The following program presents
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principles designed
to promote good health
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and is not
intended to take the place
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of personalized
professional care.
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The opinions and ideas expressed
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are those of the speaker.
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Viewers are encouraged to
draw their own conclusions
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about the information presented.
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Every factory needs
one, your car has one,
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even your home is
equipped with at least one.
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Without it
factories, cars and homes
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and you wouldn't
exist, stay tuned.
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I'm Dr. James Marcum.
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Are you interested in
discovering the reason why?
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You want solutions to
your healthcare problems.
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Are you tired of
taking medications?
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Well, you're about to be given
the "Ultimate Prescription."
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Today we continue our discussion
on the major causes of death.
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Metabolism is the
engine that drives life.
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Within us,
metabolism generates energy,
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growth and our
ability to fight disease
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but metabolism has needs,
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one of which is our topic today.
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The ability to gather
and eliminate waste material
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is an important
function of any energy producing
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and energy using mechanism.
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But eliminating waste materials
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opens the door to
disaster sometimes,
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right, Dr. Marcum?
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Wow, Charles, those
were a lot of words.
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Lot of words, yes.
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Whoa...metabolism. Yes.
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Kidneys, causes of death.
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Let's review where we've been
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and talk about
where we wanna go.
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We've talked in this
series about the importance
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of getting back to God's plan.
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We've also talked
about how all of these
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prolonged exposure to
toxins whether that be fat,
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whether that be
stresses that damage the heart,
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whether that might be, you know,
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things that cause cancer,
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like we talked
about the estrogens
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and the high protein-based
diets that we've been on.
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You know, also the
kidneys same type of principles
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and the kidneys
is one of the leading
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causes of death
around the world.
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Kidneys fail,
and when kidneys fail
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bad things start
to happen. Very bad.
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Now, I think the body
is so wonderfully made.
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You know, we've
our controls center,
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the brain and all the
organs depend on that.
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We have a stomach
that can digest stuff
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and get stuff ready for energy.
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Then it gets in our bloodstream,
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the blood takes it everywhere
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and we got this strong structure
but the kidney is an organ
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that a lot of people
don't understand very well.
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Because you know you
can't really feel it.
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They sort of sit in the
back, they're like kidney beans.
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But luckily we
have two of them. Yes.
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I heard a story the other day
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about a gentlemen
wanting to sell his kidney.
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You know, 'cause someone
else's kidney has failed. Yeah.
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And they would actually sell
these kidneys on the market.
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Now, he got in trouble
for it but in some parts,
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you know that
because you have two,
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you can take one out and
put the other one in. Yeah.
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If you think of the
organs that we have two of.
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You know, we have two lungs,
so you can live with one lung,
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we have two kidneys, so
you can live with one kidney.
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We only have one liver
but it regenerates very well.
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We have two legs.
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Wish we had two
brains but we don't.
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We have two eyes
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but God designed us in
these ways for a reason.
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And the kidneys
follow the same theme
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as some of these
other organ systems.
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Prolonged exposure to
damaging things hurt the system.
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And these damaging things go
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against the way we
were designed to be.
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Let's, you know,
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how would you even know
you have a kidney problem?
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You know, that's
a great question.
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You know, there is--
when evaluating a kidney,
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there's three things I
want to know right away.
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Is one, things that can
make the kidney look bad
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is if it's not getting enough
blood or it's dehydrated. Okay?
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We call that pre-renal
because the problem happens
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before it gets to
the kidney, right? Yeah.
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Sometimes, the problem happens
downstream from the kidneys,
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in the ureters
which carry the urine
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to the bladder and out.
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Sometimes, we call
that post-obstructive.
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We have problems
post-renal, beyond the kidneys.
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And the most common cause
of that is like a stone. Yes.
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You know, if you have a stone,
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it blocks things up and there's
back pressure in the kidney,
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the kidneys don't look happy.
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So there's
pre-renal, post-renal and then
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there is the kidney
diseases themselves.
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And things that can
damage the kidney is diabetes,
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probably, the number one
cause of damage to the kidneys.
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The kidneys'
blood-vessels can be damaged.
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The kidney itself can
also have problems with it.
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We have conditions like
polycystic kidney disease,
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where we get-- it's
sort of a genetic disease
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where you get a
cyst in the kidney,
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so the kidneys can't work well.
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Sometimes, cancer
can get in the kidneys.
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Sometimes, infection
can damage the kidneys.
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One of the big things we see
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damaging the kidneys
nowadays is medicines.
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Did you know that
certain medicines,
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non steroidals like aspirins,
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certain antibiotics can
damage the kidney as well?
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I can see why they would. Yeah.
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The kind of--the kidneys are
trying to flush waste out. Yes.
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And you put all these toxins in
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from the
medicines and everything.
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Yeah, and sometimes the
kidney can be overwhelmed.
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Oh, yeah. You can overdo it.
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And sometimes what happens
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is you have three
things going on at once.
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And we're seeing
that a couple of times is,
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the kidney has been damaged from
diabetes and maybe medications,
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there might be
a stone in the way
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so the urine can't get up,
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and then the
person gets dehydrated
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so that you don't get enough
fluid and blood to kidney. Yes.
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When that happens, the kidneys'
function can deteriorate quickly
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and a little problem
can be a big problem.
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And when the kidney
doesn't get waste out,
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if any medicine is
floating around in you,
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it stays in you
a long time. Yes.
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And unfortunately,
when that happens,
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you know, you can have
some severe consequences.
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Also in the kidney--
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it regulates metabolism
and all the electrolytes.
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I mean, if your potassium goes
high that can be deadly too.
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The kidney removes
fluid from the body
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and sometimes a
person that has a weak heart
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has bad kidney function
not 'cause their kidney is bad,
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because it
doesn't get enough blood
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to the kidney to
it to do its job.
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So you can back up fluid.
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Things are so
interrelated in our body.
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Yes, they are.
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And sometimes when
you have fluid backed up,
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you know, if
it's from the heart,
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you can go into heart failure
and the kidney might need
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a little extra help
getting the fluid out.
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We sometimes give a
diuretic to that situation.
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So the kidney is right
involved in a lot of things
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and it's very important.
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The way we tell
about the kidney,
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once we decide, you know,
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whether it's before the
kidney or after the kidney
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or in the kidney, is
we look at the blood work.
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And the blood work
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gives us some
numbers that help us know.
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For instance, the
potassium's real high,
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then that could be the
kidney, not getting rid of it.
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There's a
substance that we measure
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in the blood called creatinine.
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That's a
measurement of a metabolite
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that's broken down in the body.
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If that level starts going up,
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we say the kidney
is not doing well.
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Sometimes we can
look at the urine--
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if we see protein in urine
or an infection in the urine.
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Well, then we can
look into the microscope
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to see if there's casts,
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that might give
us some information
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about whether the
kidney is being damaged.
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That might let us know
what's wrong with the kidney.
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Sometimes, we can do ultrasound
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which is pictures of the
kidneys to see how big they are.
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In certain
conditions, they get smaller
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and in some
conditions, you know,
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if they can't get
urine out, they get bigger.
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You know, you have terms
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like hydronephrosis,
things like that.
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Sometimes we can do
biopsy of the kidneys
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to see what type of disease
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or certain
connective tissue disease.
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One of the ones
that I had to learn
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in medical school is
called Wegener's granulomatosis.
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That's a big name of a
connective tissue disease
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that causes the kidney.
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But by far when the
kidney malfunctions,
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it affects the entire body
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but we do have
treatment for kidney failure
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and that treatment is
termed dialysis at times. Yeah.
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And unfortunately, many
Americans are under dialysis,
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but, you know, what
the number one cause
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of the kidney
failure is, in America today?
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And probably the entire world?
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The number one
cause? No, what is it?
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Diabetes. Really?
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Diabetes
untreated, damages the kidney
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and if you can
think about things is
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the most common type of
diabetes is Type 2 diabetes.
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Type 2 diabetes not treated,
00:07:38.52\00:07:40.67
damages the
kidney, leads to dialysis.
00:07:40.70\00:07:42.61
So we want everyone to know,
if you have Type 2 diabetes,
00:07:42.64\00:07:45.34
you might save
your kidneys' life
00:07:45.37\00:07:47.02
by getting this Type
2 diabetes addressed.
00:07:47.05\00:07:49.75
And as the numbers for
Type 2 diabetes goes up,
00:07:49.78\00:07:52.35
guess what's gonna
happen to renal disease.
00:07:52.38\00:07:54.65
It's gonna go up, too.
00:07:54.68\00:07:56.25
So guess what's gonna happen to
another leading cause of death.
00:07:56.28\00:07:59.04
The kidneys are
gonna get blamed again--
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Climb the charts. It's gonna
continue to climb the chart.
00:08:00.47\00:08:02.87
And we're gonna
talk to people about,
00:08:02.90\00:08:04.85
you know, kidneys-- we
can put them on dialysis.
00:08:04.88\00:08:06.75
So we can keep people alive
00:08:06.78\00:08:08.23
but we don't really
necessarily fix the problem.
00:08:08.26\00:08:10.86
And being on dialysis--
00:08:10.89\00:08:12.64
now dialysis is like
an artificial kidney.
00:08:12.67\00:08:14.76
You know, you go
three times a week,
00:08:14.79\00:08:16.34
they usually have
shunts in your arms
00:08:16.37\00:08:19.27
where they hook
you up to the machine
00:08:19.30\00:08:20.73
and they take all the
blood out of your body.
00:08:20.76\00:08:22.62
They filter it
through that machine,
00:08:22.65\00:08:24.15
it takes the
toxins in the volume out
00:08:24.18\00:08:26.29
and then it runs right
around and put it back in you.
00:08:26.32\00:08:28.71
That's one type, and
we call that hemodialysis
00:08:28.74\00:08:31.63
because it works with the blood.
00:08:31.66\00:08:33.03
There's also one
called peritoneal dialysis
00:08:33.06\00:08:35.26
where you put bags,
00:08:35.29\00:08:36.66
you're hooked up to bags
and does the same things.
00:08:36.69\00:08:39.01
The advantage of that type of
dialysis is you can be mobile.
00:08:39.04\00:08:42.45
Now, one of the things about
kidneys is every one wants it,
00:08:42.48\00:08:44.69
you know, we
talked about a transplant.
00:08:44.72\00:08:46.16
Every one wants a new kidney,
00:08:46.19\00:08:47.56
to give the
kidney a second chance.
00:08:47.59\00:08:48.96
So if a person has a second
chance of getting a kidney,
00:08:48.99\00:08:51.33
I want to make sure they don't
do things that hurt that kidney.
00:08:51.36\00:08:54.62
You know, when you
think about all the things
00:08:54.65\00:08:56.02
that hurt the kidneys, diabetes,
00:08:56.05\00:08:57.90
dehydration, a weak heart,
00:08:57.93\00:09:00.46
stones that block up the uterus,
00:09:00.49\00:09:02.57
all these different things
that can damage the kidneys,
00:09:02.60\00:09:04.89
we want to keep
those people away
00:09:04.92\00:09:06.41
from those things
so they can be healthy.
00:09:06.44\00:09:08.14
So the kidney is a
very important organ
00:09:08.17\00:09:10.05
but it usually does
what it's supposed to do
00:09:10.08\00:09:12.36
as long as we don't
introduce these other things.
00:09:12.39\00:09:14.46
That's the only
probably 2 or 3 things
00:09:14.49\00:09:16.28
that can't be
tied back to lifestyle.
00:09:16.31\00:09:18.35
Yeah, I was gonna say
00:09:18.38\00:09:19.75
as you were
going through that list
00:09:19.78\00:09:21.15
that these are things
within our control. Right.
00:09:21.18\00:09:23.45
We can decide, if we want
to have this problem or not.
00:09:23.48\00:09:27.12
And that's got to be good
news for most people, I think.
00:09:27.15\00:09:29.49
And if you look back
about all this disease
00:09:29.52\00:09:31.72
that are killing
people all around the country,
00:09:31.75\00:09:33.39
the leading causes, you know,
00:09:33.42\00:09:34.79
most of the diseases that we see
00:09:34.82\00:09:37.17
that are killing
people, aren't killing people.
00:09:37.20\00:09:39.74
It's chronically diseased.
They don't happen overnight.
00:09:39.77\00:09:43.66
And most of them are
caused by our lifestyle.
00:09:43.69\00:09:45.44
They're not caused by genetics
00:09:45.47\00:09:46.97
or something we
can't get rid of.
00:09:47.00\00:09:48.64
Now, there are
few that we can't.
00:09:48.67\00:09:50.14
You know there
are the few conditions
00:09:50.17\00:09:51.54
in the kidneys
that are genetics.
00:09:51.57\00:09:52.94
There's a few
things that, you know,
00:09:52.97\00:09:54.34
that come in our
kidneys and get in our way.
00:09:54.37\00:09:55.74
But lot of the times,
it is lifestyle and as,
00:09:55.77\00:09:58.86
if we can't change our lifestyle
in the world we live in,
00:09:58.89\00:10:01.54
guess, what's gonna happen.
00:10:01.57\00:10:02.94
We're gonna see
more kidney failure,
00:10:02.97\00:10:04.67
more dialysis, that
doesn't fix the problem.
00:10:04.70\00:10:07.57
And, of course, with dialysis
comes the problems of infections
00:10:07.60\00:10:10.49
comes the problem of
drinking too much fluid
00:10:10.52\00:10:13.23
when you shouldn't be
drinking too much fluid.
00:10:13.26\00:10:15.31
So there's a load
of problems that come
00:10:15.34\00:10:16.87
if your kidneys do fail
and you end up on dialysis.
00:10:16.90\00:10:19.91
And the medicines, Charles,
00:10:19.94\00:10:21.31
I can't over emphasize
how important medicines are.
00:10:21.34\00:10:23.79
You know, all the medicines,
00:10:23.82\00:10:25.19
lot of the medicines
work through the kidneys
00:10:25.22\00:10:27.33
and if you take too many
medications, the kidney says,
00:10:27.36\00:10:30.85
"Listen, I'm only going
to do so much work today.
00:10:30.88\00:10:33.64
I can't handle this work.
00:10:33.67\00:10:35.69
And you're not giving me enough
fluids and I'm dehydrated.
00:10:35.72\00:10:38.65
I just can't handle
it, I'm overwhelmed,
00:10:38.68\00:10:41.03
I'm not gonna do my job today."
00:10:41.06\00:10:42.72
And the kidney doesn't do a job
00:10:42.75\00:10:44.12
and the rest of the
body finds out real quickly.
00:10:44.15\00:10:46.11
Now, acute renal failure--
00:10:46.14\00:10:48.56
when the kidney goes down quick,
00:10:48.59\00:10:50.31
if you don't find out about
it, you can die from that. Yes.
00:10:50.34\00:10:53.36
Because the potassium
builds up, the potassium's high.
00:10:53.39\00:10:55.71
You know, fluid
builds up in the body.
00:10:55.74\00:10:57.30
You can die from
acute renal failure.
00:10:57.33\00:10:59.60
So if your kidney
goes quick, fast--
00:10:59.63\00:11:01.75
you need to find
out pretty quick.
00:11:01.78\00:11:03.60
It's scary but, you know,
00:11:03.63\00:11:05.03
a lot of people don't think
00:11:05.06\00:11:06.43
about these kidney
organs as being vital.
00:11:06.46\00:11:08.39
But they're vital to the body.
00:11:08.42\00:11:09.79
But usually if you
treat the organ pretty good,
00:11:09.82\00:11:11.54
it does, it takes care of you.
00:11:11.57\00:11:13.73
Dr. Marcum, how do
you approach a patient
00:11:13.76\00:11:16.63
that comes in to see you
And you know that the problems
00:11:16.66\00:11:20.72
that this person is
facing are self-inflicted?
00:11:20.75\00:11:23.59
How do you say that to them?
00:11:23.62\00:11:26.20
Oh, that's a good
question, Charles.
00:11:26.23\00:11:27.71
And you know,
00:11:27.74\00:11:29.11
some people take
the tough man approach.
00:11:29.14\00:11:31.06
"If you don't do this,
you're gonna die." Yeah.
00:11:31.09\00:11:32.86
What I try to do is, I
try to wrap truth in love
00:11:32.89\00:11:36.67
and I try to love
people and not judge them.
00:11:36.70\00:11:39.24
You know, and I say, "Listen,"
00:11:39.27\00:11:40.64
you know, "you're
doing some things,
00:11:40.67\00:11:42.25
your diabetes is
under good control,
00:11:42.28\00:11:43.83
we see that your kidney
function's getting worse.
00:11:43.86\00:11:46.33
You know, we can give you
00:11:46.36\00:11:47.73
some medicines
that treat your symptoms
00:11:47.76\00:11:49.13
but if we don't make
some lifestyle changes,
00:11:49.16\00:11:51.07
this is what you can expect.
00:11:51.10\00:11:53.10
But I know some ways
to get you feeling better.
00:11:53.13\00:11:56.15
I know the Great Physician
that we can start talking to
00:11:56.18\00:11:58.76
and make an appointment with him
00:11:58.79\00:12:00.37
that can give you the
power to make some changes.
00:12:00.40\00:12:02.36
That can help you learn
00:12:02.39\00:12:03.76
and give you the
power to live healthy.
00:12:03.79\00:12:05.17
That can lead
you to the doctors,
00:12:05.20\00:12:06.71
that can motivate you to
do the things you need to do.
00:12:06.74\00:12:09.32
Are you interested in this?"
00:12:09.35\00:12:10.96
And that's about all
you can do, Charles. Yeah.
00:12:10.99\00:12:13.09
And if they say, "no,"
00:12:13.12\00:12:14.49
and some people
say no. I can't--
00:12:14.52\00:12:16.60
And you have to watch
them go out of your office
00:12:16.63\00:12:18.78
knowing that you have the answer
00:12:18.81\00:12:20.45
and they have rejected it.
00:12:20.48\00:12:21.85
Right. But you know what?
00:12:21.88\00:12:23.25
That's happened to
people throughout all times.
00:12:23.28\00:12:25.22
You know,
people have had answers
00:12:25.25\00:12:26.62
and all you can
do is pray for them
00:12:26.65\00:12:28.15
and you can love them.
00:12:28.18\00:12:29.55
You don't judge them
00:12:29.58\00:12:30.95
and you just try to reach
them whatever way you can.
00:12:30.98\00:12:32.65
And when Christ's
ministry was here,
00:12:32.68\00:12:34.29
you know,
people were healed and,
00:12:34.32\00:12:36.14
you know, if I
was healed by Christ,
00:12:36.17\00:12:38.36
you would think that person
would follow them forever.
00:12:38.39\00:12:40.67
And I'm sure
some of those people
00:12:40.70\00:12:42.07
that were healed still
lose track. That's true.
00:12:42.10\00:12:43.47
You know, I don't know about
that but I'm sure they did.
00:12:43.50\00:12:45.64
But that's what you can
do. You can give them the best.
00:12:45.67\00:12:47.58
And that's what we
want to do in this program.
00:12:47.61\00:12:49.16
Give them the best information,
00:12:49.19\00:12:51.48
let them know that we do think
00:12:51.51\00:12:52.88
there's more to modern medicine,
there's more to lifestyle.
00:12:52.91\00:12:54.67
It's the Ultimate Physician,
00:12:54.70\00:12:56.07
that power that
comes and that healing
00:12:56.10\00:12:57.89
that comes from God,
this is very important.
00:12:57.92\00:13:00.32
Not only for you
kidneys but your entire body.
00:13:00.35\00:13:02.59
But it is discouraging sometimes
00:13:02.62\00:13:04.62
when people don't
take control of themselves.
00:13:04.65\00:13:06.33
But a lot of the
times, I found out,
00:13:06.36\00:13:07.73
is no one's told them
about it either. Yeah.
00:13:07.76\00:13:09.51
They go, "I can do
this and be this way?
00:13:09.54\00:13:11.93
I can feel better?"
00:13:11.96\00:13:13.59
And some of the
most rewarding things
00:13:13.62\00:13:15.47
that happened in
my life with patients
00:13:15.50\00:13:17.20
had been the patients
that learn these things,
00:13:17.23\00:13:19.45
that dedicate their lives
00:13:19.48\00:13:20.97
to walking with
the Ultimate Physician,
00:13:21.00\00:13:23.11
get the power to make
the changes and come back to,
00:13:23.14\00:13:25.83
"Look at me, I've done this.
00:13:25.86\00:13:27.41
I'm off this medicine. I
know He's working in my life.
00:13:27.44\00:13:29.92
I'm excited. I
know he's with me.
00:13:29.95\00:13:32.54
I know that I'm gonna
be with him in heaven.
00:13:32.57\00:13:34.24
I'm excited about
this. I have joy."
00:13:34.27\00:13:36.03
You know, and "You
opened my eyes to this
00:13:36.06\00:13:37.88
when the whole world
said I have to be this way.
00:13:37.91\00:13:39.92
My eyes have now been
opened to what truth is."
00:13:39.95\00:13:43.13
That's one of the
greatest rewards anyone can get.
00:13:43.16\00:13:46.32
Absolutely, and
that's what we want for you.
00:13:46.35\00:13:48.81
We want you to have
that kind of relationship
00:13:48.84\00:13:51.54
and enjoy that kind of healing.
00:13:51.57\00:13:53.32
We'll take a short
break and when we come back,
00:13:53.35\00:13:55.15
questions from
heartwiseministeries.org.
00:13:55.18\00:13:57.44
So stay put.
00:13:57.47\00:13:58.84