremely common and up to 80% of cardiovascular events are preventable
  • 10 times more women die from cardiovascular disease than breast cancer every year
  • Of women diagnosed with breast cancer,  those woman are more likely to die of heart disease than the actual breast cancer itself
  • High blood pressure is the most common cardiovascular disease; it's the main reason people go to the doctor in the U.S. affecting roughly 80 million people in the U.S.
  • Besides maintaining healthy height/weight proportions, exercising and not using tobacco, reduce your daily sodium intake to 2300 mg of sodium, below 1500mg for someone with high blood pressure. Most of us consume 6000 mg of sodium daily in the food we we eat.
  • Heart disease is not an even killing field. Specific demographics are at higher risk.
  • Non-Hispanic African Americans have a disproportionate number of heart disease
  • Hispanics also have  a higher risk of cardiovascular disease
  • South Asians from Bangladesh, India, Pakistan are also at high risk
  • South Asians have high rates of metabolic disease and diabetes especially when they adapt to a western diet and western lifestyle 
  • Student athletes  (and parents of student athletes) should watch out for shortness of breath, passing out,  or any other effects of exertion that are unusual for the athlete. Be aware of family history. There are tools to screen for issues that you can discuss with your family doctor.


TIPSHEET: WHat to do after a car accident

That Expert Show interview with Philip Reed of NerdWallet

 What to do (and what not to do) after a car accident according to NerdWallet

πŸš” Should you call police? 

 Err on the side of calling 911, let dispatchers decide whether to send a police response based on location of the accident and whether anyone is injured. Every state law will be different. Some laws dictate police response based on the damage done in the crash. But because you are not an expert at estimating damage, lean toward the notion of calling police, just in case.

πŸš– Pull off the road or stay put?
Safety first. Be careful if you step out of the car that you can do so safely.  If you have a relatively minor accident and you're in the roadway, you could be in danger of causing another accident. If you're not on a major roadway, you can set up flares or other warning devices about the accident scene. But always prioritize safety in this decision.

🚘 What not to say

It's simple, but if the other driver asks if you're okay, don't say "I'm okay." You may have just given away an opportunity for medical reimbursement if in fact you are injured. Don't admit fault either. Take a deep breath, control your emotions and say as little as possible.

πŸš– Info you should or should not exchange
According to the National Association of Insurance Commissioners, while individual state laws may vary, in most cases you need only provide your name and insurance information. Divulging  more than that such as your address, driver's license number could put you at risk for identity fraud. Reed adds that you may be expected to offer some kind of contact information like a mobile phone number and/or email for the other driver to get ahold of you. Reed believes a lot of outdated information and advice is being circulated - even outdated laws - given the increased sensitivity to identity theft. Make sure you get names and contact info of the other passengers involved in the accident and/or witnesses.

🚘 Best ways to exchange info
One option is to stay in your car and not emerge until the police arrive. That helps you avoid that interaction with the other driver, especially if their emotions are heightened and accusations are being made. At the least, snap a photo of their vehicle and license plate info as you wait. If you feel inclined to share driver's license info, you can show the other driver the license but not allow them to hold it, or take a photo of it. Do document their insurance information, and do consider taking a picture of their name and insurance info, along with the VIN number of their vehicle which can be found on the windshield of their car. If an officer responds, asks him/her where you can get a copy of the police report which you'll need for your insurance claim.

πŸš– Take pictures / video / notes / audio

 Take pictures of the scene, including skid marks created, traffic signals, anything impeding traffic signals, Consider taking a panoramic shot of the scene to show the full picture of the scene. Take pictures of the damage on both vehicles, along with license plate and VIN number of the other vehicle. Take a picture of a clock on your to document the time of the accident. You can also take video of the scene, if it's possible to do that safely. As soon as possible after the accident, write down everything you can remember about what happened. And/or record an audio memo for yourself.

🚘 Plan for an accident, especially for teen drivers

It's hard to remember everything you're supposed to do. Statistics show many teenagers get into an accident within the first two years of driving. Put your name and contact info on your insurance card and have that at the ready to share with the other motorist in the crash. Create a checklist of things to do after an accident and keep that in your car; have teen drivers keep that checklist in their car. You can also make use of insurance phone apps that sometimes include a checklist of what to do after a crash.

πŸš– What if the other driver is uninsured?  And other red flags.

Don't sign anything at the scene that the other driver is offering. Be aware of someone who is offering to pay for your damages to avoid either of you filing a claim. If they're uninsured, call 911 immediately and get as much information you can from them as soon as possible. 

🚘 Be careful about any communication after the accident

Don't have direct contact with the other driver, allow your insurance company to handle all communication. Also be careful about communication with your own insurance company. Be truthful, responsible and accurate, but stick to your story as you communicate with parties involved, understanding they may not always be on your side when it comes to protecting you and your liability.

πŸš– Work diligently within the first 24-72 hours

Understand that you may have deadlines either with the DMV or with your insurance company in terms of filing a claim or an accident report

🚘 Carry an emergency kit

Check that you have an emergency kit in your car that includes first aid supplied, food, water, flares, hazard triangles, and a flashlight.


TIPSHEET: personal safety

That Expert Show interview with Pete Canavan, personal safety expert

What to do if you're being physically attacked

  • Don't yell HELP because people often don't want to get involved
  • Yell FIRE instead
  • Strike for the center line of the attacker (their eyes, their throat, their groin, their knees)
  • Strike quickly, aggressively and with commitment
  • A straight kick to the area under the attacker's kneecap is ideal because you may dislocate it and limit their ability to run after you (better than a kick to their groin)
  • Read more in Pete Canavan's book The Self Defense Survival Guide

Create a family safety plan

  • Decide on safe word that is shared between family members
  • Instruct your child that anyone besides a parent picking them up must say the safe word
  • Practice with your kids - role play and have them use the safe word
  • Have your kids practice yelling STOP, GET AWAY, NO, kicking and fighting to fend off an abduction

Develop a warrior mindset ahead of time

  • Think ahead what kind of attitude you'll take if being attacked
  • You must be wiling to mentally run through what you would do
  • Decide that you'll face your attacker head-on with a high confidence that they need to let you go
  • In the moment, identify the stronger attacker (if multiple) and square off against that person
  • Get primal and use anything at your disposal -- scratching, clawing, poking -- to get away

Identify your vulnerabilities

  • Think about the places and times during your day when you are vulnerable
  • Examine the areas of your life where you might be complacent and fall into routines, thereby making you less aware of your surroundings

Parking lot safety (leaving a store)

  • Understand that it's distracting and vulnerable if you have kids or pets with you, 
  • Put your kids in the car first, and then your groceries or other purchased items
  • Be aware of someone nearby is just sitting in a vehicle, loitering

Personal safety tools

  • Pepper spray is best because it can create distance between yourself and an attacker
  • Buy military/law-enforcement grade pepper spray if possible
  • If attacker is wearing glasses, spray the area above so it drips into their eyes
  • There are pepper sprays that comes as small as a pen-shaped dispenser
  • Defensive flashlights with a strobe function that can blind an attacker and keep them at bay
  • Expandable batons or having your keys in your hand only work if an attacker is close to you
  • Consider items like perfume, a nail file, hand lotion that can help you fend off an attacker

Senior Citizen Self-Defense

  • If you use a cane, use that as your weapon to block and strike an attacker
  • With some instruction and training you can feel empowered

Make use of diversion safes 

  • You can use them to store money, jewelry, other valuables
  • Some are disguised as clocks, books, bottles
  • Hide valuables well, or hide them in plain sight

College campus safety

  • Posting opinions and thoughts online can make you vulnerable
  • Double check social media accounts to see how much  information you're actually sharing
  • Sexual assault is the biggest threat to college students, particularly women
  • State of the art product - an ID badge holder with a panic button that transmits your location to campus security and provides two-way communication
  • Read more about college safety in Pete Canavan's book The Ultimate Guide to College Safety

Ridesharing safety for Uber/Lyft experiences

  • Be careful about what information you're sharing with a driver. Telling a driver who's taking you from your home to the airport that you're leaving town for a week exposes your home to a break-in. Telling them you're gone for the night to dinner and the movies also creates that same exposure. Limit the info you share.
  • Double check that info provided through the app matches driver and vehicle that actually arrives
  • Don't be afraid to ask for an ID for proof of identity if the driver appearance doesn't match picture provided by the rideshare app

Credit card, debit card safety

  • Never let your credit card leave your sight, even at a restaurant is possible
  • Use a credit card for most things because it's less risky than using your debit card which is tied to your checking account
  • If your debit card is compromised, you may be out that cash and wind up overdrawn until the bank investigates and restores your account
  • For online transactions, use PayPal so the credit/debit card info is only stored in one place, not with hundreds of vendors


TIPSHEET: Traveling with kids

Key points from KidTripster on That Expert Show

Best day to book all air travel: SUNDAY

30 days in advance of your trip for domestic

30+ days ahead for international travel depending on destination region

Cheapest day to depart for international flight: THURSDAY OR FRIDAY

Business class: Friday or Saturday

Cheapest day to depart for domestic flight

The day doesn't matter as much. The destination matters more.

12 Ways to save money on booking airfare

  • Airtreks, good website for booking multi-city itineraries
  • Hopper, good app for finding the best day to buy airfare to a particular destination

10 Reasons you should hire a Disney-specific travel agent

8 Reasons why you’re better off booking a family cruise through a travel agent than online

10 things to know before your family hits the road in an RV

  • Outdoorsy, website that operates like Airbnb that KidTripster recommends

9 Ways to travel with a teen who doesn’t want to travel with you

Resort vs. Cruise vacations for families

Advice for families with autistic children: