Participants: Nick Evenson (Host), Dr. James Marcum
Series Code: UP
Program Code: UP000091A
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00:17 Are you experiencing pain today?
00:19 If so, you are going to want to watch this program as 00:21 we're going to discuss some of the most frequently asked 00:23 questions that we get, and discuss also some of the 00:25 treatments that you can start doing today, at home, 00:28 so stay with us. 00:29 I'm Dr. James Marcum, are you interested in discovering 00:34 the reason why? Do you want solutions to your healthcare 00:37 problems? Are you tired of taking medications? 00:40 Well, you are about to be given an Ultimate Prescription. 00:46 I want to thank you for joining us today. 00:48 My name is Nick Evanson and you are watching the 00:50 Ultimate Prescription and we are also here with Dr. James 00:53 Marcum and we work together at Heartwise Ministries. 00:56 We are non-profit that has the goal of bringing people 00:59 closer to Christ through following His plan 01:02 for their life. Right! You know, if you look at Christ's 01:04 model, especially in Luke for instance. 01:07 He met their needs, he tried to meet their physical needs, 01:11 He healed them, He loved them, He didn't judge them, 01:15 and once that physical need was met, he introduced them to a 01:18 relationship with the Heavenly Father and he brought them 01:22 into that growing grace. Um, and that is what we try to do 01:26 at Heartwise, and then we try to meet someone's physical need 01:29 and teach them how to move forward one step at a time. 01:32 Not only towards health and healing, 01:33 but also in their relationship with God, we encourage that. 01:37 encourage them to come to worship. 01:39 Encourage them to understand that God is there for them, 01:42 and wants to be their ultimate physician. 01:44 Also on earth you know, we are probably our own best 01:48 physicians and let them know the place for modern medicine. 01:52 which is to treat acute problems and chronic problems 01:56 which is to try to get back to the way our body was created 01:59 in the beginning. I know we have been talking a lot about 02:02 pain and we are going to try to sum up and answer some 02:05 questions we haven't answered, but where do you think we should 02:08 start today? Well, I am going to go through 02:10 and kind of quiz you on the different types of pain 02:12 people might be experiencing at home and you can kind of 02:15 tell us what type of physician they should go see. Yeah, 02:17 You tell me the type of pain and I will the type of specialist 02:21 that you should see. I'll also mention the most 02:24 dangerous thing about that type of pain in that part 02:27 of the body. So we are going to start off 02:28 with pain in the mouth, oral pain. 02:30 Ok, oral pain. Two sets of doctors would be very helpful 02:34 for that type of pain. One is a dentist because they are in 02:37 the mouth all the time, and the other one that gets 02:39 called in all the time is an E.N.T., Ears, Nose, and Throat. 02:43 They are specialists that deal with the ear, nose, and throat 02:46 and that typically has oral pain. Um, there is not a lot 02:51 of oral pain that I see kill people right away, so that's 02:54 good. Right! You know, they don't have to run to the 02:56 Emergency Room all the time right away, so those are the 02:59 two types of doctors for that type of pain. 03:01 Alright! How about if someone is experiencing abdominal pain. 03:04 Abdominal pain could be a medical emergency, 03:08 especially if we rupture our big tube, if we are bleeding 03:12 inside. So if the pain is rapid and won't go away 03:15 associated with a fever, the belly is tight, nausea, 03:19 lots of diarrhea, you probably need to go to the Emergency 03:22 Room right now. ok. The specialists that deal 03:24 with that pain is usually Gastroenterologists, 03:28 GI specialist. They work with that pain frequently 03:32 um, if a blood vessel is involved they might do that. 03:34 General Surgeon's also work with that type of pain 03:37 quite a bit in the abdomen. But you want to make sure 03:40 that it is not heart pain either because sometimes 03:43 heart pain can simulate belly pain in some instances. 03:46 Alright, what about pain of the sex organs or down in the 03:50 private parts. What kind of doctor should you see? 03:52 Well, genital pain is either a Urologist or a Gynecologist. 03:58 Those are the doctor's that really specialize in that 04:00 type of pain. Now a good provider or good 04:04 family physician, a good internist, a good nurse 04:07 practioner, all of them might be able to help 90% of that type 04:10 of pain. But I am just talking for the 10% that might need 04:14 a specialist. Right! What about the nervous system. 04:17 There can be a lot of complex issues with the nervous system, 04:20 who do they see? Well, the Neurologist. 04:24 Neurologists are very good at doing that. They are experts 04:29 at evaluating the neurological system when your regular doctor 04:34 needs a little extra help. Like I said, a lot of these 04:37 conditions most doctors can handle pretty competently, 04:41 and you only need a specialist maybe 10 or 20% of the time. 04:45 What about joints and muscle aches? 04:48 Orthopedic doctors are very good to go to. 04:51 Sometimes good Physical Therapists and good 04:54 Chiropractors are other alternatives depending on the 04:57 nature of the joint pain and what type of professionals 05:00 you have in your area. 05:01 What about if someone is having chronic headaches and 05:04 that type of thing, who should they see? 05:05 That's another one, Neurologist is usually the one 05:07 to go for a chronic headache or a good Internal Medicine 05:10 doctor because an Internal Medicine doctor sort of looks 05:12 at everything. Those are some specialists that might evaluate 05:15 that type of pain. 05:16 Ok. The last one here I have on my list is going to be pretty 05:19 easy for you, someone having chest pains, who do they go see? 05:22 I think they need to see a "Cardiologist" if you are having 05:25 chest pain. It is different if someone hits you in the chest 05:29 and you know what is causing it, that's different but 05:31 for pain that is undiagnosed, you don't know what it is 05:35 a "Cardiologist" and any pain that is above the waist 05:39 that is unexplained, that is ongoing, I think you need 05:42 evaluation right now, it can't wait because it could be a 05:45 heart attack and then any pain that happens when you are 05:49 walking and doing something on exertion, that's when the heart 05:51 works, that might be very also suggestive of heart. 05:55 The reason I bring this up is because the heart pain 05:57 is probably the most common cause of acute pain 06:01 that's out there. It is the most common cause of death 06:04 in the United States, it's the most common cause of 06:07 lots of problems, so I am very sensitive to heart pain. 06:10 Yep, yep! Well on today's program 06:12 we're going to look at some of the most frequently asked 06:14 questions that we receive through our website 06:16 that's HeartwiseMinistries.org. and if you have a health 06:19 question or concern, we invite you to visit the website 06:21 and you can ask the doctor your question, 06:23 you can request prayer, or you can look through our 06:26 library of health articles and find some good information 06:29 for you or one of your loved ones. 06:30 I want to talk for just a second why pain is so important. 06:34 Often times it is thought of as a really negative thing 06:38 and it is, certainly if your spirits are chronically. 06:41 but pain is kind of a gift that God gave our bodies 06:46 to notify us that something is wrong. 06:48 So why is it so important? That is so important, 06:51 Because how would you know that something was wrong 06:53 if you didn't have a signaling system. 06:55 Right! You would never know. It's like a true North, 06:58 You know if you are doing well you are not having pain. 07:00 Well things might be pretty good because God made us 07:05 to have pain when things aren't going well, 07:07 so that's why it's so important. Also if your having pain, 07:11 pain is a form of stress on the body. 07:13 It's great if you need to warn yourself to get help right away, 07:17 that's what it's for, but pain long term, turns on stressors 07:22 on the body which can damage it further, so chronic pain 07:25 is not good, it makes the adrenalin go up, 07:28 you don't think as good, your cognition, 07:30 the way you figure things out aren't as good, 07:33 people in chronic pain, they make mistakes easier at work, 07:38 they can't figure out simple things sometimes, 07:40 so chronic pain really affects not only the part that's 07:43 having the pain, but indirectly it affects your entire body. 07:47 Chronic pain even affects the way you worship, 07:50 people in chronic pain can't worship as well as people 07:53 that don't have chronic pain because of the brain 07:55 and how it is reacting and all the stress chemistry 07:58 that's turned on. God understands this and 08:01 He works with us, but that is some of the two biggest 08:04 reasons pain is important is that it is an alarm system 08:07 that something is not right, and two a longstanding pain 08:11 is dangerous to the body. 08:12 That's why there are some instances if you can't figure 08:14 out what's causing the pain, the pain needs to be treated 08:17 because the damage from the pain is probably more risky 08:20 to you than the treatment for the pain. 08:22 Alright. That makes a lot of sense to me. Yeah! 08:25 Good. Let's talk about what to do when someone's having pain. 08:29 We just talked about the lists, the big lists, the different 08:31 types of pain and who people should see, but I know 08:34 a lot of folks a tendency to just try to tough it out 08:36 and I try and do the same thing, why is that a bad idea? 08:39 Because it could kill you. Ok. You could die if your 08:42 judgment is wrong. 08:44 I've seen people through my life that have chest pain 08:47 they think it's nothing serious, they stay at home, 08:49 they have a heart attack, an arrhythmia and it's over with. 08:52 Half the time, the first time we know that someone's having 08:55 a heart attack is when... I mean we know that they have 08:58 cardiovascular disease is when they have a heart attack. 09:01 It's a disease, and it causes sudden death. 09:05 Let's say they can't breathe, you are all of a sudden 09:09 real short of breath. That could be a "pulmonary embolism". 09:11 Let's say you "pass out", that could be a sign that 09:15 the blood vessel or there is something wrong with your brain. 09:17 Now those aren't pains, but those are dramatic things 09:20 that happen. The severe headache, the worse headache 09:23 in your life, if you can't explain it, that can be a 09:25 broken blood vessel which which could be life threatening. 09:28 all of a sudden your belly starts hurting and it gets 09:31 bigger and you get nauseated. Well that could be a serious 09:35 sign that there is something wrong with your belly. 09:37 So pain in those areas could be a sign that something is 09:41 threatening your life, so unless you know it is not 09:44 life threatening, you need to get to someone to see if it 09:47 is life threatening and give you some advice, 09:49 and help you go from there. So pain happens for a reason. 09:53 Now earlier in the series, we talked about bones and you 09:58 mentioned that bone health, or bone pain specifically, 10:02 can be very, very... one of the worse pains that someone 10:05 could experience. Why is that? 10:06 Well bones have lots of nerves in them, you know, there's 10:09 lots of things going on in the bone and when a bone is broken, 10:12 the nerves, blood supply, that's altered as well. 10:15 Have you ever broken a bone? Not yet! Ok! 10:18 Have you ever chipped a tooth? No, I never actually chipped 10:22 a tooth? You never chipped a tooth. Man, you're not helping 10:24 me out here. Well you know if you chip a tooth or break 10:27 a bone, the air hits the tooth and you know it gives you 10:30 that chilling. The nerve is exposed right away, 10:32 and it makes this terrible pain, 10:34 and some of the worse pain there is is when a malignancy has 10:38 metastasized to the bone and cancer gets in the bones, 10:42 that's some of the worse and severe pain there is. 10:45 Trauma, like a break in the bone, that is severe pain. 10:49 When a point tenders and you touch it here, Ohhh! 10:52 It hurts, well, that's because there is such extreme pain 10:55 and the nerves are so sensitive to bone pains. 10:57 Why those nerves seem to be extra sensitive 11:00 well bones are so important, they are structured 11:03 the backbone of us...You know a little piece of skin that's 11:06 not that important, but if your bone breaks, that's a 11:08 big deal, you know your whole system, that's the foundation, 11:12 that's the boards of your body. Right! So that's a big deal 11:15 with that. Infection in the bones, that seems to hurt 11:18 a whole lot, so those are some of the causes of bone pain 11:22 and bone pain really hurts a lot and we can sort of sort 11:25 through this with modern medicine, 11:26 what's causing that pain. 11:28 Sure. This next question is one I can relate to, 11:31 I've experienced this, and that's a question about 11:34 ligaments and tendons. I've had issues with both personally 11:38 but what are these parts and what are they important, 11:41 and why do they cause pain? 11:43 A lot of people don't know... We talked about the bones 11:46 okay, the bone is sort of the skeleton in the body, 11:49 we look at those with x-rays. Now a ligament, okay, a ligament 11:56 is the tissue that connects the bones to the joint. 12:00 The ligaments, bones to joints okay, and what the tendons 12:05 connect muscles to bones, so I would think of ligaments 12:09 and tendons as things that connect things together. 12:11 Bones to joints, muscles to bones, things of that nature, 12:16 their connectors. If you have had... You know every question 12:21 I have asked you, you said no. You didn't hurt your teeth, 12:25 and you didn't break a bone. Did you ever play with 12:27 Lincoln Logs? Oh sure! And Tinker Toys? Yeah, Um hum. 12:31 Good. Okay. You know how you have those Tinker Toys you have 12:33 these little things that connect things together. Yeah! Yeah! 12:36 Sort of like ligaments and muscles. Well whenever these 12:40 things get lax, the bone is affected because the bone 12:44 changes position and you could have inflammation when all this 12:47 happens. The bone because of repetitive movement, 12:50 you know remember all these move the body and design us 12:53 to even do things. If they are not in the right positions 12:56 guess what else is not in the right position? 12:58 Mr. Nerves too. The nerves too. The nerve goes hey, 13:02 this ligament and this tendon are laxed, they are inflamed 13:05 the bone is not happy, I am not happy either. 13:08 So I am going to tell Mr. Brain that I am having pain and 13:11 something's wrong. Right! 13:13 So those are some things that all sort of involve 13:15 and it is so critical because that's what keeps us moving 13:18 and doing things. That sort of like the backbone of our bodies 13:21 so that's what ligaments and tendons that connect bones 13:24 and muscles to different things. 13:25 Alright! We got a lot more questions coming up on 13:27 Natural Treatments and Medications and all kinds of 13:30 different things. We are going to take a quick break... 13:32 If you have questions, please visit our website at: 13:36 and we are going to be back in just a moment with more 13:38 answers to your frequently asked questions. |
Revised 2016-07-21