Are you experiencing pain today?
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If so, you are going to
want to watch this program as
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we're going to discuss some
of the most frequently asked
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questions that we get,
and discuss also some of the
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treatments that you can
start doing today, at home,
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so stay with us.
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I'm Dr. James Marcum, are
you interested in discovering
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the reason why? Do you want
solutions to your healthcare
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problems? Are you
tired of taking medications?
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Well, you are about to be
given an Ultimate Prescription.
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I want to thank you
for joining us today.
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My name is Nick Evanson
and you are watching the
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Ultimate Prescription and
we are also here with Dr. James
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Marcum and we work together
at Heartwise Ministries.
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We are non-profit that has
the goal of bringing people
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closer to Christ
through following His plan
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for their life. Right! You
know, if you look at Christ's
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model, especially
in Luke for instance.
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He met their needs, he tried
to meet their physical needs,
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He healed them, He loved
them, He didn't judge them,
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and once that physical need
was met, he introduced them to a
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relationship with the Heavenly
Father and he brought them
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into that growing grace. Um,
and that is what we try to do
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at Heartwise, and then we try
to meet someone's physical need
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and teach them how to move
forward one step at a time.
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Not only towards
health and healing,
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but also in their relationship
with God, we encourage that.
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encourage them
to come to worship.
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Encourage them to understand
that God is there for them,
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and wants to be
their ultimate physician.
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Also on earth you know,
we are probably our own best
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physicians and let them know
the place for modern medicine.
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which is to treat acute
problems and chronic problems
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which is to try to get back
to the way our body was created
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in the beginning. I know we
have been talking a lot about
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pain and we are going to
try to sum up and answer some
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questions we haven't answered,
but where do you think we should
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start today? Well, I
am going to go through
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and kind of quiz you on
the different types of pain
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people might be experiencing
at home and you can kind of
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tell us what type of physician
they should go see. Yeah,
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You tell me the type of pain and
I will the type of specialist
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that you should see.
I'll also mention the most
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dangerous thing about
that type of pain in that part
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of the body. So we
are going to start off
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with pain in the
mouth, oral pain.
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Ok, oral pain. Two sets of
doctors would be very helpful
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for that type of pain. One
is a dentist because they are in
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the mouth all the time,
and the other one that gets
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called in all the time is an
E.N.T., Ears, Nose, and Throat.
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They are specialists that deal
with the ear, nose, and throat
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and that typically has oral
pain. Um, there is not a lot
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of oral pain that I see kill
people right away, so that's
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good. Right! You know,
they don't have to run to the
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Emergency Room all the time
right away, so those are the
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two types of doctors
for that type of pain.
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Alright! How about if someone
is experiencing abdominal pain.
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Abdominal pain could
be a medical emergency,
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especially if we rupture
our big tube, if we are bleeding
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inside. So if the pain
is rapid and won't go away
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associated with a fever,
the belly is tight, nausea,
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lots of diarrhea, you probably
need to go to the Emergency
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Room right now. ok.
The specialists that deal
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with that pain is
usually Gastroenterologists,
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GI specialist. They work
with that pain frequently
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um, if a blood vessel is
involved they might do that.
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General Surgeon's also
work with that type of pain
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quite a bit in the abdomen.
But you want to make sure
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that it is not heart
pain either because sometimes
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heart pain can simulate
belly pain in some instances.
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Alright, what about pain of
the sex organs or down in the
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private parts. What kind
of doctor should you see?
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Well, genital pain is either
a Urologist or a Gynecologist.
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Those are the doctor's
that really specialize in that
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type of pain. Now a
good provider or good
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family physician, a
good internist, a good nurse
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practioner, all of them might
be able to help 90% of that type
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of pain. But I am just talking
for the 10% that might need
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a specialist. Right!
What about the nervous system.
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There can be a lot of complex
issues with the nervous system,
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who do they see?
Well, the Neurologist.
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Neurologists are very good
at doing that. They are experts
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at evaluating the neurological
system when your regular doctor
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needs a little extra help.
Like I said, a lot of these
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conditions most doctors
can handle pretty competently,
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and you only need a specialist
maybe 10 or 20% of the time.
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What about
joints and muscle aches?
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Orthopedic doctors
are very good to go to.
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Sometimes good
Physical Therapists and good
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Chiropractors are other
alternatives depending on the
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nature of the joint pain
and what type of professionals
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you have in your area.
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What about if someone is
having chronic headaches and
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that type of thing,
who should they see?
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That's another one,
Neurologist is usually the one
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to go for a chronic headache
or a good Internal Medicine
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doctor because an Internal
Medicine doctor sort of looks
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at everything. Those are some
specialists that might evaluate
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that type of pain.
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Ok. The last one here I have
on my list is going to be pretty
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easy for you, someone having
chest pains, who do they go see?
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I think they need to see a
"Cardiologist" if you are having
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chest pain. It is different
if someone hits you in the chest
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and you know what is
causing it, that's different but
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for pain that is undiagnosed,
you don't know what it is
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a "Cardiologist" and any
pain that is above the waist
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that is unexplained, that
is ongoing, I think you need
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evaluation right now, it
can't wait because it could be a
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heart attack and then any
pain that happens when you are
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walking and doing something on
exertion, that's when the heart
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works, that might be
very also suggestive of heart.
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The reason I bring this
up is because the heart pain
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is probably the most
common cause of acute pain
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that's out there. It is
the most common cause of death
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in the United States,
it's the most common cause of
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lots of problems, so I am
very sensitive to heart pain.
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Yep, yep! Well
on today's program
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we're going to look at some
of the most frequently asked
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questions that we
receive through our website
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that's HeartwiseMinistries.org.
and if you have a health
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question or concern, we
invite you to visit the website
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and you can ask the
doctor your question,
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you can request prayer,
or you can look through our
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library of health articles
and find some good information
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for you or one
of your loved ones.
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I want to talk for just a
second why pain is so important.
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Often times it is thought
of as a really negative thing
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and it is, certainly if
your spirits are chronically.
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but pain is kind of a
gift that God gave our bodies
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to notify us that
something is wrong.
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So why is it so
important? That is so important,
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Because how would you
know that something was wrong
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if you didn't have
a signaling system.
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Right! You would never
know. It's like a true North,
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You know if you are doing
well you are not having pain.
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Well things might be
pretty good because God made us
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to have pain when
things aren't going well,
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so that's why it's so important.
Also if your having pain,
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pain is a form of
stress on the body.
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It's great if you need to warn
yourself to get help right away,
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that's what it's for, but pain
long term, turns on stressors
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on the body which can damage
it further, so chronic pain
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is not good, it
makes the adrenalin go up,
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you don't think as
good, your cognition,
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the way you figure
things out aren't as good,
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people in chronic pain, they
make mistakes easier at work,
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they can't figure out
simple things sometimes,
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so chronic pain really
affects not only the part that's
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having the pain, but indirectly
it affects your entire body.
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Chronic pain even
affects the way you worship,
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people in chronic pain
can't worship as well as people
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that don't have chronic
pain because of the brain
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and how it is reacting
and all the stress chemistry
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that's turned on.
God understands this and
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He works with us, but
that is some of the two biggest
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reasons pain is important
is that it is an alarm system
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that something is not right,
and two a longstanding pain
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is dangerous to the body.
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That's why there are some
instances if you can't figure
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out what's causing the pain,
the pain needs to be treated
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because the damage from
the pain is probably more risky
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to you than the
treatment for the pain.
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Alright. That makes a
lot of sense to me. Yeah!
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Good. Let's talk about what to
do when someone's having pain.
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We just talked about the lists,
the big lists, the different
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types of pain and who
people should see, but I know
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a lot of folks a tendency
to just try to tough it out
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and I try and do the same
thing, why is that a bad idea?
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Because it could kill
you. Ok. You could die if your
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judgment is wrong.
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I've seen people through
my life that have chest pain
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they think it's nothing
serious, they stay at home,
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they have a heart attack, an
arrhythmia and it's over with.
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Half the time, the first time
we know that someone's having
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a heart attack is when...
I mean we know that they have
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cardiovascular disease is
when they have a heart attack.
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It's a disease, and
it causes sudden death.
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Let's say they can't
breathe, you are all of a sudden
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real short of breath. That
could be a "pulmonary embolism".
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Let's say you "pass
out", that could be a sign that
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the blood vessel or there is
something wrong with your brain.
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Now those aren't pains,
but those are dramatic things
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that happen. The severe
headache, the worse headache
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in your life, if you
can't explain it, that can be a
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broken blood vessel which
which could be life threatening.
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all of a sudden your
belly starts hurting and it gets
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bigger and you get nauseated.
Well that could be a serious
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sign that there is
something wrong with your belly.
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So pain in those areas could
be a sign that something is
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threatening your life,
so unless you know it is not
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life threatening, you need
to get to someone to see if it
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is life threatening
and give you some advice,
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and help you go from there.
So pain happens for a reason.
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Now earlier in the series,
we talked about bones and you
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mentioned that bone health,
or bone pain specifically,
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can be very, very... one of
the worse pains that someone
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could experience. Why is that?
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Well bones have lots of nerves
in them, you know, there's
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lots of things going on in the
bone and when a bone is broken,
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the nerves, blood
supply, that's altered as well.
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Have you ever
broken a bone? Not yet! Ok!
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Have you ever chipped a tooth?
No, I never actually chipped
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a tooth? You never chipped a
tooth. Man, you're not helping
00:10:22.62\00:10:24.29
me out here. Well you know
if you chip a tooth or break
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a bone, the air hits the
tooth and you know it gives you
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that chilling. The
nerve is exposed right away,
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and it makes this terrible pain,
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and some of the worse pain there
is is when a malignancy has
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metastasized to the bone
and cancer gets in the bones,
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that's some of the worse
and severe pain there is.
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Trauma, like a break in
the bone, that is severe pain.
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When a point tenders
and you touch it here, Ohhh!
00:10:49.01\00:10:52.35
It hurts, well, that's because
there is such extreme pain
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and the nerves are so
sensitive to bone pains.
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Why those nerves
seem to be extra sensitive
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well bones are so
important, they are structured
00:11:00.32\00:11:03.22
the backbone of us...You know
a little piece of skin that's
00:11:03.26\00:11:06.13
not that important, but
if your bone breaks, that's a
00:11:06.16\00:11:08.53
big deal, you know your whole
system, that's the foundation,
00:11:08.56\00:11:12.27
that's the boards of your body.
Right! So that's a big deal
00:11:12.30\00:11:15.27
with that. Infection in
the bones, that seems to hurt
00:11:15.30\00:11:18.24
a whole lot, so those are
some of the causes of bone pain
00:11:18.27\00:11:21.98
and bone pain really hurts
a lot and we can sort of sort
00:11:22.01\00:11:25.31
through this
with modern medicine,
00:11:25.35\00:11:26.68
what's causing that pain.
00:11:26.72\00:11:28.22
Sure. This next
question is one I can relate to,
00:11:28.25\00:11:31.15
I've experienced this,
and that's a question about
00:11:31.19\00:11:34.72
ligaments and tendons. I've
had issues with both personally
00:11:34.76\00:11:38.63
but what are these parts
and what are they important,
00:11:38.66\00:11:41.63
and why do they cause pain?
00:11:41.66\00:11:43.03
A lot of people don't know...
We talked about the bones
00:11:43.06\00:11:46.47
okay, the bone is sort
of the skeleton in the body,
00:11:46.50\00:11:49.54
we look at those with x-rays.
Now a ligament, okay, a ligament
00:11:49.57\00:11:56.04
is the tissue that
connects the bones to the joint.
00:11:56.08\00:12:00.58
The ligaments, bones to joints
okay, and what the tendons
00:12:00.62\00:12:05.55
connect muscles to bones,
so I would think of ligaments
00:12:05.59\00:12:09.06
and tendons as things
that connect things together.
00:12:09.09\00:12:11.63
Bones to joints, muscles to
bones, things of that nature,
00:12:11.66\00:12:16.33
their connectors. If you have
had... You know every question
00:12:16.36\00:12:21.47
I have asked you, you said
no. You didn't hurt your teeth,
00:12:21.50\00:12:24.97
and you didn't break a
bone. Did you ever play with
00:12:25.01\00:12:27.48
Lincoln Logs? Oh sure!
And Tinker Toys? Yeah, Um hum.
00:12:27.51\00:12:31.18
Good. Okay. You know how you
have those Tinker Toys you have
00:12:31.21\00:12:33.88
these little things that connect
things together. Yeah! Yeah!
00:12:33.92\00:12:36.28
Sort of like ligaments and
muscles. Well whenever these
00:12:36.32\00:12:40.12
things get lax, the bone
is affected because the bone
00:12:40.16\00:12:44.33
changes position and you could
have inflammation when all this
00:12:44.36\00:12:47.70
happens. The bone
because of repetitive movement,
00:12:47.73\00:12:50.53
you know remember all these
move the body and design us
00:12:50.57\00:12:53.34
to even do things. If they
are not in the right positions
00:12:53.37\00:12:56.30
guess what else is
not in the right position?
00:12:56.34\00:12:58.47
Mr. Nerves too. The
nerves too. The nerve goes hey,
00:12:58.51\00:13:02.44
this ligament and this tendon
are laxed, they are inflamed
00:13:02.48\00:13:05.91
the bone is not
happy, I am not happy either.
00:13:05.95\00:13:08.52
So I am going to tell Mr.
Brain that I am having pain and
00:13:08.55\00:13:11.45
something's wrong. Right!
00:13:11.49\00:13:12.99
So those are some
things that all sort of involve
00:13:13.02\00:13:15.59
and it is so critical because
that's what keeps us moving
00:13:15.62\00:13:18.03
and doing things. That sort of
like the backbone of our bodies
00:13:18.06\00:13:21.26
so that's what ligaments
and tendons that connect bones
00:13:21.30\00:13:24.00
and muscles to different things.
00:13:24.03\00:13:25.37
Alright! We got a lot
more questions coming up on
00:13:25.40\00:13:27.67
Natural Treatments and
Medications and all kinds of
00:13:27.70\00:13:30.41
different things. We are
going to take a quick break...
00:13:30.44\00:13:32.14
If you have questions,
please visit our website at:
00:13:32.17\00:13:36.31
and we are going to be
back in just a moment with more
00:13:36.34\00:13:38.41
answers to your
frequently asked questions.
00:13:38.45\00:13:41.18