What Spurgeon and G.S.Bishop say

[Frank Rollberg]

"If the professed convert distinctly and deliberately declares that he knows the Lord's will but does not mean to attend to it, you are not to pamper his presumption, but it is your duty to assure him that he is not saved. Do not suppose that the Gospel is magnified or God glorified by going to the worldlings and telling them that they may be saved at this moment by simply accepting Christ as their Savior, while they are wedded to their idols, and their hearts are still in love with sin. If I do so I tell them a lie, pervert the Gospel , insult Christ, and turn the grace of God into lasciviousness." -C.H. SPURGEON

"Grace is a provision for men who are so fallen that they cannot lift the ax of justice; so corrupt that they cannot change their own natures; so adverse to God that they cannot turn to Him; so blind that they cannot see Him; so deaf that they cannot hear Him; and so dead that He Himself must open their graves." -G.S. BISHOP

[Paul A. Kaiser]

Amen!

I'm gonna use the Spurgeon quote in a sermon I'm preparing for the 30th of this month!

[fredie]

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Chronic pain is a serious health condition. Like any long-term health problem, the condition often leads to complications beyond your physical symptoms, such as new or worsened depression, anxiety and difficulty sleeping. Chronic pain can make it more difficult to keep up at work, manage tasks at home and attend social gatherings, leading to problems in your relationships and financial instability. Some research suggests that the more severe your pain, the more serious these problems.



The serious consequences of chronic pain make finding effective treatment a critical goal. Unfortunately, this process is complex and uniquely personal. What works for one person's chronic low back pain may not offer any relief for your osteoarthritis, for a number of reasons. Your diagnosis, biology and personal history all play a role, and finding pain therapies that bring you adequate relief can be a lengthy effort.



Working in partnership with your doctor, however, you can identify treatments that allow you to live an enjoyable, fulfilling life. The approach you choose should include more than just medication, but painkillers are likely to play a role. Learn about the risks and benefits of common pain medications so that you can make safe choices as you seek your solution.



Nonsteroidal anti-inflammatory drugs (NSAIDs)

NSAIDs are most effective for mild to moderate pain that's accompanied by swelling and inflammation. These drugs are commonly used for arthritis and pain resulting from muscle sprains, strains, back and neck injuries, or menstrual cramps.

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Opioids

Opioid medications are synthetic cousins of opium and the drugs derived from opium, such as heroin and morphine. These drugs are often prescribed for acute pain that stems from traumatic injury, such as surgery or a broken bone. Opioids currently cause the most prescription drug-related overdose deaths in the United States — and that rate is still rising. Because the risks are so great, opioids are used at the lowest dose possible, usually for just a few days.



Brand names. Hydrocodone (Hysingla ER, Zohydro ER); hydrocodone-acetaminophen (Norco, Zyfrel, others); fentanyl (Actiq, Duragesic, Fentora), oxycodone (OxyContin, Roxicodone, others); oxycodone-acetaminophen (Percocet, Roxicet, others); others

How they work. Opioids, just like real opium, mimic the natural pain-relieving chemicals — called endorphins — produced by your brain. These drugs "turn down the volume" on the pain signals your nervous system sends through your body. They also muffle other nerve cell functions, such as your breathing, heart rate and level of alertness.



Bottom line. Opioids are a last resort for chronic pain management. They may be the right choice for long-term pain related to cancer and its treatments or, in rare cases, noncancer pain that hasn't responded to any other medications. Because the risks are so serious, you'll need careful and frequent follow-ups with your doctor if you use opioids long term.

While there isn't a cure for chronic pain, many effective pain medications are available to help you function effectively and enjoy your days. As you try different drugs, alone or in combination, work with your doctor to target the simplest long-term solution possible. Keep your medication risks to a minimum to improve your odds of many good days, for many years to come.

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Pain Management Schemes for all

Pain is a very common condition and it is an unpleasant sensation caused by stimulation of fine nerve endings. The occurrence of pain rises as people get older, and women are more likely to experience pain than men. A pain management specialist is a doctor who evaluates your pain and treats a wide range of pain problems. A pain management doctor treats sudden pain problems such as headaches and many types of long-lasting, chronic, pain such as low back pain. Patients are seen in a pain clinic and can go home the same day. Pain management doctors offer a mix of medication-based treatments and procedures, that can stop the pain at its source.

Types of pain treated by a pain management doctor

The types of pain treated by a pain management doctor fall into three main groups. The first is pain due to direct tissue injury, such as arthritis. The second type of pain is due to nerve injury or a nervous system disease, such as a stroke. The third type of pain is a mix of tissue and nerve injury, such as back pain. However, pain fall into two major categories namely: acute and chronic pain. Acute pain is a normal response to tissue injury, which starts suddenly and is usually short-lived. Chronic (ongoing) pain persists beyond the normal time of healing and generally lasts for longer than three months.

Pain may be anything from a dull ache to a sharp stab, and can range from mild to extreme. Pain may be located in one part of the body or it may be widespread.

Studies suggest that a person’s outlook and the way they cope emotionally with long-term (chronic) pain can influence their quality of life. Counselling can help support you to manage the emotional and psychological effects of chronic pain. Understanding the causes of your pain can help reduce your fear and anxiety.

The pain management clinic

Pain patients are seen in an outpatient pain clinic that has procedure rooms, with ultrasound and X-ray imaging. Sometimes, the pain doctor performs the procedures in a nearby hospital. Some pain doctors may offer you sedation during the treatments. However, this is not needed in many cases.

Key pain management strategies include:

• pain-relieving medications

• physical or occupational therapy

• complementary therapies (such as acupuncture and massage)

• counselling.

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Causes of pain

The most common causes of pain in adults include:

• injury

• medical conditions (such as cancer, arthritis and back problems)

• surgery.

The most commonly reported pains are headache and back pain (although pain involving the limbs, shoulder, neck and head is also common).