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admin | Bv Homeopathic Treatment | 23.02.2016
Why can Sherpaa doctors manage far more patients than a traditional primary care doctor?I’m obsessed with that question.
Primary care has traditionally been an initiative led by a primary care doctor in scheduled exam rooms in a clinical office setting. Can I diagnose and treat this issue by asking the right questions ordering the right tests, and following up with you? We should measure health innovations based on how much they can do and how effective they can be. An interesting metric to understand the effectiveness of a new kind healthcare service is the raw number of diagnoses that service can diagnose, treat, and manage.Retail Health ClinicsThe list is small and the conditions are simple, like pink eye, allergies, and poison ivy. One Medical announced today that they raised $65M bringing their total funding to roughly $180M over the course of 8 years. Any healthcare system is composed of resources capable of solving problems, like primary care doctor offices, emergency rooms, and specialty hospitals. Why there’s no Uber for HealthcareBack in September 2007, I created a new kind of doctor practice as shown in the screenshot up there.
Allergy medicines: These treat itchy and watery eyes, stuffy and runny noses, and sinus congestion.
Cold medicine: Any meds that are designed to deal with nasal or sinus congestion, or a runny nose probably have a decongestant in them. Antibiotics: It's important to know that these can make birth control pills ineffective, so you should use another form of birth control such as condoms while you're on antibiotics. Hormonal birth control: If you aren't on hormonal birth control, when your body ovulates, it creates very wet, egg-like mucus. SSRI antidepressants: Selective serotonin reuptake inhibitors, or SSRIs, include such drugs as Prozac, Paxil, and Zoloft. A lot of various medications (as in, many more than what is listed on here) have sexual side effects.
I awoke and went down stairs and walked to the refrigerator to start retrieving what I had prepared earlier for my lunch.
They’ve got a support staff of nurses, billers, and office staff with an overhead of ~70%. Health issues evolve over time requiring new updates and confirmation that you should stay the course or change strategies.
They are 30 or so issues that can be diagnosed via protocols, simple tests, and nurse practitioners. The iPhone had come out three months prior (but the App Store hadn’t launched yet) and Google enabled you to embed your Google Calendar in a website just the month before. We take pills for pain, for allergies, to prevent pregnancy, to regulate our periods, and when we have a cold. They can also dry up other areas of your body, too, like your throat, mouth, and unfortunately, your lady business. They do a wonderful job managing depression and anxiety, but they can also decrease your sex drive or make it difficult to orgasm.
You wouldn’t solve problems at work with 12 minute meetings every few weeks with your team.
One Medical started direct to consumer and then launched to employers in 2014 effectively becoming Sherpaa’s competition. I saw a perfect storm of technology leading to an opportunity to do something unprecedented and become my own boss. If you're on the pill, the patch, the NuvaRing, or any other form of birth control that stops you from ovulating, your body won't create that mucus and you can become pretty dry down there.
A few minutes later our doctors sent her 24 questions diving deeper into her current health situation. There was a competition of Trump proportions as the Big Guys were there to impress with the size of their technology footprint amongst the hundreds of healthcare systems here in America.
It’s about time we expect doctors to work with us and solve problems like we do at work and at home.
Number of conditions they treat: ~30Video Telehealth VisitsVideo-based physicians have a similar, yet different scope of illnesses they can diagnose.
At the top is obviously the Mass General’s, the Johns Hopkins, the Columbia Presbyterians and their top notch, cutting edge diagnostic and treatment capabilities. As an amateur photographer plugged into the creative community of NYC, many of my friends were uninsured artists and freelancers who occasionally needed healthcare. I'm guessing maybe because my anxiety level is lower so I don't feel so much pressure on myself to orgasm. With $8M of investment and 4 years of operation, Sherpaa has expanded to 150 companies and 23 states. They couldn’t afford to go to the ER and there were no urgent care centers in NYC at the time. Some women also notice that hormonal birth control affects their sex drive, and they're not as excited to get it on.
As I started to pack my lunch box something caught my eye outside on the deck through the patio doors.
So in the early days of Sherpaa, we started documenting every single minute of our doctors’ days. However, the most glaring issue of HIMSS was the complete lack of services in the industry. They also have no way to follow up with you to see if their treatment was the right treatment. I walked over and looked out into the dark and immediately was blinded by an immensely bright light with rays and spikes resembling fire.
Hopkins residents rotating with Sherpaa stopwatched doctors for a week and literally documented their every minute.
Physician workforces in the UK and Canada are composed of 75% primary care doctors and 25% specialists. When Sherpaa launches in a state, we turn the state on to all employees living in that state, not just the employees within convenient driving distance of a One Medical office. So, I became a doctor entrepreneur fresh out of residency armed with new technology and a mission to make doctors more cost-effective and accessible. One Medical is following the Blockbuster model building out brick and mortar offices while Sherpaa is following a Netflix model, a service powered by technology rather than real estate. These are relatively low cost diagnostic and treatment centers for bread and butter acute issues that aren’t going to need hospitalization to solve.
My idea was perfect for the promise of the mobile internet and it was the first of its kind. And from there, we started building tools for them within Sherpaa, one-by-one, ticking off their biggest time sucks.
Of the ~580,000 practicing physicians in America treating adults, 27% are full-time primary care doctors (family practitioners, internists, and geriatricians). The sheer number of telehealth and EMR vendors proved that it’s so cheap to build technology anymore, software alone is a commodity.
From pink eye to asthma to care coordinating an acute appendicitis, Sherpaa is in a different category. One Medical’s business model is traditional fee-for-service primary care supplemented by a yearly membership fee paid for by either an individual or their employer. People would visit my site that I built with Apple iWeb, and read my credentials and mission. A typical physician in a traditional brick and mortar practice manages anywhere from 1800 to 2500 patients in their panel.
There is nothing stopping anyone from copying the feature set, making it better, cheaper, and faster. Traditional fee-for-service healthcare makes money by maximizing the number of visits they can bill insurance for. The traditional doctor office visit is short with rapid fire questions and little time for both doctors and patients to think. This was all done via a secure form that was configured to send me an email when I had a new patient.
I hung on with every last ounce of breath that I had-- for I had known from the start that this was pure evil. Not only that, traditional visits are in person typically with a doctor with whom you don’t feel 100% comfortable. In 2014, 12% of medical school graduates entered residency programs dedicated specifically to primary care. When my fancy new iPhone alerted me of a new patient, I’d do an old-fashioned housecall. Remember, we manage the 70% of health issues that can be handled virtually and the 30% of issues that need to be care coordinated.
You have to look them in the eyes and tell them something embarrassing in a very short amount of time. And really the only way for primary care practices to make money is by charging a membership fee.
First, the combination of phone, messaging, photos and an activity stream of your case allows us to better stay on top of the multitude of updates and evolution of your situation much better than a doctor who’s restricted to communicating with you strictly via a 12 minute office visit.
On September 27th, after investing $1500 of my own money into this new venture, I launched my practice.
Over the last 4 years, I can without a doubt say that our doctors get a far more detailed, more thoughtful, and more honest story from our patients.
It’s a physical experience with a computerized backend doing its best to optimize billing and care. Because traditional doctors and video visits are 12 minute snippets of time without the ability to follow up at any time, they are forced to make knee-jerk reactions. And with that membership fee, you can use that money to make your office look nice, which One Medical does very well, and build apps that enable their members to make appointments. Second, our doctors communicate with you, order tests, get results, diagnose, treat, and prescribe— when they deem appropriate.
Within an hour or two, Seth Godin linked to my site, prompting Gawker to write two posts about me that day. But, by far, the primary source of revenue in traditional fee-for-service practices is billing for the maximum number of office visits. But when you need to be seen (this happens roughly 30% of the time), we know exactly who you need to see.
This makes doctors the highest paid scribes in the world significantly reducing their efficiency.
We make a referral and coordinate your care throughout your next steps with local specialists and facilities. And when doctors are documenting while in the exam room, it gives patients the impression that they’re focused more on the computer than them.
The only way they interface with the ER’s computers is when they receive bills a few weeks after the ER visit.
So, One Medical is in a dilemma— every time they prevent a visit via an email or video visit, they are eating into the profitability that comes from their yearly membership fee. Slowly but it was leaving the house and vanishing into the night like a balloon drifting into the atmosphere and then disappearing. With Sherpaa, since 98% of our communication with patients is in-app messaging, that is the documentation cutting out this massive inefficiency found in traditional office settings.Second, with Sherpaa, moving from one piece of work to the next is as easy as moving from one email to another. The last time I was in the ER, it was so busy I was sitting in the hallway right next to a woman there for a women’s health issue.
We can do this because our communication happens more like email and is presented as an activity stream with status updates, test results, specialist consults arranged in chronological order. Health issues are stories that evolve over time and there is simply no better way to keep up to date and arrange care than this kind of communication.
I was walking, riding my bike, or taking cabs trying to see as many patients as possible while also gathering the supplies I needed. I staggered back completely exhausted knowing that a battle just had been fought for my soul. Although this is something we should strive for, this would take decades of change making this an unrealistic solution to our immediate problems. Needless to say, healthcare isn’t known for its design of elegant in-person experiences and processes. This means every scenario that’s filtered through Sherpaa is the most appropriate use of healthcare.
I knew I needed those supplies because I designed the process so the patient would explain their issue in the secure form they also used to schedule the appointment. We look up weird symptoms and humiliating questions on Google with the same ease that we search for the name of a vaguely familiar character actor.
That disincentive is the same reason why One Medical economically can’t decrease enough claims within a company to see positive health savings. This also means that 70% of traditional primary care visits are unnecessary and do not need to be seen in person.
With Sherpaa, every single piece of data that a doctor would need is nestled within a case.

For many of us, our smartphones have become extensions of our brains — we outsource essential cognitive functions, like memory, to them, which means they soak up much more information than we realize. As technology gets cheaper and cheaper to develop, health IT companies are springing up left and right and supported by an unprecedented amount of venture capital money. But if those new companies are strictly technology, their technology will be bought and implemented by an industry with possibly the worst service track record in our country. We communicate with you via our app, order blood or imaging tests to confirm the diagnosis, and treat. They are great for in-person meetings for things that require generalist regular in-person physical exams where photos and online communication won’t suffice. This is exactly what we’ve been doing for the last 4 years, except not just for periods. The first is best exemplified by Virginia Mason’s efforts to leverage Toyota Lean theories to help their doctors see more patients while delivering higher quality care. In a truly elegantly designed service, the technology seamlessly supports an efficient process that delights users, both patients and doctors. For example, if you are discharged from the ER and 2 hours later something changes, good luck trying to get a hold of that ER doctor. They need to see you first to determine that you need something higher in capability leading to marked inefficiencies and expenses in healthcare.
Designing better processes to enable one doctor to go from seeing 20 patients a day to 24 increases efficiency by 20%.
It is twice as hard to design and build a service than technology alone because services require building a team of exceptional people and iterating on the processes. With Sherpaa, we always have a direct communication line to you, just as your friends can always reach you via text. The process of primary care is broken, inefficient, and inconvenient and it would serve them well to communicate normally with people rather than restrict themselves to the appointment-driven, 12-minute visits that need to be scheduled 3 or 4 weeks in advance.
Sherpaa is the only place in healthcare where the entire conversation is text from beginning to end. While this is a positive step in the right direction, I argue this doesn’t go far enough given our massive primary care visit deficits. No matter what we do, we get paid the same removing the incentive to do the most care to make the most money. That kind of communication was invented thousands of years ago and hasn’t been updated. Oral conversations in healthcare have their place, but 70% of healthcare should not be oral. If there is no change or you are worse, we reassess and determine your next course of action. After 4 years of Sherpaa, we’ve consistently seen that 70% of primary care cases can be diagnosed and treated without needing an in-person office visit. And the business model of primary care means doctors get paid more for doing the most visits. We treat new activity as new messages doctors may need to act on, so new actions are listed in a series of to-do’s, much like your inbox. After incorporating insurance expansion, the United States will require nearly 52,000 additional primary care physicians by 2025.
Population growth will be the largest driver, accounting for 33,000 additional physicians, while 10,000 additional physicians will be needed to accommodate population aging. Their platforms are built with the philosophy that their technology should have robust APIs that integrate with other services. I believe the battle was real and that I really experienced it but maybe in a different dimension or realm. All of the activity that happens on your case is documented and available to you and our docs, including all the messages, the data, and the consult reports from specialists.
I had defeated the devil with the name of Jesus.===================================================================Sometime in our life we all will have to battle demons that try to control us.
Moving from a new data point to a new data point, which is really an opportunity to make clinical decisions, is as simple as moving from one email to the next in gmail.
It’s defining the problem, creating a solution, and managing the project as successfully as possible. But for the other 30% of issues that need in-person visits, Sherpaa refers to on-brand specialists or beautifully designed urgent care centers like CityMD here in NYC.
And as companies become larger, they have a higher tendency to have offices scattered all across the country in places like NYC, SF, Tennessee, Dallas, and West Virginia. House call doctors fall victim to the same limitations as traditional primary care visits above. Whether it is a fight for our soul or some other evil in our life, it will be a fight that you need to win. This makes getting work done extremely focused and easy.Third, Sherpaa has automated 95% of the history taking component of doctor-patient communication. There’s also Zoom Care or One Medical who have designed technology from the ground up to power a nice in-person primary care experience for both their doctors and patients. Again, 70% of their visits are unnecessary and should be handled with online communication and photos. The problem is first fielded by generalists, via online communication, when they have the knowledge and expertise to resolve your problem.
There’s Flatiron Health, for when serious, life-threatening cancer arises and forward-thinking doctors who work for this new generation of services needs to understand the best options for their cancer patients. We’ve built out a network of roughly 4,000 specialists, radiology centers, ERs, and urgent care centers in the states in which we operate.
But office-based PCPs have access to more tools and tests in their office than what they can carry in a bag and are therefore more capable than house call doctors. If the generalist is not the best suited to solve your problem, they are measured by how quickly they put you in touch with the right entity best equipped to solve your problem. And to pay for it all, there are new insurance companies like Oscar— a health insurance company that envisioned a friendly, intuitive, beautiful consumer experience that knows in order to compete with traditional health insurance, they have to pay for a fundamentally new, markedly more efficient, and convenient, process of healthcare delivery. This allows us to quickly find the best specialist or facility to refer you to who knows what Sherpaa is and will communicate directly with our docs to work with us on your care.Reason #6. In order to speed things along, you’ve got to interrupt and focus the patient while also doing your best to make them feel heard. However, they’re currently being built in silos and often view each other as competition. When a weird case comes in to Sherpaa, our doctors will talk about it offline and then decide together next steps and then get back to the patient online. It’s like forcing all of your employees to rent all their movies from one Blockbuster. However, because they can see you in person and do tests, nurse-practitioner led retail health clinics are higher in capability than physician video visits who can’t lay hands on you or order tests.
In total, we’ve got ~7,000 questions that have all been written with the most effective, most understandable copy. In the book The boy who came back from heaven, Alex Malarkey says that Heaven is guarded by large angels. Multiple doctor brains deciding together about one case is far safer, more effective, and allows us to do more. We simply don’t have to deal with the dance doctors must do with patients to get at the meat of the issue.
Because they can’t physically examine you and order tests, video visits treat the same scope of illnesses that nurse practitioners do in retail health clinics found in your local Walgreens. Sherpaa doctors simply load the right questions, let the patient take their own time to respond, and read the responses. But, occasionally, this new generation of collective services needs access to the expertise of today’s experienced brick and mortar medical centers. Our patients are assigned to small doctor groups so you’ll always be talking with your same group of small doctors. They are very low in the breadth of problems they solve and, because they face similar 12 minute conversation restrictions, they are communicating and solving problems just as poorly as traditional office-based physicians. This markedly reduces the time consumed by the inefficient, oral conversation and allows our doctors to spend their time efficiently on thinking clinically and getting work done.Fourth, in the traditional exam room, it takes time and effort to communicate a diagnosis and treatment plan.
This is safer and more effective.The breadth of diagnoses Sherpaa can manage puts us in a totally separate category than traditional telemedicine and retail health. The incumbents that understand the opportunity to partner and invest in this new networked generation of health services are going to be the ones that remain relevant to a new generation of consumers.
Sherpaa has built about 250 standardized treatment protocols in our backend that our doctors load upon diagnosing the patient. And doctors hate chasing down labs, making sure their patients are taking their medication, or ensuring their patients went to that neurologist visit. They have to see that an army of beautiful new healthcare services have their sights set on their antiquated services that are quickly tiring today’s consumers. In the book of Daniel a messenger from God tells Daniel in Chapter 10:12-14 --"Daniel, do not be afraid. For all 250 diagnoses, we give our doctors a standardized foundation to communicate the issue to the patient. Realistically, the only way to deliver on this is to partner with this new generation of services and invest. They keep what’s relevant and tweak when necessary to make it most relevant to that unique situation. While a traditional doctor has to communicate verbally in an exam room, we simply load the protocol and tweak it.
Then Michael, one of the most important angels, came to help me, because I had been left there with the king of Persia. And research shows that people forget 85% of what their doctor says in an exam room, making traditional doctors 15% effective. Battles are surely being fought every minute of every day in the supernatural and spiritual world. With Sherpaa, the entire conversation and treatment plan is available for you to read over and over whenever you want from any device you want.
And the old cliche is that with everything you google, you end up thinking you have cancer.
Call on the name of the Lord Jesus Christ today for it is written that the devil will lose in the end. You’re walking from exam room to nurses station to exam room and so forth all day every day. They are the front lines of primary care and use data-driven algorithms to route the case to the health professional best suited to solve the problem.Virtualists. Sherpaa doctors are only on their feet when they want to be at their standing desks.Sherpaa doctors simply show up to work, log in to their to-do list of new activity within cases, and start communicating and treating patients. If a man owns a hundred sheep, and one of them wanders away, will he not leave the ninety-nine on the hills and go to look for the one that wandered off? They are traditional healthcare professionals, both generalists and specialists, based in traditional brick and mortar facilities who are leveraged when an in-person visit is necessary. 13 And if he finds it, truly I tell you, he is happier about that one sheep than about the ninety-nine that did not wander off.
We didn’t spend more than 7 years of our lives to become the highest paid scribes in the world or work in a laughably inefficient system that unsafely hammers you with disconnected bytes of information. 14 In the same way your Father in heaven is not willing that any of these little ones should perish.
Mixing virtualist and IRList processes and workflows would make things untenable for doctors and disappointing for patients.
And the best way to help people is to be accessible, communicative, intelligent, and hyper-efficient.
Si un hombre tiene cien ovejas y una de ellas se ha descarriado, no deja las noventa y nueve en los montes, y va en busca de la descarriada?13Y si sucede que la halla, en verdad os digo que se regocija ms por sta que por las noventa y nueve que no se han descarriado.14As, no es la voluntad de vuestro Padre que est en los cielos que se pierda uno de estos pequeitos.Never believed in God? Jesus still loves you.Colossians 1:13 Holman Christian Standard Bible (HCSB)13 He has rescued us from the domain of darkness and transferred us into the kingdom of the Son He loves, Porque El nos libr del dominio de las tinieblas y nos traslad al reino de su Hijo amado,Broken hearted, beaten, and broken? 29 All of you, take up My yoke and learn from Me, because I am gentle and humble in heart, and you will find rest for yourselves. 28Venid a m, todos los que estis cansados y cargados, y yo os har descansar.29Tomad mi yugo sobre vosotros y aprended de m, que soy manso y humilde de corazn, y HALLAREIS DESCANSO PARA VUESTRAS ALMAS.Failed? The case will first be created online with a patient’s own detailed description of the problem. Based on the patient’s description, health 311 operators will ask a series of detailed questions to better understand the situation and rule out urgent or emergent issues.
All of these questions are meaningful data points.There will be elevation algorithms to route you to the right virtualist or IRList. The health 311 operator, augmented by algorithms, will make a data-driven decision to determine if this is a virtualist or IRList issue. He'll save you!"As que, los que son de fe son bendecidos con Abraham, el creyente.Fortaleced las manos dbilesy afianzad las rodillas vacilantes.Feel you are not worthy? If the issue can be managed with online communication, the case is elevated to the appropriate virtualist.

The virtualist will already have 95% of the relevant story, eliminating the time it would have taken to collect the story. Medical diagnoses are traditionally based on the details of the story, tests, and decreasingly, the physical exam. Virtualists have the history, tests, and online communication over time as tools to diagnose and treat. Based on the story, the virtualist may send the patient to get labs or imaging to confirm their suspicions. Algorithms route your case to virtualists and care coordinators with whom you’ve previously communicated with, maintaining virtual continuity. 2 Corinthians 5:17-19 New Century Version (NCV)17 If anyone belongs to Christ, there is a new creation. When communication is in readable, text format, any health professional can read the entire thread and make decisions. Consumers are more interested in getting their problem solved by a high quality professional than maintaining continuity with one person. Through Christ, God made peace between us and himself, and God gave us the work of telling everyone about the peace we can have with him.19 God was in Christ, making peace between the world and himself. While this is a significant departure from the old-fashioned doctor-patient relationship, it’s a necessity given our massive primary care shortage. So I wrote the following that is below:  ========================================================================================================================== Season Finale--- This may be my last Pastor Pop-Pop Sermon. But over time, consumers will develop more brand loyalty with a valuable service that’s accessible, reliable, and effective. Once a diagnosis, strategy and plan from the right virtualist or IRList is in place, the heavy clinical decisions have been made and a handoff to a virtual care coordinator is initiated to execute the plan. I may leave the web site up and running for a year in case it picks up but there probably will not be new words of wisdom in a message. I feel that in body, mind, and soul that I am under attack from the evil one and it is totally exhausting me spiritually and physically. At one time there was a period that I was getting over 200 hits per month but now it is down to just a few. This frees primary care doctors to do what they do best and provide the most value to a population. They ensure goals are reached and red flags are identified and brought to the virtualist’s attention. One child only comes here when coached and the other I have not seen or heard from in months.
If a red flag is identified, the virtualist will be looped into the conversation to reassess the strategy and goals. Here are some of my prouder moments: Hundreds have visited my Altar Call tab (souls have been saved), I taught a Spanish gentleman who had never prayed before to pray, several people said that I would make a good Pastor, one young man who did not go to Church told me that if I started one he would come to it, at one time I was rated #1 by several internet web service search engines, and through Jesus I helped cure someone of an affliction. It will be extremely rare to go back into the office, unless a repeat physical exam is necessary for further management.
Primary care will be less about in-person relationships and more about online problem solving. You can still follow me on Twitter if you choose and I may come back to this site occasionally to add a Bible verse or two. The exam room relationship, while nostalgic and quaint, has proven to be ineffective and unscalable.
Consider this a season finale in which you dont know if the show will be cancelled or back next season. People forget 85% of what their doctor says in the exam room, making doctor conversations 15% effective. We need healthcare communication to be 100% effective and execution of a health plan to be as near to 100% effective as possible.Data will be shared and made public in real time.
In this type of primary care scenario, the entire primary care interaction are meaningful data points that can be analyzed and used to make processes and therapies more effective. The one true God.  =================================================================== Funny --- Seconds after I wrote this, my wife came downstairs and informed me that we had to leave for Church.
Or you could see that this one component of a plan resonates with patients much better than another option. He stated that he did not want the Lord to come back yet even though all the people he knew could not wait for Jesus to come back.
With 311 for healthcare, the entire healthcare interaction from beginning to end is analyzable. With traditional healthcare, conversations and actions are offline and oral leaving billing data as the only analyzable data. Billing data is a tiny fraction of a healthcare situation and often doesn’t reflect reality. Pastor said that when people tell him that they want Christ to come back that he says, No, not yet, there is at least one more soul to save! When patients adopt the new behavior of going online first, we’d see a 70% reduction in in-person primary care visits. I pondered and prayed on that for a minute or two and decided not to cancel my web site and mission.
This process works, but it starts with a marketing campaign to educate patients that accessing care means going online first.
Design a far more convenient service that reliably and effectively works, invite people to use it, and leapfrog the status quo. Since posting the latest message my hits again went well over 200 and I was again rated by one search engine as #1 and another at #2. They refer 30% of issues, get consults back from the specialists, and then manage those cases over time.
On average 70% of employees within a company treat Sherpaa as their first point of contact for medical issues.
After publishing the latest message I had two Spanish people seek the Lord more and now a friend has asked to go to Church with me. I will take out the stubborn hearts of stone from your bodies, and I will give you obedient hearts of flesh. What is my point? And most importantly, do not give up trying to save souls in your family, work place, community, or the world.
Encourage them with great patience and careful teaching, Matthew 16:26 --- It is worthless to have the whole world if they lose their souls.
You see, we did not have video games then unless you count Pong and the snow made the four channels we did get on TV full of static.
As we rounded a portion of the mountain the ledge that I was walking on gave way and I fell about 20 feet down a cliff. The snow below cushioned my fall but where I landed - there was about a 60 degree slope covered with snow and ice. Below me was a very large straight down drop that would have been disastrous for me if I went over it. I dug in my heals and my hands but could not stop or slow down so I started to steer myself toward a small tree. Knowing that I would not be able to hang on to it with my hands, I decided to let it hit me in the body.
Stopping within 3 feet of going over the edge I hurt all over with the breath knocked out of me. I could have stayed there and yelled for help or rested awhile but knowing that my friend was up there alone and I had to get out of this situation, I just started to slowly and safely climb back up. Your exhausted, depressed, tired and disgusted and feel just like giving up or taking a rest on life for a time.
Dont allow yourself to be buried in that pit you have fallen in and (one step at a time) climb out of that valley and charge up that hill.
It may take time, maybe years, but if you stay put and do not move forward (even a little at first) you will be like that bear caught in a trap in the middle of the dark woods. Peter, one of Christs disciples trusted the Lord and actually walked on water but when the storm kept up - his faith started to slip.
The Lord will not give you something that He knows is disastrous for you even if you think it might be good. 10 Or if your children ask for a fish, would you give them a snake?   Do not give up; keep asking, praying, trying, and moving forward. She had her hand on the throttle of an F-16 and she had her orders: Bring down United Airlines Flight 93.
Penney, one of two combat pilots in the air that morning, was told to stop the plane before it reached the nations capitol. The problem was that her and her wing man had to scramble so fast that there was no time to load ammunition or missiles.
This was the end of her life and she knew it but this would be the ultimate sacrifice for her country and would save Washington from the airliners destruction. Fortunately for her (not the passengers) the airline crashed in a field inPennsylvania before the F-16s arrived at the scene. The priest will perform the acts to remove that person's sin so he will belong to the Lord.
7 " 'But if the person cannot afford a lamb, he must bring two doves or two young pigeons to the Lord as the penalty for his sin. One bird must be for a sin offering, and the other must be for a whole burnt offering.8 He must bring them to the priest, who will first offer the one for the sin offering. In this way the priest will remove the person's sin so he will belong to the Lord, and the Lord will forgive him.However, God decided that this practice was going to end and through His love he was going to offer His own blood sacrifice for all of our sins. He asked His son to give His life as a perfect blood sacrifice and an offering for all that we have done badly.
He gave the ultimate sacrifice for us on that cross that day even though we did not deserve it. As Heather Lucky Penny was willing to do for her country, Jesus was willing to do the same for His Father and all of His followers.
All those who accept Jesus as Lord and Savior shall now have the forgiveness of their sins through His blood.
That new person is made to be like Godmade to be truly good and holy.=============================================Check out the new song by Tricia Brock --"Always", on my Song tab. We as humans can live to be 100 years old if we are not struck with cancer, a major disease or hit by a car. This latter group is the one that I will address.Lets look at the validity of the Bible for a minute. Some people will argue that you can't believe the Bible because it was written by followers who believed in God or Jesus. If you were to use this argument regarding autobiographies, biographies, and history books, you would have to remove all these books off the library selves. Others would argue that the Bible can't be trusted because we do not know if the original manuscripts are accurate. To determine the accuracy of the manuscripts, we can compare the Bible manuscripts to manuscripts of other literature. If we are going to be fair, we should not require more of the Bible than we do other literature, but the Bible will hold up to even more scrutiny. Notice that the time frame for the New Testament of the Bible is much much smaller and there are many more copies. Over and over again, archaeological digs are finding artifacts that prove the various stories that are in the Bible. There were over 40 authors so there is no way they could have conspired with each other.So, if we are to consider the Bible as factual then lets look at what it says about getting to Heaven where the Father resides. This is true for all who believe in Christ, because all people are the same:As you see, according to the Bible, there is only one God and the only way to Him is through faith in Jesus and accepting Him as your Lord and Savior. There are many more passages to quote but I encourage you to get a Bible in an easy to read translation and read it yourself. The other religions, besides Christianity, in the world follow a person, thing, idol, the earth, nature, or a prophet.
The Jewish and Muslim people believe in the same Father (the Muslims follow a prophet though) but Jesus declared himself part of God and proved it through numerous miracles. We Christians believe in a Trinity the Father, the Son (Jesus), and the Holy Spirit, as proved through the Bible. Nothing you do here on Earth can save you only the belief of this God and acceptance of His son Jesus.
He was mad at the idea that his wife became a Christian and went on a journey to prove that Jesus was a work of fiction. The book contains, in an easy to read format, all the evidence that he found and the interviews with experts. Click on the shopping cartat the bottom of this page to go to my store and purchase this book or find it at a book store near you.

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