>>BILL: TODAY ON THE
"IT IS WRITTEN" PROGRAM,
00:00:01.36\00:00:02.40
ANOTHER ONE IN OUR
LIVE HEALTHY SERIES WITH DR.
00:00:02.40\00:00:04.36
FERREIRA. IF YOU'VE GOT
SORE JOINTS YOU'RE GOING
00:00:04.36\00:00:07.83
TO WANT TO LISTEN TO
HIS ADVICE. "IT IS WRITTEN"
00:00:07.83\00:00:08.83
BEGINS RIGHT NOW.
00:00:08.83\00:00:12.63
(MUSIC)
00:00:14.50\00:00:23.23
>>ANNOUNCER: IT HAS
STOOD THE TEST OF TIME.
00:00:23.60\00:00:25.83
GOD'S BOOK THE BIBLE
00:00:26.10\00:00:29.03
STILL RELEVANT IN
TODAY'S COMPLEX WORLD.
00:00:29.30\00:00:33.56
IT IS WRITTEN .
00:00:33.86\00:00:36.00
SHARING MESSAGES OF
HOPE AROUND THE WORLD.
00:00:36.23\00:00:40.90
(MUSIC)
00:00:41.33\00:00:53.26
>>BILL: WELCOME TO THE
"IT IS WRITTEN" PROGRAM. DR.
00:00:54.03\00:00:55.16
FERREIRA, WELCOME BACK.
00:00:55.16\00:00:56.93
>>DR. FERREIRA: THANK
YOU, THANK YOU. >>BILL: YOU
00:00:56.93\00:00:57.96
KNOW, FOLKS, WE GET A
LOT OF POSITIVE FEEDBACK
00:00:57.96\00:00:59.90
ON THESE LIVE HEALTHY
SEGMENTS THAT YOU DO AND
00:00:59.90\00:01:02.96
SO WE APPRECIATE YOUR
ADVICE. AND TODAY WE'RE
00:01:02.96\00:01:03.96
GOING TO TALK ABOUT
ACHY JOINTS. >>DR. FERREIRA:
00:01:03.96\00:01:05.33
THAT'S RIGHT. >>BILL:
ARTHRITIS, I GUESS, AND
00:01:05.33\00:01:12.23
OTHER.IS THAT SORT OF
THE COMMON TERM. IS THAT AN
00:01:12.23\00:01:13.26
ALL ENCOMPASSING
TERM FOR JOINT AILMENTS,
00:01:13.26\00:01:16.80
ARTHRITIS, OR IS THAT A
SPECIFIC.>>DR. FERREIRA:
00:01:16.80\00:01:20.66
IT'S A SPECIFIC TERM,
YES. >>BILL: OKAY. WHAT IS
00:01:20.66\00:01:21.86
ARTHRITIS? >>DR. FERREIRA:
ARTHRITIS IS A BROAD TERM.
00:01:21.86\00:01:29.00
ARTHRITIS, "ITIS" MEANS
INFLAMMATION. SO, IT'S A
00:01:29.00\00:01:37.33
WORD THAT DESCRIBES
THAT THERE IS AN INFLAMMATION
00:01:37.33\00:01:38.30
WHERE? IN A JOINT. NOW,
WE HAVE OVER 200 JOINTS IN
00:01:38.30\00:01:46.46
THE BODY. IF WE, IF WE
HAD TO TAKE OUR SKELETON AWAY
00:01:46.46\00:01:59.00
WE WOULD JUST COLLAPSE
AND BE A LUMP OF MEAT. NOW,
00:01:59.00\00:02:00.13
TO KEEP US UP,
IMAGINE PUTTING A BROOM STICK
00:02:00.13\00:02:08.66
INSIDE, OKAY, AND THAT
LIFTS US TO A METRE EIGHTY
00:02:08.66\00:02:15.03
OR TWO METRES BUT WE
WOULD BE SHAPELESS, ALMOST,
00:02:15.03\00:02:16.06
AND JUST UPRIGHT. NOW,
YOU START PUTTING A FEW MORE
00:02:16.06\00:02:25.50
STICKS SO YOU CAN HAVE A
SCARECROW, OKAY, AND THEN
00:02:25.50\00:02:33.16
A FEW MORE AND ALL
THESE STICKS HAVE TO BEND,
00:02:33.16\00:02:34.10
OTHERWISE YOU'D BE STIFF.
00:02:34.10\00:02:41.00
SO, THOSE HINGES ARE
THE JOINTS, OKAY, AND
00:02:41.00\00:02:41.93
SO, WE'VE GOT MANY, MANY
JOINTS. JUST TO BE ABLE TO
00:02:41.93\00:02:49.96
TALK, JUST TO BE ABLE
TO MOVE MY JAW I'VE GOT TWO
00:02:49.96\00:02:54.26
JOINTS, ONE ON EACH
SIDE, THE TEMPOROMANDIBULAR
00:02:54.26\00:02:55.36
JOINTS. TEMPORO BECAUSE
OF THE TEMPORAL BONE AND
00:02:55.36\00:03:04.16
MANDIBULAR BECAUSE OF
THE MANDIBLE, OKAY, AND THOSE
00:03:04.16\00:03:05.73
ARE TWO JOINTS. THERE
ARE MANY JOINTS ON THE BACK
00:03:05.73\00:03:06.76
OF MY NECK, OKAY, ON
THE CERVICAL SPINE JOINTS.
00:03:06.76\00:03:11.33
THERE ARE JOINTS.LOOK
AT MY HANDS, OKAY. SO, EACH
00:03:11.33\00:03:16.26
ONE.I'VE GOT ONE, TWO,
THREE, FOUR BONES HERE AND
00:03:16.26\00:03:17.30
THEN I'VE GOT LITTLE
ONES AND THEN LITTLE ONES AND
00:03:17.30\00:03:20.33
THEN EVEN SMALLER ONES
ALL OF THESE HAVE TO BE
00:03:20.33\00:03:25.46
TOGETHER, HAVE TO BE
CONNECTED AND SO, THEY
00:03:25.46\00:03:26.40
HAVE A HINGE THAT'S A
JOINT. SO, WE'VE GOT MANY,
00:03:26.40\00:03:31.43
MANY JOINTS IN THE BODY
AND ARTHRITIS JUST MEANS
00:03:31.43\00:03:36.26
THAT THERE'S AN
INFLAMMATION IN THE
00:03:36.26\00:03:37.06
JOINTS. >>BILL: NOW,
DOES ARTHRITIS STRIKE, CAN IT
00:03:37.06\00:03:41.16
STRIKE AT ANY JOINT? OR
DOES IT TEND TO GRAVITATE
00:03:41.16\00:03:46.06
TO SPECIFIC JOINTS? >>DR.
00:03:46.06\00:03:46.60
FERREIRA: IT CAN STRIKE
AT ANY JOINT, DEPENDING WHAT
00:03:46.60\00:03:50.20
CAUSES IT BUT YES,
THERE ARE PATTERNS. CERTAIN
00:03:50.20\00:03:51.16
TYPES OF ARTHRITIS
ARE MORE LIKELY TO STRIKE
00:03:51.16\00:03:58.36
CERTAIN TYPES OF
JOINTS, OKAY. SO, UM, ARTHRITIS
00:03:58.36\00:04:04.50
DOES TELL YOU.THE WORD
"ARTHRITIS" DOESN'T TELL
00:04:04.50\00:04:05.46
YOU WHAT CAUSES IT
AND THERE ARE MANY CAUSES.
00:04:05.46\00:04:08.90
I COULD JUST GO THROUGH
A FEW. PROBABLY THE MOST
00:04:08.90\00:04:14.80
IMPORTANT ONE AND
WE'RE GOING TO TALK A LOT
00:04:14.80\00:04:15.70
ABOUT IT THIS PROGRAM,
IS BECAUSE OF USE, OVERUSE
00:04:15.70\00:04:20.36
OR ABUSE. IT'S CALLED
OSTEOARTHRITIS. THERE ARE
00:04:20.36\00:04:28.90
DISEASES, FOR
EXAMPLE, LET'S JUST
00:04:28.90\00:04:29.70
DESCRIBE.>>BILL: SURE.
00:04:29.70\00:04:33.46
>>DR. FERREIRA: LET'S
GO FIRST AND TRY AND DRAW A
00:04:33.46\00:04:34.43
JOINT, OKAY. NOW,
WE'VE GOT A BONE, THE END OF
00:04:34.43\00:04:38.23
A BO. ALRIGHT, AND NOW
WE'VE GOT, REMEMBER, IT'S
00:04:38.23\00:04:44.66
THE HINGE BETWEEN TWO
BONES. YOU'VE GOT ANOTHER
00:04:44.66\00:04:45.66
BONE, WHICH IS A LITTLE
BIT DIFFERENT, OKAY. NOW,
00:04:45.66\00:04:52.36
YOU'VE GOT A GAP. LET'S
SAY THIS IS THE KNEE. THE
00:04:52.36\00:04:57.23
KNEE HAS GOT A LITTLE
BONE THERE WHICH IS CALLED THE
00:04:57.23\00:04:58.30
"FIBULA", ALRIGHT. LET'S
SAY THIS IS THE KNEE. NOW,
00:04:58.30\00:05:03.13
IF YOU TOUCH BONE ON
BONE, IT'S VERY PAINFUL. SO, GOD
00:05:03.13\00:05:12.80
MADE US HAVE A SHOCK
ABSORBER THERE, SO REALLY,
00:05:12.80\00:05:13.80
HE MADE A CARTILAGE TO
GO THERE AND ANOTHER ONE TO
00:05:13.80\00:05:23.06
GO HERE, ALRIGHT. >>BILL:
OKAY. >>DR. FERREIRA: NOW,
00:05:23.06\00:05:32.23
CARTILAGE.>>BILL:
WHAT'S THAT MADE UP OF
00:05:32.23\00:05:33.10
CARTILAGE? >>DR. FERREIRA:
OF CARTILAGE. NO, IT'S A
00:05:33.10\00:05:35.03
VERY TOUGH SPONGE. >>BILL:
OKAY. >>DR. FERREIRA: BUT
00:05:35.03\00:05:39.70
IT'S EXTREMELY TOUGH.
IT'S MUCH SOFTER THAN BONE,
00:05:39.70\00:05:40.73
IT'S TOUGHER THAN JELLY,
OKAY, BUT IT'S VERY TOUGH
00:05:40.73\00:05:45.46
BUT IT'S LIKE A SPONGE
AND I'M USING THAT TERM
00:05:45.46\00:05:50.30
BECAUSE I'M GOING TO
DESCRIBE HOW NUTRIENTS
00:05:50.30\00:05:51.23
AND NUTRITION GETS TO
CARTILAGE. >>BILL: OKAY.
00:05:51.23\00:05:57.26
>>DR. FERREIRA: NOW,
THEN WHAT DO YOU PUT IN DOOR
00:05:57.26\00:06:01.13
WHEN THE HINGES SQUEAKS?
00:06:01.13\00:06:01.73
>>BILL: OIL. >>DR.
00:06:01.73\00:06:02.13
FERREIRA: OIL. ALRIGHT,
WE NEED SOME OIL THERE. SO,
00:06:02.13\00:06:06.60
LET'S PUT SOME OIL HERE
SOME DOTS OF OIL. ALRIGHT,
00:06:06.60\00:06:13.26
BUT YOU HAVE TO HAVE
THE OIL INSIDE SOMETHING OR
00:06:13.26\00:06:14.36
ELSE IT WILL RUN OUT,
SO, YOU MIGHT WANT TO PUT A
00:06:14.36\00:06:23.23
LITTLE PLASTIC BAG
THERE CAN YOU UNDERSTAND THAT?
00:06:23.23\00:06:25.73
>>BILL: YES, SIR. >>DR.
00:06:25.73\00:06:26.26
FERREIRA: SO, THE OIL IS
INSIDE THESE AND THIS BAG,
00:06:26.26\00:06:29.40
IT'S A VERY SPECIALIZED
KIND OF BAG. IT'S CALLED
00:06:29.40\00:06:30.40
A "SYNOVIAL MEMBRANE".
00:06:30.40\00:06:34.96
ALRIGHT, SO YOU'VE GOT
A CLOSED SPACE HERE WITH
00:06:34.96\00:06:35.93
CARTILAGE, REMEMBER
THAT'S CARTILAGE THERE, ALRIGHT,
00:06:35.93\00:06:44.66
YOU'VE GOT THE OIL
WHICH IS A LIQUID CALLED THE
00:06:44.66\00:06:46.53
"SYNOVIAL FLUID", YOU'VE
HEARD ABOUT THAT. >>BILL:
00:06:46.53\00:06:47.53
YES. >>DR. FERREIRA:
SYNOVIAL FLUID WHICH IS
00:06:47.53\00:06:49.63
VERY VISCOUS, MORE VISCOUS
THAN OIL. IT'S AN AMAZING
00:06:49.63\00:06:53.43
SUBSTANCE. AND THEN
YOU'VE GOT THIS BAG TO HOLD
00:06:53.43\00:06:54.43
IT IN PLACE. >>BILL:
HOLDS EVERYTHING IN PLACE. >>DR.
00:06:54.43\00:07:00.13
FERREIRA: AND THIS BAG
IS VERY INTERESTING. IT
00:07:00.13\00:07:01.80
ACTUALLY PRODUCES THE
SYNOVIAL FLUID, ALRIGHT
00:07:01.80\00:07:02.80
AND THEN.BUT THIS IS
VERY THIN, THIS BAG IS VERY
00:07:02.80\00:07:07.53
THIN.THEN YOU HAVE TO
HAVE SOMETHING THAT WILL
00:07:07.53\00:07:12.06
PREVENT THAT BONE
FROM MOVING, OKAY. >>BILL:
00:07:12.06\00:07:13.03
SURE. >>DR.
FERREIRA: SO IT WILL ONLY ALLOW
00:07:13.03\00:07:16.80
CERTAIN MOVEMENTS THAT
ARE PRE-ESTABLISHED, OKAY? SO
00:07:16.80\00:07:20.66
LET'S PUT SOME VERY
THICK.I WISH I COULD GET
00:07:20.66\00:07:21.60
ANOTHER COLOUR HERE.OKAY,
LET'S PUT A VERY THICK
00:07:21.60\00:07:27.50
ROPE THAT CONNECTS THE
TOP AND THE BOTTOM ON BOTH
00:07:27.50\00:07:36.30
SIDES AND THOSE ARE
THE LIGAMENTS OF THAT JOINT
00:07:36.30\00:07:37.46
YOU'VE HEARD ABOUT
LIGAMENTS? >>BILL: YES.
00:07:37.46\00:07:43.00
>>DR. FERREIRA: VERY
TOUGH, FLEXIBLE BUT VERY
00:07:43.00\00:07:46.06
TOUGH. ALRIGHT. THERE
YOU'VE GOT A JOINT. NOW,
00:07:46.06\00:07:47.03
ARTHRITIS JUST
MEANS INFLAMMATION OF THAT
00:07:47.03\00:07:51.33
JOINT. >>BILL: OKAY. >>DR.
00:07:51.33\00:07:51.86
FERREIRA: WHAT CAUSES IT?
00:07:51.86\00:07:54.03
WELL, IT COULD BE
TRAUMATIC. A TRAUMA TO
00:07:54.03\00:07:54.90
THAT AND IT COULD
BE.THAT WILL BREAK SOME OF THE
00:07:54.90\00:08:01.90
CARTILAGE, TEAR IT,
TEAR LIGAMENTS, YOU KNOW. THE
00:08:01.90\00:08:08.20
OTHER CAUSE COULD BE
INFECTIONS, OKAY. YOU
00:08:08.20\00:08:09.13
COULD GET BACTERIA
AND VIRUSES ATTACKING THE
00:08:09.13\00:08:13.10
JOINTS AND THAT'S,
AND THEY COULD CAUSE
00:08:13.10\00:08:17.66
ARTHRITIS. THE OTHER
CAUSE, FOR EXAMPLE, IS
00:08:17.66\00:08:18.60
THE PRESENCE OF LITTLE
CRYSTALS THAT ARE FORMED
00:08:18.60\00:08:23.20
IN THE JOINTS FROM
URIC ACID. AND THAT PROBABLY
00:08:23.20\00:08:28.13
REMINDS YOU OF A
DISEASE CALLED "GOUT". >>BILL:
00:08:28.13\00:08:29.10
YES. >>DR. FERREIRA:
YOU KNOW GOUT WHICH IS AN
00:08:29.10\00:08:33.66
INFLAMMATION OF THE
JOINT AS A RESPONSE TO LITTLE
00:08:33.66\00:08:38.60
CRYSTALS THAT ARE
FORMED BECAUSE THE URIC ACID IS
00:08:38.60\00:08:39.56
TOO HIGH IN YOUR BLOOD.
IT FORMS THESE CRYSTALS AND
00:08:39.56\00:08:45.33
THEY ATTACK THE JOINT.
00:08:45.33\00:08:45.80
AND THERE ARE MANY OTHER
CAUSES BUT ONE OF THE MOST
00:08:45.80\00:08:50.93
IMPORTANT, THE MOST.OH,
I WAS FORGETTING, THE OTHER
00:08:50.93\00:08:56.96
CAUSES, YOU'VE HEARD OF
RHEUMATOID ARTHRITIS AND
00:08:56.96\00:08:57.96
SO ON AND THAT'S.WHAT
HAPPENS IN THESE MEMBRANE,
00:08:57.96\00:09:00.70
THE SINOVIAL MEMBRANE,
THEY ARE VERY SPECIALIZED
00:09:00.70\00:09:07.16
CELLS THAT PRODUCE THE
SINVOIAL FLUID. NOW, WE'VE
00:09:07.16\00:09:08.20
GOT AN ARMY OR A
POLICE FORCE IN OUR BODY WHICH
00:09:08.20\00:09:17.23
IS THE IMMUNE SYSTEM.
00:09:17.23\00:09:17.70
WE'VE GOT CELLS THAT
ARE SPECIALIZED TO KILL. TO
00:09:17.70\00:09:22.36
KILL WHO? HOPEFULLY, NOT
US. TO KILL THE ENEMY. TO
00:09:22.36\00:09:27.63
KILL BACTERIA, TO KILL
VIRUSES, TO DO ALL SORTS
00:09:27.63\00:09:28.60
OF THINGS TO PROTECT US.
00:09:28.60\00:09:33.36
>>BILL: RIGHT. >>DR.
00:09:33.36\00:09:33.83
FERREIRA: NOW, IMAGINE
IF THOSE CELLS, THE WHITE
00:09:33.83\00:09:37.50
CELLS, TURNED AGAINST YOU.
00:09:37.50\00:09:38.20
IT WOULD BE DISASTROUS.
00:09:38.20\00:09:38.70
>>BILL: ABSOLUTELY. >>DR.
00:09:38.70\00:09:42.73
FERREIRA: WELL, IT
HAPPENS. AND THAT HAPPENS
00:09:42.73\00:09:43.66
TO THE SYNOVIAL MEMBRANE
OF MANY JOINTS. RHEUMATOID
00:09:43.66\00:09:47.50
ARTHRITIS, FOR EXAMPLE,
IS A DISEASE WHERE THE BODY
00:09:47.50\00:09:53.86
TURNS AGAINST ITS OWN
JOINTS. >>BILL: AND STARTS
00:09:53.86\00:09:54.90
TO EAT AWAY AT IT. >>DR.
00:09:54.90\00:09:59.46
FERREIRA: IT STARTS
ATTACKING IT AND THE
00:09:59.46\00:10:00.36
JOINTS REACT BY MAKING
FLUID, BECOMING INFLAMED
00:10:00.36\00:10:05.53
AND THERE'S A DESTRUCTIVE
PROCESS THERE THAT GOES
00:10:05.53\00:10:10.30
ON. I'VE GOT PATIENTS
WITH RHEUMATOID ARTHRITIS AND I
00:10:10.30\00:10:11.40
CAN SEE HOW DESTRUCTIVE
IT IS, YOU KNOW. THERE
00:10:11.40\00:10:17.53
ARE MANY GRADES OF
THIS DISEASE, THERE ARE MANY
00:10:17.53\00:10:20.66
MILD GRADES, THERE
ARE MORE SEVERE ONES BUT
00:10:20.66\00:10:21.60
PERHAPS THE MOST
COMMON CAUSE OF ARTHRITIS IS
00:10:21.60\00:10:26.63
JUST SIMPLE DAMAGE TO THE
JOINT. SIMPLE DAMAGE. WHY?
00:10:26.63\00:10:32.16
WELL, LET'S SEE WHAT
HAPPENS IF YOU JUMP FROM
00:10:32.16\00:10:33.10
A SECOND FLOOR, OR A
THIRD FLOOR, OR A FIRST FLOOR,
00:10:33.10\00:10:38.16
OKAY. YOU COME DOWN AND
AS YOU HIT THE FLOOR THE
00:10:38.16\00:10:43.26
FORCE GOES UP THIS
WAY, YOUR BODY.>>BILL: IS
00:10:43.26\00:10:44.20
COMING DOWN THE OTHER WAY.
00:10:44.20\00:10:48.86
>>DR. FERREIRA: AND
THEN WHAT HAPPENS TO THAT
00:10:48.86\00:10:49.80
CARTILAGE? IT IS JUST
SQUASHED THERE AND IT CAN
00:10:49.80\00:10:55.63
TEAR, ALRIGHT. NOW,
MOST PEOPLE DON'T JUMP FROM
00:10:55.63\00:11:00.36
SECOND FLOORS BUT
EVERYDAY THEY CAN PUT A LOT
00:11:00.36\00:11:01.33
OF STRESS ON THOSE JOINTS.
00:11:01.33\00:11:08.66
LIKE, FOR EXAMPLE, BY
BEING OVERWEIGHT. I MEAN,
00:11:08.66\00:11:09.76
IF YOU'RE CARRYING 10,
OR 20, OR 30 KILOS, OR 50
00:11:09.76\00:11:12.56
POUNDS OR 60 POUNDS
MORE, WHAT HAPPENS? EVERYDAY
00:11:12.56\00:11:17.86
IT'S JUST PUTTING EXTRA
STRESS ON THAT THICK, VERY
00:11:17.86\00:11:18.93
DENSE SPONGE AND IT CAN
ACTUALLY START TEARING AND
00:11:18.93\00:11:25.36
THEN AN INFLAMMATION SETS
IN. THAT'S OSTEOARTHRITIS.
00:11:25.36\00:11:31.80
OSTEO = BONE, IT'S
ARTHRITIS OF THE BONE
00:11:31.80\00:11:32.83
>>BILL: OKAY. >>DR.
00:11:32.83\00:11:35.63
FERREIRA: ALRIGHT.
00:11:35.63\00:11:36.06
AND THAT'S THE MOST COMMON
CAUSE. >>BILL: IS THIS.LET
00:11:36.06\00:11:41.76
ME ASK, IS THE
INFLAMMATION.SO YOU SAID
00:11:41.76\00:11:42.60
IT CAN ATTACK THE BONE.
00:11:42.60\00:11:44.90
>>DR. FERREIRA: THE
JOINTS, YES. >>BILL: IT
00:11:44.90\00:11:45.86
CAN BE.IS IT CONCENTRATED
ON ANY PART OF THE JOINT,
00:11:45.86\00:11:49.16
THE INFLAMMATION, OR
CAN IT BE.>>DR. FERREIRA:
00:11:49.16\00:11:52.50
WELL, THE JOINTS, WE'VE
GOT BIG JOINTS AT THE KNEE
00:11:52.50\00:11:53.70
AND USUALLY IF THERE
IS INFLAMMATION OF THAT
00:11:53.70\00:11:57.33
JOINT IT'S A
GENERAL INFLAMMATION OF THAT
00:11:57.33\00:11:59.90
JOINT. >>BILL: OKAY. >>DR.
00:11:59.90\00:12:00.53
FERREIRA: OKAY, WE'VE GOT
SMALL JOINTS INFLAMMATION,
00:12:00.53\00:12:02.50
BIG JOINTS
INFLAMMATION AND WHEN I SAY
00:12:02.50\00:12:03.50
INFLAMMATION THERE HAS
TO BE A FEW THINGS. OKAY,
00:12:03.50\00:12:06.86
PAIN. INFLAMMATION IS
USUALLY PAINFUL. THERE IS
00:12:06.86\00:12:12.93
SWELLING OF THE JOINTS,
THEY CAN BE RED, THEY CAN
00:12:12.93\00:12:13.96
BE HOT, OKAY. NOW,
DEEPER JOINTS LIKE THE HIP, THE
00:12:13.96\00:12:20.30
HEAD OF THE FEMUR AS IT
GOES INTO THE SOCKET, IT'S
00:12:20.30\00:12:27.23
VERY DIFFICULT TO SEE
ANY SWELLING. THERE'S LOTS
00:12:27.23\00:12:28.23
OF TISSUE, MUSCLES BUT
IT COULD STILL BE HOT, IT
00:12:28.23\00:12:31.73
COULD BE RED, IT COULD
BE SLIGHTLY SWOLLEN. AND SO,
00:12:31.73\00:12:36.63
YOU'D THINK THAT, AND
IF WE CONCENTRATE OUR THEME
00:12:36.63\00:12:37.60
HERE ON OSTEOARTHRITIS,
ARTHRITIS BECAUSE OF
00:12:37.60\00:12:44.06
OVERUSE OR ABUSE OF THE
JOINTS, THE MOST COMMONLY
00:12:44.06\00:12:51.46
AFFECTED JOINTS ARE
THE ONES THAT ARE MOST USED
00:12:51.46\00:12:52.50
AND THOSE ARE USED IN THE
KNEES.>>BILL: KNEES. >>DR.
00:12:52.50\00:12:57.43
FERREIRA: .AND THE HIP
BONE. >>BILL: HIP, RIGHT.
00:12:57.43\00:13:01.00
>>DR. FERREIRA: BECAUSE
OF CONSTANT PRESSURE THERE,
00:13:01.00\00:13:02.13
OKAY. AND, YOU KNOW,
TODAY OSTEOARTHRITIS IS
00:13:02.13\00:13:06.03
VERY COMMON IN OUR SOCIETY
THERE ARE SOCIETIES WHERE,
00:13:06.03\00:13:09.70
FOR EXAMPLE, THE
WOMEN, THE LADIES DO A LOT OF
00:13:09.70\00:13:10.70
CROCHET AND KNITTING,
THEY OFTEN, BECAUSE OVERUSE
00:13:10.70\00:13:16.03
AND ABUSE, THEY CAN
GET ARTHRITIS OF THE SMALL
00:13:16.03\00:13:19.76
JOINT. OSTEOARTHRITIS,
OKAY. SO, BUT USUALLY IT'S
00:13:19.76\00:13:20.80
PAINFUL, IT'S
SWOLLEN, IT'S RED AND IT'S HOT,
00:13:20.80\00:13:29.46
OKAY. IF THOSE THINGS
HAPPEN THEN YOU CAN SAY
00:13:29.46\00:13:34.43
YOU DO HAVE AN
INFLAMMATION, OF COURSE,
00:13:34.43\00:13:35.26
THERE ARE BLOOD TESTS
THAT CAN SAY TO THE DOCTOR IF
00:13:35.26\00:13:38.70
HE'S GOT INFLAMMATION OR
NOT. BUT, YOU KNOW, IF YOU
00:13:38.70\00:13:42.73
HAVE THOSE SYMPTOMS,
INFLAMMATION OF THE JOINT,
00:13:42.73\00:13:43.73
WELL, LET'S FIND THE
CAUSE. NOW, THE CAUSE
00:13:43.73\00:13:47.40
COULD BE JUST OVERUSE
AND ABUSE OR IT COULD BE
00:13:47.40\00:13:51.90
BECAUSE OF THOSE
CONDITIONS, YOU KNOW, LIKE
00:13:51.90\00:13:52.80
TO COULD BE
IMMUNOLOGICAL PROBLEM CALLED AN
00:13:52.80\00:13:56.20
AUTOIMMUNE
DISEASE >>BILL: AUTOIMMUNE
00:13:56.20\00:14:00.73
DISEASE, YES. >>DR.
00:14:00.73\00:14:01.20
FERREIRA: IT COULD BE
AN INFECTION. IN THAT CASE
00:14:01.20\00:14:04.13
YOU NEED TO TREAT THE
INFECTION; YOU POSSIBLY
00:14:04.13\00:14:05.13
NEED ANTIBIOTICS AND SO
ON. WHATEVER, YOU NEED TO
00:14:05.13\00:14:07.53
TREAT THE CAUSE. >>BILL:
OKAY, YES. >>DR FERREIRA:
00:14:07.53\00:14:11.83
WHEN YOU GO TO
OSTEOARTHRITIS YOU NEED TO
00:14:11.83\00:14:12.73
TREAT THE CAUSE AS WELL.
00:14:12.73\00:14:15.63
>>BILL: WHAT WOULD BE
SOME OF THE MOST COMMON
00:14:15.63\00:14:16.63
TREATMENTS, TODAY, FOR ARTHRITIS
00:14:16.63\00:14:18.73
OR OSTEOARTHRITIS? >>DR.
00:14:18.73\00:14:19.30
FERREIRA: WELL, THE
QUICK FIX AND THE MOST COMMON
00:14:19.30\00:14:22.46
TREATMENT AND PEOPLE
ARE COMPLAINING OF PAIN, SO
00:14:22.46\00:14:28.16
LET'S SAY, LET'S DEAL
WITH THE PAIN, ITS NONALAGESIC
00:14:28.16\00:14:29.23
YOU GIVE SOMETHING
FOR PAIN, IT COULD BE,
00:14:29.23\00:14:34.03
THE MOST COMMONLY
USED ARE THE NON-STEROIDAL
00:14:34.03\00:14:39.03
ANTI-INFLAMMATORY DRUGS.
00:14:39.03\00:14:39.53
NOW, I DON'T WANT TO SAY
ANY NAMES BUT IT'S A BROAD
00:14:39.53\00:14:45.83
GROUP, OFTEN VERY
EFFECTIVE, SOMETIMES NOT
00:14:45.83\00:14:46.70
EFFECTIVE. IT DOESN'T
TREAT THE DISEASE. >>BILL:
00:14:46.70\00:14:53.00
IT ALLEVIATES.>>DR.
00:14:53.00\00:14:53.43
FERREIRA:
ALLEVIATES THE INFLAMMATION AND
00:14:53.43\00:14:56.33
DECREASES PAIN. SOMETIMES
IN COMBINATION WITH SOME
00:14:56.33\00:14:59.53
OTHER ANALGESICS AND
THEY CAN DECREASE INFLAMMATION
00:14:59.53\00:15:00.63
BUT IT DOESN'T GO
AND TREAT THE UNDERLYING
00:15:00.63\00:15:05.76
PROBLEM. SO, THOSE ARE
THE MOST COMMON TREATMENTS,
00:15:05.76\00:15:09.40
OKAY. NOW, THE
PROBLEM WITH THAT TREATMENT,
00:15:09.40\00:15:10.33
WITH THOSE, IS THAT
OFTEN PEOPLE CAN ONLY TAKE IT
00:15:10.33\00:15:13.70
FOR A SHORT TIME BECAUSE
THEY START GETTING STOMACH
00:15:13.70\00:15:16.83
PROBLEMS. THEY CAN
AFFECT THE STOMACH, THEY CAN
00:15:16.83\00:15:17.96
GIVE INFLAMMATION OF
THE STOMACH, OKAY, AND THERE
00:15:17.96\00:15:24.50
ARE OTHER SIDE EFFECTS
AND SO, YOU KNOW, BUT IT'S
00:15:24.50\00:15:30.03
A COMMONLY USED TREATMENT.
00:15:30.03\00:15:30.60
THEN, IF THOSE DON'T WORK
ANYMORE.>>BILL: YES. >>DR.
00:15:30.60\00:15:33.10
FERREIRA.THEN YOU'VE GOT
BIGGER GUNS; SOMETIMES YOU
00:15:33.10\00:15:34.13
CAN GIVE SOMETHING OF
THE FAIS A LAST RESORT BUT IT
00:15:34.13\00:15:35.50
SHOULDN'T BE DELAYED
TO THE POINT WHERE PEOPLE
00:15:35.50\00:15:36.50
SSURE BECAUSE THEY ARE INACTIVE.
00:15:36.50\00:15:37.16
SO.>>BILL: RIGHT, RIGHT.
00:15:37.16\00:15:37.66
>>DR. FERREIRA: BUT IT IS,
SORT OF,WE SHOULD PREVENT TS
00:15:37.66\00:15:38.80
DISEASE. IT'S ONE OF
THOSE DISEASES THAT CAN, TO A
00:15:38.80\00:15:39.33
TAKE THE HIP AND THE
BIG JOINTS. >>BILL: OKAY.
00:15:39.33\00:15:41.36
>>DR. FERREIRA:
LET'S TAKE THE HIP AND THE
00:15:41.36\00:15:42.30
KNEES. >>BILL: OKAY. DR.
00:15:42.30\00:15:45.93
WE SHOULD PREVENT THIS
DISEASE. IT'S ONE OF THOSE
00:15:45.93\00:15:46.96
DISEASES THAT CAN, TO A
FAMILY OF CORTISONE, OKAY,
00:15:46.96\00:15:53.13
AND IF THAT DOESN'T WORK,
REPLACE THE JOINT. AND SO,
00:15:53.13\00:15:54.56
REPLACEMENT OF JOINTS
IS A LAST RESORT BUT IT
00:15:54.56\00:15:55.56
SHOULDN'T BE DELAYED
TO THE POINT WHERE PEOPLE
00:15:55.56\00:15:57.13
START GETTING SICK FROM
INACTIVITY, YOU KNOW, THEY
00:15:57.13\00:15:59.26
START GETTING
DIABETES, HIGH BLOOD PRESSURE
00:15:59.26\00:16:00.30
BECAUSE THEY ARE INACTIVE.
00:16:00.30\00:16:01.36
SO.>>BILL: RIGHT, RIGHT.
00:16:01.36\00:16:01.86
>>DR. FERREIRA: BUT IT
IS, SORT OF, THE LAST RESORT
00:16:01.86\00:16:06.10
TO REPLACE THE JOINT IN
TERMS OF ARTHRITIS. BUT,
00:16:06.10\00:16:07.10
YOU KNOW, I BELIEVE
THAT WE SHOULD PREVENT THIS
00:16:07.10\00:16:12.26
DISEASE. IT'S ONE OF
THOSE DISEASES THAT CAN, TO A
00:16:12.26\00:16:15.80
GREAT EXTENT, BE
PREVENTED. LET'S TAKE THE
00:16:15.80\00:16:16.66
BIG JOINTS. >>BILL: OKAY.
00:16:16.66\00:16:21.43
>>DR. FERREIRA:
LET'S TAKE THE HIP AND THE
00:16:21.43\00:16:22.50
KNEES. >>BILL: OKAY. DR.
00:16:22.50\00:16:25.46
FERREIRA: ARTHRITIS,
BEING AN OVERUSED, SORRY
00:16:25.46\00:16:26.40
OSTEOARTHRITIS,
BEING ABUSED AND OVERUSED,
00:16:26.40\00:16:32.43
THINK OF WHAT CAUSES IT?
00:16:32.43\00:16:32.90
AND VERY OFTEN PEOPLE
ARE OVERWEIGHT. AND SO,
00:16:32.90\00:16:38.93
WEIGHT REDUCTION
BRINGS MARKED BENEFITS TO THIS
00:16:38.93\00:16:46.03
CONDITION. OFTEN, JUST
THAT CAN RELIEVE THE PAIN
00:16:46.03\00:16:47.13
BUT YOU OFTEN FIND THAT
PEOPLE ARE NOT OVERWEIGHT
00:16:47.13\00:16:52.16
AND THEY STILL GET
ARTHRITIS. BUT MOST OF
00:16:52.16\00:16:54.86
THEM, IS A COMPONENT
OF BEING OVERWEIGHT. SO,
00:16:54.86\00:16:55.80
WEIGHT REDUCTION IS
VERY IMPORTANT. IN THE PAST,
00:16:55.80\00:16:59.83
DOCTORS USED TO TELL
THE PATIENTS, WELL, YOU GO
00:16:59.83\00:17:04.36
HOME AND REST. GO HOME
AND REST. WELL, IT MIGHT BE
00:17:04.36\00:17:05.43
GOOD FOR A DAY OR TWO
BUT WE FIND, TODAY, THAT
00:17:05.43\00:17:11.00
INACTIVITY ACTUALLY
IS WORSE FOR ARTHRITIS.
00:17:11.00\00:17:16.50
>>BILL: OH, INTERESTING.
00:17:16.50\00:17:17.00
>>DR. FERREIRA: AND I
GO BACK TO THE DRAWING. DO
00:17:17.00\00:17:19.73
YOU REMEMBER THE
CARTILAGE? >>BILL: YES.
00:17:19.73\00:17:20.60
DR. FERREIRA:
CARTILAGE DOESN'T HAVE A BLOOD
00:17:20.60\00:17:23.66
SUPPLY. >>BILL: OKAY.
00:17:23.66\00:17:24.13
>>DR. FERREIRA: BUT
IT'S A LIVING TISSUE. HOW CAN
00:17:24.13\00:17:27.66
YOU HAVE LIFE IF YOU
DON'T HAVE BLOOD? LET'S DRAW
00:17:27.66\00:17:32.26
CARTILAGE HERE. BIG, OKAY.
00:17:32.26\00:17:32.83
IT'S FULL OF TINY HOLES.
00:17:32.83\00:17:33.30
REMEMBER I TOLD YOU IT
WAS LIKE A SPONGE. IT DOESN'T
00:17:33.30\00:17:37.26
HAVE A BLOOD SUPPLY TO
THE CENTRE OF IT BUT HOW DOES
00:17:37.26\00:17:46.30
IT GET NUTRITION? IT
GETS IT FROM THE SINOVIAL
00:17:46.30\00:17:47.26
FLUID. BUT HOW
DOES THE SYNOVIAL FLUID
00:17:47.26\00:17:54.80
GET INTO THERE? WELL,
VERY INTERESTING. A SPONGE WHEN
00:17:54.80\00:18:02.13
WEIGHT IS PUT ON IT,
WHAT HAPPENS? >>BILL:
00:18:02.13\00:18:03.00
COMPRESSES. DR.
FERREIRA: COMPRESSES AND WHAT
00:18:03.00\00:18:07.53
HAPPENS TO THE LIQUID
IN THERE? IT GOES OUT. WHAT
00:18:07.53\00:18:11.00
HAPPENS WHEN YOU.>>BILL:
IT SUCKS LIQUID IN. >>DR.
00:18:11.00\00:18:12.00
FERREIRA: IT SUCKS
LIQUID IN. PUSHES IT OUT, SUCKS
00:18:12.00\00:18:15.96
IT IN. PUSHES IT OUT,
SUCKS IT IN. EXERCISE IS
00:18:15.96\00:18:19.73
VERY IMPORTANT IN THE
PREVENTION OF ARTHRITIS,
00:18:19.73\00:18:20.70
OSTEOARTHRITIS BECAUSE
IT KEEPS NUTRIENTS, GOOD
00:18:20.70\00:18:24.50
NUTRIENTS SUPPLYING
THE JOINTS. OKAY, SO A
00:18:24.50\00:18:31.90
COMBINATION IN INACTIVITY
WITH BEING OVERWEIGHT,
00:18:31.90\00:18:33.00
IT'S BAD NEWS FOR
ARTHRITIS. NOW, FOR THE
00:18:33.00\00:18:39.10
TREATMENT OF
ARTHRITIS, YOU NEED GOOD, A GOOD
00:18:39.10\00:18:43.46
SUPPLY OF NUTRIENTS
TO THAT SPONGE SO, VERY
00:18:43.46\00:18:44.40
LIGHT EXERCISE IS VERY
IMPORTANT. >>BILL: WOW.
00:18:44.40\00:18:50.10
>>DR. FERREIRA: OKAY BUT
IT'S IMPORTANT TO MOVE SO
00:18:50.10\00:18:53.90
THAT THE JOINT KEEPS
BEING FED WITH NUTRIENTS. SO,
00:18:53.90\00:18:54.96
IN THE TREATMENT I
WOULD RECOMMEND, YOU KNOW,
00:18:54.96\00:18:59.26
NON-STEROIDAL DRUGS ARE
VERY USEFUL, THEY'VE GOT
00:18:59.26\00:19:05.93
THEIR PLACE. I PREFER TO
GO AS NATURAL AS POSSIBLE
00:19:05.93\00:19:06.93
SO THAT I CAN HAVE
SIDE EFFECTS REDUCED,
00:19:06.93\00:19:11.83
MINIMIZED. >>BILL: SURE.
00:19:11.83\00:19:12.30
>>DR. FERREIRA: A
GOOD ANTI-INFLAMMATORY
00:19:12.30\00:19:16.13
TREATMENT IS ICE.
SIMPLE ICE. IF YOU'VE GOT A
00:19:16.13\00:19:21.40
PAINFUL, SWOLLEN JOINT,
THAT'S NOT INFECTED WITH
00:19:21.40\00:19:22.40
ANY BUG LIKE A
BACTERIA OR.JUST ICE. TREATMENT
00:19:22.40\00:19:29.73
SIMPLE ICE. IT
DECREASES INFLAMMATION AND IT
00:19:29.73\00:19:34.93
REDUCES PAIN.
ALRIGHT, ICE IS VERY IMPORTANT.
00:19:34.93\00:19:35.90
THEN GOOD NUTRITION.
GOOD NUTRITION WITH A LOW-FAT
00:19:35.90\00:19:41.00
DIET BECAUSE YOU WANT
GOOD CIRCULATION TO BE
00:19:41.00\00:19:47.10
OPTIMIZED. AND IF
YOU'VE GOT A LOT OF FAT IN YOUR
00:19:47.10\00:19:48.06
DIET YOU'RE
ACTUALLY PUSHING INFLAMMATION
00:19:48.06\00:19:49.96
UP BECAUSE FAT IN A DIET
INCREASES INFLAMMATION. A
00:19:49.96\00:19:55.13
LOW-FAT DIET, A LOW
MEAT, A VEGETARIAN DIET,
00:19:55.13\00:19:56.06
YOU KNOW I RECOMMEND A
VEGETARIAN DIET. >>BILL:
00:19:56.06\00:20:02.10
SURE. >>DR. FERREIRA:
VEGETARIAN DIET DECREASES
00:20:02.10\00:20:04.13
INFLAMMATION IN
YOUR BODY. ONE MEAL OF A
00:20:04.13\00:20:05.00
MEAT CONTAINING
MEAL, IT INCREASES YOUR
00:20:05.00\00:20:11.33
INFLAMMATION. JUST
ONE MEAL. SO, A VEGETARIAN
00:20:11.33\00:20:21.00
DIET, LOW-FAT, PLENTY OF
WATER BECAUSE YOU WANT THE
00:20:21.00\00:20:22.03
BLOOD TO BE FLUID, GOOD
CIRCULATION TO THAT JOINT
00:20:22.03\00:20:28.70
AND THEN VERY MILD TO
MODERATE EXERCISE. NOW,
00:20:28.70\00:20:34.83
YOU COULD TELL ME,
WELL DOCTOR ITS FINE BUT I
00:20:34.83\00:20:35.83
CANNOT WALK. I'VE GOT
SO MUCH PAIN THAT I CANNOT
00:20:35.83\00:20:42.30
WALK. >>BILL: RIGHT. >>DR.
00:20:42.30\00:20:42.83
FERREIRA: NOW, THERE
ARE EXERCISES THAT ARE
00:20:42.83\00:20:46.56
PROBABLY BETTER
THAN WALKING, FOR YOU.
00:20:46.56\00:20:50.46
SWIMMING, FOR
EXAMPLE, YOU'VE NOTICED WHEN
00:20:50.46\00:20:51.53
YOU GET INTO A SWIMMING
POOL.>>BILL: I'M LIGHT AS
00:20:51.53\00:20:55.66
A FEATHER. >>DR. FERREIRA:
.YOU'RE LIGHT. ALRIGHT,
00:20:55.66\00:20:58.43
SWIMMING IS EXCELLENT
FOR ARTHRITIS.>>BILL: IS IT?
00:20:58.43\00:20:59.43
DR. FERREIRA: .BECAUSE
IT ALLOWS PEOPLE TO MOVE
00:20:59.43\00:21:02.73
THEIR JOINTS WITHOUT
THE WEIGHT, WITHOUT THE
00:21:02.73\00:21:06.10
.>>BILL: POUNDING.
00:21:06.10\00:21:06.53
DR. FERREIRA: .POUNDING
OF THAT WEIGHT. SO, IT'S VERY
00:21:06.53\00:21:09.80
IMPORTANT,
SWIMMING, NON-WEIGHT BEARING
00:21:09.80\00:21:10.66
EXERCISE. AND
THEN GRADUALLY AS THE
00:21:10.66\00:21:13.23
INFLAMMATION DECREASES,
AS THE PAIN DECREASES, THEN
00:21:13.23\00:21:16.40
GRADUALLY MOVE ONTO
LIGHT WEIGHT EXERCISES BUT IT'S
00:21:16.40\00:21:17.43
IMPORTANT TO BE
ACTIVE IN THE TREATMENT
00:21:17.43\00:21:24.46
OF ARTHRITIS. OF
OSTEOARTHRITIS, OKAY.
00:21:24.46\00:21:26.80
>>BILL: IS IT, IS IT
A REVERSIBLE CONDITION
00:21:26.80\00:21:27.70
>>DR. FERREIRA: WELL,
IT'S LIKE THE CARTILAGE
00:21:27.70\00:21:35.60
IS THOUGHT TO BE, NOT
TO REGENERATE ITSELF, OKAY.
00:21:35.60\00:21:41.06
YOU CAN PREVENT THE
DAMAGE BUT TO REVERSE IT, THERE
00:21:41.06\00:21:42.10
ARE CERTAIN THINGS ON
THE MARKET, YOU KNOW PEOPLE,
00:21:42.10\00:21:46.66
THERE ARE SOME STUDIES
THAT SHOW CERTAIN PEOPLE
00:21:46.66\00:21:50.63
MAYBE GLUCOSAMINE, MAYBE
CONDRITINE, MAYBE THEY DO
00:21:50.63\00:21:51.63
THEY DO HELP SOME PEOPLE.
00:21:51.63\00:21:55.86
YOU KNOW, IT MAY BUILD
UP A LITTLE BIT OF CARTILAGE
00:21:55.86\00:21:56.90
BUT IT'S NOT SIGNIFICANT,
OKAY. THE BEST THING IS
00:21:56.90\00:21:59.90
TO PREVENT THIS CONDITION
OR IF YOU HAVE IT, TO HALT
00:21:59.90\00:22:04.33
ITS PROGRESSION BY
WEIGHT REDUCTION, GOOD DIET,
00:22:04.33\00:22:05.46
MODERATE, MILD TO MODERATE
EXERCISE, KEEPING ACTIVE.
00:22:05.46\00:22:11.60
SO, IN TERMS OF
REVERSING IT, I THINK YOU CAN
00:22:11.60\00:22:15.53
STABILIZE IT, YOU CAN
DEFINITELY BENEFIT UP TO A
00:22:15.53\00:22:16.56
CERTAIN POINT HAVING
LESS PAIN AND MORE MOBILITY
00:22:16.56\00:22:21.86
AND MANY PEOPLE DO
IMPROVE BUT THERE'S ONE POINT
00:22:21.86\00:22:27.83
WHERE PAIN IS CONSTANT
AND WHEN YOU GET TO THAT STAGE
00:22:27.83\00:22:28.93
IT'S BETTER TO
CONSIDER, REALLY, REPLACING
00:22:28.93\00:22:35.03
THE JOINT. HAVING SURGERY,
MAYBE RESHAPING BEFORE YOU
00:22:35.03\00:22:40.16
REPLACE, YOU COULD RESHAPE
THAT CARTILAGE, TAKE AWAY
00:22:40.16\00:22:41.23
SOME BITS AND PIECES
THAT MIGHT BE HURTING YOU. TRY
00:22:41.23\00:22:44.80
THAT AND IF IT DOESN'T
WORK, REALLY REPLACE THE
00:22:44.80\00:22:47.96
JOINT. AND, WHICH IS
A VERY COMMON OPERATION
00:22:47.96\00:22:48.93
NOWADAYS, I MEAN, IT'S
A QUICK RECOVERY AND THEN
00:22:48.93\00:22:53.53
PEOPLE CAN BE MOBILE
AGAIN, THEY CAN PREVENT
00:22:53.53\00:22:57.26
THE DIABETES BY
WALKING AND DOING ALL SORTS OF
00:22:57.26\00:22:58.36
THINGS THAT THEY
STOPPED DOING BEFORE. >>BILL:
00:22:58.36\00:23:01.56
YEAH, THERE ARE SOME,
THERE ARE SOME POTENTIAL
00:23:01.56\00:23:05.03
SERIOUS HEALTH RISKS,
AS FAR AS I UNDERSTAND,
00:23:05.03\00:23:06.03
WITH THINGS LIKE KNEE
REPLACEMENT SURGERY. ANY
00:23:06.03\00:23:08.66
KIND OF SURGERY IS A.>>DR.
00:23:08.66\00:23:09.20
FERREIRA: YES, YES.
00:23:09.20\00:23:13.00
>>BILL: .SOMETHING
THAT YOU KIND OF WANT TO
00:23:13.00\00:23:13.96
MINIMIZE, RIGHT? >>DR.
00:23:13.96\00:23:15.83
FERREIRA: WELL, THE
ANESTHETIC RISK AND THAT'S
00:23:15.83\00:23:16.83
A RISK, THEN THERE'S
THE RISK OF INFECTION. I
00:23:16.83\00:23:21.40
MEAN, IF YOU DON'T
WANT TO GET AN INFECTED KNEE
00:23:21.40\00:23:25.43
PROSTHESIS OR A HIP
PROSTHESIS, SO THAT'S
00:23:25.43\00:23:26.36
INFECTION. AND
THEN, OF COURSE, THERE ARE
00:23:26.36\00:23:30.53
COMPLICATIONS LIKE DEEP
VEIN THROMBOSIS AND SO ON.
00:23:30.53\00:23:32.83
>>BILL: YEAH. >> DR.
00:23:32.83\00:23:33.30
FERREIRA: BUT YOU
KNOW, IT'S LIKE THIS, IT'S A
00:23:33.30\00:23:35.90
RELATIVELY, RELATIVELY
LOW RISK, COMPARED TO THE
00:23:35.90\00:23:36.90
RISKS, AND YOU HAVE
TO JUDGE FROM PATIENT TO
00:23:36.90\00:23:44.06
PATIENT, OKAY, THERE
ARE PATIENTS WHO HAVE HEART
00:23:44.06\00:23:47.56
DISEASE AND SO ON. I
MEAN, THE RISK IS HIGHER,
00:23:47.56\00:23:48.53
DEVELOPING COMPLICATIONS
FROM THE SURGERY, SO YOU
00:23:48.53\00:23:54.56
HAVE TO JUDGE FROM CASE
TO CASE. BUT IT'S IMPORTANT
00:23:54.56\00:24:00.13
TO PREVENT IT, VERY
IMPORTANT TO PREVENT
00:24:00.13\00:24:01.03
ARTHRITIS IF YOU HAVE
IT TREATED AS NATURALLY AS
00:24:01.03\00:24:05.33
POSSIBLE WITH A GOOD
DIET, WEIGHT REDUCTION, AND SO
00:24:05.33\00:24:09.56
ON. I'M TALKING ABOUT
ARTHRITIS AND THEN IF IT
00:24:09.56\00:24:10.53
DOESN'T WORK THEN SURGERY
AND, OF COURSE, TREATMENT
00:24:10.53\00:24:14.00
FOR ALL THE OTHER
DISEASES: AUTOIMMUNE
00:24:14.00\00:24:16.70
DISEASE AND SO ON.
00:24:16.70\00:24:17.23
IT'S VERY SPECIFIC
BUT LIFESTYLE PLAYS A VERY
00:24:17.23\00:24:20.83
IMPORTANT ROLE AS WELL.
00:24:20.83\00:24:21.36
VERY IMPORTANT. >>BILL:
IT SEEMS LIKE WE ALWAYS COME
00:24:21.36\00:24:25.46
BACK TO THOSE.>>DR.
00:24:25.46\00:24:25.93
FERREIRA: ALWAYS COME
BACK TO THE SAME. THAT'S HOW
00:24:25.93\00:24:28.10
GOD MADE US. GOD MADE
US TO BE ACTIVE, HAVE A
00:24:28.10\00:24:29.10
GOOD DIET, NOT EAT
OTHER ANIMALS, THAT'S HOW GOD
00:24:29.10\00:24:33.60
MADE US. AND IF WE
DEVIATE FROM THAT PATTERN WE MAY
00:24:33.60\00:24:38.00
SUFFER AS A RESULT. I
MEAN, IT DOESN'T MEAN THAT
00:24:38.00\00:24:39.03
THOSE THAT STICK TO THE
PATTERN DON'T SUFFER BUT
00:24:39.03\00:24:44.23
THE RISKS ARE MUCH
LOWER SO, I THINK IT'S WORTH;
00:24:44.23\00:24:48.66
IT'S WORTH CONSIDERING
ALL THESE THINGS. IT'S WORTH
00:24:48.66\00:24:49.70
THINKING ABOUT THEM
AND CONSIDERING THEM AND,
00:24:49.70\00:24:53.40
JUST, YOU KNOW, I THINK
WE REALLY NEED TO COME TO
00:24:53.40\00:25:01.80
GRIPS WITH, WHAT ARE WE
HERE FOR? WHAT'S LIFE ALL
00:25:01.80\00:25:02.83
ABOUT? >>BILL: YES. >>DR.
00:25:02.83\00:25:07.10
FERREIRA: I BELIEVE
THAT WE CAN ONLY FIND TRUE
00:25:07.10\00:25:08.10
MEANING, IN ALL ASPECTS
OF OUR LIFE IF WE HAVE A
00:25:08.10\00:25:15.73
PERSONAL RELATIONSHIP
WITH GOD. >>BILL: YES. >>DR.
00:25:15.73\00:25:19.56
FERREIRA: AND SO, THESE
ARE THE MECHANICS OF IT.
00:25:19.56\00:25:20.56
>>BILL: YES, ABSOLUTELY.
00:25:20.56\00:25:24.70
>>DR. FERREIRA: YOU
KNOW, OF THE BODY. BUT DEEPER
00:25:24.70\00:25:25.73
INSIDE I THINK WE
WILL ONLY HAVE THE POWER
00:25:25.73\00:25:29.00
TO CHANGE IF WE GO TO
GOD >>BILL: ABSOLUTELY. WELL,
00:25:29.00\00:25:36.16
LET'S GO TO HIM NOW AND
PRAY. >>DR. FERREIRA: YES.
00:25:36.16\00:25:37.23
>>BILL: FATHER IN
HEAVEN, WE THANK YOU FOR WHAT WE
00:25:37.23\00:25:39.86
HAVE HEARD TODAY AND
WE PRAY THAT YOU WILL GIVE
00:25:39.86\00:25:45.03
EACH AND EVERY ONE OF US
THAT NEEDS TO MAKE CHANGES
00:25:45.03\00:25:46.06
IN OUR LIVES, THE
STRENGTH AND THE COURAGE TO DO
00:25:46.06\00:25:48.80
THOSE. WE PRAY FOR THOSE
VIEWERS THAT ARE WATCHING
00:25:48.80\00:25:52.73
US RIGHT NOW. MANY OF
THEM ARE SUFFERING AND WE PRAY
00:25:52.73\00:25:53.80
THAT YOUR HAND MAY COME
UPON THEM; YOU MAY BRING
00:25:53.80\00:25:57.40
HEALING INTO THEIR
LIVES I PRAY NOW THAT EACH AND
00:25:57.40\00:26:01.73
EVERY PERSON HEARING MY
VOICE MAY EXPERIENCE THAT
00:26:01.73\00:26:02.76
REALITY IN THEIR LIVES IN
JESUS' NAME WE PRAY. AMEN.
00:26:02.76\00:26:06.43
>>DR. FERREIRA: AMEN.
00:26:06.43\00:26:09.70
>>BILL: WE HAVE A
VERY VALUABLE RESOURCE FOR
00:26:16.10\00:26:17.06
THOSE OF YOU THAT WOULD
LIKE TO MAKE SOME OF THESE
00:26:17.06\00:26:18.83
LIFESTYLE CHANGES THAT DR.
00:26:18.83\00:26:19.36
FERREIRA HAS MENTIONED,
THE JOURNAL OF HEALTH AND
00:26:19.36\00:26:22.76
HEALING, IT'S A MAGAZINE,
A VERY VALUABLE ARTICLE
00:26:22.76\00:26:26.86
HERE CALLED "THE
VEGETARIAN ADVANTAGE". IT
00:26:26.86\00:26:27.73
IS OUR GIFT TO YOU.
HERE IS THE INFORMATION YOU
00:26:27.73\00:26:32.00
NEED TO GET YOUR COPY.
00:26:32.00\00:26:34.20
>>BILL: DR.
FERREIRA, MAYBE SOME CLOSING
00:27:25.06\00:27:26.06
THOUGHTS. >>DR. FERREIRA:
KEEP MOVING. >>BILL: KEEP
00:27:26.06\00:27:27.66
MOVING. >>DR. FERREIRA:
KEEP MOVING, CONTROL YOUR
00:27:27.66\00:27:30.33
WEIGHT, AND EAT WELL.
00:27:30.33\00:27:30.83
I THINK THOSE THREE THINGS
ARE VERY IMPORTANT. AND IF
00:27:30.83\00:27:34.86
YOU NEED HELP WITH THEM,
ASK GOD FOR HELP. >>BILL:
00:27:34.86\00:27:35.86
ABSOLUTELY, EXCELLENT
ADVICE. THANK YOU AGAIN
00:27:35.86\00:27:40.86
FOR BEING HERE. WELL,
THANK YOU FOR BEING HERE.
00:27:40.86\00:27:44.56
REMEMBER TO VISIT
OUR WEBSITE, I T I
00:27:44.56\00:27:45.50
SWRITTENCANADA.CA.
00:27:45.50\00:27:48.83
THERE, THERE'S A LOT OF
VALUABLE RESOURCES AND YOU
00:27:48.83\00:27:50.00
CAN SEND US YOUR
PRAYER REQUESTS. WELL, WE'RE
00:27:50.00\00:27:53.13
GOING TO BE PRAYING THAT
THE GOOD LORD ALLOWS US TO
00:27:53.13\00:27:56.96
BE HERE AGAIN WITH YOU
NEXT WEEK. I HOPE THAT YOU
00:27:56.96\00:27:58.13
WILL TAKE THE TIME TO BE
WITH US ALSO. UNTIL THEN,
00:27:58.13\00:28:01.03
REMEMBER, IT IS WRITTEN
THAT MAN SHALL NOT LIVE BY
00:28:01.03\00:28:05.33
BREAD ALONE BUT BY
EVERY WORD THAT PROCEEDS
00:28:05.33\00:28:06.23
FROM THE MOUTH OF GOD.
00:28:06.23\00:28:11.10
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