Welcome back to the program.
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I'm your host Nick Evenson
and we're here with Dr. Marcum
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today talking about skin pain.
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And we invite you,
if you have a question
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to go to heartwiseministries.org
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where you can
ask your questions.
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You can submit a prayer
request if you have something
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that you'd like us to pray for.
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And you can also listen
to previous radio programs,
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read Dr. Marcum's blogs,
and just give us some feedback
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about what you want to
hear on these programs.
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And Dr. Marcum,
what kind of experiences
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have you had
personally with pain
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in relation to your skin?
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Well, you know,
everyone has had--
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I'm sure everyone out
there in our audiences
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had problems with bug
bites, you know, animal bites,
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you know, that can
cause problems to the skin
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and they usually
they inject a toxin.
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When they inject a
toxin, your nerves feel it
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and that's what causes the pain.
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The nerve say ouch,
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this is not
supposed to be there.
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And then the
inflammatory cells come
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and it starts to be inflamed,
then it starts to hurt.
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So most of the skin
problems are acute problems.
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You know, what caused it.
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You know, and you
know how to get over it.
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Some of them, you know,
your skin can be damaged
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by chronic problems as well.
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What are some chronic problems?
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We talked about
chronically lack of water,
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that's a problem.
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Yeah, dehydration.
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But when I was seven years old,
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I had an accident
and during that accident,
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I fell out of a tree.
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And when I fell out of a
tree, Nick, I broke my arm
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and the bones ended up like that
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when I broke the arm.
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And nowadays they
just would have pinned it
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to straighten the arm,
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but back then they used
something called traction,
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where they pull a lot of
weight to weaken the muscles,
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so the bones would sort,
the muscles would get weak
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and the bones
would sort of line up,
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then they could heal
'cause parts don't heal
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well in the body unless
they're lined up pretty well.
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So that's what we do in bones.
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So they pull a lot
of traction on my arm.
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In fact, they put so
much traction on my arm,
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it cut off the
blood supply to the arm.
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And when it cut off the
blood supply to the arm,
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the arm and the hand
didn't get enough oxygen.
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And my skin, certain parts of it
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didn't get enough
oxygen became severely painful.
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Severely painful, you don't
get enough oxygen, it hurts.
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Your nerves damage, it hurts.
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So my arm sort of,
the skin in that felt like
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it was a funny bone,
in fact after a while,
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you know, the
treatment of course
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is to restore a blood flow.
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And after a
while, the only thing
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that would help my hand
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was they
actually did a skin graft.
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So I'm probably one of
the few people in the world
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that makes me
special that has the sun tan
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in the palm of their hand
because this came from my leg.
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This skin helped prepare this.
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And I'm also one
of the few people
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that have to shave
the palm of the hand
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because it still
has hair follicles.
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But because modern medicine
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could put skin
grafting to my skin,
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it was able to
protect this part of my skin
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and I didn't have
to lose another finger.
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So there is a
place for modern medicine
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in dealing with
chronic problems.
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So, I guess the
point I'm trying to make
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is chronic disease
affects the skin too.
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Yeah. Diabetes is the big one.
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You know,
diabetes really affects
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the blood supply to the
skin, the nerves of the skin,
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and it can damage the skin.
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In fact, diabetics
can have skin problems
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and because their
nerves don't feel it,
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they get infections
and they don't even know it
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because they're
compromised in their skin.
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So those are some sort of things
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that people realize it,
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they don't realize is
skin is very valuable to us
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and sometimes we
take it for granted,
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but chronic
conditions of the skin are rare,
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but when they happen like
diabetes or chronic trauma
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or lack of blood,
it's very serious.
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You know, I guess one
of the worst situations
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I ever had with
skin pain and issues.
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I was a kid and I had poison ivy
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and it got under my face.
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And it swelled up my face.
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I didn't know, I
couldn't stop scratching it.
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And it swelled up
and so my eye shut
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and it was pretty
bad, not life threatening,
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but it was pretty significant
'cause for some people like
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it can be even worse than that.
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We know there's
all sorts of toxins
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that people are allergic to.
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I had a friend one time that
actually was terribly allergy
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to poison ivy and it
got inside his lungs.
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Can you imagine
that inside his lung
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and it was from a fire,
they were burning poison ivy
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and they got that toxin inside.
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So, I mean, so the skin can have
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a lot of different types of pain
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and we had a few
questions regarding skin
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that we have to really get to,
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before we run out
of time here today.
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That's right,
these are the questions
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that come in from the website
at heartwiseministries.org.
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And if you have a question
that we don't get to today,
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please go there
and ask your question.
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The first viewer ask,
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"Can a rash be
life threatening."
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You know, I told you I
had the poison ivy on my face,
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that wasn't life threatening,
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but can it ever
be life threatening?
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Yes, a rash can
be life threatening
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and usually a rash
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is a gigantic immune
response to some toxin.
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So that's what,
you know, sort of rash.
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It might be an infectious
toxin like the measles
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and you know
something up like that.
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It might be like the toxin
that you got with poison ivy,
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the body responded
with the immune reaction
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just wants to get it well.
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But usually in big
terms there's some reactions
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that turn on the immune
system, the entire immune system
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and the entire body gets a rash.
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Those are very serious
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when all the
parts of you get a rash
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because then the
skin can't do its job
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because there's no
skin to do its job.
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It's all rashed up entire body.
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And there's a couple of
ones that are out there,
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they're all immune system,
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one is called
pemphigus vulgaris,
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big name, you know,
vulgaris that sounds bad
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but it's based in autoimmune
affecting the entire skin,
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a rash on the entire body.
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Sometimes certain antibiotic
like reactions, you know,
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you have a
reaction to medication,
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antibiotics like sulphur,
Dilantin sometimes causes this,
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certain viruses
Epstein-Barr, cytomegalovirus,
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they trigger
this immune responses
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that entire this
reaction we called that
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a Stevens-Johnson syndrome,
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where the entire
body ends up in a rash,
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that can be life threatening
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because you can't
regulate infections,
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you can't deal with
your thermoregulatory,
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and of course it's
very, very uncomfortable.
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Sometimes after a person
gets a bone marrow transplant
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or gets, you
know, certain medicines,
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they can have that,
certain staph infections,
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they're like a toxic, you know,
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toxin reaction
to staph infections,
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toxic shock syndrome,
but the bottom-line is
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whenever a rash,
whatever triggers it,
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it covers large surface areas
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that can be
dangerous just like burns.
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If you get a sunburn
that does your entire body,
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that's dangerous.
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If you're in a fire that damages
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your whole body,
that's dangerous.
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If you get poison ivy
that damages a lots of skin,
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that's dangerous.
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Now if you get ticks or
bites all over your body,
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that could be dangerous
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because it hurts
large amount of your skin.
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Your skin can't do its job
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which is
primarily keep toxins away,
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regulate temperature,
those important things.
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And when it can't do your job,
bad things can happen to you.
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So what would you say
is the appropriate action,
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if you get a rash
that you can't identity
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or you get a
rash that seems to be
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larger than you
think you can deal with?
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Who do you go see?
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Well, you know, a
family physician can--
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And many of the
rashes are self limiting,
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you know, they don't--
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The doctor will
come in, you will say,
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oh, I have a rash
and he will say well,
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were you exposed to a
toxin, were you outside,
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did something bite you,
they look for a bug bite.
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And if it's not covering
a large part of your body,
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we know it's not
gonna cause much damage.
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You know the vitals are stable.
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We might get in some local cream
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and it's pretty much the
body takes care of itself.
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But in all these other
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where it covers
large parts of your body,
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then that suggest
a systemic reaction
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and then just a
history and physical,
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you know, where
you're around a drug
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that you were exposed to
that could have done this.
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You know, did you
have a recent medication
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that could have
damaged your entire skin,
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those type of things.
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If we still don't
know, sometimes we go to,
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refer to a specialist
in skin to dermatologist.
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And the dermatologist
might take a biopsy
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and from his
experience because, of course
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that's all he sees all
day along is skin problems,
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so he is an expert at skin
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just like people come to me
all the time with chest pain.
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So I'm pretty good at
sorting through chest pain.
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Well, they are doggone
good at sorting through rashes
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and skin type problems.
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So when you go to them,
they sort of sort through,
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but there are
so many skin rashes
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that are usually infections
or some type of toxic agent
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where the body responding
to some type of stimuli
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that turns on the immune system.
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Right.
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We got another
question that's come in.
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What are some
natural treatments for skin--
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Skin conditions? Yeah.
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We talked about the best one
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and I might get
a glass of water.
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Little sip of high
quality H2O right there.
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High quality H2O.
Nothing in, just pure water.
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That's good 'cause that gives
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the skin the
things that it needs.
00:08:58.17\00:09:00.04
What else the skin's need?
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You know, a lot of times
when we have a skin problem,
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unless it's a cancer or
serious systemic problem,
00:09:04.84\00:09:08.58
it usually runs
its course, okay.
00:09:08.61\00:09:11.75
You know, if it's an infection,
00:09:11.78\00:09:13.31
you want to treat the infection,
00:09:13.35\00:09:15.08
if it's due to a medication,
00:09:15.12\00:09:16.55
you want to
remove the medication
00:09:16.58\00:09:17.92
and support the
body with IV fluids
00:09:17.95\00:09:20.19
and whatever it needs
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until you get
over the rough spot.
00:09:21.59\00:09:23.63
But some naturals--
for instance for skin pain.
00:09:23.66\00:09:26.59
How about, we talked
about sunburns, you know.
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Anything, you know, of
course, you know, we talk about,
00:09:29.50\00:09:31.87
you know, we
don't want to get it,
00:09:31.90\00:09:33.23
so we put in our
skin protection sunscreen,
00:09:33.27\00:09:35.57
but we also--
00:09:35.60\00:09:37.17
Aloe vera is a
very nice easy thing
00:09:37.21\00:09:39.74
that's on the skin, some
even put some lidocaine in,
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so it sooths the skin,
so it doesn't hurt as much.
00:09:42.54\00:09:45.51
That's something
that's good for skin pain.
00:09:45.55\00:09:48.55
Sometimes just resting your skin
00:09:48.58\00:09:50.69
is good for skin pain,
getting clothed off the skin,
00:09:50.72\00:09:54.96
letting the skin
breath is good for skin pains.
00:09:54.99\00:09:59.33
Some people for natural
remedy they use willow bark.
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Willow bark is an
anti-inflammatory,
00:10:02.90\00:10:05.97
you know, aspirin, willow
bark is an anti-inflammatory.
00:10:06.00\00:10:09.40
And whenever the
skin is turning red,
00:10:09.44\00:10:10.97
we know there's inflammation,
so this might help.
00:10:11.01\00:10:13.44
Anything that
helps with inflammation
00:10:13.48\00:10:15.18
might help with that.
00:10:15.21\00:10:16.54
So ginger might help with that.
00:10:16.58\00:10:18.08
Turmeric which
helps in inflammation
00:10:18.11\00:10:20.35
would help that type of pain.
00:10:20.38\00:10:23.22
Overseas in Europe
00:10:23.25\00:10:25.12
they use a natural
substance called devil's claw.
00:10:25.15\00:10:28.39
They use that,
they use devil's claw
00:10:28.42\00:10:29.96
sort of natural
substance to help that.
00:10:29.99\00:10:31.69
Anything that helps the
overall cells of the body.
00:10:31.73\00:10:34.46
Some people use
magnesium they use that.
00:10:34.50\00:10:38.03
Some people use exercise
00:10:38.07\00:10:40.37
because it makes endorphins
to help with skin pain.
00:10:40.40\00:10:43.54
Some people use massage.
00:10:43.57\00:10:45.47
You know how it is, you
hits yourself real hard,
00:10:45.51\00:10:48.08
oh, it hurts, so what do you do?
00:10:48.11\00:10:49.58
You rub it,
especially it's into the muscle,
00:10:49.61\00:10:52.31
you know, more muscle pain,
00:10:52.35\00:10:53.85
but massage is sort
of a natural therapy
00:10:53.88\00:10:56.79
for skin pain.
00:10:56.82\00:10:58.29
In severe pain
that short acting,
00:10:58.32\00:11:00.32
some people can take some type
of Advil or anti-inflammatory
00:11:00.36\00:11:03.73
to get them over the hub
until the body heals itself.
00:11:03.76\00:11:07.23
But remember most
of these treatments
00:11:07.26\00:11:09.26
for acute skin pain is to
sort of make you feel better
00:11:09.30\00:11:14.30
because pain itself is
not good as we discussed
00:11:14.34\00:11:17.11
until your body can heal itself.
00:11:17.14\00:11:19.34
Now, for chronic skin pain,
00:11:19.37\00:11:21.21
conditions like
cancer that's causing it,
00:11:21.24\00:11:24.01
other diseases
that are causing it,
00:11:24.05\00:11:26.01
infections, lack of blood supply
00:11:26.05\00:11:28.48
or damage to
nerves from diabetes,
00:11:28.52\00:11:30.62
then you want to get
at the underlying cause
00:11:30.65\00:11:33.09
in addition to
what's causing the pain.
00:11:33.12\00:11:35.56
So that sort of gives
them everyone a general
00:11:35.59\00:11:37.79
or there are some natural things
00:11:37.83\00:11:39.16
that they can do to
help with their skin.
00:11:39.19\00:11:41.06
I think Aloe vera really works
good for just little rashes.
00:11:41.10\00:11:44.70
Some people, if it's bug bites,
00:11:44.73\00:11:46.53
okay, I've seen people
like to use charcoal poultices.
00:11:46.57\00:11:49.54
You know, it helps
pull out the poisons,
00:11:49.57\00:11:51.87
so the nerve
isn't turned on as much,
00:11:51.91\00:11:53.78
so there's not as
much pain as well.
00:11:53.81\00:11:55.51
You know, I've also
seen if it's a bug bite
00:11:55.54\00:11:57.91
and it's hurting some
people like to drain it, okay.
00:11:57.95\00:12:01.75
Now, some people have--
00:12:01.78\00:12:03.65
We didn't even talk
about this cause of skin pain
00:12:03.69\00:12:05.92
but acne, that can
cause a lot of skin pain too,
00:12:05.95\00:12:10.16
especially in
teenager so, you know,
00:12:10.19\00:12:12.09
the treatment for
that is to remove oil
00:12:12.13\00:12:14.16
from the body and
keep the skin clean,
00:12:14.20\00:12:16.77
keep the pores open.
00:12:16.80\00:12:18.93
And those are all sort of things
00:12:18.97\00:12:20.30
that can help with chronic
skin conditions in the face.
00:12:20.34\00:12:23.84
Yeah, we've got
one last question here,
00:12:23.87\00:12:26.94
talking about
pharmaceutical treatments
00:12:26.98\00:12:28.88
and also the cancer cause--
00:12:28.91\00:12:33.01
the pain caused by
cancer, through cancer?
00:12:33.05\00:12:35.18
Skin cancer can cause
pain and sometimes, you know,
00:12:35.22\00:12:37.85
of course the treatment
is to get rid of the cancer,
00:12:37.89\00:12:40.52
cut it out, okay.
00:12:40.56\00:12:41.89
We talked about some
of the characteristics
00:12:41.92\00:12:43.73
of skin cancers,
irregular border,
00:12:43.76\00:12:46.16
change in color, raise, growing.
00:12:46.19\00:12:48.56
Some of the
pharmaceutical treatments
00:12:48.60\00:12:50.23
we've also mentioned anything
that's nonsteroidal can help.
00:12:50.27\00:12:54.40
Sometimes the pain is just
really, really killing you.
00:12:54.44\00:12:56.91
We can numb it up
with an injection,
00:12:56.94\00:12:59.07
lidocaine you know
before procedure especially,
00:12:59.11\00:13:02.14
you know, you cut
yourself with trauma,
00:13:02.18\00:13:04.18
you know, you need some
stitches to sew it together.
00:13:04.21\00:13:06.68
Well lidocaine
can numb the nerves
00:13:06.72\00:13:08.92
so you can sew it
together, so it doesn't hurt.
00:13:08.95\00:13:11.29
Some people that has severe pain
00:13:11.32\00:13:13.89
that from medical condition
sometimes they have TENS units
00:13:13.92\00:13:17.76
that sometimes
help chronic pains.
00:13:17.79\00:13:19.89
In rare instances we might,
if the inflammation of the skin
00:13:19.93\00:13:23.26
is real bad
especially these rashes
00:13:23.30\00:13:25.43
that cover the entire body.
00:13:25.47\00:13:26.90
Sometimes we use some steroids
00:13:26.94\00:13:28.80
because the
inflammation is so bad,
00:13:28.84\00:13:31.07
the inflammation
itself is life threatening,
00:13:31.11\00:13:32.87
so sometimes we do that.
00:13:32.91\00:13:34.38
And in some people need a
short course of narcotics,
00:13:34.41\00:13:37.25
if they have one of
these bad skin reaction pains,
00:13:37.28\00:13:39.71
but I didn't say for long term,
00:13:39.75\00:13:41.45
just to knock down the
pain, so that they can get
00:13:41.48\00:13:43.62
at the cause
whether it be inflammation,
00:13:43.65\00:13:45.42
so the body will heal itself.
00:13:45.45\00:13:47.09
Yeah. Yeah.
00:13:47.12\00:13:48.46
Well, that's a lot of good
information about skin pain.
00:13:48.49\00:13:50.63
And if you've been
watching the program at home
00:13:50.66\00:13:52.23
and you have more questions,
please visit our website
00:13:52.26\00:13:54.16
at heartwiseministries.org
00:13:54.20\00:13:56.13
and you can ask
your question there.
00:13:56.16\00:13:57.67
You can leave a prayer request
00:13:57.70\00:13:59.30
or you can see other
information on health
00:13:59.33\00:14:01.60
that Dr. Marcum has presented.
00:14:01.64\00:14:03.34
And we'll be
back in just a moment
00:14:03.37\00:14:04.81
as Dr. Marcum
closes with prayer.
00:14:04.84\00:14:07.08
I bet you didn't
think we could talk so long
00:14:14.98\00:14:17.45
about skin pain, but
skin pain is a real issue
00:14:17.49\00:14:20.02
that many people suffer from
00:14:20.06\00:14:22.09
and it never hurts
to learn a little bit
00:14:22.12\00:14:23.73
more about skin.
00:14:23.76\00:14:25.59
I want to pray for you
today that God will provide us
00:14:25.63\00:14:28.26
with the ultimate
healing we all see.
00:14:28.30\00:14:30.13
Let's bow our heads together.
00:14:30.17\00:14:32.43
Heavenly Father as
we once again learn
00:14:32.47\00:14:34.34
how to take care of our bodies.
00:14:34.37\00:14:35.70
We want to thank you for
being our ultimate physician
00:14:35.74\00:14:38.61
who has promised to help us
00:14:38.64\00:14:39.97
one step at a time into healing.
00:14:40.01\00:14:41.61
And thank you for being
with each one of us today.
00:14:41.64\00:14:43.81
And if there's
someone out there Father
00:14:43.85\00:14:45.61
that needs special
prayer, we want you to be
00:14:45.65\00:14:48.08
a especially close to them.
00:14:48.12\00:14:49.52
We want to pray that
you would be with them.
00:14:49.55\00:14:51.82
Thank you for
bringing us here together
00:14:51.85\00:14:53.36
as a family is our prayer.
00:14:53.39\00:14:54.99
Amen.
00:14:55.02\00:14:56.99
Well, I hope no one
out there has skin pain,
00:14:57.03\00:15:01.16
but if you do, you
know a little bit more
00:15:01.20\00:15:02.90
that will help you.
00:15:02.93\00:15:04.27
If you have more
questions, visit the website
00:15:04.30\00:15:06.43
heartwiseministries.org.
00:15:06.47\00:15:08.37
And I'm Dr. James Marcum
wishing you the best of health.
00:15:08.40\00:15:12.64