Welcome back to the program.
00:00:01.40\00:00:02.77
I'm Charles Mills
here with Dr. James Marcum,
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and we're talking about "COPD"
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What is COPD, Dr. Marcum,
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and how do I know if I have it?
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Yeah... COPD is "chronic
obstructive pulmonary disease"
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and it's one of the
leading causes of death
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still in our world...
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And one of the leading causes
we talked about last segment
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is from cigarettes but
how do I make the diagnosis?
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Well #1, a person
might have a symptom,
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and that symptom
might be shortness of breath
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which makes sense - if
their lungs are damaged.
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They might be
prone to infections;
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they might get
wheezing, you know...
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...they might breathe like that
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Another thing, they
might be tachypneic...
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That's a fancy word to
say you're breathing fast.
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I might walk in and
you're going ... and I'd say,
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"Wow, they might have
some breathing problems. "
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And they just
came from their car...
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It's not like they
climbed a mountain or anything.
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And they might get
short of breath real easy.
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So that might be some of
the symptoms that we have...
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shortness of breath
- so any person with
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shortness of
breath and is a smoker,
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I automatically think...
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"Do they have chronic
obstructive pulmonary disease?"
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How would I prove it?
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Well one way I could prove it
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is to see if their
oxygen level were low.
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And here we have a device
called "a pulse oximeter,"
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and this measures the
oxygen level in your blood,
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and it should
be greater than 92%
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So if you would put your
finger in there, Charles...
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And we'll make sure
the camera can see this
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Aim it in that direction, okay
my finger is in there. All right
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I'm going to make
sure the on-button is on.
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So I turn the on-button on.
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And that's the on-button
over here... There we go
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Oh, is it on? Okay
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Yeah, now it's
starting to pick up here.
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Okay, I'm going
to do this here...
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And... there we
go! I see a light.
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Now we're
measuring... There I am... Okay
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So the bottom number is
how much your heart is beating.
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And now it's going to check
the oxygen level in your blood,
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and it's 97% when
you're sitting here.
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Is that good? That's VERY good!
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So that would argue against
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chronic
obstructive pulmonary disease.
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Your oxygen level
is very high at rest,
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and your heart rate
is very good, Charles,
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in the 80s, so that's very good.
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Another way we might do this...
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Okay, I'm going to
turn this off here.
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...is I might get you
behind an x-ray machine,
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and then I might take pictures
of you and I might get an x-ray.
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Now we probably can't see this,
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but this is your
heart right here,
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and these are the lungs,
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and in people who have chronic
obstructive pulmonary disease
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their lungs are enlarged.
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This actually would work
if you just... there you go!
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Yeah... There you
go! Oh, there we go
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They have hyperinflated lungs.
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So an x-ray would give
me a good feeling whether
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a person had chronic
obstructive pulmonary disease.
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So this is an
anterior-posterior view,
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and this is another view
where we see behind the heart.
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So this is the
lungs behind the heart,
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and there are
some characteristics
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that we would
see in the lungs...
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The lungs are
usually hyperexpanded.
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I call them BIG lungs!
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So if I had a low pulse-ox,
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someone that
was short of breath,
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and had some big lungs,
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I might say that they had
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chronic
obstructive pulmonary disease,
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and might initiate treatment.
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And the lungs get big because
they're trying to work...
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Well actually, the
air can't move in and out.
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So the air sacs,
the alveoli, get BIGGER
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because they have obstructions.
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They can't get the air in
and out as easily... I got ya!
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Now another thing that we do
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is we do a test
called a "blow test"
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pulmonary function test.
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Now sometimes... I
don't have one with me,
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but we can do a cheap
pulmonary function test.
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And what I do is I have a person
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hold out a piece of paper,
a tissue, at arm's length,
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and blow on it.
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And in the office, someone with
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chronic obstructive pulmonary
disease - it will look like this
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...when they blow
as hard as they can.
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It won't look like this...
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So, it will barely move
when they blow at tissue.
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So if they have
all these things;
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low pulse-ox, big
lungs, they can't move this,
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I might say that you have
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chronic
obstructive pulmonary disease.
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But not only does chronic
obstructive pulmonary disease
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hurt your lungs, but it hurts
your entire body... why is that?
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...Because you
CAN'T CARRY OXYGEN around!
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It can hurt the heart, the parts
of the heart can work harder.
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Because when you
have low oxygen levels,
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the blood vessels constrict,
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and it makes the right side
of the heart have to pump hard
00:04:09.21\00:04:12.05
through the blood vessels.
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So chronic obstructive
pulmonary disease is a
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serious problem; it's
pretty easy to diagnose.
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But most people that do have it,
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have some type of
a smoking history.
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Now people with
COPD, would they also have
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hypertension under
these circumstances?
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Well they could, they could...
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They have high blood
pressure in their lungs
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because it's constricting,
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but they also might
have it peripherally
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because of the nicotine.
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And if they are a
smoker, they might sure get...
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Any time you're
hypoxic, low oxygen,
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can also
constrict blood vessels.
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...But the body loves oxygen.
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You are going to have to
help me with this word here...
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This is a question on
heartwiseministries. org
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"Should persons with
COPD get a Pneumovax?"
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It's like a Hoover? No,
it's not a vacuum cleaner.
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But you know, vaccinations
- we hear about them all.
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One of them is the Pneumovax,
00:05:01.89\00:05:03.30
and people that smoke cigarettes
00:05:03.33\00:05:05.49
and have chronic
obstructive pulmonary disease,
00:05:05.52\00:05:07.45
vaccines are very
controversial as you know...
00:05:07.48\00:05:10.16
Some people worry about them
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causing immune
reactions and reacting to them.
00:05:11.61\00:05:13.75
But we always look at
the risk and benefits;
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and someone that has bad lungs
that can't get out secretions,
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that have chronic
obstructive pulmonary disease
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with low oxygen, can you imagine
IF they had an infection! Oh my!
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If they had an
infection, it could KILL them.
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So in this
instance, I would say,
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a Pneumovax in a
person with bad lungs,
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the risk is worth the
benefits on this situation...
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So people with bad lungs usually
benefit from having a Pneumovax.
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Here's another question from the
heartwiseministries. org website
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"I have COPD - "chronic
obstructive pulmonary disease"
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and have
frequent problems causing
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4 hospitalizations in 2 years.
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Do you have any suggestions
to keep me out of the hospital?"
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Now of course, I'm sure the
first question you would ask is,
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"Do you smoke?" Right
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And that's the question,
we want to get at the cause,
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and if they are a
smoker, then we want to do
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everything we can
to reverse that habit.
00:06:04.00\00:06:06.78
And we've already talked about
00:06:06.81\00:06:08.30
some of the things
we can do earlier...
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And we can pray about it,
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we can replace a good
habit with a bad habit;
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we can love them; we
can pick a smoking date;
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get the power
of the Holy Spirit.
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I think you want to replace
a bad habit with a GOOD habit.
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That's a good idea,
Charles! I messed that up!
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And that is a bad habit
to have... There you go!
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Yes, that's one
thing we want to do.
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The second
thing we want to do is
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make sure they
have enough oxygen.
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Some times they
have to wear oxygen.
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If they're oxygen-deprived,
that can make the body weaker.
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So if they need
oxygen, we want to give them
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supplemental oxygen
especially at night.
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We want too make sure
they don't have sleep apnea.
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We want to give
them oxygen at night.
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Another thing we want to
advise them to do is have the
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vaccination so they
don't get infections.
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Another thing that I encourage
people is to start on a
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walking program... because the
better the blood vessels are...
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the better the circulation is,
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the better you can
move what oxygen you HAVE
00:06:55.26\00:06:57.71
around their body.
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And then lastly, we say...
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"Well let's try to do things
that would hurt the lungs"
00:07:01.15\00:07:03.85
And things that would
hurt the lungs would be
00:07:03.88\00:07:05.32
being around
people that are infected.
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Being outside in some
allergenic situations...
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You know, they
might need to wear a mask.
00:07:10.78\00:07:12.61
They might have to be
careful around fragrances.
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Some people have
noxious fumes which makes
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already lungs that
are compromised even worse
00:07:18.24\00:07:21.07
more prone to have problems.
00:07:21.10\00:07:23.10
Those things might help keep
a person out of the hospital.
00:07:23.13\00:07:26.24
I've seen simple things
make the biggest difference.
00:07:26.27\00:07:28.80
Now if they don't do anything,
00:07:28.83\00:07:30.29
and their lungs
are BAD, GUESS WHAT...
00:07:30.32\00:07:32.37
they're not going to get better!
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They're going to STAY bad...
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So they get around
someone that's sick,
00:07:35.59\00:07:36.96
they can't get rid
of the infection...
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BOOM! They're back in!
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IV antibiotics, ventilator,
if they can't quit smoking,
00:07:39.79\00:07:42.32
the lungs aren't
going to get better...
00:07:42.35\00:07:43.88
they're going to get worse!
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They're going to get
MORE short of breath.
00:07:45.31\00:07:46.70
We'll have to turn up
the oxygen higher and higher!
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It's one of the saddest
things I've ever seen...
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seeing someone slowly die from
00:07:51.03\00:07:54.79
chronic
obstructive pulmonary disease,
00:07:54.82\00:07:56.40
and yet it is still
a problem in America.
00:07:56.43\00:07:58.52
That's why we have to reach
out to our young ones out there,
00:07:58.55\00:08:01.12
and if you are a young person
that's thinking about smoking
00:08:01.15\00:08:04.02
or even smoking... DON'T DO IT
00:08:04.05\00:08:06.62
It's one of the most addicting
habits you can ever have,
00:08:06.65\00:08:09.15
and it can
literally destroy your life,
00:08:09.18\00:08:11.32
and if you live with some else,
00:08:11.35\00:08:13.00
you can actually
destroy their life.
00:08:13.03\00:08:14.84
And that's why when they
stopped smoking in restaurants,
00:08:14.87\00:08:18.61
people saying... "Listen you're
poisoning ME, I don't WANT IT"
00:08:18.64\00:08:21.46
You know, it was about
someone else's rights too...
00:08:21.49\00:08:23.86
And sometimes when you
just say that to a smoker,
00:08:23.89\00:08:26.15
it helps give them
more power to quit smoking.
00:08:26.18\00:08:28.80
I'm going to ask you
about the environment itself,
00:08:28.83\00:08:31.75
I mean, we live in a
pretty toxic world...
00:08:31.78\00:08:34.06
We have the diesel
fumes and the car fumes,
00:08:34.09\00:08:37.04
and the airplane
fumes and everything...
00:08:37.07\00:08:39.02
Can you get this COPD
simply by living in Los Angeles
00:08:39.05\00:08:45.30
when the smog was there?
00:08:45.33\00:08:46.87
Well you know,
cigarettes is just one chemical
00:08:46.90\00:08:49.99
that can damage the lungs.
00:08:50.02\00:08:51.39
There are other
things that cause
00:08:51.42\00:08:52.79
chronic obstructive
pulmonary disease too.
00:08:52.82\00:08:54.95
Any type of long
chemical exposures to the lungs
00:08:54.98\00:08:57.38
could cause
it... damage the lungs.
00:08:57.41\00:08:59.52
There's a
genetic condition called,
00:08:59.55\00:09:01.46
"alpha antitrypsin-1 deficiency"
00:09:01.49\00:09:03.83
which can damage
the lungs as well.
00:09:03.86\00:09:05.90
So there are other
things that can cause the lungs
00:09:05.93\00:09:08.21
to be obstructed
besides cigarettes,
00:09:08.24\00:09:11.27
but that's just one
of the most common ones.
00:09:11.30\00:09:13.06
That's why we
talk about it the most,
00:09:13.09\00:09:16.12
and I don't know if this is true
00:09:16.15\00:09:17.66
but I heard that the Marlboro
man died from lung cancer.
00:09:17.69\00:09:22.43
I don't know if that's true,
00:09:22.46\00:09:23.83
but I thought I
heard that at one point.
00:09:23.86\00:09:25.46
You know, I want our listeners
and our viewers to have
00:09:25.49\00:09:29.42
some idea what they can
do to protect themselves...
00:09:29.45\00:09:32.94
I mean, if they stop smoking,
that's fine, that's good...
00:09:32.97\00:09:35.76
If someone in the
family smokes, what do you do?
00:09:35.79\00:09:41.41
Do you move out?
00:09:41.44\00:09:42.81
Do you tell that
person to go away?
00:09:42.84\00:09:44.21
Do you get an air
cleaner for your home?
00:09:44.24\00:09:47.22
What do you DO to
help in these environments?
00:09:47.25\00:09:50.48
Yeah, well we
frequently have that...
00:09:50.51\00:09:52.54
I'll come in and
someone has had a heart attack;
00:09:52.57\00:09:55.67
the other one has
not had a heart attack,
00:09:55.70\00:09:57.61
but continues to smoke...
00:09:57.64\00:09:59.27
So they continue to
give them that risk.
00:09:59.30\00:10:01.58
So I said, "Listen,
you love this person,
00:10:01.61\00:10:04.19
you want to try to
help, try to smoke OUTSIDE."
00:10:04.22\00:10:06.78
"Try to leave the
house well-ventilated,
00:10:06.81\00:10:08.98
so at least the smoke
can leave the house. "
00:10:09.01\00:10:11.04
But you've smelled how
smoke gets on the clothes;
00:10:11.07\00:10:14.32
it permeates
every pore of your body.
00:10:14.35\00:10:16.70
I could smell the
smoker 10 feet away.
00:10:16.73\00:10:19.78
We encourage to get outside,
00:10:19.81\00:10:22.12
try to get the
smoker to move outside.
00:10:22.15\00:10:24.32
That's sort of the best
way to work in the short-term,
00:10:24.35\00:10:27.00
but in the
long-term, we want them,
00:10:27.03\00:10:28.63
you know - because they
love their spouse so much,
00:10:28.66\00:10:30.96
to gradually quit
smoking as well. Very good
00:10:30.99\00:10:34.58
I guess we can say that if you
00:10:34.61\00:10:36.10
don't do it for yourself,
do it for other people.
00:10:36.14\00:10:38.87
But you know Charles, a
lot of people don't realize
00:10:38.90\00:10:40.55
that chronic
obstructive pulmonary disease...
00:10:40.58\00:10:42.37
it still kills many other
people in the world today.
00:10:42.41\00:10:45.35
It's still killing people
today after all these years.
00:10:45.38\00:10:49.17
We'll take a short
break and when we come back,
00:10:49.20\00:10:51.17
a conversation with the
Master Physician... Stay tuned
00:10:51.20\00:10:54.93
We've been talking today about
00:10:57.96\00:10:59.82
chronic
obstructive pulmonary disease.
00:10:59.85\00:11:02.52
This is still one of
the leading causes of death
00:11:02.55\00:11:05.65
in the whole entire world.
00:11:05.68\00:11:07.96
We hope you don't have chronic
obstructive pulmonary disease
00:11:07.99\00:11:11.41
but if you do, I hope
you've learned something today
00:11:11.44\00:11:14.30
about ways we can stay
healthier ... feel better.
00:11:14.33\00:11:17.53
I also hope that you've
learned a little bit about
00:11:17.56\00:11:19.52
cigarette smoking;
00:11:19.55\00:11:20.93
ways that we can turn
to the Great Physician,
00:11:20.96\00:11:23.39
and maybe reverse this
addiction that we have.
00:11:23.42\00:11:26.33
If you're young and
thinking about smoking,
00:11:26.36\00:11:28.65
unfortunately, it's
not the cool thing to do.
00:11:28.68\00:11:31.62
Down the road, you could have
extreme problems in breathing
00:11:31.65\00:11:35.59
It could lead to cancer
or circulatory problems...
00:11:35.62\00:11:37.90
so if you're thinking
about smoking, don't do it.
00:11:37.93\00:11:40.71
One of the things we ALL
need to do to enjoy good health
00:11:40.74\00:11:46.22
and help us to overcome bad
habits is turn to the Bible.
00:11:46.25\00:11:49.61
Get the help from
the Great Physician;
00:11:49.64\00:11:51.52
the One that can give us the
POWER through the Holy Spirit
00:11:51.55\00:11:54.58
to do things that
we can't do ourselves.
00:11:54.61\00:11:57.18
And if there might be
someone out there that wants
00:11:57.21\00:11:59.41
to turn to this Power today,
00:11:59.44\00:12:00.81
let's just bow
our heads together,
00:12:00.84\00:12:02.41
we'll ask the Lord
to give us this power...
00:12:02.44\00:12:05.30
Heavenly Father... We
come to You wanting the
00:12:05.33\00:12:08.92
Holy Spirit to be with
us, to change our lives,
00:12:08.95\00:12:12.22
to change our chemistry,
00:12:12.25\00:12:13.62
to help us overcome
habits and addictions...
00:12:13.65\00:12:15.53
whether this be
smoking, or whatever, Father...
00:12:15.56\00:12:18.18
please come into our
lives and give us this power...
00:12:18.21\00:12:20.72
Be our Great Physician.
00:12:20.75\00:12:22.38
We want to accept You as
our Lord and Savior today,
00:12:22.41\00:12:25.44
and we want to thank
you for the promises that
00:12:25.47\00:12:28.11
You give us in Your
Bible, is our prayer... Amen
00:12:28.14\00:12:30.82
I want to also
encourage each one of you
00:12:32.81\00:12:36.16
to search the Scriptures
as this relationship develops
00:12:36.19\00:12:39.35
Let the Holy Spirit teach
you new things from the Bible
00:12:39.38\00:12:42.75
that might
change your chemistry.
00:12:42.78\00:12:45.41
We've talked about chronic
obstructive pulmonary disease
00:12:45.44\00:12:48.36
and all the things
that it can do to harm us,
00:12:48.39\00:12:50.36
but now I want to talk
about that relationship with
00:12:50.39\00:12:52.61
the Ultimate Physician
that can ultimately heal you.
00:12:52.64\00:12:56.51
Start in this
relationship today.
00:12:56.55\00:12:58.87