Participants: Don Mackintosh (Host), Jonh Chung
Series Code: HFAL
Program Code: HFAL000214
00:01 The following program presents
00:03 principles designed to promote good health 00:04 and is not intended to take the place of 00:06 personalized professional care. 00:08 The opinions and ideas expressed 00:10 are those of the speaker. 00:12 Viewers are encouraged to draw their own 00:14 conclusions about the information presented. 00:49 Hello and welcome to Health for a Lifestyle 00:51 and I'm your host Don Mackintosh. 00:52 We're glad you join us today, we're gonna talk 00:54 about the skin today and we have a specialist 00:57 that deals with skin every day. 00:58 He is a dermatologist; 00:59 derm means skin and ologist 01:02 of course the study of the skin 01:03 and Dr. John Chung comes to us from Dalton, 01:06 Georgia, where he is practicing dermatology for 01:08 about ten years. You have a large practices 01:10 that deals not just with the common problems 01:13 of a, of you know children and adults skin problems. 01:16 But also more complicated things like 01:18 skin cancer and surgery, plastic surgeries 01:21 out there, all these different kind of things. 01:23 I think some of that, all that together 01:25 and so you're probably a pretty busy man there, 01:27 do you have other physicians that work 01:29 with you there, yes I do, do 01:31 you know Dr. Philip Mills? I know 01:33 Dr. Philip Mills, yes, yes he's my best of friend. 01:36 Yes, he's taking, he's my friend too, 01:38 he's your friend too good. Well, today 01:40 we're gonna talk about some common things that 01:42 afflict adults and their skin. First of all, 01:46 why is the skin important? I mean, it's, it helps 01:51 homeostasis of your body, and keeps balance, 01:54 so it keeps your temperature not too hot, 01:56 not too cold. That's absolutely right, 01:58 it controls your temperature and also helps 02:01 pathogens from coming into your body 02:05 as well as it helps you from the sun exposure, 02:10 the ultraviolet rays, if the body has a mechanism 02:13 to deal with harmful rays. 02:15 It also helps you loose prevention of the loss 02:19 of water from you as a barrier. 02:22 Isn't that well also helps you get vitamin D 02:25 what you need live? Absolutely, so the skin 02:28 is really important, it's also important in all 02:30 our relationships, we shake hands, 02:32 we give each other a kiss, we, all those different 02:34 things, that's right. Without skin that would 02:36 not be fun, that's right. 02:38 Okay, you know some of these skin problems, 02:42 I don't pronounce every day as a pastor, 02:44 I don't get up and preach the sermon on acne, 02:46 although maybe I should, but we're gonna talk 02:48 about several and you're gonna have to help me 02:51 with some of these rosacea, rosacea, rosacea 02:55 is the first thing then what is that 03:00 perioral dermatitis, psoriasis, 03:03 if we get time what are some of the 03:05 other ones here we have down that we might 03:06 talk about? Well, different like funguses 03:10 and something called like seborrheic dermatitis. 03:15 Okay, so we get time but we're gonna 03:17 working down through this and lets go back to 03:20 that first one, you're gonna 03:21 to say it for me again. 03:22 It's called rosacea that means, rosacea 03:24 like rose, that means like rose exactly, 03:25 so it look like a red, red head. 03:27 I mean not something in your hair 03:30 but right our red face. Right, okay, 03:32 so like rose that sort of means, okay so 03:34 what is this, how does it start, you know 03:37 what causes it and okay, all that. 03:39 It's a chronic like acne-like disorders but 03:43 it's not related to acne. And it has papules, 03:47 pustules and dilated blood vessels 03:50 and there's something called rhinophyma 03:54 which is you've seen WBC fields with 03:58 large lobulated nose. Okay, all those little, 04:02 right that's called rhinophyma that's 04:04 a result of rosacea. Okay, so what causes it? 04:10 You know, we don't know just happens, 04:14 is it genetic? We don't know, we don't know 04:16 what causes it at all, it may or may not 04:19 be genetic because we don't know what it cause. 04:21 But the onset is between 30 and 70 04:25 and it's slightly more common in females 04:28 mostly occurs in Caucasian, 04:31 but the rhinophyma occurs 04:35 almost exclusively in men. 04:38 Thankfully, I mean the females are alright, 04:40 side released there. Okay, so 30 to 70 years old 04:43 that's the onset and you don't know the cause. 04:47 Well, we don't know the cause but there 04:50 are certain things that are making worse, 04:51 such as. Like changing weather, spicy foods, 04:56 hot foods, temperature hot foods, 05:00 certain medications and alcohol, alcohol, 05:04 alcohol and also the Sun. So, a lot of people 05:07 that drink alcohol you will see they have 05:08 that really red face and that's what this is, 05:10 right exactly. So, you said climate change, 05:14 so it's a better to live in a place where you 05:16 don't have the four seasons if you have 05:17 this, like Arizona, or, or else there is too 05:21 much, too much Sun there, too much Sun 05:23 there. Because the Sun can exacerbate dosage, 05:25 where would you live North Pole, 05:26 South Pole, what's the best climate for, 05:28 what is there? That was the best place, 05:30 it's okay, try and get away from that but 05:32 there is no favorable climate above others. 05:34 It's actually is the change in weather, 05:38 okay you know, it's not, it's not, 05:43 it's not so much the season. Exactly, it's 05:47 during the change, during the change okay. 05:49 So, what's the treatment for this? 05:51 Well, there are multiple treatments one is 05:55 topical, I like to use something called 05:59 matrigel and the other, other medication 06:02 is sulfa based medications, so matrigel 06:06 and sulfa topical preparation, right. 06:09 It's another that you rub all over, 06:10 exactly and also old medication that includes 06:14 tetracycline or minocycline or Doxycycline 06:19 and some times I use something called 06:22 Z-Pak, zithromax, yes okay. These medications 06:28 tend to work fairly well in most of the patients. 06:31 And again all those that you make sure the 06:33 patient is not pregnant, if it's a female and 06:35 be very careful with that. Right, exactly and 06:37 then what about tetracycline with the 06:38 little kid, this is not a little kid thing but 06:41 does that mess up your teeth somehow. 06:43 Yeah, it can, it can stain your teeth, 06:45 so what age is that. I would not use you know 06:48 they say 8, age 8 but I don't like to use 06:51 anywhere, anybody below age 12. 06:55 Because they still have teeth coming and 06:56 what not, but you know the literature say 07:00 and also I talked to a dentist who says it's 07:02 okay to give anybody above age 8. 07:05 Okay, but I will just wait till they're 12, 07:07 because if your wisdom teeth are stained 07:09 there in the back who cares right, right. 07:11 You're still wise, okay but that's still a good 07:14 role of thumb someone watching say hey 07:15 look watch before age 8 for sure as well. 07:21 Is that all we need to say about this one, 07:24 yes and also severe rosacea can also 07:28 treated with accutane just like severe acne? 07:32 Accutane, that's that thing that dries out 07:34 all the, all of the glands that have the oil 07:38 there, that are causing the problem with the 07:40 cap that's not going off and just kind of 07:42 dries it out right? Right, okay, good, 07:45 I'm trying to remember you know from what 07:47 we've learned. Okay, let's go on to perioral 07:52 dermatitis, right it's that around your mouth, 07:58 yes, okay. Peri means around, dermatitis 07:59 means skin, the inflammation of the skin 08:01 okay, perioral dermatitis is a, it's like 08:07 Acne-like eruption is micropapules and 08:11 micropustules around the mouth and usually 08:15 occurs in young females. And usually 08:18 spares vermilion borders right there between 08:20 the lip and, lip popper and the chin, 08:24 it usually spurs in that area. So, it doesn't 08:27 get right on the lip but it just right below it, 08:29 exactly and also you can have a very end 08:31 of it called periorbital dermatitis, 08:35 which is around the eyes. But you treated 08:38 the same way, I mean imagine these 08:42 things you know they're easy to talk about 08:44 but I mean someone gets that, the young 08:45 girl. Man, they come in and they you know 08:48 they probably feel embarrassed, 08:50 distressed, they don't wanna go to school, 08:52 they don't wanna do anything, wearing a hat 08:54 probably or something. No, I'm serious in the 08:56 emergency room I have people come in with 08:58 the ski mask on, they didn't want anybody 09:00 to see it. And you know, you feel bad for 09:02 them, right, and so what do you do to, 09:04 or what causes it first of all, do you know? 09:07 We don't know, you don't know, 09:08 God knows you keep saying that. 09:11 Okay, so what you do to for at least if 09:12 we don't know what it, what causes, 09:14 we know the treatment that's very effective. 09:16 Okay, what's the treatment, it's topical 09:17 erythromycin, okay or sometime metrogel 09:21 and or like tetracycline or minocycline or 09:26 Doxycycline, okay. They tend to be very 09:28 effective, alright and how long we have to take 09:31 those kinds of things? Usually for several weeks 09:34 and then it just goes away, yes, goes away 09:37 and what I find interesting about this is 09:39 that when it goes away, it kind of stays away. 09:43 Interesting, now look, you know all of these 09:45 different things we can have with the skin 09:46 is this the reflection of underlying maybe 09:49 immune system problem. Perhaps hormonal, 09:54 you just so, do you ever do test to figure out 09:56 what that is you look of course with that white 09:57 count and all that you know the white blood 09:59 cells in their system when they come in? 10:01 Not, not for this particular condition, 10:04 no but there are skin conditions where you 10:07 have to like for example acne fulminans you 10:11 need to get the blood work, right. 10:13 So, when there is that fulminating type of 10:14 acne, right okay, exactly. Alright, psoriasis, 10:18 right, okay what is it? What causes it? 10:22 What do we do for it? 10:24 Well, psoriasis comes from two Latin words 10:29 psor means itchy, okay riasis means condition, 10:38 okay. It means itchy condition but you know 10:42 usually people with psoriasis they don't itch, 10:45 so it doesn't itch but they called the itchy 10:47 condition, Right, it's more of a, 10:49 it's a miss number. Although there are several 10:51 significant number of patients who do have 10:54 itching, okay, so they call it psoriasis what 10:57 does it look like is it? I guess probably what, 11:01 flecked up skin, right it's, it has salmon 11:06 colored base with a silvery scale, 11:09 okay the problem with psoriasis. 11:12 First of all it affects about 2 percent of US 11:17 population, so 5 million bobs, about 5 million 11:20 people. And you know in normal skin it 11:24 takes about 53 days, it takes almost exactly 11:29 53 days for your top layer of the skin to 11:34 go from the base layer to the top layer. 11:37 So, in other words it's all, skin is always 11:39 sloughing off as it moves up, right and that 11:41 usually takes from the very base line to the 11:44 very top 53 days. Normally, normally but 11:46 what, how long does it take in psoriasis. 11:48 But in psoriasis it only takes seven days, 11:50 seven days so it turns over eight times 11:53 faster so that's why skin gets heaped up. 11:56 Is this dangerous? Not necessarily, 11:59 but there is certain form of psoriasis that 12:02 can be dangerous, okay. Now, there are 12:07 several forms of psoriasis, there are localized, 12:10 there is generalized and also there is something 12:13 called erruptive or guttate psoriasis, okay. 12:17 And there is a kind of an emergency type 12:20 of form alright, how generalized pustular 12:23 psoriasis of Von Zumbusch, well I don't 12:28 know if I could say that, yeah but it's a, 12:30 that you say it's a pustular type exactly. 12:32 So, there's pustules with it, it's a life 12:35 threatening condition and it has abrupt onset, 12:39 it starts with the burning redness and you 12:41 form lakes of pus all over the body. 12:44 And this could just be reasons life 12:46 threatening probably 'cause all the fluids 12:48 leaving, it's kind a like a burn patient. 12:49 Right, exactly you treated just like burn 12:51 patient, hospitalized them, have you ever had 12:54 the patient like that? No, I haven't, 12:56 probably don't want to have one yeah, 12:57 the fortunate one yeah, no, I haven't, 12:58 that's, that's one of the rare dermatologic 13:01 emergencies. And there is other form is a 13:06 localized form, a pustular psoriasis called 13:09 palmo-plantar pustulosis, okay, that you've pus 13:13 on your palm, on the palms and soles. 13:16 Yes, and then also there is another kind of 13:19 a almost a life threatening it can be 13:21 form called erythrodermic type 13:23 when your entire body is red, and if you have 13:28 a poor heart you can have, you can 13:32 develop a heart failure. So, you have to control 13:35 that, so the blood, the heart doesn't have 13:37 to work that hard to supply the redness 13:40 to your skin. Alright is there any, are there 13:42 any other types of psoriasis we wanna 13:44 mention here before we start talking about 13:46 treatment. Yeah, you know, we didn't, 13:49 we just briefly mention about eruptive type 13:52 or guttate psoriasis, okay and it has 13:54 abrupt on-setting, it's like the rash that 13:57 comes suddenly and many times it's proceeded 14:00 by struck throat, okay, and many times 14:04 just resolves on his own. But some patients 14:09 go on to have chronic type of psoriasis, 14:12 okay so we've given our overview of the 14:14 common types of problem but there also 14:16 talked about some of the unusual things. 14:18 We're talking with Dr. John Chung, 14:21 we're talking about dermatological problems 14:23 and when we come back we're gonna look at 14:25 some treatments, join us when we come back. 14:29 Are you confused about the endless stream 14:31 of new and often contradictory health 14:33 information with companies trying to sell 14:36 new drugs and special interest groups paying 14:38 for studies that spin the facts. Where can 14:41 you find a common sense approach to 14:43 health? 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Just log on to 3abn.org 15:20 and click on free offers or call us during 15:23 regular business hours, you'll be glad you did. 15:28 Welcome back we're talking with Dr. John 15:30 Chung, we're talking about psoriasis and 15:32 dermatological problems and now we're 15:34 gonna talk about some solutions to 15:36 psoriasis, alright, very common form of 15:40 dermatological problem, you said about 2 15:41 percent or 5 million people in America have 15:43 this and they all come to your office on 15:45 Wednesday. Maybe not Wednesday, 15:47 maybe they come to our Bible study after 15:53 that okay, good. Right, so you know by 15:54 the way speaking of that, what type of 15:55 problem you think Naaman had, I guess it 15:56 was leprosy, right. Have you ever seen 15:58 leprosy? Yes, I have. In your practice in 16:01 adults. Yes, yes and 2 patients, 16:03 2 patients, interesting, well that's not we're 16:05 talking about right. So, let's go back to 16:07 psoriasis, how do we treat psoriasis? 16:09 Well, there are many, many ways to treat 16:11 psoriasis and give me the top ten 16:16 Alright, one of the best things for psoriasis is 16:21 ultraviolet light that means Sun really helps. 16:25 That's why a lot of times you see psoriasis 16:27 in Sun covered areas, so you don't see 16:30 much on the face. Okay, because it's always 16:33 exposed to the Sun and so, and related to that 16:36 you have something PUVA, PUVA, PUVA 16:39 which is Psoralen added to ultraviolet A. 16:43 And that is very, very effective treatment. 16:46 Excuse me, one more time that is what 16:49 added to ultraviolet ray? Key part is called 16:51 Psoralen, right added to ultraviolet ray. 16:55 What you have in that UVA, that's why PUVA. 16:57 Alright, it's a specific type of the lamp, 17:01 right exactly, you take a pill and then you go 17:04 into the light, and you have this in your 17:07 office. No, we don't, you don't because we 17:10 have many other treatments, if it's just 17:12 localized you can treat with like type of the 17:15 steroids, okay if it's more extensive. 17:18 I like to use something a methotrexate, 17:21 methotrexate. Methotrexate is, it has a little 17:26 bit of, it may have a problem with the liver 17:28 and also it can cause problem with blood. 17:33 But not usually so you can use it for a lot 17:35 of people, right, yes okay. One, one draw back 17:38 with this is that, it cause you have to do a 17:42 liver biopsy, when you use that, yes. 17:45 But not, not everyday, not everyday, 17:48 even once is enough. But you mean the 17:50 simple treatment is to go out in the Sun how 17:52 long? Well, we'll talk about that later okay, 17:56 because the Sun can have beneficial effects 18:00 but also it has harmful effects as well. 18:03 Okay, so what are some other treatments? 18:05 Well, there's something cyclosporin, 18:07 we use it for immunoseparation, okay. 18:10 But you have to worry about developing like 18:12 when you're on the developing other skin 18:14 cancers and also Lymphoma. And, you 18:20 mean all your treatments you're talking me 18:21 out of here, is there something that I 18:23 gonna want. Well, there is another 18:25 treatment that which maybe effective called 18:28 soriatane which is a retinoid. And what's a 18:33 retinoid again? A retinoid is, is retinoid is a 18:38 vitamin A derivative, a vitamin A derivative. 18:41 It works well for acne, okay but you can 18:45 use for psoriasis, okay in a, in a oral form. 18:49 Alright, so go ahead there is a very exciting 18:54 and new breakthroughs in psoriatic treatment, 18:57 it's called biologics, biologics that's sounds, 19:00 sounds like something that John Harvey 19:01 Kellogg would talk about. Well, it's something 19:03 that your body produces naturally okay and 19:06 it's mass produced and usually given by IV 19:09 or subcutaneous injection. It's very, 19:13 it's painless and it works very well and 19:18 this is many patients are going through this 19:21 route. Biologics, what are they exact, 19:23 so what part of your biological system are 19:25 they? Well, it's things found in your blood I 19:31 see that, that can fight the, the disease of 19:39 psoriasis and so actually you know mass 19:44 produce that and inject it to yourself. 19:47 And where would you inject it, let's say 19:48 I have psoriasis on my knee caps. 19:50 A lot of times on the, even if it's on my 19:52 knee caps I put it in the abdomen. 19:53 Because it's systemic, systemic, goes around 19:55 the system. Right, exactly but you have to 19:57 you know makes sure you get a TB scan 19:59 test before you do this. Because if you have 20:01 tuberculosis you don't wanna exacerbate it, 20:03 oh I see, if you can get a, if you get a 20:05 severe infection you stop that too. 20:08 And the problem right now what that is it's 20:13 very, very expensive, it's several thousand 20:15 dollars a month, wow! To treat it. 20:18 So, probably does your, do peoples insurance 20:21 in this country cover it? Many, many insurances 20:24 do, but that's a very, but it's promising because 20:27 it's doesn't have the side effects of the 20:30 others. Exactly, okay so those are the ways to 20:33 treats psoriasis. Right, alright are we ready 20:36 to move on to the next P, yes alright and 20:39 let me see if I say this right, peterius 20:43 rosacea, peterius rosacea that's correct, 20:45 okay so that's it's sounds like it's pitiful. 20:49 What does peterius mean? Pete is like bran 20:55 like, that's what it means. Okay, 20:57 looks like a piece of bran flakes, 20:59 right exactly or bran cereal right. 21:01 Okay, you don't want them alright, so 21:03 basically what it is, is a acute, acute 21:06 eruptive rash occur mainly on the trunk. 21:12 And it has something called Christmas tree 21:14 distribution, oh that's sounds festive, 21:17 yeah look at, look at somebody's back and 21:19 looks like a Christmas tree. Yeah, it has a, 21:21 if you use your imagination it can look 21:23 like Christmas tree. But it's certainly not a 21:25 present, right, okay so you know not to 21:28 make a lie of it all because you know it 21:30 probably very painful. No, it's not painful, 21:32 it's not painful, it's almost asymptomatic okay. 21:36 Sometimes it itches a little bit, alright, 21:38 but it lasts about 6 to 8 weeks and usually 21:43 before one to two weeks prior to getting this 21:48 eruption you have something called herald 21:50 patch, usually what that it is a patch usually 21:54 on the trunk, that almost looks like a fungus. 21:57 People treat that for fungus and they come 21:59 in and it's, it's funny when some, some 22:03 people come in with just that and you have 22:06 to scrape it, make sure there is no fungus 22:07 there and a lot of times you can recognize 22:10 that and you tell this person in one or two 22:13 weeks, you may get a lot worse than this, 22:16 you may get another rash and when it comes 22:18 they're very surprised you know, 22:20 but you know they know that it only lasts 22:22 about one, six to eight weeks. So, what 22:28 does it happens, is that a little spot that just 22:31 kind of multiplies, is that what's happening. 22:34 I don't know if it's multiplies but it just kind 22:36 of appears almost overnight and we don't 22:41 know the cause again but it maybe associated 22:44 with something called herpes seven virus, 22:47 herpes seven, yeah there are many types 22:49 of herpes and we don't know and the best 22:53 treatment for this is ultraviolet B, 22:55 ultraviolet B like, another like a sunlamp thing 22:58 or something. Sunlamp or sunlight, especially 23:01 if you started within the first week, 23:04 it helps with the resolution, quicker also 23:08 helps with the symptoms. So, maybe it 23:10 sounds like people in the United States aren't 23:12 getting enough sunlight. Well, I think they're 23:14 getting too much but in this case are not. 23:17 So is this all we about peterius rosacea, 23:20 did I say that right? Peterius rosacea, 23:22 peterius rosacea, right, okay well lets move 23:25 unto well I think the fancy word let you say, 23:28 but to dandruff, seborrheic dermatitis, 23:32 okay seborrheic dermatitis let's talk about 23:33 that we got about four minutes you think 23:35 we can cover it in four minutes? 23:36 Yes, lets do it. It's very common and what 23:39 it is basically redness and scaling that occurs 23:42 on the scalp and center part of the face, 23:45 and presternal area are right here and also 23:49 the folds okay, and you've heard of cradle 23:52 cap, cradle cap when the kids are born with 23:54 that, yes, right. And, this they think is maybe 23:59 due to a yeast called pityrosporum ovale, 24:05 pityrosporum ovale and this you know maybe 24:09 associated with that and so you treat a 24:12 lot of times with antifungal and it helps. 24:16 But initial treatment for this is over the 24:19 corner shampoos that you can use like T/gel 24:23 or Selsun Blue type, that type of shampoo 24:27 that can help with this condition and prescription 24:30 shampoo you have like Loprox or you know, 24:35 nizoral shampoos and stuff like that and so you 24:37 just prescribe this, they take it and how long 24:40 does it take, what's that, what does the 24:41 prescription do, does it just like make sure it 24:43 doesn't flack off too soon or does it treat in 24:45 one one. It slows, it, I mean you can't really 24:49 treat the underlying cause because it's causes 24:51 always, we don't know what the cause, 24:53 I mean we know the cause that's ovale but it 24:55 doesn't actually, it keeps on producing 24:57 because a lot of, a lot of people actually 25:01 carry this on their skin. And so, 25:05 what you're gonna do I mean it's there, 25:06 you can get rid of it, exactly you can't scrub 25:08 it off, something like that. Right, but you 25:10 know when they come into the office for a 25:12 very quick resolution we give them topical 25:16 steroids and as well as topical antifungal and 25:23 some type of a sulfur type of a wash. 25:27 So, you can help rapidly, if someone wants 25:29 to go in and not be seen. Okay, and the next 25:31 thing we can talk about, yeah, we can go to 25:33 the next one, yes, okay let see it. 25:35 Tinea versicolor, tinea versicolor, 25:39 tinea versicolor, tinea versicolor is again is 25:42 caused by the same organism. And what is it 25:44 exactly? Tinea versicolor, is it like a little 25:46 worm? No, it's a rash that you get in humid 25:52 climates usually, okay on the trunk okay and 25:56 on the upper part of your arms a lot of times 25:59 and its usually white scales or fawn colored 26:03 scales, fawned colored, you know like the 26:05 deer fawn like the spots they have. 26:08 Right, exactly okay and it may also be due 26:11 to pityrosporum ovale, same thing is causing 26:18 it but it's now in a different kind of a part 26:19 of your body, right. And same kind of treatment 26:22 then? What I like to use is something called 26:26 Nizoral shampoo you put on for 5 minutes, 26:29 5 minutes since, that's it, and then, 26:32 I do that for about three days. 26:33 And people must come in to you and you 26:34 would say well that's the problem and then 26:36 they get they say man, just went in, 26:37 it this took that long and you feel almost 26:40 guilty. You helped them so quickly, 26:42 don't did you get a little tense of guilt? 26:45 That's why I have to give them Revelation 26:47 seminar during the same time, okay well 26:51 actually you know, it sounds kind of funny 26:53 but you do make sort of a spiritual connection 26:55 with people when you're helping them. 26:56 Right, and just that, that little touch 27:00 you know like that song the touch of the 27:01 master's hand and then the following in his 27:03 footsteps, you have mastered a lot of these 27:06 diseases and your help, it's very helpful for 27:08 people to come see you. Now, you know the 27:11 other thing I wanna just point out as I listen 27:12 to you, as I reflect on it, there's a lot of 27:15 things that we often just put up with that if 27:17 we just went to get help they can be taken 27:19 care of rapidly, very easily. I had one, 27:23 one patient one time had a fungus wasn't 27:27 treated for, he had a rash on his back part 27:32 for over ten years, he was suffering with it and 27:36 within two weeks he was come completely cured. 27:38 Wow! I mean that's a spiritual lesson in itself 27:41 isn't it, many times we just go on and we 27:44 should go to the healer, the master healer 27:48 and he can just in a moment deal with things 27:52 that we shouldn't be struggling with. 27:55 Thank you so much for being with us, 27:56 and thank you for being with us. 27:58 We hope you have health that lasts for a lifetime. |
Revised 2014-12-17