Month: March 2014

A Killer Migraine

 

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Q. A 23 year old woman comes to the physician because of a severe headache that began 7 hours ago. The pain is located on the right side of her head and is made worse by head motion or sneezing. She also complains of ringing in her left ear, tenderness over her face and scalp on the right side of her head, and severe pain with brushing her hair. She has had some relief by lying down in a dark, quiet room. She has had no change in vision. Her temperature is 37.1 Celsius (98.8 F), her blood pressure is 118/72 mmHg, and her pulse is 95 bpm. Examination reveals photophobia. The remainder of the exam shows no other abnormalities. Modulation of which of the following neurotransmitters is most likely necessary to treat this patient’s disease in the acute setting?

A.     Dopamine

B.    Gamma –aminobutyric acid

C.    Histamine

D.   Serotonin

E.    Norepinephrine

F.    Acetylcholine

G.    Norepinephrine

H.   Adrenocorticotrophic hormone

I.     Neurotensin

J.     Vasopressin

K.   Somatostatin

L.    Growth hormone releasing hormone

M.  Thyrotropin-releasing hormone

N.   Vasoactive peptide

 

The correct answer is D. Serotonin. The patients headache is characteristic of a migraine headache: unilateral, throbbing, accompanied by nausea, vomiting, photophobia, or aura symptoms such as audio or visual changes. Migraine headaches have a complex pathophysiology but they are believed to be caused (in part) by a dyregulation of the serotonergic control of the cerebral blood vessels.

During migraine attacks there is a relative deficiency of neuro-active serotonin, this results in a cerebral vasodilation. Now, between attacks there is often an excess of serotonin.

Acute treatment of migraines (abortive) is accomplished mainly by the famous “triptan” class of drugs i.e. (Sumatriptan), although NSAIDs, acetaminophen and ergotamines are frequently used. These “triptans” work mainly as agonists of serotonin receptors and are believed to result in cerebral vasoconstriction of those dilated arteries causing the migraine symptoms, in addition to other central effects.

Love Your Enemies

love your enemies

 

 

 

Matthew 5:43-45a “You have heard that it was said, ‘Love your neighbor and hate your enemy.’ But I tell you, love your enemies and pray for those who persecute you,  that you may be children of your Father in heaven.”

Luke 6:27-28 “But to you who are listening I say: Love your enemies, do good to those who hate you,28 bless those who curse you, pray for those who mistreat you.

This week I have been struggling to love and to pray for those who persecute, harass and/or mistreat me and my family. This decision may baffle non-Christians, and yet this is the lifestyle to which we (as Christians) are called to live.

Matthew 16:24 “Then Jesus said to his disciples, “Whoever wants to be my disciple must deny themselves and take up their cross and follow me.” 

A main doctrine taught by Jesus is that we are to love all people regardless of how they treat us.

Although people set themselves up as enemies against us, we (as Christians) must keep in mind that these same people are in desperate need of a saving relationship with Jesus and an understanding of His authority over their lives. The Bible teaches us to love our persecutors just as Jesus Himself loved those who betrayed Him, just as Jesus loved those who beat and battered His body, just as Jesus loved those who falsely accused Him and murdered Him. So we pray sincerely that our enemies might see the light and enter into His Kingdom!

Knowing Who Your True Enemy Really Is…

The Bible says that our true enemy is the devil. Ephesians 6:12 “For our struggle is not against flesh and blood, but against the rulers, against the authorities, against the powers of this dark world and against the spiritual forces of evil in the heavenly realms.” Therefore, we should not take our anger out on our fellow brother or sister, rather we should recognize that behind the flesh and blood of our enemies ultimately lies Satan at work in their inner being.

The Situation Seems Helpless! Can Things Really Change?

It’s not easy to imagine that our enemies as bad as they are to transform before our own eyes… I ask myself, “could he ever turn away from sin  and come to Christ?”  Mark 10:27 says, “What seems impossible to us is possible with God.” 

Let’s put our faith to work! Do you have an enemy? I challenge you to pray for this person that he/she may repent and come to their senses, pray that they Pray that they will rid themselves of “anger, rage, malice, slander, and filthy language from [their] lips” Colossians 3:8. Pray that God will rescue them from the dominion of darkness and bring them “into the kingdom of the Son He [the Father] loves, in whom we have redemption, the forgiveness of sins” Colossians 1:13-14.

 Jesus died for His enemies… Are you willing to follow Him, carry your cross and do the same?

The Amazing Human Body

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We may live in the computer age but the human body is still the worlds most amazing creation. According to research posted in “Wired Magazine” 2011 – if you count ALL the computers in the world, they would be able to process 6.4 QUINTILLION instructions per second (combined).

6.4 quintillion is a number followed by 17 zeros!!!

This number is almost equal to the number of nerve impulses sent out by the human brain EVERY SECOND!

The human heart is equally as impressive. Did you know that the amount of energy an average human heart produces with an hour of beating is the same amount of energy that is needed to life a ONE TON object 3 feet off the ground.

When I reflect on these scientific facts and then look around my house… I see many wonderfully created appliances i.e. microwave and it’s many complicated parts or my television and it’s intricate mechanisms… I know that someone thought of these appliances, and then created these complicated machines with a purpose in mind (the microwave, the television, my watch they didn’t magically or randomly put themselves together to form something complicated and with a purpose.)

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Now, when I look at the human body I see the most complex of ALL creations – am I suppose to believe that everything else (my microwave, television, watch etc…) that all these things have a creator, all these things were created except me? ME! the most complicated of all creations?

Psalm 139:13-15 For you formed my inward parts; you knitted me together in my mother’s womb. I praise you, for I am fearfully and wonderfully made. Wonderful are your works; my soul knows it very well. My frame was not hidden from you, when I was being made in secret, intricately woven in the depths of the earth. Your eyes saw my unformed substance; in your book were written, every one of them, the days that were formed for me, when as yet there was none of them.

The Paradox Of Our Time In History

The paradox of our time in history is…

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We have taller buildings but shorter tempers, wider freeways, but narrower viewpoints.

We spend more, but have less; we buy more, but enjoy less. We have bigger houses and

smaller families, more conveniences, but less time. We have more degrees

but less sense, more knowledge, but less judgment, more experts, yet more
problems, more medicine, but less wellness.

We drink too much, smoke too much, spend too recklessly, laugh too little,
drive too fast, get too angry, stay up too late, get up too tired, read too
little, watch TV too much, and pray too seldom. We have multiplied our
possessions, but reduced our values. We talk too much, love too seldom, and
hate too often.

We’ve learned how to make a living, but not a life. We’ve added years to
life not life to years. We’ve been all the way to the moon and back, but
have trouble crossing the street to meet a new neighbor. We conquered outer
space but not inner space.

We’ve done larger things, but not better things. We’ve cleaned up the air,
but polluted the soul. We’ve conquered the atom, but not our prejudice.

We write more, but learn less. We plan more, but accomplish less.

We’ve learned to rush, but not to wait. We build more computers to hold
more information, to produce more copies than ever, but we communicate less
and less.

These are the times of fast foods and slow digestion, big men and small
character, steep profits and shallow relationships. These are the days of
two incomes but more divorce, fancier houses, but broken homes.

These are days of quick trips, disposable diapers, throwaway morality, one
night stands, overweight bodies, and pills that do everything from cheer,
to quiet, to kill.

It is a time when there is much in the showroom window and nothing in the
stockroom. A time when technology can bring this letter to you, and a time
when you can choose either to share this insight, or to just hit delete.

Remember; spend some time with your loved ones, because they are not going
to be around forever. Remember, say a kind word to someone who looks up to
you in awe, because that little person soon will grow up and leave your
side.

Remember to give a warm hug to the one next to you because that is the only
treasure you can give with your heart and it doesn’t cost a cent. Remember,
to say, “I love you” to your partner and your loved ones, but most of all
mean it. A kiss and an embrace will mend hurt when it comes from deep
inside of you. Remember to hold hands and cherish the moment for someday
that person will not be there again. Give time to love, give time to speak
and give time to share the precious thoughts in your mind.

 

From G.C 1937-2008

How To Pray

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Mother Theresa was once asked about her prayer life.

The interviewer asked, “When you pray, what do you say to God?”

Mother Teresa replied, “I don’t talk, I simply listen.”

Believing he understood what she had just said, the interviewer next asked, “Ah, then what is it that God says to you when you pray?”

Mother Teresa replied, “He also doesn’t talk. He also simply listens.”

There was a long silence, with the interviewer seeming a bit confused and not knowing what to ask next. Finally Mother Teresa breaks the silence by saying, “If you can’t understand the meaning of what I’ve just said, I’m sorry but there’s no way I can explain it any better.”

Have you ever been in love? or have you seen people who are in love behave? they act strange to say the least:

When you’re in love with a person and you’re on the phone with them… you’ve just spent the past 4 hours talking and yapping away… after 3-4 hours of talking there’s not much else to say, both of your mouthes are dry. However, neither one of you can hang up the phone… there’s a silence on the line; but it’s not awkward. You’re both smiling at the end of the each line and you’re just listening to each other listening.

This is prayer!

When you’re so in love with God, so in tune with God that you just don’t want to hang up on Him and God doesn’t want to hang up on you. When you’ve ran out of things to say, but you want to remain in His company so you just stay there and listen to God listening to you. You’re both so in love with each other that neither party wants to hang up the phone… and you get the classic scenario

You: “No, you hang up…”

God: “No, you hang up…”

No one wants to hang up first, this is love this is love and this is prayer!

A Quick Surgical Case

Q. On the second postoperative day after an abdominoperineal resection for rectal cancer, a 72-year old man complains of severe retrosternal pain that radiates to his left arm. The patient also complains of shortness of breath that has progressively become worse since the morning. Patient is tachycardic with a pulse of 104 bpm, his palms are sweaty and cold. What is the most reliable test?

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I Don’t Want To Live By Your Rules…

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A New Jersey teenager claiming that her mother and father tossed her out of their home and cut her off financially is suing them for immediate support $$$of unpaid phone bills, unpaid rent (to live with her boyfriend), food, as well as current private-school fees and future college tuition. The parents, meanwhile, say that daughter Rachel Canning, 18, moved out voluntarily after refusing to abide by their rules.

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