   Objectives          1. Discuss the latest research on the gut microbiome 2. Overseas GI evaluation for the non-gastroenterologist 3. The role of the physician as a mentor: Secular campus ministry    

AMEN 2016-Radical Practice: Healing in the 11th Hour

<div> <div> <div> <p>Objectives </p> </div> <div> <p> </p> </div> </div> <div> <div> <p>1. Discuss the latest research on the gut microbiome 2. Overseas GI evaluation for the non-gastroenterologist 3. The role of the physician as a mentor: Secular campus ministry </p> </div> </div> </div>

<p>Free sharing permitted under the Creative Commons <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/us/">BY-NC-ND 3.0 (US)</a> license.</p>

Adventist Medical Evangelism Network (AMEN)

Breakout Session C

Carlos Moretta

Free Clinics: A Comprehensive Effect

Father, we thank you for this privilege once again to be here, to learn, to be inspired, to learn how to minister more for you.

And I just pray a special blessing upon Dr.

Moretta as he brings us this presentation today.

You've weathered the other 2, and I'm glad that there was some science, a little bit of science, a little bit of creativity, a little bit of Bob Vila action going on here.

And all, you know, it does us no good to have all these numbers and all these if you can't apply it, you know, if you can't turn it into something practical that you can use every day.

So I just want to thank our presenters, Dr.

But I really appreciate your presentations, the relevance of both of them, and I hope that we're all able to take a nugget home with us, not just 1, but probably several to implement in our own practices.

My presentation today, it seems like the buzz word is free clinics the last few years.

I know that Amen has worked real hard to figure this out.

And I just wanted to talk a little bit about them, their usefulness, their efficacy, and talk about some of the things that don't work about them as well.

Many of you, if not all, have been involved in free clinics, and I applaud you for that.

And I say keep doing it, because, and I'll explain why I believe that free clinics are effective for for us as providers and Christian providers as well.

I'm going to give you know my little introduction.

I'm going to talk about the bad and the ugly side of free clinics.

No ugly sides, but we might run into a few today.

And then I wanna talk about what the effect is of free clinics on the community provider, the Christian provider, and there's a distinct difference between those 2 and also the church and of course patients is what I want to finish with.

So free and charitable clinics are a critical part of the of the health care safety net system here in the United States and all are nonprofit and serve the uninsured or the underinsured or for a free or for a nominal fee.

Most free clinics are primary care based but small portion provide services such as dental and optho Behavioral health is another but in general free clinics range from small organizations staffed By volunteer physicians offering care once a month or from a church basement, kind of like what we talked about with Dr.

And then they extend all the way to large multi-practitioner facilities with substantial budgets.

And again, this is just a small snippet of the ones that Amen has done.

I'm sure there are dozens more that I haven't placed up there.

20, so clearly there are not 20 up there.

But every time we do another clinic, it becomes a more well-oiled machine.

Also, within our church, You guys are familiar with your best pathway to health.

We've done San Francisco, San Antonio, Spokane, Los Angeles, and Beckley.

How many have been involved with these at all?

Again, a very complicated process of setting these clinics up and to make them effective.

And so the downside, I wanted to put this right up front and get it out of the way.

It's not, it's a long and complicated list.

You know, there's expense, limited budgets, depth of the need is overwhelming.

Any of you who've stood, who've gone, you know, early in the morning, you've seen the massive lines, you're almost discouraged.

You almost want to turn around and go back to your hotel room or wherever you came because the line is so, so massive.

Finding care providers to volunteer, Chaos.

There's always chaos, especially in those first few hours of the clinic.

You wonder, is this thing gonna settle itself out?

Am I actually gonna actually see a patient this morning?

Yes, we are kind of persnickety about the stuff that we use, the instruments, the materials.

And it's like, man, just show up and stop whining.

If you like it, bring it from your office.

So lack of materials, lack of privacy, those curtains for the ones who come for primary care services.

There's certainly privacy from the visual but not from the audio.

We talked about that a little bit earlier today.

Unreasonable expectations, both from the patient and from the practitioner.

Doing what I want versus what the patient wants, right?

Patient comes in, he's got a big hole on this 1.

I want that 1 out you know and and it looks a little more complicated than another 1 that has a hole in it but isn't bothering him you know and so you're like I think we should take this 1 out.

And I had to deal with putting out a fire 1 time because that patient got a tooth taken out that was more comfortable for the provider than the 1 that the patient actually wanted extracted.

Anyway putting out fires obviously and then on this side limited provision of services licensure local law professional competition which is almost non-existent.

They're ecstatic that you come into the community and take some of the burden off of the community by taking care of these patients.

Malpractice, travel, accommodations, logistics, media, material and equipment, IT is always an issue, hospital support, and then of course venue, and of course we talked about follow up and the importance of that.

If this list is so long, why do free clinics?

What's the alternative to doing free clinics?

You know, there have been times at Pathway, or 1 of our own clinics, where I'm like, why haven't we been doing this?

Why is this just creeping up on us in the last 5 years that we recognize that this is an effective tool.

Why haven't we been doing this for the last 2 decades.

But certainly There is an impact and we're going to talk about first of all the effect of the effect of free clinics on the community.

Of course there you know the scientists are always going to say well let's look at you know some numbers numbers the importance and the challenge with numbers and longitudinal studies and how do you measure impact.

And we know that free clinics alleviate a decent portion of the access to care burden.

Our current health care system and hospitals can speak very clearly to that.

But in general the effect is usually very brief especially the way we do it in our in our brief you know Amen clinics and the long term effect can be very very limited in Pathways San Antonio for instance we were able to quantify that over $20 million in consult procedures and studies were delivered in 3 days.

And I dare say that if we went back to very next week, We would have been able to deliver the same if not more in the same procedures and services.

So 1 is tempted to ask what was the impact.

And who's there the following week to do more of the same.

Mark Finley

John Torquato

Strategic Mentoring in Radical Times

Dear Father in heaven, we are so grateful that you have given us each other.

Lord, this world is not meant for man to be alone, either without his spouse or the other of his life.

And we are not singular, Lord, without our partners in ministry either.

So we pray that you will give us the humility and give us the wisdom to partnership as you have chosen us to, and then Lord pour out your blessing on that partnership.

I want to ask your watch care over these words today in this time we have, in your name we pray, amen.

Pastor Mark Finley, Please share with us a little bit as we start.

When you look at the New Testament, 1 of the great gospel medical missionary teams was the Apostle Paul and Luke.

Let me give you a little background that you may not be fully aware of.

As the Apostle Paul came across Asia Minor and came up into the area we now know as Turkey, the Bible says that the Holy Spirit forbade him to go up into Mycia, the Holy Spirit forbade him to go into Central Asia Minor.

And Paul must have been totally confused.

He wondered what God was going to lead him to do.

He came to Troas, and it was there that the Lord had a special call for him, a call from Macedonia in Greece to come over and help us.

And Paul sailed to Macedonia, came to what we now know as Neapolis or Kavala in biblical times.

And there the Apostle Paul put his eyes on Philippi.

Philippi was a city at that time, probably a 30 or 40, 000.

It was at the end of the Roman Empire, at the end of the Ignatian Way.

And the Apostle Paul began to work there.

The Bible says in the book of Acts 16, 17, that he surveyed the situation, as any good medical missionary does.

And as he surveyed that situation, he discovered some interesting things.

First, that there was a woman and a group, their little Sabbath-keeping group out by a small stream.

He went out on Sabbath and led her to Jesus and baptized a group there and would eventually start a church in her home.

In addition to that, he was on his way through the city and there was a demon-possessed girl that was giving him advertising that he didn't need.

And she was walking through the city screaming out, "'These men are of the Most High God!

These men are of the Most High God!' There's some advertising that you don't want, some advertising you don't need, and this demon-possessed woman certainly was shouting, screaming, and Paul eventually delivered her and she was converted.

He was put in prison, but in prison he was praising God.

And when you praise God in difficulty, that releases the opportunity for God to work a miracle.

Here are the first 3 converts in Philippi.

A very wealthy woman by the name of Lydia.

And a middle class Roman from the prison.

But because of Paul's preaching, there was a conflict there, and Paul had to leave almost immediately.

What you may not be aware of is that Luke, Dr.

Luke, was part of his medical missionary team and when Paul left Philippi, Luke stayed.

And through Luke's medical missionary work and the mentorship that Paul had given Luke, Luke watched Paul preach.

Luke was there when Paul gave a Bible study to Lydia.

And Luke spent time in that city, mentored by the Apostle Paul, as a godly Christian physician, and built the work of God in Philippi based on a medical missionary model.

Now you can read this story in the book Acts of the Apostles by Ellen White.

It's an amazing story how Paul and Luke worked together as a gospel medical missionary team.

We find that embedded there in scripture.

As time went on throughout the centuries, God often used medical missionaries to work together.

Let's fast forward over a thousand years from the time of Paul up until the 13-1400s to the time of the Waldensians.

You may or may not be aware of, that the Waldensians taught their children math, they taught them science, they taught them the Bible, but they also taught them simple remedies.

And the Waldensians youth were well equipped in knowing how to treat disease.

They were true gospel medical missionaries and made an impact, dramatic impact.

When God raised up the Seventh-day Adventist Church, he raised up the Adventist Church to proclaim the fullness of the message of Christ, Matthew 9, verses 35-38 says that Jesus went through the cities and villages preaching the gospel, teaching and healing.

Seventh-day Adventists were brought up on this model.

It was a model, eventually, of health ministry to the masses.

And it was a model of physical, mental, spiritual healing.

Although Adventists in the 1860s developed an understanding of Adventist health message, and that continued to develop through the 1860s on to the 1870s and so forth.

It wasn't until 1910, February 28, 1910, that Ellen White focused her attention.

She was getting older now and she was 5 years actually from the time that she would die, and she was much older now, and she focused her attention on working the cities.

And 1 night God gave her a dream, she wrote that dream out, February 27, 1910, and she wrote a letter to conference presidents.

Eventually, initially it was a confidential letter, but then it was of course published after that.

And in her letter to the East Conference President, she said, I saw that there should be, and I'm quoting her now, a decided change in past methods of working.

And then she said there should be teams of workers that were working the cities.

And she describes those teams, the coal porters and literature evangelists and nurses and doctors and pastors, young people working together to approach the cities.

So the vision that God gave to Ellen White on the distinct change, and You have to understand the context of this vision.

The context of that vision was that in America at that time there was a strong evangelistic movement among non-Adventist evangelicals.

They would come into a city and hold meetings for 3 days, 4 days, preach on Christ and invite people to come forward.

Ellen White said Seventh-day Adventists had a different mission, that we had a holistic mission, physical, mental, spiritual mission, that we would together look at the holistic approach to life and it would be life transformational that Seventh-day Adventist evangelism should make an impact on communities that would change the quality of life in that community and change the spiritual direction of the community.

At that particular time, after that vision, February 27, 1910, there was a student at Loma Linda University at the time.

It was actually the College of Medical Evangelists.

His name was John Tindall, and I will tell you about my relationship with Tindall, but I need to give you a little bit of history of Tindall before I do that.

I had the joy, my wife and I had the joy of spending many, many hours with Elder John Tyndall before his death.

When we were at Wildwood Medical Missionary Institute, we became good friends, we talked together about his life and his ministry.

He was in his 80s at the time and I was young in my late 20s and talk about mentorship.

He had a tremendous influence on my life.

But let me tell you a little bit about what happened.

John Tindall had gone to Loma Linda to take the medical evangelism course after he was converted.

His mind was sharp and he was out 1 day assessing in the gold fields of California because there was the gold rush.

I wouldn't say direct atheist, but he's certainly not a believer at all, more of an agnostic than an atheist.

And as Tyndall was there, he heard a minor, because in those days you didn't have television.

We're not 1910, we're not in the 40s or 50s yet.

So Tyndall heard 1 of these minors reading a copy of Desire of Ages out loud.

Often in those days, at night, they would sit around the campfire and they would read.

So this miner was reading in a cabin, and Tyndale heard him reading Desire of Ages out loud.

And when he heard him reading the section on Calvary, he wandered out among the sagebrush and knelt down and gave his heart to the Lord, Elder Tyndall did.

And the Desire of Ages section on Calvary just broke his heart, changed his life.

So he decided to go to Loma Linda to take the medical evangelism course.

It was at that time that Ellen White had the vision, and so eventually Roderick Owen, who was a Bible teacher at Loma Linda, and Elder Burden, who was the business manager, came to John Tindo, and they said, Ellen White has had this vision, we need a student of your caliber, you're a little older, to develop a gospel medical missionary team and go out here in California and demonstrate the vision.

So John Tyndall was the 1 that was to demonstrate that vision.

At that time, his wife was not a Seventh-day Adventist.

And they would hold meetings for about 6 months.

And Tyndall's strategy in those days was this.

He would have usually a gospel meeting on a Sunday night.

On a Tuesday night, he'd have a Bible class.

And on a Thursday night or another night of the week, he'd have a health class.

And so usually 3 nights a week, they would have meetings and they would do this for 6 months.

And Elder Tyndall would go to the police department and lecture.

Katia Reinert

Adventist Recovery Ministries and the 12-Steps as a Tool for Wholeness

Through Heavenly Father, we are just so grateful for the opportunity to serve, the opportunity to know you, and for all the wonderful things we are learning in this conference, ways that we can better minister, both in our practices, but also as health ministry professionals that can engage in the local church and reach out to those that are around us with your love and with the message of hope that we have to share.

So as we, this afternoon, spend some time to think about particularly those that are broken and enslaved by many addictions and behaviors that are unhealthy and that are damaging, we ask your spirit to guide our thoughts.

May everything that we say and do simply honor you and may you give insights to those that are here in very practical ways that can share and use this information.

So Your name can be honored and many can find hope and find you as we minister to them.

So I just bring you greetings from our team at the General Conference Health Ministries.

And as Phil said, everyone would love to be here.

Unfortunately I'm the lucky 1 and they cannot be here but I was very blessed and I am very sorry that I will miss a couple of days but I've been blessed to be here.

You know that as a church our main objective particularly in the next 5 years is to continue reaching the world And this is part of the strategic plan that comes all the way from our president, Elder Wilson, down to all the levels at the local church and every member being involved.

And so this that we're going to be talking about next is 1 of the ways that we can reach out, that we can be able to hopefully help those that are hurting.

When I was an NAD, as director of this ministry called Adventist Recovery Ministries, I would receive very often emails such as this 1.

I'm a struggling Adventist with sex addiction, and I do not cheat or have many girlfriends.

We've been dating from 2011 until now, and we've decided to stop having sex because we're not married.

We want to do it right after marriage, but the problem is that if I spend more time not having sex, I start to lust and watch porn.

This is somebody that could be in your church sitting next to you, maybe a young person who is struggling and needs help.

Mother, when my son is addicted to meth and heroin, I can't believe I just wrote that.

I was raised a Seventh-day Adventist, but have since married and no longer attend.

My son needs godly help to escape this evil.

And I thought of the Adventist church when I was thinking of who to turn to in a time of crisis.

Here is someone who is no longer with us, but still think that maybe we have something to offer, that we could help her son.

And here another case, hi, finding hard to get help with my addiction.

I am an Adventist and there is not really help in my church.

I wish your service, and this is elsewhere in the world, in London, because I need someone Adventist and truly understand my addictions and difficulty I'm going through, there is any possibility you can help.

In other words, I mean, these are just a few of the many, many emails that representing the many people, even within our church, our members, people we see, perhaps on a daily basis, that we don't know what they're struggling with.

You know, as Adventists, many times we have the tendency to put this perfect mask that just shows all the good things we are doing and how good we are and all we believe, but many times people don't feel safe to share the real struggles and how many times they are hooked to issues.

And I'm not just talking about them, I'm talking about us, because all of us, There are issues in our life that God wants to help us work through so that we can overcome the sin and be able to experience a more abundant life so we can serve better as well.

So this ministry came out as a way to really be a way to help people, not only within our church, but of course, the many around us that need to find that healing, need to find a safe place to be able to open up, to share their struggles, and to find the help in Christ to be able to overcome that with his help.

So many times, unfortunately, what they find when we get those emails is this.

They're asking for help, they're lost, they're drowning, and we, as I said, are very well here.

We are healthy and we don't see, and we don't understand the experience of those that are drowning.

And we say, well, I don't know how to go there.

So they say, you know, I'm sorry, can't help you.

Well, I'm encouraged today because you're here.

That means that you either already kind of know how to swim over here Or you're eager to learn how to do it.

And I will tell you, most of the places that we've been talking about this ministry, most people are still here trying to learn how to swim.

I know I've met somebody yesterday who is already doing a lot of swimming, trying to reach out in a prison ministry, with this message of recovery.

But this, I don't need to tell you, it's a big issue, drug addictions.

This is a report that came out looking at all the developed countries in the world, and is discussing health indicators that actually are linked to economic development.

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Series

Breakout Session C

Micro to Macro: The GI Microbiome, the Campus and the World

Transcript

Description

Parent Series

Parent Conference

Sponsor

Recorded

Parts

Free Clinics: A Comprehensive Effect

58m

Strategic Mentoring in Radical Times

1h

Adventist Recovery Ministries and the 12-Steps as a Tool for Wholeness

54m

Micro to Macro: The GI Microbiome, the Campus and the World

1h

Sound Doctrine