Participants: Allan Handysides, Stoy Proctor
Series Code: WM
Program Code: WM000348
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00:01 The following program presents principles
00:03 designed to promote good health and 00:06 is not intended to take the place of 00:07 personalized professional care. 00:09 The opinions and ideas expressed are those 00:11 of the speaker. Viewers are encouraged 00:13 to draw their own conclusions 00:15 about the information presented. 00:37 Hello, my name is Stoy Proctor, 00:39 I am here today hosting 'Wonderfully Made.' 00:44 We are wonderfully made but sometimes 00:47 things go wrong. Today we're gonna be 00:50 talking about arthritis. Different types of 00:53 arthritis, in fact there is 100 varieties of 00:55 arthritis we're not gonna talk about all 00:57 one hundred today but we're gonna talk 00:59 about some of the things we might be able 01:01 to do to ease the pain and may be even 01:06 make life a little easier as my guest today 01:09 I have Dr. Allan Handysides, Allan, 01:12 welcome and you're gonna be our guest 01:14 today and I'd like to ask you first what is it? 01:21 What is arthritis? What is arthritis? 01:24 Well it's a simple word, it really means 01:27 inflammation of a joint, and as such there 01:31 are many as you've already said, 01:33 many different kinds of arthritis. 01:35 A joint is classically made of, is the place 01:39 where two bones come together and the 01:42 good Lord made us in such a way that the 01:45 surfaces of those bones are covered with 01:47 cartilage which allows there to be a 01:49 movement that slips and slides rather easily. 01:53 A lubricant is provided to that joint by 01:57 what is called Synovium or the Synovial 01:59 membrane. Now, this is a specialized structure 02:03 that lines the joint but not over this surfaces 02:08 that rub together but on the inside of the 02:11 capsule that holds the joint together and this 02:15 membrane secretes a lubricating fluid that 02:19 actually gives a nice smooth gliding surface. 02:25 Around the the Synovium is the capsule and 02:29 then supporting the joint are various 02:31 ligaments and tendons and then the muscles 02:35 and so we find that we have this very a 02:38 compact place between bones that gives 02:41 both strength and support and yet at the 02:44 same allows for flexibility and therefore 02:47 for movement. We usually define joints 02:50 small joints and large joints the large joint, 02:54 the largest joint of course there is the 02:55 hip joint. We have knee joints, we have 02:58 then smaller joints, the smaller ones which 03:01 are in our fingers and in our feet. 03:05 And we can get arthritis, different forms 03:07 of arthritis effect different joints 03:11 predominantly so there are patterns of 03:13 arthritis. Now, my grandmothers, 03:17 I've got two grandmothers as most 03:18 people, and both of them had rheumatise, 03:24 what do you think this was? 03:26 Well, what is rheumatise? Well, rheumatise, 03:30 I heard many years ago. And my family 03:31 use to be lumbago, and okay, rheumatism, 03:35 and so forth. That term is a term that has 03:38 been used over generations and it's a lay 03:42 term that refers to arthritis. 03:46 Usually it's referred to the form of 03:48 arthritis that came with aging which is 03:52 osteoarthritis, but any of the forms of 03:55 arthritis that might have been called 03:57 rheumatise you know according to the old 04:01 time treatment. Now, I'd like to ask 04:02 you something because my grandmother 04:04 used to be able to forecast the weather, 04:08 is that possible? You know this is, 04:09 it's a very interesting thing and we don't 04:11 quite understand why that is, but many 04:13 people who have arthritis are sensitive to 04:18 possibly barometric changes, pressure 04:20 changes. And we'll be able to say there 04:23 is bad weather coming along. Interestingly my 04:25 wife she doesn't have arthritis that I've been 04:28 able to define but she has had over the 04:31 years joint pains of various variety and she 04:34 will sometimes say I think we're going to 04:36 have a storm because my knees are aching 04:40 and I think that's a fairly common feeling 04:44 among different people that they can 04:46 sense weather changes probably barometric 04:48 changes. Now, there's many kinds of 04:50 arthritis as I mentioned earlier but we're 04:54 gonna have to limit ourselves to may be a 04:56 couple of kinds. Tell me about osteoarthritis? 05:00 Well, we can, if we have time we can talk 05:03 about some of the other forms. 05:04 Osteoarthritis is the commonest form of 05:06 arthritis, its probably going to affect, 05:08 maybe 60 percent of people are going to 05:12 have trouble with osteoarthritis people 05:15 who have a family history of osteoarthritis 05:19 again are more prone to develop it. 05:23 And people who are have some of the 05:26 predisposing factors such as heavy manual 05:29 labor. Well, osteoarthritis is not an 05:32 arthritis that is a disease caused by living 05:39 in an improper way or anything like that. 05:42 Except that it is brought on by heavy 05:45 physical labor. So somebody who works 05:47 a jackhammer for instance or somebody 05:50 who is working as a stone mason with a 05:54 hammer hammering away at rock corner 05:57 with a chisel, chiseling rock. Somebody who 06:00 maybe lifting heavy weights, a minor. 06:04 Well, those kind of people do tend to 06:06 get osteoarthritis, although one can get 06:10 osteoarthritis even doing relatively light 06:13 work and sedentary work. if it's a repetitive 06:16 type of motion, now I myself have osteoarthritis 06:20 in my hands which surprised me because 06:22 having been a physician, I didn't think that 06:24 I was doing a lot of strain. A lot of work, 06:27 but I was doing a lot of surgery, 06:29 I used to operate may be for 12 or 15 06:32 hours a week and using even though 06:36 there's small instruments but I was using 06:39 a repetitive type of motion with sowing 06:43 and cutting and repairing tissues and so forth. 06:48 And I have a little arthri-d in my hands. 06:51 You'll notice my finger, this little finger has 06:54 arthritis. And that may have also have been 06:57 just. One second, what did you call it? 06:58 Stuck, yeah stuck together, arthri-d. 07:00 Yes, you look you see well I can close this 07:02 finger those that joint there has kind of 07:05 stuck up and what's happen with the joint is 07:08 that there has been an overgrowth of bony, 07:12 little tuberosities around the joint the fibrous 07:16 tissue of the capsules become stiffened and 07:20 at a point in time, it was painful. 07:23 I think I sustained an injury actually to this 07:26 little finger as well which has speeded up 07:28 the process, but that's a classic situation 07:32 for osteoarthritis. Many people get hip, 07:36 osteoarthritis of the hip, that can be a very 07:39 serious problem. And osteoarthritis then 07:43 is a wear and tear type of problem, 07:47 on the joints. Now, occasionally I have 07:50 fallbacks, years ago I watched Roger 07:53 Staubach, he was a quarterback for the 07:56 Dallas Cowboys and heard him advertising 07:59 pain killers. Well, are sports like contact 08:02 sports like football, are those players have to 08:06 suffer arthritis? Yes, osteoarthritis later 08:09 on in life, they are indeed, particularly 08:12 players that get tackled are likely to have 08:17 the joints traumatized and trauma just 08:20 like hard work trauma can predispose. 08:24 So, sports as well as some of the manual 08:26 professions could be a danger, one of the 08:28 most severe anthracitic situation that I 08:32 remember encountering was in a former 08:34 hockey player. You know, sometimes we 08:37 look at the stars of hockey or the stars 08:40 of sports and we think wow! What a 08:43 wonderful thing, but we don't understand 08:44 that they are very many casualties along 08:48 the way and for every big price. 08:49 Every star there are hundreds of people 08:52 who played hard may be enjoyed it very 08:55 much and I'm not against good athletic 08:57 activities, but do sustain severe injuries and 09:02 we need if our children and young people are 09:05 playing sports we need to be careful that 09:07 they're not putting themselves at undue risk. 09:11 For instance the pictures in baseball, 09:14 that repetitive strain many of them have 09:16 problems with shoulders and elbows, 09:19 arthritis because of repetitive throwing, 09:23 you know that ball time after time after time, 09:26 that's not what we were made for. 09:28 We were made to function in a balanced way, 09:31 not in a sort of highly focused way that 09:34 stresses one joint to the, you know 09:38 to out of proportion to all the others. 09:41 After listening my grandmothers for years 09:43 complaining about their arthritis is there 09:46 anything I can do or may be its too late 09:49 for me but some people can do to prevent 09:50 it? Well, of course we've already been touching, 09:54 talking about preventing these strains and 09:56 these injuries. So, don't play contact sports. 09:59 Avoid these excessive activities, if we can. 10:03 So, there is anyway though like I'm, 10:04 say I'm a stone mason. Is there anyway 10:07 to avoid this kind of strain? It might be very 10:10 difficult, it might be very difficult, 10:13 one can of course if you have knee 10:15 troubles or hip troubles look to your shoes, 10:19 we need to have cushioned shoe and 10:21 there's been a great advance in the last 10:23 25-30 years since all the different shoe 10:27 manufactures have given comfortable 10:29 springy shoe, that's going to be very 10:31 beneficial to the knees and the hips of 10:34 people who wear those type of shoes. 10:36 When I was a boy we used to wear 10:37 you know stiff hard heels and soles people 10:43 wore boots, sometimes steel heels were 10:46 put on those and that transmitted a lot of 10:48 force through the limbs, so good cushioned 10:52 footwear is a very important thing for 10:55 protecting and then of course it's important 10:57 to wear supportive gloves and protective 11:00 gear in certain activities. You know, 11:03 I occasionally on my lawn tractor I wear 11:06 earmuffs to protect my ears, yes. 11:09 And when I get off the tractor and start 11:10 walking it feels like the sound come in my 11:15 ears, it feels like somebody's pounding 11:17 my ears. Now, when you take the protective, 11:20 no, when I put them on and walk, 11:24 which explains to me that even when I walk 11:28 there is a pounding going on in my joints, 11:31 I can hear it. Were these from the earmuffs, 11:33 it's just amplifies it, it amplifies it. 11:36 You're cutting off all the other sound, 11:38 you're cutting off the external sound and 11:39 then you're aware of, if you were eating 11:42 your honey nut. So, shoes I think it 11:45 would be important wouldn't it be? 11:47 Very important, because you do transmit 11:49 forces through that. Now, there are some 11:51 other things that might increase the risk of 11:55 osteoarthritis and that is obesity, 11:57 is that true? It certainly is. Obesity imagine 12:02 we've talked about work, now imagine that 12:04 you carry a 50 pound sack of potatoes or grain 12:08 or whatever else you want to do. 12:10 Everywhere you go, are extra calories, 12:13 well if you have 50 pounds of overweight 12:15 that's what you do. Yeah! That's right. 12:16 Yeah you're carrying that all the time and 12:19 that's a major strain on your joint and obesity 12:23 being such a common problem. 12:25 Now, there is a definite thing that we can 12:27 do is to take control about our weight. 12:29 Easier said of course than done, 12:31 because you know I feel myself I've got 12:34 this little thing here, it's not because 12:36 I don't know what to do its because 12:38 we need to be motivated, to be have the 12:42 will power not to eat so much. So, how does 12:45 the obese, is that just mean there is extra 12:48 pressure on the joints? Yes, extra pressure 12:50 on the joints, extra wear and extra tear. 12:54 Alright, go on. Sometimes you know we're 12:57 going to have to address osteoarthritis 13:00 though with surgery, you are? 13:04 Yeah, my father had osteoarthritis in the 13:06 knees, as a boy he suffered rickets. 13:10 He was brought up in Newcastle on Tyne, 13:13 its an mining and cold city in Northern 13:17 England. Very cold, very dark, not a lot 13:21 of sunshine and of course they're dressed 13:23 from here right down the toes, they had 13:25 a big hat on as well. Very little sunshine, 13:27 vitamin D deficiency developed and he 13:30 became, he had bowlegs and we used to 13:33 tease him about his bowlegs but it was a 13:35 sad thing really because it was a fact 13:37 that he had rickets as a child. That meant 13:40 that as he walked the pressure on his knee 13:44 joints were transmitted not evenly across 13:47 the joint but to one side of the joint. 13:49 That's right, okay, and so when he got to 13:51 be about 18 years old he was having a 13:53 lot of trouble with his knees and the doctor 13:56 said what we could do is to cut, 13:57 do an osteotomy, cut your bone and realign 14:01 them, so that the weight will be disturbed 14:03 to the other side of the joint and that 14:04 would free you of some of the pain. 14:07 Now, today maybe they would have said 14:09 to him, maybe you can have a joint replacement, 14:11 replacement. Where they take the joint out 14:13 and we will replace the joint, they have 14:17 done surgeries like putting caps on the 14:19 joint, just on the ends of the bones so 14:22 that the surfaces that are rubbing against 14:23 each other are metallic. And we have 14:26 of course arthroscopic surgery which is 14:28 very interesting surgery because you take 14:30 the little tiny tube like thing through which 14:33 you can look and see and they can look inside 14:36 a joint, that's very useful sometimes if a 14:39 joint's damaged with osteoarthritis, 14:40 got little chips of cartilage or bone inside 14:43 that, they can take those out through 14:45 little tiny cuts maybe quarter or half an 14:48 inch in size. People can have that surgery 14:50 done and go away very, very readily. 14:54 Are these surgeries quite successful or do 14:56 they have to be done over again? 14:58 Some times will, replacement surgery will 15:00 have to sometimes to be done over again. 15:02 Maybe what ten years? May be 10-15 years 15:05 and there is a time with the improving joints 15:09 that is getting to be longer and longer 15:12 time that a joint will last. That is why we 15:14 used to say to people well maybe put up 15:17 with your pain a little longer because we 15:19 didn't want to really do a joint replacement 15:22 too soon. Especially if a person was say, 15:28 60 or may be if he could put up with him for 15:30 5 years. What's the problem with having 15:32 replacement, the replacement? Well, the 15:35 problem with the replacement is nothing, 15:36 nothing is as good. Except expense. 15:38 As nothing is as good as what God gave us. 15:41 We are indeed as our program says wonderfully 15:44 made, beautifully made and when you replace 15:48 a joint with a manufactured joint it 15:51 works fine but I've seen them when 15:53 they've been taken out and the ground 15:55 up edges and the ground up surfaces, 15:58 the wear and tear that the joint undergoes 16:02 and our normal joints repair themselves. 16:05 Self-reparative joints and so, marvelous, 16:07 marvelous, it's absolutely fantastic that that 16:10 can take place. So yes, it's good that there 16:14 is a hip or a joint replacement, 16:16 knee replacement but it would be so much 16:19 benefit to preserve what God has given 16:21 us if we could. Now, my grandmother, 16:24 one of my grandmothers was told that if she can 16:26 get relief by standing, now in Texas we 16:29 have red ants, red ants about a half 16:32 inch long and they are sting and they're 16:35 very painful but she was told if she went 16:38 out on this bed and got stung by ants that 16:40 would relief her arthritis. I don't think 16:43 it did, you know anything about this? 16:45 Well, of course I am, that's an alternative 16:48 remedy. What I am going, leading at is that 16:51 are there some kind of relief, is there 16:54 something that we can do to relieve somes 16:55 of this pain in a little surgery. 16:57 Well, of course the simple pain relievers 17:00 have worked well and continue to work well. 17:04 Aspirin as you know is an extract of willow 17:06 bark and was, quite natural, right? 17:09 It was natural originally and then it's been 17:12 synthesized and so Aspirin is a very good 17:15 pain reliever, of course it's hard on the 17:17 stomach, it may cause bleeding in some 17:19 individuals so it's not something that you 17:20 can take easily. Tylenol is less irritative 17:26 to the stomach and it metabolizes to some 17:28 of the similar ingredients. So, Tylenol 17:30 will work. Then we have a whole class of 17:32 medications called non-steroidal 17:34 anti-inflammatory and they've been used with 17:37 some degree of benefit but they also are 17:39 irritated to the stomach. The latest ones 17:43 which have been in the news are Vioxx and 17:46 we've also seen some problems with that they 17:50 are what you call COX-2 inhibitors. 17:52 The COX-2 inhibitor interfere with the 17:55 inflammatory process in the different 17:58 place but they have been found, Vioxx has 18:01 been found to increase your risk of heart 18:03 attack. So, when we talk about treatment 18:06 for arthritis, yes we really do want to avoid 18:10 it if at all possible and then we want to use 18:13 as mild the medication as we possibly can. 18:15 It's important not to forget some very simple 18:18 things that can help for arthritis. 18:21 Heat and cold you know is something that will 18:24 very often help, now we don't usually heat 18:27 and inflame joints, so we can talk about 18:29 rheumatoid arthritis, we don't heat and 18:31 inflame joint but osteoarthritis may benefit 18:34 from warm and we can also alternate that with 18:37 warm and cold. Alright, now, get into the 18:40 details how long if I have a joint that's 18:44 inflamed and hurting how much cold what 18:47 kind of, how do we put cold on that? 18:49 Ice pack. Well, yes an ice pack would be a 18:51 good way, a heating pad will be fine, 18:53 heating pad that we mild, or if you're using, 18:56 you you must be very careful using hot 18:58 water bottles and those sort of things 19:00 because it's gonna burn the skin. 19:02 And if there is a diabetic that's being 19:03 treated or if there is any evidence of nerve 19:07 insensitivity there, got to be very, 19:09 very careful with heat. But you can put 19:11 warm packs around you, usually put a 19:14 warm packet something that you may heat 19:17 or if it can be an electrical pad that you 19:19 heat. You apply that around the affected 19:21 area or over the affected area usually 19:24 for five, six, seven minutes, then you 19:27 remove it and then you can have an ice 19:28 pack. And an ice pack you can make by 19:31 crushed ice inside a towel or, okay, 19:34 a plastic bag first and then, and you apply 19:37 that and then you just cool the joint, 19:39 you then alternate the hot, you can do 19:41 it with water. Actually very, very good 19:45 way to heat and cool if you can immerse 19:47 if its an ankle or something you can 19:49 immerse it in warm water then in cold 19:51 water. Again for five minutes-ten minutes 19:53 you always want to end up with a cold 19:56 application, good, for osteoarthritis because 19:59 the cold chills it out and the warm brings 20:02 more blood there so it improves the healing. 20:05 Now, the, I have a brother-in-law that 20:08 took one of these thermal foils, 20:09 these heating pads? Yes. That they have a 20:11 cut off switch on them, which is automatic, 20:13 but he was very clever he propped 20:16 something up against that cut off switch 20:18 and left it on and went to sleep and he 20:20 couldn't leave himself with a big burn 20:21 on his skin, and when woke up his fingers 20:24 were very inflamed and they had to remove 20:27 one of this fingers and half of the other. 20:29 I've seen people with burns the size of 20:31 saucers because of heating pads, 20:33 be very careful. These automatic cut off 20:35 switches are there for a purpose, very, 20:37 right, and so don't try to outsmart them. 20:41 You know, I've seen that we are going to 20:43 not have a lot of time, some people will 20:45 be suffering with rheumatoid arthritis 20:46 that's exactly right and that's our next 20:47 topic. Next part of our topic what about, 20:50 now what's the difference between 20:51 rheumatoid and osteo? Rheumatoid is not 20:54 a wear and tear situation, you know the 20:57 Adventist health study showed that people 20:59 who were vegetarians actually had less 21:02 rheumatoid arthritis not the other kinds 21:05 of arthritis not gouty arthritis not, 21:07 we are not talking about that. But vegetarians 21:09 had less rheumatoid arthritis then did the 21:12 others, it wasn't a very, very major 21:15 reduction because some of the rheumatoid 21:16 arthritis is hereditary, it occurs much more 21:20 in women then it occurs in men. But it's an 21:23 inflammatory form of arthritis, the synovial 21:28 membrane which I mentioned at the beginning 21:30 becomes inflamed and it becomes inflamed 21:33 probably because antibodies are attacking 21:36 it. Now, what triggers that immune response 21:41 that the body is rejecting its own joint 21:44 we're not sure about it, it may be that there 21:46 are infectious agents that are doing that, 21:48 it may be that there are something in the 21:50 environment there maybe some toxic or 21:53 something that we are eating that is 21:56 stimulating this and it may not be the same 21:59 factor for everybody, but the end 22:01 result is that the joint membranes become 22:05 very inflamed and those inflammatory 22:07 products that are poured into the joint 22:10 damage the cartilage. So, people who have 22:13 rheumatoid arthritis are subject to joint 22:16 damage as a result of inflammatory process 22:20 and today we're much more aggressive 22:22 in treating rheumatoid arthritis than we 22:24 used to be because it's recognized that, 22:27 that joint damage can take place early 22:30 in the onset. So, lets suppose I've been 22:34 diagnosed with rheumatoid arthritis but 22:37 I've heard from the supplement people that 22:41 they are some alternatives out there, 22:43 is it wise to experiment with some of those 22:46 alternatives while that process is going 22:48 on damaging my joints. Chondroitin has been 22:54 recommended as a treatment, some of 22:58 those alternatives, "alternatives" may not 23:03 be alternatives for too long because once 23:06 they are shown to work they will then be 23:10 incorporated into the normal treatment. 23:13 But, a person who has an acute flare-up, 23:15 for instance somebody may start with 23:18 rheumatoid arthritis in a very, very 23:21 dramatic way. Rheumatoid arthritis 23:24 usually tends to be bilateral in its 23:26 distribution, it may effect the joints of the 23:29 hands, the elbow, knees, it doesn't usually 23:32 effect the vertebral column, the spinal 23:33 column. But if you have a very sudden 23:37 onset of rheumatoid arthritis then that is 23:41 probably not the way for alternatives. 23:44 How are they treated? Well they, 23:45 what do they do for, if you got it? 23:47 They have many different treatments, 23:49 some of the newer treatments that have 23:52 been used actually interfere with the 23:58 immune process itself, and so what they 24:01 do as they try to intercept one of them 24:04 is called Etanercept, it tries to intercept 24:09 this reaction of rejection of your own 24:13 synovial tissue and these are very, very 24:17 interesting medications, they are working 24:21 well, but I don't believe personally that 24:24 we have had a long enough experience to 24:27 be able to say definitively that they 24:30 can't have some serious side-effects 24:32 and so, since they is a cure insight? 24:35 I don't know that there is a, that we 24:37 could say that at this point in time we have 24:39 a cure insight, I think our understanding 24:42 of rheumatoid has become very, very 24:44 profound. Rheumatologist understand in a, 24:48 to a great extend and it could well be 24:51 that research into rheumatoid is going to 24:53 give us a benefit. I think I'd like to sort 24:57 of rather than focus on the drug therapy 24:59 and people are gonna have to see their 25:00 doctor for the drug therapy. I get that 25:02 yeah. I would like to talk about some 25:05 of the things that people can do who 25:07 have rheumatoid arthritis. Yes, some of 25:09 the treatments, some of the home, 25:11 type of, some of the methods of management, 25:14 okay. It's very, very important for a person 25:16 with rheumatoid arthritis to avoid trauma 25:19 to the joints and yet, like lifting heavy 25:22 weights, like lifting heavy weights, running, 25:24 straining, running putting damn, putting 25:27 excessive pressure and yet it's very, 25:30 very important that the range of 25:32 movement of that joint should be 25:34 maintained. So, lifting weights is probably, 25:39 need to be maintain. We need to maintain 25:41 the range of movement, we need to 25:44 maintain the strength, we need to protect 25:48 from trauma, so this is a situation where 25:51 we need gentle exercise, not, not a 25:55 strenuous exercise and the strengthening, 25:58 the muscle strengthening may be done 26:00 through isometric type of exercises. 26:02 You all remember Charles Atlas, I'm sure 26:05 you don't remember, some of the older 26:07 people remember Charles. I saw ads that 26:08 actually its Charles Atlas method, that's 26:11 where we flex our muscles but we don't 26:13 move the joint, that can maintain the 26:15 strength without traumatizing the joint. 26:19 So that is very important, swimming is a 26:22 weight less situation but you can go 26:26 through the full range of exercise, now you 26:28 always remember, the rheumatologist when 26:30 I was in Edinburgh Medical School there, 26:32 he said if you ever grow and you guys 26:34 are going to grow in prestige in the medical 26:37 fashion one day you might be incharge of a 26:40 rheumatology unit, remember the most 26:43 important piece of equipment is a 26:44 therapeutic swimming pool, and whirlpools 26:47 and swimming pools are a very, very 26:49 useful way for people with arthritis to be 26:52 able to exercise and yet not to damage 26:55 their joints. Well, this has been a pleasure 26:58 today, discussing this topic I think this 27:03 condition is wear and tear our human 27:05 body certainly effects a lot of people and 27:09 lets just, in about 30 seconds recap of 27:12 some of the things that we can do ourselves. 27:16 Increase our flexibility, increase our 27:18 strength gently, gently, because we don't 27:22 want to put any pressure right on our 27:24 joints. Is that we can apply hot and cold, 27:29 yes that, mild hot, hydro therapy, 27:31 hot and cold and watch the thermo for, 27:33 don't let that automatic thing work, 27:36 'cause you're gonna burn yourself, 27:37 you don't want to loose your fingers like 27:39 I have? Not for that reason, for another 27:41 reason but, so these are some of the 27:44 things we can do and be sure you get 27:48 good health. Dr. Handysides I thank 27:50 you very much today for being with us. 27:52 People who have arthritis and other 27:54 causes that we didn't have time to talk 27:55 about. Yeah, it's a serious thing, go see 27:58 your medical profession, an expert in this 28:02 particular area. So that you can get help 28:06 as soon as possible, so this damage to your 28:09 joints can certainly be able to 28:12 reduce and you can live happily. |
Revised 2014-12-17