Podcasts about American Medical Association

Join Dr. Danielle Belardo and her expert of the week, obesity and nutritional epidemiologist Dr. Deirdre Tobias, for a masterclass on nutrition epidemiology and its impact on public health. Diedre opens up her nutrition epidemiology toolbox to explain the research and data supporting healthy dietary patterns and what nutrition tips you can implement in your own life. Danielle and Deirdre also bust the myth that whole grains and fruit are evil, so forget what you've read on social media! Whether or not you're in the medical field or just a hobbyist trying to learn to interpret science in a more robust way, this is the episode for you.    Danielle and Deirdre discuss:      The basics of nutritional epidemiology and role of a nutritional epidemiologist  General healthy dietary patterns and the problems with a western diet   The reasons whole grains and fruits have been demonized  The table 1 method and how it can help you interpret scientific data     Dr. Deirdre Tobias is an obesity and nutritional epidemiologist at the Brigham and Women's Hospital and Harvard Medical School in Boston. She received her doctorate and postdoctoral training at the Harvard T.H. Chan School of Public Health. Dr. Tobias was appointed as the Academic Editor for the American Journal of Clinical Nutrition in 2019. Her research focuses on the role of diet and lifestyle for obesity and its major chronic diseases, including gestational diabetes and type 2 diabetes, and has been published in leading peer-reviewed journals, including the New England Journal of Medicine and the Journal of the American Medical Association. She is assistant professor and co-Instructor for Nutritional Epidemiology at the Harvard T.H. Chan School of Public Health.    For more information on the research Deirdre does at Harvard, visit www.hsph.harvard.edu/deirdre-tobias    Thank you so much for taking the time to contribute to a generation that values fact over fiction! Be sure to rate, review, and follow on your favorite podcast app and let us know which not-so-wellness trend you'd like to hear debunked. Follow your host on Instagram @daniellebelardomd and the podcast @wellnessfactvsfiction. Follow Deirdre @deirdre_tobias.    Thank you to our sponsors for making this episode possible. Check out these deals just for you:  COZY EARTH - Go to cozyearth.com and enter WELLNESS at checkout to SAVE thirty-five  Percent. 

Dental's pharmacology expert, Tom Viola, RPh, returns to the show to share some interesting words recently published in the Journal of the American Medical Association about beta carotene and vitamin E and what the US Preventive Services Task Force is saying about them. This is a must-listen for dental professionals not only for themselves but their patients as well.

Does obesity increase your likelihood of certain cancers? A new study might surprise you…Dr. Scott Shikora, Director of Metabolic and Bariatric Surgery at Brigham & Women's Hospital and Professor of Surgery at Harvard Medical School joined Dan to discuss a new JAMA (Journal of the American Medical Association) study that analyzed the connection between obesity and cancer.

We are honored to speak to Klint Peebles, MD, the chair of LiVDerm's Sexual and Gender Diverse Dermatology Summit: Fundamentals and Practical Pearls and past chair of the American Academy of Dermatology's Expert Resource Group on Sexual and Gender Diverse Health. Dr. Peebles, a board-certified dermatologist with Kaiser Permanente, Mid-Atlantic Permanente Medical Group, has extensive clinical, leadership, and research expertise in sexual and gender diverse health and gender-affirming dermatology. Dr. Peebles currently serves on the LGBTQ Health Specialty Section Council of the American Medical Association. Dr. Peebles mentions some of the key reasons why you don't want to miss the Sexual and Gender Diverse Dermatology Summit: Fundamentals and Practical Pearls in California October 15-16, 2022! - Register here: www.livderm.org/live-events/sexual-and-gender-minority/ Topics Dr. Peebles covers include: We are so excited to welcome you as the conference chair of our upcoming Sexual and Gender Diverse Dermatology Summit in Southern California this October 15-16. What unique experiences do you bring to this conference and why is this patient population so important in the dermatologic field? Although there are certain aspects of aesthetic medicine in caring for sexual and gender diverse patients, would you consider this area of the discipline falling under the category of medical dermatology, or is it not necessary to differentiate? Do you expect practitioners of both cosmetic and general dermatology to benefit from the Summit? Your wealth of experience, leadership, and advocacy in the field of better medical care for the sexual and gender diverse patient population has no doubt improved outcomes and quality of life. Can you tell us about some of your career highlights and moments when you could see actionable change as a result of your efforts? The Sexual and Gender Diverse Summit, taking place within SBS: West Coast Derm this October 2022 at the Terranea Resort is a milestone event for LiVDerm. Do you think the location of the event just outside of Los Angeles, California, is indicative of the sexual and gender diverse population and the providers who see them? Do you see events like this someday soon being held in smaller, more rural regions of the U.S. where fewer resources or social determinants may mean that sexual and gender diverse patients face even larger roadblocks to care? Is the field of dermatology seeing improvements in nondiscrimination, acceptance, welcoming environments, affirming language, and dedicated initiatives to improve safety, and can you explain some of those efforts within the context of guidelines or policy? www.livderm.org

Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief of JAMA, the Journal of the American Medical Association, for the August 2, 2022, issue.

Sabías que en 2021 los estadounidenses gastaron alrededor de 50.000 millones de dólares (unos 48.000 millones de euros) en la suplementación con multivitamínicos y otros suplementos dietéticos?Pues bien, ¿qué dice la ciencia al respecto? Los últimos estudios científicos nos aseguran que para las personas sanas NO embarazadas el consumo de este tipo de complementos es un desperdicio, vamos, lo que viene siendo tirar el dinero. No existe suficiente evidencia científica de que éstos ayuden a prevenir las enfermedades cardiovasculares o el cáncer, que es para lo que mucha gente viene tomando este tipo de complementos. Solo en embarazadas y en aquellas mujeres que deseen buscar un embarazo está indicada la suplementación con aquellas vitaminas esenciales (ácido fólico, yodo, hierro…). Esto es lo que dice el último estudio realizado en la revista JAMA (revista global de acceso abierto JAMA Network Open (Journal of the American Medical Association) convoca a la presentación de artículos referidos a los efectos del cambio climático sobre la salud; tanto los efectos directos sobre la salud humana como los indirectos que afectan a otros organismos) por la universidad Northwestern de EEUU.Los pacientes que vienen a la farmacia en busca del complemento vitamínico perfecto vienen buscando algo así como la inmortalidad, la eterna juventud o un elixir “mágico” para mantenerlos sanos, cuando lo que deberíamos hacer es seguir la práctica de comer saludable y practicar ejercicio físico.Basándose en una revisión sistemática de 84 estudios, las nuevas directrices de la USPFTS (grupo de trabajo de los servicios preventivos de los EEUU) afirman que “ no hay pruebas suficientes” de que tomar multivitaminas, suplementos emparejados o individuales pueda ayudar a prevenir las enfermedades cardiovasculares y el cáncer en adultos sanos no embarazadas. Se desaconseja principalmente tomar complejos de betacaroteno debido a un posible aumento del riesgo de cáncer de pulmón en personas fumadoras, y desaconseja tomar suplementos de vitamina E porque no tienen ningún beneficio neto en la reducción de la mortalidad, las enfermedades cardiovasculares o el cáncer. El consumo de frutas y verduras se asocia a la disminución del riesgo de padecer enfermedades cardiovasculares y cáncer, por lo que es razonable pensar que las vitaminas y los minerales que resultan clave podrían extraerse de las frutas y verduras, encapsularlos y ahorrar a las personas la necesidad de llevar una dieta rica en estos alimentos. Pero la realidad es que el consumo de estas frutas y verduras contiene una mezcla de vitaminas, fitoquímicos, fibra y otros nutrientes que actúan de forma sinérgica y todo ello sea lo que aporte beneficios para nuestra salud. Los micronutrientes aislados pueden actuar de forma distinta en el organismo cuando se combinan de forma natural con los componentes de la dieta.En el estudio se señala que aquellas personas que presentan una deficiencia de alguna vitamina puede seguir tomando los suplementos pautados por su médico (previamente diagnosticados, claro está), como pueden ser los suplementos de calcio o vitamina D.

Racism makes our economy worse -- and not just in ways that harm people of color, says public policy expert Heather C. McGhee. From her research and travels across the US, McGhee shares startling insights into how racism fuels bad policymaking and drains our economic potential -- and offers a crucial rethink on what we can do to create a more prosperous nation for all. "Our fates are linked," she says. "It costs us so much to remain divided." After the talk, Shoshana sits down with Dr Aletha Maybank -- physician, Chief Health Equity Officer, and Senior Vice President of the American Medical Association -- to discuss how our neighborhoods impact our health.

What does the body of evidence say on the topic of vitamin supplements? We pilot a new format for the show and ask for your feedback! Let us know your thoughts on Facebook, Twitter, Patreon, or via email at thebodyofevidence@gmail.com   (6:34) The story of scurvy and how its cause, a vitamin deficiency, was harder to “science” than you may remember, with author Stephen R. Bown.    (22:48) The porous regulations that allow vitamin supplements to be sold and how Mel Gibson played a key role in this system, with health policy expert Timothy Caulfield.   (35:27) Chris and Jonathan explain what each vitamin does, what happens if you're deficient, and whether or not vitamin supplements are necessary.     * Jingle by Joseph Hackl * Vox pop by Thanos Michailopoulos * Theme music: “Fall of the Ocean Queen“ by Joseph Hackl * Assistant researcher: Nicholas Koziris   To contribute to The Body of Evidence, go to our Patreon page at: http://www.patreon.com/thebodyofevidence/.   To make a one-time donation to our show, you can now use PayPal! https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Patrons get a bonus show on Patreon called “Digressions”! Check it out!     References:   1) Chris' article “It Hasn't Been a Good Year for Vitamin D”: https://montrealgazette.com/opinion/columnists/christopher-labos-it-hasnt-been-a-good-year-for-vitamin-d   2) Vitamin D supplementation and cardiovascular risk: https://jamanetwork.com/journals/jamacardiology/fullarticle/2735646   3) VITAL study: https://www.nejm.org/doi/10.1056/NEJMoa1809944   4) AMATERASU trial: https://doi.org/10.1001/jama.2019.2210   5) D2D study on vitamin D and type 2 diabetes: https://pubmed.ncbi.nlm.nih.gov/31173679/   6) The U.S. Preventive Services Task Force's Final Recommendation Statement from June 2022: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/vitamin-supplementation-to-prevent-cvd-and-cancer-preventive-medication   7) Recommendation Statement as published in the Journal of the American Medical Association: https://jamanetwork.com/journals/jama/fullarticle/2793446     Music Credits: Peter Sandberg / Étude No 1 for String Quartet Christoffer Moe Ditlevsen / Rise to Power National Anthem Worx / Rule Britannia Silver Maple / Unspoken Bonnie Grace / We Still Have Courage   Wendy Marcini / The Cast Wendy Marcini / The Scam Christoffer Moe Ditlevsen / The Stakeout   Farrell Wooten / Margin of Error   All courtesy of www.epidemicsound.com  

An opinion leader and public speaker, Stephen G. Post, Ph.D. (University of Chicago, 1983) has served on the Board of the John Templeton Foundation (2008–2014), which focuses on virtue and public life. Post is a leader in research on the benefits of giving and on compassionate care in relation to improved patient outcomes and clinician well-being. He addressed the U.S. Congress on volunteerism and health, receiving the Congressional Certificate of Special Recognition for Outstanding Achievement. Post was co-recipient (2012) with Edmund D. Pellegrino MD of the Pioneer Medal for Outstanding Leadership in HealthCare from the HealthCare Chaplaincy Network, and the Kama Book Award in Medical Humanities from World Literacy Canada (2008). Co-Recipient of the 2019 National Alpha Omega Alpha Honor Medical Society Professionalism Award for development the Professional Identity Formation curriculum of the Renaissance School of Medicine at Stony Brook University, Post has taught at the University of Chicago Medical School, Case Western Reserve University School of Medicine (1988–2008), and at Stony Brook (2008–present), where he is Director of the Center for Medical Humanities, Compassionate Care, and Bioethics. The Center was selected (2011) for special institutional excellence by the Liaison Committee on Medical Education (AMA & AAMC accrediting body), the only humanities and ethics entity in American medical school history to receive this distinction. An elected member of the College of Physicians of Philadelphia, the New York Academy of Medicine, and the Royal Society of Medicine, London, Post is the author of 300 articles in journals such as Science, the New England Journal of Medicine, Psychosomatic Medicine, Journal of the American Academy of Religion, and the Journal of the American Medical Association. Post's book The Moral Challenge of Alzheimer's Disease (Johns Hopkins University Press) was designated a “medical classic of the century” by the British Medical Journal (2009), which wrote, “Until this pioneering work was published in 1995 the ethical aspects of one of the most important illnesses of our aging populations were a neglected topic.” Post is a recipient of the Alzheimer's Association national distinguished service award “in recognition of personal and professional outreach to the Alzheimer's Association Chapters on ethics issues important to people with Alzheimer's and their families.” Post's culminating book in this field is Dignity for Deeply Forgetful People: How Caregivers Can Meet the Challenges of Alzheimer's Disease (in press, Johns Hopkins University Press, 2022).

Theresa Brown, RN is the author of the New York Times bestseller The Shift and Healing: When a Nurse Becomes a Patient. She has been a contributor to the New York Times, CNN.com, the American Journal of Nursing, the Journal of the American Medical Association, and the Pittsburgh Post-Gazette. She has been a guest on MSNBC Live and NPR's Fresh Air. Her first book was Critical Care, and during what she calls her past life, she received a PhD in English from the University of Chicago. She lectures nationally and internationally on issues related to nursing, health care, and end of life.

Fixing myself has been something I was conditioned at such a young age to always look for the problems in things.  I grew up and was raised to be a perfectionist.  It has its perks but definitely comes with a lot of negatives.   Many years later, I realized I didn't have to fix anything about myself.  I had to see that I was perfect for who I was and in the part of my journey of where I am at.   With my guest, Don, we discussed these concepts of why we truly don't have to fix ourselves and learned more about what we can do to accept who we are, and learned methods of how to live a more fulfilled life.   Who is Don Joseph Goewey? Don Joseph Goewey is the Executive Director of the Center for Spiritual Exchange, the official archive for the works of Anthony De Mello. Don is the editor of a new book entitled Stop Fixing Yourself / Awake Up, All is Well, based on Anthony DeMello's practical spirituality (released by Beyond Words/Simon & Schuster in April, 2021).    Don is also the author of the Amazon bestseller, The End of Stress/Four Steps to Rewire Your  Brain. He spent six years directing a think tank that integrated breakthroughs in neuroscience into a psycho- spiritual model for rewiring the brain to extinguish stress reactions and amplify the higher brain function that enables a human being to flourish. The model has been successfully applied in high pressure work environments like Cisco and Wells Fargo helping people elevate their experience of work and of life in profound and measurable ways.   Previously, Don managed the department of psychiatry at Stanford University Medical School and headed an institute that pioneered a psycho-spiritual approach to overcoming catastrophic life events, which in 2005 was awarded the Excellence in Medicine citation by the American Medical Association.   How to Connect with Don? Website: https://www.demellospirituality.com/ Twiter: https://twitter.com/DeMelloCenter Facebook: https://www.facebook.com/DeMelloSpiritualityCenter/ Instagram: https://www.instagram.com/demellocenter/   -------------------------------------------------   Connect with Dr. Vic... Website: www.EmpowerYourReality.com Facebook: www.Facebook.com/drvicmanzo Instagram: www.Instagram.com/drvicmanzo LinkedIn: www.LinkedIn.com/in/drmanzo TikTok: www.TikTok.com/@drvicmanzo   To visit Dr. Vic's Book on Amazon, check out the link below: https://amzn.to/3y6Bxir   About Dr. Vic... I'm Dr. Vic Manzo Jr., a Business Mindset Coach, Self-Mastery Expert, Influential Author, Inspirational Speaker, and the host and creator of The Mindful Experiment Podcast and The Mindful Chiropractor Podcast.   I help business owners shift their mindsets to unleash their potential and manifest their dream life.   I go deeper to uncover their beliefs, blocks, behaviors, habits, and patterns of thinking that prevent them from living the life or creating the business they like to experience.    From there, I use a box of tools to help reprogram the mind, reshift focus, teach spiritual truths and bring quantum physics into the mix to unveil their true potential and then, make that a reality.   If you are ready for a breakthrough and want to achieve your dream life without the sacrifice, grind, and hustle while increasing your fulfillment in life, let's jump on a 30-minute FREE coaching call.  Click the link to schedule today! www.CallWithDrVic.com    

Theresa Brown, RN, author of the New York Times bestseller The Shift, has been a contributor to the New York Times. Her writing appears on CNN.com and in the American Journal of Nursing, the Journal of the American Medical Association, and the Pittsburgh Post-Gazette. She has been a guest on MSNBC Live and NPR's Fresh Air. Her first book was Critical Care, and during what she calls her past life, she received a PhD in English from the University of Chicago. She lectures nationally and internationally on issues related to nursing, health care, and end of life. Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3 (https://www.surveymonkey.com/r/3DXCFW3) CME credit is available for up to 3 years after the stated release date Contact CEOD@bmhcc.org if you have any questions about claiming credit.

Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief of JAMA, the Journal of the American Medical Association, for the July 26, 2022 issue.

Tune in on Monday, 7/25/22 at 6:30am EST, for a special episode The Doctor Whisperer Show featuring Dr. Katherine Rizzo of The TMS Advantage. This episode originally aired on The Broken Road to Mental Health Podcast, but Dr. Rizzo's message was TOO good not to share on this platform as well! TMS Advantage offers a program found nowhere else in the area – they combine the most sophisticated technology available with cognitive behavioral therapy and personal care (nutrition, mindfulness, and movement) – to provide you with the best possible treatment so you can finally live your life to its fullest. Learn more on their website: www.thetmsadvantage.com ▪︎ ▪︎ ▪︎ ABOUT OUR GUEST: Katherine R. Rizzo, DO, has graduated from the University of Florida with a degree in Microbiology and Cell Science and from the Lake Erie College of Osteopathic Medicine. Dr. Rizzo served as Chief Resident of the University of South Florida Psychiatry Residency Program. She has a particular interest in Integrative Psychiatry (a holistic approach that utilizes both conventional and complementary therapies in the treatment of psychiatric disorders) and completed a distance education program with the University of Arizona on Integrative Medicine in Psychiatry. At the University of South Florida, Dr. Rizzo served on the following professional committees: USF Psychiatry Resident and Medical Student Education Committee, University Psychiatry Center Benzodiazepine Review Committee, USF Grand Rounds Subcommittee, and the USF Recruitment Committee. Dr. Rizzo has worked at Gracepoint Wellness Center as well as volunteered at USF Bridge Clinic. Her professional affiliations include the American Psychiatric Association, American Medical Association, and the American Osteopathic Association. Dr. Rizzo has been certified in NeuroStar Transcranial Magnetic Stimulation (TMS) since August 2019. ▪︎ ▪︎ ▪︎ As always, thank you to our incredible sponsor, TieTechnology, for sponsoring the show! --- Send in a voice message: https://anchor.fm/thedoctorwhisperer/message

How has the prolonged COVID-19 pandemic devastated our already overburdened healthcare workforce? Is the “Other Pandemic” of experienced clinical staff leaving the workforce in droves making health care less safe? Join host Karen Wolk Feinstein and physician leader Dr. Christine Sinsky, vice president of professional satisfaction at the American Medical Association, and nursing leader Dr. Terry Fulmer, president of The John A. Hartford Foundation, for a striking conversation about the extent of the crisis facing the healthcare workforce and what steps we can take to reverse this devastating trend.

The American Medical Association has abandoned medicine and the Hippocratic Oath to “first do no harm.” Constitutional expert, lawyer, author, pastor, and founder of Liberty Counsel Mat Staver discusses the important topics of the day with co-hosts and guests that impact life, liberty, and family. To stay informed and get involved - visit www.LC.org

Episode 103: Caring for LGBTQ+ Patients. Salwa, Pat, and Dr. Arreaza explain how to care for patients who identify themselves as LGBTQ+. Answered questions include, what screenings are needed? Any special needs? Introduction: LGBTQ+ Information.  By Hector Arreaza, MD. Recently the media has been flooded with information about LGBTQ+. If you wonder what LGBTQ+ means, it means lesbian, gay, bisexual, transgender, queer or questioning, and the “+” sign acknowledges other orientations such as asexual, intersex, and more. June was designated as “pride month”. I think we have received more information within the last year than in the previous century. Many people consider this an overrepresentation of the calculated 3.5% to 8% of the population who identify themselves as LGBTQ+, many others consider this a revolution to promote equality in our society by reaffirming gay rights, while others consider this a part of an agenda to destroy the “American way of living” or even the US Armed Forces. You can come to your own conclusion about the origin and validity of this movement, but as medical providers, especially as family medicine providers, we must be prepared to care for any patient we encounter, including members of the LGBTQ+ community, and treat them with the same respect and compassion as any other patient. This episode was done to increase your awareness of this topic and motivate you to keep learning about it. By the way, there are now specific fellowships you can take to become more specialized on this topic, and you can find more information on the American Medical Association website.[3] This is the Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.___________________________Caring for LGBTQ+ patients. By Salwa Sadiq-Ali, MS IV Ross University School of Medicine, and Pattamestrige Perera, MS IV, American University of the Caribbean. Comments by Hector Arreaza, MD. Salwa: So, I was browsing the internet as we all do these days and I came across a short film, The Clinic, by a Canada-based organization, the Get REAL movement. Have you heard about this Dr. Arreaza? Arreaza: No, I haven't, but this sounds interesting. What was the film about? Salwa: Essentially, it's about LGBTQ+ patients and how healthcare is not inclusive. The film shows two patients with the same concern, one of which is from the LGBTQ+ community. It goes on to show how they are treated differently by the physician. Arreaza: That's not how it should be. Unfortunately, healthcare disparity is very real, especially in minority groups like the LGBTQ+. One study found that 3.5% of Americans identify as lesbian, gay, or bisexual and 0.3% identify as transgender. They also found that these individuals are more likely to get poor care because of stigma and lack of awareness. Salwa: Exactly! And since June is PRIDE month, I thought this would be a great topic! Especially because we as students or healthcare providers don't learn too much about this in school or training. Arreaza: I think that's a great idea. I've heard a lot about PRIDE celebrations and the memorials that are held. How about we start with what exactly is PRIDE?Pat: PRIDE is a celebration, a movement. It's celebrated to commemorate the 1969 Stonewall Riots or Uprising. The riots began after the police raided a gay club in New York City leading to almost a week of violent clashes. This event marked the beginning of the gay rights movement as we know it today. Arreaza: And today PRIDE is celebrated with parades and many hold memorials for members of the community who were victims of hate crimes. By the way, you can listen to our episode 14, “Gender Diversity”, to learn about the definitions of gender, sexual orientation, and more.Pat: As you said earlier, LGBTQ+ individuals are part of a minority group and face discrimination. Arreaza: Let's talk about the health care gaps the “community” faces. Tell us more. Salwa: Yes absolutely! Let's get into it! Did you know that LGBTQ+ youth are at a higher risk for substance abuse, STDs, cancers, cardiovascular disease, obesity, bullying, isolation, rejection, anxiety, depression, and suicide in comparison to the general population? Arreaza: The AAFP says suicide rates are 4 times higher among LGBTQ+ and even higher among trans youth compared to heterosexual youths. Also, members of the community, specifically men who have sex with men, are at a much higher risk of being affected by HIV/AIDS.Pat: In fact, family physicians, and all primary care providers, are key to providing care for the LGBTQ+ community and the special needs of the community including gender-affirming care. Arreaza: So, what should primary care providers do?Salwa: That's a great question! First, let's go back to the basics. Bedside manners are key. Being open and welcoming will open the door for you to find relevant health information. Having open conversations and being empathetic and mindful will help you build that patient-doctor relationship you want to have with your patients. I'll share a story from when I was rotating in surgery. I had a transgender patient in the clinic, male to female. That's what is called a transgender woman. When I was reviewing the chart, I couldn't tell what pronouns the patient used. The first thing I did when I got into the room was to ask, “What pronouns would you like me to use?”. Even though she was wearing a mask I could tell that her face lit up just by looking at her eyes, and she said, “Thank you, that was very kind of you to ask.” Small things like this can really make a difference. Arreaza: And that's becoming a routine question when our medical assistants encounter a patient for the first time. Their preferred pronoun is listed next to the patient's name. What about the other health issues for LGBTQ+ patients? What should we do for that?Salwa: For the other concerns – depression, anxiety, suicide, and more – follow the current guidelines for cisgender patients (cisgender patients are those who identify themselves with their gender assigned at birth). The AAFP and USPSTF have screening guidelines in place that can be utilized to help determine what someone may need further management for. Pat: The PHQ9 – a screening questionnaire for depression – will help you determine if you need to start treatment for depression or refer to behavioral health. There's a similar questionnaire for anxiety – the GAD 7. Salwa: When I was doing my psychiatry rotation, I had a transgender male patient who didn't have a support system. His family had essentially rejected him, and he was so isolated that he became depressed and suicidal. So, I'd say ask your patients about bullying, their support system, ask them about their friends. Maybe even talk to their parents if the patient is a minor, if they consent you to do so, or refer to family therapy. Pat: And of course, there is STD testing, HPV vaccination, obesity and related comorbidity screening, PAP smears for anyone with a cervix, maybe even consider an anal PAP smear when appropriate.Arreaza: Beverly Hills rotation: A gynecologist for men.People at increased risk of anal cancer:-Men who have sex with men-Iatrogenic immunosuppression (e.g., solid organ transplant recipients, long-term oral corticosteroids)-Women with a history of cervical, vulvar, or vaginal SIL (also termed intraepithelial neoplasia) or cancer-Women with a history of cervical HPV 16 infection-Individuals with a history of anogenital wartsPat: Depression is important to detect on time given the higher rate of suicide in this population, aside from following current guidelines, are there any unique health-related questions we should ask our LGBTQ+ patients? I hope you guys said yes! two common health topics are gender-affirming care and complications related to chest binding. Dr. Arreaza, have you had any patient encounters for gender-affirming care?Arreaza: Yes actually. I've had a few patients who requested gender-affirming care. It requires a multi-disciplinary care team. You must consider hormone replacement, mental health, and surgeries. At the primary care level, you are there as the patient's support system to help them navigate through everything and provide them with all the information. Hormone replacement is generally done by an endocrinologist or by a primary care provider who has been trained to do it. Of course, when appropriate, we will refer the patients to surgeons for certain procedures. Salwa: Exactly! Individuals who, from my understanding, are transgender or non-binary, as in they identify as males but tend to have female sexual characteristics such as breasts, may do something called chest binding. It involves compressing the breast tissue with a wrap to have a more masculine gender expression. Usually, individuals will use commercial binders, elastic bandages, duct tape, or plastic wrap. When you have a patient who practices chest binding, it's important to address safe practices. They commonly develop dermatological conditions like acne, scarring, fungal infections. But they can also develop other complications like chronic pain, restrictive respiration, rib fractures, syncope, lightheadedness, and heartburn. Pat: A study showed that 88.9% of participants experienced a negative side effect of binding, but only 15% sought care. Cleveland Clinic suggests that individuals use a commercial, breathable binder or a sports bra. It's also important to stay hydrated, have at least one day a week when a binder is not used, and avoid using a binder while sleeping. Most importantly, if you experienced any side effects, to get help from a doctor. Arreaza: Asylum seekers due to sexual orientation is possible. People in different parts of the world suffer persecution due to their sexual orientation. LGBTQ+ individuals are target for “killings, sexual and gender-based violence, physical attacks, torture, arbitrary detention, accusations of immoral or aberrant behavior, denial of the rights to assembly, expression and information, and discrimination in employment, health, and education in all regions around the world.Pat: So, I think we covered most of it. Do you two think we mentioned the important parts? Salwa: On that note, we want to end this podcast with a small message to LGBTQ+ individualslistening in. We want you to know that you are not alone and that you matter.And if you're listening right now and know someone who is LGBTQ+, check in on them and letthem know how much they mean to you. Pat: We encourage you to go to your PCP and talk to them about your concerns and how you're doing. And we encourage all PCPs, all healthcare providers even, to implement these principles when encountering their LGBTQ+ patients. Arreaza: If you do not feel comfortable caring for LGBTQ+ patients, you can refer them to a provider with the knowledge and skills to care for them. Available Resources:The Center for Sexuality and Gender Diversity in Kern CountyPFLAG Bakersfield ChapterBakersfield LGBTQ+The Trevor Project (have crisis counselors available to help)National Suicide Hotline (1-800-273-8255)National LGBTQ TaskforceSAGE - Services and Advocacy for LGBTQ+ EldersTransgender Law Center ____________________________Conclusion: Now we conclude our episode number 103 “Caring for LGBTQ+ Patients.” Remember to screen your patients for conditions related to their gender assigned at birth but take into consideration the effects of hormones in those who have changed their gender. While caring for LGBTQ+ patients, remember to apply the same ethical principles you apply to the rest of your patients: beneficence, non-maleficence, autonomy, and justice. Even without trying, every night you go to bed being a little wiser.This week we thank Hector Arreaza, Salwa Sadiq-Ali, and Pat Perera.Thanks for listening to Rio Bravo qWeek Podcast. If you have any feedback, contact us by email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. Audio edition: Suraj Amrutia. See you next week! _____________________References:Powell, Lauren. We Are Here: LGBTQ+ Adult Population in United States Reaches At Least 20 Million, According to Human Rights Campaign Foundation Report, December 9, 2021, Human Rights Campaign, hrc.org, https://www.hrc.org/press-releases/we-are-here-lgbtq-adult-population-in-united-states-reaches-at-least-20-million-according-to-human-rights-campaign-foundation-report, accessed on June 30, 2022.  How Many People are Lesbian, Gay, Bisexual, and Transgender? UCLA School of Law Williams Institute, April 2011, https://williamsinstitute.law.ucla.edu/publications/how-many-people-lgbt/ National LGBTQ+ Fellowship Program, American Medical Association Foundation, https://amafoundation.org/programs/lgbtq-fellowship/ Guidelines on International Protection No. 9, United Nations High Commission for Refugees, unhcr.org, published on October 23, 2012, online at: https://www.unhcr.org/509136ca9.pdf, accessed on June 30, 2022.  The Clinic, short film. The Get Real Movement, thegetrealmovement.com, https://www.thegetrealmovement.com/theclinicfilm. Accessed on June 30, 2022.  June is LGBT Pride Month, Youth.Gov, https://youth.gov/feature-article/june-lgbt-pride-month, accessed on June 30, 2022. Stonewall Riots, The History Channel, history.com, https://www.history.com/topics/gay-rights/the-stonewall-riots, Accessed on June 30, 2022.  Hafeez H, Zeshan M, Tahir MA, Jahan N, Naveed S. Health Care Disparities Among Lesbian, Gay, Bisexual, and Transgender Youth: A Literature Review. Cureus. 2017 Apr 20;9(4):e1184. doi: 10.7759/cureus.1184. PMID: 28638747; PMCID: PMC5478215. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478215/ Lesbian, Gay, Bisexual, Transgender, and Queer or Questioning (LGBTQ+) Health, American Academy of Family Physicians, accessed on June 30, 2022. https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/equality/BKG-LGBTQ+Health.pdf. Creating a welcoming clinical environment for lesbian, gay, bisexual, and transgender (LGBT) patients, rainbowwelcome.org, https://www.rainbowwelcome.org/uploads/pdfs/Creating%20a%20Welcome%20Clinical%20Environment%20for%20LGBT%20Patients.pdf Peitzmeier S, Gardner I, Weinand J, Corbet A, Acevedo K. Health impact of chest binding among transgender adults: a community-engaged, cross-sectional study. Cult Health Sex. 2017 Jan;19(1):64-75. doi: 10.1080/13691058.2016.1191675. Epub 2016 Jun 14. PMID: 27300085. https://pubmed.ncbi.nlm.nih.gov/27300085/ Moffa, Jamie. Chest Binding: A Physician's Guide, Pride in Practice, April 6, 2019. https://www.prideinpractice.org/articles/chest-binding-physician-guide/ Cleveland Clinic Health Essentials, How to Bind Your Chest Safely, July 26, 2021, https://health.clevelandclinic.org/safe-chest-binding/ 

Two things happened in Washington this week that were inevitable: President Joe Biden tested positive for covid-19, and the Senate agreed to move forward on a budget bill that includes only a sliver of what Biden hoped it would. Still, the bill to allow Medicare to negotiate some drug prices, cap out-of-pocket drug costs for seniors, and extend temporary subsidies for Affordable Care Act insurance premiums would represent a major step if Democrats can get it across the finish line. Meanwhile, abortion battles continue to escalate around the country, with Texas leading the way on restrictions. Shefali Luthra of The 19th, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, and Rachel Cohrs of Stat join KHN's Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Dr. Jack Resneck Jr., the new president of the American Medical Association. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too: Julie Rovner: KHN's “Conservative Blocs Unleash Litigation to Curb Public Health Powers,” by Lauren Weber and Anna Maria Barry-Jester Shefali Luthra: Stat's “Health Care's High Rollers: As the Pandemic Raged, CEOs' Earnings Surged,” by Bob Herman, Kate Sheridan, J. Emory Parker, Adam Feuerstein, and Mohana Ravindranath Rachel Cohrs: Politico's “Anthony Fauci Wants to Put Covid's Politicization Behind Him,” by Sarah Owermohle Joanne Kenen: Inside Climate News' “When the Power Goes Out, Who Suffers? Climate Epidemiologists Are Now Trying to Figure That Out,” by Laura Baisas See acast.com/privacy for privacy and opt-out information.

If you don't have diabetes, should you even consider a blood glucose monitor? Well, here is the science behind this new tiktok trend and why these Continuous Blood Glucose Monitors (CGM) are here to stay and what we know about them. The device First, the device – a continuous blood glucose monitor is a device that you place on your body and it measures the blood glucose level and reports that data typically to an application on your phone. The first blood glucose monitors were used to help patients with type 1 diabetes regulate their blood sugar. They were revolutionary, but expensive, not covered by many insurance companies, and cumbersome. As the technology has improved, the price has decreased, the comfort level has improved, and the accuracy of the monitoring has improved. As with most technology, blood glucose monitors are now less expensive, better, and widely available. You can read more about the history of the blood glucose monitor https://www.dropbox.com/s/cpaspiemmu2nmhh/Glucose%20monitors.m4a?dl=0 (here). Most diabetics use a fingerstick to see what their blood glucose is, and use that information to determine the medicine they need to help regulate their blood glucose. The CGM allows real-time data which can be checked against food logs to allow a person to see impact of their diet on their regulation of food. As the epidemic of diabetes grows, about 55 million predicted with diabetes by 2030, we know that the less variability in glucose, the better long-term outcome https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4360429/ ((reference here)) and https://www.yourdoctorsorders.com/2015/09/increasing-diabetes-mirrors-obesity-surgery-best-option/ (here). Variability in blood glucose with non-diabetics It turns out that even people who are not diabetic, have wide variations of blood glucose (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296129/ (reference here)). Further, the variations in blood glucose have real time effects and we should care about those https://pubmed.ncbi.nlm.nih.gov/21525442/ (effects).  For example, high glucose spikes lead to inflammation of the arteries, even in non-diabetics, which lead to atherosclerosis, heart disease, strokes and peripheral vascular disease (click https://pubmed.ncbi.nlm.nih.gov/21940510/ (here)). A study published in Journal of the American Medical Association (https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2723644?resultClick=3 (here)) concluded “Providing individuals with tools to manage their glycemic responses to food based on personalized predictions of their PPGRs may allow them to maintain their blood glucose levels within limits associated with good health.” What is best? Avoiding the large variability in blood glucose is clearly important to health whether one has diabetes or not. Trying to predict what variability will be based on fasting blood glucose or hemoglobin A1C cannot be done. Using a healthy diet like the Mediterranean or https://pubmed.ncbi.nlm.nih.gov/29333199/ (DASH) diet – this has been found in studies with CGM on young people with type 1 diabetes (https://pubmed.ncbi.nlm.nih.gov/35276957/ (reference ) ) Even variations of the Mediterranean Diet and CGM have found improvement in glucose https://pubmed.ncbi.nlm.nih.gov/35277067/ (variability). Economies of Scale Continuous Glucose monitors are getting less expensive, more accurate, and more comfortable to wear. This is good news for patients who have diabetes, and as demand raises among all to use these tools the price will drop further. The economies of scale work with medical devices. Consider the pulse oximeter that you can purchase from a local pharmacy for $25 – they used to cost over $900 and were used to manage patients with lung disease. Now, for less than a copay, you can have one of these devices and they not only help manage patients with lung disease, but also keep people with COVID out of the hospital when they are doing well, or provide a warning to

If You Have Unhealthy Gut Bacteria, It Can Cause Quite Dramatic Changes - by Neal Barnard, M.D.Neal Barnard, M.D. •           https://www.pcrm.org/about-us/staff/neal-barnard-md-facc•           Book - Foods That Cause You to Lose Weight: The Negative Calorie Effect Dr. Barnard has led numerous research studies investigating the effects of diet on diabetes, body weight, and chronic pain, including a groundbreaking study of dietary interventions in type 2 diabetes, funded by the National Institutes of Health, that paved the way for viewing type 2 diabetes as a potentially reversible condition for many patients. Dr. Barnard has authored more than 100 scientific publications and 20 books for medical and lay readers, and is the editor in chief of the Nutrition Guide for Clinicians, a textbook made available to all U.S. medical students. As president of the Physicians Committee, Dr. Barnard leads programs advocating for preventive medicine, good nutrition, and higher ethical standards in research. His research contributed to the acceptance of plant-based diets in the Dietary Guidelines for Americans. In 2015, he was named a Fellow of the American College of Cardiology. In 2016, he founded the Barnard Medical Center in Washington, D.C., as a model for making nutrition a routine part of all medical care. Working with the Medical Society of the District of Columbia and the American Medical Association, Dr. Barnard has authored key resolutions, now part of AMA policy, calling for a new focus on prevention and nutrition in federal policies and in medical practice. In 2018, he received the Medical Society of the District of Columbia's Distinguished Service Award. He has hosted four PBS television programs on nutrition and health.#NealBarnard #TheRealTruthAboutHealth  #WholeFood #Vegan #Vegetarian #PlantBasedNutrition  CLICK HERE - To Checkout Our MEMBERSHIP CLUB: http://www.realtruthtalks.com Social Media ChannelsFacebook: https://www.facebook.com/TRTAHConferenceInstagram : https://www.instagram.com/therealtruthabouthealth/Twitter: https://twitter.com/RTAHealthLinkedin: https://www.linkedin.com/company/the-real-truth-about-health-conference/Youtube: https://www.youtube.com/c/TheRealTruthAboutHealth    Check out our Podcasts Visit us on Apple Podcast and Itunes search:  The Real Truth About Health Free 17 Day Live Online Conference Podcast Amazon: https://music.amazon.com/podcasts/23a037be-99dd-4099-b9e0-1cad50774b5a/real-truth-about-health-live-online-conference-podcastSpotify: https://open.spotify.com/show/0RZbS2BafJIEzHYyThm83JGoogle:https://www.google.com/podcasts?feed=aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS8yM0ZqRWNTMg%3D%3DStitcher: https://www.stitcher.com/podcast/real-truth-about-health-live-online-conference-podcastAudacy: https://go.audacy.com/partner-podcast-listen-real-truth-about-health-live-online-conference-podcastiHeartRadio: https://www.iheart.com/podcast/269-real-truth-about-health-li-85932821/Deezer: https://www.deezer.com/us/show/2867272 Other Video ChannelsYoutube:  https://www.youtube.com/c/TheRealTruthAboutHealthVimeo:  https://vimeo.com/channels/1733189Rumble:   https://rumble.com/c/c-1111513Facebook:  https://www.facebook.com/TRTAHConference/videos/?ref=page_internalDailyMotion: https://www.dailymotion.com/TheRealTruthAboutHealthBitChute:  https://www.bitchute.com/channel/JQryXTPDOMih/ Disclaimer:Medical and Health information changes constantly. Therefore, the information provided in this podcast should not be considered current, complete, or exhaustive. Reliance on any information provided in this podcast is solely at your own risk. The Real Truth About Health does not recommend or endorse any specific tests, products, procedures, or opinions referenced in the following podcasts, nor does it exercise any authority or editorial control over that material. The Real Truth About Health provides a forum for discussion of public health issues. The views and opinions of our panelists do not necessarily reflect those of The Real Truth About Health and are provided by those panelists in their individual capacities. The Real Truth About Health has not reviewed or evaluated those statements or claims. 

Daniel Dawes, executive director of the Satcher Health Leadership Institute at the Morehouse School of Medicine, has a lot to say about health inequities in the U.S. This lawyer who spends his day with doctors is uniquely qualified to talk about how the law and medicine can pair up to be a force of evolution or of destruction. Mr. Dawes takes us through the cultural and political history that forms the foundation of our current healthcare system as well as the unfortunate disparities, intended and unintended.Resources Referenced in this Episode:Reprint of 1973 Article: “Does Race Interfere With the Doctor-Patient Relationship? (2021). JAMA: Journal of the American Medical Association, 326(7), 679–680. https://doi-org.ezproxy.umgc.edu/10.1001/jama.2021.10464The Political Determinants of Health by Daniel Dawes150 Years of Obamacare by Daniel Dawes    Agent Orange Exposure and VA Disability CompensationExplore Topics from the Episode:Satcher Health Leadership Institute (SHLI)Harvard School of Public Health, Voices in Leadership, David Satcher Intervie             Rebecca Lee CrumpterFind us at:Podcast URL: Elephant StoriesTwitter: @StoriesElephantEmail: twestbrook@elephant-stories.com

Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief of JAMA, the Journal of the American Medical Association, for the

Guests: Asawin Suebsaeng, Olivia Nuzzi, Michelle Goldberg, Charles Blow, Tamar Hallerman, Dr. Jack ResneckThe committee prepares for the next hearing, the trial of Steve Bannon begins in Washington, and new reporting on Donald Trump's plan to run for office—so he can keep running from the law. Then, meet the second member of Congress served with a subpoena over Georgia election interference. Plus, the head of the American Medical Association on the insane reality of post-Roe America. And as Paris boils and wildfires rage in Spain, a stunning case of climate reality from the U.K.

Sarah Westall rejoins Dr. Dave Janda's Operation Freedom show to discuss the ongoing war against the Globalist cabal intent on controlling the entire world; you, your neighbors, land, money, resources and everything else possible to control. They want it all. This fight is serious and we discuss the role all of us play to fight for your children's future. You can see more of Dave Janda and his powerful radio show, Operation Freedom @ DaveJanda.com   Be sure to sign up for his insider shows and get access to information you will not see anywhere else, period: from former generals, congress members, and other D.C. insiders.     Solutions to keep from getting sick and to reverse mRNA damage - Dr. Joe Nieusma Start your Journey towards better Health: ControlYourHealth.care - "You will see for the first time in your life what it feels like to completely nourish your body"!       Dr. Paul Janda Biography: David H. Janda, M.D. is an orthopedic surgeon based in Ann Arbor, Michigan and a member of a nine-member orthopedic surgery group. In addition, Dr. Janda is the director and founder of the Institute for Preventative Sports Medicine, based in Ann Arbor, Michigan, which is the only health care cost containment organization of its kind in North America. Dr. Janda's academic career has been highlighted by many awards and distinctions. In the early years, he was one of the winners of the Westinghouse Science Talent Search Competition, which was conducted in Washington, D.C. In addition, he obtained a Bachelor of Arts Degree majoring in Chemistry and in Economics and graduated Magna Cum Laude from Bucknell University in Lewisburg, Pennsylvania. He obtained his M.D. degree from Northwestern University Medical School in Chicago and served as one of the leaders within the medical school community as a member of the Senate for a three-year duration. Dr. Janda then completed an internship and residency at the University of Michigan in Ann Arbor, and then completed a fellowship in shoulder reconstructive surgery and sports medicine in London, Ontario, Canada. Dr. Janda, in addition to being a clinical orthopedic surgeon, has also distinguished himself in the research arena. One of his more notable works is based on an injury prevention analysis in the most popular team sports in the United States. Dr. Janda was the lead investigator in a series that was published in the Journal of the American Medical Association. The study completed by Dr. Janda and the research team realized a 98% reduction in injuries, along with a 99% reduction in health care costs. Based on an independent analysis by the Center for Disease Control and Prevention, the study translated into a prevention of 1.7 million injuries a year in the United States with a savings of two billion dollars in acute health care costs per year. After leaving the University of Michigan, Dr. Janda founded the Institute for Preventative Sports Medicine. Dr. Janda, through the Institute, has brought together leaders in injury prevention and sports medicine, and continues to produce high quality work that has an impact on the everyday lives of the public at large. Dr. Janda has been awarded the clinical research award by The American Orthopedic Society of Sports Medicine. The Canadian Academy of Sports Medicine has awarded him, the R. Tait McKenzie Award, which is given for outstanding clinical research on an international basis. He has also received recognition by the American Academy of Orthopedic Surgeons for his video presentations and research. In addition, Dr. Janda has had the opportunity to present before a sub-committee of Congress, which led to the utilization of preventative methods to reduce injuries within the Federal Government system. Dr. Janda's research has been given wide exposure by the electronic, as well as print media, and has gained wide public acknowledgement. Dr. Janda was appointed by the former Bush Administration to the...

We often hear about the placebo effect, but what is it? How does it work? What does it mean when an experiment uses a placebo group? Today we discuss the power of the placebo, how scientists and doctors harness its effect, and how you can too. References: Kienle, G. S., & Kiene, H. (1997). The powerful placebo effect: fact or fiction?. Journal of clinical epidemiology, 50(12), 1311-1318. https://www.nccih.nih.gov/health/placebo-effect Rief, W., Nestoriuc, Y., Weiss, S., Welzel, E., Barsky, A. J., & Hofmann, S. G. (2009). Meta-analysis of the placebo response in antidepressant trials. Journal of affective disorders, 118(1-3), 1-8. Beecher, H. K. (1955). The powerful placebo. Journal of the American Medical Association, 159(17), 1602-1606. Sihvonen, R., Paavola, M., Malmivaara, A., Itälä, A., Joukainen, A., Nurmi, H., ... & Järvinen, T. L. (2013). Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N Engl J Med, 369, 2515-2524. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/noggin-psychologypodcast/support

When You've Gotten Away From Animal Products And The Weight Still Isn't Coming Off - by Neal Barnard, M.D.Neal Barnard, M.D. •           https://www.pcrm.org/about-us/staff/neal-barnard-md-facc•           Book - Foods That Cause You to Lose Weight: The Negative Calorie Effect Dr. Barnard has led numerous research studies investigating the effects of diet on diabetes, body weight, and chronic pain, including a groundbreaking study of dietary interventions in type 2 diabetes, funded by the National Institutes of Health, that paved the way for viewing type 2 diabetes as a potentially reversible condition for many patients. Dr. Barnard has authored more than 100 scientific publications and 20 books for medical and lay readers, and is the editor in chief of the Nutrition Guide for Clinicians, a textbook made available to all U.S. medical students. As president of the Physicians Committee, Dr. Barnard leads programs advocating for preventive medicine, good nutrition, and higher ethical standards in research. His research contributed to the acceptance of plant-based diets in the Dietary Guidelines for Americans. In 2015, he was named a Fellow of the American College of Cardiology. In 2016, he founded the Barnard Medical Center in Washington, D.C., as a model for making nutrition a routine part of all medical care. Working with the Medical Society of the District of Columbia and the American Medical Association, Dr. Barnard has authored key resolutions, now part of AMA policy, calling for a new focus on prevention and nutrition in federal policies and in medical practice. In 2018, he received the Medical Society of the District of Columbia's Distinguished Service Award. He has hosted four PBS television programs on nutrition and health.#NealBarnard #TheRealTruthAboutHealth  #WholeFood #Vegan #Vegetarian #PlantBasedNutrition  CLICK HERE - To Checkout Our MEMBERSHIP CLUB: http://www.realtruthtalks.com Social Media ChannelsFacebook: https://www.facebook.com/TRTAHConferenceInstagram : https://www.instagram.com/therealtruthabouthealth/Twitter: https://twitter.com/RTAHealthLinkedin: https://www.linkedin.com/company/the-real-truth-about-health-conference/Youtube: https://www.youtube.com/c/TheRealTruthAboutHealth    Check out our Podcasts Visit us on Apple Podcast and Itunes search:  The Real Truth About Health Free 17 Day Live Online Conference Podcast Amazon: https://music.amazon.com/podcasts/23a037be-99dd-4099-b9e0-1cad50774b5a/real-truth-about-health-live-online-conference-podcastSpotify: https://open.spotify.com/show/0RZbS2BafJIEzHYyThm83JGoogle:https://www.google.com/podcasts?feed=aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS8yM0ZqRWNTMg%3D%3DStitcher: https://www.stitcher.com/podcast/real-truth-about-health-live-online-conference-podcastAudacy: https://go.audacy.com/partner-podcast-listen-real-truth-about-health-live-online-conference-podcastiHeartRadio: https://www.iheart.com/podcast/269-real-truth-about-health-li-85932821/Deezer: https://www.deezer.com/us/show/2867272 Other Video ChannelsYoutube:  https://www.youtube.com/c/TheRealTruthAboutHealthVimeo:  https://vimeo.com/channels/1733189Rumble:   https://rumble.com/c/c-1111513Facebook:  https://www.facebook.com/TRTAHConference/videos/?ref=page_internalDailyMotion: https://www.dailymotion.com/TheRealTruthAboutHealthBitChute:  https://www.bitchute.com/channel/JQryXTPDOMih/ Disclaimer:Medical and Health information changes constantly. Therefore, the information provided in this podcast should not be considered current, complete, or exhaustive. Reliance on any information provided in this podcast is solely at your own risk. The Real Truth About Health does not recommend or endorse any specific tests, products, procedures, or opinions referenced in the following podcasts, nor does it exercise any authority or editorial control over that material. The Real Truth About Health provides a forum for discussion of public health issues. The views and opinions of our panelists do not necessarily reflect those of The Real Truth About Health and are provided by those panelists in their individual capacities. The Real Truth About Health has not reviewed or evaluated those statements or claims. 

This month we'll look at updates on the VALID Act, examine the CDC announcement for Monkeypox specimen guidelines, and review the decision by the CMS to retain diagnostic codes for next generation sequencing. We'll also be joined by Dr. Mark Synovec to recap the American Medical Association's annual meeting and what the CAP-led delegation advocated for during the event.

Institutions that are intended to foster professionalism and civic responsibility have been taken over in order to promote progressive ideology. Membership in institutions such as the American Bar Association has declined to only about 14% of practicing attorneys allowing a small minority to realign an esteemed 140 year old institution into a platform for progressivism. And the American Medical Association is using critical race theory to attack systemic racism in medicine. In this podcast, the Edifice of Trust host, Victor Bolles, investigates the hollowing out of vital civic and professional organizations and their transformation into something unrecognizable.

Editor's Summary by Kristin Walter, MD, Senior Editor of JAMA, the Journal of the American Medical Association, for the July 12, 2022 issue.

Hear about a new learning collaborative for private practice physicians and how to get involved from Michael Tutty, PhD, MHA, group vice president, Professional Satisfaction and Practice Sustainability at the American Medical Association, in conversation with AMA CXO Todd Unger. The first session, E/M Documentation Burden Reduction, is currently underway. Forthcoming webinar topics include team documentation and recruiting newly graduated residents into private practice.  Register now: https://www.ama-assn.org/practice-management/private-practices/ama-private-practice-simple-solutions

In this conversation, Daniel Belkin and  Mitch Belkin speak with Professor Christy Chapin, who is an Associate Professor of History at University of Maryland Baltimore County. We discuss how the American insurance company-based model of healthcare developed in the first half of the 20th century. Specifically, we explore the role of some of the major actors who created the fragmentary and expensive US healthcare landscape: the American Medical Association (AMA), Blue Cross and Blue Shield, as well as private insurance companies. Prefer video? Watch the  interview on Youtube.In this episode, Professor Chapin defines what she terms the “insurance company model” of healthcare. We explore various competing models at the turn of the 20th century, including prepaid physician groups, which were an early multi-specialty group practice. (This model of healthcare delivery, which Professor Chapin argues, could have become the dominant model of US healthcare, was effectively banned by the American Medical Association in 1938). We discuss the organizational history of the AMA, its rise to prominence, and how it influenced the development of American healthcare. While the AMA attempted to maintain physician autonomy in the 1920s, concerns of government involvement prompted a 1938 deal with insurance companies that produced our current model of 3rd party financed healthcare. By insisting on a fee-for-service payment structure, this led to vast increases in the cost of care. Overtime, increasing insurance company regulation and government involvement (Medicare, the ACA, etc.) have attempted to reduce costs with limited success.Professor Chapin argues that the US healthcare system is not a free market. Rather, it is a product of warped incentives brought about by historical negotiations between insurance companies, hospitals, government agencies, and special interest groups. Cost containment measures instituted by insurance companies to reduce costs have led insurers to effectively control the practice of medicine.Who is Christy Chapin?In addition to being an Associate Professor of History at UMBC, Professor Chapin is a visiting scholar at Johns Hopkins. Her professional interests include 20th century U.S. political, business, and economic history. She's also the author of Ensuring America's Health: The Public Creation of the Corporate Health Care System, which was published in 2015.______________________Follow us @ExMedPod and subscribe to our Youtube channel.Daniel Belkin, MD, and Mitch Belkin, MD, are brothers and resident physicians. The External Medicine Podcast is a podcast exploring nontraditional medical ideas and innovation.  

The new president-elect of the American Medical Association talks about the organization's view on abortion rights. Then, we chat with the ambassadors who are working to keep Milwaukee beachgoers safe. We get to know Vincent Noth, the leader of the Kinship Community Food Center. Plus, look at this year's new Sculpture Milwaukee exhibit, which plays on the city's relationship to the environment.

In this episode, we explore the field of genetic counseling and its significance in both research and clinical settings. We talk with board certified genetic counselor Magan Trottier about her path to genetic counseling, the ethics behind genetic testing results, and what direct-to-consumer tests can tell you. Magan Trottier received a master's degree in Molecular Genetics and another in Genetic Counseling, both from the University of Toronto. In addition to counseling, she has over ten years of research experience and has published papers in prestigious journals like Cell Stem Cell and the Journal of the American Medical Association. She is an adjunct professor in the Long Island University Post Genetic Counseling Graduate Program. She currently works for Memorial Sloan Kettering, and the opinions she expresses in this interview are solely her own and do not express the views or opinions of Memorial Sloan Kettering. More information about the All of Us Research Program can be found at https://allofus.nih.gov/about Episode produced by: Jackie Tarsitano Episode recording date: 12/21/21 www.medicuspodcast.com | medicuspodcast@gmail.com | Donate: http://bit.ly/MedicusDonate --- Send in a voice message: https://anchor.fm/medicus/message

Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief of JAMA, the Journal of the American Medical Association, for the July 5, 2022 issue.

Why Am I Having A Low Iron Level?- by Neal Barnard, M.D.Neal Barnard, M.D. •           https://www.pcrm.org/about-us/staff/neal-barnard-md-facc•           Book - Foods That Cause You to Lose Weight: The Negative Calorie Effect Dr. Barnard has led numerous research studies investigating the effects of diet on diabetes, body weight, and chronic pain, including a groundbreaking study of dietary interventions in type 2 diabetes, funded by the National Institutes of Health, that paved the way for viewing type 2 diabetes as a potentially reversible condition for many patients. Dr. Barnard has authored more than 100 scientific publications and 20 books for medical and lay readers, and is the editor in chief of the Nutrition Guide for Clinicians, a textbook made available to all U.S. medical students. As president of the Physicians Committee, Dr. Barnard leads programs advocating for preventive medicine, good nutrition, and higher ethical standards in research. His research contributed to the acceptance of plant-based diets in the Dietary Guidelines for Americans. In 2015, he was named a Fellow of the American College of Cardiology. In 2016, he founded the Barnard Medical Center in Washington, D.C., as a model for making nutrition a routine part of all medical care. Working with the Medical Society of the District of Columbia and the American Medical Association, Dr. Barnard has authored key resolutions, now part of AMA policy, calling for a new focus on prevention and nutrition in federal policies and in medical practice. In 2018, he received the Medical Society of the District of Columbia's Distinguished Service Award. He has hosted four PBS television programs on nutrition and health.#NealBarnard #TheRealTruthAboutHealth  #WholeFood #Vegan #Vegetarian #PlantBasedNutrition  CLICK HERE - To Checkout Our MEMBERSHIP CLUB: http://www.realtruthtalks.com Social Media ChannelsFacebook: https://www.facebook.com/TRTAHConferenceInstagram : https://www.instagram.com/therealtruthabouthealth/Twitter: https://twitter.com/RTAHealthLinkedin: https://www.linkedin.com/company/the-real-truth-about-health-conference/Youtube: https://www.youtube.com/c/TheRealTruthAboutHealth    Check out our Podcasts Visit us on Apple Podcast and Itunes search:  The Real Truth About Health Free 17 Day Live Online Conference Podcast Amazon: https://music.amazon.com/podcasts/23a037be-99dd-4099-b9e0-1cad50774b5a/real-truth-about-health-live-online-conference-podcastSpotify: https://open.spotify.com/show/0RZbS2BafJIEzHYyThm83JGoogle:https://www.google.com/podcasts?feed=aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS8yM0ZqRWNTMg%3D%3DStitcher: https://www.stitcher.com/podcast/real-truth-about-health-live-online-conference-podcastAudacy: https://go.audacy.com/partner-podcast-listen-real-truth-about-health-live-online-conference-podcastiHeartRadio: https://www.iheart.com/podcast/269-real-truth-about-health-li-85932821/Deezer: https://www.deezer.com/us/show/2867272 Other Video ChannelsYoutube:  https://www.youtube.com/c/TheRealTruthAboutHealthVimeo:  https://vimeo.com/channels/1733189Rumble:   https://rumble.com/c/c-1111513Facebook:  https://www.facebook.com/TRTAHConference/videos/?ref=page_internalDailyMotion: https://www.dailymotion.com/TheRealTruthAboutHealthBitChute:  https://www.bitchute.com/channel/JQryXTPDOMih/ Disclaimer:Medical and Health information changes constantly. Therefore, the information provided in this podcast should not be considered current, complete, or exhaustive. Reliance on any information provided in this podcast is solely at your own risk. The Real Truth About Health does not recommend or endorse any specific tests, products, procedures, or opinions referenced in the following podcasts, nor does it exercise any authority or editorial control over that material. The Real Truth About Health provides a forum for discussion of public health issues. The views and opinions of our panelists do not necessarily reflect those of The Real Truth About Health and are provided by those panelists in their individual capacities. The Real Truth About Health has not reviewed or evaluated those statements or claims. 

  The US Preventative Task Force updated their recent recommendations about vitamins and supplements in The Journal of the American Medical Association - reference https://jamanetwork.com/journals/jama/fullarticle/2793447?guestAccessKey=f8ea1de7-fbe9-4561-832e-7ea18d6579ce&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_content=olf&utm_term=062122 (here). Their conclusion was: "Conclusions and Relevance Vitamin and mineral supplementation was associated with little or no benefit in preventing cancer, cardiovascular disease, and death, with the exception of a small benefit for cancer incidence with multivitamin use. Beta carotene was associated with an increased risk of lung cancer and other harmful outcomes in persons at high risk of lung cancer." We have published about how misleading labels of supplements are before - click https://www.yourdoctorsorders.com/2015/04/vitamins-supplements-lables-that-lie/ (here). The appeal of vitamins and supplements is the ability to extract the vital chemicals (like vital amines) antioxidants, and anti-inflammatory ingredients, place them into a pill so you can avoid having a healthy diet. Trust me, a healthy diet is clinically proven to work but it is a lot easier to eat a burger and pop a pill than to remember to eat some vegetables (I like Habit Burger). [caption id="attachment_9745" align="aligncenter" width="640"]V Yes, I do love a good burger - Habit is my favorite[/caption] But let's go back in history for a second and let you know that surgeons love vitamins. If you haven't listened to one of my favorite stories- listen to this about the first vitamin - click https://www.yourdoctorsorders.com/2019/05/the-first-vitamin/ (here). And let us not forget that the first evidence based study in the history showed that citrus fruits prevented scurvy - who was that person that showed that - was it a "nutritionist" or was it a surgeon? Oh yes, it was Dr. James Lind - a surgeon. Why the appeal of vitamins, besides my fantasy about eating burgers and popping a pill? First there is the "natural" fallacy - I don't know, I think natural is more eating fruits and vegetables than pills. People tend to think of vitamins as "good" or healthy, and they are. They seem to think of a vitamin as "natural" even though they were brought to us from the golden age of biochemistry. It is clear that the vitamin and supplement companies have taken advantage of that and use terms like "support gut health" or "support immune function" or "good for cardiovascular health, " - even if those statements are meaningless. Second, it is easier to think of things we believe we understand. Heart disease and cancer are complex topics (not that the true chemistry of vitamins aren't but they seem easy). We want to make things easy - like take vitamins and supplements for prevention or cure of cancer or heart disease, because if we start talking about scary statins or chemotherapy not only are there real side-effects but bad press. Of course with vitamins and supplements there can be real side effects - check https://www.yourdoctorsorders.com/2015/10/bad-supplements-23000-er-admissions-a-year/ (here). My aunt's son, a Ph.D. in nuclear physics, died after taking a supplement that was to help him be "fit." But the simple truth is this: however the polychemistry there is in fruits, vegetables, legumes, whole grains, as well as balancing dairy, meats, fats and alcohol has proven effect - we call that the Mediterranean Diet (for more see https://www.yourdoctorsorders.com/the-mediterranean-diet-the-good-the-overhyped/ (here)) [caption id="attachment_9746" align="aligncenter" width="640"]i Instead of vitamins and supplements from a pill - eat this[/caption] For whatever reason, eating a Mediterranean Diet or DASH diet continue to be the proven way to maintain your health. References 1. Mishra S, Stierman B, Gahche JJ, Potischman N. Dietary Supplement...

https://bible.com/events/48917098 Church of the Nazarene - Harrisonburg Campus Mental Health & The Christian - A Panel Discussion Mental Health & The Christian - A Panel Discussion This morning we're taking a break from our series, "The Wanderers" to focus on Mental Health & The Christian. Our panel will include Mark Sensabaugh, LPC, Ashlea Link and Pastor Margaret Michael. Mark is a Licensed Counselor for Journey Counseling Ministries in Harrisonburg. Ashlea is a School Social Worker for Rockingham County Schools and Margaret is Outreach Pastor for COTN. For more information on Journey Counseling Ministries, visit: https://www.journeycounselingministries.orgAnd for more information about Mark, visit: https://www.journeycounselingministries.org/staff/The American Medical Association recently concluded that the pandemic has triggered a 25% increase in prevalence of anxiety and depression worldwide. No single event has ever had that dramatic effect. One scholar writing in the National Library of Medicine recently wrote that, we are now in a ‘'tsunami of psychiatric illness.'' Another doctor wrote that, despite all of the time at home, mental health concerns and burnout have skyrocketed in the workplace. Nearly six times as many employers report increased mental health issues among employees since the pandemic began—burnout being among the most common. And in the middle of that, those of us who are believers in Christ find we are not immune. So, what do we do about it? This panel is designed to take a practical approach toward addressing these issues.‭‭2 Timothy‬ ‭1:7‬‬For God hath not given us the spirit of fear; but of power, and of love, and of a sound mind.‭‭Romans‬ ‭12:2‬‬Do not conform to the pattern of this world but be transformed by the renewing of your mind. Then you will be able to test and approve what God's will is—his good, pleasing and perfect will.‭‭2 Corinthians‬ ‭10:5‬‬We demolish arguments and every pretension that sets itself up against the knowledge of God, and we take captive every thought to make it obedient to Christ.‭‭Romans‬ ‭8:5-6‬‬Those who live according to the flesh have their minds set on what the flesh desires; but those who live in accordance with the Spirit have their minds set on what the Spirit desires. The mind governed by the flesh is death, but the mind governed by the Spirit is life and peace. Mark referenced books in his comments this morning. Those are: Joyful Journey: Listening to Immanuel by E. James Wilder, Anna Kang, John Loppnow & Sungshim Loppnow The Other Half of Church: Brain Science and Overcoming Spiritual Stagnation by Jim Wilder & Michel Hendricks Journey Into the Divided Heart: Facing the Defense Mechanisms that Hinder True Emotional Healing by Steve Fair

(00:00-09:44): How often should pastors talk about current cultural issues? It's a question that's come up a lot lately thanks to the Supreme Court decision overturning Roe vs. Wade. (09:44-18:06): What role does Evangelism play in our daily lives? (18:06-27:00): Brian and Aubrey lightened the mood by sharing some “Weird Stories From Around the Internet” (27:00-35:46): The American Medical Association wants to help people deal with decision fatigue. Brian and Aubrey shared some of their tips. (35:46-45:38): Top Five List: Top five characters from The Office (45:38-54:19): Brian and Aubrey wrapped up the show with some Independence Day trivia. See omnystudio.com/listener for privacy information.

Rollin J. “Terry” Fairbanks, MD, MS, is the Vice President Quality and Safety at MedStar Health, Professor of Emergency Medicine at Georgetown University, and Founding Director of the National Center for Human Factors in Healthcare. A board-certified emergency physician, he practices in the MedStar Washington Hospital Center emergency department. Dr. Fairbanks also holds an academic appointment as adjunct associate professor of Industrial Systems Engineering at the University at Buffalo. He earned a bachelors degree in mathematics and physics and a masters degree in industrial systems engineering/human factors engineering, and after medical school he completed specialty training in emergency medicine, the HRET/NPSF Patient Safety Leadership Fellowship, and Wharton's Physician Leadership Certificate Program at MedStar Health. Trained in safety science prior to entering the medical field, Dr. Fairbanks is also a former paramedic, EMS medical director, and general aviation pilot, he is known for inspiring people to think differently about healthcare's approach to quality, safety, and risk. As a member of the MedStar Health Leadership Team, he is responsible for system-wide quality and safety. Dr. Fairbanks has contributed more than 120 publications to the healthcare quality and safety, human factors engineering and medical literature, and co-edited a book on cognitive systems engineering in healthcare. Dr. Fairbanks has served in many national and international roles, including the National Patient Safety Foundation Board of Advisors, the POLITICO Health IT Advisory Forum, AHRQ Patient Safety Network Technical Expert Advisory Panel, and he is a Health Research and Educational Trust (HRET) Senior Fellow. He has served in advisory roles for the Office of the National Coordinator for Health IT, Pew Charitable Trusts, the American Medical Association, and has held formal consultative roles with the US, Australian, British, and Spanish governments. In 2017, he was listed by Becker's Hospital Review in Top 50 Experts Leading the Field of Patient Safety. View Dr. Fairbanks' publications on PubMed View Dr. Fairbanks' Complete Bibliography Learn more about NDM: NaturalisticDecisionMaking.org Journal of Cognitive Engineering and Decision Making Where to find the hosts: Brian Moon Brian's website Brian's LinkedIn Brian's Twitter Laura Militello Laura's website Laura's LinkedIn Laura's Twitter

Originally aired in 2016, Walter Williams joins Dr. Tommy to discuss a greatest hits of liberty and constitutionalism. Professor of Economics, author, and syndicated columnist Walter E. Williams is on the show to discuss liberty, the Constitution, and moral decline. Is the American public more agreeable to tyranny than liberty. Was is the difference between a democracy and a republic and which one did the founding fathers plan for our country? Who does Dr. Williams favor in the upcoming presidential election and what advice does Dr. Williams have for freedom-loving physicians? Find out about the Association of American Physicians and Surgeons and how it compares to the American Medical Association.

Last week the Supreme Court, in the case of New York State Rifle & Pistol Association v. Bruen, struck down New York's previously existing restrictive firearms licensing law. In his decision, Justice Clarence Thomas made the case that Americans have a two-part right to “keep” guns in their homes and “bear” them in public. This decision has left many Americans with a lot of questions, including but not limited to:  "how was this case decided?"; " what does the ruling mean for existing, and future, gun laws?"; "what implications does this ruling have for public health?"; and, of course, "where do we go from here?". To answer these questions and more, a panel of researchers and activists join to unpack the recent Supreme Court decision. Together, hosts Kelly and JJ  are joined by: Dr. Alex McCourt  (John Hopkins' Center for Law & the Public's Health), Dr. Gerald E. Harmon (physician, Board of Trustees member and former President of the American Medical Association), Jonathan Lowy (Chief Counsel and Vice President of Legal, Brady), and Aalayah Eastmond (gun violence survivor and Executive Council Member, Team ENOUGH).Want to get involved?Urge your senators to expand and strengthen background checks.Urge senators to confirm a director to lead the ATF, the agency that oversees the gun industry yet has lacked leadership for years.Join a Brady chapter near you and sign up to attend our new volunteer session.Mentioned in this podcast:Supreme Court strikes down N.Y. law that restricts concealed carrying of guns (NPR)U.S. Supreme Court expands gun rights, strikes down New York law (Reuters) SCOTUS Says People Have a Right to Carry Guns in Public (the Trace)For more information on Brady, follow us on social media @Bradybuzz or visit our website at bradyunited.org.Full transcripts and bibliographies of this episode are available at bradyunited.org/podcast.National Suicide Prevention Lifeline: 1-800-273-8255.In a crisis? Text HOME to 741741 to connect with a Crisis Counselor 24/7. Music provided by: David “Drumcrazie” CurbySpecial thanks to Hogan Lovells for their long-standing legal support℗&©2019 Red, Blue, and BradySupport the show

Escaping the Beast of Double-Mindedness (Audio)David Eells - 6/29/22Many Christians believe that we should trust in methods and means of man because now God is weaker than He was in the Bible and needs our help. However, we are in the midst of many Christians who believe this but are finding out that many are dying because they trusted in man's vaccines which are proven to be a depopulation effort by the beast. According to JAMA, the Journal of the American Medical Association, 450,000 people a year die of iatropic causes. Iatropic means Doctor/Medicine related causes. And that was long before the shots that are sickening and killing so many millions.  If He now uses man's methods, how many mistakes does God make? The people are dying of many diseases from taking the shots, which cause the loss of their immune system. Deaths will rise geometrically for years. Jesus and His disciples didn't use the means and methods of man. In fact, we are warned in Jer 17:5  Thus saith Jehovah: Cursed is the man that trusteth in man, and maketh flesh his arm, and whose heart departeth from Jehovah. Let examine some objections to this. I was sent this question in an email: "My question is the verse in 1 Timothy 5:23 where Paul advises Timothy to "take a little wine for his stomach's sake and thine often infirmities." God hadn't healed him and I'm confused about your teaching on healing". The question really is about whether God heals using remedies or simply through faith without them, and this is in order to give all glory to Himself and not man.  Jesus spoke to His disciples in parables, symbols that they came to understand and they became ways for them to speak to others. For example: Notice that in 1 Timothy 5:23, sin is the subject before and after the verse in question. {1 Tim. 5:22} Lay hands hastily on no man, neither be partaker of other men's sins: keep thyself pure. {23} Be no longer a drinker of water, but use a little wine for thy stomach's sake and thine often infirmities (Infirmities here is the Greek word astheneia; meaning "weaknesses"). {24} Some men's sins are evident, going before unto judgment; and some men also they follow after. {25} In like manner also there are good works that are evident; and such as are otherwise cannot be hid. The wine for the stomach statement is certainly out of context unless it speaks of deliverance from sin. The word translated "infirmities" is actually "weaknesses" which is clearly seen in other texts where the same word is correctly translated. (1 Cor.1:25) ...the weakness of God is stronger than men. Now we know that God is not infirm or sick so this word has to be "weakness". (2 Cor.13:4) for he was crucified through weakness, yet he liveth through the power of God. For we also are weak in him, but we shall live with him through the power of God toward you. We know that Jesus Christ was not crucified through infirmity, but weakness. He would not defend Himself when He was brought before Pilate and the Jewish leaders. Timothy had spiritual weaknesses for which the only cure was the spiritual wine. The stomach or belly was spiritually considered the seat of ruler ship for the carnal man. It represented being driven by the lusts (Gr: desires) of the flesh; driven by sin. {Phl.3:19} whose end is perdition, whose god is the belly, and [whose] glory is in their shame, who mind earthly things. On the other hand wine was considered the cure for bondage to sin. Wine represents the blood of Jesus. {Mt.26:27} And he took a cup (of wine), and gave thanks, and gave to them, saying, Drink ye all of it; {28} for this is my blood of the covenant, which is poured out for many unto remission of sins. {29} But I say unto you, I shall not drink henceforth of this fruit of the vine, until that day when I drink it new with you in my Father's kingdom. Notice, Jesus equates the wine with His blood. So this is the spiritual cure for the lusts of the flesh. Through our own blood we have inherited the lusts of the sinful flesh and through Jesus' pure blood that nature is destroyed. {Lev.17:11} For the life of the flesh is in the blood; and I have given it to you upon the altar to make atonement for your souls: for it is the blood that maketh atonement by reason of the life. His blood is in us to the extent that we repent and partake of the life of His Word. {Jn.6:53} Jesus therefore said unto them, Verily, verily, I say unto you, Except ye eat the flesh of the Son of man and drink his blood, ye have not life in yourselves. {54} He that eateth my flesh (and He was the Word made flesh) and drinketh my blood hath eternal life: and I will raise him up at the last day. Partaking of the blood or wine is a matter of walking in His Word by faith in His blood that was given to us. {1 Jn.1:7} but if we walk in the light, as he is in the light, we have fellowship one with another, and the blood of Jesus his Son cleanseth us from all sin. Another common misunderstanding is Paul's Thorn. Paul was caught up to the third heaven and received wonderful revelations that tempted him to be proud. (2 Cor.12:7) And by reason of the exceeding greatness of the revelations, that I should not be exalted overmuch there was given to me a thorn in the flesh, a messenger (Greek: angelos,"angel") of Satan to buffet me, that I should not be exalted overmuch. Paul says the thorn was an angel of Satan to buffet him, not a sickness. The word "buffet" means "to hit over and over". You can see that this evil spirit was given to Paul to fulfill God's purpose of humbling him. (2 Cor.12:8) Concerning this thing I besought the Lord thrice that it might depart from me. (9) And he hath said unto me, My grace is sufficient for thee: for my power is made perfect in weakness. This angel of Satan was bringing about a humbling in Paul's life that God called grace. When Paul was in a position of personal weakness or inability to save himself, he got to see God's power to save. It should be the same with us.  The Scriptures are full of instances where God purposely brought people such as Moses, Abraham, Jehoshaphat, Gideon, and Lazarus to a position of human weakness so that He could perform a miracle to save them and no one would get the credit but Him. Paul understood this. (2 Cor.12:10) Wherefore I take pleasure in weaknesses (K.J.V. uses infirmities), in injuries (insults), in necessities, in persecutions, in distresses, for Christ's sake: for when I am weak, then am I strong.  "Thorn in the flesh" is mentioned four other times in the scriptures, and not once is it an infirmity. This word "weaknesses" is from the Greek word "astheneia" meaning "want of strength". The King James Version translated this word "infirmities", but the same Greek word in many other places, including this text, is translated "weak" or "weakness" (1 Cor.1:25; 2 Cor.11:29; 2 Cor.12:9,10; 2 Cor.13:4). The same Greek word "astheneia" in the following two verses shows us that "infirmity" is a bad translation. (1 Cor.1:25) ...the weakness of God is stronger than men. Now we know that God is not infirm or sick so this word has to be "weakness". (2 Cor.13:4) for he was crucified through weakness, yet he liveth through the power of God. For we also are weak in him, but we shall live with him through the power of God toward you. We know that Jesus Christ was not crucified through infirmity, but weakness. He was weak in that He would not defend Himself when He was brought before Pilate and the Jewish leaders.  Likewise, we are crucified when we are weak to save ourselves while we trust in God. In the previous chapter Paul lists what he calls weaknesses (2 Cor.11:23-30). He lists things such as shipwrecks, prisons, persecutions from enemies, and stripes. Not once does Paul mention sickness in the list. The point is that God uses evil angels to come against our lusts, to humble us, to chasten us, and to cause us to repent. (2 Cor.12:8) Concerning this thing I besought the Lord thrice, that it (the angel of Satan or demon) might depart from me. (9) And he hath said unto me, My grace is sufficient for thee.  God was saying that He would deliver Paul from the individual buffetings, but not from the angel of Satan for the time being. Paul said as much to Timothy. (2 Tim.3:11) persecutions, sufferings. What things befell me at Antioch, at Iconium, at Lystra; what persecutions I endured. And out of them all the Lord delivered me. (2 Tim. 4:18) The Lord will deliver me from every evil work. In this, we see the sovereignty of God in both bringing the chastening and supplying the deliverance. Even though He permits buffetings to test us, ultimately He will heal and deliver the faithful. The question as to whether God always heals is a moot one when we realize that He has already healed all believers but we must be believers. {1 Pet.2:24} who his own self bare our sins in his body upon the tree, that we, having died unto sins, might live unto righteousness; by whose stripes ye were healed. Jesus gave us an example by healing all believers. Jesus said in Mar 11:24 "All things whatsoever ye pray and ask for, believe that ye receive (Greek: "received") them”. We received them because all of our provision was accomplished at the cross. Notice in the following verses that all things have been received and that the only thing left is for us to believe it and cease from our own salvation by works. Notice the past tense of all of our sacrificial provision in the following verses: (Epe.2:8) for by grace have ye been saved through faith; (1 Pet.2:24) who his own self bare our sins in his body upon the tree, that we, having died unto sins, might live unto righteousness; by whose stripes ye were healed.; (Col.1:13) who delivered us out of the power of darkness and translated us into the kingdom of the Son of his love; (2 Cor.5:18) ...who reconciled us to himself; (Gal.2:20) I have been crucified with Christ, and its no longer I that live, but Christ liveth in me; (Gal. 3:13) Christ redeemed us from the curse; (1 Pet.1:3) ...the Father ...begat us again ...by the resurrection of Jesus Christ;  (Heb.10:10) We ...have been sanctified; ... (14) He hath perfected forever them that are sanctified; (Epe.1:3) ...who hath blessed us with every spiritual blessing, and God (2 Pet.1:3) hath granted unto us all things ... Jesus told us in his day which, of course, is also in the past that" Now shall the prince of this world be cast out" (Jn.12:31); "but be of good cheer, I have overcome the world" (Jn.16:33); "It is finished" Jn.19:30). This is why we are to believe we have received. The devil and the curse were conquered. We were saved, healed, delivered, and provided for 2,000 years ago. So if we believe we have received, would we continue to try to save, heal or deliver ourselves, since faith without works is dead? Redemption from the curse is truly finished! In fact, God's "works were finished from the foundation of the world" (Heb.4:3), when He spoke the plan into existence. The only thing left is for the true sons of God to enter into those works by faith, believing they have received. Since the works are finished, we should believe and rest from our own works to save, heal, and deliver ourselves. (Heb.4:3) For we who have believed do enter into that rest. That is a spiritual Sabbath rest from our own self works. (Heb.4:9) There remaineth therefore a Sabbath rest (Greek: sabbatismos, "keeping of rest") for the people of God. This constant "keeping of rest" every day through the past tense promises is our New Testament spiritual Sabbath. (10) For he that is entered into his rest hath himself also rested from his works, as God did from his. This rest is to believe these past tense promises so we know we don't have to save ourselves. (Heb.4:1) Let us fear therefore, lest haply, a promise being left of entering into his rest, any one of you should seem to have come short of it. (2) For indeed we have had good tidings preached unto us, even as also they: but the word of hearing did not profit them, because it was not united by faith with them that heard. Our faith in each of these promises brings us into more of the rest. For example, if we believe that "by his stripes you were healed," then we will not keep seeking a healing but will rest accepting that it was accomplished at the cross.  This is true faith and always brings the answer. Through believing the promises, we enter into rest from our own works. For a child of God to say that they believe they have received and yet continue seeking to receive, usually through worldly methods, is to be double minded. (Jas.1:6) But let him ask in faith, nothing doubting: for he that doubteth is like the surge of the sea driven by the wind and tossed. (7) For let not that man think that he shall receive anything of the Lord; (8) a doubleminded man, unstable in all his ways. Those who continue to work for what God has freely given, believe in salvation by works. (Heb.4:10) For he that is entered into his rest, hath himself also rested from his works. (Heb.3:19) And we see that they were not able to enter in because of unbelief. Since the promises of deliverance from the curse are past tense, when we believe them, we must stop working. It is an evil heart of unbelief to not rest. God was angry with Israel because they would not believe His Word in their trial in the wilderness (Heb. 3:8-10). (Heb.3:11) As I sware in my wrath, They shall not enter into my rest. (12) Take heed, brethren, lest haply there shall be in any one of you an evil heart of unbelief, in falling away from the living God .... (14) We are become partakers of Christ (i.e. His health, holiness, and blessing) if we hold fast the beginning of our confidence firm unto the end.  When we believe we have received, we are put in a position of weakness because we cannot do anything to bring the desired result to pass or we prove we didn't believe and receive. This weakness is our wilderness experience because there is no help from Egypt or the world. Only God's power saves in the wilderness. God says, "My power is made perfect in weakness" (2 Cor.12:9). Our weapon against our enemies who try to talk us out of our covenant rights is the two edged sword of these past tense promises (Heb.4:11,12). We are justified by faith and not works which is being proven day by day. Do you hear the ambulances going by with their sirens on? I want to say something else that I think will be very encouraging to you there's a way to make it through this. There was a brother back in the time of Romans 16 and his name was Hermas. It's very possible that he's the one that received this revelation. It was just a few years after the book of Revelation was written that he got this revelation it was called the Shepherd of Hermas and at that time of course they were going into tribulation and he was given a warning. I mean, the Church, the people of God were headed into a tribulation and he was given a warning that he was told to send to the churches and it's not part of the Bible. It used to be, as a matter of fact. People thought it was part of the Bible. I don't believe that it is; I just believe that it's a very good revelation that's giving an encouragement; an exhortation to the to the scriptures to obey the scriptures and submit. I believe it's very good and I think that since he was exhorting the Church, he was about to go into tribulation.  Some of the things are very pertinent to us at this time because that's exactly where we are and I know that God preserved this through the centuries in order to give it to us again. It's not the level of inspiration that the scriptures are, but it's very good and it's anointed and it was given of the Lord; just like if god would give you a vision or just like Gene Fahey's vision about the great tree that was cut down and Babylon. You know, God can give you one that's concerning your immediate future because you know God speaks in general ways in the scriptures, but he really doesn't tell you about your immediate future and where you're fitting in and where you are at the time and what is your signpost at the time. So that's what dreams and visions are for is to give us these revelations. Well anyway, God gave to Hermes awesome revelations; actually, it's one of my favorites outside of the scriptures. Okay, I'm going to read part of it to you because it's concerning coming tribulation and what to do about it and how he escaped it. Okay this is vision four. It's a vision of the Church and it's called, The Tribulation to Come: That which I saw brethren, twenty days after the previous vision had occurred was a foreshadowing of the tribulation to come. I was going into the country by the Via Campana. The place is about six thousand feet from the public thoroughfare and is easily reached. (I don't think anything in here, kind of like the Bible; nothing in here is really in there by accident. “6,000 feet from the public thoroughfare” I wrote a little note in the edge of this book. I said, “off the road since Adam”. They're off the public thoroughfare six thousand feet and actually we're six thousand years off the road since Adam. So here comes the beast. This is a kind of a symbol of the timing for us too.) The place is about six thousand feet from the public thoroughfare and is easily reached. So as I was walking along by myself, I asked the Lord that the revelation and vision which He had shown me through His holy Church might be completed, so that He might strengthen me and give repentance to His servants, who had been led astray in order that His great and glorious Name might be glorified, because he regarded me worthy to show me his wonders. And as I was glorifying Him and giving Him thanks, something like the sound of a voice answered me, “Be not double-minded Hermas." and I began to reason with myself and to say, how can I be double-minded when I've been made so secure by the Lord and have been and have seen such glorious things. (And you think you would think that but, actually you get into situations and you do things that you don't think you would and that's where Hermas is headed right here.)  I walked on a little brethren and, behold, I saw a cloud of dust reaching, as it were, up to heaven and I began to say to myself, “are there not cattle coming raising a cloud of dust?” and it was about 600 feet away from me. (There's that six again. Six, six and the next verse, by the way, is six.)  It was about 600 feet away from me when the dust cloud became greater and greater. I suspected it was something divine. The sun shone more brightly for a moment and behold, I saw a huge beast, something like a sea monster, and out of his mouth were coming fiery locusts. (Sounds like Revelation doesn't it? You know, locusts devour the grass, don't they? There it is, this huge beast is about to devour much flesh.)  And the beast was about a hundred feet in length and it had a head like a jar. (I made a little note here: 100 feet in length represents the fullness of the scope of this beast. Do you know we've read in scriptures that this beast is actually everyone who is outside of Christ. It is actually the whole lost world; the whole beastly kingdom of this world coming together into one like they were at the tower of Babel. Once again the whole world is joining together in order to oppose God. So I took to mean a hundred percent. The scope of this beast is a hundred percent of all lost humanity; everyone whose spirit does not confess that Jesus Christ is come in their flesh, is this beast.) And I began to cry and to beseech the Lord to save me from it and I remembered the word which I had heard, “Be not double-minded Hermas.” So brethren, being clothed in the faith of God and remembering the great things He had taught me, taking courage, I entrusted myself to the beast. And the beast came on with a rush as if it could destroy a city. I drew near to it and the sea monster, great as it was, stretched itself out on the ground and did nothing but thrust out its tongue and did not move at all until I had gone by it. And the beast had four colors on its head: Black, then the color of fire and blood, and then gold, and then white.  And after I had passed by the beast and had gone on about 30 feet, behold, a young lady met me, adorned, as if coming from a bridal chamber; all in white and with white sandals, veiled up to her forehead and her head covering was a snood, but she had white hair and I knew from my previous visions that she was the Church. (Obviously the called out ones right?) And I became more cheerful.  She greeted me saying, “How do you do friend?” And I greeted her in return, “How do you do madam?” She answered me and said, “Did nothing meet you?” I said to her, “ Madam, a beast so great as could destroy entire peoples. But, by the power of the Lord and by His great compassion I escaped it.”  “And it's only right that you escaped”, she said, “Because you cast your burden upon God and you opened your heart to the Lord, believing that you could not be saved by anything but the great and glorious Name.” (Isn't that interesting folks? There are so many people that are expecting to provide for themselves, to save themselves, to defend themselves and yet here the revelation says that you can't be saved by anything except by the name of the Lord. It is only our faith in Him that will bring us to the place where we can escape this great beast that's coming; only by faith in Him.) “And therefore, the Lord sent his angel who has authority over beasts whose name is Fegri and he shut its mouth so it might not hurt you. You escaped a great tribulation because of your faith and because when you saw so great a beast, you did not become double-minded. Go then, and tell the elect of the Lord about His great deeds and say to them that this beast is a foreshadowing of the great tribulation to come. If then, you prepare yourselves in advance and repent with all your heart before the Lord, you will be able to escape it; for if your heart becomes pure and blameless and you serve the Lord blamelessly the rest of the days of your life.” (What tribulation was he talking about that was immediately in their future? Well, there was the great Harlot of Rome and the Roman beast that was going to slaughter the people of God. And, as you know, the Church that they raised up, the Catholic church, heavily persecuted people who were people of faith and killed many. So they were heading into, very much, the same kind of a tribulation that we are. Apostate christianity, with a new Roman beast; a worldwide Roman beast, is going to persecute the saints. Well, there was a way to escape it. She said the church or “called out ones”. She was preaching the good news here.)  “If your heart becomes pure and blameless and you serve the Lord blamelessly the rest of the days of your life. Cast your burdens upon the Lord and He will set them straight. Have faith in the Lord, you who are double-minded, because He can do all things and turn His wrath from you and send out plagues to you who are double-minded.” (Interesting. Will God do that? Yes He will. He will plague the double-minded and deliver his people who are the faithful; who are the believers, who are the disciples.) “Woe to those who hear these words and disobey it would have been better for them not to have been born.”  Charter 24: I asked her about the four colors that the beast had on its head and she answered me and said, “Again you are inquisitive about such things.” “Yes madam”, I said. “Make known to me what they are.” “Listen”, she said, “The black is this world in which you live. The color of fire and blood means it is necessary for this world to be destroyed by blood and fire. And the gold part is you, who have fled this world. For just as gold is tested by fire and becomes useful, so also you, who live among those people are being tested.”  (Yes we are. God purposely put us here in the midst of the wicked to be tested and tried to see if we will be faithful to His Word.” Many cannot because they have more respect for the world, more fear of the world, more love of the world. They cannot be faithful to God so hence the exhortation to be blameless and pure and turn to god within everything.)  “Those, then, who endure and are made red-hot by them are purified. For just as gold casts off its dross, so also, you will cast off all grief and distress and you will be purified and be useful in the construction of the tower. (The tower is of course the tower of God's people that he's speaking about here. And there's a revelation of it. It's an awesome revelation about the stones that went into this tower you know and how that some of them were cracked and some of them were defaced and how that they were being perfected to be put in this tower of God's Zion.) “And the white part is the age which is to come, in which, the elect of God will live because those who have been chosen by God for eternal life will be spotless and pure. So speak constantly in the hearing of the saints. You have also the foreshadowing of the great tribulation which is to come and if you so wish, it will be nothing.” (Notice that, “If you so wish it will be nothing" if you prepare; if you draw close to the Lord, if you repent, if you're determined to be blameless and pure by faith in God's promise and in his Word, then God will have you ready for this.) “Remember those things which have already been written.” (And of course that's true. What's written in God's word we cannot depart from.) After she had said these things she departed and I did not see where she went for there came a cloud and I turned back, in fear, supposing that the beast was coming. (The guy got double-minded didn't he? You know, there's some curious things in here too.  Well, I want to read this part to you because the main exhortation that was given to Hermas to prepare him for the coming of the beast was, “Be not double-minded Hermas.” And he received an awesome awesome exhortation in mandate 9 in, The Shepherd of Hermas. The Shepherd, of course, was the Lord Himself. That's the name usually given to this book. Cast off Double-Mindedness is the name of this mandate: He said to me, “Cast off from yourself double-mindedness” (Many times it was the Shepherd who came and appeared to Hermas, who gave him these revelations. Sometimes it was the Church like in the past ones.) “Cast off from yourself double mindedness and be not at all double-minded about anything about asking anything from God by saying to yourself, “How am I able to ask anything from the Lord and receive it, since I have sinned so much against Him?”  (Well, that's interesting you know. Is there anybody among God's people that hasn't sinned against Him and yet when Jesus went about doing good, healing all, who was oppressed of the devil for God was with Him. You know when the people of God came to Him, He demanded faith from them. They had a covenant already. He demanded faith from them for their healing or deliverance or whatever and He gave it to them. They weren't worthy of it but he gave it to them and now the Lord is telling him don't be double-minded by thinking, “How can god answer me? I've been such a sinner.” Very interesting; You know the devil uses condemnation to destroy our faith in God but there's no condemnation to them that are in Christ Jesus. And it actually was added there. It was added, I say, it was not in the original because there's no numeric pattern for, “who walked not after the flesh but after the spirit”. Because, of course, there's no one that's under condemnation who is walking in the Spirit. But, the problem is, many of us are somewhere in between; between the flesh and the Spirit.  Now, how in the world do we ever get there if we don't get our prayers answered and how do we ever get our prayers answered if we're condemned for our foolishness and for our failures? That's the grace of God and that's what the Lord is exhorting him to exhort us about. “Don't be double-minded” and what did he call being double-minded? Well to think in yourself, “I've been such a failure how is it that God will answer my prayers?” It is by grace.)  Verse 2: Do not consider these things but turn to the Lord with all of your heart. (That reminds me of what Paul said in Philippians 3, “forget the things which are behind and press forward to the prize of the high calling of God in Christ Jesus." right? Forget what's behind just change the future okay and by faith in god you can do that.) Do not consider these things but turn to the lord with all of your heart and without hesitating ask of him and you will know his great compassion because he will not forsake you but will fulfill the requests of your soul. (Isn't that good and great! The Lord is merciful and He is graceful and we don't deserve it but, that shouldn't enter into it according to what the lord's saying right here.)  Verse 3: For God is not as men who hold grudges but He seeks not vengeance and has compassion on what He has made. So cleanse your heart of all the worthless things of this age and of all the words which were spoken to you before, and ask of the Lord and you will receive everything and all of your requests will be granted if you ask of the Lord without hesitating. (Well, that's exactly what the Bible says and that's exactly what Jesus said, “all things whatsoever you ask in prayer believing you shall receive.” That's exactly what Jesus said. Many of you out there that are listening to me; the devil has spoken to you these same things. That you're not worthy. You can't expect God to answer your prayers. But, the Lord is exhorting you, through this revelation here, yes you can receive from God. We have no hope without grace. You know, we can't pick ourselves up by our bootstraps. Everything that we receive has to come from without even the faith to believe has to come from without.  Because of our fallen nature we cannot be expected to be righteous before we receive from the Lord. Can you expect to be perfect before you can get anything from God? Well then, you'll never make it because the first thing you need from God is righteousness right? You'll never make it. So forget that. It's self-righteousness and foolishness. Ask of the lord without hesitating, that's what He says.)  If you hesitate in your heart you will not receive any of your requests. (Well, that's exactly what James 1 said, you know, that “a double-minded man is unstable in all his ways think not that man shall receive anything from the Lord.”) For those who hesitate before god they are double-minded and they do not obtain any of their requests. (That's James 1-7 to the T, isn't it?)  Verse six: But the ones who are complete in the faith ask for everything since they have trusted the Lord. (They asked for everything. Have you ever had that devil sit on your shoulder and say, “The Lord don't want to hear that! He's got more important things to do!” I mean, well first of all, when you pray about even the little things, what you're saying is, “I trust in you Lord. I'm not trusting me. I'm not seeking by my own efforts to bring this to pass. I know this is a trial of my faith and I trust in you.” And since He has “ministering spirits sent forth to do service that for them that are heirs of salvation” you've got angels right there to take care of it all. Just trust in God.) But the ones who are complete in the faith ask for everything, since they have trusted the Lord and they receive it because they ask without hesitating; not being double-minded, for every man who is double-minded if he does not repent will be saved with difficulty. (Double-minded, of course, is when you listen to the spirit and then you listen to the flesh, and you listen to the spirit and you listen to the flesh. You have faith and you have doubt. Double minded actually in James 1-7 is “two souled”, schizophrenic, he would be called today. And since we're always, you know, somewhere in the process of sanctification. The process of sanctification is the process of changing your soul to become spiritual like your Spirit is. Your spirit is born of God. If you're born again you have a born again spirit and your soul was created to obey your spirit which obeys God if it's born again right?   However, the soul there, is the soul of the flesh or the mind of the flesh and the mind of the spirit or the soul of the spirit and that means, of course, that your soul is divided in its attention either in following your spirit or following your flesh. It's two-souled; it's double-minded, but you have the authority to say “no.” You have the authority. Who you will listen to? You have the authority to cast down vain imaginations that are against God. You have the authority to listen to the spirit. You don't have to be double minded. So he goes on to say: So cleanse your heart of double mindedness and put on faith because it is strong and trust God, so that you will receive all requests for which you ask. (Listen to that. All requests, all requests; all doesn't leave anything out, does it? Jesus said, “all things whatsoever you ask in prayer believing you shall receive.” It is the Word of God. It sounds too good to be true by most people who read these kinds of things, but it is the Word of the Lord and the very fact that it seems too good to be true, proves that you have double- mindedness right?) Whenever you ask something from the Lord and you receive the request rather slowly do not be double-minded. (Well you know, this happens all the time right? People ask something from the Lord and they don't see it happen immediately or the first month or the second month or the third month or even in a year. Sometimes he says when this happens do not be double-minded, in other words, don't shrink from your faith your confidence in God. Don't do it. Abraham was a very good example of that right? Well, he believed and he was double-minded for a long time, frankly, but within about the last year ,he finally straightened up his faith and received from the Lord.) So, whenever you ask something from the Lord and you receive the request rather slowly do not be double-minded, because you did not receive the request of your soul speedily. For, in every case, it is because of some temptation or transgression of which you are ignorant that you receive your request so slowly. (Well you know, when you believe God to do something you're also trusting in Him to work in you. You're also being very careful that you don't offend Him. You know, in the New Testament, sin is different from the Old Testament. Sin in the Old Testament was a transgression against the written law, which made it impossible to be sinless.  But, in the New Testament, “to him that knoweth to do good and doeth not to him it is sin.” Sin to us is sin against the known will of God. Now if we're failing God because we don't have faith, then we just need faith. You know in Romans Chapter 7, Paul spoke about his situation and that he was being double-minded at first because he was looking at himself. He was looking at his failure. He got a revelation from God and his revelation was, since “the good that i would do i do not it's no longer i that do it but the sin which dwelleth in me.” In other words, since he wanted to do good he wanted to please God but he was failing, then it was no longer him, that is him the spiritual man, it was instead, “the sin that dwelled in him” and he went on to say in the beginning of chapter 8 “there's no condemnation of them that are in Christ Jesus.”  See, basically God got on Paul's side against the sin in his life, not against him, against the sin. It's no more I that do it, it's the sin that dwells in me and he confessed faith; the law of the spirit of life in Christ Jesus made me free from the law of sin and of death. He confessed his faith and he said there's no condemnation of them that are in Christ. That's what we need to do. If you fail in God, confess your faith and don't be double minded. Don't worry about the old man. The Lord is taking care of him. Did you know that? You know, you don't have a problem with sin anymore. You might have a problem with faith, but you don't have a problem with sin. The sin the Lord already dealt with. He took it away. He said, “Reckon yourself to be dead unto sin but alive unto God.” Consider it done; that's what faith does, considers it done. So you may be doing some things that the Lord needs to straighten up and He will do that, but meanwhile, you have to keep believing. There's nothing else you can do to come to the end of this thing. The revelation that Paul got was: He was going to keep believing because it wasn't him doing it anyway, it was the sin dwelling in him he was going to believe that the law of the spirit of life in Christ Jesus made him free from the law of sin and death.  He was going to keep on believing that there was no condemnation in those that are in Christ Jesus, so you're accepting something by faith; you're accepting a gift of God's righteousness by faith and since you are righteous by faith, you are entitled to the things that you ask of God So faith is accounted as righteousness since you are righteous by faith, your faith is accounted as righteousness.  Now, of course, we're not talking about those who walk in willful disobedience and use Christ to live in their flesh. They're not doing what Paul was doing “It's not the good that they would do" because they would do evil and they're walking willful against God. "If we sin willfully there remains no sacrifice for sin but a certain fearful expectation of judgment" the Bible says. But if you want to please God, you're seeking to please God, you hate the old flesh and you hate the sin and you want to please Him then walk by faith, because he is a sufficient Savior and, by the way, even before He's perfected you in holiness, you have a right to the rest of God's benefits because faith is accounted as righteousness.  So what can you do? You have to walk by faith no matter how much you've failed. You have to walk by faith to get out of it. The devil knows that and he tries to do everything to talk you out of it; to tell you that you're not worthy and to tell you that God didn't hear and to tell you, “Look how long you've waited and nothing happened.” So that you'd be double-minded.) Verse 8: So do not cease asking for the request of your soul and you will receive it but, if you lose heart and become double-minded in your asking blame yourself and not the one who gives to you. (Hey, we've got doctrines out there that blame God. You know what they say, “Well sometimes God answers and sometimes God says no. And sometimes, you know, they got these crazy doctrines you know but the Bible says in 2 Co. chapter one, concerning the promises of God, that the answer of God is, “Yes”, it's always yes concerning his promises; not no.  So he says blame yourself if you get double-minded and don't blame the one who gives to you and see God gets all the blame when people don't receive things but think about the times when Jesus' disciples, who had been trained by the very best, came back to him and wondered why they didn't receive results for their faith and he said, “Because of your unbelief”. He didn't say because you were unworthy, or because you failed me, or because you sinned; He said, “Because of your unbelief.” He said consistently, “Be it unto you according to your faith." But often people don't receive answers and they say, “Well, it wasn't the will of God for me to have this or it wasn't the will of God because of this or that, you know. Well quite often folks it's because of unbelief.) Verse 9: Watch out for this double mindedness for it is evil and foolish and it uproots many from the faith. (True) Even those who are very faithful and strong, for this double mindedness is also the daughter of the devil and does much evil among the servants of God. So despise double-mindedness and overcome it, in every case, putting on a faith that is strong and powerful. For faith promises all things; perfects all things. But double-mindedness, which does not trust itself, fails in all that it does. (So you see he said that faith is from above from the lord and has great power but double-mindedness is an earthly spirit from the devil which has no power.) So serve faith which has power and refrain from double mindedness which has no power and you will live to God and all who are so disposed will live to God. (Well, he definitely exhorted over and over against double mindedness there didn't he? And it's true. Today we have a great tribulation coming upon us. God's giving us the signs so that we won't be taken by surprise and we know it's coming and we should be prepared by casting down our vain imaginations about saving ourselves or preparing for ourselves or sin in our life. All such things as what the Lord has already taken care of and already provided for us and learn to walk by faith now and prepare for these things that are coming now.  Hermas wasn't, I wouldn't say, very much prepared because he immediately became double-minded when he saw the dragon or the beast or whatever it was and had to be reminded of the Lord. But when he did act on his faith, he found out it wasn't as terrible as what it could have been. You know, the devil is seeking whom he may devour and and “may” means permission you know. It involves permission and it involves your permission. Quite often the devil devours people because of their unbelief. We found out that God would send those plagues to the double minded meaning, of course, because of their double mindedness they're giving the devil permission to take advantage of them and the dragon will devour many. So we need to learn to walk by faith in god's promises we need to put them down in our heart. They are the best provision we can possibly have for the things that are coming upon the world.  As we saw, America is going to very much change. Its nature is going to be turned over to the devil for the destruction of the flesh so that the spirit might be saved in the day of the Lord. Have you ever read that in 1 Co. chapter five he was talking about a man who had his father's wife? Well, you know who the "Father's wife" is don't you?  So listen, not only does God turn individuals over to satan for destruction of their flesh, He turns nations over to the destruction of the flesh and there's quite a bit of flesh in America. You know, I'm just thinking of that man in 1 Co. 5. I don't know what form it was that the devil took him over but, we do know it was one form or another and we know that's what's going to happen to America folks, is for seven years it's going to lose its mind. This government is going to be very foolish and seek to save themselves by destroying the rest of the world. You know they're gonna quite freely use up their nukes on different nations that disagree with them, not caring for the life of the people; not caring folks.  For instance, let me point out something to you about Iran. You've got an illegitimate regime running that country. They cheated in the vote process; they cheated every way they could. They made laws to kick out the rest of the dissidents from their government so that the only people that ruled would be these radical mullahs. A lot of their country disagrees totally but there's not much they can do about it with their government and now we just read that their government is doing this on the slide. The people, a lot of people don't even know what they're doing. They're doing a lot of this on the side. Well, you know they're going to go over there and wipe out an awful lot of people that are not guilty. I mean everyone's guilty, don't get me wrong. There is nobody on planet earth that's not guilty and we all really deserve to die and there is a flood coming that's going to prove that. But in the natural there's a lot of people over there that are just ignorant.  I mean, they've been trained to be patriotic, of course, and they will defend their nation and I guess if they don't do it over there, it's a little different than over here. I mean they'll do more than put you in jail over there, they'll probably shoot you. So they will defend their nation and many of them will die, not knowing the Lord in their ignorance; having been taken in bondage by satan himself. You have to pity people like that. But you know America; they're not going to have pity. Just like the Iranians are not going to have pity. You know the world doesn't know much about pity and they don't know much about grace. We're the only ones that really should be having the understanding of grace and pity for those who are in bondage to satan. The Bible in 1Co 5 tells us not to dare judge those that are without. Those that are without, God judges.  We don't judge them because they haven't been given the grace of God through faith to see and to partake of God's mercy and his benefits and understanding and all these things. So we have to be very merciful towards those people. In fact, I exhort you to pray for the Iranians folks. An Iranian that gets saved is just as good as an American who gets saved. Don't fall into that delusion. God's got people all the way around the world right?  Pray for these people because there is no doubt that through these great tribulations many will become Christians. Many in foreign lands will become Christians and it's not going to be because of the example of the United States; it's going to be because of the example of God's people and because of the grace and the love that they share with people. See we're to love our enemies. You know this. We're to overcome evil with good. We can't judge them, we have to love them. But America is not going to be that way, and I might add, that a lot of radical American Christians are not going to be that way towards these people and it's sad, because this is what our Lord Jesus commanded in the Sermon on the Mount and yet it's totally ignored. But this is how people are impressed with Christianity. They're impressed with our love, with our faith, with the provision that god gives to his people. I mean, they're impressed with your healings, they're impressed with your provisions that god has given to you through your faith.  You know there's a lot of people out there that have false gods and they're impressed when they run into real Christians and find that they get answers to prayer; supernatural answers to prayer, that kind of reveals to them you really have a God who answers and that there is a God who is concerned and you know, it's sad that what they normally run into is not a Christian at all but somebody that's claiming to be a Christian. So yeah, the world is going to fall all apart. It's going to be fighting one against another. America is, in a way, going to be turned over to the devil for the destruction of the flesh so that the spirit might be saved in the day of the Lord. You know the Spirit is in America, don't you? It's God's elect and great chastenings are coming over America and demon possession is coming over America. Revelation 18 tells us that Babylon is going to be filled with all these demons and what's the purpose? So that people in darkness, in bondage, will run to the light and who's got the light? Well, if we agree with the Word and we represent our Lord to the world with his promises and with his blessings and provisions, then we are the light and they will run to us. But if we're like the world because of a patriotic spirit or because we wrestle with flesh and blood instead of principalities and powers, they're not going to see any light in us. So we need to get prepared. You know, the Lord is putting us into a situation where it's a cross to our old man. He's putting us into a position of being weak, actually, because he's told us, "resist not the evil and love your enemies" and yet He's raising up a bitter enemy all around us and he's giving us this opportunity. We're being tried. We're going to be tested. You know Hermas basically approached the beast in faith after he cast down double mindedness and the beast wasn't used to judge him or destroy him, because he was walking by faith and because he was accounted righteous and so it'll be the same with us folks. We just need to walk by faith in our God, cast down all that double mindedness and part of that is going to be the way we react to the people around us. If you retaliate with the way of the world, that's sin. That's contrary to our Lord's commandments and if you lean upon your own understanding and you do things the way of the worldly Church, that's sin. Read the New Testament. Make sure you're right with God. Make sure you're committed to being a disciple of Jesus Christ and not a disciple of apostate Christianity especially Americanized, apostate Christianity, okay?  In order to be a disciple of Jesus, we have to obey what he said. He said, “Why do you call me Lord Lord and don't do what I say.” So there are many people who are loosely called christians and they are not and they will not escape. God will send his plagues to the double-minded just like he said in that revelation. 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