Hello and welcome to
Health for a Lifetime.
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I'm Don Mackintosh, your host,
and today we're joined with
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Dr. Phillip Mills
from Wichita, Kansas.
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Welcome, Dr. Mills.
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Today we're going to be talking
about a very important subject,
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a subject that effects millions
of lives and that's pain,
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chronic pain.
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Why should we talk to
someone like you about pain?
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Because pain, as you said,
effects virtually everyone.
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But it's interesting, Don, while
everyone knows what pain is
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we don't have a
good definition for pain.
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Scientists that study pain argue
over what pain exactly is and
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how to describe it.
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I believe one of
your specialties is this,
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treating people with pain.
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A "painologist," I
don't know what you call that.
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Well, it's a pain specialist.
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There is such a
problem with pain and
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people with chronic pain
have to be treated differently
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than other kinds
of medical problems.
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And so some of us have
specialized in the area of
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pain treatment.
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Is there
anything good about pain?
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Well, if you look at some very
interesting patients that were
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born without any pain fibers
you discover some interesting
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facts.
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There was a fellow that was just
a few years old and his appendix
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needed to be taken out.
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It was difficult for them
to find that he actually had an
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appendix problem
because he didn't hurt.
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But after some studies they
discovered he needed to have
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his appendix out and they
did it without any anesthesia.
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He was able to go through all
of the treatment of the surgery,
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without any pain medications,
without any anesthesia.
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You would think that was good
but as the doctors looked at
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this poor boy that had no pain
fibers they saw he had joints
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that were deformed and
they also say that he had scars
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all over his body.
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They thought this boy
has been abused at home.
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They didn't realize yet
that he had no pain fiber.
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So they asked and investigated
into the home situation
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and discovered that he hadn't
been abused but that he had no
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pain fibers.
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So when he injured his joints,
if he burned his hand, there
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there was no
pain, no protection,
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no change in behavior, and
consequently he was deformed
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and scarred.
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These people without pain fibers
their life is short and they
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end up quite scarred, quite
deformed, and we should realize
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that pain is actually
one of the great gifts of God
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for our protection.
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I know some people are probably
saying, "Well, you know that
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may be true but for me this
situation that I'm in I don't
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think it's much of a blessing. "
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Let me ask you this question.
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Suppose that you're a physician
and I was a patient and came
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into your office and you watch.
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I have a hammer in my right
hand and I have this hammer
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smashing the
thumb on the left hand.
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I might send you to the
guys in the white coats!
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I say to you, "Doctor, my thumb
hurts, please do something for
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my thumb. "
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Would you say, "Here,
take these pain pills"?
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or would you say, "Stop doing
what's causing the pain to your
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thumb"?
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Like I said, I might send you
to a different kind of doctor,
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but, yes, I see your point.
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The point is that pain was
telling me I shouldn't keep
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doing what I was doing.
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In the majority of cases
we should look at pain as a
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protective
mechanism, not as an enemy.
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I've always been amazed
that if people hurt themselves
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will take God's name in vain.
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When they hurt themselves they
should thank God that they have
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those pain centers so
they can protect their bodies.
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In fact, if you look
at the disease of leprosy,
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what leprosy does is it
destroys your pain fibers.
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Some people think that leprosy
eats away the fingers and the
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toes, it doesn't.
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It makes it so
that you don't feel.
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So if an animal, let's say a
rat, comes up and eats on your
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finger, it doesn't
awaken you at night.
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If they gnaw on your nose
you don't awaken at night.
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So gradually you may loose your
toes, fingers, and extremities
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because if it's
infected you feel no pain.
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Pain is important.
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One of the problems with
sin is it deadens our pain.
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And so we'll sin
but it doesn't hurt.
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And so we keep on sinning.
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I'm told by my friends who are
specialists in alcohol related
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issues that the people who
are apt to be alcoholics are not
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the ones that get hang-overs,
although sometimes it involves
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them, but the ones that tolerate
the alcohol fairly well,
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they don't get sick, the ones
that the first time they drank
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alcohol they got a lot of
effect from it, they got a lot
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of sickness, they
tend not to drink.
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So pain, again, first of
all should be looked at as a
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good thing
because it is protective.
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So pain is protective
but that is acute pain or
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short-term pain.
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Is that the way to
use the word 'acute'?
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Yes, the word 'acute'
simply means of short duration.
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So you would consider maybe up
to 6 weeks, certainly 3 weeks,
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possibly 6 weeks, to be acute.
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After 6 weeks, about 3
months, you call that sub-acute.
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And then after 3 months
you begin to refer to it as
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chronic pain.
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Now chronic pain is
different than acute pain.
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Acute pain has a clear cause
and it's reasonable in certain
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cases to give medication
treatment for the acute pain
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to control it because
it's going to go away.
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But chronic pain either
is signaling that there is
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something still irritating
the body or it is giving signals
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to the brain that
you have this danger
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when in fact there
is no danger there.
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It is telling you that you
need to change your behavior
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when in fact there is
nothing you can change.
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And that becomes a problem.
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You would say it's
over-protective or confused?
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Yes, both.
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Where the signals to the brain
are such that you're getting
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this pain and yet there is
no real cause of alarm that pain
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actually is signaling.
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So less than 6
weeks is acute pain.
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From 6 weeks to 3
months is a sub-acute pain.
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And from 3 months and
onward is a chronic pain.
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Then the pain itself in
a chronic situation, over a
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couple years, the chronic
pain itself begins to cause
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changes to the personality,
begins to cause changes
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to the person.
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That chronic pain is where the
real problems lie in management.
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We want to talk about how
to live with some of these pain
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situations because I assume
that some of them you just can't
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get rid of them.
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Yes.
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Chronic pain I like
to think of this way:
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It's not something you die
from but it is something you may
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die with.
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So how do you deal with
this chronic pain situation.
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Are there acute pains or short
term pains that can turn into
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long turn pains?
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Yes.
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Let me give you a disease for
example that is a real problem
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in the area of pain.
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It is an acute, severe pain.
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There is a long name for
one of the kinds of pain,
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that would be tic douloureux.
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This is a tremendous pain
on the face that can come as
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sudden, sharp,
electrical, agonizing sensations
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across the face.
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How do you get that?
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There is a certain nerve that
begins to malfunction and send
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those signals to the brain.
00:10:03.45\00:10:05.11
Even a little breath of
air across may set this off.
00:10:05.14\00:10:12.22
So a person becomes quite
frightened to even get outside.
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It can change their life.
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They will seek for some
solution maybe even surgery that
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would cause their
face to be disfigured.
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They would rather have
that if they could get rid
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of this pain.
00:10:30.86\00:10:31.83
That is how severe it is.
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Other types of severe
pain include such problems as
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reflex sympathetic dystrophy.
00:10:36.57\00:10:38.44
It's a long name for a problem
that was originally seen in wars
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where you would have a
bullet wound that would injure
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two nerves.
00:10:47.73\00:10:48.74
In the healing process these
nerves would short circuit.
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They would be wired up in
healing wrong and you would
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have this severe
pain that would be
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constant and unrelenting.
00:11:01.30\00:11:04.03
And you would say, "Oh the
solution would be to cut off
00:11:04.07\00:11:07.31
the hand," but the fact of
the matter is even after they
00:11:07.34\00:11:10.96
cut it off the pain would
persist right where it was
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just as if the hand was there.
00:11:14.62\00:11:16.87
It has been a real
problem in management.
00:11:16.91\00:11:22.73
I want to come back to what
kind of things happen to people
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when they're suffering from
chronic pain for a long time
00:11:26.22\00:11:29.58
but just a question that is not
related to chronic pain but it's
00:11:29.61\00:11:34.22
more acute pain or one of those
short-term pains, but what about
00:11:34.25\00:11:38.83
a head ache, what should
you do about a head ache?
00:11:38.86\00:11:40.39
Head aches can
be a chronic pain.
00:11:40.43\00:11:43.41
That can be a major problem.
00:11:43.44\00:11:46.26
The first thing, obviously,
is you have to have a clear,
00:11:46.30\00:11:48.85
work-up to find out if there's
some treatable problem, if there
00:11:48.89\00:11:53.46
is some underlying issues
such as a tumor or some other
00:11:53.49\00:11:59.30
vasculitis.
00:11:59.34\00:12:01.36
The doctors will work it
all up fully and they know just
00:12:01.39\00:12:05.48
exactly to do for that.
00:12:05.51\00:12:06.90
But in many cases all of those
studies are normal but severe
00:12:06.93\00:12:12.53
head ache pain persists.
00:12:12.56\00:12:15.45
Before a person should
try powerful and potentially
00:12:15.49\00:12:19.77
risky drugs there are some
things that take care of in many
00:12:19.80\00:12:25.08
cases people's head aches.
00:12:25.11\00:12:26.75
Some simple things they can do.
00:12:26.79\00:12:29.99
For example:
00:12:30.02\00:12:31.87
If they can stop all
caffeine products that can cause
00:12:31.90\00:12:37.53
head aches, theobromine in
chocolate, some of the chemicals
00:12:37.56\00:12:45.10
that are in cheese and wine,
and then if you have tobacco,
00:12:45.13\00:12:51.60
exercise, and meat have even
been found to be a problem with
00:12:51.64\00:12:58.08
head aches.
00:12:58.11\00:12:59.08
I also have patients stop dairy
products and it is surprising
00:12:59.09\00:13:03.78
in a certain percentage
of patients with making these
00:13:03.81\00:13:07.15
simple changes the
head aches will go away.
00:13:07.18\00:13:11.19
In other cases they will not.
00:13:11.23\00:13:12.95
But it is certainly harmless
and worth a try for at least
00:13:12.98\00:13:15.92
6 weeks.
00:13:15.95\00:13:17.04
So if you have a head
ache and it hasn't gone away
00:13:17.08\00:13:19.99
try going off
some of these things.
00:13:20.02\00:13:22.12
You mentioned in
that list 'exercise. '
00:13:22.15\00:13:24.21
Did you mean to say that?
00:13:24.25\00:13:25.27
Yes, if a person can increase
their exercise, but sometimes
00:13:25.31\00:13:28.38
that's hard to
do with a head ache.
00:13:28.41\00:13:30.06
Sometimes increasing the
exercise can be of benefit
00:13:30.09\00:13:34.82
if it's a simple
exercise such as walking.
00:13:34.86\00:13:37.50
So there really are some
simple things that we can do
00:13:37.53\00:13:40.95
to maybe address the
problem of head aches.
00:13:40.99\00:13:43.84
We've been talking
with Dr. Phillip Mills from
00:13:43.88\00:13:46.69
Wichita, Kansas about pain.
00:13:46.73\00:13:48.66
He's a specialist
in pain management.
00:13:48.70\00:13:51.83
When we come back we're going to
be talking about chronic pain,
00:13:51.86\00:13:54.51
what we can do to live with it.
00:13:54.54\00:13:56.92
We hope that you will join us.
00:13:56.96\00:13:59.30
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00:14:14.91\00:14:17.47
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Call or write
today for your free copy:
00:14:59.27\00:15:01.63
Welcome back.
00:15:23.43\00:15:24.80
We've been talking
with Dr. Phillip Mills
00:15:24.84\00:15:27.12
from Wichita, Kansas
00:15:27.16\00:15:28.51
Dr. Mills is a pain specialist.
00:15:28.55\00:15:30.45
We've been talking
about different types of pain,
00:15:30.49\00:15:33.52
Dr. Mills, acute pain,
correct me if I'm wrong,
00:15:33.55\00:15:36.85
it's from 0 to 6
weeks, sub-acute being from
00:15:36.89\00:15:40.12
6 weeks to 3 months, and then
chronic pain that lasts anything
00:15:40.15\00:15:46.36
longer than 3 months.
00:15:46.39\00:15:47.52
What types of things do you
see happening, many thousands
00:15:47.56\00:15:51.40
of patients that you've seen,
when they have a pain that lasts
00:15:51.43\00:15:54.58
for longer than 3 months?
00:15:54.62\00:15:58.01
What begins to happen are
some interesting changes in the
00:15:58.05\00:16:02.64
psychology of the
person, the mental outlook.
00:16:02.67\00:16:06.23
For example: after
about 2 years of chronic,
00:16:06.26\00:16:11.02
unremitting pain,
virtually everyone will have a
00:16:11.05\00:16:14.77
substantial depression.
00:16:14.80\00:16:16.89
Secondly, they'll be completely
consumed and focused on their
00:16:16.92\00:16:21.26
bodily functions and their pain
because its part of every waking
00:16:21.29\00:16:26.14
moment.
00:16:26.17\00:16:27.14
There will generally be some
financial problems because they
00:16:27.15\00:16:30.51
may or may not be
able to work but typically
00:16:30.54\00:16:32.89
they will not be working.
00:16:32.92\00:16:34.14
So you have these pressures.
00:16:34.17\00:16:36.62
All of their friends are tired
of hearing about their pain
00:16:36.65\00:16:39.64
and so in some
cases, it's bottled up.
00:16:39.67\00:16:43.26
These make changes in the way
people deal with other people.
00:16:43.29\00:16:50.24
They may become more solitary
and it impacts marriages.
00:16:50.27\00:16:58.67
It impacts parenting skills.
00:16:58.70\00:17:01.43
Are they ever angry
at you when they come in?
00:17:01.46\00:17:05.11
Well, I don't look at them
as being angry at me, although
00:17:05.14\00:17:08.52
they're just maybe angry.
00:17:08.55\00:17:10.08
They're often quite
angry at their employers.
00:17:10.12\00:17:13.06
And if an insurance company
has sent them to me to evaluate
00:17:13.10\00:17:16.92
they may look at me as part
of the system that's not very
00:17:16.95\00:17:20.74
helpful to them.
00:17:20.78\00:17:22.39
So they may be quite
suspicious and quite angry.
00:17:22.42\00:17:26.18
That can be an aspect.
00:17:26.21\00:17:29.36
But generally if they are
angry they're really angry at
00:17:29.40\00:17:33.01
themselves but they seem
to be angry at other people.
00:17:33.04\00:17:36.58
Do you find that some people...
I don't know how to say this
00:17:36.61\00:17:41.78
nicely, but do they
need their pain or do they...
00:17:41.81\00:17:48.56
I don't know how to say that...
00:17:48.59\00:17:50.08
Well, you are talking
about the psychological issues.
00:17:50.12\00:17:52.47
Are all people with
chronic pain do they have
00:17:52.51\00:17:54.57
a real reason for the pain?
00:17:54.60\00:17:57.51
The fact of the matter is
in some cases there can be a
00:17:57.54\00:18:00.72
psychological component of pain.
00:18:00.75\00:18:03.39
That pain provides
a wonderful escape.
00:18:03.43\00:18:06.44
They are a failure in life
and the reason is they could be
00:18:06.48\00:18:11.83
successful but
they have this pain.
00:18:11.87\00:18:13.31
They could work,
but they have this pain.
00:18:13.34\00:18:16.05
And in fact there are times
when we are able to completely
00:18:16.09\00:18:19.09
take away the pain
but they're not happy.
00:18:19.12\00:18:22.56
They need the pain and
quickly get it back because for
00:18:22.59\00:18:26.96
reasons of their life situation
it's the comforting blanket
00:18:26.99\00:18:32.21
that gives them an excuse
not to perform, not to help
00:18:32.25\00:18:38.66
somebody else, not to
do, and not to reach out.
00:18:38.69\00:18:42.50
It may also be that they
get attention from a spouse.
00:18:42.53\00:18:47.10
They have the pain and
the spouse will wait on them.
00:18:47.13\00:18:51.67
If they lost the pain then they
would loose the attention and
00:18:51.70\00:18:54.74
being waited on by the spouse.
00:18:54.78\00:18:56.24
It is not unheard of to have
patients, certainly I have had
00:18:56.27\00:19:02.83
patients where the pain
had a psychological basis.
00:19:02.87\00:19:07.79
Let's assume that there
are people watching today that
00:19:07.82\00:19:12.00
actually have true chronic
pain, they are not malingering,
00:19:12.03\00:19:16.17
they're not trying to
fool anybody, they really have
00:19:16.21\00:19:19.84
that chronic pain,
what can they do to live
00:19:19.87\00:19:22.32
with chronic pain?
00:19:22.35\00:19:23.53
There are several suggestions
that we have found helpful.
00:19:23.56\00:19:26.58
And again we are
dealing with chronic pain.
00:19:26.61\00:19:28.97
Now chronic pain can
have lots and lots of causes.
00:19:29.00\00:19:31.95
So for the first suggestion, but
virtually everyone with chronic
00:19:31.98\00:19:36.67
pain has done this, but
they need to have a thorough
00:19:36.70\00:19:39.80
evaluation to make sure that
no medically treatable cause
00:19:39.83\00:19:44.10
can be uncovered.
00:19:44.13\00:19:45.62
If they're having chronic pain
because a surgical procedure
00:19:45.65\00:19:49.88
needs to be preformed
then that can be evaluated.
00:19:49.91\00:19:54.68
Or if they need certain types
of medicines to take care of the
00:19:54.71\00:19:57.18
problem, that can be evaluated.
00:19:57.21\00:19:59.55
Because pain is so uncomfortable
virtually all my patients
00:19:59.58\00:20:06.61
with chronic pain have
had quite thorough work ups.
00:20:06.64\00:20:10.26
Under many physicians probably.
00:20:10.29\00:20:11.95
Yes.
00:20:11.98\00:20:12.95
And they're quite frustrated
and so then the next suggestion
00:20:12.96\00:20:17.24
that we find helpful is perhaps
the hardest of the group.
00:20:17.27\00:20:21.75
Is this what you start
with when you talk to patients?
00:20:21.78\00:20:24.70
Well, I may not start with
it but this is one of the most
00:20:24.74\00:20:27.62
important but because
we have limited time here
00:20:27.66\00:20:30.18
I want to make sure
that I deal with it.
00:20:30.22\00:20:33.96
One of the most important ways
of treating people with chronic,
00:20:33.99\00:20:40.83
unremitting pain is
to get them off their
00:20:40.87\00:20:44.72
addictive medications.
00:20:44.75\00:20:47.53
Does that mean all medications?
00:20:47.56\00:20:49.24
You're saying get
off all pain medications?
00:20:49.27\00:20:51.79
Well, it may mean that.
00:20:51.83\00:20:54.10
It should be done under
supervision because some
00:20:54.14\00:20:59.00
medication if you just stop
you can have seizures and some
00:20:59.03\00:21:01.77
other problems.
00:21:01.80\00:21:02.77
They may have to be weaned off.
00:21:02.78\00:21:04.62
But the goal here is to
get patients off of their
00:21:04.65\00:21:09.45
medication and we find in many
cases that the medication was
00:21:09.48\00:21:14.60
providing not much relief, and
we're talking strong narcotics,
00:21:14.63\00:21:19.98
the medication was not providing
much relief but in fact was
00:21:20.01\00:21:25.32
dulling their mind.
00:21:25.36\00:21:26.37
The reality is that the way
to deal with pain requires a
00:21:26.40\00:21:34.04
sharp brain.
00:21:34.07\00:21:36.44
The brain will be
able to deal with the pain.
00:21:36.48\00:21:40.02
If you dull that, you dull the
very best vehicle that you have
00:21:40.06\00:21:45.90
to handle chronic pain.
00:21:45.94\00:21:48.28
Now even in the acute
situation if you recall
00:21:48.31\00:21:51.52
Jesus when He was on the cross
they gave Him some vinegar,
00:21:51.56\00:21:57.07
which had been a pain reliever,
and His mind was so important
00:21:57.11\00:22:02.11
to Him that as soon as He tasted
it He wouldn't take any more.
00:22:02.15\00:22:07.12
That should suggest that
the mind is very important in
00:22:07.15\00:22:13.60
dealing with these
stressors such as pain.
00:22:13.64\00:22:17.63
So there's some complications
with medications and one of
00:22:17.67\00:22:21.10
them is not being able to really
think through how to deal or
00:22:21.13\00:22:24.53
cope with pain.
00:22:24.56\00:22:27.13
That is a pretty hard solution,
I think, probably for some
00:22:27.17\00:22:33.16
people that are listening.
00:22:33.20\00:22:34.98
What is another suggestion?
00:22:35.02\00:22:36.73
Well, after we work toward
decreasing the medications
00:22:36.77\00:22:41.72
or eliminating it, if
it's possible, then another,
00:22:41.76\00:22:46.66
and this is also difficult,
another important aspect
00:22:46.69\00:22:51.56
is exercise.
00:22:51.59\00:22:53.80
Now a person would say, "Well
it hurts if I move this area. "
00:22:53.83\00:22:59.95
But not all pain is indicating
that you should stop moving.
00:22:59.99\00:23:07.35
Let me give you an example.
00:23:07.38\00:23:08.82
If you injured your elbow or
even if you didn't injure your
00:23:08.86\00:23:13.27
elbow, but you immobilized
it in a cast, and that is
00:23:13.31\00:23:17.72
immobilized for 6 weeks,
then you take the cast off.
00:23:17.76\00:23:22.10
I don't know if you've ever
broken a bone and had a cast?
00:23:22.14\00:23:25.33
Just ribs but we
couldn't put a cast on that.
00:23:25.36\00:23:27.24
If you then take the cast off
and you start to move the joint,
00:23:27.27\00:23:31.67
oh it hurts!
00:23:31.70\00:23:33.56
But what is the
solution to the pain?
00:23:33.60\00:23:36.37
More movement!
00:23:36.40\00:23:38.58
As you move it, it gets better.
00:23:38.61\00:23:41.15
Many times a person has had a
back injury and the doctor has
00:23:41.18\00:23:45.68
said, "If it
hurts don't move it. "
00:23:45.72\00:23:48.14
So the patient quit moving their
back and when you quit moving
00:23:48.17\00:23:53.56
the muscles shorten up
and the joint gets stiff.
00:23:53.59\00:23:57.66
With that stiffness,
then if you move it, it hurts.
00:23:57.69\00:24:04.67
But we have found in certain
types of back pain the solution
00:24:04.70\00:24:10.02
actually was special
types of exercises and it even
00:24:10.05\00:24:14.78
involved machines that
would help with those isolating
00:24:14.81\00:24:19.04
exercises that actually
stretched out those muscles.
00:24:19.07\00:24:22.58
Although at first it hurt,
with a bit of movement the pain
00:24:22.61\00:24:26.89
went away.
00:24:26.92\00:24:28.10
Now I found out in my
own case that more exercise
00:24:28.13\00:24:33.12
is very important.
00:24:33.15\00:24:34.85
I started exercising about
two years ago very religiously
00:24:34.88\00:24:40.48
in the morning.
00:24:40.51\00:24:41.48
But I only went about two
miles and I had some underlying
00:24:41.49\00:24:46.44
musculoskeletal pain on a
chronic basis but it wasn't
00:24:46.47\00:24:49.03
severe at all, but it is
embarrassing so that you don't
00:24:49.06\00:24:52.80
dare let anybody
know that you have pain
00:24:52.83\00:24:55.98
because I'm a pain doctor.
00:24:56.01\00:24:57.58
I would try to hide it so nobody
knew I had a hurt anywhere.
00:24:57.61\00:25:02.63
However, with the two miles
I still had some discomfort.
00:25:02.66\00:25:10.11
After this summer I
increased my exercise to 4 miles
00:25:10.14\00:25:19.48
Take your own medicine here!
00:25:19.51\00:25:22.44
A short time ago I did 50 mile
hiking up in the Rocky Mountains
00:25:22.47\00:25:26.73
and when I was done I
was absolutely pain free.
00:25:26.77\00:25:30.65
If a person can increase their
exercise often this is a very
00:25:30.69\00:25:38.00
important aspect of pain relief.
00:25:38.04\00:25:42.10
Many people stop when
they begin to get sore.
00:25:42.13\00:25:47.57
They really should keep going.
00:25:47.61\00:25:49.07
It needs to be supervised.
00:25:49.11\00:25:50.50
You don't want to injure
yourself but in most chronic
00:25:50.53\00:25:52.82
pain cases you're not in any
danger of damaging your body.
00:25:52.86\00:26:01.49
We've talked about
stopping medications.
00:26:01.52\00:26:03.84
We've talked about
starting to move and that's
00:26:03.88\00:26:07.45
under advisement.
00:26:07.48\00:26:08.45
Medications we don't just
stop them abruptly, you check
00:26:08.48\00:26:11.02
with your doctor.
00:26:11.06\00:26:12.03
You don't just exercise
unless you really should be.
00:26:12.04\00:26:15.05
You would check with someone
like yourself, a physiatrist.
00:26:15.09\00:26:17.60
Anything else that people
should do that are dealing
00:26:17.63\00:26:21.45
with chronic pain?
00:26:21.49\00:26:22.46
Yes.
00:26:22.49\00:26:23.46
One of the most
important is drinking water.
00:26:23.47\00:26:26.78
Oh, that sounds simple.
00:26:26.82\00:26:28.61
It is simple.
00:26:28.64\00:26:29.73
If you cells are relatively
dehydrated they will send
00:26:29.76\00:26:33.92
signals to the brain and
the brain may interpret those
00:26:33.96\00:26:38.08
signals as being pain.
00:26:38.12\00:26:41.25
If you make sure they are
hydrated, by hydrated I mean
00:26:41.29\00:26:45.91
drink plenty of water,
that in itself may make a person
00:26:45.95\00:26:50.54
feel like
they're having less pain.
00:26:50.57\00:26:54.11
Some of the pain was
just misinterpretations for
00:26:54.14\00:26:57.26
crying out for water.
00:26:57.29\00:26:59.51
Now in that regard,
caffeine can dehydrate cells.
00:26:59.55\00:27:05.63
And we also know that
caffeine increases the pain
00:27:05.66\00:27:11.70
that a person feels.
00:27:11.74\00:27:12.74
So people should
stop all caffeine.
00:27:12.77\00:27:15.55
They should also stop all
smoking for similar reasons.
00:27:15.58\00:27:19.60
Wow! so these are really
practical things, some of them
00:27:19.63\00:27:23.74
are quite simple, drinking
water and getting rid of some
00:27:23.77\00:27:27.84
habits people want
to get rid of anyway.
00:27:27.88\00:27:29.66
But there are also some
spiritual components to this.
00:27:29.70\00:27:33.71
Study Job and Jacob.
00:27:33.74\00:27:36.24
After Jesus touched
Jacob he had chronic pain.
00:27:36.27\00:27:40.24
We need to look for some lessons
within pain that maybe are not
00:27:40.27\00:27:46.60
right on the surface, especially
those with chronic pain.
00:27:46.64\00:27:49.40
Thanks for joining
us today, Dr. Mills.
00:27:49.44\00:27:51.45
I know you have a
very busy schedule.
00:27:51.49\00:27:53.47
And thank you for joining us.
00:27:53.51\00:27:55.23
We hope that today you've
learned some things that will
00:27:55.27\00:27:58.31
give you health for a lifetime.
00:27:58.35\00:28:01.50