Chronic pain, that's what
we are talking about right now
00:00:01.06\00:00:04.01
and Dr. Marcum has
made sure that we understand
00:00:04.04\00:00:07.07
that chronic pain is anything
00:00:07.10\00:00:08.71
that continues
for over 6 months.
00:00:08.74\00:00:11.27
And when we have this problem,
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we should not simply
run to the doctor and say,
00:00:13.73\00:00:15.59
hey, give me a pill
so I can deal with this,
00:00:15.62\00:00:18.04
because chronic pain
really is an indication
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that something is wrong. Yeah.
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And we don't want to
mask that all the time
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because we may want
to find the problem.
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And we go
searching for the problem
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and a lot of times the answer
is not what we think it is.
00:00:27.98\00:00:31.11
It can move around a little bit.
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You know, and this is a
very serious subject here.
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So, you know, this
is a big pain pill here.
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And, you know, I'm
having some pain in my foot.
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You'll need two.
00:00:40.97\00:00:42.00
And I don't think I want to put
these two big pain pills on me,
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but I would like
you to tell me a joke
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so that can make some endorphins
or you can just make me laugh
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if you don't have a joke.
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I hate to put you on
the spot. Okay, I will.
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Did you hear about the
man that stayed up all night
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trying to figure
out where the sun went?
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The man that
stayed up all night--
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Trying to figure
out where the sun went.
00:00:59.84\00:01:00.87
Where the sun went. Yeah.
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I didn't hear about that
one. Finally it dawned on him.
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Oh, dawned. That's a
good one. That's as good as--
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that's as good as the
story about the sidewalk.
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The sidewalk. Yes, it's
all over town, that joke, yes.
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But we better stop on
that. How is your pain?
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It's feeling a
little bit better.
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But, you know, we
have a lot of people
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that go to our
website and that's how
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we make our
program, because after we get
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so many people
that ask questions
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we know we need
to talk about it.
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Not that we always
have all the answers,
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but you know what we can
do, we can talk about it,
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we can pray about it, we can
look in the Scriptures about it
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and we can try the best
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we can to point people
in the right direction.
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That's exactly right and that's
the beauty of this program
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and the website is, you know,
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the answer is
there but you are unique.
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You are different
from anybody else.
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Your solution,
your formula begins
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with the word "me," "you."
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You have to figure
out what's right for you.
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And so the
information that we give you
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should be able to send
you in the right direction.
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That's the whole idea here.
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And this first
question I think is probably
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big in the mind
of a lot of people
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and you've talked
about it a little bit.
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Is there a role for
medications, for drugs?
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Yes, absolutely,
emphatically yes.
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Where do we use
it? Where do we use it?
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Let me give you some
examples of chronic pain.
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I've had some people
that have had malignancies,
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brain cancer, incurable, okay.
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Those people are under,
unfortunately, lots of pain.
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Not only do they need
other modalities to help them
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that we've talked
about, but they also need
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chronic pain medications, okay.
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So that would be
once and I would give them
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narcotics if they needed it.
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I would give them
anti inflammatories
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if they needed it.
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I would give them
acetaminophen if they needed it.
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If the pain is so
bad that they can't do
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the search we are
talking about. Yes.
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If they can't get out of
bed, if they can't function.
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And sometimes
the pain is so bad,
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we've made the diagnosis.
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We know that there is
nothing more to be done
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and they still can't live
because just think about it,
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pain is not good,
okay. That's right.
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Pain creates the
stress cascade which is bad.
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We've already talked about
how the inflammatory markers.
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It makes adrenaline which raises
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the chance of heart attack,
raises your blood pressure.
00:03:11.47\00:03:13.94
It makes Cortisol.
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Pain in itself
long term is not good.
00:03:15.77\00:03:17.99
So you always have to
balance, which is worse,
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the pain or the treatment?
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So in some situations where
nothing can be done with pain,
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pancreatitis, now that
usually is not chronic pain,
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but that's acute
pain where the body is
00:03:27.96\00:03:29.94
actually digesting itself.
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But there are some situations,
especially in cancer,
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where there is
nothing that can be done
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and there's organs
and nerves being involved.
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A lot of times in back
pain, I see some people
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that undergo back
surgery and that's something
00:03:41.73\00:03:43.75
we need to talk about
for a second, Charles.
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That back surgery,
everyone makes it seems like,
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oh, I'm going to
have back surgery.
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I'm going to be
healed completely.
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Well, people don't
realize that if you really
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look at the
statistics, only about
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half a people get relief.
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And sometimes those
things are making things worse.
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And if you have
a bunch of nerves
00:03:59.55\00:04:00.78
at your spinal cord
at that are compressed,
00:04:00.81\00:04:02.93
that are scarred, you could
be in chronic pain for that.
00:04:02.96\00:04:05.76
And you have to say
if there is nothing else
00:04:05.79\00:04:07.28
that can be done,
sometimes they can use
00:04:07.31\00:04:08.49
physical therapy, chiropractic,
TENS units, you know,
00:04:08.52\00:04:11.91
that's where they
interrupt the pain pathways.
00:04:11.94\00:04:14.54
Sometimes they can use
epidurals that will numb it.
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But sometimes
nothing else can be done.
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In that case
narcotics might be used.
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Now sometimes we need to
do hierarchy of pain, okay.
00:04:22.27\00:04:26.10
And sometimes people
don't need the big guns
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which are the
narcotics that are addictive.
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Because we don't
want anybody to feel bad.
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If they are
taking pain medications
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and they have been
doing it for years,
00:04:32.90\00:04:34.37
well, that may be
what you have to do.
00:04:34.40\00:04:36.02
And thank God that
there are pain medications
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you can take to
help you through the day.
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So we want make
sure we understand that.
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For instance, my
ankle has been bothering me.
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Now this is not
chronic pain, but, you know,
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I might take a little,
you know, some Tylenol or,
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you know, that's a
weak pain medicine.
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I won't take a lot of
it but I might take some.
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That's a good pain medicine.
To keep you functioning.
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Yes, to keep me
functioning until I can allow it
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to heal on its own and rest it.
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Sometimes an anti
inflammatory like Motrin,
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sometimes your
natural anti inflammatories.
00:05:02.18\00:05:05.27
One natural anti
inflammatory is water.
00:05:05.30\00:05:07.80
Another one is those
almonds that we have down below.
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We could eat a cup of almonds.
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That's natural
anti inflammatory.
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Exercise can help
treat chronic pain
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because it makes
endorphins go up.
00:05:15.69\00:05:18.11
So laughter, music,
that can all treat it.
00:05:18.14\00:05:20.73
But sometimes no
matter what you do,
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you cannot control the pain
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and there is a cause
you can't get rid of.
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In that case,
the risk of the pain
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is greater than the
risk of the medicine.
00:05:28.76\00:05:30.70
And in that case
you say I want to use
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this little narcotic as I
can and use everything else
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so you don't have to
take gobs of narcotics
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and take the risk of that.
00:05:37.85\00:05:39.12
So you might be
taking the narcotic
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and having
hydrotherapy and you might be
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having some music
therapy and endorphin therapy
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and anti inflammatory and diet
just to control the bad pains
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so that the risk of the
pain with the adrenaline
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and all that is not
overcoming your body.
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And so it's
really about a balance.
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And we know of pain
that comes from surgery,
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pain that comes from an injury,
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pain that comes from a disease.
00:06:02.81\00:06:05.27
Sometimes people have pain
and they are not sure exactly
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where it's coming from at all.
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It doesn't make sense
to have this kind of pain
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and this is a question
00:06:13.41\00:06:14.68
that came into
heartwiseminsitries.org.
00:06:14.71\00:06:16.50
What are some
overlooked causes of pain
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that we should know
about, Dr. Marcum? Yeah.
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One of the big ones
is medications, okay.
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Medications can
cause pain, okay.
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It can affect, especially,
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remember I talked
about the muscles, myositis.
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Muscles can hurt your muscles.
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The ones I use the most are
the ones called the statins.
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That can often
cause pain in the body.
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That you prescribe.
Yes, I prescribe that a lot.
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Dehydration can be a
cause of chronic pain.
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This is a huge one, especially
with people with arthritis.
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Dehydration can
cause, arthritis get worst.
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Your muscles are made
of predominantly water.
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If you don't do that,
the muscles can get tight.
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Now here is one that sometimes
00:06:52.39\00:06:54.04
people might not
think of is stress.
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Stress can cause
chronic pain. Mental stress?
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Mental stress, physical
stress as well, you make
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adrenaline, epinephrine.
00:07:02.11\00:07:04.17
If you are dehydrated,
the muscles get tight.
00:07:04.20\00:07:06.60
You get, you know,
the stress headaches
00:07:06.63\00:07:08.32
that people have heard about.
00:07:08.35\00:07:09.61
You get muscle pains.
00:07:09.64\00:07:10.85
You see these
athletes occasionally
00:07:10.88\00:07:12.42
get cramps in
the back, you know,
00:07:12.45\00:07:13.78
because they are dehydrated
and have a lot of stress.
00:07:13.81\00:07:16.55
Stress can cause
ulcers and gastritis.
00:07:16.58\00:07:19.21
It can cause situations
like irritable bowel syndrome.
00:07:19.24\00:07:22.84
It can make joint
pains more active.
00:07:22.87\00:07:25.25
So stress is a sort of a hidden
contributor to chronic pain.
00:07:25.28\00:07:28.99
Now other thing that can
cause it is immune problems.
00:07:29.02\00:07:31.95
A lot of people have
immune reactions in their body.
00:07:31.98\00:07:34.79
And when you
get a foreign object
00:07:34.82\00:07:36.56
that comes your way,
00:07:36.59\00:07:37.90
whether it be a foreign
substance that you take in,
00:07:37.93\00:07:41.44
whether it
becomes a toxic ingestion,
00:07:41.47\00:07:43.63
whether it becomes an allergen,
00:07:43.66\00:07:45.29
your body can
literally attack it.
00:07:45.32\00:07:47.44
And when it attacks it, it
causes this immune reaction
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that goes
throughout the entire body.
00:07:50.48\00:07:52.32
This inflammation that goes
on can cause muscles to hurt.
00:07:52.35\00:07:55.70
A lot of people think
conditions like fibromyalgia,
00:07:55.73\00:07:59.59
irritable bowel syndrome,
some of these other conditions,
00:07:59.62\00:08:02.70
are caused by the body
literally attacking itself.
00:08:02.73\00:08:06.25
So those are just the
three or four are the ones
00:08:06.28\00:08:08.36
that people might,
you know, add to the list
00:08:08.39\00:08:11.56
if they are having
pain that's undiagnosed.
00:08:11.59\00:08:13.99
Now depression can
similarly cause chronic pain.
00:08:14.02\00:08:18.41
I think it's
really we need to have
00:08:18.44\00:08:20.86
a different mindset
when it comes to ourselves
00:08:20.89\00:08:24.19
and our diseases and
our chronic situations
00:08:24.22\00:08:27.04
and especially our pain.
00:08:27.07\00:08:29.03
We really need to
ask that question why.
00:08:29.06\00:08:31.56
We did a show recently
on the philosophy of health
00:08:31.59\00:08:35.63
that Heart-wise ministries
has and that philosophy
00:08:35.66\00:08:38.28
is always ask why.
00:08:38.31\00:08:41.56
Don't be satisfied
until you know why.
00:08:41.59\00:08:45.05
And it could be
after that journey
00:08:45.08\00:08:47.17
when you know why
that the answer is
00:08:47.20\00:08:49.89
modern medicine,
that the answer is a pill,
00:08:49.92\00:08:53.56
that the answer is a
treatment and surgery.
00:08:53.59\00:08:57.34
But we've got to know why.
00:08:57.37\00:08:59.24
If we don't know why
we can waste an awful
00:08:59.27\00:09:01.60
lot of money and
increase the amount of pain
00:09:01.63\00:09:03.50
that we have simply
because we are chasing
00:09:03.53\00:09:05.42
after a symptom as opposed
to nailing down a cause. Right.
00:09:05.45\00:09:10.29
In everything we
have to always assess
00:09:10.32\00:09:12.37
the risk and
benefits of any treatment
00:09:12.40\00:09:14.61
or sometimes the risk
of having chronic pain,
00:09:14.64\00:09:19.57
a little bit of pain is safer
00:09:19.60\00:09:21.64
than taking the
treatment for it, you know.
00:09:21.67\00:09:24.19
So I mean it's a
very fine balance
00:09:24.22\00:09:26.38
in answering these questions.
00:09:26.41\00:09:27.92
Every-- you said this earlier,
00:09:27.95\00:09:29.28
every individual
is so unique and,
00:09:29.31\00:09:31.97
but what I want to get through
today is if nothing else,
00:09:32.00\00:09:35.43
do those two things you said.
00:09:35.46\00:09:36.57
Find out the reason
why and just don't accept
00:09:36.60\00:09:39.30
a narcotic right off the
bat, you know, until you can
00:09:39.33\00:09:42.05
look at other ways that
might be given to treat you.
00:09:42.08\00:09:44.68
Okay. So we are
going to talk about water,
00:09:44.71\00:09:47.29
we are going to
talk about exercise,
00:09:47.32\00:09:48.91
we are going to
talk about sunshine.
00:09:48.94\00:09:50.15
These are ways to treat pain.
00:09:50.18\00:09:52.29
We can talk
about our faith in God,
00:09:52.32\00:09:55.20
our worship of the true God,
00:09:55.23\00:09:57.22
a regiment in how we eat
and how we relate to people.
00:09:57.25\00:10:03.93
I am assuming that
anger can cause pain.
00:10:03.96\00:10:07.07
Yeah, stress, stress--
00:10:07.10\00:10:08.38
And madness can cause
pain. Guilt can cause pain.
00:10:08.41\00:10:14.92
That all adds to
it. All right, okay.
00:10:14.95\00:10:17.43
So we need to really look at the
cause and find out what it is.
00:10:17.46\00:10:20.58
And if you have a
problem finding out what it is,
00:10:20.61\00:10:23.83
what would you
recommend, Dr. Marcum?
00:10:23.86\00:10:25.62
Do you go to a
medical doctor first?
00:10:25.65\00:10:27.87
You go to a pastor first?
00:10:27.90\00:10:29.85
If you want help
with your chronic pain
00:10:29.88\00:10:32.50
where would be the
first place you'd go?
00:10:32.53\00:10:34.29
This is a
multidisciplinary thing.
00:10:34.32\00:10:36.64
You want to go to your
physician to find out the cause.
00:10:36.67\00:10:39.44
Some people you might want to go
00:10:39.47\00:10:40.70
and have your
pastor deal with it.
00:10:40.73\00:10:42.48
You just got to make sure
there is nothing physical.
00:10:42.51\00:10:43.99
Right, you got to make that.
00:10:44.02\00:10:45.14
You know, sometimes
there's pain clinics
00:10:45.17\00:10:47.12
that have
different types of people
00:10:47.15\00:10:48.80
that might have a chiropractor
involved, a nutritionist.
00:10:48.83\00:10:51.40
I believe we had a
question about nutrition
00:10:51.43\00:10:52.93
that hopefully we'll get to.
00:10:52.96\00:10:54.54
There is
multidiscipline approach.
00:10:54.57\00:10:56.62
It just shouldn't be one
person looking at things.
00:10:56.65\00:10:58.80
There should be many people
looking from different angles,
00:10:58.83\00:11:00.93
looking at the mind
angle, look at the spiritual,
00:11:00.96\00:11:03.39
looking at the physical,
looking at the lifestyle,
00:11:03.42\00:11:05.86
everything that makes up this.
00:11:05.89\00:11:07.30
And when hundred
million people have it
00:11:07.33\00:11:09.64
and the numbers keep going
up, again it's another thing
00:11:09.67\00:11:12.49
that we are not doing well.
00:11:12.52\00:11:14.06
We have to look for
better answers and solutions
00:11:14.09\00:11:16.57
to this chronic pain syndrome.
00:11:16.60\00:11:18.72
Well, pretty soon we are
going to have chronic pain
00:11:18.75\00:11:20.52
and chronic
narcotic addiction, both.
00:11:20.55\00:11:22.75
And then when
have another problem.
00:11:22.78\00:11:24.60
It reminded of the
story of General Grant
00:11:24.63\00:11:27.39
right near the
end of the Civil War.
00:11:27.42\00:11:29.98
He was in his tent
and he was suffering
00:11:30.01\00:11:32.26
from a tremendous headache.
00:11:32.29\00:11:34.56
It was just pounding in his head
00:11:34.59\00:11:36.37
he wrote in his memoirs.
00:11:36.40\00:11:37.96
And just then there was a
knock on the tent wood there,
00:11:37.99\00:11:41.57
the flap pulling up the
tent on the structure there
00:11:41.60\00:11:45.20
and someone comes
and says, you know,
00:11:45.23\00:11:46.93
General Lee just surrendered.
00:11:46.96\00:11:50.71
The war is over.
00:11:50.74\00:11:52.45
And General Grant said
that his headache vanished.
00:11:52.48\00:11:56.24
It was gone just that time.
00:11:56.27\00:11:59.64
We need to make sure
that when we are searching
00:11:59.67\00:12:01.62
for the source of our
pain, when we are searching for
00:12:01.65\00:12:05.62
why that we take
into consideration
00:12:05.65\00:12:08.48
the mental stresses
we have in this world,
00:12:08.51\00:12:10.35
the stresses at work,
the stresses of family.
00:12:10.38\00:12:12.81
And if we find that
those things are affecting us,
00:12:12.84\00:12:15.74
that we apply
God's rules of love
00:12:15.77\00:12:18.38
and forgiveness and
grace to those issues
00:12:18.41\00:12:20.28
and look for solutions there.
00:12:20.31\00:12:22.86
We'll take a break
now and when we come back
00:12:22.89\00:12:24.76
let's talk to the
Master Physician about the pain
00:12:24.79\00:12:27.81
that might be in
your heart and the healing
00:12:27.84\00:12:30.70
that He offers to
everyone of us. Stay tuned.
00:12:30.73\00:12:33.30
Chronic pain affects 100
million people in America
00:12:40.76\00:12:44.58
and it also is a
problem worldwide.
00:12:44.61\00:12:47.86
I hope you are not one that's
suffering from chronic pain,
00:12:47.89\00:12:50.31
but if you are,
I hope this program
00:12:50.34\00:12:51.68
helped you and if you are not,
00:12:51.71\00:12:53.21
I hope you can share this
information with someone else.
00:12:53.24\00:12:56.35
The key to chronic pain
is asking the question why,
00:12:56.38\00:13:00.19
try not to reach
for a narcotic first
00:13:00.22\00:13:03.25
and look for other alternatives
00:13:03.28\00:13:05.23
that might be
used to treat the pain
00:13:05.26\00:13:07.29
before you reach for
something that's dangerous.
00:13:07.32\00:13:09.51
Look at all the
risks and benefits
00:13:09.54\00:13:11.72
to anything you might be doing.
00:13:11.75\00:13:13.32
And sometimes remember
it's not just one person
00:13:13.35\00:13:15.95
that helps you
with chronic pain.
00:13:15.98\00:13:17.25
It could be a
multidisciplinary approach.
00:13:17.28\00:13:20.11
One of the things I
didn't quite have the time
00:13:20.14\00:13:22.16
to mention is the
importance of nutrition.
00:13:22.19\00:13:24.68
Nutrition is very important
00:13:24.71\00:13:26.49
in the
treatment of chronic pain.
00:13:26.52\00:13:28.02
Certain foods that
cause inflammation,
00:13:28.05\00:13:30.41
a fatty diet can
cause lots of inflammation
00:13:30.44\00:13:32.82
which can make
chronic pain worse.
00:13:32.85\00:13:34.61
And there is also foods,
especially healthy foods,
00:13:34.64\00:13:37.04
that make you have
antioxidants, lots of water,
00:13:37.07\00:13:40.15
that also might
help with chronic pain.
00:13:40.18\00:13:42.69
If you are the one
that might be having
00:13:42.72\00:13:44.12
chronic pain today, we
want to say a prayer for you
00:13:44.15\00:13:47.23
and also all those out there.
00:13:47.26\00:13:48.58
So let's just bow our
heads just for a few seconds.
00:13:48.61\00:13:51.74
Father God, there are many of us
that are having physical pain,
00:13:51.77\00:13:54.41
that have chronic
pain, that have mental pain.
00:13:54.44\00:13:58.12
We know that the
only true solution
00:13:58.15\00:14:00.80
is that for You to
come again and take us home
00:14:00.83\00:14:03.11
and to heal us, Father.
00:14:03.14\00:14:04.65
But until that time
we want to trust in You
00:14:04.68\00:14:07.66
to lead us in this relationship
and help us to find answers,
00:14:07.69\00:14:11.18
answers from good
doctors and other people
00:14:11.21\00:14:13.88
and help us to find
the solutions to pain
00:14:13.91\00:14:16.34
that's affecting the world.
00:14:16.37\00:14:17.74
And please be with us always
is our humble prayer. Amen.
00:14:17.77\00:14:22.81
Don't forget I'll be
happy to answer your question
00:14:22.84\00:14:25.53
by going to our
website heartwiseministries.org
00:14:25.56\00:14:28.72
and let us know
what your needs are
00:14:28.75\00:14:30.54
and we'll be
happy to pray for you.
00:14:30.57\00:14:32.24
Thanks for watching the
"Ultimate Prescription."
00:14:32.27\00:14:34.30