Welcome back to the program.
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I'm Nick Evenson here
with Dr. James Marcum.
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And on today's
program, we are talking about
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different types of
pain, specifically headaches.
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Lot of people
experience headaches
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and for a lot of
different reasons.
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And so today, Dr.
Marcum, we are talking about
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some of those reasons,
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but specifically we
want to focus on prevention
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and how to treat headaches
when we experience them.
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Yeah, and as
we've talked about pain,
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you notice that
there are some themes
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in all the pain, you know.
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There are headaches, you know,
or any type of pain mean that
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there is something
not right in the body.
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And sometimes
it can be dangerous
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but for sure, it's a sign
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that something we
had stress on our body
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that's triggering this.
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Where that
stress might come from?
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It might come from bleeding,
it might come from a toxin,
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it might come from an infection
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and all that can
infect different body parts.
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So when the brain is
not right, for acute pain,
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that's when you
need modern medicine,
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the worst headache
in their life, a fever.
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That's where modern medicine
helps you get over hump.
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But for chronic
pain, or any chronic pain
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whether be headache, you
want to find out the reason why.
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And the way a
doctor evaluates the pain,
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the first thing a
neurologist would do
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is he'll give,
do a good history.
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A lot of the time just
by talking to the patient,
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figuring out simple
things, they can figure out
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what the pain is caused by.
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And that's very rewarding
'cause it's very rewarding
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when you tell
patients to drink more water,
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all of the sudden,
their pain goes away.
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Yeah, I really
likes to have an answer
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for what's going on.
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Or getting into a
little more rest, it goes away.
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Or bringing down the blood
pressure, the pain goes away.
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Everyone--
that's very rewarding.
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But sometimes it's
more complicated than that.
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And we can do some tests.
And we have CAT scans and MRIs.
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Those are very good tests
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for looking at the
structure of the brain.
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Okay.
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It looks for
aneurysms, it looks for...
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It can look at the
sinuses, for infections.
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It can do those type of things.
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We can also look at
the eyes to see if we think
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we have eye problems,
things of that nature.
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It can give us indirect evidence
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of whether we've had
problems with concussions,
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things of that nature.
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Sometimes the blood work
will give us diablo clues.
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We can conclude if there's
inflammation in the body,
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if there might be an
infection in the body,
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things of that nature.
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We can look at it, the blood
sugar is too high or too low.
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Blood work can be
very helpful for that.
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Certain types of infections.
We can actually measure...
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We can actually examine
the fluid that base the brain.
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We call that
cerebral brain spinal fluid
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that literally flows.
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It has a circulation.
It goes around the brain.
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It helps absorb damage
to the brain, cushions it,
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goes around the spinal
cord, helps protect that.
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Well, we can
actually put a needle
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into the spine and
drain that, that fluid out.
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We can look at it
under a microscope
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to see if there
might be an infection,
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certain types of
cells which might clue us in
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to what might be
causing the symptom
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which chronic
headache infections,
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things of that
nature, that's very useful.
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But I would say the most common
ones we do are the history
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then if we want to look at
the structural a CT or MRI.
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Now understand
we've had some questions
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that come into our
Heart Wise Ministry's website.
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And just we were talking about
was our first question actually
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and that was, how does a
doctor evaluate a headache.
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So let's just recap that.
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If I come into
you with a headache,
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you are going to ask
me a bunch of questions
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about my health history.
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Yeah, and first of
all, I'm going to make sure
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it's not a
dangerous headache, okay?
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How do you find if it is?
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Yeah, like I said, if you
say it's the worst headache
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that's ever happened in my life,
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I would say, well, that could be
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a subarachnoid hemorrhage
bleeding in the brain.
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We need to send
you to emergency room
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and get a scan right now.
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Now what would cause
a bleeding in the brain?
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Can't wait.
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Well, it could be
a weak blood vessel.
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It could be, you
might have banged your head,
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had some trauma.
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Okay. Okay.
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Those are some of
the more common ones.
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If your headaches
aggravated by a certain action
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like every time I
cough, I get a headache.
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Or every time I have
relationship with my wife,
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I get a headache.
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Those are a little
bit more concerning.
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Or if the
headache won't go away,
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that's associated
with nausea and vomiting,
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that's more of a concern.
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Or a headache that's
associated with a fever
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and a stiff neck and a rash.
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Bad headache after
banging the head in trauma.
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Or headache that
leads to a seizure.
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Or let say, you have a change
of vision, you can't see right.
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Those are all more
serious types of headaches.
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Or headache, it's not so bad
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but it gets worse
and worse and worse,
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I can't even survive.
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So I would say,
Nick, that headache,
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we need to go to
emergency room right now
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and make sure it's
not a structural problem.
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And if it is, we
need to deal with that.
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Then if it's not
those, I say, well,
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it's probably a
primary headache.
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And that's a headache
that's either due to tension.
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It might have characteristics
of a cluster headache
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or migraine headache
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or you might have a
toxin related headache,
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something that you've
done that's triggered it.
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You are around
obnoxious gas or something,
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just get away from
that environmental issue.
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And I can do
that with the history.
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And then if I
thought it might needed
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a short term
course of medication,
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we might give
it over short term.
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Frequently migraine headaches,
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they have a shot called Imitrex.
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They don't
usually give pills a lot
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because you are
sick at your stomach,
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you might throw it up.
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But there's also some studies
that show ginger might be
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very effective in the treatment
of migraine headaches as well.
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But I think if you can find
what's causing the headache,
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that might be
the best treatment.
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If there's a
trigger that's causing,
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but sometimes,
Nick, it's just genetics.
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No matter what, you
have your cluster headache,
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your migraine
headache, it's just genetics.
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We can't really
figure out. It just happens.
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Then we treat that the
best we can with medications.
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And remember, these
medications for headaches
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are usually just short term.
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Short term headaches...
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Short term
treatment with medications
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don't usually carry the risk
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that taking it
day in and day out
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over years and years and years.
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And this is a great
use of modern medicine
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to get you over the hump
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because chronic pain in itself
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is not good for the body either,
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as we've discussed many times.
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So that sort of a
general approach to headaches
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and most doctors do it
pretty much similar to that.
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They make sure it's not serious.
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If it's a primary type headache,
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then they work it
dealing with the cause.
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So what are one of the
most common sources of headache
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that you see?
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Well, the most common headache,
you know, I'm a heart doctor,
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so I don't really
see many headaches.
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Sure, yeah.
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But the most common headache in
the world is tension headaches.
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Stress induced headaches.
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Our world is under
stress like never before.
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People are watching things.
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You know, they see all
sorts of things in the media.
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People are spending up to
12 hours on the media a day.
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And they stay up late at night.
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They worry about
things, you know.
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They were eating
things that we shouldn't eat.
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There's this stress
from every different avenue.
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There's relationship stress.
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We are living lives
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that sort of go
against our original design.
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And whenever we do that,
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that puts stress on our
body including our brains.
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And our brain might say,
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"I just can't
deal with this anymore.
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I'm going to have a headache."
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And when the
body has a headache,
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the brain can't think very well.
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We do a process
called down shifting.
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We go into the
"let's stay alive"
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part of the brain,
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not the higher
thinking part of the brain.
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And we just do things
that make us feel good.
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What can I do right now
to take away the headache?
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I'll do anything.
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Some people turn
to drugs and alcohol.
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Some poor people turn
into narcotics and painkillers.
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Some people turn
to other things, okay?
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Well, I want to try to
get our audience to say,
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"Well, what's causing it?
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What can we do to
get at the cause?"
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Because if we get the cause,
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we are going to
find the safest solution.
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That's why I've
recently developed
00:07:53.00\00:07:54.54
the Bible study series
00:07:54.57\00:07:55.90
that helps people
to do this overtime
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called Biblical
Prescriptions for Life.
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And this is a seven-week
or seven-part Bible study
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that teaches people
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what's causing the
stress in our lives
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and how we can one
step at a time get back
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to the way God made us.
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And if people
want more information,
00:08:11.65\00:08:12.99
they go to our website.
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That's biblicalprescriptions.com
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or they can go to
heartwiseministries.org.
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So that's the
most common, tension.
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And those are some solutions
for that getting back to it.
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And the second most
is migraine headaches.
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These dangerous headaches
are actually very rare, Nick.
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It sounds like
the most common ones
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are basically
chemical imbalances
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that are stress induced.
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Lifestyle induced, right.
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Lifestyle
induced and any of those,
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you know, the stress,
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the tension
headaches and migraine.
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And these serious
types are rather rare.
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But when they happen,
they are life threatening.
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They cannot be missed.
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So that's why you have
to get on it right away.
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I'm afraid a lot of times,
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some of these
biblical prescriptions
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that God's
given us in the Bible,
00:08:54.63\00:08:55.96
like drinking
water, getting rest,
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things that we just overlook,
they are simple to implement.
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If we can just
break our regular cycle
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and focus on doing
what God asks us to do.
00:09:03.47\00:09:05.57
And that gives
people a sort of sense.
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If they are having symptoms
that can't really be explained.
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You know, you look at
everything and there's no...
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No matter where
whether this be headaches
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or pains that you can't explain.
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You might say,
"Well, what am I doing
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that could be
stressing the body?
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What am I doing
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that's sort of
against the way I was created?
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And what are some simple things
I can do to get back that,
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'cause remember, a
little bit of stress from here,
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bad relationship,
not sleeping well,
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not enough breathing
well, not enough water,
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maybe there are wrong foods.
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It all turns on
the same chemistry.
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And when that
chemistry of inflammation
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and epinephrine and adrenaline
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and then
cortisol gets turned on,
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it creates symptoms.
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And then guess what?
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We go to the doctor and
we want modern medicine.
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Well, that might not
always be the best thing.
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Yeah.
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So let's say that
I am a healthy person
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that hasn't had a
history of headaches.
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I drink plenty of water.
Haven't had issues like this.
00:10:00.20\00:10:02.80
All of a sudden, I get a
really severe pounding headache
00:10:02.83\00:10:06.27
unlike anything
I've ever experienced.
00:10:06.30\00:10:07.64
Is that a time to
be of serious concern?
00:10:07.67\00:10:10.37
Well, what I would do
00:10:10.41\00:10:12.37
is associate it with
some of these other findings,
00:10:12.41\00:10:14.58
okay?
00:10:14.61\00:10:15.94
I would always be
concerned about a symptom, okay?
00:10:15.98\00:10:18.68
If it affected your
vision, if you were throwing up,
00:10:18.71\00:10:21.82
if you had a fever,
00:10:21.85\00:10:23.35
if it didn't get
better fairly quick
00:10:23.39\00:10:26.05
with the things you usually do,
yes, I would get it evaluated.
00:10:26.09\00:10:29.49
Because remember,
even if it's not serious,
00:10:29.52\00:10:32.49
okay, it's
still causing you pain
00:10:32.53\00:10:34.50
which is damaging your body.
00:10:34.53\00:10:36.03
So let's say the worse scenario.
00:10:36.06\00:10:37.73
You go to a doctor
00:10:37.77\00:10:39.10
and he evaluates you
and it's not serious.
00:10:39.13\00:10:41.44
Well, thank goodness.
00:10:41.47\00:10:42.80
Well, they can give
you a shot of painkiller
00:10:42.84\00:10:44.77
or whatever you need
to take away the symptom
00:10:44.81\00:10:47.71
until you can back up and say,
00:10:47.74\00:10:49.14
"Well, what could
have triggered it?
00:10:49.18\00:10:50.68
And sometimes, the body
is so complicated, Nick.
00:10:50.71\00:10:53.92
Sometimes we never
find out what's wrong.
00:10:53.95\00:10:56.12
We say, "It
happened. I don't really know."
00:10:56.15\00:10:59.15
But, you know, usually
00:10:59.19\00:11:00.52
if I spend enough
time with somebody
00:11:00.56\00:11:02.09
and ask enough questions,
00:11:02.12\00:11:03.73
usually something will come up
00:11:03.76\00:11:05.09
and I'll say, "Yeah,
maybe, maybe that triggered it.
00:11:05.13\00:11:07.40
Maybe that triggered it.
00:11:07.43\00:11:08.83
You know, maybe you drink
a lot of caffeine every day
00:11:08.86\00:11:11.93
and you missed that.
00:11:11.97\00:11:13.74
Maybe your body needed that."
00:11:13.77\00:11:15.64
Maybe, you know,
something will usually show up.
00:11:15.67\00:11:18.14
Something will show up.
00:11:18.17\00:11:19.51
We've got another question
that's coming from viewer,
00:11:19.54\00:11:20.88
and they ask, "What
are some natural things
00:11:20.91\00:11:22.51
that I can do for a headache?"
00:11:22.54\00:11:23.88
Well, that's a great question.
00:11:23.91\00:11:25.25
I think we addressed
some of them already.
00:11:25.28\00:11:27.88
Is getting back to the
way God made you, okay?
00:11:27.92\00:11:30.79
That's the best
thing that I can do,
00:11:30.82\00:11:34.42
whether that be
getting enough sleep and rest,
00:11:34.46\00:11:36.56
drink enough water,
moving the body parts, worship.
00:11:36.59\00:11:40.13
But other things that will help,
00:11:40.16\00:11:41.76
if the headache might
be due to inflammation,
00:11:41.80\00:11:44.33
ginger might help that, okay?
00:11:44.37\00:11:46.77
If it's due to blood pressure,
hibiscus might help that.
00:11:46.80\00:11:50.87
Sometimes if
it's due to tension,
00:11:50.91\00:11:53.31
just deep breathing in itself.
00:11:53.34\00:11:56.91
Take a deep breath.
Hold it, blow it out slow.
00:11:56.95\00:11:58.88
That helps more oxygen comes.
00:11:58.91\00:12:00.98
It turns on the
parasympathetic system
00:12:01.02\00:12:03.05
which turns off some of these
stress hormones in the body.
00:12:03.08\00:12:06.05
Sometimes that alone might help.
00:12:06.09\00:12:07.79
Sometimes getting outside,
00:12:07.82\00:12:09.16
breathing fresh air,
going for a walk might help.
00:12:09.19\00:12:12.46
Sometimes getting
some sleep and rest,
00:12:12.49\00:12:14.86
maybe you are overtired,
00:12:14.90\00:12:16.23
so if you can
understand the cause, Nick,
00:12:16.26\00:12:19.00
that is your best
bet to treating this.
00:12:19.03\00:12:21.67
So headaches is
one like chest pain.
00:12:21.70\00:12:23.71
You need to sort of
have some smarts about it
00:12:23.74\00:12:25.71
because it could
be life threatening
00:12:25.74\00:12:27.08
even though it's usually not.
00:12:27.11\00:12:28.71
But you want to
get at the cause.
00:12:28.74\00:12:30.35
What I would say,
00:12:30.38\00:12:31.71
the key thing I would say
to all the people out there is,
00:12:31.75\00:12:34.05
if you can understand the cause
00:12:34.08\00:12:36.08
and get back to
the owner's manual,
00:12:36.12\00:12:37.92
that's going to be your best bet
00:12:37.95\00:12:39.72
not to have
headaches chronically.
00:12:39.75\00:12:43.16
Dr. Marcum, thanks for all
those pointers on headaches.
00:12:43.19\00:12:45.23
And if you are at home
00:12:45.26\00:12:46.59
and you still have more
questions about headaches,
00:12:46.63\00:12:47.96
please visit our website
at heartwiseministries.org
00:12:48.00\00:12:50.87
where you can ask your question
00:12:50.90\00:12:52.47
and you can also send
me your prayer requests.
00:12:52.50\00:12:54.24
We invite you to stay with us
00:12:54.27\00:12:55.60
as Dr. Marcum
closes with prayer.
00:12:55.64\00:12:57.01
I like to spend a few
moments with you in prayer.
00:13:06.68\00:13:09.55
There might be someone out there
00:13:09.58\00:13:10.99
that needs special
prayer for their health.
00:13:11.02\00:13:13.56
Let's all bow our heads
00:13:13.59\00:13:14.92
and pray for
each other right now.
00:13:14.96\00:13:17.93
Father in Heaven, we
want to pray for each other,
00:13:17.96\00:13:21.10
that we all have better health
00:13:21.13\00:13:23.23
and that you come into our lives
00:13:23.26\00:13:24.70
to be our ultimate physician.
00:13:24.73\00:13:26.87
And there's
someone out there, Father,
00:13:26.90\00:13:28.24
that needs a special
prayer, special encouragement.
00:13:28.27\00:13:30.97
We want to pray for
them 'cause we believe
00:13:31.01\00:13:33.41
and understand the
power of prayer in lives.
00:13:33.44\00:13:35.41
You can do things
00:13:35.44\00:13:36.78
that we cannot do or
even understand, Father.
00:13:36.81\00:13:39.61
And thank You for loving us
00:13:39.65\00:13:41.58
and giving us
this day is our prayer.
00:13:41.62\00:13:43.52
Amen.
00:13:43.55\00:13:45.85
Well, I want to
thank you for joining us.
00:13:45.89\00:13:48.19
And if you have any questions,
feel free to go to the website,
00:13:48.22\00:13:51.09
heartwiseministries.org.
00:13:51.13\00:13:53.23
Wishing you the best of health.
00:13:53.26\00:13:55.60