Welcome back, you're watching
"The Ultimate Prescription"
00:00:01.36\00:00:02.90
and I'm your host, Nick Evenson,
00:00:02.93\00:00:04.27
here with
cardiologist, Dr. James Marcum,
00:00:04.30\00:00:06.43
and we're in a
series on pain in the body.
00:00:06.47\00:00:09.20
And today, we're talking
specifically about chest pain
00:00:09.24\00:00:11.77
which is
something that Dr. Marcum
00:00:11.81\00:00:13.14
sees every day at the office.
00:00:13.17\00:00:14.51
And we have some questions that
we're going to cover here next,
00:00:14.54\00:00:16.95
and if you have a
question, we invite you to go
00:00:16.98\00:00:19.61
to our website at:
heartwiseministries.org
00:00:19.65\00:00:22.68
and go to the "Ask-the-doctor"
page at the website.
00:00:22.72\00:00:25.05
That's heartwiseministry.org
00:00:25.09\00:00:26.92
and we have a team of medical
staff that will look at your
00:00:26.96\00:00:30.06
question and get some
personal advice back to you,
00:00:30.09\00:00:32.56
and it's all done in
a very private manner
00:00:32.59\00:00:34.96
and secure manner
and so go to the website.
00:00:35.00\00:00:37.40
We also ask you to go
there and ask for prayer.
00:00:37.43\00:00:39.70
We enjoy joining and
reading and praying for people
00:00:39.73\00:00:44.11
who have health concerns
and that's what we are all about
00:00:44.14\00:00:46.34
at "Heartwise" is trying to help
people connect with our Creator
00:00:46.37\00:00:48.78
who ultimately provides healing.
00:00:48.81\00:00:50.75
You know, Nick, that's what we
00:00:50.78\00:00:52.11
do different
than other ministries.
00:00:52.15\00:00:53.58
You know, there are other
ministries that talk about
00:00:53.62\00:00:56.48
modern medicine and we do that,
00:00:56.52\00:00:58.35
there's an
appropriate place for that.
00:00:58.39\00:00:59.99
Natural remedies -
there's a place for that.
00:01:00.02\00:01:02.66
What we like to do is,
we like to point people
00:01:02.69\00:01:05.59
to a relationship with
the "Ultimate Physician"
00:01:05.63\00:01:08.06
as the true source of
healing and if you have that,
00:01:08.10\00:01:11.87
eventually, you're
going to have it all.
00:01:11.90\00:01:13.47
And so we like to focus people
on that and I love answering
00:01:13.50\00:01:16.87
questions - we don't
charge for this. That's right
00:01:16.91\00:01:19.14
It's a service that we
do and a lot of people just
00:01:19.17\00:01:22.34
when they have reassurance...
00:01:22.38\00:01:23.71
I can remember one
time we sent someone
00:01:23.75\00:01:25.48
to the emergency room
and he had a major problem.
00:01:25.51\00:01:27.95
So just getting that knowledge
helped him know where to go.
00:01:27.98\00:01:32.09
So a lot of great questions
have come into our website.
00:01:32.12\00:01:35.12
Yeah and if you're just
joining us - if you didn't see
00:01:35.16\00:01:37.33
the last section, Dr.
Marcum's take-home point was
00:01:37.36\00:01:40.50
"If you're
experiencing chest pain,
00:01:40.53\00:01:42.00
get help right away
because there are 5 things
00:01:42.03\00:01:44.90
that it could be and
you don't want to miss those
00:01:44.93\00:01:47.34
if it's a heart
attack or an embolism,
00:01:47.37\00:01:51.21
you want to get checked
out right away." Absolutely!
00:01:51.24\00:01:53.24
So we've got some
questions from the website
00:01:53.27\00:01:54.91
that people have
written in and the first one
00:01:54.94\00:01:57.35
is from a viewer who asks,
"Is it common for chest pain
00:01:57.38\00:02:01.32
to last for more than a month?"
00:02:01.35\00:02:03.59
That's an interesting question,
00:02:03.62\00:02:05.92
and the way we're going
to have to approach that...
00:02:05.95\00:02:08.22
I can't get all the
details, but if a person
00:02:08.26\00:02:11.19
has chest pain that
won't go away for a month,
00:02:11.23\00:02:13.83
that's usually not the
heart because some bad happens.
00:02:13.86\00:02:17.73
It's usually not
something dangerous - usually
00:02:17.77\00:02:21.30
because it lasted a month
and they're still alive. Right
00:02:21.34\00:02:23.71
But, for that
person, it's not common,
00:02:23.74\00:02:26.27
so we talked earlier
about it, anytime that pain
00:02:26.31\00:02:28.91
won't go away - we need to
find out what's causing it.
00:02:28.94\00:02:32.38
So it could be something
as complicated as reflux;
00:02:32.41\00:02:37.35
it might be related to muscles.
00:02:37.39\00:02:39.15
One of the things that also
can cause chronic chest pain,
00:02:39.19\00:02:41.89
believe it or not,
Nick, is stress. Really?
00:02:41.92\00:02:44.73
Stress - now we want to
rule everything else out first.
00:02:44.76\00:02:47.60
We want to make
sure it's not the heart,
00:02:47.63\00:02:48.96
it's not the 5 things
we talked about. Right
00:02:49.00\00:02:51.50
But sometimes what
happens in people that are under
00:02:51.53\00:02:53.70
chronic stress,
they make adrenalin
00:02:53.74\00:02:55.80
that makes their muscles tight.
00:02:55.84\00:02:57.77
They also make inflammatory
chemicals in the body
00:02:57.81\00:03:01.31
which makes
inflammation of the muscles.
00:03:01.34\00:03:03.65
And, of course, when
you feel it in your chest,
00:03:03.68\00:03:05.81
you get very,
very concerned. Right
00:03:05.85\00:03:07.58
You know if it's a headache,
00:03:07.62\00:03:08.95
sometimes
they're not as concerned.
00:03:08.98\00:03:10.32
If it's in the back of the
leg, they're not as concerned.
00:03:10.35\00:03:12.29
But if it's in the chest,
they need to be concerned.
00:03:12.32\00:03:15.22
So, hopefully, this
person that has had chest pain
00:03:15.26\00:03:17.83
for more than a
month, has already been
00:03:17.86\00:03:19.76
to see the doctor
to make sure it's not
00:03:19.79\00:03:21.60
the first big 5,
and then he can go down
00:03:21.63\00:03:24.33
the list of all
sorts of different things
00:03:24.37\00:03:26.53
that it could be...
from shingles to stress,
00:03:26.57\00:03:29.64
to muscles, to GI tract,
to chronic other conditions.
00:03:29.67\00:03:35.01
So, it's not common
for it to last that long,
00:03:35.04\00:03:37.61
but still this person
needs to seek help and find the
00:03:37.65\00:03:40.85
diagnosis so it
doesn't continue...
00:03:40.88\00:03:42.68
Because remember, we
talked about what happens
00:03:42.72\00:03:45.02
with long-term stress, Nick?
00:03:45.05\00:03:46.39
Let me see if you
remember the last program.
00:03:46.42\00:03:47.99
What happens when you
are under long-term pain,
00:03:48.02\00:03:50.86
what does it do to the body?
00:03:50.89\00:03:52.23
It turns on
reactions... STRESS, right? Yes
00:03:52.26\00:03:55.76
Chemical reactions and
that causes deterioration.
00:03:55.80\00:03:59.23
And it could
potentiate any bad system. Okay
00:03:59.27\00:04:02.90
So chronic pain makes whatever
is causing it - worse... Right
00:04:02.94\00:04:05.91
including your brain.
00:04:05.94\00:04:07.38
So you're saying
that there is a real...
00:04:07.41\00:04:10.31
when we have stress
chronically, when we have a job
00:04:10.35\00:04:12.91
that we're
stressed out every day,
00:04:12.95\00:04:15.48
that kind of thing causes a real
chemical reaction in the body.
00:04:15.52\00:04:17.82
Yes, and it could
cause chronic chest pain.
00:04:17.99\00:04:19.79
Now I'm not saying
it is for this person,
00:04:19.82\00:04:21.59
but it's a possibility.
00:04:21.62\00:04:22.96
That would have to be looked
into after everything else
00:04:22.99\00:04:25.69
was ruled out. Right, right.
00:04:25.73\00:04:27.40
Interesting, so
would a vacation help?
00:04:27.43\00:04:30.73
Yes, the opposite
of stress is rest. Okay
00:04:30.77\00:04:34.57
And remember
that text in Matthew,
00:04:34.60\00:04:37.51
"Come unto Me, all you that
labor and I will give you rest."
00:04:37.54\00:04:40.38
So if we come to God in worship,
He has promised to give us rest,
00:04:40.41\00:04:44.61
and the three types of
rest is spiritual rest,
00:04:44.65\00:04:47.18
the mental rest - how
many people get mental rest?
00:04:47.22\00:04:50.19
I read recently
that the average person
00:04:50.22\00:04:52.15
spends 12 hours a
day in the media. Wow
00:04:52.19\00:04:54.89
Twelve hours! That's a lot...
00:04:54.92\00:04:56.26
That's a lot of stressors. Yes
00:04:56.29\00:04:57.73
Depending upon what
they're listening to and then
00:04:57.76\00:05:00.46
we talked about that and
then you need the physical rest.
00:05:00.50\00:05:03.43
We were originally
designed to rest a day a week,
00:05:03.47\00:05:05.97
to rest at night;
people are staying up
00:05:06.00\00:05:08.97
all night; they are
awake; they don't get that
00:05:09.00\00:05:11.74
circadian rhythm that
turns off the stress chemistry.
00:05:11.77\00:05:14.51
If stress chemistry
goes on long enough,
00:05:14.54\00:05:16.78
it could cause pain including
chest pains. Right, right
00:05:16.81\00:05:19.78
Let's go on to
another question here...
00:05:19.81\00:05:21.45
Someone writes in...
"How is a CT scan used to
00:05:21.48\00:05:23.92
evaluate chest pain?"
00:05:23.95\00:05:25.32
A CT scan is a very useful
test to evaluate chest pain
00:05:25.35\00:05:29.66
that happens right away.
00:05:29.69\00:05:32.16
It's a CAT scan -
people have heard that term,
00:05:32.19\00:05:34.30
but it's very good to
look for structural things,
00:05:34.33\00:05:37.23
and also we can
look for blood clots.
00:05:37.27\00:05:39.43
On the big 5, we use
CAT scans to evaluate for
00:05:39.47\00:05:42.80
pulmonary embolism -
this could kill a person.
00:05:42.84\00:05:45.24
We use CAT scans to
look at aortic dissections,
00:05:45.27\00:05:48.18
that's when arteries
are splitting open. Right
00:05:48.21\00:05:50.68
We use that, but it can
also look at other causes
00:05:50.71\00:05:53.42
of chest pain like pneumonia,
inflammation in the lungs,
00:05:53.45\00:05:57.85
and other different
things that can happen.
00:05:57.89\00:05:59.49
It can also pick up if there's
abnormal masses in the lungs
00:05:59.52\00:06:03.39
or in the chest including
the things that would cause
00:06:03.43\00:06:06.03
cancer - it can pick up cancer.
00:06:06.06\00:06:08.53
It can also look at the
lining of the heart called the
00:06:08.56\00:06:11.43
"pericardium," and
sometimes that can get infected
00:06:11.47\00:06:14.14
and also cause us
chest pain as well.
00:06:14.17\00:06:16.47
So a CAT scan is a very useful
00:06:16.50\00:06:18.77
structure to look at
the insides of the body.
00:06:18.81\00:06:22.54
Now it doesn't
look inside the organs,
00:06:22.58\00:06:24.31
but it gives us a picture
of the outside of the organs
00:06:24.35\00:06:26.78
which can give us clues as to
00:06:26.82\00:06:28.75
what might be causing
the chest pain. Right, right
00:06:28.78\00:06:30.99
Now, I haven't
ever had a CAT scan,
00:06:31.02\00:06:33.76
is that the one where you
lay on the table and they put
00:06:33.79\00:06:35.59
you inside and you're
real claustrophobic in there?
00:06:35.62\00:06:37.69
Yeah, you can be claustrophobic,
hopefully you aren't,
00:06:37.73\00:06:41.10
and there is
small risk of radiation,
00:06:41.13\00:06:44.30
but hopefully,
you're not getting that done
00:06:44.33\00:06:47.30
unless it's something
that needs to be done.
00:06:47.34\00:06:49.90
In fact, some of the images...
you know that image we have
00:06:49.94\00:06:53.14
behind your head is an image
from a CAT scan of the head.
00:06:53.17\00:06:57.61
And so it gives us great images
00:06:57.65\00:06:59.41
of the different
parts of the body.
00:06:59.45\00:07:01.12
It can also look at
the chest. Right, right.
00:07:01.15\00:07:03.55
All right, how about chest pain
00:07:03.59\00:07:06.29
that comes from the
stomach can that happen?
00:07:06.32\00:07:08.66
Well, yes it is, and I
wanted to bring this, you know,
00:07:08.69\00:07:11.56
this is a great question
because you can have acid in the
00:07:11.59\00:07:14.40
stomach, you can have reflux.
00:07:14.43\00:07:16.87
Sometimes that acid crawls
upstream into the esophagus.
00:07:16.90\00:07:21.50
If it comes on right
away, sometimes it can feel like
00:07:21.54\00:07:24.51
a heart attack and you
can't know the difference.
00:07:24.54\00:07:26.17
So it's always better
to be safe than sorry,
00:07:26.21\00:07:29.94
but the typical pain
that comes from the stomach
00:07:29.98\00:07:32.15
can come when a person lays
down because the valve might
00:07:32.18\00:07:35.25
no close well, so acid
comes up into the esophagus.
00:07:35.28\00:07:38.95
It might come after we
eat because the stomach might
00:07:38.99\00:07:42.22
get worse after we eat
and usually after food.
00:07:42.26\00:07:45.06
It might have a funny
taste, funny in our mouth...
00:07:45.09\00:07:48.53
It might taste
acidy in our mouth.
00:07:48.56\00:07:51.13
But when the pain
comes from the stomach,
00:07:51.17\00:07:53.34
which is a very
common cause of pain
00:07:53.37\00:07:55.17
from the acid
bubbling up, we want to make
00:07:55.20\00:07:57.17
sure it's not a
heart pain. Right
00:07:57.21\00:07:58.91
So if a pain is
happening when you do something,
00:07:58.94\00:08:01.31
that really doesn't
go with your stomach,
00:08:01.34\00:08:03.08
that goes with your heart. Right
00:08:03.11\00:08:04.61
Pain that comes on after
you eat - sometimes that can
00:08:04.65\00:08:06.82
be acid, sometimes
it could be your heart.
00:08:06.85\00:08:09.12
In fact, when people
come to the emergency room,
00:08:09.15\00:08:12.02
and we rule out the big 5,
00:08:12.05\00:08:13.86
the most common
causes that it's not,
00:08:13.89\00:08:16.42
again, once we rule
out the significant things,
00:08:16.46\00:08:18.66
it usually ends up
being something related to the
00:08:18.69\00:08:21.00
stomach or
something related to stress,
00:08:21.03\00:08:23.60
but we can't miss the big ones,
00:08:23.63\00:08:25.30
so you gotta find
the big ones first. Okay
00:08:25.33\00:08:27.30
How about shingles?
Somebody else write in...
00:08:27.34\00:08:30.41
"Can shingles cause pain in
the chest - what are shingles?
00:08:30.44\00:08:33.17
Yeah, shingles is
not a fun thing to have.
00:08:33.21\00:08:36.34
That's an
infection along a nerve root,
00:08:36.41\00:08:39.51
and everyone has
heard about the chickenpox.
00:08:39.55\00:08:42.78
Shingles is sort of like
the chickenpox and it gets
00:08:42.82\00:08:44.69
along a nerve root, it
can cause extreme pain.
00:08:44.72\00:08:48.02
In fact, I saw a
70-year-old not too long ago
00:08:48.06\00:08:51.96
that just had pain all the time.
00:08:51.99\00:08:53.73
You know, they went
to the emergency room,
00:08:53.76\00:08:55.46
and we did the tests, we
did the blood work, the EKG.
00:08:55.50\00:08:58.83
We did the CAT scan.
00:08:58.87\00:09:00.20
We couldn't find
out what the pain was.
00:09:00.24\00:09:01.80
The pain would not go away.
00:09:01.84\00:09:03.30
So a pain that
won't go away is either a
00:09:03.34\00:09:05.31
heart attack or one of these
bad things or something else.
00:09:05.34\00:09:08.58
So we said, "Wow, we
don't really know what it is."
00:09:08.61\00:09:11.31
We don't know and the
pain is just excruciating.
00:09:11.35\00:09:13.78
Well, in a day or
two, guess what happened?
00:09:13.82\00:09:15.98
They had a characteristic
rash, a shingles rash
00:09:16.02\00:09:19.85
that came right where that nerve
was going around their chest,
00:09:19.89\00:09:23.59
and we knew that their pain
was from the shingles infection,
00:09:23.63\00:09:27.66
and nowadays, if people
are exposed to shingles a lot,
00:09:27.70\00:09:32.37
there are even
vaccines they can give.
00:09:32.40\00:09:34.44
Some people that have
a weakened immune system
00:09:34.47\00:09:37.91
might consider that
because stress triggers shingles
00:09:37.94\00:09:41.81
because our immune system
can't keep that infection down,
00:09:41.84\00:09:45.21
and it becomes activated,
it is very painful and it can
00:09:45.25\00:09:48.08
occur in other places.
00:09:48.12\00:09:49.45
It can occur in the
face; it can occur on the body;
00:09:49.48\00:09:52.22
and it can occur in any
dermatome where a nerve lives,
00:09:52.25\00:09:55.69
and it is very painful.
00:09:55.72\00:09:57.49
So shingles is a cause of pain.
00:09:57.53\00:10:00.33
It's usually not
chronic pain, it's acute pain,
00:10:00.36\00:10:03.23
pain that won't go away,
and there are some things
00:10:03.26\00:10:05.27
that we can do to
help treat that pain
00:10:05.30\00:10:07.00
until the virus runs its course.
00:10:07.04\00:10:09.17
So the pain from shingles,
it could be in the chest
00:10:09.20\00:10:11.27
or it probably could be in
other parts of the body as well?
00:10:11.31\00:10:13.24
Yeah, we found out on this
one because it was in the chest,
00:10:13.27\00:10:15.71
we evaluated it, we
didn't know for sure
00:10:15.74\00:10:17.55
until guess
what? The virus came,
00:10:17.58\00:10:20.15
and then we saw the
rash along the nerve root,
00:10:20.18\00:10:23.82
and we knew they had shingles.
00:10:23.85\00:10:25.19
So you mentioned earlier
that pain is often associated
00:10:25.22\00:10:27.89
with heart attack,
but is it possible to have
00:10:27.92\00:10:29.79
heart attack
without experiencing pain?
00:10:29.82\00:10:31.69
Yeah, it is, and
especially in women.
00:10:31.73\00:10:35.70
Women don't present
quite the same as men.
00:10:35.73\00:10:39.00
They have a different
pain mechanism in their bodies.
00:10:39.03\00:10:42.74
Their blood vessels
in the heart are a little
00:10:42.77\00:10:44.37
bit different - they're smaller.
00:10:44.41\00:10:45.97
Because of
their hormonal system,
00:10:46.01\00:10:47.74
they experience things
a little bit different.
00:10:47.78\00:10:49.44
Sometimes women will
just have shortness of breath,
00:10:49.51\00:10:51.81
extreme shortness of
breath instead of chest pain.
00:10:51.85\00:10:54.58
Sometimes if a
person has diabetes
00:10:54.62\00:10:57.25
or damage to their nerves...
00:10:57.29\00:10:58.69
Remember we talked in previous
programs when the nerves are
00:10:58.72\00:11:01.09
damaged, some people
don't feel pain at all.
00:11:01.12\00:11:05.83
We see that
occasionally in diabetics,
00:11:05.86\00:11:07.90
and people that are old.
00:11:07.93\00:11:09.60
They might just
present with extreme fatigue,
00:11:09.63\00:11:11.77
shortness of
breath, a lack of energy,
00:11:11.80\00:11:14.27
and we say, "Wow,
what could that be?"
00:11:14.30\00:11:16.57
And we do some testing and wow,
it ended up being the heart.
00:11:16.60\00:11:19.14
Now that's not as common,
we don't see that as common,
00:11:19.17\00:11:22.14
but it is possible to have
a heart attack without pain.
00:11:22.18\00:11:25.01
So when someone comes in
with symptoms that we have
00:11:25.05\00:11:27.38
no explanation for,
since heart disease is so
00:11:27.42\00:11:30.49
common in our world...
00:11:30.52\00:11:31.95
In fact, heart disease
was one of the highest killers
00:11:31.99\00:11:35.42
in the United States last
year and as we get westernized,
00:11:35.46\00:11:38.79
and have more stress,
more fatty foods, guess what?
00:11:38.83\00:11:42.06
We are going to
have more problems with
00:11:42.10\00:11:44.23
cardiovascular disease. Yeah
00:11:44.27\00:11:46.03
We've got just another question
here, somebody writes in...
00:11:46.07\00:11:48.87
"Why is chest pain evaluated so
quickly in the emergency room?"
00:11:48.90\00:11:53.58
I think I've got a little
bit of an idea because you
00:11:53.61\00:11:55.51
mentioned the big 5
earlier: heart attack,
00:11:55.54\00:11:57.71
pulmonary
embolism, pneumothorax,
00:11:57.75\00:12:01.02
and a dissection, and
what was the other one?
00:12:01.05\00:12:03.05
Unstable angina, that's
where it's sort of getting
00:12:03.08\00:12:06.49
to a heart attack,
but it's not quite there.
00:12:06.52\00:12:08.62
Well, a person that's
having pain right away...
00:12:08.66\00:12:10.83
if they're
having a heart attack,
00:12:10.86\00:12:13.09
you have to get treatment
right away because when
00:12:13.13\00:12:15.13
the heart
doesn't get enough blood,
00:12:15.16\00:12:17.63
it becomes
electrically unstable. Right
00:12:17.67\00:12:20.64
It doesn't get enough
blood and the heart, you know,
00:12:20.67\00:12:23.10
if it doesn't get enough
blood, electricity has problems,
00:12:23.14\00:12:26.74
and it starts to fibrillate,
and I don't know if you've
00:12:26.78\00:12:29.34
seen TV where they
get the defibrillators out
00:12:29.38\00:12:31.68
and shock the heart. Yeah
00:12:31.71\00:12:33.05
Even a small blockage
can cause that to happen.
00:12:33.08\00:12:36.42
The heart gets
electrically unstable,
00:12:36.45\00:12:38.05
it goes into funny rhythm.
00:12:38.09\00:12:39.42
They have
ventricular tachycardia,
00:12:39.45\00:12:41.92
ventricular fibrillation
and sudden, sudden death.
00:12:41.96\00:12:45.09
So that's just one of
the reasons it got to be
00:12:45.13\00:12:47.56
jumped on quickly and I
can't tell you how many people
00:12:47.60\00:12:49.66
that we've had to
shock in the emergency room
00:12:49.70\00:12:51.50
that were having a
heart attack. Right
00:12:51.53\00:12:53.13
So it's a big problem,
they've got to go quickly,
00:12:53.17\00:12:55.30
and if you're in an
emergency room and you're having
00:12:55.34\00:12:57.31
chest pain, if
someone has not evaluated you,
00:12:57.34\00:12:59.87
you better make some noise!
00:12:59.91\00:13:01.24
Because we want you to
be evaluated as quickly
00:13:01.28\00:13:03.31
as possible to make sure
it's not something super serious
00:13:03.35\00:13:05.95
that needs immediate help.
00:13:05.98\00:13:07.45
Well Dr. Marcum, thank you
for teaching me and the rest
00:13:07.48\00:13:09.92
of our audience about
chest pain and why it's
00:13:09.95\00:13:11.95
important to get
evaluated so quickly.
00:13:11.99\00:13:13.52
Well, hopefully,
we'll never have chest pain,
00:13:13.56\00:13:15.76
and we can do things, little
things to do to stay healthy.
00:13:15.79\00:13:18.96
We talked a few about
keeping the stress down,
00:13:18.99\00:13:21.50
healthy diets,
keep the fat down.
00:13:21.53\00:13:23.90
And then if you're having
symptoms, get help right away.
00:13:23.93\00:13:27.00
Well, you know, we believe
that God is going to provide
00:13:27.04\00:13:29.50
ultimate healing one day
and we invite you to visit our
00:13:29.54\00:13:32.81
website at:
heartwiseministries.org
00:13:32.84\00:13:35.21
where you can ask for
prayer and you can also ask
00:13:35.24\00:13:37.21
more health questions there.
00:13:37.25\00:13:38.68
Stay with us as Dr. Marcum will
00:13:38.71\00:13:40.05
be closing the
program with prayer.
00:13:40.08\00:13:41.42
I hope everyone has
learned a little bit about
00:13:50.53\00:13:53.53
chest pain today and
the real take-home point
00:13:53.56\00:13:57.10
I want you to have
is: If you're having
00:13:57.13\00:13:58.47
chest pain that won't go
away, or an abnormal feeling
00:13:58.50\00:14:01.44
above your waist or
diaphragm, seek help right away.
00:14:01.47\00:14:05.14
Get medical help
because we don't want it to be
00:14:05.17\00:14:07.88
something that
could actually kill you,
00:14:07.91\00:14:09.74
so get help right away.
00:14:09.78\00:14:11.11
Let me pray for you today...
00:14:11.15\00:14:12.48
Father God, We want
to pray for all of our
00:14:12.51\00:14:15.18
audience today that You continue
to be the Ultimate Physician
00:14:15.22\00:14:18.85
for them and if they
ever have chest pain, Father,
00:14:18.89\00:14:21.46
we pray that you be with
them and help them to get help
00:14:21.49\00:14:23.86
right away is our prayer... Amen
00:14:23.89\00:14:26.93
If you might have
questions, we want to invite you
00:14:26.96\00:14:29.53
to go to our website,
that's: heartwiseministries.org
00:14:29.56\00:14:32.87
I'd be happy to
answer your questions,
00:14:32.90\00:14:34.50
and we're going to
continue our series on pain,
00:14:34.54\00:14:37.21
so stick with us each time and
we will go into another aspect
00:14:37.24\00:14:40.98
of pain next time.
00:14:41.01\00:14:42.34