Participants:
Series Code: IIWC
Program Code: IIWC200913
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00:01 >>BILL: TODAY ON THE "IT IS WRITTEN" PROGRAM,
00:02 ANOTHER ONE IN OUR LIVE HEALTHY SERIES WITH DR. 00:04 FERREIRA. IF YOU'VE GOT SORE JOINTS YOU'RE GOING 00:07 TO WANT TO LISTEN TO HIS ADVICE. "IT IS WRITTEN" 00:08 BEGINS RIGHT NOW. 00:14 (MUSIC) 00:23 >>ANNOUNCER: IT HAS STOOD THE TEST OF TIME. 00:26 GOD'S BOOK THE BIBLE 00:29 STILL RELEVANT IN TODAY'S COMPLEX WORLD. 00:33 IT IS WRITTEN . 00:36 SHARING MESSAGES OF HOPE AROUND THE WORLD. 00:41 (MUSIC) 00:54 >>BILL: WELCOME TO THE "IT IS WRITTEN" PROGRAM. DR. 00:55 FERREIRA, WELCOME BACK. 00:56 >>DR. FERREIRA: THANK YOU, THANK YOU. >>BILL: YOU 00:58 KNOW, FOLKS, WE GET A LOT OF POSITIVE FEEDBACK 00:59 ON THESE LIVE HEALTHY SEGMENTS THAT YOU DO AND 01:02 SO WE APPRECIATE YOUR ADVICE. AND TODAY WE'RE 01:04 GOING TO TALK ABOUT ACHY JOINTS. >>DR. FERREIRA: 01:05 THAT'S RIGHT. >>BILL: ARTHRITIS, I GUESS, AND 01:12 OTHER.IS THAT SORT OF THE COMMON TERM. IS THAT AN 01:13 ALL ENCOMPASSING TERM FOR JOINT AILMENTS, 01:16 ARTHRITIS, OR IS THAT A SPECIFIC.>>DR. FERREIRA: 01:20 IT'S A SPECIFIC TERM, YES. >>BILL: OKAY. WHAT IS 01:21 ARTHRITIS? >>DR. FERREIRA: ARTHRITIS IS A BROAD TERM. 01:29 ARTHRITIS, "ITIS" MEANS INFLAMMATION. SO, IT'S A 01:37 WORD THAT DESCRIBES THAT THERE IS AN INFLAMMATION 01:38 WHERE? IN A JOINT. NOW, WE HAVE OVER 200 JOINTS IN 01:46 THE BODY. IF WE, IF WE HAD TO TAKE OUR SKELETON AWAY 01:59 WE WOULD JUST COLLAPSE AND BE A LUMP OF MEAT. NOW, 02:00 TO KEEP US UP, IMAGINE PUTTING A BROOM STICK 02:08 INSIDE, OKAY, AND THAT LIFTS US TO A METRE EIGHTY 02:15 OR TWO METRES BUT WE WOULD BE SHAPELESS, ALMOST, 02:16 AND JUST UPRIGHT. NOW, YOU START PUTTING A FEW MORE 02:25 STICKS SO YOU CAN HAVE A SCARECROW, OKAY, AND THEN 02:33 A FEW MORE AND ALL THESE STICKS HAVE TO BEND, 02:34 OTHERWISE YOU'D BE STIFF. 02:41 SO, THOSE HINGES ARE THE JOINTS, OKAY, AND 02:42 SO, WE'VE GOT MANY, MANY JOINTS. JUST TO BE ABLE TO 02:49 TALK, JUST TO BE ABLE TO MOVE MY JAW I'VE GOT TWO 02:54 JOINTS, ONE ON EACH SIDE, THE TEMPOROMANDIBULAR 02:55 JOINTS. TEMPORO BECAUSE OF THE TEMPORAL BONE AND 03:04 MANDIBULAR BECAUSE OF THE MANDIBLE, OKAY, AND THOSE 03:05 ARE TWO JOINTS. THERE ARE MANY JOINTS ON THE BACK 03:06 OF MY NECK, OKAY, ON THE CERVICAL SPINE JOINTS. 03:11 THERE ARE JOINTS.LOOK AT MY HANDS, OKAY. SO, EACH 03:16 ONE.I'VE GOT ONE, TWO, THREE, FOUR BONES HERE AND 03:17 THEN I'VE GOT LITTLE ONES AND THEN LITTLE ONES AND 03:20 THEN EVEN SMALLER ONES ALL OF THESE HAVE TO BE 03:25 TOGETHER, HAVE TO BE CONNECTED AND SO, THEY 03:26 HAVE A HINGE THAT'S A JOINT. SO, WE'VE GOT MANY, 03:31 MANY JOINTS IN THE BODY AND ARTHRITIS JUST MEANS 03:36 THAT THERE'S AN INFLAMMATION IN THE 03:37 JOINTS. >>BILL: NOW, DOES ARTHRITIS STRIKE, CAN IT 03:41 STRIKE AT ANY JOINT? OR DOES IT TEND TO GRAVITATE 03:46 TO SPECIFIC JOINTS? >>DR. 03:47 FERREIRA: IT CAN STRIKE AT ANY JOINT, DEPENDING WHAT 03:50 CAUSES IT BUT YES, THERE ARE PATTERNS. CERTAIN 03:51 TYPES OF ARTHRITIS ARE MORE LIKELY TO STRIKE 03:58 CERTAIN TYPES OF JOINTS, OKAY. SO, UM, ARTHRITIS 04:04 DOES TELL YOU.THE WORD "ARTHRITIS" DOESN'T TELL 04:05 YOU WHAT CAUSES IT AND THERE ARE MANY CAUSES. 04:08 I COULD JUST GO THROUGH A FEW. PROBABLY THE MOST 04:14 IMPORTANT ONE AND WE'RE GOING TO TALK A LOT 04:15 ABOUT IT THIS PROGRAM, IS BECAUSE OF USE, OVERUSE 04:20 OR ABUSE. IT'S CALLED OSTEOARTHRITIS. THERE ARE 04:28 DISEASES, FOR EXAMPLE, LET'S JUST 04:29 DESCRIBE.>>BILL: SURE. 04:33 >>DR. FERREIRA: LET'S GO FIRST AND TRY AND DRAW A 04:34 JOINT, OKAY. NOW, WE'VE GOT A BONE, THE END OF 04:38 A BO. ALRIGHT, AND NOW WE'VE GOT, REMEMBER, IT'S 04:44 THE HINGE BETWEEN TWO BONES. YOU'VE GOT ANOTHER 04:45 BONE, WHICH IS A LITTLE BIT DIFFERENT, OKAY. NOW, 04:52 YOU'VE GOT A GAP. LET'S SAY THIS IS THE KNEE. THE 04:57 KNEE HAS GOT A LITTLE BONE THERE WHICH IS CALLED THE 04:58 "FIBULA", ALRIGHT. LET'S SAY THIS IS THE KNEE. NOW, 05:03 IF YOU TOUCH BONE ON BONE, IT'S VERY PAINFUL. SO, GOD 05:12 MADE US HAVE A SHOCK ABSORBER THERE, SO REALLY, 05:13 HE MADE A CARTILAGE TO GO THERE AND ANOTHER ONE TO 05:23 GO HERE, ALRIGHT. >>BILL: OKAY. >>DR. FERREIRA: NOW, 05:32 CARTILAGE.>>BILL: WHAT'S THAT MADE UP OF 05:33 CARTILAGE? >>DR. FERREIRA: OF CARTILAGE. NO, IT'S A 05:35 VERY TOUGH SPONGE. >>BILL: OKAY. >>DR. FERREIRA: BUT 05:39 IT'S EXTREMELY TOUGH. IT'S MUCH SOFTER THAN BONE, 05:40 IT'S TOUGHER THAN JELLY, OKAY, BUT IT'S VERY TOUGH 05:45 BUT IT'S LIKE A SPONGE AND I'M USING THAT TERM 05:50 BECAUSE I'M GOING TO DESCRIBE HOW NUTRIENTS 05:51 AND NUTRITION GETS TO CARTILAGE. >>BILL: OKAY. 05:57 >>DR. FERREIRA: NOW, THEN WHAT DO YOU PUT IN DOOR 06:01 WHEN THE HINGES SQUEAKS? 06:02 >>BILL: OIL. >>DR. 06:03 FERREIRA: OIL. ALRIGHT, WE NEED SOME OIL THERE. SO, 06:06 LET'S PUT SOME OIL HERE SOME DOTS OF OIL. ALRIGHT, 06:13 BUT YOU HAVE TO HAVE THE OIL INSIDE SOMETHING OR 06:14 ELSE IT WILL RUN OUT, SO, YOU MIGHT WANT TO PUT A 06:23 LITTLE PLASTIC BAG THERE CAN YOU UNDERSTAND THAT? 06:25 >>BILL: YES, SIR. >>DR. 06:26 FERREIRA: SO, THE OIL IS INSIDE THESE AND THIS BAG, 06:29 IT'S A VERY SPECIALIZED KIND OF BAG. IT'S CALLED 06:30 A "SYNOVIAL MEMBRANE". 06:34 ALRIGHT, SO YOU'VE GOT A CLOSED SPACE HERE WITH 06:36 CARTILAGE, REMEMBER THAT'S CARTILAGE THERE, ALRIGHT, 06:44 YOU'VE GOT THE OIL WHICH IS A LIQUID CALLED THE 06:46 "SYNOVIAL FLUID", YOU'VE HEARD ABOUT THAT. >>BILL: 06:47 YES. >>DR. FERREIRA: SYNOVIAL FLUID WHICH IS 06:49 VERY VISCOUS, MORE VISCOUS THAN OIL. IT'S AN AMAZING 06:53 SUBSTANCE. AND THEN YOU'VE GOT THIS BAG TO HOLD 06:54 IT IN PLACE. >>BILL: HOLDS EVERYTHING IN PLACE. >>DR. 07:00 FERREIRA: AND THIS BAG IS VERY INTERESTING. IT 07:01 ACTUALLY PRODUCES THE SYNOVIAL FLUID, ALRIGHT 07:02 AND THEN.BUT THIS IS VERY THIN, THIS BAG IS VERY 07:07 THIN.THEN YOU HAVE TO HAVE SOMETHING THAT WILL 07:12 PREVENT THAT BONE FROM MOVING, OKAY. >>BILL: 07:13 SURE. >>DR. FERREIRA: SO IT WILL ONLY ALLOW 07:16 CERTAIN MOVEMENTS THAT ARE PRE-ESTABLISHED, OKAY? SO 07:20 LET'S PUT SOME VERY THICK.I WISH I COULD GET 07:21 ANOTHER COLOUR HERE.OKAY, LET'S PUT A VERY THICK 07:27 ROPE THAT CONNECTS THE TOP AND THE BOTTOM ON BOTH 07:36 SIDES AND THOSE ARE THE LIGAMENTS OF THAT JOINT 07:37 YOU'VE HEARD ABOUT LIGAMENTS? >>BILL: YES. 07:43 >>DR. FERREIRA: VERY TOUGH, FLEXIBLE BUT VERY 07:46 TOUGH. ALRIGHT. THERE YOU'VE GOT A JOINT. NOW, 07:47 ARTHRITIS JUST MEANS INFLAMMATION OF THAT 07:51 JOINT. >>BILL: OKAY. >>DR. 07:52 FERREIRA: WHAT CAUSES IT? 07:54 WELL, IT COULD BE TRAUMATIC. A TRAUMA TO 07:55 THAT AND IT COULD BE.THAT WILL BREAK SOME OF THE 08:01 CARTILAGE, TEAR IT, TEAR LIGAMENTS, YOU KNOW. THE 08:08 OTHER CAUSE COULD BE INFECTIONS, OKAY. YOU 08:09 COULD GET BACTERIA AND VIRUSES ATTACKING THE 08:13 JOINTS AND THAT'S, AND THEY COULD CAUSE 08:17 ARTHRITIS. THE OTHER CAUSE, FOR EXAMPLE, IS 08:18 THE PRESENCE OF LITTLE CRYSTALS THAT ARE FORMED 08:23 IN THE JOINTS FROM URIC ACID. AND THAT PROBABLY 08:28 REMINDS YOU OF A DISEASE CALLED "GOUT". >>BILL: 08:29 YES. >>DR. FERREIRA: YOU KNOW GOUT WHICH IS AN 08:33 INFLAMMATION OF THE JOINT AS A RESPONSE TO LITTLE 08:38 CRYSTALS THAT ARE FORMED BECAUSE THE URIC ACID IS 08:39 TOO HIGH IN YOUR BLOOD. IT FORMS THESE CRYSTALS AND 08:45 THEY ATTACK THE JOINT. 08:46 AND THERE ARE MANY OTHER CAUSES BUT ONE OF THE MOST 08:50 IMPORTANT, THE MOST.OH, I WAS FORGETTING, THE OTHER 08:56 CAUSES, YOU'VE HEARD OF RHEUMATOID ARTHRITIS AND 08:58 SO ON AND THAT'S.WHAT HAPPENS IN THESE MEMBRANE, 09:00 THE SINOVIAL MEMBRANE, THEY ARE VERY SPECIALIZED 09:07 CELLS THAT PRODUCE THE SINVOIAL FLUID. NOW, WE'VE 09:08 GOT AN ARMY OR A POLICE FORCE IN OUR BODY WHICH 09:17 IS THE IMMUNE SYSTEM. 09:18 WE'VE GOT CELLS THAT ARE SPECIALIZED TO KILL. TO 09:22 KILL WHO? HOPEFULLY, NOT US. TO KILL THE ENEMY. TO 09:27 KILL BACTERIA, TO KILL VIRUSES, TO DO ALL SORTS 09:28 OF THINGS TO PROTECT US. 09:33 >>BILL: RIGHT. >>DR. 09:34 FERREIRA: NOW, IMAGINE IF THOSE CELLS, THE WHITE 09:37 CELLS, TURNED AGAINST YOU. 09:38 IT WOULD BE DISASTROUS. 09:39 >>BILL: ABSOLUTELY. >>DR. 09:42 FERREIRA: WELL, IT HAPPENS. AND THAT HAPPENS 09:43 TO THE SYNOVIAL MEMBRANE OF MANY JOINTS. RHEUMATOID 09:47 ARTHRITIS, FOR EXAMPLE, IS A DISEASE WHERE THE BODY 09:53 TURNS AGAINST ITS OWN JOINTS. >>BILL: AND STARTS 09:54 TO EAT AWAY AT IT. >>DR. 09:59 FERREIRA: IT STARTS ATTACKING IT AND THE 10:00 JOINTS REACT BY MAKING FLUID, BECOMING INFLAMED 10:05 AND THERE'S A DESTRUCTIVE PROCESS THERE THAT GOES 10:10 ON. I'VE GOT PATIENTS WITH RHEUMATOID ARTHRITIS AND I 10:11 CAN SEE HOW DESTRUCTIVE IT IS, YOU KNOW. THERE 10:17 ARE MANY GRADES OF THIS DISEASE, THERE ARE MANY 10:20 MILD GRADES, THERE ARE MORE SEVERE ONES BUT 10:21 PERHAPS THE MOST COMMON CAUSE OF ARTHRITIS IS 10:26 JUST SIMPLE DAMAGE TO THE JOINT. SIMPLE DAMAGE. WHY? 10:32 WELL, LET'S SEE WHAT HAPPENS IF YOU JUMP FROM 10:33 A SECOND FLOOR, OR A THIRD FLOOR, OR A FIRST FLOOR, 10:38 OKAY. YOU COME DOWN AND AS YOU HIT THE FLOOR THE 10:43 FORCE GOES UP THIS WAY, YOUR BODY.>>BILL: IS 10:44 COMING DOWN THE OTHER WAY. 10:48 >>DR. FERREIRA: AND THEN WHAT HAPPENS TO THAT 10:49 CARTILAGE? IT IS JUST SQUASHED THERE AND IT CAN 10:55 TEAR, ALRIGHT. NOW, MOST PEOPLE DON'T JUMP FROM 11:00 SECOND FLOORS BUT EVERYDAY THEY CAN PUT A LOT 11:01 OF STRESS ON THOSE JOINTS. 11:08 LIKE, FOR EXAMPLE, BY BEING OVERWEIGHT. I MEAN, 11:09 IF YOU'RE CARRYING 10, OR 20, OR 30 KILOS, OR 50 11:12 POUNDS OR 60 POUNDS MORE, WHAT HAPPENS? EVERYDAY 11:17 IT'S JUST PUTTING EXTRA STRESS ON THAT THICK, VERY 11:18 DENSE SPONGE AND IT CAN ACTUALLY START TEARING AND 11:25 THEN AN INFLAMMATION SETS IN. THAT'S OSTEOARTHRITIS. 11:31 OSTEO = BONE, IT'S ARTHRITIS OF THE BONE 11:32 >>BILL: OKAY. >>DR. 11:35 FERREIRA: ALRIGHT. 11:36 AND THAT'S THE MOST COMMON CAUSE. >>BILL: IS THIS.LET 11:41 ME ASK, IS THE INFLAMMATION.SO YOU SAID 11:42 IT CAN ATTACK THE BONE. 11:44 >>DR. FERREIRA: THE JOINTS, YES. >>BILL: IT 11:45 CAN BE.IS IT CONCENTRATED ON ANY PART OF THE JOINT, 11:49 THE INFLAMMATION, OR CAN IT BE.>>DR. FERREIRA: 11:52 WELL, THE JOINTS, WE'VE GOT BIG JOINTS AT THE KNEE 11:53 AND USUALLY IF THERE IS INFLAMMATION OF THAT 11:57 JOINT IT'S A GENERAL INFLAMMATION OF THAT 11:59 JOINT. >>BILL: OKAY. >>DR. 12:00 FERREIRA: OKAY, WE'VE GOT SMALL JOINTS INFLAMMATION, 12:02 BIG JOINTS INFLAMMATION AND WHEN I SAY 12:03 INFLAMMATION THERE HAS TO BE A FEW THINGS. OKAY, 12:06 PAIN. INFLAMMATION IS USUALLY PAINFUL. THERE IS 12:12 SWELLING OF THE JOINTS, THEY CAN BE RED, THEY CAN 12:14 BE HOT, OKAY. NOW, DEEPER JOINTS LIKE THE HIP, THE 12:20 HEAD OF THE FEMUR AS IT GOES INTO THE SOCKET, IT'S 12:27 VERY DIFFICULT TO SEE ANY SWELLING. THERE'S LOTS 12:28 OF TISSUE, MUSCLES BUT IT COULD STILL BE HOT, IT 12:31 COULD BE RED, IT COULD BE SLIGHTLY SWOLLEN. AND SO, 12:36 YOU'D THINK THAT, AND IF WE CONCENTRATE OUR THEME 12:37 HERE ON OSTEOARTHRITIS, ARTHRITIS BECAUSE OF 12:44 OVERUSE OR ABUSE OF THE JOINTS, THE MOST COMMONLY 12:51 AFFECTED JOINTS ARE THE ONES THAT ARE MOST USED 12:52 AND THOSE ARE USED IN THE KNEES.>>BILL: KNEES. >>DR. 12:57 FERREIRA: .AND THE HIP BONE. >>BILL: HIP, RIGHT. 13:01 >>DR. FERREIRA: BECAUSE OF CONSTANT PRESSURE THERE, 13:02 OKAY. AND, YOU KNOW, TODAY OSTEOARTHRITIS IS 13:06 VERY COMMON IN OUR SOCIETY THERE ARE SOCIETIES WHERE, 13:09 FOR EXAMPLE, THE WOMEN, THE LADIES DO A LOT OF 13:10 CROCHET AND KNITTING, THEY OFTEN, BECAUSE OVERUSE 13:16 AND ABUSE, THEY CAN GET ARTHRITIS OF THE SMALL 13:19 JOINT. OSTEOARTHRITIS, OKAY. SO, BUT USUALLY IT'S 13:20 PAINFUL, IT'S SWOLLEN, IT'S RED AND IT'S HOT, 13:29 OKAY. IF THOSE THINGS HAPPEN THEN YOU CAN SAY 13:34 YOU DO HAVE AN INFLAMMATION, OF COURSE, 13:35 THERE ARE BLOOD TESTS THAT CAN SAY TO THE DOCTOR IF 13:38 HE'S GOT INFLAMMATION OR NOT. BUT, YOU KNOW, IF YOU 13:42 HAVE THOSE SYMPTOMS, INFLAMMATION OF THE JOINT, 13:43 WELL, LET'S FIND THE CAUSE. NOW, THE CAUSE 13:47 COULD BE JUST OVERUSE AND ABUSE OR IT COULD BE 13:51 BECAUSE OF THOSE CONDITIONS, YOU KNOW, LIKE 13:52 TO COULD BE IMMUNOLOGICAL PROBLEM CALLED AN 13:56 AUTOIMMUNE DISEASE >>BILL: AUTOIMMUNE 14:00 DISEASE, YES. >>DR. 14:01 FERREIRA: IT COULD BE AN INFECTION. IN THAT CASE 14:04 YOU NEED TO TREAT THE INFECTION; YOU POSSIBLY 14:05 NEED ANTIBIOTICS AND SO ON. WHATEVER, YOU NEED TO 14:07 TREAT THE CAUSE. >>BILL: OKAY, YES. >>DR FERREIRA: 14:11 WHEN YOU GO TO OSTEOARTHRITIS YOU NEED TO 14:12 TREAT THE CAUSE AS WELL. 14:15 >>BILL: WHAT WOULD BE SOME OF THE MOST COMMON 14:16 TREATMENTS, TODAY, FOR ARTHRITIS 14:18 OR OSTEOARTHRITIS? >>DR. 14:19 FERREIRA: WELL, THE QUICK FIX AND THE MOST COMMON 14:22 TREATMENT AND PEOPLE ARE COMPLAINING OF PAIN, SO 14:28 LET'S SAY, LET'S DEAL WITH THE PAIN, ITS NONALAGESIC 14:29 YOU GIVE SOMETHING FOR PAIN, IT COULD BE, 14:34 THE MOST COMMONLY USED ARE THE NON-STEROIDAL 14:39 ANTI-INFLAMMATORY DRUGS. 14:40 NOW, I DON'T WANT TO SAY ANY NAMES BUT IT'S A BROAD 14:45 GROUP, OFTEN VERY EFFECTIVE, SOMETIMES NOT 14:46 EFFECTIVE. IT DOESN'T TREAT THE DISEASE. >>BILL: 14:53 IT ALLEVIATES.>>DR. 14:54 FERREIRA: ALLEVIATES THE INFLAMMATION AND 14:56 DECREASES PAIN. SOMETIMES IN COMBINATION WITH SOME 14:59 OTHER ANALGESICS AND THEY CAN DECREASE INFLAMMATION 15:00 BUT IT DOESN'T GO AND TREAT THE UNDERLYING 15:05 PROBLEM. SO, THOSE ARE THE MOST COMMON TREATMENTS, 15:09 OKAY. NOW, THE PROBLEM WITH THAT TREATMENT, 15:10 WITH THOSE, IS THAT OFTEN PEOPLE CAN ONLY TAKE IT 15:13 FOR A SHORT TIME BECAUSE THEY START GETTING STOMACH 15:16 PROBLEMS. THEY CAN AFFECT THE STOMACH, THEY CAN 15:17 GIVE INFLAMMATION OF THE STOMACH, OKAY, AND THERE 15:24 ARE OTHER SIDE EFFECTS AND SO, YOU KNOW, BUT IT'S 15:30 A COMMONLY USED TREATMENT. 15:31 THEN, IF THOSE DON'T WORK ANYMORE.>>BILL: YES. >>DR. 15:33 FERREIRA.THEN YOU'VE GOT BIGGER GUNS; SOMETIMES YOU 15:34 CAN GIVE SOMETHING OF THE FAIS A LAST RESORT BUT IT 15:35 SHOULDN'T BE DELAYED TO THE POINT WHERE PEOPLE 15:36 SSURE BECAUSE THEY ARE INACTIVE. 15:37 SO.>>BILL: RIGHT, RIGHT. 15:38 >>DR. FERREIRA: BUT IT IS, SORT OF,WE SHOULD PREVENT TS 15:39 DISEASE. IT'S ONE OF THOSE DISEASES THAT CAN, TO A 15:40 TAKE THE HIP AND THE BIG JOINTS. >>BILL: OKAY. 15:41 >>DR. FERREIRA: LET'S TAKE THE HIP AND THE 15:42 KNEES. >>BILL: OKAY. DR. 15:45 WE SHOULD PREVENT THIS DISEASE. IT'S ONE OF THOSE 15:47 DISEASES THAT CAN, TO A FAMILY OF CORTISONE, OKAY, 15:53 AND IF THAT DOESN'T WORK, REPLACE THE JOINT. AND SO, 15:54 REPLACEMENT OF JOINTS IS A LAST RESORT BUT IT 15:55 SHOULDN'T BE DELAYED TO THE POINT WHERE PEOPLE 15:57 START GETTING SICK FROM INACTIVITY, YOU KNOW, THEY 15:59 START GETTING DIABETES, HIGH BLOOD PRESSURE 16:00 BECAUSE THEY ARE INACTIVE. 16:01 SO.>>BILL: RIGHT, RIGHT. 16:02 >>DR. FERREIRA: BUT IT IS, SORT OF, THE LAST RESORT 16:06 TO REPLACE THE JOINT IN TERMS OF ARTHRITIS. BUT, 16:07 YOU KNOW, I BELIEVE THAT WE SHOULD PREVENT THIS 16:12 DISEASE. IT'S ONE OF THOSE DISEASES THAT CAN, TO A 16:15 GREAT EXTENT, BE PREVENTED. LET'S TAKE THE 16:16 BIG JOINTS. >>BILL: OKAY. 16:21 >>DR. FERREIRA: LET'S TAKE THE HIP AND THE 16:22 KNEES. >>BILL: OKAY. DR. 16:25 FERREIRA: ARTHRITIS, BEING AN OVERUSED, SORRY 16:26 OSTEOARTHRITIS, BEING ABUSED AND OVERUSED, 16:32 THINK OF WHAT CAUSES IT? 16:33 AND VERY OFTEN PEOPLE ARE OVERWEIGHT. AND SO, 16:38 WEIGHT REDUCTION BRINGS MARKED BENEFITS TO THIS 16:46 CONDITION. OFTEN, JUST THAT CAN RELIEVE THE PAIN 16:47 BUT YOU OFTEN FIND THAT PEOPLE ARE NOT OVERWEIGHT 16:52 AND THEY STILL GET ARTHRITIS. BUT MOST OF 16:54 THEM, IS A COMPONENT OF BEING OVERWEIGHT. SO, 16:55 WEIGHT REDUCTION IS VERY IMPORTANT. IN THE PAST, 16:59 DOCTORS USED TO TELL THE PATIENTS, WELL, YOU GO 17:04 HOME AND REST. GO HOME AND REST. WELL, IT MIGHT BE 17:05 GOOD FOR A DAY OR TWO BUT WE FIND, TODAY, THAT 17:11 INACTIVITY ACTUALLY IS WORSE FOR ARTHRITIS. 17:16 >>BILL: OH, INTERESTING. 17:17 >>DR. FERREIRA: AND I GO BACK TO THE DRAWING. DO 17:19 YOU REMEMBER THE CARTILAGE? >>BILL: YES. 17:20 DR. FERREIRA: CARTILAGE DOESN'T HAVE A BLOOD 17:23 SUPPLY. >>BILL: OKAY. 17:24 >>DR. FERREIRA: BUT IT'S A LIVING TISSUE. HOW CAN 17:27 YOU HAVE LIFE IF YOU DON'T HAVE BLOOD? LET'S DRAW 17:32 CARTILAGE HERE. BIG, OKAY. 17:33 IT'S FULL OF TINY HOLES. 17:34 REMEMBER I TOLD YOU IT WAS LIKE A SPONGE. IT DOESN'T 17:37 HAVE A BLOOD SUPPLY TO THE CENTRE OF IT BUT HOW DOES 17:46 IT GET NUTRITION? IT GETS IT FROM THE SINOVIAL 17:47 FLUID. BUT HOW DOES THE SYNOVIAL FLUID 17:54 GET INTO THERE? WELL, VERY INTERESTING. A SPONGE WHEN 18:02 WEIGHT IS PUT ON IT, WHAT HAPPENS? >>BILL: 18:03 COMPRESSES. DR. FERREIRA: COMPRESSES AND WHAT 18:07 HAPPENS TO THE LIQUID IN THERE? IT GOES OUT. WHAT 18:11 HAPPENS WHEN YOU.>>BILL: IT SUCKS LIQUID IN. >>DR. 18:12 FERREIRA: IT SUCKS LIQUID IN. PUSHES IT OUT, SUCKS 18:15 IT IN. PUSHES IT OUT, SUCKS IT IN. EXERCISE IS 18:19 VERY IMPORTANT IN THE PREVENTION OF ARTHRITIS, 18:20 OSTEOARTHRITIS BECAUSE IT KEEPS NUTRIENTS, GOOD 18:24 NUTRIENTS SUPPLYING THE JOINTS. OKAY, SO A 18:31 COMBINATION IN INACTIVITY WITH BEING OVERWEIGHT, 18:33 IT'S BAD NEWS FOR ARTHRITIS. NOW, FOR THE 18:39 TREATMENT OF ARTHRITIS, YOU NEED GOOD, A GOOD 18:43 SUPPLY OF NUTRIENTS TO THAT SPONGE SO, VERY 18:44 LIGHT EXERCISE IS VERY IMPORTANT. >>BILL: WOW. 18:50 >>DR. FERREIRA: OKAY BUT IT'S IMPORTANT TO MOVE SO 18:53 THAT THE JOINT KEEPS BEING FED WITH NUTRIENTS. SO, 18:54 IN THE TREATMENT I WOULD RECOMMEND, YOU KNOW, 18:59 NON-STEROIDAL DRUGS ARE VERY USEFUL, THEY'VE GOT 19:05 THEIR PLACE. I PREFER TO GO AS NATURAL AS POSSIBLE 19:07 SO THAT I CAN HAVE SIDE EFFECTS REDUCED, 19:11 MINIMIZED. >>BILL: SURE. 19:12 >>DR. FERREIRA: A GOOD ANTI-INFLAMMATORY 19:16 TREATMENT IS ICE. SIMPLE ICE. IF YOU'VE GOT A 19:21 PAINFUL, SWOLLEN JOINT, THAT'S NOT INFECTED WITH 19:22 ANY BUG LIKE A BACTERIA OR.JUST ICE. TREATMENT 19:29 SIMPLE ICE. IT DECREASES INFLAMMATION AND IT 19:34 REDUCES PAIN. ALRIGHT, ICE IS VERY IMPORTANT. 19:36 THEN GOOD NUTRITION. GOOD NUTRITION WITH A LOW-FAT 19:41 DIET BECAUSE YOU WANT GOOD CIRCULATION TO BE 19:47 OPTIMIZED. AND IF YOU'VE GOT A LOT OF FAT IN YOUR 19:48 DIET YOU'RE ACTUALLY PUSHING INFLAMMATION 19:49 UP BECAUSE FAT IN A DIET INCREASES INFLAMMATION. A 19:55 LOW-FAT DIET, A LOW MEAT, A VEGETARIAN DIET, 19:56 YOU KNOW I RECOMMEND A VEGETARIAN DIET. >>BILL: 20:02 SURE. >>DR. FERREIRA: VEGETARIAN DIET DECREASES 20:04 INFLAMMATION IN YOUR BODY. ONE MEAL OF A 20:05 MEAT CONTAINING MEAL, IT INCREASES YOUR 20:11 INFLAMMATION. JUST ONE MEAL. SO, A VEGETARIAN 20:21 DIET, LOW-FAT, PLENTY OF WATER BECAUSE YOU WANT THE 20:22 BLOOD TO BE FLUID, GOOD CIRCULATION TO THAT JOINT 20:28 AND THEN VERY MILD TO MODERATE EXERCISE. NOW, 20:34 YOU COULD TELL ME, WELL DOCTOR ITS FINE BUT I 20:35 CANNOT WALK. I'VE GOT SO MUCH PAIN THAT I CANNOT 20:42 WALK. >>BILL: RIGHT. >>DR. 20:43 FERREIRA: NOW, THERE ARE EXERCISES THAT ARE 20:46 PROBABLY BETTER THAN WALKING, FOR YOU. 20:50 SWIMMING, FOR EXAMPLE, YOU'VE NOTICED WHEN 20:51 YOU GET INTO A SWIMMING POOL.>>BILL: I'M LIGHT AS 20:55 A FEATHER. >>DR. FERREIRA: .YOU'RE LIGHT. ALRIGHT, 20:58 SWIMMING IS EXCELLENT FOR ARTHRITIS.>>BILL: IS IT? 20:59 DR. FERREIRA: .BECAUSE IT ALLOWS PEOPLE TO MOVE 21:02 THEIR JOINTS WITHOUT THE WEIGHT, WITHOUT THE 21:06 .>>BILL: POUNDING. 21:07 DR. FERREIRA: .POUNDING OF THAT WEIGHT. SO, IT'S VERY 21:09 IMPORTANT, SWIMMING, NON-WEIGHT BEARING 21:10 EXERCISE. AND THEN GRADUALLY AS THE 21:13 INFLAMMATION DECREASES, AS THE PAIN DECREASES, THEN 21:16 GRADUALLY MOVE ONTO LIGHT WEIGHT EXERCISES BUT IT'S 21:17 IMPORTANT TO BE ACTIVE IN THE TREATMENT 21:24 OF ARTHRITIS. OF OSTEOARTHRITIS, OKAY. 21:26 >>BILL: IS IT, IS IT A REVERSIBLE CONDITION 21:27 >>DR. FERREIRA: WELL, IT'S LIKE THE CARTILAGE 21:35 IS THOUGHT TO BE, NOT TO REGENERATE ITSELF, OKAY. 21:41 YOU CAN PREVENT THE DAMAGE BUT TO REVERSE IT, THERE 21:42 ARE CERTAIN THINGS ON THE MARKET, YOU KNOW PEOPLE, 21:46 THERE ARE SOME STUDIES THAT SHOW CERTAIN PEOPLE 21:50 MAYBE GLUCOSAMINE, MAYBE CONDRITINE, MAYBE THEY DO 21:51 THEY DO HELP SOME PEOPLE. 21:55 YOU KNOW, IT MAY BUILD UP A LITTLE BIT OF CARTILAGE 21:56 BUT IT'S NOT SIGNIFICANT, OKAY. THE BEST THING IS 21:59 TO PREVENT THIS CONDITION OR IF YOU HAVE IT, TO HALT 22:04 ITS PROGRESSION BY WEIGHT REDUCTION, GOOD DIET, 22:05 MODERATE, MILD TO MODERATE EXERCISE, KEEPING ACTIVE. 22:11 SO, IN TERMS OF REVERSING IT, I THINK YOU CAN 22:15 STABILIZE IT, YOU CAN DEFINITELY BENEFIT UP TO A 22:16 CERTAIN POINT HAVING LESS PAIN AND MORE MOBILITY 22:21 AND MANY PEOPLE DO IMPROVE BUT THERE'S ONE POINT 22:27 WHERE PAIN IS CONSTANT AND WHEN YOU GET TO THAT STAGE 22:28 IT'S BETTER TO CONSIDER, REALLY, REPLACING 22:35 THE JOINT. HAVING SURGERY, MAYBE RESHAPING BEFORE YOU 22:40 REPLACE, YOU COULD RESHAPE THAT CARTILAGE, TAKE AWAY 22:41 SOME BITS AND PIECES THAT MIGHT BE HURTING YOU. TRY 22:44 THAT AND IF IT DOESN'T WORK, REALLY REPLACE THE 22:47 JOINT. AND, WHICH IS A VERY COMMON OPERATION 22:49 NOWADAYS, I MEAN, IT'S A QUICK RECOVERY AND THEN 22:53 PEOPLE CAN BE MOBILE AGAIN, THEY CAN PREVENT 22:57 THE DIABETES BY WALKING AND DOING ALL SORTS OF 22:58 THINGS THAT THEY STOPPED DOING BEFORE. >>BILL: 23:01 YEAH, THERE ARE SOME, THERE ARE SOME POTENTIAL 23:05 SERIOUS HEALTH RISKS, AS FAR AS I UNDERSTAND, 23:06 WITH THINGS LIKE KNEE REPLACEMENT SURGERY. ANY 23:08 KIND OF SURGERY IS A.>>DR. 23:09 FERREIRA: YES, YES. 23:13 >>BILL: .SOMETHING THAT YOU KIND OF WANT TO 23:14 MINIMIZE, RIGHT? >>DR. 23:15 FERREIRA: WELL, THE ANESTHETIC RISK AND THAT'S 23:16 A RISK, THEN THERE'S THE RISK OF INFECTION. I 23:21 MEAN, IF YOU DON'T WANT TO GET AN INFECTED KNEE 23:25 PROSTHESIS OR A HIP PROSTHESIS, SO THAT'S 23:26 INFECTION. AND THEN, OF COURSE, THERE ARE 23:30 COMPLICATIONS LIKE DEEP VEIN THROMBOSIS AND SO ON. 23:32 >>BILL: YEAH. >> DR. 23:33 FERREIRA: BUT YOU KNOW, IT'S LIKE THIS, IT'S A 23:35 RELATIVELY, RELATIVELY LOW RISK, COMPARED TO THE 23:36 RISKS, AND YOU HAVE TO JUDGE FROM PATIENT TO 23:44 PATIENT, OKAY, THERE ARE PATIENTS WHO HAVE HEART 23:47 DISEASE AND SO ON. I MEAN, THE RISK IS HIGHER, 23:48 DEVELOPING COMPLICATIONS FROM THE SURGERY, SO YOU 23:54 HAVE TO JUDGE FROM CASE TO CASE. BUT IT'S IMPORTANT 24:00 TO PREVENT IT, VERY IMPORTANT TO PREVENT 24:01 ARTHRITIS IF YOU HAVE IT TREATED AS NATURALLY AS 24:05 POSSIBLE WITH A GOOD DIET, WEIGHT REDUCTION, AND SO 24:09 ON. I'M TALKING ABOUT ARTHRITIS AND THEN IF IT 24:10 DOESN'T WORK THEN SURGERY AND, OF COURSE, TREATMENT 24:14 FOR ALL THE OTHER DISEASES: AUTOIMMUNE 24:16 DISEASE AND SO ON. 24:17 IT'S VERY SPECIFIC BUT LIFESTYLE PLAYS A VERY 24:20 IMPORTANT ROLE AS WELL. 24:21 VERY IMPORTANT. >>BILL: IT SEEMS LIKE WE ALWAYS COME 24:25 BACK TO THOSE.>>DR. 24:26 FERREIRA: ALWAYS COME BACK TO THE SAME. THAT'S HOW 24:28 GOD MADE US. GOD MADE US TO BE ACTIVE, HAVE A 24:29 GOOD DIET, NOT EAT OTHER ANIMALS, THAT'S HOW GOD 24:33 MADE US. AND IF WE DEVIATE FROM THAT PATTERN WE MAY 24:38 SUFFER AS A RESULT. I MEAN, IT DOESN'T MEAN THAT 24:39 THOSE THAT STICK TO THE PATTERN DON'T SUFFER BUT 24:44 THE RISKS ARE MUCH LOWER SO, I THINK IT'S WORTH; 24:48 IT'S WORTH CONSIDERING ALL THESE THINGS. IT'S WORTH 24:49 THINKING ABOUT THEM AND CONSIDERING THEM AND, 24:53 JUST, YOU KNOW, I THINK WE REALLY NEED TO COME TO 25:01 GRIPS WITH, WHAT ARE WE HERE FOR? WHAT'S LIFE ALL 25:02 ABOUT? >>BILL: YES. >>DR. 25:07 FERREIRA: I BELIEVE THAT WE CAN ONLY FIND TRUE 25:08 MEANING, IN ALL ASPECTS OF OUR LIFE IF WE HAVE A 25:15 PERSONAL RELATIONSHIP WITH GOD. >>BILL: YES. >>DR. 25:19 FERREIRA: AND SO, THESE ARE THE MECHANICS OF IT. 25:20 >>BILL: YES, ABSOLUTELY. 25:24 >>DR. FERREIRA: YOU KNOW, OF THE BODY. BUT DEEPER 25:25 INSIDE I THINK WE WILL ONLY HAVE THE POWER 25:29 TO CHANGE IF WE GO TO GOD >>BILL: ABSOLUTELY. WELL, 25:36 LET'S GO TO HIM NOW AND PRAY. >>DR. FERREIRA: YES. 25:37 >>BILL: FATHER IN HEAVEN, WE THANK YOU FOR WHAT WE 25:39 HAVE HEARD TODAY AND WE PRAY THAT YOU WILL GIVE 25:45 EACH AND EVERY ONE OF US THAT NEEDS TO MAKE CHANGES 25:46 IN OUR LIVES, THE STRENGTH AND THE COURAGE TO DO 25:48 THOSE. WE PRAY FOR THOSE VIEWERS THAT ARE WATCHING 25:52 US RIGHT NOW. MANY OF THEM ARE SUFFERING AND WE PRAY 25:53 THAT YOUR HAND MAY COME UPON THEM; YOU MAY BRING 25:57 HEALING INTO THEIR LIVES I PRAY NOW THAT EACH AND 26:01 EVERY PERSON HEARING MY VOICE MAY EXPERIENCE THAT 26:02 REALITY IN THEIR LIVES IN JESUS' NAME WE PRAY. AMEN. 26:06 >>DR. FERREIRA: AMEN. 26:16 >>BILL: WE HAVE A VERY VALUABLE RESOURCE FOR 26:17 THOSE OF YOU THAT WOULD LIKE TO MAKE SOME OF THESE 26:18 LIFESTYLE CHANGES THAT DR. 26:19 FERREIRA HAS MENTIONED, THE JOURNAL OF HEALTH AND 26:22 HEALING, IT'S A MAGAZINE, A VERY VALUABLE ARTICLE 26:26 HERE CALLED "THE VEGETARIAN ADVANTAGE". IT 26:27 IS OUR GIFT TO YOU. HERE IS THE INFORMATION YOU 26:32 NEED TO GET YOUR COPY. 27:25 >>BILL: DR. FERREIRA, MAYBE SOME CLOSING 27:26 THOUGHTS. >>DR. FERREIRA: KEEP MOVING. >>BILL: KEEP 27:27 MOVING. >>DR. FERREIRA: KEEP MOVING, CONTROL YOUR 27:30 WEIGHT, AND EAT WELL. 27:31 I THINK THOSE THREE THINGS ARE VERY IMPORTANT. AND IF 27:34 YOU NEED HELP WITH THEM, ASK GOD FOR HELP. >>BILL: 27:35 ABSOLUTELY, EXCELLENT ADVICE. THANK YOU AGAIN 27:40 FOR BEING HERE. WELL, THANK YOU FOR BEING HERE. 27:44 REMEMBER TO VISIT OUR WEBSITE, I T I 27:45 SWRITTENCANADA.CA. 27:48 THERE, THERE'S A LOT OF VALUABLE RESOURCES AND YOU 27:50 CAN SEND US YOUR PRAYER REQUESTS. WELL, WE'RE 27:53 GOING TO BE PRAYING THAT THE GOOD LORD ALLOWS US TO 27:56 BE HERE AGAIN WITH YOU NEXT WEEK. I HOPE THAT YOU 27:58 WILL TAKE THE TIME TO BE WITH US ALSO. UNTIL THEN, 28:01 REMEMBER, IT IS WRITTEN THAT MAN SHALL NOT LIVE BY 28:05 BREAD ALONE BUT BY EVERY WORD THAT PROCEEDS 28:06 FROM THE MOUTH OF GOD. 28:12 $$$$$$$$$$$$$$$$$$$$$$$$$$ |
Revised 2014-12-17