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Logo of AMEN 2017: Are You Willing?

The Despised Rx

James Tarin

Description

“Truth that is not lived, that is not imparted, loses its life-giving power, its healing virtue. Its blessing can be retained only as it is shared.” Are you living the truth that has potential to heal, or have you “despised” the prescription that will bless you, and the patients you care for? Let’s be reminded how we can do our “utmost to roll back the tide of disease and distress that is sweeping over our world.”

Ministry of Healing pp 149.

 

Objectives:

1. Recognize the increasing rate of pediatric obesity as a barometer for the current health status of our country and review guidelines for diagnosis of obesity, hypertension, diabetes, and dyslipidemia in pediatric patients. 

2. Discuss ramifications of pediatric and adult obesity in the US, and explore practical methods to empower patients to make lifestyle change.

3. Call attendees to inspire their patients to "be willing to be made whole" both physically and spiritually through the power of a living personal testimony. 


Presenter

James Tarin

Board Certified in Family Medicine

Conference

Recorded

  • October 27, 2017
    3:15 PM
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Dear father. Who are so grateful that we can be learning together sitting at the feet of the Great Physician. And I pray that you will. Give Dr Tara freedom and wisdom as he is speaking to us we thank you for hearing me answering this prayer Christ's name Amen. Thank you so as you can see the topic or the title of my talk is the despised prescription and we're going to dive in and figure out exactly how I derived that title. So my talk today a lot of it is centered in pediatrics at least the opening part of the talk I'm not a pediatrician myself I just graduated a family medicine residency in Fort Worth Texas but as part of that have seen a lot of pediatrics and I'm currently actually covering for for a pediatrician in my locum tenens job so my world at the moment seems to be very saturated with pediatrics I've been covering them for a month and I also have two private pediatric patients that I come home to at the end of the day two very small children so. I think God in His wisdom brings very good lessons at a timely fashion into our lives so we will talk about. Really just kind of recognizing the chronic diseases that we're starting to see in our pediatric populations really as a spillover of what's happening in our adult populations and we'll talk about really just screening and diagnosis of certain conditions in pediatric populations will also discuss why does this matter and if there is anything that we can do as health care professionals to change this and last but not least which is primarily the meat of our talk is to really. Talk about how we can do this more so through the power of a living personal testimony really enable our patients to have better health outcomes without being said that again paused for a word of prayer before we start Dear lord in heaven we thank you so much for the privilege of being here and we thank you for loving us so much we ask that your Holy Spirit would be present here father that as we learn together and reason together father that you would give us wisdom on how to cooperate in your work of healing in this age we pray this in Jesus' name and. So like any good medical talk we will go ahead and start off with a case which was a patient that I saw myself in my senior year of residency he came to me for a while child check. Seven year old Hispanic male and most of the time before I go into a patient's room especially pediatric patients I always look at the growth charts right that's what we live by as providers for pediatric patients and I knew he was in a bit of a tree and in a bit of trouble and so I started with my nutritional inventory which is what I always do with my pediatric patients and so I just found you know he was really taking large amounts of milk and juice on a daily basis he had a lot of carbs with each meal and also Dad said that he admitted that he would take him to have donuts on a couple of days before dropping him off at school in the mornings so it was frequent for him and he also had several fast food meals during the week and they estimated that maybe he was watching an hour or so of T.V. and having screen time and I think that this is a very conservative estimate of what parents will tell you in a visit and so when I looked at his growth to our weight at least that's where he was and I wish I was lying when I said that that's the majority of my patients that it really is and so you can see he has been so to speak off the charts for weight for a long time but we do not really categorize weight in pediatric populations based on their weight solely it's actually by their B.M.I. And so the C.D.C. has set these guidelines and essentially I'll draw your attention to an overweight pediatric patient as any patient above the eighty fifth percentile for their age and gender OK. And so this is exactly what my kids' growth chart has looked like in terms of B.M.I. and I will tell you right now I have been seeing kids exclusively for an entire month and probably eight of my ten patients their growth charts look like this before I go into the room so it's always like I've always preparing myself for kind of the same speech that I've had to do and that I've had to give over and over for these costs weeks and I have to remind myself even though that I'm seeing a lot more adult like illnesses in my pediatric populations. They are not small adults and this is something that I have to remember that my Pediatrics attendings used to drive into me because their physiology is different their cutoffs are different and if we think about them in terms of adult values we will miss certain things and a perfect example of that is this kid's blood pressure reading so since about four years old these were his blood pressure readings and through the lenses of adult medicine maybe they're not too terrible of blood pressures maybe but he was in fact a very hypertensive this whole time on physical exam he also had trouble obesity and of course they can't those the one thing that you're always taught to look out for as a marker of insulin resistance so in talking about hypertension for children really you if you were to call those charts they have a chart it's determined based on their age their gender and their height that's how you determine if they're hypertensive or not systolic and diastolic readings are of equal importance and if there's a discrepancy you take the higher value to determine their cutoff and so basically above ninety fifth percentile for their age and gender will be hypertensive in their youth subcategorize it by hypertension stage one in two and so on and so forth in terms of screening for diabetes. A has set these guidelines for screening for type two diabetes in asymptomatic patients OK And so one they have to be overweight or obese and have any of the following criteria so they have to have a first degree relative that has type two diabetes and this can also include the mother having been hypertension during that patients during that child's just station or a member of a high risk ethnic group and also signs of insulin resistance so it can't though since again but if you also recall things like polycystic ovarian syndrome. If they have dyslipidemia or hypertension as well. And they really recommends screening for this at the age of ten or on the hour at the onset of puberty and you can repeat it every three years. But I found in practice a lot of pediatricians are actually doing it on a more frequent basis because a lot of the patients have such high risks for diabetes and really in terms of diagnosis you can use the traditional ways of diagnosing diabetes in an adult population and still being studied. In how well it can be used in pediatric populations but a lot of them are using that for diagnosis as well in terms of dyslipidemia the National Heart Lung and Blood Institute guidelines it's what they recommend as well as A.J. And for these populations really you do a first time universal screening from the ages of nine to eleven so you're checking them for Lippa disorders regardless of whatever their history is if they have for example of a history of a hereditary Lippa disorder then you're checking a little bit earlier and then later again at seventeen and twenty one you try to avoid the areas around puberty just because there's lip excursion naturally and so you might get some spurious the high numbers if you do that during that time. So I may be talking about all of these things they're chronic diseases and the reason I mention that is the because there's a lot more of the components of metabolic syndrome that we're also starting to see in our pediatric copulations and it matters because this is a huge problem for our country right now twelve point seven million adolescents and children in our country are obese OK And this number seems like a pretty conservative number if you think that seventeen percent but that's just of the obese patients this doesn't mention kids that are also overweight and from one nine hundred eighty to about twenty fourteen this number has tripled and quadrupled respectively for children and adolescents so rising of course at higher rates the studies consistently show too that obese children become obese adults and they also inherit the same types of diseases that adults have right so hypertension hyperlipidemia. Metabolic syndrome of course and things like obstructive sleep apnea just to name a few the list is actually quite long. And this doesn't really mention the psycho social implications I can't tell you how many kids I see on a daily basis that struggle with depression they have positive depression screens because of a lot of these things you know they have poor self-esteem a distorted body image and so the thought dawned on me in residency when I Misha we had these ideas about this talk. And that we're not dealing with well children as much anymore and we're actually having quite a few visits of just. Quite ill children or that are children that will have a future of a lot of illness. And it really struck me when I read this in councils on diets and food. Recently Ellen G. White says suffering in more talent he was going to prevail everywhere especially among children she said how great is the contrast between this generation and those who lived during the first two thousand years and really after that a whole bunch of other commentary from her from her book came along you know we tend to think that our children are our future people we always say that and she does say that as well she says they're an index of the future society but it's a much more grim outlook She says What are we to hope for she says that a lot of this generation has little self-control little principle or conscience she says because of gross violations of natural laws and the way appetite and passion rule that our earth is turning into a second Sodom and we know that the bible talked about the conditions of being like that of Sodom and Gomorrah like the flood at the end of times and so this really captured my attention as I was thinking about this very topic. Unfortunately when it comes down to it when I've counseled a lot of parents in the visits and talked about these nutritional inventories The interesting thing is that they always kind of look at their children they glare across the room and they give them this look like See I told you not to eat that or I told you you were eating too much but sadly they are who they learned those habits from and those patterns and then. White says just that you know she says that appearance bequeath to their offspring these desires and tendency she caught says perverted habits and loathsome disease corrupt the blood innervate the brain she says that because of that these people remain ignorant of the results of their violation of nature's laws she also says on page one twenty of councils on diet and food that you know basically these transgressions of natural laws they don't stop with just the person who's doing it she says they're passed on from generation to generation to their offspring and I think it's very true as we speak on this very topic you know the health bill right now or as of two thousand and eight for obesity in this country is one hundred forty seven billion and of course some time has a lot since then and according to the W.H.O.. More people of course we know they start dying from chronic disease each year and that number is quite startling They say that greater than eighty eight percent of the nation's death is due to chronic disease in this country. And this is at a time when health care costs more than ever if you really think about it looking at this map it's also put out by the show the U.S. is above and beyond all the rest of the countries in terms of health care expenditure OK based on whatever way that you want to look at it. But this is there's a discrepancy because even though we spend the most per capita on health care we're not the healthiest country in the world the W.H.O. in the USA that the U.S. ranks thirty seven in World Health Care Sims systems so it's confusing because we're actually not tracking with the amount of spending that we have in terms of health outcomes and this is also baffling because after forty years of aggressive management with C.A.G. which is the number one killer in our country it still continued to claim more and more lives each year and if you'll see cancer is number two and of course. Smaller numbers of stroke and of course accidents. Disease of course is the number one killer in our country. And it's interesting because if you think about what we're claiming the lives of Americans in one thousand nine hundred it was totally different things like pneumonia things like. Diarrhea and dysentery were killing more people than heart disease and strokes alone. And this may have been a time where you may have done something very crazy to try to find healing so people were doing things like bloodletting applying leeches to try to take out the bad humors people were experimenting with arsenic and all sorts of other things and so I think in a time with such limited knowledge people were so desperate to live they were so desperate to stay alive so they tried anything even if it seemed crazy at the time and so I think that we are currently in a very similar situation we are in a time that is calling for desperate healing in a nation that is suffering one of the greatest health care crisis of all time. When I thought about this I tend to get a little discouraged you know because I wonder what I've been learning and medical school and residency thus far you know I've been taught to really try to treat diseases and have better health outcomes but it seems like things are just getting worse and worse maybe it's that my patients aren't listening to the counseling that I'm giving to them so in that kind of thought I went to the dictionary just to look up some things that I was preparing to think to talk to give this talk Marion Webster I always enjoy just finding what does the word mean and medicine if you see it says it's the science or practice and diagnosis of or of the diagnosis treatment and prevention of disease so a great component of prevention in the study of medicine healing on the other hand says literally meaning to make whole is a process of restoration to health from an unbalanced disease or damaged organism so they're very different and don't necessarily. Equate each other when I was looking at these as well it took me to a synonym synonym and it had Polly ate it. And this really was telling to me said to make a disease or its symptoms less severe or unpleasant without removing the cause of course some familiar with palliative care and that's something that you think that and life end of life patients are on. But it made me feel like that's all I had been learning to do in residency in medical school and I really just palliating disease you know I prescribe more and more medications to try to see a onesies drop or try to see blood pressures improve but never ever once have I felt that I've healed anybody of any of these conditions in the way that I've learned to practice medicine so I wondered is there still something that I can do or say to my patients to really try to make a difference so I found a study that I asked this very question from the public health from the School of Public Health at Emory they did this study and they asked the question is motivation to adopt healthier habits enhanced by physician credibility and disclosure of personal healthy habits and so the way they designed the study was interesting they had a video that the participants watched in one of the videos the provider just gave her feel about how to be healthier you know we need this prescribed amount of exercise each week and this is the kind of diet that we should have and in the second video the same physician gave the exact same advice except for this time she had an apple on her desk and then she also had a helmet on the back of her chair and she said with each word of advice she just said oh and in a way I make I try to do this by maybe biking to work or taking the stairs every opportunity that I have it work to get more steps in each day and when she talked about diet she said yeah I have an increased the amount of fruits and vegetables in my diet and decrease the amount of meat consumption in order to have a more balanced diet and the studies show that the people who saw all both videos by and large after seeing the second one they felt that they were more motivated to actually implement these changes into their personal life and there's also studies that have been done that suggest that physicians that know more about nutrition actually have healthier lifestyles and of course are willing to share these things with their patients so the conclusion from the study said hey health care centers and medical training schools should be trying to advocate that physicians in training actually take better care of themselves because this will affect how they treat their patients and as I read counsels on diet and food again I found this quote and it was very interesting. So without saying anything at all we can do a lot is what Ellen G. White says and so all of the sudden it seems like just being healthy becomes evangelistic you know so when I have and this is been true in my life because I found with my co-residents and colleagues during my residency they always had questions about why I ate the way I ate or why I chose this option instead of that option at the table and you will not believe how many opportunities I had to not just talk about my diet but witness for the Gospel over a simple meal and so as I thought and contemplate about contemplated this I thought I said you know. The answer to our country's biggest problem lies in something as simple as what we're eating and this of course is not earth shattering it's not anything new it's not a new concept right most of you will recognize this quote let food be that medicine. From Hippocrates he's been accredited of course as being the father of modern medicine right. But I serve somebody who is the father of healing and in Genesis one twenty nine said if you give I give you every seed bearing plant on the face of the whole earth and every tree that has fruit with seeds in it this will be yours for food and so as I thought about these things it really helped me understand that a whole foods plant based diet is one of the most practical ways that I can counsel my patients to have improved health outcomes to combat all of their metabolic syndrome. And this really really has become the cornerstone of my counseling for a lot of my patients because when I counsel them in terms of food as opposed to just a disease that all of a sudden starts to make sense to them a little bit more and perfect proof of this is the fact most of my colleagues have said I've heard them say you know it's just like when everything fails you have to give them the come to Jesus talk they say it that way and when I found myself really counseling patients in these situations I tell them. I asked them actually what is it that matters to you you know forget the diabetes in the hypertension what are the really things that the things that you really think about on a daily basis and I get answers like this they tell me well I really want to be able to see my son graduate high school or some of them say I just really want to make it to watch my daughter to be able to walk my daughter down the aisle so whenever I hope that I understand that the way you're eating allows you to prevent disease and to have health and longevity and not just more years but functional years it's like all of a sudden they start to pay more attention and one way that I have had a great success in introducing this topic to my patients is by the Blue Zones I'm sure many of you have heard about the Blue Zones. It's kind of all over the U.S. now they're trying to make a lot more cities more blue zone friendly if you will and Fort Worth just recently undertook this. But when I talk to them I tell them you know there's a lot of different blue zones around the country and sure a lot of people will say maybe it's that it's cultural and they have very strong cultural ties and it's easy to eat healthy in these places but I say would you imagine that there's a population in the U.S. that's managed to defy the odds and they're always incredulous as I tell them about Seventh Day Adventists. And the reason being is that we have course in the United States are the poster children for the Western diet where the poster children for obesity so when they find out that there's actually a population in the U.S. that is kind of surpassing the average lifespan it really makes them pay attention I have never had the privilege myself of training or being at the Adventist Mecca you know Loma Linda but I've been fortunate enough to visit. In any case in the Blue Zones project. And Dan Buettner when he published a study back in two thousand and five he really drew attention to Loma Linda Medical Center and the studies that have been done through the admin to health initiative or the Adventist health study. And really he named things like they're living of course two point eight years longer than the general population. And the one thing that I find very interesting is that they have been these studies have been done in collaboration with the age with the national with the National Institute of Cancer and so as I thought about these things I said Man Stas are scientifically interesting the world is looking to S.D.S. to find out what's going on why don't S.D.S. find themselves that interesting sometimes. In his study he talked about how we follow this message of health OK and he talked about you know people practicing this since the eighty's hundreds what they abstain from the types of foods that the our scriptural basis for the diet that most Adventists do follow of course he talked about Sabbath and as I read these things in a secular study I told myself Man I was so convicted because I said this Dan Buettner guy is being more of an advocate for Adventism and for the Gospel than I am and I'm a Seventh Day Adventist So as I thought about this I realize that I'm not the only one having this problem OK because in those studies too there's some discouraging news and that says that a lot of the health benefits of the Adventist health message are actually dying with at centenarians because younger generations in the Adventist faith are not placing as much emphasis or importance on the Adventist health message so that really hit home with me it became personal at that point. And the reason I say that is because. If you look at this picture I was probably rolling my eyes at the Adventist health message back in college because you know I was eating fast food I loved water bird it was my favorite thing to eat and really. My I grew up Adventist first generation but I lived in a region where the Adventist health message was not talked about it wasn't practice it wasn't preached about on the pulpit so most of the Adventists in my area just really that something that wasn't talked about. And it's not because of ignorance because once I started learning about these things in medical school I undertook a study to try to figure out how I could be healthier as I started to have some health problems myself and time and time again I encountered literature about Seventh Day Adventist seventh interest in all of this type of met scientific literature and it really convicted me at that point I said wow why have I been so oblivious this entire time and once I even found these things I realized that I still had struggles with trying to accept whatever was preached by the Adventist health message and I recall reading this one passage in particular one day and first Corinthians is Paul is trying to tell the Corinthian. Church about warnings from Israel's history and I'll go ahead and read it and you can read along he says Now these things occurred as examples to keep us from setting our hearts on evil things as they did do not be idolators some of them were as it is written that people sat down to eat and drink and got up to indulge in revelry we should not test Christ he says as some of them did and were killed by snakes these things happened to them as examples and were written down as warnings for us on whom the culmination of the ages come and that basically means we're living in the end times so if you think that you're standing firm be careful and don't fall no temptation has overtaken you except what is common to mankind and God is. Faithful he will not let you be tempted be won what you can bear but when you are tempted he will also provide a way out so that you can enter it and as I read this I thought. I have only been tempted by the things that are common to mankind my struggle now is nothing different than what people have struggled with from the beginning of the Bible from the beginning of the Bible so I really thought to myself I want to figure out if there are some examples in scripture that can give me wisdom on how not to make the same mistakes and how to not to be ruled by my appetite I'm sure most of you recognize these symbols right it's the ubiquitous symbol for modern medicine some people believe that it was derived from a Greek god who is the god of healing and had powers to do so by serpents Apparently he had serpents in his clinic or his area and his name was a Scorpio so some people recognize this as a rod of Asklepios But if you're intelligent you know that there's a biblical account from where this came from and it comes from number twenty one or the story began and as I went back to read the story one day I found something interesting and I thought what was it that prompted this to happen like the serpent hanging on this Rod what happened right before that to to make that happen and number twenty one is kind of chronicling what happened with Israel at this point and it says that they grew impatient and they spoke out against God and against Moses and they said Why have you brought us out of Egypt to die in the wilderness there is no bread there is no water and we detest this miserable food you could also say they despise that miserable food and so I ask myself what food are they talking about most of you will know that it was manna that they were actually referring to and this came as a shock to me because I always thought man I would love to taste manna I would just dream of the day when I get to taste a man but it seems that the Israelites had a problem with manna almost from the beginning sorry they started to hoard some of the man they tried to keep it longer than it should have be kept for they tried to go out on Sabbath to look for it when Moses told them not to do that and so it dawned on me that you know people have had problems with food addiction with hoarding and with food insecurity for a long time and appetite has not it's not new to this generation. But it was surprising to me because even though the yoke of bondage in Israel was a heavy one so heavy that they had cried out for rescuing they grumble that the first privation the first starvation that they ever had to face in the wilderness even though God had provided every step of the way. Exit is sixteen sixteen three tells us this and this is kind of when the first account of man is really in the Bible and it says the Israelites said to them if only we had died by the Lord's hand in Egypt they were there we sat around pots of meat and ate all the food we wanted but you have brought us out into this desert to starve this entire assembly to. That's actually one of the statements that they had and as I read this I thought man that Israel has had no idea how many ways you could prepare salt fat and sugar to make it taste good all they were crying out for was meat and you know on a daily basis as I try to counsel my my patients my patients parents and what things that they just need to abstain from or have temperance in in most cases I find that if they just have a little bit of light a little bit of education that maybe it can make a difference for them and Ellen. Really had the same thought she says we're all men acquainted with a living human machinery they would not be guilty of doing this unless indeed they loved self-indulgence so well that they would continue their suicidal course and die a premature death or live for years a burden to themselves and their friends and that's from minute ministry of healing page one thirty one. So as I thought about that I said Man Maybe if we just had the right light at the right time and did the same for our patients we could actually start to desire the things that were good for us maybe we wouldn't detest the food that God has given us for our own health and benefit and as I had this thought I said wow the health message pen biology is actually modern day man it's not enough for us in this day and age because it has been meant to show us dependence on God and keep us healthy and from dying premature death when everybody else around us is dying from these very diseases and so I wondered do we kind of detest this modern day man of the same way the Israelites do we grumble and complain about it and say our the prophet is too harsh too exacting too strict there is no way anybody can do this. Well numbers eleven six and talking at the same story shows us that human nature really sometimes never changes they on another occasion had intense. And wept so bitterly and asked who will give us meat to eat because we have lost our appetite and we never see anything but this manna. So I wonder you know sometimes like in this story God gives us what we want and in those occasions on two occasions he actually provided them quail right they covered the camps so thick that people went out and gathered for days and they you know satisfy their cravings but every single time that happened it bring death into the camp people suffered they suffered the consequences of it and I would go so far as to say is that we are suffering the same results of disobedience to natural laws because that same number that I quoted earlier you can see this chart here the W.H.O. shows how this eighty eight percent of deaths in the US is a result of chronic disease and most of it you can see from cardiovascular disease cancer diabetes and various other things so as I consider these things in light of the greater light that we have been given on this I wonder do people die needlessly are they dying because we don't have the tools to help them have better health outcomes and be healthy. Ellen G. White says that ignorance prevails upon the subject while the light is shining all around them of course she goes on to say that people still their greatest concern is just what am I going to eat what am I going to drink so I ask you today and I as I asked myself so long ago has there light shining and. Is there light shining in me so brightly that with those in whom I come to contact with whether I say anything or not will they be able to see something that is going to make them healthier and also bring them to Christ one more story you probably know this one very well. I thought I knew it very well Jake up and saw two brothers two different lifestyles two different feats at this point you saw of course comes out from hunting he'd had a long day I'm sure he was so tired the type of tired that when you come home he's a man I'm so hungry I could eat whatever you want and certain there and at the moment his brother happened to me making some wonderful porridge of lentils and I could imagine it smelled so good I love lentils too. But he was so hungry he said hey give me a bowl of that and his brother of course said you know the conditions on which he gave it and he said OK fine and he ate it and acted like nothing else happened. When I was reading the story in Genesis twenty five I came across this verse and it made me think quite a bit then Jacob gave Esau some bread and some lentil stew he ate and drank and then got up and left so despised his birthright. And I found myself wondering what does it mean despise I thought despise meant something else like he didn't outright hate his birthright to just you know for it to really for them to author it that way. So I went to patriarchs and prophet to try to figure out exactly what this all meant and here this account really showed me that in life just like the two brothers We also have two different choices Ellen G. White describes them very differently and this is in patriarchs and prophets Chapter fifteen she talks about Esau as being very impatient of restraint occasionally kind he like the freedom of the wild chase that's why he chose the life of a hunter and at the end she says the law of God was regarded as a yoke of bondage bent on self-indulgent he did indulgence he desired nothing so much as liberty to do as he pleased and on the other hand when she talks about Jacob she says that he was thoughtful and diligent caretaking he had deep and strong affections for us family foresight is the main thing and she says Jake up was ever thinking more of the future than of the present and maybe we know how that all played out in. In his desire to think about the future and maybe he also had some influences that led him in that direction but I wonder why sure the birthright is you know wealth and all sorts of other things but was it that big of a deal would happen. And I found as I read on that it was a great deal for him to have carelessly given away his birthright because Ellen G. White says that from infancy every Israel white boy had been taught that if you were the first born and had the birthright you had the possibility to be in the line of posterity of which the Redeemer of the world would come that's so interesting to me is that all these boys had been told that hit from the very beginning that if they had the birth right of course that maybe that one from generation to generation who'd been told about as this messiah and the Savior would come through their family line so this started to mean a little bit of something different to me and as I went on and read she said but to satisfy the desires of the moment he carelessly borrowed the glorious heritage that God himself had promised to his fathers his whole interest was in the present he was ready to sacrifice the heavenly to the earth to exchange a future good for a momentary indulgence and as I read the line I thought how many times have I done exactly the same thing how many times do I being so hungry or seeing something so delicious in my right in front of me not think about what it means for my health about my future outcomes. I wonder if I too had been a despise for like you saw so I took again another task just to really figure out what despise meant in the context of the Bible if you look up the word despise in Marion Webster It says To hate to abhor to make of no value and I think what the Bible is trying to tell us is the ladder of these three definitions so I looked in other verses in Leviticus twenty six fifty three sixteen the Lord when he's talking to the Israelites tells them if they despise his commandments and his statues or are so. Of course my judgment I also will do this I will even appoint terror over you wasting disease and fever which shall cause sorrow of heart so from the very beginning disobedience to natural laws always ended up in disease and that was when they had been given a promise previously that said hey if you just follow these statutes and let them be what rules your heart guess what I'm going to keep you from all the diseases that are afflicting the Egyptians because I am the Lord that heal if you second Timothy three one through five says this in the last days perilous times will come for men will be lovers of themselves without self-control despisers of good headstrong lovers of pleasure rather than lovers of God having a form of godliness but denying its power have nothing to do with such people those are strong strong words and as I continued reading I found one day in my devotion something that really made a whole different spin on this and Hebrews right after I was reading about you know the champions of faith. I came across this and Hebrews twelve. And it was warning about really the types of character you want to develop and it says lest there be any fornicator or profane person like Esau some version say godless they call him a godless person who for one morsel of food sold his birthright for you knew that afterwards when he wanted to inherit the blessing he was rejected for he found no place for repentance though he sought it diligently with tears so I wondered did I not just have the same experience as Esau until I struggled with health or till we sometimes struggle with health Do we really. Find or lament the results of our disobedience to God's natural laws so I naturally ask myself why have I despised my birthright for so long. We have been given this incredible birthright and the Adventists health message about how we can stay healthy be prosperous and also bring others to Christ and get and bring health to them in a time when disease is killing the the majority of people in this country so I ask you today have you despised your birthright are you personally acquainted with our health message maybe you've grown up S.D.A. like me and never practiced it have you been convicted about why this is important to your physical life. Now but also to your eternal salvation because in my study I found that what we eat and how we actually is a spiritual matter there are so many people that don't want to believe this but it surely is and if you've ever found yourself discouraged with this. Theme Here's some encouragement for you today. And the reason why you should find value in spiritual things that maybe you despise or devalued in the past first this alone Ians five sixteen to twenty three says Rejoice always pray without ceasing and in everything give thanks for this is the will of God in Christ Jesus for you do not quench the Spirit do not despise prophecies so don't despise the prophets are the words of prophets test all things hold fast to what is good abstain from every form of evil not just from some forms of evil Now may the God of peace himself saying to fire you completely and may your whole spirit soul and body body be preserved blameless at the coming of our Lord Jesus Christ for He who calls you is faithful who will also do it so in this great struggle that we have with what one of my patients referred to as the appetite beast there is some help there is divine assistance and we should not be discouraged and we most certainly should not despise heavenly counsels that can help us to turn back the tide of disease and these perilous times so my appeal to you is going to be through the words of Ellen G. White herself. And ministry of healing page three twenty nine three thirty she says I appeal to those who profess to believe and obey the Word of God can you as Christians indulge a habit that is paralyzing your intellect and robbing you of your power to rightly estimate eternal realities can you consent daily to rob God of service which is his due and rob your fellow men both of service you might render and of the power of example she says Have you considered your responsibility as God stewards for the means in your hands. So we're a group of medical professionals and dental professionals and every other. Specialty here to discuss these very topics and how we can help other. Be reached with the gospel through medical evangelism. I think it's important that we continue to over it consider our responsibility to God has His stewards and again the point of all of this is if we want to reach people with the Gospel we have to be living it first. So we'll end on a follow up with my pediatric patient after I saw his parents after I saw him that first visit we had a good heart to heart and talked about small changes that could be made I counseled them on a plan base whole foods diet and we discussed various other small changes that could be made and he came back after two months had a ten pound weight loss in the span of that timeframe his blood pressure is actually we're in the normal range now and I've had many more other occasions in which this has happened so it has encouraged me to continue pressing forward even when it seems like people aren't listening anymore they still do listen and if that's that one out of ten lepers that comes back and says hey it worked then praise God for that and so I will give you this last challenge in your commitment to learning what the in your and your journey in the art of healing may we strive to heal disease more than just. And more than anything more and more in the Word of God and of the prophets as a life saving prescription and most certainly started. This media was brought to you by audio force a website dedicated to spreading God's word through free sermon audio and much more if you would like to know more about us if you would like to listen to more sermons Please Visit W W W.

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