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By: V. Avogadro, M.A., M.D., M.P.H.

Co-Director, University of Nebraska College of Medicine

Psychologists know that there are families that just end up molesting from generation to generation arteria y vena femoral 2 mg coumadin fast delivery. This brings us into the understanding that there are things in our families that are invisible that makes people act the way they do arteria3d 1mg coumadin free shipping. It is the invisible kingdom of satan spoken about in Ephesians chapter 6 v 12 ­ 13 that by its fallen nature is strategizing and following you in your personal lives arteria magna order coumadin paypal, marriages arteria opinie 2012 purchase discount coumadin line, families, churches, businesses and in the generations of your nations. It is not the culture that is the problem ­ it is the iniquity that has joined cultures that is the problem. When certain sins enter into a family tree, they open the door for certain demonic spirits to travel from generation to generation. In the section "Discerning the Source of Your Thoughts" on page 84 I explained how this invisible kingdom that answers to satan programs mankind to think, speak and act like it and so the curse can perpetuate as the descendents end up practicing the same sins as their fathers. I know it is a shock when you have these cute little babies that end up being little monsters. That is why you train up a child in the ways of God and when he is old he will not depart from it (Proverbs 22 v 6). The Curse of the Sin in Genetically Inherited Diseases Runs through the Father o get rid of every single genetically inherited disease on earth, it would have to start with salvation and sanctification of the men. Therefore I am calling the men to get right with God and take steps to sanctify your wife and children. The salvation of the whole family should begin with the salvation of the father and husband of the To get rid of every single home. Numbers 30 talks about how a father or a husband is a covering or protection for the wife or daughter. Numbers 30 v 2 ­ 6 and 15 - 16: "2If a man vows a vow to the Lord or swears and oath to bind himself by a pledge, he shall not break or profane his word; he shall do according to all that proceeds out of his mouth. And the Lord will forgive her because her father refused to let her [carry out her purpose]. The female lineage traces ancestry back through her father and what he brought into the family tree and all the males before him. Apart from the kingdom of Ephesians 6 v 12 called iniquity, there is also the Holy Spirit Who brings the blessings to your generations because of the obedience of your forefathers. All the people in your family bring in to the picture good and evil, blessings and curses. All the Israelites gathered together to listen to Ezra as he read the Word of God. The people wept as they heard the Word, because they realized that they had been in bondage and captivity because of disobedience. As a people, they came before God and repented, they took responsibility not just for their sins but for the sins of their forefathers. Nehemiah 9 v 2 - 3: "And the Israelites separated themselves from all foreigners and stood and confessed their sins and the iniquities of their fathers. And they stood in their place and read from the Book of the Law of the Lord their God for a fourth of the day, and for another fourth of it they confessed and worshipped the Lord their God. They saw that the same sin that was in their parents and grandparents was in them and they were serving that sin as a way of life. Now that confession for the iniquities of their fathers does not mean that their fathers were forgiven by proxy. That confession means, "Father we recognize that we have served sin and that our forefathers have served sin and we are letting You know that we understand it. We see how this has affected our lives and our families and we take responsibility for that. They came together before God to repent for their sins as well as the sins of their fathers, and to sanctify themselves. Hezekiah had prayed for them saying, May the good Lord pardon everyone 19 who sets his heart to seek and yearn for God ­ the Lord, the God of his fathers. So that genetically inherited diseases can be broken and the familiar spirits of your generations that rule you in your soul can also be defeated. The reason I know this is because many Christians have disease that is genetically inherited from their parents. Fear, abuse, victimization, rejection, allergies, heart problems, cancer, diabetes and a large number of diseases can be inherited from both a physical genetic standpoint and a spiritual standpoint. If you can see the things What this teaching represents is removing the things that are interfering with the blessings that God saw for your families from the foundation of the world.

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A diagnostic or therapeutic procedure prehypertension pubmed best 2mg coumadin, thoracentesis may be used for: Removal of fluid and air from the pleural cavity Aspiration of pleural fluid for analysis Pleural biopsy Instillation of medication into the pleural space the responsibilities of the nurse and rationale for the nursing actions are summarized below arrhythmia qt interval prolongation coumadin 2 mg with mastercard. Ascertain in advance that a chest x-ray has been ordered and completed and the consent form has been signed blood pressure good average buy coumadin american express. Posteroanterior and lateral chest x-ray films are used to localize fluid and air in the pleural cavity and to aid in determining the puncture site blood pressure ranges female order 1mg coumadin amex. When fluid is loculated (isolated in a pocket of pleural fluid), ultrasound scans are performed to help select the best site for needle aspiration. If the patient is allergic to the initially prescribed anesthetic, assessment findings provide an opportunity to use a safer anesthetic. An explanation helps to orient the patient to the procedure, assists the patient to mobilize resources, and provides an opportunity to ask questions and verbalize anxiety. The upright position facilitates the removal of fluid that usually localizes at the base of the chest. Sitting on the edge of the bed with the feet supported and arms and head on a padded over-the-bed table Patient positioned for thoracentesis. Lying on the unaffected side with the bed elevated 30 degrees to 45 degrees if unable to assume a sitting position 5. Prepare the patient for the cold sensation of skin germicide solution and for a pressure sensation from infiltration of local anesthetic agent. Sudden and unexpected movement, such as coughing, by the patient can traumatize the visceral pleura and lung. If fluid is in the pleural cavity, the thoracentesis site is determined by the chest x-ray, ultrasound scanning, and physical findings, with attention to the site of maximal dullness on percussion. After the skin is cleansed, the physician uses a small-caliber needle to inject a local anesthetic slowly into the intercostal space. A 20-mL syringe with a three-way stopcock is attached to the needle (one end of the adapter is attached to the needle and the other to the tubing leading to a receptacle that receives the fluid being aspirated). If a considerable quantity of fluid is removed, the needle is held in place on the chest wall with a small hemostat. After the needle is withdrawn, pressure is applied over the puncture site and a small, sterile dressing is fixed in place. Advise the patient that he or she will be on bed rest and a chest x-ray will be obtained after thoracentesis. Record the total amount of fluid withdrawn from the procedure and document the nature of the fluid, its color, and its viscosity. Monitor the patient at intervals for increasing respiratory rate; asymmetry in respiratory movement; faintness; vertigo; tightness in chest; uncontrollable cough; blood-tinged, frothy mucus; a rapid pulse; and signs of hypoxemia. If air is in the pleural cavity, the thoracentesis site is usually in the second or third intercostal space in the midclavicular line because air rises in the thorax. The parietal pleura is very sensitive and should be well infiltrated with anesthetic before the physician passes the thoracentesis needle through it. When a large quantity of fluid is withdrawn, a three-way stopcock serves to keep air from entering the pleural cavity. Sudden pleuritic chest pain or shoulder pain may indicate that the needle point is irritating the visceral or the diaphragmatic pleura. Pneumothorax, tension pneumothorax, subcutaneous emphysema, or pyrogenic infection are complications of a thoracentesis. Pulmonary edema or cardiac distress can occur after a sudden shift in mediastinal contents when large amounts of fluid are aspirated. The patient may be discharged a few hours after the chest drainage system is removed. The nurse should instruct the patient and family about monitoring for changes in respiratory status, taking into consideration the impact of anxiety about the potential findings of the biopsy on their ability to remember those instructions. Your patient has had a thoracentesis to remove pleural fluid for laboratory analysis and to relieve shortness of breath. What teaching is warranted for the patient and family if she is to be discharged an hour after the procedure?

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We can enjoy divine health right up until the second our allotted time on this earth is up and the Lord comes to take us hypertension diagnosis jnc 7 generic 2 mg coumadin fast delivery, and in an instant our spirit is with Him in Glory hypertension first aid buy coumadin 1mg with visa. The second major shift that is needed in our mindset is that our allotted time on earth is only up after at least 120 years! Genesis 3 v 19 and 22 ­ 23: "19In the sweat of your face shall you eat bread until you return to the ground heart attack stop pretending order coumadin 1 mg on-line, for out of it you where taken; for dust you are and to dust you shall return heart attack belanger remix discount coumadin 2 mg. When God saw that the wickedness of man was great on the earth, and that every imagination and intention of all human thinking was only evil continually (Genesis 6 v 5), He shortened the life span of man to 120 years. It was not intended to refer to anyone except those Israelites under the curse during that particular forty years. Seventy years have never been the average life In Genesis 6 v 3 God set span of humanity. In fact, Moses himself lived to be 120 years old, Aaron the life span for man as lived to be 123, Miriam several years older and Joshua 110 years of age. In Genesis 6 v 3 God set the life span for man as 120 years and it has not changed since then. The human body is designed to live 120 years and anything less than that is a curse. Now I am not judging or condemning anybody that dies at an age less than 120 years as the reason why is none of my business. You must never underestimate the power of your words because in Proverbs 18 v 21 it says that: "Death and life are in the power of the tongue, and they who indulge in it shall eat the fruit of it [for death or life]. He is physically active, he walks several kilometers a day whilst at work on his farm and he has a blood pressure as good as that of a 20 year old man. The elderly people who are happy and active in their community are fit and healthy. Those that have retired, have no real purpose in their lives any more, are depressed and are always talking about how old they are getting. I have frequently seen a depressed, negative 60 year old who looks 20 years older than an active 80 year old who still has zest and a passion for life. If you are 60 or more years old, listen to me ­ I have something very important to tell you: the worst thing you can do is to retire. I have seen their health rapidly deteriorate and it is only 6 months to 3 years before they die. You may not be able to do the job you were able to do the worst thing you can do is to retire. At that age he ended up pastoring one of the largest churches in the history of mankind which included 3 and a half million Israelites. Earlier in this chapter I shared the story of a lady who went on a mission trip to Ethiopia. You have wisdom coming from years of experience behind you so be available for God to use you. Ecclesiastes 7 v 17: "[Although all have sinned] be not wicked over much or willfully, neither be foolish ­ why should you die before your time? Do you think God would take a Christian man at the age of 45 and leave behind a wife and three children? This is one of the most dangerous forms of Christianized euthanasia that I have ever heard of and that is pure ignorance. When people say that a loved one died of for example cancer, and achieved a perfect healing in heaven, they have forgotten something: When that person went to heaven, he did not receive a healing because he did not arrive in bodily form. All wrong doing is sin, and there is sin which does not [involve] death [that may be repented of and forgiven]. Apart from that, all other sins are forgivable when you repent (1 John 1 v 9) so long as you also forgive others (Mark 11 v 25-26). A sin unto death will produce a disease that is unto death ­ this is your incurable diseases that are killing people early. For example, the sin of un-forgiveness and bitterness is a sin that can cause cancer which is a disease that leads to death. The sin of a low self-esteem and self-hatred can lead to heart attacks and strokes due to atherosclerosis which is a disease that can result in death.

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Chronologically speaking heart attack in the style of demi lovato ameritz top tracks order cheap coumadin on line, when he wrote this letter to the Romans heart attack 3d buy coumadin overnight, he had been an apostle for over 20 years pulse pressure from blood pressure order coumadin 1 mg without a prescription. So in spite of being an apostle for 20 years he admitted that he was struggling with sin heart attack songs buy coumadin 2 mg on-line. Paul is one of the few spiritual leaders that is honest about his spiritual battles. In fact he set the apostolic standard for honesty when he said "I am the chief of all sinners. Grace is God teaching us what we need to know and mercy is a measure of time to figure out what He said and apply it to our lives. The Blood of Jesus is what is available because of the cross that makes provision for our forgiveness when we repent for our participation with sin. So Paul needed to be taught and instructed in the principles of God so that he could learn to overcome and defeat this messenger of satan that came to buffet him. Even with Peter, Jesus said, "Satan desires to sift you like wheat but when you have recovered yourself, strengthen the brethren" (Luke 22 v 31 - 32). So Peter had a messenger from Satan that came to buffet him just like Paul and the Lord did nothing to prevent it. He messed up and denied Jesus three times but when he recovered himself, he became a great apostle in his day. So whether you use the messenger of satan that came to buffet Paul or the messenger of Satan that came to buffet Peter ­ both men had to learn to be over-comers and that is the instruction for you and I today. There are some people that ask, "Why does God allow evil spirits and the kingdom of satan in the earth anyway? The great power of the cross is that you now have the ability to defeat the devil and his kingdom and in defeating them you will be found faithful in your own life. For example, if you are struggling with the sin of rage and anger in your life and somebody wrongs you ­ the devil and his kingdom will buffet you and tempt you to repay evil with evil. So now, like Paul you have the law of sin and the law of God warring in you members. You have just spoiled principalities and powers and made a show of them openly just like Jesus did when He was here on earth. His grace is sufficient for you ­ in other words He has given you His Word to teach you all you need to know to defeat the enemy. He has given you the Holy Spirit Who is the Comforter, Counsellor, Strengthener and Standby to help you. Misunderstanding: Healing is Not for Today A big teaching in evangelical churches around the world is that healing passed away with the apostles 2000 years ago. That is taught to thousands of Christians and when you ask them to show you a scripture ­ there is none. What they try to do is use the scripture from 1 Corinthians 13 v 8 ­ 10 which says that when He who is perfect has come, tongues shall cease. And so they say that He who is perfect has come and that is why speaking in tongues is no longer valid. However, in the same verse where it says speaking in tongues shall cease, it also says knowledge shall cease. As I explained previously, the reason for this is that in the books of Matthew, Mark, Luke and John in the Bible, Jesus came and demonstrated the love, compassion and mercy of God and His power over the devil and disease in His many miraculous healings. After the demonstration was done, from Romans through to Jude it is all about sanctification. When you have the sanctification of Romans to Jude in your life ­ the blessings which include healing and divine health will come. Here is another New Testament scripture that I mentioned earlier which teaches about healing in the body of Christ: James 5 v 14 ­ 16: "Is anyone among you sick? In Psalm 103 v 3 God said He heals all of our diseases, Isaiah 61 v 1 prophesied that Jesus would come to "heal the broken hearted, to proclaim liberty to the physical and spiritual captives and the opening of the prison and of the eyes to those that are bound.