Dr. Mike Trangle

Yeah. Okay. So, you know, and then you go there and they find, oh, you got a blockage in your main artery that they call the widowmaker.

Yeah. Okay. So, you know, and then you go there and they find, oh, you got a blockage in your main artery that they call the widowmaker.

Right. You know, the LAD. And, um, You know, anybody's going to be panicky at that. You know, you'd have to be like artificial intelligence to not react to that.

Right. You know, the LAD. And, um, You know, anybody's going to be panicky at that. You know, you'd have to be like artificial intelligence to not react to that.

So it would be weird if you weren't. having a really scared, terrified reaction to that.

So it would be weird if you weren't. having a really scared, terrified reaction to that.

Well, you know, it depends how much of a blockage you have.

Well, you know, it depends how much of a blockage you have.

Exactly. So anyway, he goes through the surgery and you don't die. Then you find out I have no damage or I have a medium amount of damage and my ejection fraction is not as potent. My heart isn't pumping out the blood as strongly as before, you know. Yeah. You don't know if you have permanent damage or temporary damage or how much.

Exactly. So anyway, he goes through the surgery and you don't die. Then you find out I have no damage or I have a medium amount of damage and my ejection fraction is not as potent. My heart isn't pumping out the blood as strongly as before, you know. Yeah. You don't know if you have permanent damage or temporary damage or how much.

You know, so you're going to continue to be pretty darn worried about that, you know, and you go to cardiac rehab and eventually it kind of wears off and you go on with your life, you know, and most people won't stay in that acute reaction for that long unless they somehow get depressed, you know, because you can also have a depression and whenever you're depressed.

You know, so you're going to continue to be pretty darn worried about that, you know, and you go to cardiac rehab and eventually it kind of wears off and you go on with your life, you know, and most people won't stay in that acute reaction for that long unless they somehow get depressed, you know, because you can also have a depression and whenever you're depressed.

uh everything's not as good you know you're more pessimistic it's not going to work out well you don't have your energy you don't have your concentration you don't have your normal sort of sense of optimism you don't initiate things you know and a subset of depression can be an agitated depression with a lot of things yeah not everybody gets that but so um it can be blurred by other things happening but if it's just a pure adjustment reaction

uh everything's not as good you know you're more pessimistic it's not going to work out well you don't have your energy you don't have your concentration you don't have your normal sort of sense of optimism you don't initiate things you know and a subset of depression can be an agitated depression with a lot of things yeah not everybody gets that but so um it can be blurred by other things happening but if it's just a pure adjustment reaction

Yes, it's both. How do I want to say this? I think theoretically what you're talking about is a psychiatrist and or therapist coordinating and talking all the time with the internist and staying in touch. Right. Wonderful goal. I don't know that it necessarily happens that way most of the time.

Yes, it's both. How do I want to say this? I think theoretically what you're talking about is a psychiatrist and or therapist coordinating and talking all the time with the internist and staying in touch. Right. Wonderful goal. I don't know that it necessarily happens that way most of the time.

People are busy. They have their practices. You know, you might send a copy of your evaluation. If something comes up and you're really worried, you might give a call. But it's the exception, not the norm.

People are busy. They have their practices. You know, you might send a copy of your evaluation. If something comes up and you're really worried, you might give a call. But it's the exception, not the norm.

So if you look at it nationally, 54.7% 54.7% of adults with mental illnesses do not receive treatment. Wow. Okay. And it's, how do I want to put this? It's not good anywhere. The state that has the best access, according to this MHA study, is Montana, which is not what I would have expected. Neither did I. And they don't have that many people. Well,

So if you look at it nationally, 54.7% 54.7% of adults with mental illnesses do not receive treatment. Wow. Okay. And it's, how do I want to put this? It's not good anywhere. The state that has the best access, according to this MHA study, is Montana, which is not what I would have expected. Neither did I. And they don't have that many people. Well,