Welcome back! On today's program
00:00:01.36\00:00:02.70
we've been talking about
the place for modern medicine
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in your life and this is
something that we've received
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a lot of questions
on, isn't it, Dr. Marcum.
00:00:07.70\00:00:09.10
In fact, "Heartwise
Ministries" talks a lot about
00:00:09.37\00:00:12.87
modern medicine,
there's a place for
00:00:12.91\00:00:15.24
modern medicine and
we acknowledge that,
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but there's a
place for lifestyle,
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and getting at the cause.
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But I consider getting
at the cause, hopefully,
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that is modern medicine. Right
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You know, but unfortunately
the way medicine practices
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it not always does
that, it treats symptoms.
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But I think, what we
like to do at Heartwise,
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that is sort of gives us
a little distinctiveness,
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is that we point
to the Heavenly Father
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as the Ultimate Physician.
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Remember, doctors
don't heal, God heals,
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and God gives
people the ability to heal.
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So all power and all
healing and all respect and awe
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comes from that
relationship we have with God,
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and I try to really let people
know that that is the most
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important thing you can have...
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Because even if you
have a disease, Nick,
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that's devastating,
as long as you have that
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relationship, you
can have healing...
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you know, it might be in heaven,
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but you're going to have that
healing and that's so important.
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So I want those that want
to learn more about this topic,
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you can go to our
website: heartwiseministries.org
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We also believe in
the treatment of prayer.
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God answers prayers,
God changes lives through
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prayer and a lot of
time, Nick, I've seen prayer
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help people understand
when to use modern technology.
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I had a person come in,
the other day, to the office,
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and they had a rhythm
called, "atrial fibrillation."
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The top part of the heart was
going fast and the bottom part;
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1 in 3 strokes come
from this rhythm. Really?
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Yeah, and about 10% of
older people have this rhythm.
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So they really didn't
want to take any medicine
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to thin out the blood,
they did not want to do this.
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And so I said, "Why
don't you pray about it,
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and ask God about it,"
and give them the reasons,
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the risk and the benefits
and after thorough discussion
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through that prayer, I
believe that God helped to
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show them that this is a place
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that He can help
use modern medicine.
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So God can use modern medicine
to help His people. Right
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God can give power to make
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lifestyle changes
to help see to it.
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Now I like to think
that is modern medicine,
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but unfortunately our system
doesn't practice that way. Right
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And I'd like to
think that some day,
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as we look back in
history, they're going to say,
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"You know, the doctors that
took care of George Washington,
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if they didn't take
the blood out of George,
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you know - they
weren't a good doctor." Sure
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And if you weren't
part of that crowd,
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they would say,
"Hey, you need to leave."
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Even in the 30s,
Nick, they used to recommend
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cigarettes for
asthma. Yeah right
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So some day, I'm
hoping they will look back on
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physicians that try to treat
from a biblical perspective
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using God as the guide,
they'll say, "Wow, these guys
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really knew what
they were doing."
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There was a place for medicine,
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these guys really did
know what they were doing.
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No one listened to them then,
but there was a place for this.
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And that's what we try
to do, is offer that balance
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and, you know, we
don't know everything...
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We just give the best
answers we can, prayerfully,
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trying to use God's Scriptures
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as a guide, and
that's what we're going to do
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with these
questions today too. Right
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Well let's jump right in here...
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The first viewer that we're
going to answer their question.
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The question is: "I
have gallstones and have
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had pain in my belly and
my doctor wants to perform
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surgery, but I'm
really reluctant."
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"What are some other options?"
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Well, unfortunately,
the gallbladder is an organ
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that digests a
chemical called "bile,"
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and it digests that and
sometimes stones form in it,
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and the stones can't get
out and it blocks up the duct.
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When the stones can't
get out, it can predispose to
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lots of pain
because of the pressure.
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You could also get infections.
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So when you're having
symptoms from the gallbladder,
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really the
natural methods are not
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going to help you
at that point. Right
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Now sometimes, if
the stones are little,
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you can do some
things that will help you,
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and we recommend the
whole food, plant-based diet.
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You know, just
general healthy living,
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but it has gotten to the
place where you do have stones,
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and some people have
genetic stones. Oh okay
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If you have that, then I
think the benefits of surgery
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would outweigh the risk.
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And, we got some great
modern medicine for gallbladders
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where they don't
even have to cut you,
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they do it through ports.
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They use 4 ports and
they go and we call it
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"laparoscopic surgery."
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They look in it laparoscopically
and through some very
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small holes, they can
take the gallbladder out.
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Before, it used
to be a big incision;
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the patient would
have to be in up to a week,
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but now, it's almost
outpatient surgery now.
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So this is a good
place for modern medicine,
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but remember, it
doesn't fix the problem...
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Modern medicine is good for
genetics that we can't overcome,
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and for - maybe we
didn't have some good habits
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earlier in our
life, but now we want to
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get on some good habits. Right
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So this will help
us to have more time,
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maybe we can avoid an
infection, lots of pain.
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So this is a good
place for modern medicine...
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if you are having symptoms,
the gallstones are big;
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I think this is a place to
really consider having it out.
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Gallstones is one of
those things that we might
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put in the emergency
category where it's too late
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for natural remedies sometimes
and surgery is a good option.
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Really, what will help them
know that is the size of the
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gallbladder duct,
whether the enzymes are
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abnormal and whether
you're having symptoms,
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but if it gets to the place
where you're having lots of
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pain, lots of fever, the stones
are big, then that's usually
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a place where your
surgeon would recommend having a
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cholecystectomy, where they take
it out laparoscopically now.
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All right, we've got another
question that has come in
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that asks: "What are some of
the symptoms of an infection?"
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Yeah, and that's another
great place for modern medicine
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because before people had
infections, they would die
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from the infections.
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So the symptoms mean that their
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immune system is
losing the battle.
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Now we want to teach people
to have strong immune systems,
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but, you know, sometimes
no matter how strong you are,
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you can get
overcome with infections.
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We have bacterial infections,
we treat those with antibiotics.
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We have viral infections,
we have some antivirals.
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The flu is a virus -
sometimes we just let
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them run their course.
00:06:03.53\00:06:05.16
We have fungal infections.
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We have parasitic
infections, lots of infections!
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But when the infections
overcomes our immune system,
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that's not the time to
say, "Well, let's do something
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to help us out."
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The symptom of an
infection might be "fevers,"
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that's the body itself trying
to knock down the infection.
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A fever would be one -
a person would be weak.
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Depending on where the infection
is, that might clue someone is.
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If a person has an
infection in the bowels,
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they might have diarrhea.
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Of course, if you
have it on the hand,
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you might see red
streaks, you might have a fever.
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If you have an
infection in an ear,
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you might have an earache.
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If you have an infection
in the back of your throat,
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you might see pus back there
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or you might actually
see the infection. Right
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So symptoms of
infection are usually a fever...
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Sometimes if the infection
gets in the bloodstream,
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you can have rigors
which is shaking all over.
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You can have a fast heartbeat
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as the body tries to
compensate for an infection.
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So these are just some
symptoms of an infection,
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and sometimes
you'll see it on your body.
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If it's inside your
body, you can't see that;
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sometimes you might have pain
in a certain part of the body
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from the infection, but
usually you have fevers.
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Fevers and a fast heart rate
are some of the characteristic
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signs of an infection.
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Now lots of other
things can do it too,
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but infections are right at
the high end of causing fevers.
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We've got another question
that actually talks about the
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pacemaker which
you showed us earlier.
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They say, "My mom is
95 and has a pacemaker,
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how will I know when
it needs to be replaced?"
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Do you have to replace these
every certain amount of years?
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How does that work? Yeah Nick...
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They have a battery in
it and pacemakers, again,
00:07:39.69\00:07:42.09
are a place for
modern medicine because
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if she would not
have had the pacemaker,
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years ago her heart
would have stopped. Right
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But every 6, 7 or 8 years,
depending on how much it is,
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we check the battery function of
the pacemaker with the device,
00:07:50.73\00:07:54.30
we check on the
phone every month.
00:07:54.34\00:07:56.37
In person, we usually
check once or twice a year.
00:07:56.40\00:07:58.91
So we can tell when the
battery needs to be replaced,
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and we get the
pacemaker replaced long before.
00:08:01.91\00:08:04.45
It's sort of like changing
a car battery, Nick. Right
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You know, you sort of can
tell it needs to be changed
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you put the new battery
in, you hook the wires up,
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and it's a one day procedure.
00:08:10.75\00:08:12.39
It's a lot easier
replacing the battery
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than it is putting in the leads.
00:08:14.76\00:08:17.03
So we check it
regularly in the office
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and that gives us a feel how
much battery life it has in it.
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Our next question
is kind of similar...
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Someone has had a cardiac
stent that is 2 years old,
00:08:25.53\00:08:28.24
and they are
taking a blood thinner,
00:08:28.27\00:08:30.11
and they are wondering...
Will they need to take the
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blood thinner for
the rest of their life.
00:08:32.11\00:08:33.98
Yeah, and again,
remember stents are needed
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in emergency
situations sometimes. Right
00:08:37.75\00:08:39.91
But when we have a
stent in, we've changed
00:08:39.95\00:08:42.05
one problem for another problem.
00:08:42.08\00:08:43.82
So we might have had coronary
disease or a heart attack,
00:08:43.85\00:08:46.25
but now we have stent
disease because a stent
00:08:46.29\00:08:48.72
actually damages
the blood vessel.
00:08:48.76\00:08:50.93
And when the
blood vessel is damaged,
00:08:50.96\00:08:52.99
Guess what happens?
You'll want to clot.
00:08:53.06\00:08:55.03
You know, if I took my
reflex camera and cut you and
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damaged you, your blood
would want to clot. Right
00:08:59.17\00:09:01.80
And if it wants
to clot, that's good,
00:09:01.84\00:09:04.31
but if it's
inside a blood vessel,
00:09:04.34\00:09:05.97
it keeps blood from
flowing downstream. Right
00:09:06.01\00:09:08.44
That's bad - so
when a stent goes in,
00:09:08.48\00:09:11.35
the blood wants to clot...
so, depending on where the
00:09:11.38\00:09:14.05
stent is, how big it is
and other circumstances,
00:09:14.08\00:09:17.49
your doctor will probably
want to put you on some type
00:09:17.52\00:09:19.79
of blood thinner medicine.
00:09:19.82\00:09:21.52
There's one out there, the
mildest one is called "aspirin."
00:09:21.56\00:09:24.76
We have one that's
usually the first year
00:09:24.79\00:09:26.76
that they take the stent
in, the healing the first year,
00:09:26.80\00:09:30.50
what happens is the
stent sees the blood,
00:09:30.53\00:09:32.93
but the blood
coats itself over it,
00:09:32.97\00:09:36.00
and that gives it more
protection because the blood
00:09:36.04\00:09:37.84
stream does not see
the stent as easily.
00:09:37.87\00:09:40.34
But during that first
year, we give extra protection
00:09:40.38\00:09:43.04
with blood thinners -
one is called, "Plavix,"
00:09:43.08\00:09:44.91
another one is
called, "Brilinta,"
00:09:44.95\00:09:47.25
and there are several
other types of blood thinners
00:09:47.28\00:09:49.12
that we add to that Plavix.
00:09:49.15\00:09:50.82
And usually after the year,
depending on the circumstances,
00:09:50.85\00:09:53.86
we can cut back to an aspirin.
00:09:53.89\00:09:56.46
There are some
circumstances where we say, "No,
00:09:56.49\00:09:58.89
we think the risk of
being on blood thinners
00:09:58.93\00:10:01.70
are worth the benefits," and
we have them on more than one,
00:10:01.73\00:10:04.03
and that would be in a smoker
00:10:04.07\00:10:05.80
or if the artery
was in a bad position.
00:10:05.83\00:10:08.47
We'd say the risk of something
happening within the stent
00:10:08.50\00:10:10.97
is greater than the risk
of taking blood thinners.
00:10:11.01\00:10:14.44
And, of course, the main risk
of blood thinners is bleeding.
00:10:14.48\00:10:17.91
Now we don't like to
give any medicines including
00:10:17.95\00:10:20.65
blood thinners, but
sometimes the benefits
00:10:20.68\00:10:23.39
of the blood thinners outweigh
the risk of the blood thinners
00:10:23.42\00:10:26.65
in some stent cases,
but it's a great place
00:10:26.69\00:10:28.89
for modern medicine
because if the wouldn't have had
00:10:28.92\00:10:30.79
the stent, they might
have died from a heart attack.
00:10:30.83\00:10:32.79
Now we know that water is
important to the consistency
00:10:33.29\00:10:35.60
of your blood - is
that also really important
00:10:35.63\00:10:37.83
after you've had a stent in?
00:10:37.87\00:10:40.00
It's always
important to drink water.
00:10:40.04\00:10:41.40
Always! Regardless of
what procedure you've had.
00:10:41.44\00:10:43.67
Sixty to 65% of
our body is water.
00:10:43.71\00:10:47.31
When you don't drink
enough water, guess what?
00:10:47.34\00:10:49.44
Stress happens in the body.
00:10:49.48\00:10:51.05
When stress happens
long-term, it does damage...
00:10:51.08\00:10:53.45
Every cell needs
water to work, so, yes,
00:10:53.48\00:10:55.55
it's important to
keep the blood thin.
00:10:55.58\00:10:57.62
About 80 to 85% of the
blood stream is water. Yeah!
00:10:57.65\00:11:01.89
So, you know, if you are
passing out and getting dizzy,
00:11:01.92\00:11:05.23
low blood pressure -
you'll want to drink water.
00:11:05.26\00:11:07.13
So it helps lots of
different things. Right
00:11:07.16\00:11:09.36
But that's, again Nick, that's
a place for modern medicine.
00:11:09.40\00:11:12.73
Not that it fixed the
problem, but it helps deal with
00:11:12.77\00:11:15.64
the problem, so now we can
work with that patient and say,
00:11:15.67\00:11:17.71
"Listen, you had
coronary disease,
00:11:17.74\00:11:19.24
now, unfortunately,
you have stent disease,
00:11:19.27\00:11:21.11
but what can we do
to help you never need
00:11:21.14\00:11:24.81
to have another
stent ever again? Right
00:11:24.85\00:11:27.12
We've got another
question here and it says:
00:11:27.15\00:11:29.48
"I used to smoke and I
have COPD; I wear an oxygen mask
00:11:29.52\00:11:33.72
at night, should I wear
it also during the day?"
00:11:33.76\00:11:36.89
Well COPD is "chronic
obstructive pulmonary disease,"
00:11:36.93\00:11:40.80
that's where the
lungs have been damaged.
00:11:40.83\00:11:42.56
Sometimes most likely it
has been damaged by smoke,
00:11:42.60\00:11:46.17
but some inhalants
can cause it as well.
00:11:46.20\00:11:49.47
Some chronic
allergies can cause it.
00:11:49.50\00:11:51.41
Sometimes genetic
things can cause it. Right
00:11:51.44\00:11:53.64
There is an Alpha antitrypsin
deficiency that can cause
00:11:53.68\00:11:57.28
damage to the lungs, but anyway,
00:11:57.31\00:11:58.95
again, this is a place that's
great for modern medicine.
00:11:58.98\00:12:02.08
You mentioned the
body loves oxygen,
00:12:02.12\00:12:04.59
what's another
thing the body loves?
00:12:04.62\00:12:06.35
Oxygen! Yeah, oxygen.
00:12:06.39\00:12:08.99
Water! Water and oxygen,
00:12:09.02\00:12:10.83
the basics. Right
00:12:10.86\00:12:12.19
So the body loves
oxygen, so if you're running low
00:12:12.23\00:12:15.30
on oxygen, we can measure it.
00:12:15.33\00:12:16.90
It's a great place
for modern medicine.
00:12:16.93\00:12:19.33
What did we do before we had
00:12:19.37\00:12:21.00
modern medicine
and modern oxygen?
00:12:21.04\00:12:23.04
People would run out of oxygen,
they would gradually get worse,
00:12:23.07\00:12:26.21
the cells wouldn't
have what they would need,
00:12:26.24\00:12:27.68
and they would die
premature deaths. Right
00:12:27.71\00:12:30.31
So I want everyone to
remember, we need oxygen,
00:12:30.35\00:12:32.58
water and another thing we
always need is enough rest.
00:12:32.61\00:12:35.55
Those are sort of
the basics of care.
00:12:35.58\00:12:37.55
But again, this is another
great place for modern medicine.
00:12:37.59\00:12:40.86
The lungs might
have been damaged and he
00:12:40.89\00:12:42.89
can still live
a fulfilling life.
00:12:42.92\00:12:44.49
He can help
himself to be healthy.
00:12:44.53\00:12:45.86
Now other things that
can help oxygen delivery
00:12:45.89\00:12:48.76
is taking deep breaths...
holding it... 2 or 3 seconds,
00:12:48.80\00:12:53.44
letting out slowly,
learning to deep breathe
00:12:53.47\00:12:55.64
that will help
oxygen open up the air sacs
00:12:55.67\00:12:58.14
so we would get more oxygen.
00:12:58.17\00:12:59.51
An exercise program because
it makes the blood vessels
00:12:59.54\00:13:01.94
do better.
00:13:01.98\00:13:03.31
So all those are little
things in addition to oxygen
00:13:03.35\00:13:05.58
so he might not need to
wear oxygen quite as much.
00:13:05.61\00:13:08.38
We've got
another viewer who asks:
00:13:08.42\00:13:10.12
What actually is a "ventilator"
and if one is put on
00:13:10.15\00:13:13.12
the device, is it permanent?"
00:13:13.15\00:13:14.49
Yeah and this is another
place for modern medicine.
00:13:14.52\00:13:18.03
I see lots of people
that are on ventilators
00:13:18.06\00:13:20.63
because their
lungs don't work well.
00:13:20.66\00:13:22.43
So we sort of put them
on a ventilator to see if we
00:13:22.46\00:13:25.03
can get the lungs better.
00:13:25.07\00:13:26.43
If it's due to heart
failure or fluid in the lungs,
00:13:26.47\00:13:28.84
sometimes we give them fluid
pills and get their heart better
00:13:28.87\00:13:31.41
and they don't need to be
on the ventilator very long.
00:13:31.44\00:13:33.54
Sometimes it's due to infection.
00:13:33.58\00:13:35.34
Some people actually
have trauma to their lungs
00:13:35.38\00:13:38.18
and they pop a lung -
that's called a "pneumothorax."
00:13:38.21\00:13:40.95
I was taking care of a bicycle
rider about 3 months ago,
00:13:40.98\00:13:44.55
he was riding his bike; he
went over the handlebars...
00:13:44.59\00:13:47.46
I know you ride the bike.
00:13:47.49\00:13:48.82
Yeah, that's
happened to me once or twice.
00:13:48.86\00:13:50.19
Yeah and he actually
popped his lung. Really
00:13:50.23\00:13:51.93
And when he popped his
lung, all the air rushed out
00:13:51.96\00:13:54.36
of his lung and squished it.
00:13:54.40\00:13:56.60
And his other lung
didn't do very good,
00:13:56.63\00:13:58.53
and he needed to be on
the ventilator for a short
00:13:58.57\00:14:00.30
period of time until
we put a chest tube in
00:14:00.34\00:14:02.70
and then his
lung expanded again.
00:14:02.74\00:14:04.74
So that was a place
for modern medicine.
00:14:04.77\00:14:06.71
He is doing fine today.
00:14:06.74\00:14:08.08
He is not taking as
many chances on his bicycle,
00:14:08.11\00:14:10.85
but, yes, a ventilator
might not be permanent
00:14:10.88\00:14:13.42
if we can get at
the underlying cause.
00:14:13.45\00:14:15.58
Dialysis is another
one, that's another place
00:14:16.69\00:14:19.19
for modern medicine
because before people had these
00:14:19.22\00:14:21.39
interventions,
they would pass away.
00:14:21.42\00:14:23.29
Now, it doesn't
necessarily fix the problem,
00:14:23.32\00:14:25.99
but it buys us time
until we can hopefully
00:14:26.03\00:14:28.76
fix the underlying
cause of the illness.
00:14:28.80\00:14:30.70
So ventilators
maybe not permanently,
00:14:30.73\00:14:32.97
depending on what
caused you to be on it.
00:14:33.00\00:14:34.80
We have time just
for one more question...
00:14:34.84\00:14:37.17
It says, "I have
polycystic kidney disease,
00:14:37.21\00:14:40.31
they expect
dialysis will be needed,
00:14:40.34\00:14:42.11
are there other
options to dialysis?"
00:14:42.14\00:14:43.95
Yeah and that's another great
question for modern medicine.
00:14:43.98\00:14:47.52
Before we had
dialysis and transplants,
00:14:48.12\00:14:51.75
guess what happened?
00:14:51.79\00:14:53.22
People would die
of kidney disease
00:14:53.25\00:14:55.29
like polycystic kidney disease.
00:14:55.32\00:14:57.23
That's often genetically
passed from one person.
00:14:57.26\00:14:59.79
You get lots of cysts
or fluid-filled cavities
00:14:59.83\00:15:02.20
in the kidneys so the
kidney doesn't work well.
00:15:02.23\00:15:04.97
Sometimes the kidney
function goes down so much
00:15:05.00\00:15:08.17
that they need dialysis.
00:15:08.37\00:15:10.54
But is there an
alternative dialysis?
00:15:10.57\00:15:13.14
Yes, and that's transplants
and we have lots of places
00:15:13.17\00:15:16.95
for modern medicine where
we can transplant an organ.
00:15:16.98\00:15:19.45
We have kidneys
that can be transplanted,
00:15:19.48\00:15:21.32
corneas that
can be transplanted.
00:15:21.35\00:15:23.59
They can transplant livers.
00:15:23.62\00:15:25.49
We could
transplant heart and lungs,
00:15:25.52\00:15:27.82
and we don't like to do that,
but transplants are possible
00:15:27.86\00:15:31.29
in some situations and this is
00:15:31.33\00:15:33.13
a great place
for modern medicine.
00:15:33.16\00:15:35.36
Does the transplant
or the dialysis take away
00:15:35.40\00:15:38.47
the polycystic
kidneys? No, it does not,
00:15:38.50\00:15:41.10
but it gives this person
another chance to do well,
00:15:41.14\00:15:44.17
overcome some genetics,
overcome something bad that
00:15:44.21\00:15:46.94
has happened in their life.
00:15:46.98\00:15:48.31
So this is another great
place for modern medicine.
00:15:48.34\00:15:51.15
Well it sounds like we
are very fortunate to have
00:15:51.18\00:15:53.08
all the advancements
and medicines that we do,
00:15:53.11\00:15:55.15
and there is
definitely a lot of places where
00:15:55.18\00:15:57.15
it's really important to
use modern medicine. It is
00:15:57.19\00:16:00.22
All right, we're going to
be back in just a moment as
00:16:00.26\00:16:02.59
Dr. Marcum closes the program
with prayer - stay with us.
00:16:02.62\00:16:05.79
Modern medicine can
definitely be overwhelming.
00:16:09.66\00:16:16.40
You see all these advances
in genetics and new procedures
00:16:16.44\00:16:20.71
and new pills and we've
talked a little bit today
00:16:20.78\00:16:23.24
about the place
for modern medicine...
00:16:23.28\00:16:25.45
And there is a
place for modern medicine,
00:16:25.48\00:16:27.65
and that place is to
help get us over the hump,
00:16:27.68\00:16:30.05
to help a disaster,
to help bad genetics,
00:16:30.09\00:16:32.12
there is a place
for modern medicine.
00:16:32.15\00:16:34.02
I hope you never need modern
medicine, but thank goodness
00:16:34.06\00:16:37.33
God has given us men and
women to advance technology
00:16:37.36\00:16:40.73
to do these types of things.
00:16:40.76\00:16:42.10
And who knows where modern
00:16:42.13\00:16:44.03
technology will
go in the future...
00:16:44.07\00:16:46.33
But the important thing that
I really want us all to focus on
00:16:46.37\00:16:49.44
is that Ultimate
Prescription that we have
00:16:49.47\00:16:51.41
with the Heavenly Father.
00:16:51.44\00:16:52.77
So even if modern medicine
00:16:52.81\00:16:54.14
doesn't work out,
we still have hope.
00:16:54.18\00:16:56.18
We still know that
there is going to be
00:16:56.21\00:16:57.55
permanent healing. So
let's pray together...
00:16:57.58\00:17:00.58
Heavenly Father, Thank
you for giving us modern
00:17:00.62\00:17:03.69
medicine and giving
us the wisdom through You
00:17:03.72\00:17:06.22
to learn how to use it
appropriately, Father...
00:17:06.25\00:17:08.76
And we want to thank You
for being a God that loves us
00:17:08.79\00:17:11.93
and takes care of us and
wants to enter into a healing
00:17:11.96\00:17:14.56
relationship with us,
Father, and there might be some
00:17:14.60\00:17:16.73
out there that need
You in a special way today.
00:17:16.77\00:17:19.73
We want to pray for them that
You be especially near to them
00:17:19.77\00:17:22.57
and speak to their hearts.
00:17:22.60\00:17:24.21
And thank You for giving us this
opportunity to serve You today
00:17:24.24\00:17:27.48
is our humble prayer... Amen
00:17:27.51\00:17:29.54