The following program presents 00:00:01.98\00:00:02.95 principles designed to promote good health 00:00:02.96\00:00:03.93 and is not intended to take the place 00:00:04.28\00:00:05.75 of personalized professional care. 00:00:05.78\00:00:07.80 The opinions and ideas expressed 00:00:08.54\00:00:10.07 are those of the speaker. Viewers are encouraged 00:00:10.10\00:00:12.93 to draw their own conclusions 00:00:12.96\00:00:14.28 about the information presented. 00:00:14.31\00:00:16.13 Welcome to Wonderfully Made. 00:00:34.97\00:00:36.23 I am Dr. David DeRose. President of Compass 00:00:36.26\00:00:38.60 Health Incorporated. We're looking today 00:00:38.63\00:00:40.77 at a question, the question is, can hope heal? 00:00:40.80\00:00:45.20 You know, this subject has captured the attention 00:00:46.50\00:00:48.56 of medical professionals throughout the centuries. 00:00:48.59\00:00:51.42 And today often discussions circulate, 00:00:51.45\00:00:55.05 about the healing power of hope. 00:00:55.08\00:00:57.20 Today, joining me on this edition of 00:00:57.88\00:00:59.95 Wonderfully Made, is Dr. John Clark. 00:01:00.01\00:01:01.97 John, it's great to have you on the studio again. 00:01:02.41\00:01:04.55 Well, thanks for having me, 00:01:04.89\00:01:06.00 it's a privilege to be here. 00:01:06.03\00:01:07.67 You know, hope is something, 00:01:08.17\00:01:09.49 that really adds buoyancy to life. 00:01:09.52\00:01:12.16 And yet, is it really something in medical 00:01:12.71\00:01:16.18 circles that can make a difference, 00:01:16.21\00:01:17.82 as we deal with patients. Do you have 00:01:17.85\00:01:19.51 a quick take on that Dr. Clark? 00:01:19.54\00:01:21.20 Well, I am kind of hoping so. 00:01:21.23\00:01:23.51 Otherwise, we wouldn't be doing 00:01:24.86\00:01:25.83 a show together, right. 00:01:25.84\00:01:26.87 That's right. Actually one of the 00:01:26.90\00:01:29.00 fascinating things to me John is the whole 00:01:29.06\00:01:32.17 science of Placebo Therapy. 00:01:32.20\00:01:33.98 Oh! yeah. And for our listeners, 00:01:34.01\00:01:36.64 Placebos have often been described as sugar pills. 00:01:36.91\00:01:41.57 Things that have no efficacy at all, 00:01:41.60\00:01:43.61 but scientists are looking more closely today 00:01:44.21\00:01:46.79 at Placebos then ever before, I recently came 00:01:46.82\00:01:49.72 across an article that first appeared in the 00:01:49.75\00:01:52.38 Harvard Medical Alumni, periodical back in the 00:01:52.41\00:01:56.90 middle 1990's, they were summarizing actually data, 00:01:56.93\00:02:00.84 that had been presented some 40 years before. 00:02:00.87\00:02:05.40 And what they were talking about is a case 00:02:06.09\00:02:09.20 study of a patient, who had a metastatic cancer 00:02:09.23\00:02:13.09 apparently a lymphoma, large tumor masses 00:02:13.12\00:02:15.90 throughout his body and his doctor heard about 00:02:15.93\00:02:19.99 a treatment, a treatment protocol that was 00:02:20.02\00:02:22.79 going on. This patient was placed on it 00:02:22.82\00:02:25.19 and he had marvelous results, his tumors just 00:02:25.22\00:02:28.63 shrank, but it was found that this cancer therapy 00:02:28.66\00:02:32.89 in other patients was not beneficial at all, 00:02:33.66\00:02:36.11 and when the patient got wind of this 00:02:36.14\00:02:39.40 his cancer came back with a vengeance 00:02:39.90\00:02:42.71 Dr. Clark, I know, you're familiar 00:02:43.36\00:02:44.69 with this story as well and most people, 00:02:44.72\00:02:47.58 think well probably that's the end 00:02:47.61\00:02:48.76 of the story, he gets the treatment. 00:02:48.79\00:02:51.14 He thinks it's gonna help him, he gets 00:02:51.17\00:02:53.10 dramatic response, the cancer is going away, 00:02:53.13\00:02:55.71 he starts hearing reports, it was no good 00:02:55.74\00:02:58.04 anyway and the cancer recurs, 00:02:58.07\00:03:00.30 was that the end of the story. 00:03:00.33\00:03:01.48 Well, no it wasn't in fact his doctor returned 00:03:01.97\00:03:04.82 with a new dose of the same drug, 00:03:04.85\00:03:07.21 that was fresher then the previous dose 00:03:07.24\00:03:10.57 and convinced the patient that 00:03:10.60\00:03:13.17 this was actually a more efficacious drug 00:03:13.20\00:03:15.71 or version of the drug, gave the patient, 00:03:15.74\00:03:18.72 the injection and the results. 00:03:18.75\00:03:20.59 You're exactly right, the results were the same, 00:03:21.88\00:03:24.07 the patient had even more beneficial response. 00:03:24.10\00:03:27.11 But, finally when again after a period of time, 00:03:28.05\00:03:31.44 of remission of his cancer. He was a 00:03:31.47\00:03:33.58 well men, when the final word came out 00:03:33.61\00:03:36.15 about this drug, and by the way the fresher dose 00:03:36.18\00:03:40.18 that Dr. Clark was referring to, 00:03:40.21\00:03:41.98 was actually a Placebo, the doctor as I understand 00:03:42.01\00:03:46.03 the story just gave him sterile water. 00:03:46.06\00:03:48.46 Yes. When the patient 00:03:48.49\00:03:49.74 find out that the supposed treatment was not 00:03:49.77\00:03:52.90 efficacious, the American Medical Association said 00:03:52.93\00:03:56.25 it was no good, his cancer came back 00:03:56.28\00:03:58.97 and this time he died. Dr. Clark, no healing power 00:03:59.63\00:04:05.14 in this medication he was being given 00:04:05.17\00:04:07.63 and yet it seem both times, the drug 00:04:07.66\00:04:10.95 was administered, he was on his way toward 00:04:10.98\00:04:13.27 healing. How do you explain it? 00:04:13.30\00:04:14.59 Isn't that interesting? You know, we often think 00:04:15.59\00:04:18.14 that our drugs are what cure things. 00:04:18.17\00:04:20.33 But sometimes it's, you know there is a great 00:04:20.36\00:04:24.40 compound of faith or a belief or of as we say hope. 00:04:24.43\00:04:28.26 Hope is an incredibly precious commodity 00:04:29.25\00:04:32.12 and what we're finding is that medical studies 00:04:32.15\00:04:35.94 many times you'll see 30 to 40 percent of people 00:04:35.97\00:04:39.13 improve on a study when all they are given. 00:04:39.16\00:04:41.23 Is a so called sugar pill or Placebo, 00:04:41.26\00:04:43.80 the Placebo is illustrating the patient's hope. 00:04:44.55\00:04:47.82 Yes. I mean think about it. 00:04:47.85\00:04:49.81 you've looked at this whole subject of 00:04:49.84\00:04:52.03 avian flu, we've talked about this in previous 00:04:52.77\00:04:56.00 shows together. If I just told you, 00:04:56.03\00:05:00.58 John, you've got this deadly disease, 00:05:00.84\00:05:03.17 go home and die. What do you think 00:05:03.20\00:05:07.80 would happened to you? I wouldn't have much hope, 00:05:07.83\00:05:09.61 would I, that sounds like a death sentence 00:05:09.64\00:05:12.97 and yet you hear about patient's that are 00:05:13.00\00:05:15.41 given that kind of, you know, sentence. 00:05:15.44\00:05:18.20 Yeah, you have fatal cancer, 00:05:18.23\00:05:19.81 you'll die in six months and all of a sudden they find 00:05:19.84\00:05:23.67 a treatment often outside of the recommended 00:05:23.70\00:05:27.35 treatment regimens, that they put their hope, 00:05:27.38\00:05:30.75 their faith in and it actually has results. 00:05:30.78\00:05:34.34 You know, this has some powerful implications 00:05:34.37\00:05:37.46 going both ways, on the positive side we want to 00:05:37.49\00:05:41.48 harness the power of hope and medical studies 00:05:41.51\00:05:43.88 are showing this, I'm looking at an article 00:05:43.91\00:05:45.26 right here. It's called the Placebo effect 00:05:45.29\00:05:48.59 in modern medicine. This came out in 00:05:48.62\00:05:51.23 one of the medical journals and it's very interesting. 00:05:51.26\00:05:54.32 Listen to what these authors conclude, 00:05:54.35\00:05:56.84 they say centuries of clinical experience show 00:05:56.87\00:06:00.18 the Placebo treatments benefit patients, 00:06:00.21\00:06:03.75 patients with a wide range of disorders. 00:06:03.78\00:06:06.09 And they conclude they listen, 00:06:06.46\00:06:08.05 incorporating components of a Placebo effect 00:06:08.54\00:06:11.43 into primary care practices can minimize, 00:06:11.46\00:06:15.74 no, maximize, can maximize the effects of 00:06:16.55\00:06:20.75 traditional and alternative treatments 00:06:20.78\00:06:23.40 in ways that are both medically and ethically 00:06:23.43\00:06:25.87 sound, so researchers used to look at the 00:06:25.90\00:06:30.34 Placebo effect as kind of a do nothing harm. Now the 00:06:30.37\00:06:33.17 papers are saying, we need to do more utilizing 00:06:33.20\00:06:37.00 this power we call it, the power of hope. 00:06:37.03\00:06:39.19 You and I, they are talking about the 00:06:39.22\00:06:40.99 Placebo effects. So, that's the 00:06:41.02\00:06:42.19 positive side, is there a negative side, 00:06:42.22\00:06:44.56 to the Placebo effect. You ever see 00:06:44.59\00:06:47.31 that in your practice. Well, you know, the 00:06:47.34\00:06:49.67 negative side often comes up, when somebody 00:06:49.70\00:06:52.54 is trying to sell a product, that supposedly, 00:06:52.57\00:06:55.57 cures a disease and they are 00:06:56.17\00:06:58.89 so charismatic that they actually illicit a 00:06:58.92\00:07:02.11 Placebo response to something that may 00:07:02.14\00:07:03.90 either be inert, inactive or actually harmful. 00:07:03.93\00:07:08.55 Now this is, this is very, very important, you know 00:07:09.32\00:07:11.93 there are a lot of people out there, that are using 00:07:11.96\00:07:14.41 compounds and using supplements, they are using 00:07:15.04\00:07:17.82 things that really. If you look at the 00:07:17.85\00:07:19.39 literature, there is nothing to suggest 00:07:19.42\00:07:23.14 that they are helping every ill known to mankind 00:07:23.17\00:07:25.95 and you hear these people giving these 00:07:25.98\00:07:28.56 testimonials that it cures everything and you're starting 00:07:28.59\00:07:32.00 to wonder. How much of this is really a 00:07:32.03\00:07:34.46 Placebo effect just like you're saying. 00:07:34.49\00:07:36.36 The problem is what happens, when the Placebo effect 00:07:37.02\00:07:41.40 is experienced in one patient with rheumatoid arthritis 00:07:41.67\00:07:44.55 or a patient with cancer, let's say its a cancer the 00:07:44.58\00:07:47.60 traditional medicine has a cure for, lets say a highly 00:07:47.63\00:07:51.61 treatable cancer like testicular cancer in a 00:07:51.64\00:07:54.13 young man. There is chemotherapy radiation, 00:07:54.16\00:07:57.12 we may not like those approaches, we may be 00:07:57.15\00:07:59.90 concerned about their toxicity, but I may not 00:07:59.93\00:08:03.11 be able to say look at here's a natural regimen, 00:08:03.14\00:08:05.36 that I am confident works. So someone hears a 00:08:05.51\00:08:10.37 testimonial and in that testimonial, a person 00:08:10.40\00:08:13.72 saying yes, I had this testicular cancer. 00:08:13.75\00:08:15.78 I didn't have the conventional therapy. 00:08:15.81\00:08:17.39 I took these herbs and these pills and I was cured. 00:08:17.79\00:08:20.74 Now the person listening though may not have the 00:08:22.30\00:08:25.07 confidence in those treatments, but may just 00:08:25.10\00:08:27.39 be wishfully thinking they can avoid the other 00:08:27.42\00:08:30.63 therapies. Is it possible Dr. Clark, that the same 00:08:30.66\00:08:34.80 thing that gives a powerful element of hope to 00:08:34.83\00:08:37.72 one person, may not give that element 00:08:37.75\00:08:40.29 and they may forgo effective treatment 00:08:40.32\00:08:43.13 because of it. Oh! Absolutely and I have 00:08:43.16\00:08:45.84 seen this though in the other way 00:08:45.87\00:08:47.22 too that when people had no faith in something 00:08:47.25\00:08:50.43 that usually did work. They could have a 00:08:50.46\00:08:53.87 negative outcome from a good medicine cure 00:08:53.90\00:08:57.22 or whatever. You know there is a interesting 00:08:57.25\00:08:59.97 stories that have been told many times in 00:09:00.00\00:09:02.21 medical circles about patients that 00:09:02.24\00:09:04.08 feared treatments, that the doctors knew 00:09:04.11\00:09:06.38 were perfectly safe. Yeah. 00:09:06.41\00:09:08.05 And people even died. We call this the 00:09:08.08\00:09:10.78 nocebo effect, there's a Placebo, that when 00:09:10.81\00:09:14.72 they is actually no biological connection 00:09:14.75\00:09:17.01 between things, because of hope, it brings good 00:09:17.04\00:09:19.57 things, there's a nocebo effect and that's the 00:09:19.60\00:09:21.96 opposite. When you're worried that something bad 00:09:21.99\00:09:24.13 is going to happen, something that 00:09:24.16\00:09:26.14 is totally inert could even kill you, there are 00:09:26.25\00:09:29.18 cases of this, well established cases 00:09:29.21\00:09:31.36 in the medical literature a whole series 00:09:31.39\00:09:33.55 of patients that have been described with this 00:09:33.58\00:09:36.04 nocebo effect happening. Oh! Yeah, I've seen it 00:09:36.07\00:09:38.68 too, you had a patient that comes to the 00:09:38.71\00:09:40.43 operating room, they come in maybe after a car wreck 00:09:40.46\00:09:43.70 you have to do a quick operation on him to save 00:09:43.73\00:09:46.02 a limb or life and they come in the operating room 00:09:46.05\00:09:49.17 saying I know I am gonna die, 00:09:49.20\00:09:50.74 I know I am gonna die. And, lo and behold 00:09:50.77\00:09:54.22 a high percentage, 00:09:54.25\00:09:55.22 of them actually do I have seen them die. 00:09:55.23\00:09:56.71 So, what do you do as a surgeon and I know, 00:09:57.12\00:09:58.77 I know you're a board certified 00:09:58.80\00:10:00.10 orthopedic surgeon, what would you do if 00:10:00.13\00:10:03.07 there is a situation like that, someone says, 00:10:03.10\00:10:05.26 I know I am gonna die and it's an emergency 00:10:05.29\00:10:07.43 surgery, would you talk with them, pray with them, 00:10:07.83\00:10:10.10 I mean what can you do in that situation? 00:10:10.13\00:10:11.84 Yeah, you know I do pray with all my patients. 00:10:11.87\00:10:14.41 Before, we take them to surgery. 00:10:14.44\00:10:15.98 You try to talk to them, you might try to ask them. 00:10:17.06\00:10:19.57 But often times they are in a bit of delirium 00:10:19.60\00:10:22.27 and this is just their subconscious coming 00:10:22.30\00:10:25.57 through and there isn't much you can do to change it, 00:10:25.60\00:10:27.75 should you stop surgery, that's a whole another 00:10:27.78\00:10:30.25 topic. But it definitely happens. 00:10:30.28\00:10:34.52 So the power of the mind has a significant impact 00:10:34.55\00:10:39.42 on how we do? When it comes 00:10:39.45\00:10:40.93 to health outcomes doesn't it. 00:10:40.98\00:10:42.40 Oh! Yes, sure it does. 00:10:42.54\00:10:43.97 So, we wanna harness the positive things 00:10:44.70\00:10:47.84 that could come from mental outlook 00:10:47.87\00:10:49.98 and, you know, right here we have a book, 00:10:50.01\00:10:53.90 that God has given us in the scriptures, that really 00:10:53.93\00:10:57.96 are designed to give us hope. 00:10:57.99\00:10:59.82 Yes. You know one of the, 00:11:00.51\00:11:02.62 the scriptures John, that I think encapsulates this 00:11:02.65\00:11:07.16 so well, is in the Book of Romans, you know 00:11:07.19\00:11:10.39 Paul writes at great lengths in this book, 00:11:10.42\00:11:12.92 about if you will may be a medical diagnosis, 00:11:13.78\00:11:17.35 if you will, a spiritual diagnosis, that all of 00:11:17.38\00:11:20.42 us have sinned, we've all come short of God, 00:11:20.45\00:11:22.36 we are all in need of a savior, that savior has been 00:11:23.11\00:11:25.58 provided. Paul goes on to explain and then 00:11:25.61\00:11:29.15 he writes, later in the chapters of Roman some 00:11:29.78\00:11:33.24 marvelous practical counsel. 00:11:33.72\00:11:35.55 In Romans chapter 15th verse 4, he says this. 00:11:35.58\00:11:40.00 For whatsoever things were written aforetime, 00:11:40.41\00:11:43.15 were written for our learning, 00:11:43.18\00:11:45.18 that we through patience and comfort 00:11:46.10\00:11:48.72 of the scriptures might have hope. 00:11:48.75\00:11:51.71 Yes. God is trying to give us 00:11:51.74\00:11:55.82 hope through his word, as physicians and as 00:11:55.85\00:11:58.95 we look at the medical research we're seeing that 00:11:58.98\00:12:01.15 hope has profound benefits. Let's turn 00:12:01.18\00:12:04.63 the scales a little bit, because as an 00:12:04.66\00:12:06.70 orthopedic surgeon, you have looked at a 00:12:06.73\00:12:09.44 problem that often comes, when we don't have hope 00:12:09.47\00:12:12.10 and that is the full born rage, the full born weight 00:12:12.13\00:12:18.73 of stress coming at us, we don't have any hope, the 00:12:18.76\00:12:21.30 stressors that come at us take on 00:12:21.33\00:12:22.44 huge proportions. When it comes to low back pain, 00:12:22.47\00:12:26.12 when it comes to common orthopedic problems, 00:12:26.15\00:12:28.74 you shared with me once, that's a very interesting 00:12:28.77\00:12:31.62 orthopedic research is connected this with lack 00:12:31.65\00:12:34.72 of hope and stress, explain that to our viewers. 00:12:34.75\00:12:36.99 Yeah, you know there is a lot of people that have 00:12:37.02\00:12:39.45 low back pain, that's just kind of another epidemic, 00:12:39.48\00:12:42.79 in our country. But there was a 00:12:42.82\00:12:45.32 physiatrist that did a bunch of research on these 00:12:45.35\00:12:48.07 12345678901234567890123456789012 people, physiatrists are people who, okay, I wanted you to 00:12:48.10\00:12:51.07 explain, what's a physiatrist? Physiatrists are physicians 00:12:51.10\00:12:55.07 who basically run physical therapy units, 00:12:55.10\00:12:57.87 at hospitals, rehab hospitals, this kind of 00:12:57.90\00:13:00.62 thing, they often get a lot of low back pain 00:13:00.65\00:13:03.84 patients, the average doctor sends them somewhere 00:13:03.87\00:13:06.00 else and so this physiatrist started to look 00:13:06.03\00:13:10.00 at these low back pain patients and then the studies 00:13:10.03\00:13:14.35 also started coming out on the MRIs. You know, 00:13:14.38\00:13:16.31 we have this new tool, let's run everybody 00:13:16.34\00:13:17.95 through the MRI, they ran normal people through an 00:13:17.98\00:13:20.57 MRI from around the block and lo and behold 00:13:20.60\00:13:24.15 40 percent look like, they needed an operation. 00:13:24.18\00:13:27.32 Wait, wait, wait normal people they are healthy 00:13:28.05\00:13:30.07 they have no back pain. No back pain and so the 00:13:30.10\00:13:33.48 physiatrist started thinking, well why are we 00:13:33.51\00:13:36.35 operating on the ones, that we are operating on 00:13:36.38\00:13:39.01 and why do they have low back pain. 00:13:39.04\00:13:41.57 The backs looked the same, people with no pain 00:13:41.60\00:13:44.61 and people with severe pain that they are operating on. 00:13:44.64\00:13:47.15 Right, exactly and so he had to think this through 00:13:47.45\00:13:52.03 Well, what's going on, so he started looking at the 00:13:52.06\00:13:54.32 population of people with low back pain. 00:13:54.35\00:13:56.37 Umm! He started running 00:13:56.40\00:13:57.93 physiological tests on them, MMPIs and so 00:13:57.96\00:14:01.02 forth and lo and behold, he discovered that 00:14:01.05\00:14:04.91 these people often had underlying stress 00:14:04.94\00:14:08.29 from maybe childhood rage, abuse, especially 00:14:08.32\00:14:11.64 victims of sexual abuse. Umm! 00:14:11.67\00:14:14.28 And this doesn't mean that everybody with low back pain 00:14:14.31\00:14:16.80 has sexual abuse in their history. 00:14:16.83\00:14:18.44 Of course not. But yes, high stress life, 00:14:18.47\00:14:21.09 and then he said well you know are they just 00:14:21.12\00:14:23.07 making the pain up, because they're stressed, 00:14:23.10\00:14:25.03 this can't be and then they did the PET studies, 00:14:25.06\00:14:28.06 where they could follow blood flow, and they 00:14:28.09\00:14:30.44 found out that people with this greater stress, 00:14:30.47\00:14:32.90 especially childhood rage, were actually using 00:14:32.93\00:14:37.19 their nerves, the sympathetic and parasympathetic 00:14:37.22\00:14:40.51 nervous system to shut down blood vessels in the 00:14:40.54\00:14:42.92 back. Blood vessels to muscles. 00:14:42.95\00:14:45.18 They say they were using this. I mean, this 00:14:45.21\00:14:47.33 was not a conscious thing where someone saying I'm 00:14:47.36\00:14:49.67 gonna put less blood to my back, because I am 00:14:49.70\00:14:52.19 angry, because I am stress, right. 00:14:52.22\00:14:53.65 No, not conscious at all and if you asked them, 00:14:53.68\00:14:56.34 if they're doing that, they wouldn't believe you 00:14:56.37\00:14:58.65 or say yes. But the blood's being 00:14:58.68\00:15:01.99 cut off to a number of tissues, that when they 00:15:02.02\00:15:04.81 get low on blood, they hurt muscles, tendons 00:15:04.84\00:15:07.76 ligaments, nerves themselves, bones and so forth. 00:15:07.79\00:15:11.43 And so when he started discovering this, he said 00:15:11.46\00:15:14.51 well, what's the cure then, may be everything we do 00:15:14.54\00:15:17.01 is Placebo, physical therapy, nonsteroidal 00:15:17.04\00:15:20.69 anti-inflammatories and so forth. Umm! 00:15:20.72\00:15:23.21 And so he started to put together a program, 00:15:23.47\00:15:26.41 along with some of the psychologists in his 00:15:26.44\00:15:28.37 hospital, about educating people on what was 00:15:28.40\00:15:32.44 happening? Basically a cognitive behavioral therapy 00:15:32.47\00:15:36.13 approach, here's what happening, 00:15:36.16\00:15:38.02 here's what you are doing? And so in his seminar, 00:15:38.05\00:15:40.53 that he put together based on this. 00:15:40.56\00:15:42.10 He would go through mind, body connection, 00:15:42.13\00:15:45.54 the nerves, the pathways, the physiology 00:15:45.57\00:15:48.07 behind the blood vessels being closed off. 00:15:48.10\00:15:50.58 And then, he made it a seminar with a few extra 00:15:50.61\00:15:55.89 points on how to deal with rage and anger. 00:15:55.92\00:15:58.25 Umm! This two days seminar 00:15:58.28\00:16:00.09 had marvelous success, people with low back pain, 00:16:00.97\00:16:05.09 TMJ, fibromyalgia, carpal tunnel, 00:16:05.12\00:16:06.88 tennis elbow, anterior knee pain. 00:16:07.47\00:16:08.96 all about 85 percent after going through his 00:16:08.99\00:16:12.15 seminars found improvement and even relief. Wow! 00:16:12.18\00:16:15.78 So, in alternative to surgery. 00:16:16.53\00:16:18.42 Alternative to surgery. In alternative to other 00:16:18.96\00:16:20.82 more aggressive therapy was just addressing, 00:16:20.85\00:16:24.00 the stress factors and presumably giving people 00:16:24.03\00:16:26.14 more hope. Yes, that's right 00:16:26.17\00:16:28.50 and dealing with their, as you might say 00:16:28.53\00:16:30.86 lack of hope or depression. 00:16:30.89\00:16:32.39 Dr. Clark you mentioned something that I 00:16:33.19\00:16:35.05 think is worth spending a little bit of time with, 00:16:35.08\00:16:38.42 it's this whole aspect of the sympathetic and 00:16:38.45\00:16:41.71 parasympathetic nervous systems. You and I as 00:16:41.74\00:16:44.76 physicians know these as the autonomic nervous 00:16:44.79\00:16:48.13 system, this is the unconscious nervous 00:16:48.16\00:16:50.80 system, the nervous system, you're not aware of 00:16:50.83\00:16:52.85 and we speak of it having this two hands if you 00:16:52.88\00:16:54.86 will, the sympathetic hand that we often refer to 00:16:54.89\00:16:59.69 as the part of the nervous system that's involved in 00:16:59.72\00:17:02.86 fight or flight, the stress response. 00:17:03.00\00:17:05.40 And on the other side, we have the 00:17:06.00\00:17:07.53 parasympathetic hand. This is the side that is 00:17:07.56\00:17:10.62 involved with normal restorative functions 00:17:10.65\00:17:13.30 in the body, rest, rebuilding, digestion, 00:17:13.33\00:17:17.12 a simulation. Dr. Clark you've dealt 00:17:17.15\00:17:20.92 with a lot of conditions, you have been looking 00:17:20.95\00:17:23.65 a lot of infectious diseases. 00:17:23.68\00:17:25.59 Does this balance between the involuntary parts of 00:17:25.91\00:17:28.95 the nervous system play role in things other 00:17:28.98\00:17:31.37 then orthopedic problems? Yes, sure does, 00:17:31.40\00:17:33.84 in fact there's become a whole area of study 00:17:33.87\00:17:37.22 now dealing with those aspects of immune 00:17:37.25\00:17:40.43 system and mental factors and so immunopsychology 00:17:40.46\00:17:47.02 and so they study what happens to patients 00:17:47.05\00:17:49.83 and their mental attitudes and how it effects their immune 00:17:49.86\00:17:52.43 systems. People that are happy, I assume if they are 00:17:52.46\00:17:55.53 happy, they have more hope, maybe we're making a stretch 00:17:55.56\00:17:58.01 there, but happier people have more IGA in their 00:17:58.04\00:18:00.63 secretions like their tear drops, their mucous 00:18:00.66\00:18:04.44 membranes, IGA is one of the first immune defenses 00:18:04.47\00:18:07.88 against a known invader of pathogen 00:18:07.91\00:18:10.84 it's an antibody, they'll have better natural 00:18:10.87\00:18:13.49 clear cell activity and so definitely there 00:18:13.52\00:18:17.09 is a positive effect, that can be measured 00:18:17.12\00:18:19.16 in the immune function. You know, one of the other 00:18:19.19\00:18:21.88 interesting things when we speak about natural 00:18:21.91\00:18:23.83 remedies is that many of these agencies that people 00:18:23.86\00:18:27.30 have been using for years, really actually help to 00:18:27.33\00:18:31.24 balance the sympathetic and parasympathetic 00:18:31.27\00:18:34.35 nervous system, exercise seems to be an excellent 00:18:34.38\00:18:37.87 example in things that I've read and 00:18:37.90\00:18:40.42 work that I have done with patients. Do you feel that 00:18:40.45\00:18:43.10 exercise in your experience Dr. Clark, 00:18:43.13\00:18:45.22 is very important for this immune system balance 00:18:45.25\00:18:48.28 and nervous system balance, if you will. 00:18:48.31\00:18:50.21 Yes, it sure is, and especially exercises that 00:18:50.24\00:18:53.49 include stretching and some aerobics. When you 00:18:53.52\00:18:57.29 get fresher along with it, but there is 00:18:57.32\00:18:59.75 definitely a balance to be gained. Because when 00:18:59.78\00:19:02.88 people are stagnant, we say sedentary, 00:19:02.91\00:19:07.22 pretty soon their immune system has a hard time 00:19:07.98\00:19:10.59 working in the body, it's because if everything 00:19:10.62\00:19:13.07 is flowing slowly, well you know how it is when 00:19:13.10\00:19:14.96 you go to work and everything is flowing slowly 00:19:14.99\00:19:17.34 Well, and in your body the same thing happens and 00:19:17.37\00:19:20.11 so you can get pulling of some things in some area of body 00:19:20.14\00:19:23.14 and other components and other areas and it's a 00:19:23.17\00:19:26.58 problem. You know, what's fascinating to me 00:19:26.61\00:19:29.47 as we look at these subjects we're talking about the healing 00:19:29.50\00:19:31.52 power of hope, hope bring healing 00:19:31.55\00:19:34.42 and as we look at God's word he speaks about his word 00:19:34.45\00:19:38.76 ministering hope. It's interesting as we look 00:19:38.79\00:19:40.93 at these different lifestyle aspects, 00:19:40.96\00:19:42.87 we could find them rooted in the scriptures, 00:19:42.90\00:19:44.44 exercise for example, you know Dr. Clark 00:19:44.47\00:19:47.95 many people when they think of their ideal existence 00:19:47.98\00:19:50.63 it's laying on the beach with someone serving them 00:19:50.66\00:19:54.43 you know bringing them food and just relaxing, 00:19:54.46\00:19:56.67 no work, but God didn't set Adam and Eve in the garden 00:19:56.70\00:20:00.89 with a program of just putting their feet 00:20:00.92\00:20:03.47 up and resting. Did he? No he put them to work 00:20:03.50\00:20:06.11 and that's right, study show people who work 00:20:06.14\00:20:09.27 with the ground who get that as we say 00:20:09.30\00:20:11.21 humus in the air that actually helps, 00:20:11.24\00:20:13.70 it stimulates more negative ions in the air, 00:20:13.73\00:20:16.40 it stimulates the immune system as well, 00:20:16.43\00:20:18.17 but that's kind of beyond hope, but you know this 00:20:18.20\00:20:21.55 whole aspect of hope. I remember 00:20:21.58\00:20:24.94 hearing a preacher who was asked you know, 00:20:24.97\00:20:27.48 how do I know if I am saved or not, 00:20:27.51\00:20:28.77 somebody was trying to get their you know 00:20:28.80\00:20:31.07 hope together, they wanted an assurance. 00:20:31.10\00:20:32.87 Umh. And he turned to a text in the Bible 00:20:32.90\00:20:35.80 that Martin and Luther found hope in and that is 00:20:35.83\00:20:39.14 "The just shall live by faith." 00:20:39.17\00:20:41.77 Umh. And a lot of this has to do with hope. 00:20:41.80\00:20:44.45 You know you're exactly right. These things are 00:20:45.27\00:20:48.35 so interrelated, it's amazing. 00:20:48.38\00:20:50.13 You know, we may, it may sound like 00:20:50.16\00:20:52.61 we're coming from a bunch of tangents, 00:20:52.64\00:20:54.50 but God is ministering a program, 00:20:54.87\00:20:57.28 that's giving us spiritually hope, 00:20:57.31\00:20:59.56 it's giving us physically hope, 00:20:59.89\00:21:01.30 when he gives exercise, yeah, we can talk about 00:21:01.33\00:21:03.22 the immune system benefits, we can talk about 00:21:03.25\00:21:06.03 balancing the nervous system, but the psychological 00:21:06.06\00:21:09.95 literature says exercise induces positive emotions, 00:21:09.98\00:21:14.06 mild depression. The psychiatric literature 00:21:14.09\00:21:17.46 says exercise is an effective strategy for 00:21:17.49\00:21:21.57 dealing with these negative mental thoughts. 00:21:21.60\00:21:23.77 So, as we look at God's program, 00:21:24.20\00:21:26.06 God's lifestyle approaches, we look at the way God 00:21:26.12\00:21:29.00 created man and woman to function. 00:21:29.03\00:21:31.59 We find that there is this interrelated program, 00:21:31.62\00:21:34.27 where the things that we were doing, 00:21:34.60\00:21:36.56 the things that we we're thinking are all 00:21:36.59\00:21:39.07 ministering hope in different ways. 00:21:39.10\00:21:41.86 Now as a surgeon Dr. Clark, I have to ask this question 00:21:43.57\00:21:47.51 because you know the patients you mentioned 00:21:47.55\00:21:52.42 if they don't have much hope often don't do as well 00:21:52.45\00:21:55.28 in the surgery, I know you had a lot 00:21:55.31\00:21:57.45 of surgical training and you've trained under 00:21:57.48\00:22:00.98 lots of surgeons did you ever sense that 00:22:01.01\00:22:03.51 one of the doctor's training you didn't have much 00:22:03.54\00:22:06.57 confidence in a procedure he or she was doing? 00:22:06.60\00:22:09.76 Yes, I sure did, I remember one time we were doing 00:22:09.79\00:22:12.90 a spine surgery, we would take 00:22:12.93\00:22:17.00 and do a patient perhaps we are going to the front 00:22:17.03\00:22:19.61 in the morning and change the spine around 00:22:19.64\00:22:21.75 from the front flip him over and eat lunch and then come back 00:22:21.78\00:22:24.58 and do the back. One time we were doing this 00:22:24.61\00:22:27.14 and we were doing this big surgery on the back 00:22:27.17\00:22:28.69 and the attending we're sitting there working 00:22:28.72\00:22:30.48 on stuff and there was a lot of scar tissue, about half way 00:22:30.51\00:22:33.65 through he looked up and said well you know, 00:22:33.68\00:22:36.62 let's just leave that I'll get that next time 00:22:36.65\00:22:38.29 when we come back. Wow! I said next time 00:22:38.32\00:22:41.37 when we come back. Did you actually say that 00:22:41.40\00:22:43.81 or you're just thinking this. Oh! I said that. 00:22:43.84\00:22:45.75 And so he said well yeah you know these folks 00:22:45.78\00:22:49.58 they keep coming back and so I kind of thought 00:22:49.61\00:22:52.73 well why, you know I would go for a full cure, 00:22:52.76\00:22:55.30 I wouldn't know if I would go for it all, 00:22:55.33\00:22:57.69 but yeah he didn't have confidence that this was going 00:22:57.72\00:23:00.55 to be the home run this time. 00:23:00.58\00:23:02.39 You know, so it's interesting. 00:23:02.42\00:23:04.19 Whatever we are doing whether we are the treating 00:23:04.22\00:23:07.88 person as the physician if we don't have much 00:23:07.91\00:23:10.36 hope in what we are doing, much confidence, 00:23:10.39\00:23:12.83 it's going to effect what we do. 00:23:12.86\00:23:14.19 Yeah, yeah. So, really there are 00:23:14.22\00:23:18.34 some implications as far as the doctor, patient 00:23:18.37\00:23:20.71 relationship for the patient aren't there. 00:23:20.74\00:23:22.53 Oh! Definitely in fact, they've done studies 00:23:22.56\00:23:25.26 on physicians who are well using a Placebo effect 00:23:25.29\00:23:30.59 perhaps in the way they communicate 00:23:30.62\00:23:32.23 with a patient. So they start a patient 00:23:32.26\00:23:34.60 out with a treatment regimen, 00:23:34.63\00:23:36.79 they set him home. The patient comes back 00:23:36.82\00:23:38.50 as soon as a patients coming through 00:23:38.53\00:23:40.28 the door, they look at oh hi, 00:23:40.31\00:23:42.59 George, boy you're looking good, 00:23:42.62\00:23:44.33 look at that spring in your step come on in, 00:23:44.36\00:23:47.10 good to see and they start positively 00:23:47.13\00:23:49.68 reinforcing that the person looks better 00:23:49.71\00:23:52.77 and as a person comes in, they are told they are 00:23:52.80\00:23:56.29 looking better and whether or not 00:23:56.32\00:23:57.96 they are better or not by time they're going out you 00:23:57.99\00:24:00.51 know, they feel better. And there is actually 00:24:00.54\00:24:03.41 some benefit to that. So you're saying 00:24:03.44\00:24:05.51 that doctors should be dishonest in dealing 00:24:05.54\00:24:07.36 with their patients? You know, 00:24:07.39\00:24:08.86 it's a big question there, is it dishonesty 00:24:08.89\00:24:10.93 or is it part of the therapy. 00:24:10.96\00:24:12.84 So, maybe we would say it this way, 00:24:12.87\00:24:15.43 because we know that God desires truth 00:24:15.46\00:24:17.76 in the inward parts. Yes. We don't want 00:24:17.79\00:24:19.73 to give any suggestion in this program, 00:24:19.76\00:24:23.19 we're counting and saying deception, 00:24:23.22\00:24:25.57 but what I hear you saying Dr. Clark is if I 00:24:25.60\00:24:28.80 see something positive with a patient, 00:24:28.83\00:24:31.31 it would behoove me to emphasize the positive 00:24:31.34\00:24:35.19 rather than the negative. Certainly, that's correct. 00:24:35.22\00:24:38.08 And so we would say we're helping to harness 00:24:38.11\00:24:40.82 the person's own resources as far as healing. 00:24:40.85\00:24:44.08 That's correct. So, presumably whether 00:24:44.11\00:24:46.49 I'm a doctor or not, most of the people 00:24:46.52\00:24:49.15 tuning into the show today presumably are not 00:24:49.18\00:24:52.90 physicians can they utilize the same thing in dealing 00:24:52.93\00:24:55.26 with family members who are dealing with illness 00:24:55.48\00:24:57.54 and problems can they accentuate 00:24:57.57\00:24:59.63 the positive and expect that hope is more likely 00:24:59.66\00:25:02.54 to occur and result better medical outcomes even. 00:25:02.57\00:25:05.21 Oh! Yeah. You know, I had a teacher 00:25:05.80\00:25:07.87 in high school who was quite a talker 00:25:07.90\00:25:09.87 and he had a sister that was quite suggestible 00:25:09.90\00:25:13.32 and he went home to her house one day 00:25:13.35\00:25:17.04 and after about half hour of talking to her 00:25:17.07\00:25:20.59 and telling her she didn't look good, 00:25:20.62\00:25:21.81 she crawled in bad and fell sick. 00:25:21.84\00:25:23.62 Wow. Then he turned around and for another half hour 00:25:23.65\00:25:26.73 told her how good she is looking, 00:25:26.76\00:25:27.81 how she must be feeling better, talked her right 00:25:27.84\00:25:29.73 back out of bed. You know, 00:25:29.76\00:25:31.77 I don't suggest that, but it's just showing 00:25:31.80\00:25:35.47 the power of suggestibility 00:25:35.50\00:25:36.95 and how people minds work. So really, as we speak 00:25:36.98\00:25:41.50 about things like Placebos, things that often have been 00:25:41.53\00:25:46.50 kind of put down by the medical community. 00:25:46.53\00:25:49.49 We now see that medical scientists 00:25:49.52\00:25:52.24 who are saying hope is a powerful healing 00:25:52.27\00:25:55.09 agency and we're trying to find ways that we can 00:25:55.12\00:25:57.83 harness the power of hope. God does that 00:25:57.86\00:26:00.68 through his word, but he also does it 00:26:00.71\00:26:02.80 through simple natural remedies. 00:26:02.83\00:26:04.41 And Dr. Clark, I know you've been 00:26:04.44\00:26:06.49 an advocate of using some of these simple 00:26:06.52\00:26:08.69 natural remedies. I have interviewed 00:26:08.72\00:26:10.89 you in the past dealing with things 00:26:10.92\00:26:12.65 like the bird flu, you've talked about 00:26:12.68\00:26:15.18 how theoretically there maybe things that would 00:26:15.21\00:26:17.99 benefit the immune system 00:26:18.02\00:26:19.44 and you've looked at the literature 00:26:19.47\00:26:21.31 and talked about fruits and vegetables 00:26:21.34\00:26:24.02 and their healing properties. 00:26:24.05\00:26:25.37 The critics might say well there is no proof 00:26:25.40\00:26:28.34 that these really help in bird flu, 00:26:28.37\00:26:30.10 but I am wondering you know in the light 00:26:30.13\00:26:32.47 of our discussion today is there something 00:26:32.50\00:26:35.55 that's empowering just to go through the 00:26:35.58\00:26:37.95 medical literature and give people 00:26:37.98\00:26:40.37 some suggestions that won't hurt them, 00:26:40.40\00:26:42.32 but there is some basis for thinking 00:26:42.35\00:26:44.89 they might help. Oh! Definitely, 00:26:44.92\00:26:47.20 and you know if people went into the bird flu 00:26:47.23\00:26:50.37 thinking that if the day you got it you were 00:26:50.40\00:26:52.25 doomed, a lot more would be doomed 00:26:52.28\00:26:54.96 or as if they came into thinking you know, 00:26:54.99\00:26:57.11 there are treatment options, there is a history 00:26:57.14\00:26:59.63 of people surviving the flu given these treatment 00:26:59.66\00:27:02.97 options then they can go in and do the treatments 00:27:03.00\00:27:06.30 that have been used in the past 00:27:06.33\00:27:07.67 and feel confident that they have a chance 00:27:07.70\00:27:10.39 of survival. Amazing, no matter 00:27:10.42\00:27:13.64 whether we're dealing with chronic diseases 00:27:13.67\00:27:15.85 or modern infectious scourges. 00:27:15.88\00:27:18.72 The medical literature is saying that our mental 00:27:18.75\00:27:21.08 outlook has a profound effect 00:27:21.11\00:27:23.16 on whether we would get well 00:27:23.19\00:27:24.67 or whether we will not. God's word 00:27:24.70\00:27:27.16 ministers hope to us, but it can't minister 00:27:27.19\00:27:30.12 that hope unless we as Dr. Clark pointed out 00:27:30.15\00:27:33.16 internalize it, unless we trust him, 00:27:33.19\00:27:35.07 unless we believe his gracious promises. 00:27:35.10\00:27:38.14 We encourage you to take God's words 00:27:38.17\00:27:41.19 seriously, as you deal with challenges 00:27:41.22\00:27:44.30 in life, focus on the positive 00:27:44.33\00:27:46.40 and as you interact with others 00:27:46.43\00:27:48.03 and as you choose your health care providers, 00:27:48.06\00:27:50.17 choose those that minister hope to you, 00:27:50.20\00:27:52.98 choose those that emphasize the positive 00:27:53.01\00:27:55.18 and do the same work yourself 00:27:55.21\00:27:57.22 Look to other people give them a cheerful word 00:27:57.76\00:28:00.53 a steady shake of the hand and a prayer for healing 00:28:00.56\00:28:04.96 will go a long way not only through God's 00:28:04.99\00:28:07.00 supernatural power, but through natural law. 00:28:07.03\00:28:09.38