Is a Christian Commanded to Go to Church, and If So, How Often?

As a pastor of a New Testament church, I desire that all who attend do so each Sunday. When they don’t, I am concerned. I wonder if they are sick, out of town, struggling spiritually, upset about something, or attending another church.

Thankfully, the Lord gave us the Bible as a source of truth to answer our questions about life.

The Bible provides an example of the early church in the book of Acts:

Acts 2:42-47:

And they continued steadfastly in the apostles’ doctrine and fellowship, in the breaking of bread, and in prayers. Fear came upon every soul: and many wonders and signs were done by the apostles. All that believed were together and had all things in common; they sold their possessions and goods and distributed them to all, as anyone had need. They continued daily with one accord in the temple, breaking bread from house to house, eating their food with gladness and simplicity of heart, praising God and having favor with all the people. And the Lord added to the church daily those who were being saved.

In this church, four practices were common among believers:

1. Learning the doctrines (teachings) of the Bible
2. Fellowship with other believers
3. Partaking in the Lord’s Supper
4. Praying

How often did they meet? Daily! Does this mean all believers should meet daily at the church? No, not at all. As the church evolved, so did the practice of meeting daily. The book of Hebrews, written to Jewish Christians suffering persecution, offers this encouragement:

Hebrews 10:24-25:

And let us consider one another to provoke unto love and to good works, not forsaking the assembling of ourselves together, as is the manner of some, but exhorting one another, and so much the more as you see the day approaching.

These verses shed light on why a believer attends church. Church is not to be attended as one would an event such as a concert or a sporting event. Church is a place believers go to “provoke” them to “love” and to do “good works.” It is where believers gather to encourage and help one another. When you choose to be unfaithful to church, you weaken not only your own spiritual life but also the spiritual lives of others in your church.

Another practice found here is to go. Believers should be faithful in attending their church, especially as we understand that the Lord’s return is near. Is it a command? No, but it is a practice that should be a priority in the life of a believer. I am always aware that the church is loved by Jesus and that Jesus gave Himself for it.

Ephesians 5:25:

Husbands, love your wives, even as Christ also loved the church and gave himself for it.

The lackadaisical attitude about attending church is not found in Scripture. Prioritizing personal pleasure, convenience, family, sports, parties, etc., reveals the condition of the heart. How can one profess to love Jesus and not love what Jesus loves?

Are you commanded to go each and every Sunday? Each time the door is open? No, but attending your church should be a top priority. It should be as automatic for a Christian as going to work or a child going to school.

Go to church!

Seven Steps for Restoring an Overtaken Christian

Seven Steps for Restoring an Overtaken Christian.  

Step One:           For Spirit Filled Believers Only! (1a)

Galatians 6:1 (KJV) ¹ Brethren, if a man be overtaken in a fault, ye which are spiritual, restore such an one in the spirit of meekness; considering thyself, lest thou also be tempted. 

1.            Does the Believer Exhibit the Fruit of the Spirit?

Galatians 5:22-23 (KJV) ²² But the fruit of the Spirit is love, joy, peace, longsuffering, gentleness, goodness, faith, ²³ Meekness, temperance: against such there is no law. 

 2.            Does the Believer live an Unselfish and Sacrificial Life?

Galatians 5:24 (KJV) ²⁴ And they that are Christ's have crucified the flesh with the affections and lusts. 

3.            Does the Believer Walk in the Spirit?

Galatians 5:25 (KJV) ²⁵ If we live in the Spirit, let us also walk in the Spirit. 

4.            Does the Believe Walk free from Envy, Pride, and Contention?

Galatians 5:26 (KJV) ²⁶ Let us not be desirous of vain glory, provoking one another, envying one another. 

Step Two:          Approach the Person in a Spirit of Meekness (1b)

Galatians 6:1 (KJV) ¹ Brethren, if a man be overtaken in a fault, ye which are spiritual, restore such an one in the spirit of meekness; considering thyself, lest thou also be tempted.

…spirit of meekness:        Gentleness, meekness, humility. Meekness means to be gentle,                                                         tender, humble, mild, considerate, but strongly so.

Humility with Strength!

It is not correction by…
Blame, lecturing, disapproval, surprise, spirit of rejection, hardness, criticism, indifference, harshness, “holier than thou”…
The wrong spirit in restoration destroys rather than restores.  It offends rather mends!
In meekness instructing those that oppose themselves; if God peradventure will give them repentance to the acknowledging of the truth" (2 Tim. 2:25).

 Step Three:      Consider Yourself (1c)

Galatians 6:1 (KJV) ¹ Brethren, if a man be overtaken in a fault, ye which are spiritual, restore such an one in the spirit of meekness; considering thyself, lest thou also be tempted.

…considering:   Take heed. Watch Out.

Luke 11:35 (KJV) ³⁵ Take heed therefore that the light which is in thee be not darkness.

2 Peter 3:17 (KJV) ¹⁷  Ye therefore, beloved, seeing ye know these things before, beware lest ye also, being led away with the error of the wicked, fall from your own stedfastness.

 Step Four:         Bear One Another’s Burdens (2)

Galatians 6:2 (KJV) ² Bear ye one another's burdens, and so fulfil the law of Christ.

…burdens:          load, weight.  References a whole day’s labor. 

We are to help others with their load.

 Step Five:          Confess Your Own Nothingness (3)

Galatians 6:3 (KJV) ³ For if a man think himself to be something, when he is nothing, he deceiveth himself.

All sinners saved by grace!!  Know your boundaries and limitations.

Step Six:             Examine Your Own Works (4)

Galatians 6:4 (KJV) ⁴ But let every man prove his own work, and then shall he have rejoicing in himself alone, and not in another.

…work:                 Behavior and conduct. 

…rejoicing in himself alone, and not in another:   Your satisfaction comes in your living.  You do     not need others approval. God Pleaser, not Man  Pleaser.

It is imperative in restoring others that we examine ourselves first.  What is our behavior and conduct?  Are we a  man pleaser, or a God pleaser?  What is our motive?

Example:             Jesus and the Sermon on the Mount.

Matthew 7:1-5 (KJV) ¹ Judge not, that ye be not judged. ² For with what judgment ye judge, ye shall be judged: and with what measure ye mete, it shall be measured to you again. ³ And why beholdest thou the mote that is in thy brother's eye, but considerest not the beam that is in thine own eye? ⁴ Or how wilt thou say to thy brother, Let me pull out the mote out of thine eye; and, behold, a beam is in thine own eye? ⁵ Thou hypocrite, first cast out the beam out of thine own eye; and then shalt thou see clearly to cast out the mote out of thy brother's eye.

Step Seven:      Realize Your Own Responsibilities (5)

Galatians 6:5 (KJV) ⁵ For every man shall bear his own burden.

…burden:            Different from verse 2.  It is something we have to bear regardless of its weight.  It is our lot in life.  No one can live your life for you.  You have to do it.  It can be your job, your physical ailment, your financial condition, a tragedy you endured, an abuse you              suffered, the consequences of past decisions.

Matthew 11:28-30 (KJV) ²⁸ Come unto me, all ye that labour and are heavy laden, and I will give you rest. ²⁹ Take my yoke upon you, and learn of me; for I am meek and lowly in heart: and ye shall find rest unto your souls. ³⁰ For my yoke is easy, and my burden is light.

We can help others with their burdens, but there is a burden we are called to bear.  The burden well carried will be rewarded.

2 Corinthians 5:10 (KJV) ¹⁰ For we must all appear before the judgment seat of Christ; that every one may receive the things done in his body, according to that he hath done, whether it be good or bad.

Under His Wings!

2.  A Testimony of Trusting in the Lord (12)
Ruth 2:12 (KJV) ¹² The LORD recompense thy work, and a full reward be given thee of the LORD God of Israel, under whose wings thou art come to trust.

Boaz recognized Ruth was trusting God.  Scripture refers to the wings of the Lord several times. Under the wings of the Lord we find:

     a.  Redemption

Psalm 36:7 (KJV) ⁷ How excellent is thy lovingkindness, O God! therefore the children of men put their trust under the shadow of thy wings.
This is a reference to the wings of the cherubims on the mercy seat of the ark of the covenant.  On this ark was the blood sprinkled on the Day of Atomement.  Ruth was trusting in the Lord for her redemption.  It was under the shadow of thy wings that she found salvation. 

     b.  Rest

Psalm 17:8 (KJV) ⁸ Keep me as the apple of the eye, hide me under the shadow of thy wings,
The word "hide" means to conceal or withdraw from view.  It is referencing that God is our place of rest.  We can find a place of rest in a busy and hectic world when we are hid under the shadow of his wings. 

     c.  Refuge

Psalm 57:1 (KJV) ¹ Be merciful unto me, O God, be merciful unto me: for my soul trusteth in thee: yea, in the shadow of thy wings will I make my refuge, until these calamities be overpast.

Israel had six cities of refuge for protection for those who had accidently killed another.  It was a place they could seek asylum.  God is our refuge.  He is the place we can flee for protection.

      d.  Rejoicing

Psalm 63:7 (KJV) ⁷ Because thou hast been my help, therefore in the shadow of thy wings will I rejoice.
God is our place of rejoicing.  When we trust in Him, He gives us rejoicing in our hearts. 

Ruth had learned that God is her redemption, her rest, her refuge, and her rejoicing.  It is under the wings of the Lord that we too will find redemption, rest, refuge, and rejoicing.

Boaz respected Ruth for her faith and trust in God.  He wanted Ruth to have God's best. 

Daily Meditation: Dealing with a Liar.

Proverbs 25:18 (KJV) ¹⁸  A man that beareth false witness against his neighbour is a maul, and a sword, and a sharp arrow.
Dishonest people are engaged in making false pronouncements and/or false promises.  Verse 18 is referring to those who make false pronouncements. 
Maul=Large wooden hammer or club.
Sword=cuts and wounds.
Sharp arrow=pierces to the heart.
A person who makes false and misleading statements against another person can inflict terrible wounds on their victim.  They can cause a person to lose his reputation or worse.  I know we always quote the childhood saying; "sticks, and stones will break my bones, but words will never hurt me".  However, the reality is that people making false and misleading words do hurt others.
Some practical advice in dealing with false witnesses and false testimonies:

1.  Remember, you are not a garbage can with a hairy lid.  Don't listen to slop if you can avoid it.
2.  Don't believe everything you hear. 
3.  If you don't know the facts, don't make a judgment.
4.  If someone says false things against you, confront them.
5.  If the confrontation does not produce repentance, move on.
6.  Remember, eventually people will judge you on the content of your character, not the words of a liar.
I know that false words made against us hurt, and can cause damage in relationships.  However, it is best if we do not allow our concern of what others think and say about us to effect our daily walk with the Lord.  The meditation of our heart must not be on what the false witness said or the damage he inflicted to our reputation, but on the goodness of our God.  Paul instructs us to "think on these things".
  
Philippians 4:8 (KJV) ⁸ Finally, brethren, whatsoever things are true, whatsoever things are honest, whatsoever things are just, whatsoever things are pure, whatsoever things are lovely, whatsoever things are of good report; if there be any virtue, and if there be any praise, think on these things.

I John 3:18-22 Daily Meditation on Love.

1 John 3:18-22 (KJV)18 My little children, let us not love in word, neither in tongue; but in deed and in truth.   19 And hereby we know that we are of the truth, and shall assure our hearts before him.  20 For if our heart condemn us, God is greater than our heart, and knoweth all things.   21 Beloved, if our heart condemn us not, then have we confidence toward God.   22 And whatsoever we ask, we receive of him, because we keep his commandments, and do those things that are pleasing in his sight.


 1.  Love is more than words. (18)


We describe people as "all talk" or we say "talk is cheap".  Love is more than just words...


2.  Love is a lifestyle of helping others while having the right motive. (18)


Deed= our work or our labor.  Our occupation. It is referencing a lifestyle of doing works in helping others.
Truth= the right action with the right motive.
Love is living a life constantly helping others according to what is right with a right motive.  This would disqualify good deeds that are not rightly motivated.  This would disqualify good deeds that glorify self or benefit self. 


3. Love produces a heart that is right with God (19)


4. Love produces a heart free from guilt (20)


Our actions not done in Biblical love will produce a guilt in our heart.  No worries, God is able to forgive and cleanse us.




5.  Love produces an open and  real relationship with God (21)


Interestingly when the fruit of the Spirit is listed in Galatians 5, love is listed first.  The primary indication of a Spirit-filled life is a life lived loving others the way Jesus did!  This was not a compromising self-serving love, but a sacrificial and giving love.  A love that was demonstrated clearly on Calvary's cross.


If you want an open, close, and real relationship with God, don't violate the love principle! Love God and love others.

Handfuls of Purpose

Ruth 2:16 (KJV) ¹⁶  And let fall also some of the handfuls of purpose for her, and leave them, that she may glean them, and rebuke her not.


Boaz showed kindness and encouragement to Ruth as she gleaned in his fields. The Lord does the same for you and me! How many times have you gotten tired and weary in faithful service to the Lord? Perhaps, your blessing meter started getting low and the Lord came alon...g and dropped a handful of blessing on purpose for you. He does this a number of ways. He may use a truth in the word of God to satisfy and comfort you or may bring a person into your life to lift your heart, faith, and encourage you. He might encourage you by answering your prayer. There are many ways the Lord drops those handfuls of purpose.
Are you a handful of purpose in the Lord's hands? People need love, encouragement, kindness, or the Gospel. God wants to use you to be a blessing, a handful of purpose in the lives of others if you are willing. You will get more out of your Christian life if you will invest your life into the lives of others..

Now and Then: The Greatest Christmas Gift.

It is early (5:30 am) Christmas morning.  The tree is lit, the fireplace is on, and the house is calm and quiet. Soon all that will change, but for this moment, I have and am enjoying my time alone with the one who made this day possible, the Lord Jesus.

Much has been said about His birth in Bethlehem's manger, and much needs to be said about the God-man. Why was He born?  Why did He leave Heaven's splendor to be born here on earth?  Why did he consent to the constraints of a human body and ultimately the torture that was His death?

His motive is clearly explained in the Scriptures.  The most famous verse of all reveals it.  John 3:16 (KJV) ¹⁶ For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life.  Jesus came because He loves us.  I don't know about you, but I am overwhelmed by the truth that the great creator of this universe, the God of gods, and the Lord of lords knows who I am and has chosen to love me. My heart sings today the Anna Barlett Warner classic Jesus loves me.  Yes Jesus loves me.  Yes Jesus loves me.  Yes Jesus loves me.  The Bible tells me so!  

He came because He loved us, but why did He come and why did He die?  He came for our salvation, He came so we could be eternally with Him in Heaven. Jesus stated this clearly:  Luke 19:10 (KJV) ¹⁰ For the Son of man is come to seek and to save that which was lost. This is the then.  Jesus came and died for our future.  He gave His life for ours.  2 Corinthians 5:21 (KJV)21 For he hath made him to be sin for us, who knew no sin; that we might be made the righteousness of God in him.  

He also came for the now.  He came to give his children and mankind in general a better life.  The Scripture clearly teaches this:  John 10:10 (KJV) ¹⁰ The thief cometh not, but for to steal, and to kill, and to destroy: I am come that they might have life, and that they might have it more abundantly. This verse clearly summarizes the struggle between God and Satan.  Satan comes to rob and destroy us, but Jesus came to give an opportunity for all to have eternal life (then) and an abundant life (now).

Where the message of Jesus has gone, the way of life has been improved.  I know my life is filled and abundant because of Him.  It is improved. Soon it will be 38 years since Jesus came into my heart and gave me eternal life and an abundant life.  All I can say is thank you Jesus!  I have today in my daily walk written about many of the numerous blessings the Lord has given me, and it overflows my heart.

Now, abundance; then, eternal life!  Praise the Lord.

Isaiah 9:6-7 (KJV) ⁶ For unto us a child is born, unto us a son is given: and the government shall be upon his shoulder: and his name shall be called Wonderful, Counsellor, The mighty God, The everlasting Father, The Prince of Peace. ⁷ Of the increase of his government and peace there shall be no end, upon the throne of David, and upon his kingdom, to order it, and to establish it with judgment and with justice from henceforth even for ever. The zeal of the LORD of hosts will perform this.
Luke 2:11 (KJV) ¹¹ For unto you is born this day in the city of David a Saviour, which is Christ the Lord.

Spirt Filled or Drug Filled? Part5: Spice, Synthetic Marijuana

Spirit Filled or Drug Filled – Part 5: Spice

Written by: Dr. George Crabb

Issue: November Blogs

I’ve enjoyed looking at these specific drug categories and how they affect an individual. Although the drugs are different the answer is the same – a personal relationship with Jesus Christ. Today we are going to take a look at Spice, otherwise known as synthetic marijuana. The last two blogs will cover the following:
#6 Salvia
#7 MDMA (Ecstasy)
It is God’s desire that He completely sanctify every aspect of our lives – spirit, soul, and body – according to I Thessalonians 5:23. God desires to direct our thoughts, our words, and our actions – this is called being “filled with the Spirit” Ephesians 5:18.
As children of God, our bodies are the temple of the Holy Ghost (I Corinthians 6:19). With this in mind we are to glorify God in our bodies because our bodies belong to Him (I Corinthians 6:20). A child of God dishonors God when they introduce into their body (which belongs to God) harmful substances. These substances are not only physically and soulically harmful, but they also diminish our sobriety which in turn decreases the Spirit’s ability to completely control our lives. When we partake of any of these substances, no matter how little it may be, we start the process of becoming filled with them and less filled with the Spirit.
I pray that all of us will attempt, by the grace of God, to live a Spirit filled life and that none of these substances will ever take away the power of God in our lives.

Spice (Synthetic Marijuana)

“Spice” refers to a wide variety of herbal mixtures that produce experiences similar to marijuana and that are marketed as “safe,” legal alternatives to that drug. Sold under many names including K2, fake weed, Yucatan Fire, Skunk, Moon Rocks, and others – and labeled “not for human consumption” – these products contain dried, shredded plant material and chemical additives that are responsible for their psychoactive (mind-altering) effects.
Note: Spice products do contain dried plant material, but chemical analyses show that their active ingredients are synthetic (or designer) cannabinoid compounds. The chemicals used in Spice have high potential for abuse and NO medical benefit.
Spice products are popular among young people; of the illicit drugs most used by high-school seniors, they are second only to marijuana. (They are more popular among boys than girls – in 2012, nearly twice as many male 12^th graders reported past-year use of synthetic marijuana as females in the same age group.) Easy access and the misperception that Spice products are “natural” and therefore harmless have likely contributed to their popularity. Another selling point is that the chemicals used in Spice are not easily detected in standard drug tests.

How is Spice Abused?

Some Spice products are sold as “incense,” but they more closely resemble potpourri. Like marijuana, Spice is abused mainly by smoking. Sometimes Spice is mixed with marijuana or is prepared as an herbal infusion for drinking.
Spice users report experiences similar to those produced by marijuana – elevated mood, relaxation, and altered perception – and in some cases the effects are even stronger than those of marijuana. Some users report psychotic effects like extreme anxiety, paranoia, and hallucinations.
The cannabinoid compounds found in Spice products act on the same cell receptors as THC, the primary psychoactive component of marijuana.

What Are the Other Health Effects of Spice?

Spice abusers who have been taken to Poison Control Centers report symptoms that include rapid heart rate, vomiting, agitation, confusion, and hallucinations. Spice can also raise blood pressure,  cause reduced blood supply to the heart (myocardial ischemia), and in a few cases it has been associated with heart attacks. Regular users may experience withdrawal and addiction symptoms.
Another potential effect is that there may be harmful heavy metal residues in Spice. These heavy metal residues can cause a wide array of medical conditions that are dangerous to the body.
No matter how harmless or natural these drugs are supposed to be, they cause dangerous effects to the body and can lead a person into the bondage of addiction. May we continue to pursue holiness and purity in our lives allowing the Holy Spirit to direct us, not drugs.

Author: Dr. George Crabb

Dr. George T. Crabb (D.O., F.A.C.O.I.) is a Board Certified Internal Medicine physician and a Fellow of the American College of Osteopathic Internist. In addition to practicing Internal and Addiction Medicine in Naples, Florida, Dr. Crabb writes medical communications for Reformers Unanimous International. Dr. Crabb’s passion has always been to help others through the liberating truth of Jesus Christ. Jesus said, “I am come that they might have life, and that they might have it more abundantly.” John 10:10

Quotes for the Week

Quotes for the Week

 

For those who do not follow me on twitter (@cshenenberger), here are the quotes tweeted in the last week or so.

 

 

Thank God that when Satan said in his arrogance, "I will ascend," Jesus in his humility and humanity said, "I will descend."

 

General Douglas MacArthur, "In war there is no substitute for victory."

 

God's will for his saints is not that we merely survive, but that we thrive in total victory.--Adrian Rogers

 

Living victoriously isn't your responsibility; it is rather your response to God's ability.

 

God's plan for us is not immunity from struggle but victory through struggle. Adrian Rogers

 

These hath God married and no man shall part: dust in the Bible and drought in the heart.

      

"Man has only three problems: sin, sorrow, and death." Adrian Rogers

 

America is great because she is good, and if America ever ceases to be good, she will cease to be great. ---Tocqueville (allegedly)

 

"God isn't looking for people of great faith, but for individuals ready to follow Him" — Hudson Taylor

 

"Be not angry that you cannot make others as you wish them to be, since you cannot make yourself as you wish to be." -Thomas a Kempis

 

Work becomes worship when done for the Lord.

 

Your Redeemer is bigger than your past.

Spirit Filled or Drug Filled – Part 4: Marijuana

Written by: Dr. George Crabb

Issue: November Blogs

I pray that the blogs regarding drugs of abuse have been educational. Today we are going to take a look at marijuana. The last three blogs will cover the following:
#1 Spice (Synthetic Marijuana)
#2 Salvia
#3 MDMA (Ecstasy)
It is God’s desire that He completely sanctify every aspect of our lives – spirit, soul, and body – according to I Thessalonians 5:23. God desires to direct our thoughts, our words, and our actions – this is called being “filled with the Spirit” Ephesians 5:18.
As children of God, our bodies are the temple of the Holy Ghost (I Corinthians 6:19). With this in mind we are to glorify God in our bodies because our bodies belong to Him (I Corinthians 6:20). A child of God dishonors God when they introduce into their body (which belongs to God) harmful substances. These substances are not only physically and soulically harmful, but they also diminish our sobriety which in turn decreases the Spirit’s ability to completely control our lives. When we partake of any of these substances, no matter how little it may be, we start the process of becoming filled with them and less filled with the Spirit.
I pray that all of us will attempt, by the grace of God, to live a Spirit filled life and that none of these substances will ever take away the power of God in our lives.

Marijuana

Marijuana is a dry, shredded green and brown mix of leaves, flowers, stems, and seeds from the hemp plant Cannabis sativa. In a more concentrated, resinous form, it is called hashish, and as a sticky black liquid, hash oil. The main psychoactive (mind-altering) chemical in marijuana is delta – 9 – tetrahydrocannabinol, or THC.
Marijuana is the most common illicit drug used in the United States. After a period of decline in the last decade, its use has generally increased among young people since 2007, corresponding to a diminishing perception of the drug’s risks. More teenagers are now current (past month) smokers of marijuana than of cigarettes, according to annual survey data.

How is Marijuana Abused?

Marijuana is usually smoked in hand-rolled cigarettes (joints) or in pipes (bongs). It is also smoked in blunts – cigars that have been emptied of tobacco and refilled with a mixture of marijuana and tobacco. Marijuana smoke has a pungent and distinct, usually sweet-and-sour, odor. Marijuana can also be mixed in food or brewed as tea.

How Does Marijuana Affect the Brain?

When marijuana is smoked, THC rapidly passes from the lungs into the bloodstream, which carries the chemical to the brain and other organs throughout the body. It is absorbed more slowly when ingested in food or drink.
However it is ingested, THC acts upon specific molecular targets on brain cells, called cannabinoid receptors. The highest density of cannabinoid receptors is found in parts of the brain that influence pleasure, memory, thinking, concentration, sensory and time perception, and coordinated movements. Marijuana overactivates the endocannabinoid system, causing the high and other effects that users experience. These include distorted perceptions, impaired coordination, difficulty with thinking and problem solving, and disrupted learning and memory.

Effects on Life

Research clearly demonstrates that marijuana has the potential to cause problems in daily life or make a person’s existing problems worse. Marijuana use is associated with a higher likelihood of dropping out from school. Several studies also associate workers’ marijuana smoking with increased absences, tardiness, accidents, workers’ compensation claims, and job turnover. Marijuana’s adverse impact on learning and memory persists after the acute effects of the drug wear off.  When marijuana use begins in adolescence, the effects may persist for many years. Research from different areas is converging on the fact that regular marijuana use by young people can have long-lasting negative impact on the structure and function of their brains.

What Are the Other Health Effects of Marijuana?

Marijuana use can have a variety of adverse short and long-term effects, especially on cardiopulmonary and mental health. Marijuana raises heart rate by 20-100% shortly after smoking; this effect can last up to 3 hours. In one study, it was estimated that marijuana users have a 4.8 fold increase in the risk of heart attack in the first hour after smoking the drug.
Because it seriously impairs judgment and motor coordination, marijuana also contributes to accidents while driving. A recent analysis of data from several studies shows that marijuana use more than doubles a driver’s risk of being in an accident. Further, the combination of marijuana and alcohol is worse than either substance alone with respect to driving impairment.
Marijuana smoke is an irritant to the lungs, and frequent marijuana smokers can have many of the same respiratory problems experienced by tobacco smokers, such as daily cough and phlegm production, more frequent acute chest illness, and a heightened risk of lung infection.
A number of studies have shown an association between chronic marijuana use and mental illness. High doses of marijuana can produce a temporary psychotic reaction (involving hallucinations and paranoia).
Associations have also been found between marijuana use and other mental health problems, such as depression, anxiety, suicidal thoughts among adolescents, and personality disturbances, including a lack of motivation to engage in typically rewarding activities.
Marijuana use during pregnancy is associated with increased risk of neurobehavioral problems in babies. Consequences for the child may include problems with attention, memory, and problem solving.

Is Marijuana Addictive?

Contrary to common belief, marijuana is addictive. Many of the nearly 7% of high school seniors who report smoking marijuana daily or almost daily are well on their way to addiction, if not already addicted.
Long-term marijuana users trying to quit report withdrawal symptoms including irritability, sleeplessness, decreased appetite, anxiety, and drug craving, all of which can make it difficult to remain abstinent.
May we strive to stay sober for the Lord and not allow any of these substances into our lives. May we also help others find freedom in the Lord from these addictive substances.

Author: Dr. George Crabb

Dr. George T. Crabb (D.O., F.A.C.O.I.) is a Board Certified Internal Medicine physician and a Fellow of the American College of Osteopathic Internist. In addition to practicing Internal and Addiction Medicine in Naples, Florida, Dr. Crabb writes medical communications for Reformers Unanimous International. Dr. Crabb’s passion has always been to help others through the liberating truth of Jesus Christ. Jesus said, “I am come that they might have life, and that they might have it more abundantly.” John 10:10

Commonly Abused RX Drugs

Spirit Filled or Drug Filled – Part 3: Commonly Abused RX Drugs

Written by: Dr. George Crabb

Issue: October Blogs

Good day in the Lord Jesus Christ! The last two weeks we discussed Bath Salts and Club Drugs. Today in our blog we are going to take a closer look at the abuse of prescription drugs. Over the course of the next four weeks we will look at:
#1 Marijuana
#2 Spice (Synthetic Marijuana)
#3 Salvia
#4 MDMA (Ecstasy)
It is God’s desire that He completely sanctify every aspect of our lives – spirit, soul, and body – according to I Thessalonians 5:23. God desires to direct our thoughts, our words, and our actions – this is called being “filled with the Spirit” Ephesians 5:18.
As children of God, our bodies are the temple of the Holy Ghost (I Corinthians 6:19). With this in mind we are to glorify God in our bodies because our bodies belong to Him (I Corinthians 6:20). A child of God dishonors God when they introduce into their body (which belongs to God) harmful substances. These substances are not only physically and soulically harmful, but they also diminish our sobriety which in turn decreases the Spirit’s ability to completely control our lives. When we partake of any of these substances, no matter how little it may be, we start the process of becoming filled with them and less filled with the Spirit.
I pray that all of us will attempt, by the grace of God, to live a Spirit filled life and that none of these substances will ever take away the power of God in our lives.

Commonly Abused Prescription Drugs

Medications can be effective when they are used properly, but some can be addictive and dangerous when abused. The following list of prescribed medications has the potential for adverse medical consequences, including addiction.
Opiates:        Codiene – Tylenol #3, many cough suppressants.
Morphine – MS Contin, Roxanol, Duramorph.
Methadone – Dolophine
Fentanyl – Duragesic
Oxycodone – OxyContin, Percocet
Hydrocodone – Vicodin, Norco, Lortab
Hydromorphone – Dilaudid
Barbituates:  Fiorcet, Amytal, Phenobarbital
Benzodiazepines:  Ativan, Valium, Xanax, Klonopin
Sleeping Medications: Ambien, Lunesta, Sonata
Stimulants:  Amphetamines – Adderall, Dexedrine
Methylphenidate – Concerta, Ritalin

In 2010, approximately 16 million Americans reported using prescription drugs for nonmedical reasons in the past year; 7 million in the past month.

How Are Prescription Drugs Abused?

Prescription drugs may be abused in one of the following ways:
#1 Taking a medication that has been prescribed for somebody else. Unaware of the dangers of sharing medications, people often unknowingly contribute to this form of abuse by sharing their unused pain relievers with their family members.
Note: Most teenagers who abuse prescription drugs are given them for free by a friend or relative.
#2 Taking a drug in higher quantity or in another manner than prescribed. Most prescription drugs are dispensed orally in tablets, but abusers sometimes crush the tablets and snort or inject the powder. This hastens the entry of the drug into the bloodstream and the brain and amplifies its effects.
#3 Taking a drug for another purpose than prescribed. All of the drug types mentioned can produce pleasurable effects at sufficient quantities, so taking them for the purpose of getting high is one of the main reasons people abuse them.
ADHD drugs like Adderall are also often abused by students seeking to improve their academic performance. However, although they boost alertness, there is little evidence they improve cognitive functioning for those without a medical condition.

How Do Prescription Drugs Affect the Brain?

Stimulants such as Ritalin achieve their effects by acting on the same neurotransmitter systems as cocaine. Opiod pain relievers such as OxyContin attach to the same cell receptors targeted by illegal Opiods like heroin. Prescription depressants produce sedating or calming effects in the same manner as the club drugs GHB and rohypnol.
When abused, all of these classes of drugs directly or indirectly cause a pleasurable increase in the amount of dopamine in the brain’s reward pathway. Repeatedly seeking to experience that feeling can lead to destruction.

What Are the Other Health Effects of Prescription Drugs?

Stimulants can have strong effects on the cardiovascular system. Taking high doses of a stimulant can dangerously raise body temperature and cause irregular heartbeat or even heart failure or seizures. Also, taking some stimulants in high doses or repeatedly can lead to hostility or feelings of paranoia.
Opiods can produce drowsiness, cause constipation, and – depending upon the amount taken – depress breathing. More people die from overdoses of prescription Opiods than from all other drugs combined, including heroin and cocaine.
CNS depressants slow down brain activity and can cause sleepliness and loss of coordination. Continued use can lead to physical dependence and withdrawal symptoms if discontinuing use.
Prescription drugs, when used appropriately and monitored carefully, can be of tremendous benefit. However, these potentially helpful medications can quickly turn to dangerous and destructive chemicals if abused. I pray that these medications will never control any portion of our lives but that our lives will be totally governed by the Holy Spirit of God.

Author: Dr. George Crabb

Dr. George T. Crabb (D.O., F.A.C.O.I.) is a Board Certified Internal Medicine physician and a Fellow of the American College of Osteopathic Internist. In addition to practicing Internal and Addiction Medicine in Naples, Florida, Dr. Crabb writes medical communications for Reformers Unanimous International. Dr. Crabb’s passion has always been to help others through the liberating truth of Jesus Christ. Jesus said, “I am come that they might have life, and that they might have it more abundantly.” John 10:10

Spirit Filled or Drug Filled – Part 2: Club Drugs

Written by: Dr. George Crabb

Issue: October Blogs

Good Friday morning! Last week we discussed Bath Salts and their abuse. Today we will discuss Club drugs. In the weeks to follow we will look into the following substances:
#1 Commonly Abused Prescription Drugs
#2 Marijuana
#3 Spice (Synthetic Marijuana)
#4 Salvia
#5 MDMA (Ecstasy)
It is God’s desire that He completely sanctify every aspect of our lives – spirit, soul, and body according to I Thessalonians 5:23. God desires to direct our thoughts, our words, and our actions – this is called being “filled with the Spirit” (Ephesians 5:18).
As children of God, our bodies are the temple of the Holy Ghost (I Corinthians 6:19). With this in mind, we are to glorify God in our bodies because our bodies belong to Him (I Corinthians 6:20). A child of God dishonors God when they introduce into their body (which belongs to God) harmful substances. These substances are not only physically and soulically harmful, but they also diminish our sobriety which in turn decreases the Spirit’s ability to completely control our lives. When we partake of any of these substances, no matter how little it may be, we start the process of becoming filled with them, and as a result we become less filled with the Spirit.
I pray that all of us will attempt, by the grace of God, to live a Spirit filled life and that none of these substances will ever take away the power of God in our lives.

Club Drugs (GHB, Ketamine, Ecstasy, and Rohypnol)

Club drugs are a pharmacologically heterogeneous group of psychoactive drugs that tend to be abused by teens and young adults at bars, nightclubs, concerts, and parties. Gamma hydroxybutyrate (GHB),  Rohypnol, Ketamine, as well as MDMA (ecstasy) are some of the drugs included in this group.
GHB (Xyrem) is a central nervous system (CNS) depressant that was approved by the Food and Drug Administration (FDA) in 2002 for use in the treatment of narcolepsy (a sleep disorder).
Rohypnol (flunitrazepam) use began gaining popularity in the United States in the early 1990s. It is a benzodiazepine (chemically similar to sedative-hypnotic drugs such as Valium or Xanax), but it is not approved for medical use in this country, and its importation is banned.
Ketamine is a dissociative anesthetic, mostly used in veterinary practice.
How Are Club Drugs Abused?
GHB and Rohypnol are available in odorless, colorless, and tasteless forms that are frequently combined with alcohol and other beverages. Both drugs have been used to commit sexual assaults (also known as “date rape,” “acquaintance rape,” or “drug assisted” assault) due to their ability to sedate and incapacitate unsuspecting victims, preventing them from resisting sexual assault.
GHB is usually ingested orally, either in liquid or powder form, while Rohypnol is typically taken orally in pill form. Recent reports, however, have shown that Rohypnol is being ground up and snorted.
Both GHB and Rohypnol are also abused for their intoxication effects, similar to other CNS depressants.
GHB also has anabolic effects (it stimulates protein synthesis) and has been used by body builders to aid in fat reduction and muscle building.
How Do Club Drugs Affect the Brain?
GHB’s sedative effects may result in sleep, coma, or death.
Rohypnol, like other benzodiazepines, acts at the GABA receptor. It can produce anterograde amnesia, in which individuals may not remember events while under the influence of the drug.
Ketamine is a dissociative anesthetic, so called because it distorts perceptions of sight and sound and produces feelings of detachment from the environment and self. Low-dose intoxication results in impaired attention, learning ability, and memory. At higher doses, ketamine can cause dreamlike states and hallucinations; and at higher doses still, ketamine can cause delirium and amnesia.
Addictive Potential
Repeated use of GHB may lead to withdrawal effects, including insomnia, anxiety, tremors, and sweating. Severe withdrawal reactions have been reported among patients especially if other drugs or alcohol are involved.
Like other benzodiazepines, the use of Rohypnol can lead to addiction and severe withdrawal symptoms.
Ketamine use can produce significant cravings such as those found in individuals who use cocaine or amphetamines.
What Other Adverse Effects Do Club Drugs Have on Health?
Uncertainties about the sources, chemicals, and possible contaminants used to manufacture many club drugs make it extremely difficult to determine toxicity and associated medical consequences. Nonetheless, we do know that:
Coma and seizures can occur following use of GHB.
Rohypnol may be lethal when mixed with alcohol and/or other CNS depressants.
Ketamine, at high doses, can cause impaired motor function, high blood pressure, and potentially fatal respiratory problems.
How Widespread Is Club Drug Abuse?
According to results of the 2009 MTF survey, 0.7% of 8^th grade and 1.1% of 12^th grade students reported past year use of GHB.
Past-year use of Ketamine was reported by 1% of 8^th graders, 1.3% of 10^th graders, and 1.7% of 12^th graders in 2009.
For Rohypnol, 0.4% of 8^th and 10^th graders, and 1% of 12^th graders reported past year use.
The use of Club drugs is a big problem amongst our young people. We need to educate them on the dangers of these drugs and how they can be devastating to their bodies which belong to God.

Author: Dr. George Crabb

Dr. George T. Crabb (D.O., F.A.C.O.I.) is a Board Certified Internal Medicine physician and a Fellow of the American College of Osteopathic Internist. In addition to practicing Internal and Addiction Medicine in Naples, Florida, Dr. Crabb writes medical communications for Reformers Unanimous International. Dr. Crabb’s passion has always been to help others through the liberating truth of Jesus Christ. Jesus said, “I am come that they might have life, and that they might have it more abundantly.” John 10:10

Drug Use Drops for America's Youth, Rises in the Over 50 Crowd

Sept. 4, 2013

By MIKE LEVINE

Mike Levine

Drug use is down for young Americans but is on the rise among people over 50 according to a recent government survey.

Drug use among America's youth is dropping, but it's booming among people over 50, a U.S. government survey released Wednesday shows.

Last year, the rate of illicit drug use among children and teenagers 12 to 17 years old dropped to 9.5 percent, down from 11.6 percent a decade earlier, according to the Substance Abuse and Mental Health Services Administration's (SAMHSA) latest national survey.

Meanwhile, illicit drug use among adults 50 to 64 years old has increased in the past decade.

Specifically, illicit drug use among adults 50 to 54 has more than doubled since 2002, reaching 7.2 percent last year. For people 55 to 59, such drug use has more than tripled, reaching 6.6 percent last year.

Marijuana is by far the most-used illicit drug among both children and adults, according to SAMHSA, a division of the Department of Health and Human Services.

At a press conference Wednesday in Washington, officials expressed particular concern about use by those 12 to 17 years old.

"There's no question that marijuana is harmful to the developing brains of adolescents," said SAMHSA administrator Pamela Hyde, adding that marijuana use has been linked to "significant I.Q. declines."

As for young adults – those 18 to 25 years old – rates of illicit drug use have remained somewhat steady over recent years, with a slight increase in marijuana use, according to the survey.

Illicit drug use among children had remained steady at 10.1 percent from 2009 to 2011, which was a slight increase from years before. Overall, though, use for that age group has dropped in the past decade.

The data was released at the start of September to help kick off National Recovery Month, a government-sponsored promotion of preventing and treating substance abuse and mental health disorders.

"Recovery Month reminds us that the work we do to promote and support recovery has lasting, positive impact on so many individuals, families and communities," said H. Westley Clark, the director of SAMHSA's Center for Substance Abuse Treatment. "It also reminds us that while we have made great strides, there is still much for us to do."

The press conference on Wednesday featured young men and women who shared their personal stories of addiction, mental health disorders and now continuing recovery.

They came from all different backgrounds.

Twenty-eight-year-old Daniel LaPointe grew up in suburban New Jersey with a "loving family" that stressed "educational excellence," he said.

In 1997, at age 12, he won a contest for writing an essay titled "Why I Won't Try Drugs." A month later, suffering from insecurities and depression, he started smoking marijuana, which ultimately led him to heroin and, as he put it, "the funerals of five good friends."

Juan Velez Court grew up in San Juan, Puerto Rico, suffering from multiple mental health disorders. He tried to commit suicide several times and started to mutilate himself.

"I was so tired of not knowing what to do, the only way was punishing myself until the physical pain overcame the emotional pain," he said, adding that whole-body "wellness" has helped him continue with recovery.

Jenna Bertino, also of New Jersey, was almost brought to tears while telling her story.

When she was 13, two days after Christmas, her father took his own life. Refusing to "face that reality," she started drinking beer and smoking marijuana, and she eventually moved on to pills, she recalled.

"Before I knew it, I had a $200-a-day Percocet habit, and I was robbing and lying and manipulating and doing whatever I needed to do to get one more," she said. "I had become a monster. My mom used to sleep with her purse under her pillow out of fear that I was going to come in and rob her."

Her drug use didn't stop there. Ultimately, she moved onto heroin, hanging out in neighborhoods she said she had "no business" visiting. Then she was arrested and thrown behind bars.

"From that jail cell I started to see hope. I had this moment of clarity, and in that moment I no longer wanted to die a using addict with a needle in my arm," she said. "I wanted to live."

Bertino entered a rehabilitation program, during which she learned about herself and how to cope with life's challenges, she said.

She finished the rehabilitation program in 2010. Since then, she graduated college, and now she is starting graduate school.

"It's amazing that I have a purpose," she said.

Bath Salts: Spirit Filled or Drug Filled?

     

 

 

 

 

 

 

 

 

 

 

Spirit Filled or Drug Filled – pt. #01: Bath Salts

Written by: Dr. George Crabb

Issue: October Blogs

Over the course of the next several weeks I want to discuss certain drugs or chemicals that are abused by many in our society. Drugs and chemicals such as:

#1 Bath Salts (Synthetic Cathinones)
#2 Club Drugs (GHB, Ketamine, & Rohypnol)
#3 Commonly Abused Prescription Drugs
#4 Marijuana
#5 Spice (Synthetic Marijuana)
#6 Salvia
#7 MDMA (Ecstasy)

It is God’s desire that He completely sanctify every aspect of our lives: spirit, soul, and body, according to I Thessalonians 5:23. God desires to direct our thoughts, our words, and our actions – this is called being “filled with the Spirit” (Ephesians 5:18).

As children of God our bodies are the temple of the Holy Ghost, as found in I Corinthians 6:19. With this in mind we are to glorify God in our bodies because our bodies belong to Him (I Corinthians 6:20). A child of God dishonors God when they introduce into their body (which belongs to God) harmful substances. These substances are not only physically and soulically harmful, but they also diminish our sobriety which in turn decreases the Spirit’s ability to completely control our lives. When we partake of any of these substances, no matter how little it may be, we start the process of becoming filled with them and less filled with the Spirit.

I pray that all of us will attempt, by the grace of God, to live a Spirit filled life and that none of these substances will ever take away the power of God in our lives.
Bath Salts (Synthetic Cathinones)

The term “bath salts” refers to an emerging family of drugs containing one or more synthetic chemicals related to cathinone, an amphetamine-like stimulant found naturally in the Khat plant.

Reports of severe intoxication and dangerous health effects associated with use of bath salts have made these drugs a serious and growing public health and safety issue. Bath salts can produce euphoria and increased sociability and sex drive, but some users experience paranoia, agitation, and hallucinatory delirium; some even display psychotic and violent behavior, and deaths have been reported in several instances.

Bath salts typically take the form of a white or brown crystalline powder and some are sold in small plastic or foil packages labeled “not for human consumption”. Sometimes also marketed as “plant food” – or, more recently, as “jewelry cleaner” or “phone screen cleaner” – they are sold online and in drug paraphernalia stores under a variety of brand names, such as “Ivory Wave,” “Bloom,” “Cloud Nine,” “Lunar Wave,” “Vanilla Sky,” “White Lightning,” and “Scarface”.

Bath salts are typically taken orally, inhaled, or injected, with the worst outcomes being associated with snorting or needle injection.

Common synthetic cathiones found in bath salts include 3,4-methylenedioxypyrovalerone (MDPV), mephedrone (“Drone,” “Meph,” or “Meow Meow”), and methylone, but there are many others. Chemically, they are similar to amphetamines (such as methamphetamine) as well as to MDMA (ecstasy).

The energizing and often agitating effects reported in people who have taken bath salts are consistent with other drugs like amphetamines and cocaine that raise the level of the neurotransmitter dopamine in brain circuits regulating reward and movement. A surge in dopamine in these circuits causes feelings of euphoria and increased activity. Bath salt ingestion raises brain dopamine in the same manner as cocaine but is at least 10 times more potent.

The hallucinatory effects often reported in users of bath salts are consistent with other drugs such as MDMA or LSD that raise levels of another neurotransmitter, serotonin.

NOTE: After mephedrone was banned in the United Kingdom in 2010, for example, a chemical called naphyrone quickly replaced it, and is now being sold as “jewelry cleaner” under the brand name “Cosmic Blast”.

Common reactions reported for people who have needed medical attention after using bath salts include cardiac symptoms (such as racing heart, high blood pressure, and chest pains) and psychiatric symptoms including paranoia, hallucinations, and panic attacks.

Bath salts have a high abuse and addiction potential. Bath salts show escalation patterns nearly identical to methamphetamine. Bath salt users have reported that the drugs trigger intense cravings and that they are highly addictive. Bath salts are associated with strong withdrawal symptoms.

The dangers of bath salts are compounded by the fact that these products may contain other unknown ingredients that may have their own harmful effects.

Now that we have learned of the tremendous danger associated with the consumption of bath salts, may we by the grace of God never partake of this substance and may we encourage others to steer clear of this destructive drug. May we follow the admonition given by Paul to the Ephesians in Ephesians 5:3, “…let it not be once named among you, as becometh saints…”


Author: Dr. George CrabbDr. George T. Crabb (D.O., F.A.C.O.I.) is a Board Certified Internal Medicine physician and a Fellow of the American College of Osteopathic Internist. In addition to practicing Internal and Addiction Medicine in Naples, Florida, Dr. Crabb writes medical communications for Reformers Unanimous International. Dr. Crabb’s passion has always been to help others through the liberating truth of Jesus Christ. Jesus said, “I am come that they might have life, and that they might have it more abundantly.” John 10:10