WEBVTT 00:01.568 --> 00:02.635 align:left position:10%,start line:89% size:80% >>> ON "HEALTH MATTERS," 00:02.635 --> 00:03.770 align:left position:10%,start line:89% size:80% TELEVISION FOR LIFE, WHEN A 00:03.770 --> 00:06.539 align:left position:10%,start line:89% size:80% TUMMY ACHE BECOMES A LOT WORST 00:06.539 --> 00:08.541 align:left position:10%,start line:89% size:80% IT'S TIME TO CALL A DOCTOR. 00:08.541 --> 00:09.509 align:left position:10%,start line:89% size:80% >> IT TOOK ABOUT A YEAR FOR THEM 00:09.509 --> 00:11.144 align:left position:10%,start line:89% size:80% TO FIGURE IT OUT. 00:11.144 --> 00:12.846 align:left position:10%,start line:89% size:80% >> A COLLEGE STUDENT COPES WITH 00:12.846 --> 00:14.547 align:left position:10%,start line:89% size:80% CELIAC DISEASE. 00:14.547 --> 00:15.949 align:left position:10%,start line:89% size:80% >> CELIAC CAN ACTUALLY KILL 00:15.949 --> 00:17.017 align:left position:10%,start line:89% size:80% SOMEONE. 00:17.017 --> 00:19.252 align:left position:10%,start line:89% size:80% >> HOW CHANGING HER DIET MADE A 00:19.252 --> 00:20.754 align:left position:10%,start line:89% size:80% WORLD OF DIFFERENCE. 00:20.754 --> 00:22.288 align:left position:10%,start line:89% size:80% PLUS ANSWERS TO YOUR QUESTIONS 00:22.288 --> 00:25.158 align:left position:10%,start line:89% size:80% ON GASTROINTESTINAL ILLNESSES. 00:25.158 --> 00:31.898 align:left position:10%,start line:89% size:80% RIGHT NOW, ON "HEALTH MATTERS." 00:31.898 --> 00:33.466 align:left position:10%,start line:89% size:80% >> "HEALTH MATTERS" IS MADE 00:33.466 --> 00:34.901 align:left position:10%,start line:89% size:80% POSSIBLE BY OUR VIEWERS, THE 00:34.901 --> 00:36.503 align:left position:10%,start line:89% size:80% FRIENDS OF KSPS. 00:36.503 --> 00:39.839 align:left position:10%,start line:89% size:80% AND BY PROVIDENCE HEALTH CARE. 00:39.839 --> 00:40.540 align:left position:10%,start line:89% size:80% >> PROVIDENCE'S MOTTO IS KNOW 00:40.540 --> 00:40.907 align:left position:10%,start line:89% size:80% ME. 00:40.907 --> 00:41.474 align:left position:10%,start line:89% size:80% CARE FOR ME. 00:41.474 --> 00:42.242 align:left position:10%,start line:89% size:80% EASY MY WAY. 00:42.242 --> 00:43.276 align:left position:10%,start line:89% size:80% AND PROVIDENCE DOES THAT. 00:43.276 --> 00:43.910 align:left position:10%,start line:89% size:80% I'VE SEEN IT OVER AND OVER 00:43.910 --> 00:44.978 align:left position:10%,start line:89% size:80% AGAIN. 00:44.978 --> 00:46.046 align:left position:10%,start line:89% size:80% I'M DR. STEPHEN MURRAY, AND I 00:46.046 --> 00:47.080 align:left position:10%,start line:89% size:80% CHOSE PROVIDENCE BECAUSE I 00:47.080 --> 00:47.914 align:left position:10%,start line:89% size:80% BELIEVE IN THE MISSION 00:47.914 --> 00:49.783 align:left position:10%,start line:89% size:80% STATEMENT. 00:49.783 --> 00:50.583 align:left position:10%,start line:89% size:80% AND WORKING TOGETHER WITH OTHERS 00:50.583 --> 00:51.684 align:left position:10%,start line:89% size:80% OF LIKE MIND IS A VERY POWERFUL 00:51.684 --> 00:55.088 align:left position:10%,start line:89% size:80% WAY TO TAKE CARE OF PATIENTS. 00:55.088 --> 00:56.089 align:left position:10%,start line:89% size:80% >> MY NAME IS BETH PEREZ, AND I 00:56.089 --> 00:57.090 align:left position:10%,start line:89% size:80% AM A REGISTERED NURSE. 00:57.090 --> 00:58.324 align:left position:10%,start line:89% size:80% AND I WORK AT HOLY FAMILY 00:58.324 --> 00:58.958 align:left position:10%,start line:89% size:80% HOSPITAL ON THE LABOR AND 00:58.958 --> 00:59.392 align:left position:10%,start line:89% size:80% DELIVERY UNIT. 00:59.392 --> 01:00.460 align:left position:10%,start line:89% size:80% I'M ABOUT TO HAVE MY SECOND 01:00.460 --> 01:02.595 align:left position:10%,start line:89% size:80% CHILD, AND I CHOSE PROVIDENCE 01:02.595 --> 01:03.496 align:left position:10%,start line:89% size:80% BECAUSE I LOVE AND TRUST THE 01:03.496 --> 01:05.665 align:left position:10%,start line:89% size:80% PEOPLE THAT I WORK WITH, AND WHY 01:05.665 --> 01:11.404 align:left position:10%,start line:89% size:80% WOULDN'T I SEEK CARE FROM PEOPLE 01:08.601 --> 01:12.272 align:left position:10%,start line:89% size:80% I LOVE AND TRUST. 01:12.272 --> 01:13.640 align:left position:10%,start line:89% size:80% ♪ 01:13.640 --> 01:15.275 align:left position:10%,start line:89% size:80% >> GOOD EVENING AND THANKS FOR 01:15.275 --> 01:19.345 align:left position:10%,start line:89% size:80% JOINING US, I'M TERESA LUKENS. 01:19.345 --> 01:20.013 align:left position:10%,start line:89% size:80% EVERYONE GETS A STOMACH ACHE 01:20.013 --> 01:20.513 align:left position:10%,start line:89% size:80% FROM TIME TO TIME. 01:20.513 --> 01:24.050 align:left position:10%,start line:89% size:80% BUT WHEN IS IT A SIGN OF 01:24.050 --> 01:26.386 align:left position:10%,start line:89% size:80% SOMETHING MORE, THEN YOU NEED TO 01:26.386 --> 01:28.054 align:left position:10%,start line:89% size:80% SEEK HELP. 01:28.054 --> 01:28.655 align:left position:10%,start line:89% size:80% DIAGNOSING THE CAUSE OF 01:28.655 --> 01:29.389 align:left position:10%,start line:89% size:80% ABDOMINAL PAIN CAN BE DIFFICULT, 01:29.389 --> 01:32.058 align:left position:10%,start line:89% size:80% BECAUSE MANY DISEASES CAN CAUSE 01:32.058 --> 01:34.060 align:left position:10%,start line:89% size:80% SYMPTOMS IN YOUR GUT. 01:34.060 --> 01:34.727 align:left position:10%,start line:89% size:80% TONIGHT OUR PANEL DISCUSSES 01:34.727 --> 01:35.462 align:left position:10%,start line:89% size:80% GASTROINTESTINAL DISORDERS FROM 01:35.462 --> 01:36.129 align:left position:10%,start line:89% size:80% IRRITABLE BOWEL SYNDROME TO 01:36.129 --> 01:38.465 align:left position:10%,start line:89% size:80% CELIAC DISEASE, EVEN ACID 01:38.465 --> 01:39.966 align:left position:10%,start line:89% size:80% REFLUX. 01:39.966 --> 01:43.903 align:left position:10%,start line:89% size:80% SO LET'S MEET OUR PANEL. 01:43.903 --> 01:44.637 align:left position:10%,start line:5% size:80% DR. LANCE FERRIN SPECIALIZES IN 01:44.637 --> 01:45.138 align:left position:10%,start line:5% size:80% DIGESTIVE HEALTH. 01:45.138 --> 01:45.839 align:left position:10%,start line:5% size:80% HE WORKS AT ROCKWOOD DIGESTIVE 01:45.839 --> 01:47.474 align:left position:10%,start line:89% size:80% HEALTH CENTER. 01:47.474 --> 01:48.141 align:left position:10%,start line:5% size:80% DR. HAROLD PREIKSAITIS IS A 01:48.141 --> 01:49.609 align:left position:10%,start line:5% size:80% GASTROENTEROLOGIST AT KOOTENAI 01:49.609 --> 01:50.276 align:left position:10%,start line:5% size:80% CLINIC GASTROENTEROLOGY AND 01:50.276 --> 01:52.011 align:left position:10%,start line:5% size:80% ENDOSCOPY. 01:52.011 --> 01:53.413 align:left position:10%,start line:5% size:80% ALLI STANTON IS REGISTERED 01:53.413 --> 01:54.380 align:left position:10%,start line:5% size:80% DIETICIAN AT PROVIDENCE SACRED 01:54.380 --> 01:57.750 align:left position:10%,start line:5% size:80% HEART MEDICAL CENTER. 01:57.750 --> 01:59.285 align:left position:10%,start line:5% size:80% AND THANK YOU ALL FOR BEING HERE 01:59.285 --> 02:00.153 align:left position:10%,start line:89% size:80% THIS EVENING. 02:00.153 --> 02:02.555 align:left position:10%,start line:89% size:80% IT'S AN IMPORTANT TOPIC. 02:02.555 --> 02:04.958 align:left position:10%,start line:89% size:80% OR STOMACH AND OUR GUT IS 02:04.958 --> 02:05.859 align:left position:10%,start line:89% size:80% RELATED TO SO MANY OTHER 02:05.859 --> 02:07.393 align:left position:10%,start line:89% size:80% DISEASES AND THE WAY OUR BODY 02:07.393 --> 02:09.262 align:left position:10%,start line:89% size:80% WORKS AND HOW WE FUNCTION AND 02:09.262 --> 02:10.196 align:left position:10%,start line:89% size:80% OUR OVERALL HEALTH. 02:10.196 --> 02:12.031 align:left position:10%,start line:89% size:80% LET'S START WITH DR. FERRIN, 02:12.031 --> 02:15.235 align:left position:10%,start line:89% size:80% AND -- ACTUALLY, I WANT TO START 02:15.235 --> 02:16.202 align:left position:10%,start line:89% size:80% WITH DR. PREIKSAITIS AND TALK 02:16.202 --> 02:17.470 align:left position:10%,start line:89% size:80% ABOUT WHEN WE BECOME ALARMED 02:17.470 --> 02:19.305 align:left position:10%,start line:89% size:80% WHEN THAT STOMACH ACHE MIGHT BE 02:19.305 --> 02:21.341 align:left position:10%,start line:89% size:80% SOMETHING MORE, WHEN WE BECOME 02:21.341 --> 02:22.842 align:left position:10%,start line:89% size:80% CONCERNED OR WHAT WE SHOULD BE 02:22.842 --> 02:24.043 align:left position:10%,start line:89% size:80% PAYING ATTENTION TO. 02:24.043 --> 02:25.678 align:left position:10%,start line:89% size:80% >> WELL, THANKS, TERESA. 02:25.678 --> 02:28.548 align:left position:10%,start line:89% size:80% THAT'S AN EXCELLENT QUESTION. 02:28.548 --> 02:33.253 align:left position:10%,start line:89% size:80% I THINK THE ANSWER WOULD INCLUDE 02:33.253 --> 02:34.454 align:left position:10%,start line:89% size:80% A CONSIDERATION OF WHAT OUR 02:34.454 --> 02:36.689 align:left position:10%,start line:89% size:80% PATTERN OF STOMACH HAS BEEN IN 02:36.689 --> 02:38.358 align:left position:10%,start line:89% size:80% THE PAST. 02:38.358 --> 02:39.826 align:left position:10%,start line:89% size:80% EVERYONE GETS TUMMY ACHES FROM 02:39.826 --> 02:40.260 align:left position:10%,start line:89% size:80% TIME TO TIME. 02:40.260 --> 02:42.729 align:left position:10%,start line:89% size:80% IF YOU HAVE AN EXTRAORDINARY 02:42.729 --> 02:47.167 align:left position:10%,start line:89% size:80% SYMPTOM ONSET, IF THE DURATION 02:47.167 --> 02:48.568 align:left position:10%,start line:89% size:80% IS OUT OF WHAT WE USED TO, IF 02:48.568 --> 02:50.236 align:left position:10%,start line:89% size:80% THE SEVERITY IS MORE EXTREME 02:50.236 --> 02:52.172 align:left position:10%,start line:89% size:80% THAN WHAT WE ARE ACCUSTOMED TO 02:52.172 --> 02:53.573 align:left position:10%,start line:89% size:80% OR IF THERE ARE ASSOCIATED 02:53.573 --> 02:56.342 align:left position:10%,start line:89% size:80% SYMPTOMS SUCH AS NAUSEA, 02:56.342 --> 02:57.443 align:left position:10%,start line:89% size:80% VOMITING, CERTAINLY DIARRHEA 02:57.443 --> 02:59.045 align:left position:10%,start line:89% size:80% WITH BLEEDING WOULD BE SYMPTOMS 02:59.045 --> 03:01.781 align:left position:10%,start line:89% size:80% THAT SHOULD CAUSE ONE TO SUSPECT 03:01.781 --> 03:07.253 align:left position:10%,start line:89% size:80% THAT THIS IS NOT THE USUAL SORT 03:07.253 --> 03:08.354 align:left position:10%,start line:89% size:80% OF TUMMY ACHE THAT WILL 03:08.354 --> 03:09.455 align:left position:10%,start line:89% size:80% DISAPPEAR ON ITS OWN. 03:09.455 --> 03:10.290 align:left position:10%,start line:89% size:80% >> WE CAN TALK ABOUT EVERYTHING 03:10.290 --> 03:13.259 align:left position:10%,start line:89% size:80% FROM ACID REFLUX TO MORE SERIOUS 03:13.259 --> 03:15.795 align:left position:10%,start line:89% size:80% DISEASES SUCH AS CELIAC DISEASE 03:15.795 --> 03:16.462 align:left position:10%,start line:89% size:80% OR CROHN'S DISEASE. 03:16.462 --> 03:18.565 align:left position:10%,start line:89% size:80% WHEN I PICK UP THE PHONE AND 03:18.565 --> 03:20.466 align:left position:10%,start line:89% size:80% CALL MY DOCTOR TO MAKE THAT 03:20.466 --> 03:21.367 align:left position:10%,start line:89% size:80% APPOINTMENT, DO I WANT TO SEE 03:21.367 --> 03:23.136 align:left position:10%,start line:89% size:80% YOU AS A SPECIALIST THEN? 03:23.136 --> 03:24.671 align:left position:10%,start line:89% size:80% DO I GO TO MY G.P. FIRST? 03:24.671 --> 03:27.373 align:left position:10%,start line:89% size:80% WHERE DO I START THE PROCESS? 03:27.373 --> 03:29.042 align:left position:10%,start line:89% size:80% >> WELL, IT'S TYPICAL BEFORE 03:29.042 --> 03:32.078 align:left position:10%,start line:89% size:80% SEEING A GASTROENTEROLOGIST THAT 03:32.078 --> 03:34.280 align:left position:10%,start line:89% size:80% YOU SEE YOUR G.P. FIRST AND HE 03:34.280 --> 03:35.848 align:left position:10%,start line:89% size:80% WILL EVALUATE YOUR SYMPTOMS AND 03:35.848 --> 03:40.253 align:left position:10%,start line:89% size:80% PERHAPS DO SOME PRELIMINARY 03:40.253 --> 03:44.991 align:left position:10%,start line:89% size:80% TESTS AND REFER YOU TO A 03:44.991 --> 03:45.858 align:left position:10%,start line:89% size:80% GASTROENTEROLOGIST IF HE'S NOT 03:45.858 --> 03:47.860 align:left position:10%,start line:89% size:80% ABLE TO ANSWER YOUR PERSONAL 03:47.860 --> 03:48.228 align:left position:10%,start line:89% size:80% CONCERNS. 03:48.228 --> 03:50.029 align:left position:10%,start line:89% size:80% THEN WHEN YOU SHOW UP AT THE 03:50.029 --> 03:50.797 align:left position:10%,start line:89% size:80% GASTROENTEROLOGIST, HE WILL HAVE 03:50.797 --> 03:52.565 align:left position:10%,start line:89% size:80% SOME BASIC LAB WORK DONE, AND 03:52.565 --> 03:57.370 align:left position:10%,start line:89% size:80% THAT WILL SPEED UP THE 03:57.370 --> 03:57.770 align:left position:10%,start line:89% size:80% EVALUATION. 03:57.770 --> 03:59.872 align:left position:10%,start line:89% size:80% MOST OF THE PATIENTS THAT I SEE 03:59.872 --> 04:01.374 align:left position:10%,start line:89% size:80% ARE PATIENTS REFERRED 04:01.374 --> 04:04.177 align:left position:10%,start line:89% size:80% SPECIFICALLY FOR EVALUATION OF 04:04.177 --> 04:07.280 align:left position:10%,start line:89% size:80% ABDOMINAL PAIN BECAUSE IT'S SUCH 04:07.280 --> 04:08.748 align:left position:10%,start line:89% size:80% A DIFFICULT THING TO EVALUATE. 04:08.748 --> 04:11.451 align:left position:10%,start line:89% size:80% THERE ARE LOTS OF ORGANS IN THE 04:11.451 --> 04:13.353 align:left position:10%,start line:89% size:80% G.I. TRACT AND LOTS OF DISEASES 04:13.353 --> 04:15.455 align:left position:10%,start line:89% size:80% THAT CAN AFFECT EACH ORGAN AND 04:15.455 --> 04:17.257 align:left position:10%,start line:89% size:80% TRYING TO -- AND THEY SEEM TO 04:17.257 --> 04:19.058 align:left position:10%,start line:89% size:80% ALL CAUSE PAIN IN SOME PEOPLE, 04:19.058 --> 04:22.762 align:left position:10%,start line:89% size:80% AND SO FIGURING OUT EXACTLY WHAT 04:22.762 --> 04:25.598 align:left position:10%,start line:89% size:80% THE CAUSE IS CAN BE QUITE A 04:25.598 --> 04:26.766 align:left position:10%,start line:89% size:80% DAUNTING TASK. 04:26.766 --> 04:28.268 align:left position:10%,start line:89% size:80% BUT IT'S SOMETHING THAT 04:28.268 --> 04:30.370 align:left position:10%,start line:89% size:80% ESSENTIALLY WE DO FOR A LIVING, 04:30.370 --> 04:34.941 align:left position:10%,start line:89% size:80% PROBABLY HALF OF MY PATIENTS ARE 04:34.941 --> 04:35.608 align:left position:10%,start line:89% size:80% REFERRED FOR ABDOMINAL PAIN. 04:35.608 --> 04:37.744 align:left position:10%,start line:89% size:80% PLEASE FIGURE OUT WHY IT IS. 04:37.744 --> 04:39.879 align:left position:10%,start line:89% size:80% >> ARE YOU SEEING MORE OF IT? 04:39.879 --> 04:41.347 align:left position:10%,start line:89% size:80% >> YOU KNOW, I THINK OVER THE 04:41.347 --> 04:42.749 align:left position:10%,start line:89% size:80% LAST 20 YEARS, WE HAVE BEEN 04:42.749 --> 04:44.884 align:left position:10%,start line:89% size:80% SEEING MORE OF IT. 04:44.884 --> 04:48.688 align:left position:10%,start line:89% size:80% WE LIVE IN A VERY FAST PACED 04:48.688 --> 04:51.090 align:left position:10%,start line:89% size:80% LIFE AND PEOPLE ARE OVERWHELMED, 04:51.090 --> 04:53.860 align:left position:10%,start line:89% size:80% I THINK, WITH THE THINGS 04:53.860 --> 04:55.862 align:left position:10%,start line:89% size:80% HAPPENING IN THEIR LIFE AND WITH 04:55.862 --> 04:57.063 align:left position:10%,start line:89% size:80% ALL THE ADRENALINE IN THEIR 04:57.063 --> 04:58.765 align:left position:10%,start line:89% size:80% SYMPTOM AND IT SEEMS LIKE THAT 04:58.765 --> 05:00.066 align:left position:10%,start line:89% size:80% ADRENALINE REALLY TAKES IT OUT 05:00.066 --> 05:02.368 align:left position:10%,start line:89% size:80% ON THE G.I. TRACT. 05:02.368 --> 05:04.237 align:left position:10%,start line:89% size:80% AND SO I -- I THINK I DO SEE A 05:04.237 --> 05:06.973 align:left position:10%,start line:89% size:80% LOT MORE OF IT NOW THAN I 05:06.973 --> 05:09.075 align:left position:10%,start line:89% size:80% REMEMBER 10 OR 20 YEARS AGO. 05:09.075 --> 05:09.509 align:left position:10%,start line:89% size:80% >> MM-HMM. 05:09.509 --> 05:12.312 align:left position:10%,start line:89% size:80% AND THAT CAN BE SOMETHING LIKE 05:12.312 --> 05:14.847 align:left position:10%,start line:89% size:80% ACID REFLUX WHICH WHAT IS ACID 05:14.847 --> 05:15.181 align:left position:10%,start line:89% size:80% REFLUX? 05:15.181 --> 05:18.584 align:left position:10%,start line:89% size:80% >> WELL, ACID REFLUX IS WHAT 05:18.584 --> 05:20.486 align:left position:10%,start line:89% size:80% MANY PEOPLE UNDERSTAND TO BE 05:20.486 --> 05:21.654 align:left position:10%,start line:89% size:80% HEARTBURN, BUT FOR A LOT OF 05:21.654 --> 05:23.456 align:left position:10%,start line:89% size:80% PEOPLE, IT'S NOT JUST HEARTBURN. 05:23.456 --> 05:24.991 align:left position:10%,start line:89% size:80% IT CAN BE CHEST PAIN. 05:24.991 --> 05:27.160 align:left position:10%,start line:89% size:80% IT CAN BE MANIFEST AS 05:27.160 --> 05:27.960 align:left position:10%,start line:89% size:80% DIFFICULTIES SWALLOWING. 05:27.960 --> 05:30.063 align:left position:10%,start line:89% size:80% IT CAN BE A COUGH THAT WON'T 05:30.063 --> 05:31.397 align:left position:10%,start line:89% size:80% STOP, SORE THROAT. 05:31.397 --> 05:32.565 align:left position:10%,start line:89% size:80% THERE'S A WHOLE RANGE OF 05:32.565 --> 05:33.666 align:left position:10%,start line:89% size:80% SYMPTOMS AND PICKING UP ON THE 05:33.666 --> 05:35.468 align:left position:10%,start line:89% size:80% POINT THAT WAS JUST MADE, I 05:35.468 --> 05:36.969 align:left position:10%,start line:89% size:80% THINK ONE OF THE THINGS THAT IS 05:36.969 --> 05:41.574 align:left position:10%,start line:89% size:80% DRIVING THE INCREASE IN NOT JUST 05:41.574 --> 05:42.308 align:left position:10%,start line:89% size:80% GASTROINTESTINAL COMPLAINTS BUT 05:42.308 --> 05:44.210 align:left position:10%,start line:89% size:80% A WHOLE RANGE OF HEALTH PROBLEMS 05:44.210 --> 05:46.412 align:left position:10%,start line:89% size:80% IS, OF COURSE, THE OBESITY 05:46.412 --> 05:47.513 align:left position:10%,start line:89% size:80% EPIDEMIC THAT WE ARE SEEING AND 05:47.513 --> 05:51.517 align:left position:10%,start line:89% size:80% WE CERTAINLY SEE A LOT OF 05:51.517 --> 05:52.385 align:left position:10%,start line:89% size:80% PATIENTS WHO HAVE SYMPTOMS THAT 05:52.385 --> 05:54.320 align:left position:10%,start line:89% size:80% ARE RELATED TO THAT REFLUX BEING 05:54.320 --> 05:55.988 align:left position:10%,start line:89% size:80% ONE OF THEM. 05:55.988 --> 05:56.989 align:left position:10%,start line:89% size:80% >> ALLI, THAT'S WHERE COME IN AS 05:56.989 --> 05:59.659 align:left position:10%,start line:89% size:80% A DIETITIAN, A LOT OF THEM, 05:59.659 --> 06:01.294 align:left position:10%,start line:89% size:80% ESPECIALLY WITH ACID REFLUX, AND 06:01.294 --> 06:02.328 align:left position:10%,start line:89% size:80% TAKING THE WEIGH OFF AND 06:02.328 --> 06:03.629 align:left position:10%,start line:89% size:80% CONTROLLING THE DIET CAN REALLY 06:03.629 --> 06:05.231 align:left position:10%,start line:89% size:80% COME INTO PLAY. 06:05.231 --> 06:05.732 align:left position:10%,start line:89% size:80% >> ABSOLUTELY. 06:05.732 --> 06:06.699 align:left position:10%,start line:89% size:80% A LOT OF PEOPLE NEED TO LOSE A 06:06.699 --> 06:07.600 align:left position:10%,start line:89% size:80% LITTLE BIT OF WEIGH AND THEY 06:07.600 --> 06:09.068 align:left position:10%,start line:89% size:80% WILL ACTUALLY SEE A HUGE 06:09.068 --> 06:10.770 align:left position:10%,start line:89% size:80% IMPROVEMENT IN THEIR REFLUX 06:10.770 --> 06:12.271 align:left position:10%,start line:89% size:80% SIGNS AND SYMPTOMS BUT ALSO JUST 06:12.271 --> 06:14.073 align:left position:10%,start line:89% size:80% MAINTAINING A HEALTHY WEIGHT 06:14.073 --> 06:15.174 align:left position:10%,start line:89% size:80% HELPS WITH A WHOLE BUNCH OF 06:15.174 --> 06:16.409 align:left position:10%,start line:89% size:80% OTHER HEALTH PROBLEMS ACROSS THE 06:16.409 --> 06:16.709 align:left position:10%,start line:89% size:80% BOARD. 06:16.709 --> 06:17.577 align:left position:10%,start line:89% size:80% SO IT'S REALLY IMPORTANT THAT 06:17.577 --> 06:19.178 align:left position:10%,start line:89% size:80% PEOPLE ARE MAINTAINING A HEALTHY 06:19.178 --> 06:19.479 align:left position:10%,start line:89% size:80% WEIGH. 06:19.479 --> 06:20.980 align:left position:10%,start line:89% size:80% IT'S JUST PART OF A HEALTHY 06:20.980 --> 06:21.347 align:left position:10%,start line:89% size:80% LIFESTYLE. 06:21.347 --> 06:22.181 align:left position:10%,start line:89% size:80% >> WHEN YOU SIT DOWN WITH A 06:22.181 --> 06:23.416 align:left position:10%,start line:89% size:80% PATIENT WHO IS CONSCIOUSED WITH 06:23.416 --> 06:24.951 align:left position:10%,start line:89% size:80% SOMETHING LIKE ACID REFLUX, WHAT 06:24.951 --> 06:26.552 align:left position:10%,start line:89% size:80% ARE SOME OF THE FOODS THAT YOU 06:26.552 --> 06:28.354 align:left position:10%,start line:89% size:80% LIKE TO SEE THEM START EATING OR 06:28.354 --> 06:31.691 align:left position:10%,start line:89% size:80% MAYBE ELIMINATE FROM THEIR DIET? 06:31.691 --> 06:33.860 align:left position:10%,start line:89% size:80% >> THERE ARE SOME COMMON 06:33.860 --> 06:35.161 align:left position:10%,start line:89% size:80% CULPRITS THAT WE TALK ABOUT, 06:35.161 --> 06:36.963 align:left position:10%,start line:89% size:80% SPICY FOODS, THAT SEEMS TO BE A 06:36.963 --> 06:37.964 align:left position:10%,start line:89% size:80% PROBLEM FOR SOME PEOPLE. 06:37.964 --> 06:40.166 align:left position:10%,start line:89% size:80% CHOCOLATE CAN BE A PROBLEM, 06:40.166 --> 06:41.667 align:left position:10%,start line:89% size:80% CAFFEINE, CARBONATED BEVERAGES. 06:41.667 --> 06:43.069 align:left position:10%,start line:89% size:80% THOSE ARE ALL THINGS WE ASK THE 06:43.069 --> 06:44.103 align:left position:10%,start line:89% size:80% PATIENT ABOUT AND TRY TO FIND 06:44.103 --> 06:45.838 align:left position:10%,start line:89% size:80% OUT IF THOSE THINGS -- IF THEY 06:45.838 --> 06:47.373 align:left position:10%,start line:89% size:80% CAN FIGURE OUT IF THAT'S A 06:47.373 --> 06:48.141 align:left position:10%,start line:89% size:80% TRIGGER FOR THEM. 06:48.141 --> 06:49.475 align:left position:10%,start line:89% size:80% AS FAR AS THINGS THAT CAN HELP, 06:49.475 --> 06:52.879 align:left position:10%,start line:89% size:80% SMALLER MEALS, EATING SMALLER, 06:52.879 --> 06:55.281 align:left position:10%,start line:89% size:80% FOR FREQUENT MEALS CAN SOMETIMES 06:55.281 --> 06:56.582 align:left position:10%,start line:89% size:80% HELP WITH REFLUX AND 06:56.582 --> 06:57.483 align:left position:10%,start line:89% size:80% INDIVIDUALIZING WHAT WORKS FOR 06:57.483 --> 06:57.750 align:left position:10%,start line:89% size:80% YOU. 06:57.750 --> 06:59.485 align:left position:10%,start line:89% size:80% WE HAVE SOME HANDOUTS AND TOOLS, 06:59.485 --> 07:00.887 align:left position:10%,start line:89% size:80% BUT WHAT WORKS FOR ONE PERSON 07:00.887 --> 07:02.188 align:left position:10%,start line:89% size:80% DOESN'T ALWAYS WORK FOR THE NEXT 07:02.188 --> 07:02.522 align:left position:10%,start line:89% size:80% PERSON. 07:02.522 --> 07:04.490 align:left position:10%,start line:89% size:80% SO TRYING TO JUST GET THEM ON A 07:04.490 --> 07:06.292 align:left position:10%,start line:89% size:80% HEALTHY DIET AND APPROPRIATE 07:06.292 --> 07:07.360 align:left position:10%,start line:89% size:80% WEIGHT AND WORKING WITH THAT 07:07.360 --> 07:08.127 align:left position:10%,start line:89% size:80% PATIENT INDIVIDUALLY. 07:08.127 --> 07:09.896 align:left position:10%,start line:89% size:80% >> TO WORKING WITH YOUR DOCTOR 07:09.896 --> 07:12.265 align:left position:10%,start line:89% size:80% AND DIETITIAN CAN COME INTO 07:12.265 --> 07:12.565 align:left position:10%,start line:89% size:80% PLAY. 07:12.565 --> 07:14.500 align:left position:10%,start line:89% size:80% AND THERE ARE ASOME GREAT 07:14.500 --> 07:15.368 align:left position:10%,start line:89% size:80% OVER-THE-COUNTER PRODUCTS THAT 07:15.368 --> 07:17.336 align:left position:10%,start line:89% size:80% CAN TREAT AS ACID REFLUX OR 07:17.336 --> 07:18.538 align:left position:10%,start line:89% size:80% HEARTBURN AS WE KNOW IT. 07:18.538 --> 07:20.573 align:left position:10%,start line:89% size:80% SOME THINGS THAT USED TO BE 07:20.573 --> 07:23.075 align:left position:10%,start line:89% size:80% PRESCRIBED THAT ARE NOW OVER THE 07:23.075 --> 07:26.412 align:left position:10%,start line:89% size:80% COUNTER. 07:26.412 --> 07:31.818 align:left position:10%,start line:89% size:80% >> ELMEPROZOL OR PROTON PUMP 07:31.818 --> 07:32.552 align:left position:10%,start line:89% size:80% INHIBITORS AND OVER THE COUNTER 07:32.552 --> 07:35.588 align:left position:10%,start line:89% size:80% THEY ARE JUST AS GOOD AGO 07:35.588 --> 07:38.291 align:left position:10%,start line:89% size:80% ANYTHING WE CAN PRESCRIBE. 07:38.291 --> 07:40.593 align:left position:10%,start line:89% size:80% >> LET'S GO TO IRRITABLE BOWEL 07:40.593 --> 07:42.929 align:left position:10%,start line:89% size:80% SYNDROME, I.B.S. HAS BEEN A BUZZ 07:42.929 --> 07:44.831 align:left position:10%,start line:89% size:80% PLAY AND THAT CAN BE ANYTHING 07:44.831 --> 07:47.533 align:left position:10%,start line:89% size:80% BEING EXTREMELY CONSTIPATED TO 07:47.533 --> 07:49.535 align:left position:10%,start line:89% size:80% BOUTS OF DIARRHEA. 07:49.535 --> 07:51.337 align:left position:10%,start line:89% size:80% EXPLAIN WHAT HAPPENS WITH I.B.S. 07:51.337 --> 07:52.071 align:left position:10%,start line:89% size:80% >> OR ALTERNATING. 07:52.071 --> 07:53.406 align:left position:10%,start line:89% size:80% THERE ARE SOME PATIENTS, IN 07:53.406 --> 07:54.507 align:left position:10%,start line:89% size:80% FACT, THE MOST DIFFICULT 07:54.507 --> 07:55.741 align:left position:10%,start line:89% size:80% PATIENTS TO HELP ARE THE ONES 07:55.741 --> 07:58.377 align:left position:10%,start line:89% size:80% THAT SOMETIMES WILL GO FROM 07:58.377 --> 08:00.880 align:left position:10%,start line:89% size:80% BEING CONSTIPATED TO HAVING 08:00.880 --> 08:02.715 align:left position:10%,start line:89% size:80% SEVERE BOUTS OF DIARRHEA. 08:02.715 --> 08:05.218 align:left position:10%,start line:89% size:80% I THINK ONE OF THE INTERESTING 08:05.218 --> 08:06.285 align:left position:10%,start line:89% size:80% THINGS THAT'S COME UP IN THIS 08:06.285 --> 08:09.288 align:left position:10%,start line:89% size:80% WHOLE AREA IS THE RELATIONSHIP 08:09.288 --> 08:09.655 align:left position:10%,start line:89% size:80% OF GLUTEN. 08:09.655 --> 08:11.023 align:left position:10%,start line:89% size:80% WE HAVE ALWAYS KNOWN THAT GLUTEN 08:11.023 --> 08:13.926 align:left position:10%,start line:89% size:80% WAS THE CULPRIT IN CAUSING 08:13.926 --> 08:14.927 align:left position:10%,start line:89% size:80% CELIAC DISEASE BUT A LOT OF 08:14.927 --> 08:16.829 align:left position:10%,start line:89% size:80% PEOPLE ARE NOW FINDING THAT 08:16.829 --> 08:18.030 align:left position:10%,start line:89% size:80% ELIMINATING CERTAIN TYPES OF 08:18.030 --> 08:19.532 align:left position:10%,start line:89% size:80% FLOODS FROM THEIR DIET IS 08:19.532 --> 08:21.133 align:left position:10%,start line:89% size:80% HELPING QUITE A LOT WITH 08:21.133 --> 08:22.101 align:left position:10%,start line:89% size:80% IRRITABLE BOWEL SYNDROME. 08:22.101 --> 08:24.637 align:left position:10%,start line:89% size:80% AND ONE OF THE NEW ACRONYMS 08:24.637 --> 08:26.405 align:left position:10%,start line:89% size:80% THAT'S BEEN PUT FORWARD IS 08:26.405 --> 08:29.442 align:left position:10%,start line:89% size:80% SOMETHING CALLED FOGMAPS WHICH 08:29.442 --> 08:37.350 align:left position:10%,start line:89% size:80% STANDS FOR FERMENTABLE DYES. 08:37.350 --> 08:38.451 align:left position:10%,start line:89% size:80% IT TURNS OUT THAT ELIMINATING 08:38.451 --> 08:40.319 align:left position:10%,start line:89% size:80% THESE SORTS OF SUGARS FROM YOUR 08:40.319 --> 08:42.655 align:left position:10%,start line:89% size:80% DIET ARE VERY HELPFUL IN SOME 08:42.655 --> 08:43.823 align:left position:10%,start line:89% size:80% PEOPLE WITH CELIAC -- SORRY, 08:43.823 --> 08:46.959 align:left position:10%,start line:89% size:80% WITH IRRITABLE BOWEL SYNDROME, 08:46.959 --> 08:48.227 align:left position:10%,start line:89% size:80% AND MIGHT BE ONE OF THE THINGS 08:48.227 --> 08:50.463 align:left position:10%,start line:89% size:80% THAT HAPPENS WHEN YOU ACTUALLY 08:50.463 --> 08:52.298 align:left position:10%,start line:89% size:80% ELIMINATE GUTEN FROM YOUR DIET. 08:52.298 --> 08:53.432 align:left position:10%,start line:89% size:80% IS YOU ARE BY THE WAY, 08:53.432 --> 08:54.967 align:left position:10%,start line:89% size:80% ELIMINATING A LOT OF THESE OTHER 08:54.967 --> 08:56.035 align:left position:10%,start line:89% size:80% COMPONENTS THAT TRIGGER 08:56.035 --> 08:56.402 align:left position:10%,start line:89% size:80% SYMPTOMS. 08:56.402 --> 08:57.937 align:left position:10%,start line:89% size:80% >> WHICH LEADS US INTO THAT 08:57.937 --> 08:59.539 align:left position:10%,start line:89% size:80% DISCUSSION ABOUT CELIAC DISEASE 08:59.539 --> 09:02.275 align:left position:10%,start line:89% size:80% AND THE OTHER HOT TOPIC BEING 09:02.275 --> 09:04.210 align:left position:10%,start line:89% size:80% GOING ON GLUTEN-FREE DIETS AND 09:04.210 --> 09:06.779 align:left position:10%,start line:89% size:80% WHAT IS CELIAC DISEASE? 09:06.779 --> 09:09.015 align:left position:10%,start line:89% size:80% >> IT'S A TYPE OF ALLERGIC 09:09.015 --> 09:11.918 align:left position:10%,start line:89% size:80% REACTION TO A PROTEIN FOUND IN 09:11.918 --> 09:13.986 align:left position:10%,start line:89% size:80% WHEAT, AND RELATED GRAINS. 09:13.986 --> 09:18.991 align:left position:10%,start line:89% size:80% IT OCCURS IN ABOUT ONE IN 100 09:18.991 --> 09:19.325 align:left position:10%,start line:89% size:80% PEOPLE. 09:19.325 --> 09:20.893 align:left position:10%,start line:89% size:80% IT'S NOT PROBABLY ANY MORE 09:20.893 --> 09:23.496 align:left position:10%,start line:89% size:80% COMMON NOW THAN IT HAS BEEN 100 09:23.496 --> 09:25.798 align:left position:10%,start line:89% size:80% YEARS AGO, BUT WE HAVE GOOD 09:25.798 --> 09:27.400 align:left position:10%,start line:89% size:80% TESTS FOR IT NOW, AND DOCTORS 09:27.400 --> 09:31.404 align:left position:10%,start line:89% size:80% ARE VERY CLUED INTO TAKING IT, 09:31.404 --> 09:33.673 align:left position:10%,start line:89% size:80% OR INTO EVALUATING FOR IT, 09:33.673 --> 09:35.308 align:left position:10%,start line:89% size:80% SIMPLE BLOOD TEST IS REALLY VERY 09:35.308 --> 09:35.608 align:left position:10%,start line:89% size:80% GOOD. 09:35.608 --> 09:36.876 align:left position:10%,start line:89% size:80% >> THERE IS A BLOOD TEST NOW? 09:36.876 --> 09:37.977 align:left position:10%,start line:89% size:80% >> THERE IS A BLOOD TEST. 09:37.977 --> 09:44.116 align:left position:10%,start line:89% size:80% AND IT'S CALLED TISSUE 09:44.116 --> 09:45.985 align:left position:10%,start line:89% size:80% TRANSGLUTAMINASE, IT'S 90% 09:45.985 --> 09:47.286 align:left position:10%,start line:89% size:80% ACCURATE IN SAYING WHETHER YOU 09:47.286 --> 09:49.088 align:left position:10%,start line:89% size:80% DO OR DO NOT HAVE CELIAC 09:49.088 --> 09:49.422 align:left position:10%,start line:89% size:80% DISEASE. 09:49.422 --> 09:52.692 align:left position:10%,start line:89% size:80% THE BEST TEST IS TO GET A LITTLE 09:52.692 --> 09:54.293 align:left position:10%,start line:89% size:80% SAMPLE OF THE SMALL BOW HEALTH 09:54.293 --> 09:57.597 align:left position:10%,start line:89% size:80% WE DO WITH ENDOSCOPY, BUT A TTG 09:57.597 --> 09:58.798 align:left position:10%,start line:89% size:80% IS A GREAT SCREENING TEST. 09:58.798 --> 10:00.766 align:left position:10%,start line:89% size:80% >> I WANT TO TALK MORE ABOUT 10:00.766 --> 10:02.134 align:left position:10%,start line:89% size:80% DIET AND CELIAC DISEASE AND 10:02.134 --> 10:03.903 align:left position:10%,start line:89% size:80% GOING GLUTEN-FREE WITH ALLI. 10:03.903 --> 10:10.176 align:left position:10%,start line:89% size:80% FIRST, THE 10:10.176 --> 10:10.843 align:left position:10%,start line:89% size:80% NEXT TIME YOU DINE OUT AT A 10:10.843 --> 10:11.544 align:left position:10%,start line:89% size:80% RESTAURANT, TAKE A CLOSER LOOK 10:11.544 --> 10:11.944 align:left position:10%,start line:89% size:80% AT THE MENU. 10:11.944 --> 10:12.612 align:left position:10%,start line:89% size:80% YOU MIGHT JUST SEE THE WORDS 10:12.612 --> 10:13.045 align:left position:10%,start line:89% size:80% "GLUTEN FREE." 10:13.045 --> 10:13.779 align:left position:10%,start line:89% size:80% IT'S AN OPTION THAT IS BECOMING 10:13.779 --> 10:14.246 align:left position:10%,start line:89% size:80% EASIER TO FIND. 10:14.246 --> 10:15.047 align:left position:10%,start line:89% size:80% BUT GLUTEN FREE IS MORE THAN A 10:15.047 --> 10:16.015 align:left position:10%,start line:89% size:80% TREND. 10:16.015 --> 10:17.383 align:left position:10%,start line:89% size:80% FOR PEOPLE WITH CELIAC DISEASE, 10:17.383 --> 10:18.084 align:left position:10%,start line:89% size:80% IT MEANS FOOD THAT WON'T MAKE 10:18.084 --> 10:24.256 align:left position:10%,start line:89% size:80% THEM SICK. 10:24.256 --> 10:25.191 align:left position:10%,start line:89% size:80% >> HOLLY FRAZIER IS A TYPICAL 10:25.191 --> 10:26.759 align:left position:10%,start line:89% size:80% COLLEGE STUDENT, BUT THERE IS 10:26.759 --> 10:27.426 align:left position:10%,start line:89% size:80% ONE COLLEGE STAPLE SHE CAN'T 10:27.426 --> 10:28.661 align:left position:10%,start line:89% size:80% HAVE. 10:28.661 --> 10:29.996 align:left position:10%,start line:89% size:80% >> I REALLY MISS PIZZA. 10:29.996 --> 10:35.434 align:left position:10%,start line:89% size:80% >> HOLLY HAS CELIAC DISEASE. 10:35.434 --> 10:36.102 align:left position:10%,start line:89% size:80% >> IT'S KIND OF LIKE AN ACID 10:36.102 --> 10:37.303 align:left position:10%,start line:89% size:80% FEELING THAT'S ALWAYS THERE, 10:37.303 --> 10:38.738 align:left position:10%,start line:89% size:80% THAT NEVER GOES AWAY FOR ME. 10:38.738 --> 10:41.340 align:left position:10%,start line:89% size:80% >> THIS AUTOIMMUNE DISORDER 10:41.340 --> 10:42.041 align:left position:10%,start line:89% size:80% MEANS HOLLY GETS ILL WHEN SHE 10:42.041 --> 10:43.042 align:left position:10%,start line:89% size:80% EATS FOOD WITH GLUTEN FOUND IN 10:43.042 --> 10:46.746 align:left position:10%,start line:89% size:80% WHEAT, BARLEY AND RYE. 10:46.746 --> 10:49.115 align:left position:10%,start line:89% size:80% >> IT'S KIND OF LIKE A BOILING 10:49.115 --> 10:51.717 align:left position:10%,start line:89% size:80% FEELING IN MY INTESTINES WHEN I 10:51.717 --> 10:57.723 align:left position:10%,start line:89% size:80% ACTUALLY EATS GLUTEN. 10:57.723 --> 10:58.391 align:left position:10%,start line:89% size:80% >> IT ALSO MAKES HER TIRED. 10:58.391 --> 10:59.091 align:left position:10%,start line:89% size:80% AT TIMES, HOLLY CAN BARELY GET 10:59.091 --> 10:59.492 align:left position:10%,start line:89% size:80% OUT OF BED. 10:59.492 --> 11:00.226 align:left position:10%,start line:89% size:80% >> IT'S VERY EXHAUSTING ACTUALLY 11:00.226 --> 11:00.960 align:left position:10%,start line:89% size:80% AND IT TAKES ABOUT TWO TO THREE 11:00.960 --> 11:01.460 align:left position:10%,start line:89% size:80% DAYS TO GO AWAY. 11:01.460 --> 11:02.862 align:left position:10%,start line:89% size:80% >> THOSE DAYS ARE BEHIND HER NOW 11:02.862 --> 11:03.596 align:left position:10%,start line:89% size:80% THAT HOLLY KNOWS WHY SHE GETS SO 11:03.596 --> 11:07.867 align:left position:10%,start line:89% size:80% SICK. 11:07.867 --> 11:08.901 align:left position:10%,start line:89% size:80% >> IT BOOK A YEAR BEFORE THEY 11:08.901 --> 11:11.270 align:left position:10%,start line:89% size:80% FIGURED IT OUT. 11:11.270 --> 11:11.937 align:left position:10%,start line:89% size:80% >> BUT KEEPING HEALTHY MEANS 11:11.937 --> 11:12.672 align:left position:10%,start line:89% size:80% KEEPING A CLOSE EYE ON WHAT SHE 11:12.672 --> 11:12.972 align:left position:10%,start line:89% size:80% EATS. 11:12.972 --> 11:13.673 align:left position:10%,start line:89% size:80% >> IT DEFINITELY MAKES MY LIFE 11:13.673 --> 11:15.041 align:left position:10%,start line:89% size:80% DIFFICULT BECAUSE I'M A COLLEGE 11:15.041 --> 11:16.676 align:left position:10%,start line:89% size:80% STUDENT, AND IT'S EASIER TO BUY 11:16.676 --> 11:21.113 align:left position:10%,start line:89% size:80% TOP RAMEN AND MAC AND CHEESE. 11:21.113 --> 11:21.881 align:left position:10%,start line:89% size:80% >> MORE AND MORE PLACES LIKE 11:21.881 --> 11:22.982 align:left position:10%,start line:89% size:80% SPOKANE'S MAIN MARKET ARE MAKING 11:22.982 --> 11:24.116 align:left position:10%,start line:89% size:80% IT EASIER FOR HOLLY TO SHOP, 11:24.116 --> 11:25.451 align:left position:10%,start line:89% size:80% PROVIDING CUSTOMERS WITH A 11:25.451 --> 11:27.319 align:left position:10%,start line:89% size:80% VARIETY OF GLUTEN FREE OPTIONS. 11:27.319 --> 11:28.287 align:left position:10%,start line:89% size:80% EVEN RESTAURANTS ARE GETTING 11:28.287 --> 11:30.089 align:left position:10%,start line:89% size:80% INTO THE GLUTEN FREE GAME. 11:30.089 --> 11:33.926 align:left position:10%,start line:89% size:80% >> IT'S NICE. 11:33.926 --> 11:34.660 align:left position:10%,start line:89% size:80% IT MAKES IT EASIER FOR ME TO GO 11:34.660 --> 11:35.428 align:left position:10%,start line:89% size:80% OUT WITH MY FRIENDS. 11:35.428 --> 11:37.329 align:left position:10%,start line:89% size:80% >> FOR HOLLY, GOING GLUTEN FREE 11:37.329 --> 11:38.898 align:left position:10%,start line:89% size:80% WILL ALWAYS BE PART OF HER LIFE. 11:38.898 --> 11:39.932 align:left position:10%,start line:89% size:80% AND FOR THOSE WHO THINK IT IS A 11:39.932 --> 11:42.134 align:left position:10%,start line:89% size:80% FAD, SHE HAS THIS TO SAY. 11:42.134 --> 11:43.469 align:left position:10%,start line:89% size:80% >> IT'S DEFINITELY A REAL 11:43.469 --> 11:46.305 align:left position:10%,start line:89% size:80% DISEASE, AND IT REALLY BUGS ME 11:46.305 --> 11:48.174 align:left position:10%,start line:89% size:80% -- IT REALLY BOTHERS ME WHEN 11:48.174 --> 11:50.509 align:left position:10%,start line:89% size:80% PEOPLE THINK IT'S NOT A BIG 11:50.509 --> 11:50.810 align:left position:10%,start line:89% size:80% DEAL. 11:50.810 --> 11:51.410 align:left position:10%,start line:89% size:80% BECAUSE IT IS NOT. 11:51.410 --> 11:55.848 align:left position:10%,start line:89% size:80% IT'S AN AUTOIMMUNE DISEASE. 11:55.848 --> 11:58.217 align:left position:10%,start line:89% size:80% IT'S LIKE RHEUMATOID ARTHRITIS. 11:58.217 --> 12:00.252 align:left position:10%,start line:89% size:80% >> IT SOUNDS LIKE HOLLY HEARS 12:00.252 --> 12:00.920 align:left position:10%,start line:89% size:80% THAT A LOT. 12:00.920 --> 12:03.389 align:left position:10%,start line:89% size:80% YOU DON'T REALLY HAVE A DISEASE. 12:03.389 --> 12:04.790 align:left position:10%,start line:89% size:80% YOU JUST GO GLUTEN FREE. 12:04.790 --> 12:07.893 align:left position:10%,start line:89% size:80% IT'S THE TREND NOW. 12:07.893 --> 12:08.794 align:left position:10%,start line:89% size:80% INDEED, IT'S VERY SERIOUS. 12:08.794 --> 12:10.696 align:left position:10%,start line:89% size:80% >> THERE ARE A LOT OF PEOPLE WHO 12:10.696 --> 12:13.099 align:left position:10%,start line:89% size:80% ARE VERY DEBILITATED FROM CELIAC 12:13.099 --> 12:14.400 align:left position:10%,start line:89% size:80% DISEASE IF THEY HAVE NOT BEEN 12:14.400 --> 12:15.401 align:left position:10%,start line:89% size:80% DIAGNOSED OR TREATED. 12:15.401 --> 12:17.436 align:left position:10%,start line:89% size:80% >> HOW IMPORTANT IS DIET WHEN IT 12:17.436 --> 12:18.604 align:left position:10%,start line:89% size:80% COMES TO CELIAC? 12:18.604 --> 12:19.905 align:left position:10%,start line:89% size:80% >> DIET IS 100% OF THE TREATMENT 12:19.905 --> 12:21.407 align:left position:10%,start line:89% size:80% WHEN IT COMES TO CELIAC. 12:21.407 --> 12:24.076 align:left position:10%,start line:89% size:80% IT'S ABSOLUTELY ESSENTIAL THAT 12:24.076 --> 12:27.513 align:left position:10%,start line:89% size:80% YOU GO GLUTEN FREE. 12:27.513 --> 12:31.751 align:left position:10%,start line:89% size:80% THAT DOESN'T MEAN CUTTING OUT 12:31.751 --> 12:33.385 align:left position:10%,start line:89% size:80% WHEAT AND BREAD. 12:33.385 --> 12:35.521 align:left position:10%,start line:89% size:80% SOY SAUCE, LUNCH MEATS, YOU 12:35.521 --> 12:38.624 align:left position:10%,start line:89% size:80% REALLY HAVE TO SCRUTINIZE THE 12:38.624 --> 12:39.191 align:left position:10%,start line:89% size:80% FOOD LABELS. 12:39.191 --> 12:40.693 align:left position:10%,start line:89% size:80% THERE'S NO CHEAT DAYS WHEN IT 12:40.693 --> 12:42.094 align:left position:10%,start line:89% size:80% COMES TO BEING GLUTEN FREE. 12:42.094 --> 12:43.896 align:left position:10%,start line:89% size:80% IF YOU HAVE CELIAC, IT'S 100% OF 12:43.896 --> 12:44.396 align:left position:10%,start line:89% size:80% THE TIME. 12:44.396 --> 12:46.098 align:left position:10%,start line:89% size:80% >> AS A DIETITIAN, YOU ARE 12:46.098 --> 12:46.999 align:left position:10%,start line:89% size:80% PROBABLY VERY HAPPY TO SEE ALL 12:46.999 --> 12:48.501 align:left position:10%,start line:89% size:80% OF THE PRODUCTS THAT ARE COMING 12:48.501 --> 12:49.702 align:left position:10%,start line:89% size:80% OUT AND THE RESTAURANTS OFFERING 12:49.702 --> 12:53.105 align:left position:10%,start line:89% size:80% THOSE CHOICES? 12:53.105 --> 12:53.606 align:left position:10%,start line:89% size:80% >> ABSOLUTELY. 12:53.606 --> 12:54.707 align:left position:10%,start line:89% size:80% FOR SOMEONE WITH CELIAC DISEASE, 12:54.707 --> 12:56.408 align:left position:10%,start line:89% size:80% IT'S A HUGE LIFESTYLE CHANGE AND 12:56.408 --> 12:58.177 align:left position:10%,start line:89% size:80% IT'S HUGE TO HAVE MORE OPTIONS 12:58.177 --> 12:59.078 align:left position:10%,start line:89% size:80% AS FAR AS WHEN THEY ARE GOING 12:59.078 --> 13:01.147 align:left position:10%,start line:89% size:80% OUT AND GROCERY SHOPPING. 13:01.147 --> 13:02.381 align:left position:10%,start line:89% size:80% A LOT OF PEOPLE IN THE PUBLIC 13:02.381 --> 13:04.416 align:left position:10%,start line:89% size:80% ARE TRYING GLUTEN-FREE DIETS FOR 13:04.416 --> 13:04.884 align:left position:10%,start line:89% size:80% WHATEVER REASON. 13:04.884 --> 13:06.619 align:left position:10%,start line:89% size:80% BUT FOR PEOPLE WITH CELIAC 13:06.619 --> 13:07.720 align:left position:10%,start line:89% size:80% DISEASE, IT'S LIKE A MEDICINE 13:07.720 --> 13:08.120 align:left position:10%,start line:89% size:80% FOR THEM. 13:08.120 --> 13:09.688 align:left position:10%,start line:89% size:80% THEY HAVE TO HAVE A GLUTEN-FREE 13:09.688 --> 13:10.890 align:left position:10%,start line:89% size:80% DIET IN ORDER TO TREAT THEIR 13:10.890 --> 13:11.223 align:left position:10%,start line:89% size:80% DISEASE. 13:11.223 --> 13:13.459 align:left position:10%,start line:89% size:80% >> CAN I FEEL BETTER GOING 13:13.459 --> 13:14.693 align:left position:10%,start line:89% size:80% GLUTEN-FREE IF I DON'T HAVE 13:14.693 --> 13:16.896 align:left position:10%,start line:89% size:80% CELIAC DISEASE OR THE ALLERGY? 13:16.896 --> 13:17.897 align:left position:10%,start line:89% size:80% >> SOME PEOPLE SAY THEY FEEL 13:17.897 --> 13:19.999 align:left position:10%,start line:89% size:80% BETTER GOING GLUTEN-FREE, AND IF 13:19.999 --> 13:22.234 align:left position:10%,start line:89% size:80% YOU FEEL BETTER, I SAY OKAY, 13:22.234 --> 13:23.402 align:left position:10%,start line:89% size:80% THAT'S FINE BUT I ALSO LIKE TO 13:23.402 --> 13:24.503 align:left position:10%,start line:89% size:80% ASK PEOPLE WHY THEY FEEL BETTER. 13:24.503 --> 13:25.805 align:left position:10%,start line:89% size:80% WHAT ARE YOU TAKING OUT OF YOUR 13:25.805 --> 13:27.206 align:left position:10%,start line:89% size:80% DIET THAT IS MAKING YOU FEEL 13:27.206 --> 13:27.540 align:left position:10%,start line:89% size:80% BETTER? 13:27.540 --> 13:30.509 align:left position:10%,start line:89% size:80% ARE YOU TAKING OUT COOKIES AND 13:30.509 --> 13:32.178 align:left position:10%,start line:89% size:80% REFINED CARBOHYDRATES AND 13:32.178 --> 13:34.413 align:left position:10%,start line:89% size:80% REPLACING THEM WITH FRUITS AND 13:34.413 --> 13:34.814 align:left position:10%,start line:89% size:80% VEGETABLES? 13:34.814 --> 13:35.881 align:left position:10%,start line:89% size:80% THAT'S PRETTY MUCH A GIVEN THAT 13:35.881 --> 13:36.715 align:left position:10%,start line:89% size:80% YOU WILL FEEL BETTER. 13:36.715 --> 13:38.317 align:left position:10%,start line:89% size:80% AND ALSO NOT EVERY GLUTEN-FREE 13:38.317 --> 13:39.718 align:left position:10%,start line:89% size:80% PRODUCT IS A HEALTHY 13:39.718 --> 13:40.119 align:left position:10%,start line:89% size:80% ALTERNATIVE. 13:40.119 --> 13:42.421 align:left position:10%,start line:89% size:80% A LOT OF THEM ARE LOW IN FIBER, 13:42.421 --> 13:43.322 align:left position:10%,start line:89% size:80% VITAMINS, MINERALS BECAUSE THEY 13:43.322 --> 13:45.925 align:left position:10%,start line:89% size:80% ARE NOT MADE WITH WHOLE GRAINS. 13:45.925 --> 13:48.427 align:left position:10%,start line:89% size:80% IT'S NOT ALWAYS HEALTHY, THEY 13:48.427 --> 13:49.428 align:left position:10%,start line:89% size:80% MAKE GLUTEN-FREE COOKIE AND CAKE 13:49.428 --> 13:51.130 align:left position:10%,start line:89% size:80% AND THAT'S SOMETHING WE SHOULD 13:51.130 --> 13:53.365 align:left position:10%,start line:89% size:80% EAT IN MODERATION, REGARDLESS OF 13:53.365 --> 13:53.833 align:left position:10%,start line:89% size:80% GLUTEN OR NOT. 13:53.833 --> 13:55.701 align:left position:10%,start line:89% size:80% >> I THINK THERE'S A CAUTIONARY 13:55.701 --> 13:57.169 align:left position:10%,start line:89% size:80% TALE HERE, ALTHOUGH IT'S BECOME 13:57.169 --> 13:59.205 align:left position:10%,start line:89% size:80% A LOT EASIER FOR THE CELIAC 13:59.205 --> 14:02.208 align:left position:10%,start line:89% size:80% PATIENT TO FIND GLUTEN-FREE 14:02.208 --> 14:03.108 align:left position:10%,start line:89% size:80% ALTERNATIVES BECAUSE IT BECOME 14:03.108 --> 14:04.944 align:left position:10%,start line:89% size:80% SUCH A TREND, THERE IS A DANGER 14:04.944 --> 14:07.313 align:left position:10%,start line:89% size:80% OF GOING ON A GLUTEN-FREE DIET 14:07.313 --> 14:08.447 align:left position:10%,start line:89% size:80% BECAUSE OF THE IMPLICATIONS THAT 14:08.447 --> 14:08.914 align:left position:10%,start line:89% size:80% MIGHT HAVE. 14:08.914 --> 14:11.884 align:left position:10%,start line:89% size:80% I MEAN, IT CAN BE SOCIALLY 14:11.884 --> 14:13.552 align:left position:10%,start line:89% size:80% ISOLATING, AND IT LIMITS YOUR 14:13.552 --> 14:14.887 align:left position:10%,start line:89% size:80% OPTIONS EVEN THOUGH WE HAVE A 14:14.887 --> 14:16.488 align:left position:10%,start line:89% size:80% LOT MORE AVAILABLE. 14:16.488 --> 14:17.823 align:left position:10%,start line:89% size:80% I THINK IT'S PARTICULARLY 14:17.823 --> 14:19.692 align:left position:10%,start line:89% size:80% IMPORTANT FOR CHILDREN, FOR 14:19.692 --> 14:20.993 align:left position:10%,start line:89% size:80% INSTANCE, YOUR -- YOU KNOW, NO 14:20.993 --> 14:22.628 align:left position:10%,start line:89% size:80% PIZZA FOR YOU. 14:22.628 --> 14:24.997 align:left position:10%,start line:89% size:80% IT'S REALLY NOT A TRIVIAL CHANGE 14:24.997 --> 14:27.466 align:left position:10%,start line:89% size:80% TO MAKE IN YOUR DIET, WHICH IS 14:27.466 --> 14:29.535 align:left position:10%,start line:89% size:80% WHY SOME PEOPLE, WHILE THEY TAKE 14:29.535 --> 14:30.236 align:left position:10%,start line:89% size:80% OUT GLUTEN MAY ACTUALLY FEEL 14:30.236 --> 14:30.936 align:left position:10%,start line:89% size:80% BETTER BECAUSE OF SOME OF THE 14:30.936 --> 14:32.938 align:left position:10%,start line:89% size:80% OTHER THINGS THAT COME OUT WITH 14:32.938 --> 14:35.207 align:left position:10%,start line:89% size:80% THE GLUTEN. 14:35.207 --> 14:37.209 align:left position:10%,start line:89% size:80% IT ALSO UNDERSCORES THE 14:37.209 --> 14:38.510 align:left position:10%,start line:89% size:80% IMPORTANCE OF GETTING AN 14:38.510 --> 14:39.612 align:left position:10%,start line:89% size:80% ACCURATE DIAGNOSIS AND THAT 14:39.612 --> 14:41.413 align:left position:10%,start line:89% size:80% DIAGNOSIS IS BETTER MADE IN THE 14:41.413 --> 14:44.149 align:left position:10%,start line:89% size:80% TRUE CELIAC PATIENT WHILE THERE 14:44.149 --> 14:46.285 align:left position:10%,start line:89% size:80% THEY ARE STILL GETTING GLUTEN. 14:46.285 --> 14:47.853 align:left position:10%,start line:89% size:80% SO HAVING PATIENTS TO US WHEN 14:47.853 --> 14:51.523 align:left position:10%,start line:89% size:80% THEY ARE ON A GLUTEN-FREE DIET 14:51.523 --> 14:53.626 align:left position:10%,start line:89% size:80% AND WONDERING IF THEY HAVE 14:53.626 --> 14:55.027 align:left position:10%,start line:89% size:80% CELIAC DISEASE, MAKES IT 14:55.027 --> 14:55.427 align:left position:10%,start line:89% size:80% CHALLENGING. 14:55.427 --> 14:58.197 align:left position:10%,start line:89% size:80% WE HAVE TO ASK THEM TO RETURN TO 14:58.197 --> 14:59.832 align:left position:10%,start line:89% size:80% A GLUTEN CONTAINING DIET -- 14:59.832 --> 15:02.601 align:left position:10%,start line:89% size:80% >> YOU HAVE TO FEEL CRUMMY FOR A 15:02.601 --> 15:04.536 align:left position:10%,start line:89% size:80% WHILE. 15:04.536 --> 15:06.105 align:left position:10%,start line:89% size:80% >> EXACTLY. 15:06.105 --> 15:07.806 align:left position:10%,start line:89% size:80% BONE HEALTH, REPRODUCTIVE 15:07.806 --> 15:08.140 align:left position:10%,start line:89% size:80% HEALTH. 15:08.140 --> 15:10.142 align:left position:10%,start line:89% size:80% WE RECOMMEND THAT PEOPLE WHO 15:10.142 --> 15:11.977 align:left position:10%,start line:89% size:80% HAVE CELIAC DISEASE, A PROVEN 15:11.977 --> 15:14.480 align:left position:10%,start line:89% size:80% DIAGNOSIS, ALL OF THEIR 15:14.480 --> 15:17.416 align:left position:10%,start line:89% size:80% FIRST-DEGREE RELATIVES SHOULD BE 15:17.416 --> 15:19.418 align:left position:10%,start line:89% size:80% SCREENED FOR CELIAC DISEASE AS 15:19.418 --> 15:19.718 align:left position:10%,start line:89% size:80% WELL. 15:19.718 --> 15:20.920 align:left position:10%,start line:89% size:80% VERY NOW BECOME A WEAR THAT 15:20.920 --> 15:23.122 align:left position:10%,start line:89% size:80% THERE'S A LARGE RANGE OF 15:23.122 --> 15:24.523 align:left position:10%,start line:89% size:80% MANIFESTATIONS OF CELIAC DISEASE 15:24.523 --> 15:26.525 align:left position:10%,start line:89% size:80% THAT ARE NO LONGER, WE USED TO 15:26.525 --> 15:28.928 align:left position:10%,start line:89% size:80% THINK OF AS JUST THE YOUNG CHILD 15:28.928 --> 15:30.496 align:left position:10%,start line:89% size:80% WITH DIARRHEA WHO IS NOT 15:30.496 --> 15:31.130 align:left position:10%,start line:89% size:80% GROWING. 15:31.130 --> 15:34.333 align:left position:10%,start line:89% size:80% WE NOW SEE IT THIBLE TIRE AGE 15:34.333 --> 15:36.101 align:left position:10%,start line:89% size:80% SPECTRUM AND MANIFESTING IN MANY 15:36.101 --> 15:37.503 align:left position:10%,start line:89% size:80% DIFFERENT WAYS. 15:37.503 --> 15:38.203 align:left position:10%,start line:89% size:80% >> THAT'S INTERESTING. 15:38.203 --> 15:41.006 align:left position:10%,start line:89% size:80% >> I WORK PRIMARILY IN 15:41.006 --> 15:41.407 align:left position:10%,start line:89% size:80% PEDIATRICS. 15:41.407 --> 15:42.107 align:left position:10%,start line:89% size:80% WE RECOMMEND THAT THE WHOLE 15:42.107 --> 15:43.709 align:left position:10%,start line:89% size:80% FAMILY GETS TESTED, AS YOU WERE 15:43.709 --> 15:44.810 align:left position:10%,start line:89% size:80% SAYING BUT WE ALSO DO RECOMMEND 15:44.810 --> 15:47.012 align:left position:10%,start line:89% size:80% THAT THE HOUSEHOLD STAY 15:47.012 --> 15:48.013 align:left position:10%,start line:89% size:80% GLUTEN-FREE FOR PEOPLE THAT HAVE 15:48.013 --> 15:49.114 align:left position:10%,start line:89% size:80% CHILDREN WITH CELIAC DISEASE 15:49.114 --> 15:50.215 align:left position:10%,start line:89% size:80% BECAUSE YOU DON'T KNOW WHAT YOUR 15:50.215 --> 15:52.217 align:left position:10%,start line:89% size:80% KIDS ARE GOING TO GET INTO AND 15:52.217 --> 15:53.519 align:left position:10%,start line:89% size:80% CROSS CONTAMINATION IN THE HOME 15:53.519 --> 15:54.720 align:left position:10%,start line:89% size:80% CAN BE A CONCERN AS WELL. 15:54.720 --> 15:56.422 align:left position:10%,start line:89% size:80% SO WE ENCOURAGE PARENTS TO EAT 15:56.422 --> 15:57.723 align:left position:10%,start line:89% size:80% WHAT YOU CHOOSE WHEN YOU ARE 15:57.723 --> 15:59.425 align:left position:10%,start line:89% size:80% OUTSIDE OF THE HOME WITHOUT YOUR 15:59.425 --> 16:02.761 align:left position:10%,start line:89% size:80% CHILD BUT MAKE THE HOUSEHOLD 16:02.761 --> 16:04.163 align:left position:10%,start line:89% size:80% GLUTEN-FREE AND THAT CAN BE A 16:04.163 --> 16:05.431 align:left position:10%,start line:89% size:80% CHALLENGE FOR FAMILIES. 16:05.431 --> 16:06.699 align:left position:10%,start line:89% size:80% >> WE ARE ENCOURAGING YOUR PHONE 16:06.699 --> 16:07.833 align:left position:10%,start line:89% size:80% CALLS AND EMAILS. 16:07.833 --> 16:09.635 align:left position:10%,start line:89% size:80% WE HAVE RYAN CALLING IN FROM 16:09.635 --> 16:11.003 align:left position:10%,start line:89% size:80% SPOKANE THIS EVENING. 16:11.003 --> 16:12.905 align:left position:10%,start line:89% size:80% HELLO, RYAN. 16:12.905 --> 16:13.539 align:left position:10%,start line:89% size:80% >> Caller: HI, THERE. 16:13.539 --> 16:16.809 align:left position:10%,start line:89% size:80% >> YOU HAVE A QUESTION FOR OUR 16:16.809 --> 16:17.242 align:left position:10%,start line:89% size:80% PANELISTS? 16:17.242 --> 16:18.010 align:left position:10%,start line:89% size:80% >> Caller: SORRY. 16:18.010 --> 16:20.746 align:left position:10%,start line:89% size:80% I HAVE A 4-YEAR-OLD WITH 16:20.746 --> 16:22.915 align:left position:10%,start line:89% size:80% CEREBRAL PALSY WHO GETS VERY 16:22.915 --> 16:27.720 align:left position:10%,start line:89% size:80% CONSTIPATED AND WE DO DAILY 16:27.720 --> 16:29.722 align:left position:10%,start line:89% size:80% MERILAX AND CHILDREN'S EX-LAX. 16:29.722 --> 16:32.624 align:left position:10%,start line:89% size:80% IS THERE ANY TYPE OF REGIMEN 16:32.624 --> 16:34.626 align:left position:10%,start line:89% size:80% THAT WOULD BE BETTER FOR HIM TO 16:34.626 --> 16:38.330 align:left position:10%,start line:89% size:80% BE MORE REGULAR? 16:38.330 --> 16:38.731 align:left position:10%,start line:89% size:80% >> OKAY. 16:38.731 --> 16:40.232 align:left position:10%,start line:89% size:80% EXCELLENT QUESTION, RYAN. 16:40.232 --> 16:42.034 align:left position:10%,start line:89% size:80% RYAN, ARE YOU STILL THERE? 16:42.034 --> 16:42.568 align:left position:10%,start line:89% size:80% >> Caller: I AM. 16:42.568 --> 16:45.838 align:left position:10%,start line:89% size:80% >> WHAT KIND OF DIET DO YOU HAVE 16:45.838 --> 16:46.572 align:left position:10%,start line:89% size:80% YOUR LITTLE GUY ON? 16:46.572 --> 16:49.008 align:left position:10%,start line:89% size:80% >> YOU KNOW, HE'S EATING 16:49.008 --> 16:49.608 align:left position:10%,start line:89% size:80% NORMAL -- 16:49.608 --> 16:51.543 align:left position:10%,start line:89% size:80% >> WHAT 4-YEAR-OLDS EAT? 16:51.543 --> 16:53.912 align:left position:10%,start line:89% size:80% >> WELL, YEAH, THEY HAVE THE 16:53.912 --> 16:57.383 align:left position:10%,start line:89% size:80% SAME DINNER WE HAVE AND CHICKEN 16:57.383 --> 16:58.684 align:left position:10%,start line:89% size:80% AND RICE, IS WHAT WE ARE EATING 16:58.684 --> 17:00.719 align:left position:10%,start line:89% size:80% RIGHT NOW. 17:00.719 --> 17:01.120 align:left position:10%,start line:89% size:80% >> OKAY. 17:01.120 --> 17:02.221 align:left position:10%,start line:89% size:80% >> THANK YOU SO MUCH. 17:02.221 --> 17:03.155 align:left position:10%,start line:89% size:80% >> YOGURTS, THINGS LIKE THAT. 17:03.155 --> 17:05.424 align:left position:10%,start line:89% size:80% >> ALL RIGHT. 17:05.424 --> 17:06.725 align:left position:10%,start line:89% size:80% >> THAT'S A TOUGH ONE. 17:06.725 --> 17:10.029 align:left position:10%,start line:89% size:80% >> I'M NOT A PEDIATRIC 17:10.029 --> 17:11.030 align:left position:10%,start line:89% size:80% GASTROENTEROLOGIST, I'M AN ADULT 17:11.030 --> 17:12.331 align:left position:10%,start line:89% size:80% ONE AND THERE MAY BE A BIG 17:12.331 --> 17:12.731 align:left position:10%,start line:89% size:80% DIFFERENCE. 17:12.731 --> 17:16.702 align:left position:10%,start line:89% size:80% I KNOW IN AN ADULT, THE 17:16.702 --> 17:17.669 align:left position:10%,start line:89% size:80% FUNDAMENTAL PRINCIPLE THAT I 17:17.669 --> 17:20.739 align:left position:10%,start line:89% size:80% WOULD OFFER TO RYAN IS THAT HIS 17:20.739 --> 17:22.508 align:left position:10%,start line:89% size:80% CHILD SHOULD HAVE, YOU KNOW, 17:22.508 --> 17:23.909 align:left position:10%,start line:89% size:80% HIS -- HIS CHILD'S COLON SHOULD 17:23.909 --> 17:25.210 align:left position:10%,start line:89% size:80% SEE THE SAME THING EVERY DAY. 17:25.210 --> 17:28.514 align:left position:10%,start line:89% size:80% SO TRY TO GET INTO A REGULAR 17:28.514 --> 17:28.847 align:left position:10%,start line:89% size:80% ROUTINE. 17:28.847 --> 17:32.317 align:left position:10%,start line:89% size:80% AND IN MY PATIENTS WITH 17:32.317 --> 17:33.919 align:left position:10%,start line:89% size:80% CONSTIPATION, FIBER IS THE KEY 17:33.919 --> 17:34.286 align:left position:10%,start line:89% size:80% COMPONENT. 17:34.286 --> 17:35.320 align:left position:10%,start line:89% size:80% YOU WANT TO MAKE SURE YOU ARE 17:35.320 --> 17:36.855 align:left position:10%,start line:89% size:80% GETTING PLENTY OF FIBER, AND IF 17:36.855 --> 17:38.257 align:left position:10%,start line:89% size:80% IT'S HARD TO GET TO THE STORE, 17:38.257 --> 17:40.025 align:left position:10%,start line:89% size:80% TAKE A FIBER SUPPLEMENT THAT'S 17:40.025 --> 17:42.327 align:left position:10%,start line:89% size:80% EASY EVERY DAY. 17:42.327 --> 17:45.931 align:left position:10%,start line:89% size:80% AND THEN YOU CAN ADD MEROLAX ON 17:45.931 --> 17:48.734 align:left position:10%,start line:89% size:80% TOP OF THAT, WHICH IS A CHEMICAL 17:48.734 --> 17:50.836 align:left position:10%,start line:89% size:80% THAT MIXES IN THE STOOL AND 17:50.836 --> 17:51.537 align:left position:10%,start line:89% size:80% KEEPS IT SOFT. 17:51.537 --> 17:52.538 align:left position:10%,start line:89% size:80% >> ARE THERE ANY CONCERNS 17:52.538 --> 17:54.973 align:left position:10%,start line:89% size:80% GETTING HIM ON THAT AND THEN 17:54.973 --> 17:56.675 align:left position:10%,start line:89% size:80% BEING DEPENDENT UPON THAT? 17:56.675 --> 17:59.445 align:left position:10%,start line:89% size:80% >> NOT WITH FIBER OR MEROLAX. 17:59.445 --> 18:01.780 align:left position:10%,start line:89% size:80% THERE ARE WITH STIMULANT 18:01.780 --> 18:04.216 align:left position:10%,start line:89% size:80% LAXATIVES SUCH AS EX-LAX. 18:04.216 --> 18:07.519 align:left position:10%,start line:89% size:80% PEOPLE CAN DEVELOP AN DEPENDENCE 18:07.519 --> 18:08.954 align:left position:10%,start line:89% size:80% AND IT CAN WEAKEN YOUR COLON 18:08.954 --> 18:10.923 align:left position:10%,start line:89% size:80% LONG TERM BUT THERE WOULD NOT BE 18:10.923 --> 18:12.124 align:left position:10%,start line:89% size:80% LONG-TERM SIDE EFFECTS WITH THE 18:12.124 --> 18:13.225 align:left position:10%,start line:89% size:80% MEROLAX OR WITH FIBER. 18:13.225 --> 18:15.527 align:left position:10%,start line:89% size:80% AND THEN THERE ARE ADDITIONAL -- 18:15.527 --> 18:17.262 align:left position:10%,start line:89% size:80% WE HAVE TWO ADDITIONAL 18:17.262 --> 18:19.231 align:left position:10%,start line:89% size:80% PRESCRIPTION MEDICATIONS WE CAN 18:19.231 --> 18:19.498 align:left position:10%,start line:89% size:80% USE. 18:19.498 --> 18:20.432 align:left position:10%,start line:89% size:80% BUT I DON'T KNOW IF THEY ARE 18:20.432 --> 18:22.935 align:left position:10%,start line:89% size:80% USED IN CHILDREN OR NOT. 18:22.935 --> 18:23.735 align:left position:10%,start line:89% size:80% >> ALLI. 18:23.735 --> 18:25.137 align:left position:10%,start line:89% size:80% >> SOMETHING IN THE PEDS WORLD 18:25.137 --> 18:26.438 align:left position:10%,start line:89% size:80% THAT WE RECOMMEND ARE FRUITS 18:26.438 --> 18:29.641 align:left position:10%,start line:89% size:80% THAT ARE HIGH IN SORBITAL, 18:29.641 --> 18:32.878 align:left position:10%,start line:89% size:80% PRUNES, PEA RS, PEACHES, PLUMS 18:32.878 --> 18:34.446 align:left position:10%,start line:89% size:80% AND THE ONES WITH THE P. 18:34.446 --> 18:37.783 align:left position:10%,start line:89% size:80% IT SOFTENS THE STOOL AND IT 18:37.783 --> 18:43.555 align:left position:10%,start line:89% size:80% MAKES IT EASY FOR THE CHILD TO 18:43.555 --> 18:44.323 align:left position:10%,start line:89% size:80% PASS THE STOOL. 18:44.323 --> 18:45.824 align:left position:10%,start line:89% size:80% SOMETIMES THEY HOLD ON AND IT 18:45.824 --> 18:47.626 align:left position:10%,start line:89% size:80% GETS HARDER AND IT'S MORE 18:47.626 --> 18:49.428 align:left position:10%,start line:89% size:80% UNCOMFORTABLE AND IT CREATES A 18:49.428 --> 18:50.429 align:left position:10%,start line:89% size:80% CONTINUAL PROBLEM. 18:50.429 --> 18:55.033 align:left position:10%,start line:89% size:80% SO IN THE PEDS G.I. CLINICS WE 18:55.033 --> 18:57.836 align:left position:10%,start line:89% size:80% RECOMMEND THREE TO FIVE SERVINGS 18:57.836 --> 19:00.405 align:left position:10%,start line:89% size:80% OF THOSE FRUITS. 19:00.405 --> 19:03.509 align:left position:10%,start line:89% size:80% >> WOULD HIS CEREBRAL PALSY HAVE 19:03.509 --> 19:05.444 align:left position:10%,start line:89% size:80% ANYTHING RELATED TO THAT? 19:05.444 --> 19:08.847 align:left position:10%,start line:89% size:80% >> I'M NOT A PEDIATRIC 19:08.847 --> 19:11.483 align:left position:10%,start line:89% size:80% GASTROENTEROLOGIST, BUT THERE'S 19:11.483 --> 19:15.220 align:left position:10%,start line:89% size:80% SUCH A LARGE AREA OF CEREBRAL 19:15.220 --> 19:15.521 align:left position:10%,start line:89% size:80% PALSY. 19:15.521 --> 19:17.156 align:left position:10%,start line:89% size:80% >> ONE OF THE KEYS TO KEEPING 19:17.156 --> 19:18.557 align:left position:10%,start line:89% size:80% CONSTIPATION AT ANY AGE IS 19:18.557 --> 19:21.126 align:left position:10%,start line:89% size:80% HAVING THAT REGULAR PROGRAM, AND 19:21.126 --> 19:23.428 align:left position:10%,start line:89% size:80% WHAT SOME PEOPLE DO IS THEY ARE 19:23.428 --> 19:25.164 align:left position:10%,start line:89% size:80% AFRAID OF LAXATIVES BECAUSE THEY 19:25.164 --> 19:26.832 align:left position:10%,start line:89% size:80% ARE CONCERNED THAT THEY MIGHT BE 19:26.832 --> 19:28.333 align:left position:10%,start line:89% size:80% HABIT FORMING AND SO ON. 19:28.333 --> 19:30.435 align:left position:10%,start line:89% size:80% SO THEY WILL WAIT UNTIL THEY ARE 19:30.435 --> 19:32.037 align:left position:10%,start line:89% size:80% REALLY UNCOMFORTABLE CONSTIPATED 19:32.037 --> 19:33.839 align:left position:10%,start line:89% size:80% AND THEN DO THE BIG CLEANOUT, SO 19:33.839 --> 19:37.142 align:left position:10%,start line:89% size:80% TO SPEAK, AND THAT -- IN MAKING 19:37.142 --> 19:40.445 align:left position:10%,start line:89% size:80% THAT SORT OF A CYCLE IS NOT 19:40.445 --> 19:43.048 align:left position:10%,start line:89% size:80% PROBABLY A GOOD WAY TO ENJOY 19:43.048 --> 19:44.516 align:left position:10%,start line:89% size:80% YOUR LIFESTYLE, CERTAINLY. 19:44.516 --> 19:48.887 align:left position:10%,start line:89% size:80% AND SO I ENCOURAGE MY PATIENTS 19:48.887 --> 19:52.624 align:left position:10%,start line:89% size:80% TO USE FIBER SUPPLEMENTS, 19:52.624 --> 19:58.430 align:left position:10%,start line:89% size:80% OSMOTIC SUPPLEMENTS AND USE THE 19:58.430 --> 19:59.298 align:left position:10%,start line:89% size:80% MORE STIMULANT LAXATIVES. 19:59.298 --> 20:00.599 align:left position:10%,start line:89% size:80% OKAY, IF YOU HAVEN'T HAD AN 20:00.599 --> 20:01.900 align:left position:10%,start line:89% size:80% ADEQUATE BOWEL MOVEMENT IN THREE 20:01.900 --> 20:04.503 align:left position:10%,start line:89% size:80% OR FOUR DAYS, THEN USE THE 20:04.503 --> 20:05.370 align:left position:10%,start line:89% size:80% RESCUE LAXATIVE BUT THEN RETURN 20:05.370 --> 20:06.505 align:left position:10%,start line:89% size:80% TO THE REGULAR PROGRAM. 20:06.505 --> 20:08.273 align:left position:10%,start line:89% size:80% >> HOW IMPORTANT IS IT TO OUR 20:08.273 --> 20:11.043 align:left position:10%,start line:89% size:80% OVERALL HEALTH TO STAY REGULAR? 20:11.043 --> 20:12.578 align:left position:10%,start line:89% size:80% TO GO ONCE A DAY? 20:12.578 --> 20:13.345 align:left position:10%,start line:89% size:80% TWICE A DAY? 20:13.345 --> 20:14.913 align:left position:10%,start line:89% size:80% HOW OFTEN SHOULD WE BE HAVING A 20:14.913 --> 20:16.682 align:left position:10%,start line:89% size:80% BOWEL MOVEMENT TO KEEP OUR 20:16.682 --> 20:18.917 align:left position:10%,start line:89% size:80% OVERALL HEALTH IN CHECK? 20:18.917 --> 20:25.924 align:left position:10%,start line:89% size:80% >> WELL, PEOPLE VARY A LOT. 20:25.924 --> 20:28.227 align:left position:10%,start line:89% size:80% AND THE NORMAL RANGE FOR BOWEL 20:28.227 --> 20:31.430 align:left position:10%,start line:89% size:80% MOVEMENTS IS THREE TIMES A DAY, 20:31.430 --> 20:32.731 align:left position:10%,start line:89% size:80% TO ONCE EVERY THREE DAYS. 20:32.731 --> 20:34.900 align:left position:10%,start line:89% size:80% IF YOU ARE GOING OUTSIDE THAT 20:34.900 --> 20:37.002 align:left position:10%,start line:89% size:80% RANGE, YOU SHOULD BE EVALUATED 20:37.002 --> 20:38.570 align:left position:10%,start line:89% size:80% TO MAKE SURE THAT NOTHING ELSE 20:38.570 --> 20:39.504 align:left position:10%,start line:89% size:80% IS GOING ON. 20:39.504 --> 20:40.772 align:left position:10%,start line:89% size:80% >> LET'S TAKE A PHONE CALL FROM 20:40.772 --> 20:43.809 align:left position:10%,start line:89% size:80% LINDA IN LEWISSTON. 20:43.809 --> 20:45.677 align:left position:10%,start line:89% size:80% >> Caller: HI, HOW ARE YOU 20:45.677 --> 20:46.011 align:left position:10%,start line:89% size:80% DOING? 20:46.011 --> 20:48.380 align:left position:10%,start line:89% size:80% I'M CALLING ABOUT MY 31-YEAR-OLD 20:48.380 --> 20:48.747 align:left position:10%,start line:89% size:80% DAUGHTER. 20:48.747 --> 20:50.215 align:left position:10%,start line:89% size:80% SHE HAS STRUGGLED WITH THE 20:50.215 --> 20:52.017 align:left position:10%,start line:89% size:80% SYMPTOMS THAT YOU GUYS ARE 20:52.017 --> 20:53.685 align:left position:10%,start line:89% size:80% DESCRIBING SINCE SHE WAS 18. 20:53.685 --> 20:55.687 align:left position:10%,start line:89% size:80% SHE TOOK HER GALLBLADDER OUT. 20:55.687 --> 20:57.689 align:left position:10%,start line:89% size:80% SHE'S BEEN TESTED FOR I.B.S. 20:57.689 --> 21:00.192 align:left position:10%,start line:89% size:80% SHE'S BEEN TESTED FOR CELIAC 21:00.192 --> 21:00.525 align:left position:10%,start line:89% size:80% DISEASE. 21:00.525 --> 21:02.394 align:left position:10%,start line:89% size:80% THEY HAVE DONE EVERYTHING. 21:02.394 --> 21:03.929 align:left position:10%,start line:89% size:80% SHE IS A MOM OF THREE. 21:03.929 --> 21:06.231 align:left position:10%,start line:89% size:80% SHE HAS DAYS SHE LITERALLY 21:06.231 --> 21:07.766 align:left position:10%,start line:89% size:80% CANNOT FUNCTION. 21:07.766 --> 21:10.402 align:left position:10%,start line:89% size:80% SHE DID THE BLOOD TEST FOR THE 21:10.402 --> 21:11.703 align:left position:10%,start line:89% size:80% WHEAT, THE GLUCOSE OR WHATEVER. 21:11.703 --> 21:13.905 align:left position:10%,start line:89% size:80% THEY SAID SHE'S NOT ALLERGIC TO 21:13.905 --> 21:14.172 align:left position:10%,start line:89% size:80% IT. 21:14.172 --> 21:15.807 align:left position:10%,start line:89% size:80% THEY PUT HER ON A MEDICATION. 21:15.807 --> 21:19.077 align:left position:10%,start line:89% size:80% SHE TAKES A HALF A TABLET A DAY 21:19.077 --> 21:20.279 align:left position:10%,start line:89% size:80% AND SHE CAN'T FUNCTION. 21:20.279 --> 21:23.415 align:left position:10%,start line:89% size:80% IT PUTS HER INSTANTLY TO SLEEP 21:23.415 --> 21:24.683 align:left position:10%,start line:89% size:80% BUT SHE CANNOT GET ANY ANSWERS 21:24.683 --> 21:26.818 align:left position:10%,start line:89% size:80% OF WHAT IS GOING ON WITH HER. 21:26.818 --> 21:28.220 align:left position:10%,start line:89% size:80% >> LINDA, BESIDES THE FATIGUE, 21:28.220 --> 21:29.121 align:left position:10%,start line:89% size:80% WHAT OTHER SYMPTOMS DOES SHE 21:29.121 --> 21:31.990 align:left position:10%,start line:89% size:80% HAVE? 21:31.990 --> 21:33.492 align:left position:10%,start line:89% size:80% >> THE EXTREME PAIN, THE 21:33.492 --> 21:35.794 align:left position:10%,start line:89% size:80% BURNING, SEVERE DIARRHEA, TO 21:35.794 --> 21:37.396 align:left position:10%,start line:89% size:80% WHERE SHE'S PASS OUT. 21:37.396 --> 21:39.698 align:left position:10%,start line:89% size:80% AND THEN SHE'LL GET CONSTIPATED. 21:39.698 --> 21:42.267 align:left position:10%,start line:89% size:80% SHE HAS CUT OUT ALL THE SUGARS. 21:42.267 --> 21:44.603 align:left position:10%,start line:89% size:80% SHE HAS CUT OUT ALL THE WHEAT 21:44.603 --> 21:44.970 align:left position:10%,start line:89% size:80% PRODUCTS. 21:44.970 --> 21:45.904 align:left position:10%,start line:89% size:80% NOTHING IS WORKING. 21:45.904 --> 21:48.707 align:left position:10%,start line:89% size:80% SHE'S HAD THE COLONOSCOPY. 21:48.707 --> 21:49.474 align:left position:10%,start line:89% size:80% THEY'VE DONE THE -- I DON'T KNOW 21:49.474 --> 21:50.709 align:left position:10%,start line:89% size:80% WHAT IT IS, THE TEST THEY PUT 21:50.709 --> 21:52.210 align:left position:10%,start line:89% size:80% THE TUBE DOWN HER THROAT, THEY 21:52.210 --> 21:56.181 align:left position:10%,start line:89% size:80% HAVE DONE EVERYTHING. 21:56.181 --> 21:56.581 align:left position:10%,start line:89% size:80% >> WOW! 21:56.581 --> 21:57.816 align:left position:10%,start line:89% size:80% THAT SOUNDS LIKE A CHALLENGING 21:57.816 --> 21:58.116 align:left position:10%,start line:89% size:80% CASE. 21:58.116 --> 22:00.118 align:left position:10%,start line:89% size:80% ANY THOUGHTS TOWARDS WHAT 22:00.118 --> 22:02.220 align:left position:10%,start line:89% size:80% LINDA'S DAUGHTER MIGHT BE GOING 22:02.220 --> 22:02.554 align:left position:10%,start line:89% size:80% THROUGH? 22:02.554 --> 22:03.955 align:left position:10%,start line:89% size:80% >> IT CERTAINLY SOUNDS LIKE A 22:03.955 --> 22:05.223 align:left position:10%,start line:89% size:80% CHALLENGING CASE AND 22:05.223 --> 22:06.391 align:left position:10%,start line:89% size:80% UNFORTUNATELY, IT'S NOT THAT 22:06.391 --> 22:09.127 align:left position:10%,start line:89% size:80% ATYPICAL TO SEE PATIENTS WHO 22:09.127 --> 22:11.997 align:left position:10%,start line:89% size:80% REALLY OVER TIME DEVELOP VERY 22:11.997 --> 22:15.067 align:left position:10%,start line:89% size:80% INTRACTABLE AND SEVERE ABDOMINAL 22:15.067 --> 22:15.434 align:left position:10%,start line:89% size:80% SYMPTOMS. 22:15.434 --> 22:18.503 align:left position:10%,start line:89% size:80% THERE ARE NO SPECIFIC TESTS TO 22:18.503 --> 22:19.604 align:left position:10%,start line:89% size:80% DIAGNOSE IRRITABLE BOWEL 22:19.604 --> 22:19.971 align:left position:10%,start line:89% size:80% SYNDROME. 22:19.971 --> 22:22.107 align:left position:10%,start line:89% size:80% IT'S A CLINICAL DIAGNOSIS AND I 22:22.107 --> 22:23.575 align:left position:10%,start line:89% size:80% THINK IN SOME CIRCUMSTANCES, 22:23.575 --> 22:25.010 align:left position:10%,start line:89% size:80% IT'S REASONABLE TO LOOK FOR 22:25.010 --> 22:26.978 align:left position:10%,start line:89% size:80% OTHER CONDITIONS THAT MIGHT BE 22:26.978 --> 22:32.651 align:left position:10%,start line:89% size:80% CAUSING THOSE SYMPTOMS, BUT -- 22:32.651 --> 22:34.086 align:left position:10%,start line:89% size:80% BUT THERE IS NOT A SPECIFIC TEST 22:34.086 --> 22:36.121 align:left position:10%,start line:89% size:80% THAT WE CAN DO AND SAY THIS IS 22:36.121 --> 22:37.789 align:left position:10%,start line:89% size:80% IRRITABLE BOWEL SYNDROME. 22:37.789 --> 22:40.225 align:left position:10%,start line:89% size:80% THE DIAGNOSIS IS BASED ON THE 22:40.225 --> 22:44.162 align:left position:10%,start line:89% size:80% ABSENCE OF OTHER CONDITIONS AND 22:44.162 --> 22:46.832 align:left position:10%,start line:89% size:80% PARTICULAR MANIFESTATION, 22:46.832 --> 22:48.900 align:left position:10%,start line:89% size:80% ABDOMINAL PAIN, DIARRHEA 22:48.900 --> 22:50.569 align:left position:10%,start line:89% size:80% ALTERNATING WITH CONSTIPATION 22:50.569 --> 22:52.237 align:left position:10%,start line:89% size:80% SOUNDS LIKE DIFFICULT IRRITABLE 22:52.237 --> 22:53.305 align:left position:10%,start line:89% size:80% BOWEL SYNDROME. 22:53.305 --> 22:55.340 align:left position:10%,start line:89% size:80% >> SO SHE PROBABLY NEEDS TO SEEK 22:55.340 --> 22:57.509 align:left position:10%,start line:89% size:80% MORE MEDICAL ADVICE? 22:57.509 --> 22:59.378 align:left position:10%,start line:89% size:80% >> WELL, IRRITABLE BOWEL 22:59.378 --> 23:00.812 align:left position:10%,start line:89% size:80% SYNDROME, EVEN THOUGH SOME 23:00.812 --> 23:02.147 align:left position:10%,start line:89% size:80% PEOPLE, INCLUDING PHYSICIANS USE 23:02.147 --> 23:06.518 align:left position:10%,start line:89% size:80% IT AS KIND OF A BASKET TO HOLD 23:06.518 --> 23:08.620 align:left position:10%,start line:89% size:80% PATIENTS IN, IT CAN REALLY 23:08.620 --> 23:10.122 align:left position:10%,start line:89% size:80% RUIN'S SOMEBODY LIFE. 23:10.122 --> 23:12.491 align:left position:10%,start line:89% size:80% THEY TOOK 100 I.B.S. PATIENTS 23:12.491 --> 23:14.326 align:left position:10%,start line:89% size:80% AND ASKED THEM TO RANK THEIR 23:14.326 --> 23:15.994 align:left position:10%,start line:89% size:80% LIFE AND THEIR PAIN AND THEY 23:15.994 --> 23:17.996 align:left position:10%,start line:89% size:80% TOOK 100 PATIENTS WITH 23:17.996 --> 23:19.598 align:left position:10%,start line:89% size:80% METASTATIC PANCREATIC CANCER AND 23:19.598 --> 23:21.299 align:left position:10%,start line:89% size:80% THE PEOPLE WITH I.B.S. HAD A 23:21.299 --> 23:23.335 align:left position:10%,start line:89% size:80% WORSE LIFE AND MORE PAIN THAN 23:23.335 --> 23:25.337 align:left position:10%,start line:89% size:80% THE PEOPLE WITH PANCREATIC 23:25.337 --> 23:25.670 align:left position:10%,start line:89% size:80% CANCER. 23:25.670 --> 23:27.506 align:left position:10%,start line:89% size:80% IT CAN REALLY -- IT CAN REALLY 23:27.506 --> 23:28.607 align:left position:10%,start line:89% size:80% RUIN YOUR LIFE. 23:28.607 --> 23:30.108 align:left position:10%,start line:89% size:80% OUR GOAL IS, YOU KNOW, WHEN I 23:30.108 --> 23:31.610 align:left position:10%,start line:89% size:80% SEE SOMEONE LIKE THIS IN MY 23:31.610 --> 23:33.311 align:left position:10%,start line:89% size:80% OFFICE, AND IT SOUNDS LIKE SHE 23:33.311 --> 23:34.813 align:left position:10%,start line:89% size:80% HAS GOOD DOCTORS TAKING CARE OF 23:34.813 --> 23:35.080 align:left position:10%,start line:89% size:80% HER. 23:35.080 --> 23:37.015 align:left position:10%,start line:89% size:80% THEY HAVE BEEN VERY THOROUGH BUT 23:37.015 --> 23:39.017 align:left position:10%,start line:89% size:80% WHEN I SEE SOMEBODY LIKE THIS MY 23:39.017 --> 23:42.220 align:left position:10%,start line:89% size:80% GOAL IS, MAKE THEIR LIFE MORE 23:42.220 --> 23:42.621 align:left position:10%,start line:89% size:80% MANAGEABLE. 23:42.621 --> 23:45.524 align:left position:10%,start line:89% size:80% AND THE WAY I DO THAT IS, YOU 23:45.524 --> 23:48.493 align:left position:10%,start line:89% size:80% KNOW, MODERATE DIET WITH LOTS OF 23:48.493 --> 23:51.196 align:left position:10%,start line:89% size:80% FIBER IN IT, A FIBER SUPPLEMENT, 23:51.196 --> 23:53.732 align:left position:10%,start line:89% size:80% REGULAR EXERCISE IS REALLY KEY. 23:53.732 --> 23:55.700 align:left position:10%,start line:89% size:80% LIMIT STRESS IN YOUR LIFE TO THE 23:55.700 --> 23:57.235 align:left position:10%,start line:89% size:80% EXTENT YOU CAN, AND GET PLENTY 23:57.235 --> 23:58.403 align:left position:10%,start line:89% size:80% OF SLEEP. 23:58.403 --> 24:01.039 align:left position:10%,start line:89% size:80% AND THAT'S PROBABLY GOING TO BE 24:01.039 --> 24:02.841 align:left position:10%,start line:89% size:80% 9 BEST YOU ARE GO -- THE BEST 24:02.841 --> 24:04.709 align:left position:10%,start line:89% size:80% YOU ARE GOING TO BE ABLE TO DO. 24:04.709 --> 24:08.013 align:left position:10%,start line:89% size:80% >> AND CHANGE YOUR DIET. 24:08.013 --> 24:11.116 align:left position:10%,start line:89% size:80% >> SHE MAY WANT TO LOOK INTO THE 24:11.116 --> 24:13.652 align:left position:10%,start line:89% size:80% LOW FOGMAP DIE THAT THE DR. P 24:13.652 --> 24:15.821 align:left position:10%,start line:89% size:80% WAS SPEAKING ABOUT EARLIER. 24:15.821 --> 24:20.592 align:left position:10%,start line:89% size:80% IT'S NOT JUST AVOIDING WHEAT. 24:20.592 --> 24:22.227 align:left position:10%,start line:89% size:80% >> WHERE IS A GOOD PLACE FOR HER 24:22.227 --> 24:24.830 align:left position:10%,start line:89% size:80% TO SEEK THAT INFORMATION? 24:24.830 --> 24:25.697 align:left position:10%,start line:89% size:80% IS THERE INFORMATION ONLINE? 24:25.697 --> 24:27.532 align:left position:10%,start line:89% size:80% >> I HAVE SEEN OUT OF STANFORD 24:27.532 --> 24:28.300 align:left position:10%,start line:89% size:80% UNIVERSITY, I BELIEVE A LOT OF 24:28.300 --> 24:30.402 align:left position:10%,start line:89% size:80% IT HAS COME FROM AUSTRALIA. 24:30.402 --> 24:33.905 align:left position:10%,start line:89% size:80% >> A LOT OF STUDIES FROM 24:33.905 --> 24:35.640 align:left position:10%,start line:89% size:80% AUSTRALIA, THAT'S RIGHT. 24:35.640 --> 24:36.808 align:left position:10%,start line:89% size:80% >> WORTH AN INTERNET CHECK ON 24:36.808 --> 24:37.309 align:left position:10%,start line:89% size:80% THAT ONE. 24:37.309 --> 24:39.110 align:left position:10%,start line:89% size:80% >> FOR SURE. 24:39.110 --> 24:40.612 align:left position:10%,start line:89% size:80% >> LET'S TAKE ANOTHER PHONE 24:40.612 --> 24:40.912 align:left position:10%,start line:89% size:80% CALL. 24:40.912 --> 24:41.880 align:left position:10%,start line:89% size:80% WOLF, YOU HAVE A QUESTION FOR 24:41.880 --> 24:44.015 align:left position:10%,start line:89% size:80% OUR PANEL THIS EVENING? 24:44.015 --> 24:44.916 align:left position:10%,start line:89% size:80% >> Caller: YEAH, ACTUALLY, I 24:44.916 --> 24:47.919 align:left position:10%,start line:89% size:80% JUST WANT TO COMMENT ABOUT THE 24:47.919 --> 24:48.453 align:left position:10%,start line:89% size:80% SUBJECT OF GLUTEN. 24:48.453 --> 24:51.223 align:left position:10%,start line:89% size:80% I HAVE A DAUGHTER THAT HAS SOME 24:51.223 --> 24:53.425 align:left position:10%,start line:89% size:80% SPECIAL NEEDS AND SHE'S ALSO 24:53.425 --> 24:57.028 align:left position:10%,start line:89% size:80% GLUTEN INTOLERANCE FROM THE TIME 24:57.028 --> 24:58.597 align:left position:10%,start line:89% size:80% SHE -- 24:58.597 --> 25:00.832 align:left position:10%,start line:89% size:80% >> DID WE LOSE -- OKAY. 25:00.832 --> 25:03.702 align:left position:10%,start line:89% size:80% ROLF, IF YOU ARE LISTENING, 25:03.702 --> 25:04.703 align:left position:10%,start line:89% size:80% PLEASE GO AHEAD AND CALL THE 25:04.703 --> 25:05.403 align:left position:10%,start line:89% size:80% PHONE NUMBER BACK. 25:05.403 --> 25:07.138 align:left position:10%,start line:89% size:80% WE WILL BE HAPPY TO TAKE YOUR 25:07.138 --> 25:08.607 align:left position:10%,start line:89% size:80% PHONE CALL TONIGHT AND GET YOUR 25:08.607 --> 25:10.342 align:left position:10%,start line:89% size:80% QUESTION INTO OUR PANEL. 25:10.342 --> 25:15.647 align:left position:10%,start line:89% size:80% IN THE MEANTIME, LET'S TALK 25:15.647 --> 25:16.314 align:left position:10%,start line:89% size:80% ABOUT LACTOSE INTOLERANCE. 25:16.314 --> 25:18.450 align:left position:10%,start line:89% size:80% THIS FITS IN WITH THE TREND OF 25:18.450 --> 25:21.019 align:left position:10%,start line:89% size:80% GLUTEN FREE, I GUESS, BUT A FEW 25:21.019 --> 25:22.587 align:left position:10%,start line:89% size:80% YEARS AGO IT BECAME THE PHRASE 25:22.587 --> 25:24.689 align:left position:10%,start line:89% size:80% WE WERE HEARING A LOT. 25:24.689 --> 25:25.891 align:left position:10%,start line:89% size:80% AND THERE WERE MILK AND ALL 25:25.891 --> 25:27.058 align:left position:10%,start line:89% size:80% KINDS OF DAIRY PRODUCTS THAT 25:27.058 --> 25:29.294 align:left position:10%,start line:89% size:80% WERE COMING INTO PLAY THAT WERE 25:29.294 --> 25:29.728 align:left position:10%,start line:89% size:80% LACTOSE-FREE. 25:29.728 --> 25:31.496 align:left position:10%,start line:89% size:80% WHAT IS THIS LACTOSE INTOLERANCE 25:31.496 --> 25:32.931 align:left position:10%,start line:89% size:80% AND HOW CAN THAT AFFECT MY 25:32.931 --> 25:33.532 align:left position:10%,start line:89% size:80% HEALTH? 25:33.532 --> 25:36.835 align:left position:10%,start line:89% size:80% >> WELL, IT'S ACTUALLY THE SAME 25:36.835 --> 25:39.971 align:left position:10%,start line:89% size:80% PATH OF PHYSIOLOGY THAT PLAYS 25:39.971 --> 25:40.772 align:left position:10%,start line:89% size:80% INTO LACTOSE INTOLLersANCE 25:40.772 --> 25:42.707 align:left position:10%,start line:89% size:80% THAT WE HAVE BEEN TALKING ABOUT. 25:42.707 --> 25:44.309 align:left position:10%,start line:89% size:80% BASICALLY OUR SMALL INTESTINE IS 25:44.309 --> 25:47.245 align:left position:10%,start line:89% size:80% THE PART OF OUR GASTROINTESTINAL 25:47.245 --> 25:48.513 align:left position:10%,start line:89% size:80% TRACT WHERE WE ABSORB A LOT OF 25:48.513 --> 25:49.915 align:left position:10%,start line:89% size:80% THESE SUGARS AND WHAT WE HAVE 25:49.915 --> 25:53.084 align:left position:10%,start line:89% size:80% COME TO REALIZE IS THAT OUR 25:53.084 --> 25:54.419 align:left position:10%,start line:89% size:80% EFFICIENCY IN ABSORBING THESE 25:54.419 --> 25:56.488 align:left position:10%,start line:89% size:80% VARIOUS SUGARS, INCLUDING 25:56.488 --> 25:57.923 align:left position:10%,start line:89% size:80% LACTOSE VARIES FROM INDIVIDUAL 25:57.923 --> 26:00.091 align:left position:10%,start line:89% size:80% TO INDIVIDUAL, AND ALSO VARIES 26:00.091 --> 26:03.929 align:left position:10%,start line:89% size:80% DEPENDING ON WHAT SUGARS YOU 26:03.929 --> 26:05.597 align:left position:10%,start line:89% size:80% INGEST AND CERTAIN PEOPLE LOSE 26:05.597 --> 26:08.533 align:left position:10%,start line:89% size:80% THE ABILITY, AS THEY AGE, TO 26:08.533 --> 26:09.801 align:left position:10%,start line:89% size:80% DIAGNOSE LACTOSE. 26:09.801 --> 26:11.736 align:left position:10%,start line:89% size:80% THE LACTOSE, OR ANY POORLY 26:11.736 --> 26:12.904 align:left position:10%,start line:89% size:80% DIGESTED SUGAR GOES THROUGH TO 26:12.904 --> 26:15.106 align:left position:10%,start line:89% size:80% THE LARGE INTESTINE, WHICH IS 26:15.106 --> 26:17.309 align:left position:10%,start line:89% size:80% INHABITED BY BACTERIA, WHICH ARE 26:17.309 --> 26:19.544 align:left position:10%,start line:89% size:80% THERE AS PART OF OUR NORMAL 26:19.544 --> 26:19.945 align:left position:10%,start line:89% size:80% PHYSIOLOGY. 26:19.945 --> 26:23.114 align:left position:10%,start line:89% size:80% AND THOSE BACTERIA FEAST ON THE 26:23.114 --> 26:25.317 align:left position:10%,start line:89% size:80% LACTOSE, BASICALLY AND TURN IT 26:25.317 --> 26:28.620 align:left position:10%,start line:89% size:80% INTO GAS AND SMALL PARTICLES 26:28.620 --> 26:32.524 align:left position:10%,start line:89% size:80% WHICH WE CAUSE OSMOLES AND THAT 26:32.524 --> 26:34.893 align:left position:10%,start line:89% size:80% CAN RESULT IN FLATULENCE AND 26:34.893 --> 26:36.428 align:left position:10%,start line:89% size:80% BLOATING, AND SYMPTOMS OF 26:36.428 --> 26:37.529 align:left position:10%,start line:89% size:80% IRRITABLE BOWEL SYNDROME. 26:37.529 --> 26:39.531 align:left position:10%,start line:89% size:80% OTHER SUGARS THAT WE BECAME 26:39.531 --> 26:43.335 align:left position:10%,start line:89% size:80% AWARE OF, FRUCTOSE, THAT'S BEEN 26:43.335 --> 26:44.836 align:left position:10%,start line:89% size:80% SUPERSEDED BY THE FACT THAT WE 26:44.836 --> 26:47.272 align:left position:10%,start line:89% size:80% RECOGNIZE A LOT OF THESE THINGS, 26:47.272 --> 26:49.240 align:left position:10%,start line:89% size:80% HENCE THE FOGMAPS CAN BE 26:49.240 --> 26:51.109 align:left position:10%,start line:89% size:80% ABSORBED POORLY AND CAN CAUSE 26:51.109 --> 26:53.578 align:left position:10%,start line:89% size:80% SYMPTOMS IN SOME PATIENTS. 26:53.578 --> 26:54.913 align:left position:10%,start line:89% size:80% >> WOW, THAT'S SO INTERESTING. 26:54.913 --> 26:56.881 align:left position:10%,start line:89% size:80% AGAIN, THAT COMES DOWN TO DIET 26:56.881 --> 26:59.618 align:left position:10%,start line:89% size:80% AND CUTTING OUT A LOT OF DAIRY 26:59.618 --> 27:00.585 align:left position:10%,start line:89% size:80% PRODUCTS, UNFORTUNATELY, THERE 27:00.585 --> 27:05.624 align:left position:10%,start line:89% size:80% ARE PRODUCTS ON THE MARKET THAT 27:05.624 --> 27:06.958 align:left position:10%,start line:89% size:80% YOU CAN SUBSTITUTE WITH. 27:06.958 --> 27:08.860 align:left position:10%,start line:89% size:80% >> SOME PEOPLE CAN HAVE A SMALL 27:08.860 --> 27:10.562 align:left position:10%,start line:89% size:80% AMOUNT OF LACTOSE. 27:10.562 --> 27:15.533 align:left position:10%,start line:89% size:80% SOMETIMES YOU CAN BUILD UP YOUR 27:15.533 --> 27:17.736 align:left position:10%,start line:89% size:80% TOLERANCE. 27:17.736 --> 27:20.338 align:left position:10%,start line:89% size:80% AND SOME CAN'T DRINK COWS MILK, 27:20.338 --> 27:21.940 align:left position:10%,start line:89% size:80% BUT THEY CAN HAVE THE OTHER 27:21.940 --> 27:23.608 align:left position:10%,start line:89% size:80% DAIRY PRODUCTS AND IT'S BASED ON 27:23.608 --> 27:25.110 align:left position:10%,start line:89% size:80% A PERSON'S SENSITIVITY. 27:25.110 --> 27:26.544 align:left position:10%,start line:89% size:80% THERE'S CERTAINLY A LOT OF 27:26.544 --> 27:27.946 align:left position:10%,start line:89% size:80% ALTERNATIVE PRODUCTS OUT THERE 27:27.946 --> 27:28.313 align:left position:10%,start line:89% size:80% NOWADAYS. 27:28.313 --> 27:29.614 align:left position:10%,start line:89% size:80% >> WE HAVE ANOTHER PHONE CALL, 27:29.614 --> 27:31.916 align:left position:10%,start line:89% size:80% DIANE CALLING FROM SPOKANE. 27:31.916 --> 27:32.984 align:left position:10%,start line:89% size:80% HELLO, DIANE. 27:32.984 --> 27:35.520 align:left position:10%,start line:89% size:80% >> Caller: HI, HI. 27:35.520 --> 27:39.824 align:left position:10%,start line:89% size:80% I FOR THE LAST TWO YEARS, I HAVE 27:39.824 --> 27:42.727 align:left position:10%,start line:89% size:80% HAD BOUTS OF INTESTINAL PAIN. 27:42.727 --> 27:45.730 align:left position:10%,start line:89% size:80% IT DOESN'T HAPPEN ALL THE TIME. 27:45.730 --> 27:51.002 align:left position:10%,start line:89% size:80% JUST EVERY SO OFTEN AND IT 27:51.002 --> 27:52.303 align:left position:10%,start line:89% size:80% DOUBLES ME UP, BUT I DON'T HAVE 27:52.303 --> 27:55.173 align:left position:10%,start line:89% size:80% THE DIARRHEA OR CONSTIPATION. 27:55.173 --> 27:59.210 align:left position:10%,start line:89% size:80% I HAVE NORMAL BOWEL MOVEMENTS 27:59.210 --> 28:01.112 align:left position:10%,start line:89% size:80% AND I HAVE DONE A LOT OF 28:01.112 --> 28:02.514 align:left position:10%,start line:89% size:80% RESEARCH ONLINE FOR ALL THE 28:02.514 --> 28:08.586 align:left position:10%,start line:89% size:80% DIFFERENT INTESTINAL MALDID IS 28:08.586 --> 28:11.723 align:left position:10%,start line:89% size:80% AND -- MALL DID IS AND I COULD 28:11.723 --> 28:13.058 align:left position:10%,start line:89% size:80% NOT FIGURE OUT WHY I DIDN'T HAVE 28:13.058 --> 28:14.626 align:left position:10%,start line:89% size:80% THESE THINGS. 28:14.626 --> 28:16.728 align:left position:10%,start line:89% size:80% MY DAD HAD COLITIS REAL BAD AND 28:16.728 --> 28:18.329 align:left position:10%,start line:89% size:80% I REMEMBER AS A KID HE WOULD 28:18.329 --> 28:19.764 align:left position:10%,start line:89% size:80% SUFFER WITH THAT. 28:19.764 --> 28:21.533 align:left position:10%,start line:89% size:80% >> CAN YOU RELATE IT, DIANE TO 28:21.533 --> 28:23.501 align:left position:10%,start line:89% size:80% ANYTHING YOU HAVE EATEN OR A 28:23.501 --> 28:24.636 align:left position:10%,start line:89% size:80% CERTAIN TIME OF OR SOMETHING 28:24.636 --> 28:26.271 align:left position:10%,start line:89% size:80% ELSE THAT MIGHT BE HELPFUL 28:26.271 --> 28:26.671 align:left position:10%,start line:89% size:80% INFORMATION? 28:26.671 --> 28:28.873 align:left position:10%,start line:89% size:80% >> I PRETTY MUCH -- I'M A PRETTY 28:28.873 --> 28:29.974 align:left position:10%,start line:89% size:80% NATURAL TYPE OF PERSON AND I 28:29.974 --> 28:34.479 align:left position:10%,start line:89% size:80% WATCH MY DIET AND I REALLY HAVE 28:34.479 --> 28:36.314 align:left position:10%,start line:89% size:80% NEVER RELATED TO ANYTHING. 28:36.314 --> 28:38.883 align:left position:10%,start line:89% size:80% IT JUST HITS ME. 28:38.883 --> 28:40.885 align:left position:10%,start line:89% size:80% AND -- BUT WHAT I COULD NEVER 28:40.885 --> 28:43.388 align:left position:10%,start line:89% size:80% FIGURE OUT IS WHY I NEVER HAD 28:43.388 --> 28:45.890 align:left position:10%,start line:89% size:80% THE -- LIKE THE DIARRHEA OR 28:45.890 --> 28:46.624 align:left position:10%,start line:89% size:80% CONSTIPATION BECAUSE THAT SEEMS 28:46.624 --> 28:48.193 align:left position:10%,start line:89% size:80% TO BE THE THING THAT GOES WITH 28:48.193 --> 28:51.896 align:left position:10%,start line:89% size:80% ALL OF THESE INTESTINAL 28:51.896 --> 28:52.263 align:left position:10%,start line:89% size:80% PROBLEMS. 28:52.263 --> 28:52.797 align:left position:10%,start line:89% size:80% >> HMM. 28:52.797 --> 28:54.866 align:left position:10%,start line:89% size:80% AND IT'S A STABBING PAIN THAT 28:54.866 --> 28:58.403 align:left position:10%,start line:89% size:80% HITS YOU OUT OF NOWHERE? 28:58.403 --> 28:58.803 align:left position:10%,start line:89% size:80% >> YEAH. 28:58.803 --> 28:59.537 align:left position:10%,start line:89% size:80% >> Caller: AND IT LASTS FOR 28:59.537 --> 29:00.371 align:left position:10%,start line:89% size:80% ABOUT A WEEK. 29:00.371 --> 29:01.106 align:left position:10%,start line:89% size:80% >> OH, REALLY? 29:01.106 --> 29:02.373 align:left position:10%,start line:89% size:80% THAT LONG. 29:02.373 --> 29:03.475 align:left position:10%,start line:89% size:80% IT'S SHOT SHORT TERM. 29:03.475 --> 29:05.777 align:left position:10%,start line:89% size:80% >> Caller: AND THEN IT JUST GOES 29:05.777 --> 29:06.177 align:left position:10%,start line:89% size:80% AWAY. 29:06.177 --> 29:06.611 align:left position:10%,start line:89% size:80% >> OKAY. 29:06.611 --> 29:08.079 align:left position:10%,start line:89% size:80% ANY ADVICE FOR DIANE THIS 29:08.079 --> 29:08.480 align:left position:10%,start line:89% size:80% EVENING? 29:08.480 --> 29:09.681 align:left position:10%,start line:89% size:80% >> WELL, I GUESS SHE CAN BE 29:09.681 --> 29:11.015 align:left position:10%,start line:89% size:80% HAPPY THAT IT GOES AWAY. 29:11.015 --> 29:12.183 align:left position:10%,start line:89% size:80% >> IT DOES GO AWAY. 29:12.183 --> 29:14.085 align:left position:10%,start line:89% size:80% >> HOW CONCERNED SHOULD SHE BE 29:14.085 --> 29:16.621 align:left position:10%,start line:89% size:80% TOO, IF IT'S LASTING FOR A WEEK 29:16.621 --> 29:17.989 align:left position:10%,start line:89% size:80% AT A TIME. 29:17.989 --> 29:19.791 align:left position:10%,start line:89% size:80% >> BUT SHE'S HAD IT FOR TWO 29:19.791 --> 29:20.091 align:left position:10%,start line:89% size:80% YEARS. 29:20.091 --> 29:21.359 align:left position:10%,start line:89% size:80% SO IN TERMS OF CONCERN, THIS IS 29:21.359 --> 29:22.660 align:left position:10%,start line:89% size:80% NOT LIKELY TO BE SOMETHING 29:22.660 --> 29:25.997 align:left position:10%,start line:89% size:80% THAT'S PROGRESSIVE OR -- I'M 29:25.997 --> 29:28.099 align:left position:10%,start line:89% size:80% SURE IT'S A BIG NUISANCE FOR 29:28.099 --> 29:31.569 align:left position:10%,start line:89% size:80% HER, AND -- BUT PROBABLY NOT -- 29:31.569 --> 29:35.907 align:left position:10%,start line:89% size:80% NOT INDICATIVE OF MORE WORRY 29:35.907 --> 29:36.574 align:left position:10%,start line:89% size:80% UNDERLYING PATHOLOGY. 29:36.574 --> 29:38.176 align:left position:10%,start line:89% size:80% ONE WOULD HOPE THAT SHE HAD BEEN 29:38.176 --> 29:40.879 align:left position:10%,start line:89% size:80% CHECKED OUT CAREFULLY BY A 29:40.879 --> 29:41.780 align:left position:10%,start line:89% size:80% GASTROENTEROLOGIST OR AT LEAST 29:41.780 --> 29:43.882 align:left position:10%,start line:89% size:80% BY HER INTERNIST, AND I THINK 29:43.882 --> 29:46.785 align:left position:10%,start line:89% size:80% PART OF WHAT WE ARE SEEING HERE 29:46.785 --> 29:48.186 align:left position:10%,start line:89% size:80% WITH COMPLAINTS OF THIS TYPE, 29:48.186 --> 29:49.621 align:left position:10%,start line:89% size:80% IT'S A BIGGER BASKET THAN WHAT 29:49.621 --> 29:52.390 align:left position:10%,start line:89% size:80% WE WERE TALKING ABOUT. 29:52.390 --> 29:57.328 align:left position:10%,start line:89% size:80% AND THE BASKET INCLUDES 29:57.328 --> 30:00.965 align:left position:10%,start line:89% size:80% IRRITABLE BOWEL SYNDROME BUT 30:00.965 --> 30:02.967 align:left position:10%,start line:89% size:80% FUNCTIONAL GASTROINTESTINAL 30:02.967 --> 30:04.302 align:left position:10%,start line:89% size:80% DISORDERS WHICH MEANS WE 30:04.302 --> 30:05.703 align:left position:10%,start line:89% size:80% RECOGNIZE THAT IT'S A PROBLEM 30:05.703 --> 30:06.504 align:left position:10%,start line:89% size:80% THAT THERE ARE SYMPTOMS 30:06.504 --> 30:07.605 align:left position:10%,start line:89% size:80% ASSOCIATED PAIN OR WHAT HAVE 30:07.605 --> 30:09.874 align:left position:10%,start line:89% size:80% YOU, BUT WE CONDITION FIND THE 30:09.874 --> 30:11.876 align:left position:10%,start line:89% size:80% SPECIFIC PIECE THAT HAS TO BE 30:11.876 --> 30:13.878 align:left position:10%,start line:89% size:80% REMOVED OR SPECIFIC MEDICINE 30:13.878 --> 30:15.280 align:left position:10%,start line:89% size:80% THAT HAS TO BE NECESSARILY GIVEN 30:15.280 --> 30:17.315 align:left position:10%,start line:89% size:80% TO FIND THE CURE FOR THAT. 30:17.315 --> 30:22.387 align:left position:10%,start line:89% size:80% IT MIGHT JUST BE PART OF NORMAL 30:22.387 --> 30:24.289 align:left position:10%,start line:89% size:80% PHYSIOLOGICAL FUNCTION THAT'S 30:24.289 --> 30:25.990 align:left position:10%,start line:89% size:80% PERCEIVED AS BEING PAINFUL BY 30:25.990 --> 30:27.125 align:left position:10%,start line:89% size:80% SOME PEOPLE FOR SOME REASON. 30:27.125 --> 30:28.393 align:left position:10%,start line:89% size:80% >> AS I WAS DOING MY RESEARCH 30:28.393 --> 30:29.794 align:left position:10%,start line:89% size:80% FOR TONIGHT'S TOPIC, I WAS 30:29.794 --> 30:31.596 align:left position:10%,start line:89% size:80% FINING THINGS LIKE THYROID 30:31.596 --> 30:32.997 align:left position:10%,start line:89% size:80% DISEASE ASSOCIATED WITH THINGS 30:32.997 --> 30:35.533 align:left position:10%,start line:89% size:80% THAT CAN BE GOING ON IN YOUR 30:35.533 --> 30:36.267 align:left position:10%,start line:89% size:80% STOMACH AND ABDOMEN AND ALL OF 30:36.267 --> 30:38.002 align:left position:10%,start line:89% size:80% THESE DIFFERENT RELATED -- YOU 30:38.002 --> 30:39.103 align:left position:10%,start line:89% size:80% KNOW, HOW IMPORTANT IT IS TO, 30:39.103 --> 30:41.272 align:left position:10%,start line:89% size:80% YOU KNOW, FOR OUR GUTS TO BE 30:41.272 --> 30:41.673 align:left position:10%,start line:89% size:80% HEALTHY. 30:41.673 --> 30:43.208 align:left position:10%,start line:89% size:80% AND ANOTHER THING I HAVE BEEN 30:43.208 --> 30:45.476 align:left position:10%,start line:89% size:80% FASCINATED WITH LATELY IS THE 30:45.476 --> 30:45.877 align:left position:10%,start line:89% size:80% PROBIOTICS. 30:45.877 --> 30:47.512 align:left position:10%,start line:89% size:80% AND THE FACT THAT WE ARE SEEING 30:47.512 --> 30:49.981 align:left position:10%,start line:89% size:80% NOW A LOT OF PRODUCTS WITH 30:49.981 --> 30:51.282 align:left position:10%,start line:89% size:80% PROBIOTICS IN KEEPING OUR GUT 30:51.282 --> 30:51.983 align:left position:10%,start line:89% size:80% HEALTHY. 30:51.983 --> 30:55.019 align:left position:10%,start line:89% size:80% ALLI, I EAT YOGURT EVERY DAY, AM 30:55.019 --> 31:08.566 align:left position:40%,start line:89% size:50% PROBIOTICS, OR DO I 31:08.566 --> 31:11.903 align:left position:10%,start line:89% size:80% NEED TO BUY A SPECIAL YOGURT. 31:11.903 --> 31:13.371 align:left position:10%,start line:89% size:80% >> IT'S THE GOOD BACTERIA. 31:13.371 --> 31:16.207 align:left position:10%,start line:89% size:80% WE WILL GIVE THEM THE GOOD 31:16.207 --> 31:20.979 align:left position:10%,start line:89% size:80% BACTERIA TO CALM THE DIARRHEA. 31:20.979 --> 31:22.580 align:left position:10%,start line:89% size:80% YOU PROBABLY DON'T NEED TO GO 31:22.580 --> 31:25.783 align:left position:10%,start line:89% size:80% OVERDOSING ON THEM, BUT YOU HAVE 31:25.783 --> 31:28.586 align:left position:10%,start line:89% size:80% A FUNCTION OUT THERE FOR CERTAIN 31:28.586 --> 31:28.987 align:left position:10%,start line:89% size:80% POPULATIONS. 31:28.987 --> 31:33.391 align:left position:10%,start line:89% size:80% >> LET'S TAKE A PHONE CALL FROM 31:33.391 --> 31:34.325 align:left position:10%,start line:89% size:80% SUSAN IN SPOKANE. 31:34.325 --> 31:36.394 align:left position:10%,start line:89% size:80% >> I HAVE A FRIEND WHO HAS A 31:36.394 --> 31:38.997 align:left position:10%,start line:89% size:80% BOWEL MOVEMENT MAYBE ONCE A WEEK 31:38.997 --> 31:40.498 align:left position:10%,start line:89% size:80% AND THIS HAS BEEN GOING ON FOR 31:40.498 --> 31:43.568 align:left position:10%,start line:89% size:80% YEARS AND THEY HAVE NOT -- NEVER 31:43.568 --> 31:45.203 align:left position:10%,start line:89% size:80% DIAGNOSED ANYTHING. 31:45.203 --> 31:48.373 align:left position:10%,start line:89% size:80% >> SHE HAS A REGULAR DIET AND 31:48.373 --> 31:49.607 align:left position:10%,start line:89% size:80% DOESN'T SEEM TO HAVE ANY 31:49.607 --> 31:52.176 align:left position:10%,start line:89% size:80% ASSOCIATED SYMPTOMS WITH THAT? 31:52.176 --> 31:53.878 align:left position:10%,start line:89% size:80% >> NO. 31:53.878 --> 31:54.612 align:left position:10%,start line:89% size:80% EXERCISES REGULAR. 31:54.612 --> 31:57.382 align:left position:10%,start line:89% size:80% EATS A GOOD DIET, AND JUST 31:57.382 --> 31:59.984 align:left position:10%,start line:89% size:80% NEVER, EVER, WANTS TO GO BEFORE 31:59.984 --> 32:01.586 align:left position:10%,start line:89% size:80% THEN AND THEN IT'S A BIG ONE 32:01.586 --> 32:04.122 align:left position:10%,start line:89% size:80% THAT IS NOT HEALTHY. 32:04.122 --> 32:07.125 align:left position:10%,start line:89% size:80% >> OKAY. 32:07.125 --> 32:09.527 align:left position:10%,start line:89% size:80% WELL, AGAIN, OUR SYSTEMS ARE 32:09.527 --> 32:11.229 align:left position:10%,start line:89% size:80% DIFFERENT, BUT A WEEK, ONCE A 32:11.229 --> 32:12.397 align:left position:10%,start line:89% size:80% WEEK IS THAT -- 32:12.397 --> 32:14.933 align:left position:10%,start line:89% size:80% >> THAT'S OUTSIDE THE NORM. 32:14.933 --> 32:17.735 align:left position:10%,start line:89% size:80% AND, YOU KNOW, I'M GLAD SHE'S 32:17.735 --> 32:19.904 align:left position:10%,start line:89% size:80% HAD A COLONOSCOPY AT LEAST, AND 32:19.904 --> 32:26.911 align:left position:10%,start line:89% size:80% HOPEFULLY SHE'S HAD HER THYROID 32:26.911 --> 32:27.278 align:left position:10%,start line:89% size:80% LOOKED AT. 32:27.278 --> 32:28.279 align:left position:10%,start line:89% size:80% THERE ARE A COUPLE OF THINGS 32:28.279 --> 32:29.914 align:left position:10%,start line:89% size:80% THAT I WOULD IMMEDIATELY DO WHEN 32:29.914 --> 32:33.518 align:left position:10%,start line:89% size:80% SOMEONE CAME INTO MY OFFICE. 32:33.518 --> 32:34.919 align:left position:10%,start line:89% size:80% >> IT SOUNDS LIKE HER FRIEND IS 32:34.919 --> 32:37.221 align:left position:10%,start line:89% size:80% MORE TROUBLED BY IT THAN THE 32:37.221 --> 32:37.889 align:left position:10%,start line:89% size:80% PATIENT IS. 32:37.889 --> 32:38.723 align:left position:10%,start line:89% size:80% >> IT COULD BE. 32:38.723 --> 32:40.091 align:left position:10%,start line:89% size:80% IT'S A LITTLE CAUSE FOR CONCERN, 32:40.091 --> 32:40.558 align:left position:10%,start line:89% size:80% I GUESS. 32:40.558 --> 32:41.960 align:left position:10%,start line:89% size:80% >> ALL RIGHT, LET'S TOUCH ON A 32:41.960 --> 32:44.829 align:left position:10%,start line:89% size:80% FEW OTHER THINGS WHEN WE TALK 32:44.829 --> 32:45.396 align:left position:10%,start line:89% size:80% ABOUT TUMMY TROUBLE. 32:45.396 --> 32:48.199 align:left position:10%,start line:89% size:80% WE HAVE TALKED ABOUT CELIAC 32:48.199 --> 32:50.335 align:left position:10%,start line:89% size:80% DISEASE BUT WHAT ABOUT COLITIS 32:50.335 --> 32:51.936 align:left position:10%,start line:89% size:80% WHICH CAN BE A FAIRLY SERIOUS 32:51.936 --> 32:54.339 align:left position:10%,start line:89% size:80% CONDITION ALSO. 32:54.339 --> 32:56.007 align:left position:10%,start line:89% size:80% >> WELL, COLITIS IS A VERY BROAD 32:56.007 --> 32:56.307 align:left position:10%,start line:89% size:80% TERM. 32:56.307 --> 32:59.277 align:left position:10%,start line:89% size:80% WHAT IT SPECIFICALLY MEANS IS 32:59.277 --> 33:01.145 align:left position:10%,start line:89% size:80% INFLAMMATION OF THE COLON AND 33:01.145 --> 33:02.513 align:left position:10%,start line:89% size:80% THERE ARE MANY THINGS THAT CAN 33:02.513 --> 33:04.482 align:left position:10%,start line:89% size:80% CAUSE INFLAMMATION OF THE COLON, 33:04.482 --> 33:07.585 align:left position:10%,start line:89% size:80% ACUTE INFECTION, AND TO MORE 33:07.585 --> 33:12.023 align:left position:10%,start line:89% size:80% CHRONIC DISORDERS SUCH AS 33:12.023 --> 33:12.690 align:left position:10%,start line:89% size:80% CROHN'S DISEASE. 33:12.690 --> 33:17.395 align:left position:10%,start line:89% size:80% WHAT MAKES THE TERM COLITIS MORE 33:17.395 --> 33:20.498 align:left position:10%,start line:89% size:80% CONFUSING IS IRRITABLE BOWEL 33:20.498 --> 33:22.333 align:left position:10%,start line:89% size:80% SYNDROME USED TO BE REFERRED TO 33:22.333 --> 33:24.002 align:left position:10%,start line:89% size:80% AS COLITIS AND IT WAS A TERM 33:24.002 --> 33:25.503 align:left position:10%,start line:89% size:80% THAT HAS BEEN USED TO DESCRIBE A 33:25.503 --> 33:27.105 align:left position:10%,start line:89% size:80% LOT OF INTESTINAL DISORDERS. 33:27.105 --> 33:31.709 align:left position:10%,start line:89% size:80% SO IT'S REALLY A VERY VAGUE 33:31.709 --> 33:32.010 align:left position:10%,start line:89% size:80% TERM. 33:32.010 --> 33:33.211 align:left position:10%,start line:89% size:80% SO TO BE MORE PRECISE ABOUT IT, 33:33.211 --> 33:36.647 align:left position:10%,start line:89% size:80% I MEAN, THE WORRISOME-TYPE OF 33:36.647 --> 33:39.517 align:left position:10%,start line:89% size:80% COLITIS WOULD BE INFLAMMATORY 33:39.517 --> 33:43.855 align:left position:10%,start line:89% size:80% BOWEL DISEASE, MAINLY ULCERATIVE 33:43.855 --> 33:46.524 align:left position:10%,start line:89% size:80% COLITIS AND CROHN'S DISEASE. 33:46.524 --> 33:48.092 align:left position:10%,start line:89% size:80% INFECTIOUS COLITIS CAN HAPPEN. 33:48.092 --> 33:49.994 align:left position:10%,start line:89% size:80% THERE'S ANOTHER ONE THAT'S A BIG 33:49.994 --> 33:50.328 align:left position:10%,start line:89% size:80% CONCERN. 33:50.328 --> 33:52.497 align:left position:10%,start line:89% size:80% IT WAS A CONCERN IN HOSPITALIZED 33:52.497 --> 33:53.431 align:left position:10%,start line:89% size:80% PATIENTS BUT WE ARE SEEING MORE 33:53.431 --> 33:56.801 align:left position:10%,start line:89% size:80% AND MORE OF IT IN THE COMMUNITY. 33:56.801 --> 33:58.102 align:left position:10%,start line:89% size:80% AND THEN THERE ARE FORMS OF WHAT 33:58.102 --> 34:01.039 align:left position:10%,start line:89% size:80% WE CALL MICROSCOPIC COLITIS 34:01.039 --> 34:04.809 align:left position:10%,start line:89% size:80% WHICH CAN RESULT IN DIARRHEA AND 34:04.809 --> 34:06.611 align:left position:10%,start line:89% size:80% PROBLEMS THAT ARE HELPED BY A 34:06.611 --> 34:07.378 align:left position:10%,start line:89% size:80% SPECIFIC DIAGNOSIS AND 34:07.378 --> 34:08.146 align:left position:10%,start line:89% size:80% TREATMENT. 34:08.146 --> 34:08.646 align:left position:10%,start line:89% size:80% >> ALL RIGHT. 34:08.646 --> 34:10.715 align:left position:10%,start line:89% size:80% WE HAVE AN EMAIL TO ADDRESS THIS 34:10.715 --> 34:12.116 align:left position:10%,start line:89% size:80% EVENING, AND THIS PERSON IS 34:12.116 --> 34:14.318 align:left position:10%,start line:89% size:80% ASKING, PLEASE ADDRESS THE 34:14.318 --> 34:16.220 align:left position:10%,start line:89% size:80% DIFFERENCE BETWEEN FOOD 34:16.220 --> 34:17.889 align:left position:10%,start line:89% size:80% INTOLERANCE AND FOOD ALLERGY. 34:17.889 --> 34:20.024 align:left position:10%,start line:89% size:80% THAT'S AN EXCELLENT QUESTION. 34:20.024 --> 34:21.292 align:left position:10%,start line:89% size:80% ALLI, YOU WOULD LIKE TO TAKE 34:21.292 --> 34:21.592 align:left position:10%,start line:89% size:80% THAT? 34:21.592 --> 34:24.328 align:left position:10%,start line:89% size:80% >> THEY CAN PROBABLY GIVE YOU A 34:24.328 --> 34:25.596 align:left position:10%,start line:89% size:80% MORE SCIENTIFIC DIAGNOSIS THAN I 34:25.596 --> 34:25.863 align:left position:10%,start line:89% size:80% CAN. 34:25.863 --> 34:28.499 align:left position:10%,start line:89% size:80% IF YOU HAVE A FOOD ALLERGY, YOUR 34:28.499 --> 34:30.701 align:left position:10%,start line:89% size:80% BODY HAS A TRUE REACTION TO THAT 34:30.701 --> 34:32.703 align:left position:10%,start line:89% size:80% PROTEIN AND IF YOU HAVE A FOOD 34:32.703 --> 34:35.306 align:left position:10%,start line:89% size:80% ALLERGY, YOU SHOULD HAVE 100% 34:35.306 --> 34:36.107 align:left position:10%,start line:89% size:80% AVOIDANCE. 34:36.107 --> 34:37.809 align:left position:10%,start line:89% size:80% WHEREAS A FOOD INTOLERANCE, IT'S 34:37.809 --> 34:39.277 align:left position:10%,start line:89% size:80% MORE LIKE SIGNS AND SYMPTOMS 34:39.277 --> 34:42.013 align:left position:10%,start line:89% size:80% MAYBE OF BLOATING, ABDOMINAL 34:42.013 --> 34:44.315 align:left position:10%,start line:89% size:80% DISTENTION, DISCOMFORT, SUCH AS 34:44.315 --> 34:45.616 align:left position:10%,start line:89% size:80% WITH THE LACTOSE INTOLERANCE, 34:45.616 --> 34:47.418 align:left position:10%,start line:89% size:80% BUT YOU CAN DIGEST SOME OF THAT 34:47.418 --> 34:47.718 align:left position:10%,start line:89% size:80% FOOD. 34:47.718 --> 34:51.155 align:left position:10%,start line:89% size:80% SO SOME PEOPLE WILL SAY THEY 34:51.155 --> 34:53.224 align:left position:10%,start line:89% size:80% HAVE LACTOSE INTOLERANCE AND 34:53.224 --> 34:54.892 align:left position:10%,start line:89% size:80% THEY CAN STILL TOLERATE SOME 34:54.892 --> 34:56.461 align:left position:10%,start line:89% size:80% SMALL QUANTITIES OF MILK. 34:56.461 --> 34:58.529 align:left position:10%,start line:89% size:80% BUT IF YOU HAVE A TRUE MILK 34:58.529 --> 34:59.664 align:left position:10%,start line:89% size:80% ALLERGY, YOU ARE ALLERGIC TO THE 34:59.664 --> 35:02.700 align:left position:10%,start line:89% size:80% PROTEIN AND YOU COULDN'T 35:02.700 --> 35:04.302 align:left position:10%,start line:89% size:80% TOLERATE ANY MILK OR CHEESE, OR 35:04.302 --> 35:05.603 align:left position:10%,start line:89% size:80% DAIRY PRODUCTS AT ALL. 35:05.603 --> 35:07.405 align:left position:10%,start line:89% size:80% >> THAT'S AN EXCELLENT 35:07.405 --> 35:07.805 align:left position:10%,start line:89% size:80% DESCRIPTION. 35:07.805 --> 35:09.507 align:left position:10%,start line:89% size:80% DO YOU WANT TO PIGGYBACK ON 35:09.507 --> 35:09.807 align:left position:10%,start line:89% size:80% THAT. 35:09.807 --> 35:12.009 align:left position:10%,start line:89% size:80% >> I AGREE 100%, THAT FOOD 35:12.009 --> 35:13.911 align:left position:10%,start line:89% size:80% ALLERGIES ARE TRULY DANGEROUS 35:13.911 --> 35:14.412 align:left position:10%,start line:89% size:80% THINGS. 35:14.412 --> 35:15.613 align:left position:10%,start line:89% size:80% PEANUT ALLERGY, FOR INSTANCE, 35:15.613 --> 35:17.115 align:left position:10%,start line:89% size:80% CAN BE LIFE THREATENING AS CAN 35:17.115 --> 35:18.516 align:left position:10%,start line:89% size:80% OTHER FOOD ALLERGIES. 35:18.516 --> 35:22.353 align:left position:10%,start line:89% size:80% A FOOD INTOLERANCE, FOR 35:22.353 --> 35:23.087 align:left position:10%,start line:89% size:80% INSTANCE, LACTOSE INTOLERANCE, 35:23.087 --> 35:24.422 align:left position:10%,start line:89% size:80% IT MIGHT MAKE YOU MISERABLE BUT 35:24.422 --> 35:28.826 align:left position:10%,start line:89% size:80% IT'S NOT GOING TO SHORTEN YOUR 35:28.826 --> 35:30.528 align:left position:10%,start line:89% size:80% LIFE OR CAUSE MAJOR PROBLEMS FOR 35:30.528 --> 35:30.795 align:left position:10%,start line:89% size:80% YOU. 35:30.795 --> 35:33.664 align:left position:10%,start line:89% size:80% YOU WILL GET OVER THAT BOUT AND, 35:33.664 --> 35:35.066 align:left position:10%,start line:89% size:80% YOU KNOW, NEXT TIME YOU WANT TO 35:35.066 --> 35:36.400 align:left position:10%,start line:89% size:80% TREAT YOURSELF TO ICE CREAM, YOU 35:36.400 --> 35:37.902 align:left position:10%,start line:89% size:80% WILL PAY THE CONSEQUENCES, BUT 35:37.902 --> 35:39.504 align:left position:10%,start line:89% size:80% IT'S NOT -- IT DOESN'T HAVE THE 35:39.504 --> 35:41.939 align:left position:10%,start line:89% size:80% DIRE CONSEQUENCES THAT A TRUE 35:41.439 --> 35:45.409 align:left position:10%,start line:89% size:80% FOOD AL HER 35:45.409 --> 35:46.644 align:left position:10%,start line:89% size:80% ALLERGY DOES HAVE. 35:46.644 --> 35:51.015 align:left position:10%,start line:89% size:80% >> YOU WILL DISCOVER YOU HAVE AN 35:51.015 --> 35:52.416 align:left position:10%,start line:89% size:80% INTOLERANCE AFTER YOU EAT A 35:52.416 --> 35:53.518 align:left position:10%,start line:89% size:80% CERTAIN GROUP OF FOODS. 35:53.518 --> 35:54.719 align:left position:10%,start line:89% size:80% >> THERE'S NOT A LOT OF TESTING 35:54.719 --> 35:57.421 align:left position:10%,start line:89% size:80% THAT YOU CAN ALWAYS DO BUT FOOD 35:57.421 --> 35:58.523 align:left position:10%,start line:89% size:80% ALLERGIES YOU CAN DO TESTING FOR 35:58.523 --> 36:00.825 align:left position:10%,start line:89% size:80% TO SEE IF YOU HAVE A TRUE 36:00.825 --> 36:01.159 align:left position:10%,start line:89% size:80% ALLERGY. 36:01.159 --> 36:01.993 align:left position:10%,start line:89% size:80% >> LET'S TAKE ANOTHER PHONE CALL 36:01.993 --> 36:03.261 align:left position:10%,start line:89% size:80% THIS EVENING FROM SHARON. 36:03.261 --> 36:07.298 align:left position:10%,start line:89% size:80% HI, SHARON IN SPOKANE. 36:07.298 --> 36:08.332 align:left position:10%,start line:89% size:80% >> Caller: HI, HOW IS EVERYONE 36:08.332 --> 36:08.633 align:left position:10%,start line:89% size:80% THERE? 36:08.633 --> 36:09.200 align:left position:10%,start line:89% size:80% >> WE ARE GREAT. 36:09.200 --> 36:09.934 align:left position:10%,start line:89% size:80% DO YOU HAVE A QUESTION? 36:09.934 --> 36:12.203 align:left position:10%,start line:89% size:80% >> Caller: I DO AND IT'S A 36:12.203 --> 36:13.004 align:left position:10%,start line:89% size:80% TWO-PART QUESTION. 36:13.004 --> 36:17.008 align:left position:10%,start line:89% size:80% ABOUT TWO AN A HALF YEARS AGO, I 36:17.008 --> 36:22.013 align:left position:10%,start line:89% size:80% WAS DIAGNOSED WITH PLONIC 36:22.013 --> 36:22.346 align:left position:10%,start line:89% size:80% INERTIA. 36:22.346 --> 36:24.515 align:left position:10%,start line:89% size:80% I WANTED TO FIND OUT MORE ABOUT 36:24.515 --> 36:29.820 align:left position:10%,start line:89% size:80% IT, IS IT DUE TO HEREDITARY 36:29.820 --> 36:30.221 align:left position:10%,start line:89% size:80% INFLUENCES? 36:30.221 --> 36:33.624 align:left position:10%,start line:89% size:80% I TAKE MIRALAX EVERY DAY, AND 36:33.624 --> 36:34.192 align:left position:10%,start line:89% size:80% IT'S WORKING. 36:34.192 --> 36:37.428 align:left position:10%,start line:89% size:80% I'M WORRIED AT SOME POINT THAT 36:37.428 --> 36:39.564 align:left position:10%,start line:89% size:80% IT WILL STOP WORKING S. THAT A 36:39.564 --> 36:40.431 align:left position:10%,start line:89% size:80% PROBLEM? 36:40.431 --> 36:44.268 align:left position:10%,start line:89% size:80% >> THAT MEANS THAT THE COLON IS 36:44.268 --> 36:44.569 align:left position:10%,start line:89% size:80% SLOW. 36:44.569 --> 36:45.636 align:left position:10%,start line:89% size:80% AND THERE CAN BE A NUMBER OF 36:45.636 --> 36:47.171 align:left position:10%,start line:89% size:80% REASONS FOR THAT. 36:47.171 --> 36:49.440 align:left position:10%,start line:89% size:80% THERE COULD BE A NEUROLOGIC 36:49.440 --> 36:51.409 align:left position:10%,start line:89% size:80% CONDITION AND GENERALLY THOSE 36:51.409 --> 36:52.910 align:left position:10%,start line:89% size:80% PEOPLE HAVE HAD SLOW COLONS 36:52.910 --> 36:54.312 align:left position:10%,start line:89% size:80% SINCE BIRTH. 36:54.312 --> 36:56.214 align:left position:10%,start line:89% size:80% THE COLON GENERALLY SLOWS DOWN 36:56.214 --> 36:58.716 align:left position:10%,start line:89% size:80% AS WE GET OLDER, AND SHE MIGHT 36:58.716 --> 37:00.117 align:left position:10%,start line:89% size:80% HAVE BEEN BORN WITH A COLON THAT 37:00.117 --> 37:03.020 align:left position:10%,start line:89% size:80% WAS A LITTLE BIT SLOWER THAN 37:03.020 --> 37:04.922 align:left position:10%,start line:89% size:80% AVERAGE, AND IT MIGHT BE SLOWING 37:04.922 --> 37:09.227 align:left position:10%,start line:89% size:80% DOWN MORE SINCE THEN. 37:09.227 --> 37:11.996 align:left position:10%,start line:89% size:80% HYPOTHYROIDISM CAN CAUSE A SLOW 37:11.996 --> 37:12.296 align:left position:10%,start line:89% size:80% COLON. 37:12.296 --> 37:15.733 align:left position:10%,start line:89% size:80% I SUPPOSE PROBABLY THE BIGGEST 37:15.733 --> 37:20.037 align:left position:10%,start line:89% size:80% CATEGORY JUST IDIOPATHIC SLOW 37:20.037 --> 37:20.371 align:left position:10%,start line:89% size:80% COLONS. 37:20.371 --> 37:21.339 align:left position:10%,start line:89% size:80% SHE WILL ALWAYS BE BETTER OFF 37:21.339 --> 37:23.808 align:left position:10%,start line:89% size:80% WITH MIRALAX THAN WITHOUT IT, 37:23.808 --> 37:25.643 align:left position:10%,start line:89% size:80% BUT IN 20 YEARS IF HER COLON 37:25.643 --> 37:28.312 align:left position:10%,start line:89% size:80% SLOWS DOWN MORE, SHE MAY NEED 37:28.312 --> 37:29.513 align:left position:10%,start line:89% size:80% ADDITIONAL MEDICATIONS TO TAKE 37:29.513 --> 37:30.715 align:left position:10%,start line:89% size:80% ON TOP OF THAT. 37:30.715 --> 37:31.916 align:left position:10%,start line:89% size:80% >> AND SHE WAS CONCERNED THAT IT 37:31.916 --> 37:33.618 align:left position:10%,start line:89% size:80% COULD STOP WORKING AT SOME 37:33.618 --> 37:33.918 align:left position:10%,start line:89% size:80% POINT. 37:33.918 --> 37:35.219 align:left position:10%,start line:89% size:80% IS THAT SOMETHING SHE SHOULD BE 37:35.219 --> 37:37.021 align:left position:10%,start line:89% size:80% WORRIED ABOUT? 37:37.021 --> 37:40.458 align:left position:10%,start line:89% size:80% >> NO, MIRALAX IS A CHEMICAL 37:40.458 --> 37:41.325 align:left position:10%,start line:89% size:80% THAT MIXES IN WITH THE STOOL. 37:41.325 --> 37:44.428 align:left position:10%,start line:89% size:80% IT'S NOT ABSORBED AND IT KEEPS 37:44.428 --> 37:46.297 align:left position:10%,start line:89% size:80% THE STOOL FROM GETTING HARD. 37:46.297 --> 37:47.331 align:left position:10%,start line:89% size:80% >> THE OTHER THING SHE WAS 37:47.331 --> 37:50.334 align:left position:10%,start line:89% size:80% CURIOUS ABOUT, WAS IT 37:50.334 --> 37:50.735 align:left position:10%,start line:89% size:80% HEREDITARY? 37:50.735 --> 37:52.103 align:left position:10%,start line:89% size:80% >> THERE ARE SOME TYPES OF 37:52.103 --> 38:02.847 align:left position:10%,start line:89% size:80% COLONIC INERTIAL THAT ARE 38:02.847 --> 38:03.247 align:left position:10%,start line:89% size:80% HEREDITARY. 38:03.247 --> 38:04.382 align:left position:10%,start line:89% size:80% IF THEY DON'T HAVE A BOWEL 38:04.382 --> 38:06.150 align:left position:10%,start line:89% size:80% MOVEMENT FOR A WEEK, PEOPLE ARE 38:06.150 --> 38:09.720 align:left position:10%,start line:89% size:80% ALWAYS AWARE OF THAT. 38:09.720 --> 38:11.822 align:left position:10%,start line:89% size:80% IT MIGHT BE A LITTLE BIT MORE 38:11.822 --> 38:13.424 align:left position:10%,start line:89% size:80% LIKELY, BUT IT'S THE SORT OF 38:13.424 --> 38:14.825 align:left position:10%,start line:89% size:80% THING THAT IF THE PROBLEM COMES 38:14.825 --> 38:16.027 align:left position:10%,start line:89% size:80% UP, DEAL WITH IT THEN. 38:16.027 --> 38:19.497 align:left position:10%,start line:89% size:80% YOU WOULDN'T HAVE TO DO ANYTHING 38:19.497 --> 38:21.032 align:left position:10%,start line:89% size:80% PROACTIVELY TO LOOK OUT FOR 38:21.032 --> 38:21.332 align:left position:10%,start line:89% size:80% THAT. 38:21.332 --> 38:21.732 align:left position:10%,start line:89% size:80% >> OKAY. 38:21.732 --> 38:22.033 align:left position:10%,start line:89% size:80% OKAY. 38:22.033 --> 38:22.533 align:left position:10%,start line:89% size:80% VERY GOOD. 38:22.533 --> 38:24.302 align:left position:10%,start line:89% size:80% WE TALKED ABOUT A CONTRIBUTOR TO 38:24.302 --> 38:25.636 align:left position:10%,start line:89% size:80% SOME OF THESE ISSUES BEING 38:25.636 --> 38:26.937 align:left position:10%,start line:89% size:80% STRESS AND THAT'S WHERE WE ARE 38:26.937 --> 38:28.606 align:left position:10%,start line:89% size:80% SEEING MORE ULCERS TOO. 38:28.606 --> 38:30.741 align:left position:10%,start line:89% size:80% WHAT IS AN ULCER AND HOW IS IT 38:30.741 --> 38:31.909 align:left position:10%,start line:89% size:80% TREATED AND ARE WE SEEING MORE 38:31.909 --> 38:35.880 align:left position:10%,start line:89% size:80% OF THEM? 38:35.880 --> 38:37.715 align:left position:10%,start line:89% size:80% >> WELL, I PRESUME WE ARE 38:37.715 --> 38:38.482 align:left position:10%,start line:89% size:80% TALKING ABOUT PEPTIC ULCER 38:38.482 --> 38:40.017 align:left position:10%,start line:89% size:80% DISEASE BECAUSE ULCERS CAN OCCUR 38:40.017 --> 38:41.752 align:left position:10%,start line:89% size:80% ANY PLACE IN THE INTESTINE. 38:41.752 --> 38:43.020 align:left position:10%,start line:89% size:80% AND ONE OF THE THINGS THAT WE 38:43.020 --> 38:44.822 align:left position:10%,start line:89% size:80% HAVE LEARNED OVER THE LAST 38:44.822 --> 38:47.325 align:left position:10%,start line:89% size:80% DECADE OR MORE, IS THAT STRESS 38:47.325 --> 38:48.626 align:left position:10%,start line:89% size:80% PROBABLY ISN'T SUCH A BIG FACTOR 38:48.626 --> 38:50.528 align:left position:10%,start line:89% size:80% AS ONE WOULD THINK IN TERMS OF 38:50.528 --> 38:51.729 align:left position:10%,start line:89% size:80% THE CAUSING ULCERS. 38:51.729 --> 38:55.733 align:left position:10%,start line:89% size:80% IN FACT, MOST ULCERS ARE CAUSED 38:55.733 --> 38:59.537 align:left position:10%,start line:89% size:80% BY 9 PRESENCE OF A BACTERIA IN 38:59.537 --> 39:07.445 align:left position:10%,start line:89% size:80% THE SYMPTOMATIC CALLED HELOB 39:07.445 --> 39:10.548 align:left position:10%,start line:89% size:80% ATERCO CALORI, IT'S ONE OF THE 39:10.548 --> 39:13.084 align:left position:10%,start line:89% size:80% MAIN RISK FACTORS FOR GASTRIC 39:13.084 --> 39:13.417 align:left position:10%,start line:89% size:80% CANCER. 39:13.417 --> 39:15.586 align:left position:10%,start line:89% size:80% THE OTHER BIG, BIG, CAUSE OF 39:15.586 --> 39:16.887 align:left position:10%,start line:89% size:80% PEPTIC ULCER DISEASE IS THE USE 39:16.887 --> 39:20.658 align:left position:10%,start line:89% size:80% OF ASPIRIN, AND NSAID DRUGS, I 39:20.658 --> 39:21.459 align:left position:10%,start line:89% size:80% BEAU PROFENN. 39:21.459 --> 39:24.128 align:left position:10%,start line:89% size:80% >> AND WE SEE THE WARNING LABELS 39:24.128 --> 39:24.395 align:left position:10%,start line:89% size:80% NOW. 39:24.395 --> 39:24.829 align:left position:10%,start line:89% size:80% >> WE DO. 39:24.829 --> 39:26.197 align:left position:10%,start line:89% size:80% WE CERTAINLY SEE A LOT OF 39:26.197 --> 39:27.698 align:left position:10%,start line:89% size:80% PATIENTS WHO COME IN WITH 39:27.698 --> 39:30.034 align:left position:10%,start line:89% size:80% COMPLICATIONS OF ULCER DISEASE, 39:30.034 --> 39:32.436 align:left position:10%,start line:89% size:80% ESPECIALLY BLEEDING WHO HAVE 39:32.436 --> 39:35.139 align:left position:10%,start line:89% size:80% BEEN TAKING NSAID DRUGS. 39:35.139 --> 39:37.775 align:left position:10%,start line:89% size:80% SOMETIMES TAKING THEM ON TOP OF 39:37.775 --> 39:38.309 align:left position:10%,start line:89% size:80% OTHER NSAID DRUGS. 39:38.309 --> 39:41.011 align:left position:10%,start line:89% size:80% FOR INSTANCE, THEY MIGHT BE ON A 39:41.011 --> 39:43.114 align:left position:10%,start line:89% size:80% PRESCRIBED NSAID AND NOT 39:43.114 --> 39:44.448 align:left position:10%,start line:89% size:80% KNOWINGLY TAKE ADVIL OR ALEVE IN 39:44.448 --> 39:46.784 align:left position:10%,start line:89% size:80% ADDITION TO THAT, WHICH REALLY 39:46.784 --> 39:50.254 align:left position:10%,start line:89% size:80% CAN GET YOU INTO MAJOR TROUBLE 39:50.254 --> 39:54.792 align:left position:10%,start line:89% size:80% WITH PEPTIC ULCER DISEASE AND 39:54.792 --> 39:55.226 align:left position:10%,start line:89% size:80% COMPLICATIONS. 39:55.226 --> 39:57.628 align:left position:10%,start line:89% size:80% >> CAN ACID REFLUX, LETTING 39:57.628 --> 39:59.130 align:left position:10%,start line:89% size:80% SOMETHING LIKE THAT GO TOO LONG, 39:59.130 --> 40:00.731 align:left position:10%,start line:89% size:80% LEAD TO AN ULCER? 40:00.731 --> 40:03.033 align:left position:10%,start line:89% size:80% ARE THEY TWO UNRELATED ISSUES. 40:03.033 --> 40:04.135 align:left position:10%,start line:89% size:80% >> WELL, THEY ARE REALLY 40:04.135 --> 40:05.136 align:left position:10%,start line:89% size:80% DIFFERENT DISEASES. 40:05.136 --> 40:07.638 align:left position:10%,start line:89% size:80% THE ACID COMPONENT IS PART OF 40:07.638 --> 40:16.013 align:left position:10%,start line:89% size:80% BOTH OF THEM, BUT MOST RELUX 40:16.013 --> 40:16.714 align:left position:10%,start line:89% size:80% DISEASE, GASTRO REFLUX DISEASE 40:16.714 --> 40:18.816 align:left position:10%,start line:89% size:80% HAS TO DO WITH THE ACID IN THE 40:18.816 --> 40:20.017 align:left position:10%,start line:89% size:80% WRONG PLACE. 40:20.017 --> 40:22.219 align:left position:10%,start line:89% size:80% PEPTIC ACID DISEASE IS THE LOSS 40:22.219 --> 40:25.122 align:left position:10%,start line:89% size:80% OF THE STOMACH OR DUODENUM TO 40:25.122 --> 40:26.657 align:left position:10%,start line:89% size:80% PROTECT ITSELF WHICH IT 40:26.657 --> 40:28.259 align:left position:10%,start line:89% size:80% NATURALLY DOES THAT'S PRESENT 40:28.259 --> 40:30.728 align:left position:10%,start line:89% size:80% NORMALLY IN OUR G. I. TRACTS. 40:30.728 --> 40:31.729 align:left position:10%,start line:89% size:80% FORTUNATELY WE HAVE GREAT 40:31.729 --> 40:32.730 align:left position:10%,start line:89% size:80% MEDICATIONS TO TREAT THESE 40:32.730 --> 40:33.831 align:left position:10%,start line:89% size:80% THINGS NOW AND ONE OF THE 40:33.831 --> 40:36.333 align:left position:10%,start line:89% size:80% IMPORTANT THINGS IS AVOIDANCE OF 40:36.333 --> 40:37.835 align:left position:10%,start line:89% size:80% NSAIDS, ESPECIALLY IF YOU ARE AT 40:37.835 --> 40:38.135 align:left position:10%,start line:89% size:80% RISK. 40:38.135 --> 40:38.636 align:left position:10%,start line:89% size:80% >> ALL RIGHT. 40:38.636 --> 40:41.138 align:left position:10%,start line:89% size:80% WE HAVE SUE CALLING FROM 40:41.138 --> 40:42.273 align:left position:10%,start line:89% size:80% NEWPORT. 40:42.273 --> 40:43.507 align:left position:10%,start line:89% size:80% HELLO, SUE. 40:43.507 --> 40:44.008 align:left position:10%,start line:89% size:80% >> Caller: HI. 40:44.008 --> 40:47.344 align:left position:10%,start line:89% size:80% I HAVE A QUESTION ABOUT 40:47.344 --> 40:49.847 align:left position:10%,start line:89% size:80% IRRITABLE BOWEL SYNDROME, 40:49.847 --> 40:53.317 align:left position:10%,start line:89% size:80% CROHN'S DISEASE AND I'M DIABETIC 40:53.317 --> 40:57.521 align:left position:10%,start line:89% size:80% AND MY GRANDFATHER HAD CANCER 40:57.521 --> 40:58.222 align:left position:10%,start line:89% size:80% THE BOWEL. 40:58.222 --> 40:59.657 align:left position:10%,start line:89% size:80% >> YOU ARE CONCERNED THAT THAT 40:59.657 --> 41:01.525 align:left position:10%,start line:89% size:80% COULD BE SOMETHING THAT YOU ARE 41:01.525 --> 41:04.328 align:left position:10%,start line:89% size:80% GOING TO SUFFER WITH TOO? 41:04.328 --> 41:06.230 align:left position:10%,start line:89% size:80% >> Caller: WELL, I THINK I HAVE 41:06.230 --> 41:07.431 align:left position:10%,start line:89% size:80% IRRITABLE BOWEL SYNDROME RIGHT 41:07.431 --> 41:07.698 align:left position:10%,start line:89% size:80% NOW. 41:07.698 --> 41:09.066 align:left position:10%,start line:89% size:80% I AM GOING TO SEE MY DOCTOR NEXT 41:09.066 --> 41:13.437 align:left position:10%,start line:89% size:80% WEEK ABOUT IT. 41:13.437 --> 41:13.838 align:left position:10%,start line:89% size:80% >> OKAY. 41:13.838 --> 41:15.039 align:left position:10%,start line:89% size:80% AGAIN, THERE'S SOME CANCER IN 41:15.039 --> 41:16.507 align:left position:10%,start line:89% size:80% THE FAMILY. 41:16.507 --> 41:17.641 align:left position:10%,start line:89% size:80% SHOULD SHE BE CONCERNED 41:17.641 --> 41:19.443 align:left position:10%,start line:89% size:80% CONSIDERING SHE BELIEVES SHE 41:19.443 --> 41:20.945 align:left position:10%,start line:89% size:80% IRRITABLE BOWEL SYNDROME? 41:20.945 --> 41:22.046 align:left position:10%,start line:89% size:80% >> WELL, I THINK WE ALL NEED TO 41:22.046 --> 41:23.647 align:left position:10%,start line:89% size:80% BE CONCERNED ABOUT THE HEALTH OF 41:23.647 --> 41:26.650 align:left position:10%,start line:89% size:80% OUR COLON. 41:26.650 --> 41:28.819 align:left position:10%,start line:89% size:80% AS A GASTROENTEROLOGIST, I SAVE 41:28.819 --> 41:30.521 align:left position:10%,start line:89% size:80% MORE LIVES WITH A COLONOSCOPE 41:30.521 --> 41:32.923 align:left position:10%,start line:89% size:80% THAN I DO ANYTHING ELSE -- 41:32.923 --> 41:35.459 align:left position:10%,start line:89% size:80% EVERYTHING ELSE I DO COMBINED. 41:35.459 --> 41:37.928 align:left position:10%,start line:89% size:80% AND IT'S, YOU KNOW, COLON CANCER 41:37.928 --> 41:38.429 align:left position:10%,start line:89% size:80% AWARENESS MONTH. 41:38.429 --> 41:39.830 align:left position:10%,start line:89% size:80% I WANT TO MAKE THAT KNOWN TO 41:39.830 --> 41:41.732 align:left position:10%,start line:89% size:80% YOUR VIEWERS. 41:41.732 --> 41:44.435 align:left position:10%,start line:89% size:80% AND HER ISSUES WOULD BE, YOU 41:44.435 --> 41:48.839 align:left position:10%,start line:89% size:80% KNOW, TOTALLY CLARIFIED BY A 41:48.839 --> 41:49.640 align:left position:10%,start line:89% size:80% COLONOSCOPY. 41:49.640 --> 41:51.342 align:left position:10%,start line:89% size:80% >> 90% TREATABLE AND 95% 41:51.342 --> 41:51.742 align:left position:10%,start line:89% size:80% PREVENTIBLE? 41:51.742 --> 41:54.445 align:left position:10%,start line:89% size:80% I THINK I JUST READ THAT 41:54.445 --> 41:54.812 align:left position:10%,start line:89% size:80% SOMEWHERE. 41:54.812 --> 41:55.446 align:left position:10%,start line:89% size:80% IF YOU ARE DIAGNOSED? 41:55.446 --> 41:56.647 align:left position:10%,start line:89% size:80% >> IF YOU LOOK AT THE DATA A 41:56.647 --> 41:58.649 align:left position:10%,start line:89% size:80% CERTAIN WAY, I THINK -- I THINK 41:58.649 --> 42:00.351 align:left position:10%,start line:89% size:80% YOU COULD SUPPORT THOSE NUMBERS. 42:00.351 --> 42:01.352 align:left position:10%,start line:89% size:80% >> OKAY. 42:01.352 --> 42:02.052 align:left position:10%,start line:89% size:80% VERY GOOD. 42:02.052 --> 42:03.153 align:left position:10%,start line:89% size:80% SO ANOTHER GOOD THING TO KEEP AN 42:03.153 --> 42:05.222 align:left position:10%,start line:89% size:80% EYE OUT AND GOOD REMINDER TO GET 42:05.222 --> 42:08.325 align:left position:10%,start line:89% size:80% OUR COLONOSCOPES THIS MONTH AND 42:08.325 --> 42:08.859 align:left position:10%,start line:89% size:80% THE MONTH OF MARCH. 42:08.859 --> 42:09.360 align:left position:10%,start line:89% size:80% >> ALL RIGHT. 42:09.360 --> 42:10.794 align:left position:10%,start line:89% size:80% WE HAVE AN EMAIL WE WANT TO 42:10.794 --> 42:11.128 align:left position:10%,start line:89% size:80% ADDRESS. 42:11.128 --> 42:13.764 align:left position:10%,start line:89% size:80% I HEAR THE BENEFITS AND WARNINGS 42:13.764 --> 42:14.164 align:left position:10%,start line:89% size:80% OF CLEANSES. 42:14.164 --> 42:14.765 align:left position:10%,start line:89% size:80% THIS IS A GREAT TOPIC. 42:14.765 --> 42:16.634 align:left position:10%,start line:89% size:80% WHAT ARE THE DOCTORS' 42:16.634 --> 42:17.768 align:left position:10%,start line:89% size:80% PROFESSIONAL OPINIONS ON 42:17.768 --> 42:20.738 align:left position:10%,start line:89% size:80% SHORT-TERM AND LONG-TERM EFFECTS 42:20.738 --> 42:21.138 align:left position:10%,start line:89% size:80% OF CLEANSES? 42:21.138 --> 42:21.605 align:left position:10%,start line:89% size:80% ARE THEY SAFE? 42:21.605 --> 42:22.506 align:left position:10%,start line:89% size:80% THIS IS COMING IN FROM SAM. 42:22.506 --> 42:23.874 align:left position:10%,start line:89% size:80% THIS IS SOMETHING I WANTED TO 42:23.874 --> 42:24.208 align:left position:10%,start line:89% size:80% ADDRESS. 42:24.208 --> 42:25.809 align:left position:10%,start line:89% size:80% SO THANK YOU SO MUCH, SAM. 42:25.809 --> 42:28.779 align:left position:10%,start line:89% size:80% WE ARE HEARING JUICE CLEANSE. 42:28.779 --> 42:30.080 align:left position:10%,start line:89% size:80% WE ARE LEARING ANY NUMBER OF 42:30.080 --> 42:30.614 align:left position:10%,start line:89% size:80% DIFFERENT CLEANSES. 42:30.614 --> 42:32.850 align:left position:10%,start line:89% size:80% WHAT IS YOUR TAKE? 42:32.850 --> 42:34.051 align:left position:10%,start line:89% size:80% >> I WISH I KNEW THE ANSWER. 42:34.051 --> 42:37.054 align:left position:10%,start line:89% size:80% WHAT I CAN TELL YOU IS THAT 9 42:37.054 --> 42:43.761 align:left position:10%,start line:89% size:80% WHOLE ISSUE OF WHAT WE CALL THE 42:43.761 --> 42:47.164 align:left position:10%,start line:89% size:80% HUMAN MICROBIOM, WE FIND THEY 42:47.164 --> 42:48.532 align:left position:10%,start line:89% size:80% ARE IMPORTANT TO KEEP US 42:48.532 --> 42:51.135 align:left position:10%,start line:89% size:80% HEALTHY, WE ARE STARTING TO 42:51.135 --> 42:52.636 align:left position:10%,start line:89% size:80% UNDERSTAND HOW THAT WORKS. 42:52.636 --> 42:53.837 align:left position:10%,start line:89% size:80% WE ARE ALSO STARTING TO 42:53.837 --> 42:57.041 align:left position:10%,start line:89% size:80% UNDERSTAND THAT NOT ALL 42:57.041 --> 42:58.576 align:left position:10%,start line:89% size:80% MICROBIOMES ARE EQUAL AND BY 42:58.576 --> 43:01.645 align:left position:10%,start line:89% size:80% CHANGING A PERSON'S MICRO BIOM, 43:01.645 --> 43:03.581 align:left position:10%,start line:89% size:80% YOU MAY IMPROVE THEIR HEALTH OR 43:03.581 --> 43:05.316 align:left position:10%,start line:89% size:80% CHANGE THEIR HEALTH. 43:05.316 --> 43:07.084 align:left position:10%,start line:89% size:80% I HAVE NOT SEEN A RASH OF 43:07.084 --> 43:08.552 align:left position:10%,start line:89% size:80% PATIENTS WHO HAVE COME TO SEE ME 43:08.552 --> 43:09.653 align:left position:10%,start line:89% size:80% WITH PROBLEMS BECAUSE THEY HAVE 43:09.653 --> 43:12.289 align:left position:10%,start line:89% size:80% BEEN GOING THROUGH CLEANSES, AND 43:12.289 --> 43:15.559 align:left position:10%,start line:89% size:80% I THINK THERE'S A LOT ABOUT THAT 43:15.559 --> 43:16.760 align:left position:10%,start line:89% size:80% MANIPULATION OF THE G.I. TRACT 43:16.760 --> 43:18.762 align:left position:10%,start line:89% size:80% THAT WE DON'T UNDERSTAND YET, 43:18.762 --> 43:20.364 align:left position:10%,start line:89% size:80% BUT WE SHOULD HAVE MORE 43:20.364 --> 43:21.565 align:left position:10%,start line:89% size:80% INFORMATION ABOUT IT DOWN THE 43:21.565 --> 43:21.865 align:left position:10%,start line:89% size:80% ROAD. 43:21.865 --> 43:24.835 align:left position:10%,start line:89% size:80% BUT I HAVE NOT SEEN ANY MAJOR 43:24.835 --> 43:26.236 align:left position:10%,start line:89% size:80% PROBLEMS ASSOCIATED WITH THAT IN 43:26.236 --> 43:27.471 align:left position:10%,start line:89% size:80% MY PRACTICE. 43:27.471 --> 43:28.872 align:left position:10%,start line:89% size:80% >> AND WE HAVE HEARD ABOUT 43:28.872 --> 43:31.342 align:left position:10%,start line:89% size:80% PEOPLE DOING CLEANSES FOR ANY 43:31.342 --> 43:32.443 align:left position:10%,start line:89% size:80% NUMBER OF REASONS TO LOSE WEIGH 43:32.443 --> 43:34.044 align:left position:10%,start line:89% size:80% OR SOME PEOPLE SAY THAT IT CAN 43:34.044 --> 43:36.747 align:left position:10%,start line:89% size:80% ACTUALLY REMOVE TOXINS FROM YOUR 43:36.747 --> 43:38.048 align:left position:10%,start line:89% size:80% SYSTEM, THOSE SORT OF THINGS. 43:38.048 --> 43:39.149 align:left position:10%,start line:89% size:80% IS THERE ANYTHING TO 43:39.149 --> 43:39.817 align:left position:10%,start line:89% size:80% SUBSTANTIATE THAT? 43:39.817 --> 43:40.951 align:left position:10%,start line:89% size:80% I MEAN OBVIOUSLY YOU WILL LOSE 43:40.951 --> 43:42.820 align:left position:10%,start line:89% size:80% WEIGHT IF YOU ARE JUST DOING A 43:42.820 --> 43:44.088 align:left position:10%,start line:89% size:80% JUICE CLEANSE FOR A FEW DAYS. 43:44.088 --> 43:47.324 align:left position:10%,start line:89% size:80% >> I HAVE PEOPLE ASK ME ABOUT 43:47.324 --> 43:47.925 align:left position:10%,start line:89% size:80% DOING CLEANSES AND IT'S 43:47.925 --> 43:48.626 align:left position:10%,start line:89% size:80% PRIMARILY FOR WEIGH LOSS. 43:48.626 --> 43:50.394 align:left position:10%,start line:89% size:80% SOME PEOPLE SAY THEY WANT TO GET 43:50.394 --> 43:51.562 align:left position:10%,start line:89% size:80% HEALTHIER AND I REMIND THEM THAT 43:51.562 --> 43:54.632 align:left position:10%,start line:89% size:80% WE HAVE A LIVER AND THAT DOES 43:54.632 --> 43:55.332 align:left position:10%,start line:89% size:80% NATURALLY CLEANSE OUR BODY AND 43:55.332 --> 43:57.134 align:left position:10%,start line:89% size:80% FILLER OUT TOXINS. 43:57.134 --> 43:58.402 align:left position:10%,start line:89% size:80% FOR THE MOST PART, IT'S NOT A 43:58.402 --> 43:59.503 align:left position:10%,start line:89% size:80% GOOD WAY TO LOSE WEIGHT. 43:59.503 --> 44:00.804 align:left position:10%,start line:89% size:80% WHAT YOU WILL LOSE IS VERY SHORT 44:00.804 --> 44:02.039 align:left position:10%,start line:89% size:80% TERM AND AS SOON AS YOU START 44:02.039 --> 44:03.107 align:left position:10%,start line:89% size:80% EATING A REGULAR DIET AGAIN, YOU 44:03.107 --> 44:04.708 align:left position:10%,start line:89% size:80% WILL GAIN IT BACK. 44:04.708 --> 44:05.709 align:left position:10%,start line:89% size:80% SO I DON'T THINK ENCOURAGE THEM 44:05.709 --> 44:07.044 align:left position:10%,start line:89% size:80% FOR MOST PEOPLE FOR WEIGHT LOSS. 44:07.044 --> 44:09.380 align:left position:10%,start line:89% size:80% THEY ARE NOT USUALLY 44:09.380 --> 44:10.147 align:left position:10%,start line:89% size:80% NUTRITIONALLY COMPLETE EITHER 44:10.147 --> 44:11.482 align:left position:10%,start line:89% size:80% BUT FOR THE NORMAL HEALTHY 44:11.482 --> 44:12.816 align:left position:10%,start line:89% size:80% PERSON, IF THEY DO ONE FOR TWO 44:12.816 --> 44:14.385 align:left position:10%,start line:89% size:80% TO THREE DAYS, THEY SHOULDN'T 44:14.385 --> 44:15.886 align:left position:10%,start line:89% size:80% HAVE ANY LONG-TERM HEALTH 44:15.886 --> 44:16.587 align:left position:10%,start line:89% size:80% CONSEQUENCES FROM THAT. 44:16.587 --> 44:17.821 align:left position:10%,start line:89% size:80% >> WE HAVE AL WITH A PHONE CALL 44:17.821 --> 44:19.490 align:left position:10%,start line:89% size:80% THIS EVENING. 44:19.490 --> 44:20.324 align:left position:10%,start line:89% size:80% HELLO, AL. 44:20.324 --> 44:21.525 align:left position:10%,start line:89% size:80% >> Caller: HI, HEY, DON'T LAUGH 44:21.525 --> 44:24.895 align:left position:10%,start line:89% size:80% AT THE QUESTION. 44:24.895 --> 44:28.399 align:left position:10%,start line:89% size:80% BUT AS I'M GETTING OLDER, AND I 44:28.399 --> 44:31.702 align:left position:10%,start line:89% size:80% LOOK BACK AT THE ACTIVITIES OF 44:31.702 --> 44:33.704 align:left position:10%,start line:89% size:80% YOUNG CHILDREN AND YOUNG ADULTS, 44:33.704 --> 44:45.015 align:left position:10%,start line:89% size:80% OF SOMER SALTS SOMERSAULTS AND 44:45.015 --> 44:47.217 align:left position:10%,start line:89% size:80% STANDING ON THEIR HEAD AND 44:47.217 --> 44:50.954 align:left position:10%,start line:89% size:80% WALKING THEIR ON THEIR HANDS IS 44:50.954 --> 44:52.456 align:left position:10%,start line:89% size:80% THERE ANYTHING RELATED TO THE 44:52.456 --> 44:54.858 align:left position:10%,start line:89% size:80% LITTLE KIDS HAVE SOMETHING 44:54.858 --> 44:55.159 align:left position:10%,start line:89% size:80% THERE. 44:55.159 --> 44:57.995 align:left position:10%,start line:89% size:80% AS I GET OLDER AND I LOOK AT MY 44:57.995 --> 44:59.596 align:left position:10%,start line:89% size:80% PEERS, I SEE ALL SORTS OF 44:59.596 --> 45:01.699 align:left position:10%,start line:89% size:80% INTERNAL PROBLEMS. 45:01.699 --> 45:05.703 align:left position:10%,start line:89% size:80% AND I'M JUST WONDERING, HEY, 45:05.703 --> 45:08.205 align:left position:10%,start line:89% size:80% MAYBE THERE SHOULD BE SOME KIND 45:08.205 --> 45:13.310 align:left position:10%,start line:89% size:80% OF A THERAPY WHERE YOU CAN GO IN 45:13.310 --> 45:15.746 align:left position:10%,start line:89% size:80% AND HANG UPSIDE DOWN FOR A WHILE 45:15.746 --> 45:16.714 align:left position:10%,start line:89% size:80% OR WHATEVER. 45:16.714 --> 45:18.615 align:left position:10%,start line:89% size:80% IF YOU COULD HELP ME WITH THAT 45:18.615 --> 45:20.050 align:left position:10%,start line:89% size:80% QUESTION, I WOULD APPRECIATE IT. 45:20.050 --> 45:20.818 align:left position:10%,start line:89% size:80% >> ALL RIGHT, AL. 45:20.818 --> 45:21.485 align:left position:10%,start line:89% size:80% THANK YOU SO MUCH. 45:21.485 --> 45:22.786 align:left position:10%,start line:89% size:80% NOTHING OFF THE TABLE TONIGHT, 45:22.786 --> 45:23.520 align:left position:10%,start line:89% size:80% AL. 45:23.520 --> 45:25.889 align:left position:10%,start line:89% size:80% THERE ARE ACTUALLY SOME 45:25.889 --> 45:27.124 align:left position:10%,start line:89% size:80% PRODUCTS, NOW THAT PEOPLE ARE 45:27.124 --> 45:29.026 align:left position:10%,start line:89% size:80% PURCHASING TO DO THE INVERSION, 45:29.026 --> 45:30.594 align:left position:10%,start line:89% size:80% TO HANG UPSIDE DOWN. 45:30.594 --> 45:32.830 align:left position:10%,start line:89% size:80% CAN IT HELP OUR OVERALL HEALTH 45:32.830 --> 45:34.598 align:left position:10%,start line:89% size:80% OR INTESTINAL -- 45:34.598 --> 45:35.532 align:left position:10%,start line:89% size:80% >> WELL, I CERTAINLY WOULDN'T 45:35.532 --> 45:38.402 align:left position:10%,start line:89% size:80% RECOMMEND IT FOR ANYONE WHO 45:38.402 --> 45:44.842 align:left position:10%,start line:89% size:80% SUFFERS FROM GASTROESOPHAGEAL 45:44.842 --> 45:46.009 align:left position:10%,start line:89% size:80% REFLUX DISEASE BECAUSE THAT WILL 45:46.009 --> 45:47.311 align:left position:10%,start line:89% size:80% BE A CATASTROPHE. 45:47.311 --> 45:48.378 align:left position:10%,start line:89% size:80% I THOUGHT WE WERE GOING TO HEAR 45:48.378 --> 45:50.914 align:left position:10%,start line:89% size:80% ABOUT KIDS BEING MORE ACTIVE TO 45:50.914 --> 45:52.349 align:left position:10%,start line:89% size:80% IMPROVE THEIR PHYSICAL WELL 45:52.349 --> 45:55.519 align:left position:10%,start line:89% size:80% BEING AND CUT DOWN ON 45:55.519 --> 45:56.620 align:left position:10%,start line:89% size:80% PEDIATRIC -- CHILDREN AND THE 45:56.620 --> 45:58.489 align:left position:10%,start line:89% size:80% OBESITY PROBLEMS, BUT I DON'T 45:58.489 --> 45:59.490 align:left position:10%,start line:89% size:80% THINK THAT HANGING IN A 45:59.490 --> 46:02.760 align:left position:10%,start line:89% size:80% PARTICULAR POSITION IS GOING TO 46:02.760 --> 46:04.762 align:left position:10%,start line:89% size:80% HAVE BENEFICIAL IMPACT ON YOUR 46:04.762 --> 46:05.829 align:left position:10%,start line:89% size:80% INTESTINE. 46:05.829 --> 46:06.230 align:left position:10%,start line:89% size:80% >> OKAY. 46:06.230 --> 46:07.564 align:left position:10%,start line:89% size:80% IT'S NOT MOVING THINGS AROUND? 46:07.564 --> 46:10.501 align:left position:10%,start line:89% size:80% IT'S NOT SORT OF REPURPOSING 46:10.501 --> 46:12.102 align:left position:10%,start line:89% size:80% YOUR ORGANS OR ANYTHING LIKE 46:12.102 --> 46:14.905 align:left position:10%,start line:89% size:80% THAT WHEN YOU HANG UPSIDE DOWN? 46:14.905 --> 46:16.373 align:left position:10%,start line:89% size:80% >> IT REMANDS ME I HAD A FRIEND 46:16.373 --> 46:17.808 align:left position:10%,start line:89% size:80% WHO WAS A CARDIOLOGIST WHO 46:17.808 --> 46:19.076 align:left position:10%,start line:89% size:80% WANTED TO TRY OUT FOR THE SPACE 46:19.076 --> 46:20.611 align:left position:10%,start line:89% size:80% PROGRAM AND DID TRY OUT FOR IT. 46:20.611 --> 46:22.112 align:left position:10%,start line:89% size:80% HE WOULD ALWAYS ASK OUR 46:22.112 --> 46:24.414 align:left position:10%,start line:89% size:80% PROFESSORS IN MEDICAL SCHOOL HOW 46:24.414 --> 46:27.618 align:left position:10%,start line:89% size:80% A SYSTEM WOULD FUNCTION UNDER 46:27.618 --> 46:28.719 align:left position:10%,start line:89% size:80% ZERO GRAVITY. 46:28.719 --> 46:31.822 align:left position:10%,start line:89% size:80% IT ALWAYS THROUGH FOR THE 46:31.822 --> 46:32.890 align:left position:10%,start line:89% size:80% PROFESSOR TO A LOOP. 46:32.890 --> 46:34.825 align:left position:10%,start line:89% size:80% I'M NOT AWARE THE ASTRONAUTS 46:34.825 --> 46:36.293 align:left position:10%,start line:89% size:80% REALLY HAD TO DO ANYTHING 46:36.293 --> 46:37.795 align:left position:10%,start line:89% size:80% SPECIAL TO TAKE CARE OF THEIR 46:37.795 --> 46:40.631 align:left position:10%,start line:89% size:80% G.I. TRACT, NOR DID THEY SUFFER 46:40.631 --> 46:41.932 align:left position:10%,start line:89% size:80% ANY ILL CONSEQUENCES OF IT. 46:41.932 --> 46:43.233 align:left position:10%,start line:89% size:80% >> SO MAYBE AL IS JUST GOING 46:43.233 --> 46:44.401 align:left position:10%,start line:89% size:80% THROUGH WHAT WE CALL GO THROUGH 46:44.401 --> 46:46.637 align:left position:10%,start line:89% size:80% IN THE AGING PROCESS AND HANGING 46:46.637 --> 46:49.339 align:left position:10%,start line:89% size:80% UPSIDE DOWN MIGHT NOT HELP THAT. 46:49.339 --> 46:51.108 align:left position:10%,start line:89% size:80% WELL, LET'S GO AROUND AND JUST 46:51.108 --> 46:52.409 align:left position:10%,start line:89% size:80% GET SOME LAST THOUGHTS ON 46:52.409 --> 46:54.645 align:left position:10%,start line:89% size:80% KEEPING OUR GUTS HEALTHY AND 46:54.645 --> 46:55.813 align:left position:10%,start line:89% size:80% OVERALL HEALTH WHEN IT COMES TO 46:55.813 --> 46:57.147 align:left position:10%,start line:89% size:80% OUR DIGESTIVE SYSTEM. 46:57.147 --> 46:58.682 align:left position:10%,start line:89% size:80% ALLI, WHAT WOULD YOU RECOMMEND 46:58.682 --> 46:59.016 align:left position:10%,start line:89% size:80% OVERALL? 46:59.016 --> 47:00.083 align:left position:10%,start line:89% size:80% >> YOU KNOW, I THINK ONE OF THE 47:00.083 --> 47:01.518 align:left position:10%,start line:89% size:80% MOST IMPORTANT THINGS THAT 47:01.518 --> 47:03.020 align:left position:10%,start line:89% size:80% PEOPLE CAN DO FOR THEIR OVERALL 47:03.020 --> 47:05.022 align:left position:10%,start line:89% size:80% G.I. HEALTH IS PLAIN TAKEN A 47:05.022 --> 47:06.623 align:left position:10%,start line:89% size:80% HEALTHY WEIGH AND MINIMIZE YOUR 47:06.623 --> 47:07.925 align:left position:10%,start line:89% size:80% INTAKE OF PROCESSED FOODS. 47:07.925 --> 47:09.426 align:left position:10%,start line:89% size:80% I THINK PROCESSED FOODS REALLY 47:09.426 --> 47:10.527 align:left position:10%,start line:89% size:80% FOR THE MOST PART ARE NOT 47:10.527 --> 47:11.728 align:left position:10%,start line:89% size:80% HEALTHY FOR A LOT OF PEOPLE. 47:11.728 --> 47:16.233 align:left position:10%,start line:89% size:80% THEY HAVE A LOT OF HIDDEN 47:16.233 --> 47:17.267 align:left position:10%,start line:89% size:80% INGREDIENTS THEM. 47:17.267 --> 47:18.735 align:left position:10%,start line:89% size:80% IF YOU EAT MORE FRESH PRODUCE, 47:18.735 --> 47:22.539 align:left position:10%,start line:89% size:80% DAIRY PRODUCTS WHOLE GRAINS ARE 47:22.539 --> 47:23.240 align:left position:10%,start line:89% size:80% NATURAL, I THINK MOST OF US 47:23.240 --> 47:24.708 align:left position:10%,start line:89% size:80% WOULD BE HEALTHIER AND AVOID THE 47:24.708 --> 47:26.243 align:left position:10%,start line:89% size:80% INNER AISLES OF GROCERY STORE 47:26.243 --> 47:27.811 align:left position:10%,start line:89% size:80% WHERE ALL THE PROCESSED, 47:27.811 --> 47:28.912 align:left position:10%,start line:89% size:80% PACKAGED FOODS ARE HIDDEN WITH 47:28.912 --> 47:30.314 align:left position:10%,start line:89% size:80% ALL THE PROBLEMS THAT THEY COME 47:30.314 --> 47:31.215 align:left position:10%,start line:89% size:80% WITH. 47:31.215 --> 47:32.816 align:left position:10%,start line:89% size:80% >> DR. FERRIN? 47:32.816 --> 47:34.885 align:left position:10%,start line:89% size:80% >> WELL, WHAT I OFTEN TELL MY 47:34.885 --> 47:35.953 align:left position:10%,start line:89% size:80% PATIENTS IS THAT THE G.I. TRACT 47:35.953 --> 47:38.055 align:left position:10%,start line:89% size:80% CAN REALLY TAKE A JOKE. 47:38.055 --> 47:40.791 align:left position:10%,start line:89% size:80% YOU CAN PUT A PEPPERONI PIZZA IN 47:40.791 --> 47:44.328 align:left position:10%,start line:89% size:80% THE G.I. TRACT AND HANDLE IT 47:44.328 --> 47:44.628 align:left position:10%,start line:89% size:80% FINE. 47:44.628 --> 47:45.896 align:left position:10%,start line:89% size:80% 9 PART OF YOUR BODY THAT CAN'T 47:45.896 --> 47:47.898 align:left position:10%,start line:89% size:80% TAKE A JOKE IS YOUR HEART. 47:47.898 --> 47:50.033 align:left position:10%,start line:89% size:80% SO LIVE A HEART HEALTHY 47:50.033 --> 47:50.801 align:left position:10%,start line:89% size:80% LIFESTYLE. 47:50.801 --> 47:52.569 align:left position:10%,start line:89% size:80% DON'T EAT TOO MANY CALORIES. 47:52.569 --> 47:56.306 align:left position:10%,start line:89% size:80% EAT A BALANCED DIET AND, YOU 47:56.306 --> 48:01.812 align:left position:10%,start line:89% size:80% KNOW, IF YOU SMOKE STOP SMOKING 48:01.812 --> 48:03.647 align:left position:10%,start line:89% size:80% BECAUSE YOUR G.I. TRACT WILL DO 48:03.647 --> 48:03.947 align:left position:10%,start line:89% size:80% FINE. 48:03.947 --> 48:05.515 align:left position:10%,start line:89% size:80% AND BY AND LARGE, PEOPLE DON'T 48:05.515 --> 48:07.618 align:left position:10%,start line:89% size:80% DIE OF CONDITIONS OF THE G.I. 48:07.618 --> 48:11.154 align:left position:10%,start line:89% size:80% TRACT COMPARED TO, YOU KNOW, 48:11.154 --> 48:12.723 align:left position:10%,start line:89% size:80% BEING HURT BY HEART CONDITIONS. 48:12.723 --> 48:13.824 align:left position:10%,start line:89% size:80% >> ALL RIGHT. 48:13.824 --> 48:15.225 align:left position:10%,start line:89% size:80% AND DR. P, SOME FINAL THOUGHTS 48:15.225 --> 48:18.428 align:left position:10%,start line:89% size:80% IN THE NEXT FEW SECONDS. 48:18.428 --> 48:18.962 align:left position:10%,start line:89% size:80% >> COLONOSCOPY. 48:18.962 --> 48:20.330 align:left position:10%,start line:89% size:80% IF YOU ARE AGE -- 48:20.330 --> 48:21.932 align:left position:10%,start line:89% size:80% >> ONE WORD. 48:21.932 --> 48:22.933 align:left position:10%,start line:89% size:80% >> IF YOU ARE AGE 50, OR MORE, 48:22.933 --> 48:24.268 align:left position:10%,start line:89% size:80% HAVE A COLONOSCOPY, WHICH YOU 48:24.268 --> 48:25.435 align:left position:10%,start line:89% size:80% HAVE SYMPTOMS OR NOT, WHETHER 48:25.435 --> 48:28.538 align:left position:10%,start line:89% size:80% YOU HAVE A FAMILY HISTORY NOT. 48:28.538 --> 48:29.539 align:left position:10%,start line:89% size:80% IF YOU ARE AN AFRICAN-AMERICAN, 48:29.539 --> 48:30.941 align:left position:10%,start line:89% size:80% IT SHOULD BE AGE 45. 48:30.941 --> 48:32.743 align:left position:10%,start line:89% size:80% >> VERY GOOD. 48:32.743 --> 48:33.810 align:left position:10%,start line:89% size:80% GREAT DISCUSSION THIS EVENING. 48:33.810 --> 48:35.712 align:left position:10%,start line:89% size:80% I WANT TO THANK YOU ALL FOR 48:35.712 --> 48:37.414 align:left position:10%,start line:89% size:80% BEING HERE TONIGHT. 48:37.414 --> 48:38.815 align:left position:10%,start line:89% size:80% OUR THANKS WITH EVERYONE WOULD 48:38.815 --> 48:40.217 align:left position:10%,start line:89% size:80% CALLED IN WITH THEIR QUESTIONS 48:40.217 --> 48:43.253 align:left position:10%,start line:89% size:80% AND EMAILED. 48:43.253 --> 48:46.089 align:left position:10%,start line:89% size:80% WHEN WE COME BACK, AN UPDATE ON 48:43.987 --> 48:50.060 align:left position:10%,start line:89% size:80% THE AFFORDABLE CARE ACT. 48:50.060 --> 48:50.794 align:left position:10%,start line:89% size:80% YOU HAVE JUST 12 DAYS LEFT TO 48:50.794 --> 48:51.461 align:left position:10%,start line:89% size:80% SIGN UP FOR HEALTH INSURANCE 48:51.461 --> 48:53.030 align:left position:10%,start line:89% size:80% UNDER THE AFFORDABLE CARE ACT. 48:53.030 --> 48:53.730 align:left position:10%,start line:89% size:80% OPEN ENROLLMENT ENDS ON MARCH 48:53.730 --> 48:56.366 align:left position:10%,start line:89% size:80% 31. 48:56.366 --> 48:58.101 align:left position:10%,start line:89% size:80% IF YOU WANT COVERAGE, BUT MAYBE 48:58.101 --> 48:59.703 align:left position:10%,start line:89% size:80% NEED SOME HELP, THERE ARE PEOPLE 48:59.703 --> 49:00.771 align:left position:10%,start line:89% size:80% LOCALLY WHO CAN HELP YOU. 49:00.771 --> 49:02.005 align:left position:10%,start line:89% size:80% JOINING ME NOW, WITH MORE IS RAY 49:02.005 --> 49:03.473 align:left position:10%,start line:89% size:80% WHITE, WITH COMMUNITY-MINDED 49:03.473 --> 49:04.508 align:left position:10%,start line:89% size:80% ENTERPRISES, HE HELPS 49:04.508 --> 49:06.076 align:left position:10%,start line:89% size:80% COORDINATES THE IN-PERSON 49:06.076 --> 49:07.110 align:left position:10%,start line:89% size:80% ASSISTORS PROGRAM HERE IN 49:07.110 --> 49:10.013 align:left position:10%,start line:89% size:80% SPOKANE. 49:10.013 --> 49:10.714 align:left position:10%,start line:89% size:80% RAY, THANKS SO MUCH FOR BEING 49:10.714 --> 49:11.014 align:left position:10%,start line:89% size:80% HERE. 49:11.014 --> 49:14.117 align:left position:10%,start line:89% size:80% >> I'M HAPPY TO BE HERE. 49:14.117 --> 49:15.819 align:left position:10%,start line:89% size:80% >> THIS IS A BIG JOB CORD 49:15.819 --> 49:17.955 align:left position:10%,start line:89% size:80% NAILING ALL THE FOLKS WHO GET ON 49:17.955 --> 49:20.757 align:left position:10%,start line:89% size:80% THE PHONE OR THE COMPUTER WHO 49:20.757 --> 49:21.892 align:left position:10%,start line:89% size:80% SIGN UP FOR THE COVERAGE. 49:21.892 --> 49:23.160 align:left position:10%,start line:89% size:80% IT'S GOING WELL BUT THERE ARE 49:23.160 --> 49:24.461 align:left position:10%,start line:89% size:80% STILL A LOT OF PEOPLE WITH 49:24.461 --> 49:24.828 align:left position:10%,start line:89% size:80% QUESTIONS. 49:24.828 --> 49:25.862 align:left position:10%,start line:89% size:80% WHAT KIND OF THINGS ARE YOU 49:25.862 --> 49:27.130 align:left position:10%,start line:89% size:80% HEARING AT THIS POINT? 49:27.130 --> 49:27.931 align:left position:10%,start line:89% size:80% >> ACTUALLY, A LOT OF WHAT WE 49:27.931 --> 49:29.333 align:left position:10%,start line:89% size:80% ARE HEARING IS A LOT OF PEOPLE 49:29.333 --> 49:32.035 align:left position:10%,start line:89% size:80% REALLY HAVE NOT REALLY BEEN -- 49:32.035 --> 49:33.637 align:left position:10%,start line:89% size:80% THEY HAVE NOT REALLY RESPONDED 49:33.637 --> 49:35.038 align:left position:10%,start line:89% size:80% TO THE ADVERTISING RELATED TO 49:35.038 --> 49:37.441 align:left position:10%,start line:89% size:80% THE ACT, AND I THINK I SAW A 49:37.441 --> 49:38.842 align:left position:10%,start line:89% size:80% POLL LAST WEEK THAT SOMETHING 49:38.842 --> 49:41.244 align:left position:10%,start line:89% size:80% LIKE 23% OF ALL AMERICANS ARE 49:41.244 --> 49:42.879 align:left position:10%,start line:89% size:80% TOTALLY UNAWARE THAT THERE EVEN 49:42.879 --> 49:44.314 align:left position:10%,start line:89% size:80% IS AN AFFORDABLE CARE ACT. 49:44.314 --> 49:46.516 align:left position:10%,start line:89% size:80% WHEN YOU ADD THAT TO 509 HIGH 49:46.516 --> 49:47.617 align:left position:10%,start line:89% size:80% PERCENTAGE OF PEOPLE WHO KIND OF 49:47.617 --> 49:48.819 align:left position:10%,start line:89% size:80% KNOW WHAT IT IS, BUT DON'T 49:48.819 --> 49:50.821 align:left position:10%,start line:89% size:80% REALLY KNOW IF THERE'S GOING TO 49:50.821 --> 49:52.622 align:left position:10%,start line:89% size:80% BE ANY IMPACT TO THEM 49:52.622 --> 49:53.857 align:left position:10%,start line:89% size:80% PERSONALLY, THEN THERE'S REALLY 49:53.857 --> 49:55.225 align:left position:10%,start line:89% size:80% A MUCH SMALLER GROUP OF PEOPLE, 49:55.225 --> 49:56.660 align:left position:10%,start line:89% size:80% I THINK THAT REALLY ARE ON TOP 49:56.660 --> 49:58.829 align:left position:10%,start line:89% size:80% OF WHAT'S GOING ON AND 49:58.829 --> 50:00.430 align:left position:10%,start line:89% size:80% UNDERSTAND THAT NOT ONLY 50:00.430 --> 50:01.131 align:left position:10%,start line:89% size:80% OPPORTUNITIES BUT ALSO 50:01.131 --> 50:02.332 align:left position:10%,start line:89% size:80% UNDERSTAND THAT THERE ARE SOME 50:02.332 --> 50:04.234 align:left position:10%,start line:89% size:80% TAX PENALTIES THAT UNFORTUNATELY 50:04.234 --> 50:05.836 align:left position:10%,start line:89% size:80% MIGHT BE APPLIED TO PEOPLE THAT 50:05.836 --> 50:06.937 align:left position:10%,start line:89% size:80% DON'T HAVE HEALTH INSURANCE 50:06.937 --> 50:08.138 align:left position:10%,start line:89% size:80% AFTER MARCH 31st. 50:08.138 --> 50:09.840 align:left position:10%,start line:89% size:80% >> SO WHEN THAT DATE COMES AND 50:09.840 --> 50:11.241 align:left position:10%,start line:89% size:80% GOES, YOU WILL BE PENALIZED FOR 50:11.241 --> 50:13.043 align:left position:10%,start line:89% size:80% IT IF YOU ARE NOT SIGNED UP? 50:13.043 --> 50:13.477 align:left position:10%,start line:89% size:80% >> RIGHT. 50:13.477 --> 50:15.145 align:left position:10%,start line:89% size:80% IT WILL BE A TAX PENALTY ON 9 -- 50:15.145 --> 50:17.114 align:left position:10%,start line:89% size:80% WHEN YOU FILE YOUR TAXES IN THE 50:17.114 --> 50:18.615 align:left position:10%,start line:89% size:80% NEXT -- DURING THE NEXT YEAR. 50:18.615 --> 50:20.050 align:left position:10%,start line:89% size:80% >> WHAT OTHER KIND OF THINGS ARE 50:20.050 --> 50:21.385 align:left position:10%,start line:89% size:80% PEOPLE KIND OF CONFUSED ABOUT OR 50:21.385 --> 50:23.420 align:left position:10%,start line:89% size:80% WHAT KIND OF QUESTIONS ARE THE 50:23.420 --> 50:25.789 align:left position:10%,start line:89% size:80% IN-PERSON ASSISTORS HEARING 50:25.789 --> 50:27.657 align:left position:10%,start line:89% size:80% RIGHT NOW ABOUT SIGNING UP, THE 50:27.657 --> 50:29.259 align:left position:10%,start line:89% size:80% CONFUSION MAY BE THAT IS APPLIED 50:29.259 --> 50:30.027 align:left position:10%,start line:89% size:80% TO IT? 50:30.027 --> 50:30.927 align:left position:10%,start line:89% size:80% >> WELL, I THINK PEOPLE HAVE 50:30.927 --> 50:32.929 align:left position:10%,start line:89% size:80% BEEN REALLY GOOD AT -- ONCE THEY 50:32.929 --> 50:34.231 align:left position:10%,start line:89% size:80% KNOW WHERE THE WEBSITE, IS AND 50:34.231 --> 50:35.265 align:left position:10%,start line:89% size:80% ACTUALLY GOING THERE AND TAKING 50:35.265 --> 50:36.533 align:left position:10%,start line:89% size:80% A LOOK. 50:36.533 --> 50:42.606 align:left position:10%,start line:89% size:80% I THINK WHEN THE HEALTH BENEFIT 50:42.606 --> 50:44.007 align:left position:10%,start line:89% size:80% EXCHANGE THAT RUNS WASHINGTON 50:44.007 --> 50:44.941 align:left position:10%,start line:89% size:80% EASEFUL CHANGE WHEN THEY PUT 50:44.941 --> 50:46.643 align:left position:10%,start line:89% size:80% TOGETHER THE PROGRAM, I THERE 50:46.643 --> 50:48.512 align:left position:10%,start line:89% size:80% WAS AN ASSUMPTION NOT ONLY HERE 50:48.512 --> 50:49.746 align:left position:10%,start line:89% size:80% BUT ALSO NATIONALLY THAT MOST 50:49.746 --> 50:52.549 align:left position:10%,start line:89% size:80% PEOPLE WOULD BE ABLE TO GO ON TO 50:52.549 --> 50:53.450 align:left position:10%,start line:89% size:80% THE WEBSITE AND PURCHASE THE 50:53.450 --> 50:54.518 align:left position:10%,start line:89% size:80% INSURANCE VERY EASILY IF YOU 50:54.518 --> 50:56.153 align:left position:10%,start line:89% size:80% WERE USED TO GOING TO THE 50:56.153 --> 50:58.388 align:left position:10%,start line:89% size:80% INTERNET, FOR EXAMPLE, POSSIBLY 50:58.388 --> 50:59.890 align:left position:10%,start line:89% size:80% BUYING AIRLINE TICKETS, YOU 50:59.890 --> 51:03.293 align:left position:10%,start line:89% size:80% KNOW, RESERVING HOTEL ROOMS. 51:03.293 --> 51:05.195 align:left position:10%,start line:89% size:80% >> THAT ANALOGY WAS USED A FEW 51:05.195 --> 51:05.996 align:left position:10%,start line:89% size:80% TIMES. 51:05.996 --> 51:06.797 align:left position:10%,start line:89% size:80% >> I'M IN THERE QUITE A BIT AND 51:06.797 --> 51:07.998 align:left position:10%,start line:89% size:80% IT'S A LITTLE MORE DIFFICULT 51:07.998 --> 51:09.366 align:left position:10%,start line:89% size:80% THAN THAT. 51:09.366 --> 51:10.967 align:left position:10%,start line:89% size:80% IT'S, YOU KNOW, SEQUENTIAL. 51:10.967 --> 51:12.436 align:left position:10%,start line:89% size:80% IT WORKS VERY, VERY WELL, PAGE 51:12.436 --> 51:14.671 align:left position:10%,start line:89% size:80% TO PAGE TO PAGE, BUT IT BUILDS 51:14.671 --> 51:16.440 align:left position:10%,start line:89% size:80% ON SOME KIND OF A LOGIC MODEL 51:16.440 --> 51:17.574 align:left position:10%,start line:89% size:80% THAT FORCES THEM TO ASK 51:17.574 --> 51:18.875 align:left position:10%,start line:89% size:80% QUESTIONS THAT WOULD REALLY TAKE 51:18.875 --> 51:19.576 align:left position:10%,start line:89% size:80% PEOPLE BY SURPRISE. 51:19.576 --> 51:22.479 align:left position:10%,start line:89% size:80% AND IF THEY ANSWER A QUESTION 51:22.479 --> 51:23.413 align:left position:10%,start line:89% size:80% WRONG, SOMETIMES THIS WILL STOP 51:23.413 --> 51:25.082 align:left position:10%,start line:89% size:80% THEIR PROCESS AND YOU GET A LOT 51:25.082 --> 51:26.683 align:left position:10%,start line:89% size:80% OF CALLS FROM PEOPLE WHO 51:26.683 --> 51:28.085 align:left position:10%,start line:89% size:80% ACTUALLY ENTERED INTO THE 51:28.085 --> 51:29.419 align:left position:10%,start line:89% size:80% PROCESS AND HAVE BEEN UNABLE TO 51:29.419 --> 51:30.053 align:left position:10%,start line:89% size:80% GO FURTHER. 51:30.053 --> 51:32.089 align:left position:10%,start line:89% size:80% AND A LOT OF TIMES THEY WILL 51:32.089 --> 51:33.190 align:left position:10%,start line:89% size:80% CALL THE CALL CENTER. 51:33.190 --> 51:34.591 align:left position:10%,start line:89% size:80% THIS' A STATEWIDE CALL CENTER 51:34.591 --> 51:36.693 align:left position:10%,start line:89% size:80% WHICH HAPPENS TO BE LOCATED IN 51:36.693 --> 51:37.494 align:left position:10%,start line:89% size:80% SPOKANE, BUT THE TRAFFIC THERE 51:37.494 --> 51:38.695 align:left position:10%,start line:89% size:80% IS MUCH HIGHER THAN THEY THOUGHT 51:38.695 --> 51:39.896 align:left position:10%,start line:89% size:80% IT WOULD BE AS WELL. 51:39.896 --> 51:42.299 align:left position:10%,start line:89% size:80% SO PEOPLE ARE EXPERIENCING 51:42.299 --> 51:43.400 align:left position:10%,start line:89% size:80% LONGER WAIT TIMES. 51:43.400 --> 51:45.569 align:left position:10%,start line:89% size:80% THE ADVICE I GIVE PEOPLE IF THEY 51:45.569 --> 51:47.070 align:left position:10%,start line:89% size:80% ARE REFERRED BY A FRIEND OR IF 51:47.070 --> 51:50.474 align:left position:10%,start line:89% size:80% THEY CALL ME, OR SEND ME AN 51:50.474 --> 51:51.675 align:left position:10%,start line:89% size:80% EMAIL, IT'S TO TRY TO FIND SOME 51:51.675 --> 51:52.609 align:left position:10%,start line:89% size:80% HELP FROM ONE OF THE 51:52.609 --> 51:54.377 align:left position:10%,start line:89% size:80% ORGANIZATIONS AND THERE ARE IN 51:54.377 --> 51:54.711 align:left position:10%,start line:89% size:80% SPOKANE. 51:54.711 --> 51:58.482 align:left position:10%,start line:89% size:80% THERE'S PROBABLY WELL OVER 100, 51:58.482 --> 51:59.616 align:left position:10%,start line:89% size:80% MAYBE 150 IN SPOKANE COUNTY 51:59.616 --> 52:01.118 align:left position:10%,start line:89% size:80% ALONE THAT HAVE PEOPLE THAT ARE 52:01.118 --> 52:02.686 align:left position:10%,start line:89% size:80% IN-PERSON ASSISTORS OR 52:02.686 --> 52:03.587 align:left position:10%,start line:89% size:80% NAVIGATORS IS ANOTHER WORD FOR 52:03.587 --> 52:05.388 align:left position:10%,start line:89% size:80% WHAT WE DO. 52:05.388 --> 52:06.790 align:left position:10%,start line:89% size:80% THEY HAVE SOMEONE THAT CAN SIT 52:06.790 --> 52:07.657 align:left position:10%,start line:89% size:80% DOWN WITH YOU AND GUIDE YOU 52:07.657 --> 52:08.492 align:left position:10%,start line:89% size:80% THROUGH THE PROCESS. 52:08.492 --> 52:09.759 align:left position:10%,start line:89% size:80% >> AND WHAT KIND OF INFORMATION, 52:09.759 --> 52:10.994 align:left position:10%,start line:89% size:80% AGAIN, DO THEY NEED TO HAVE WHEN 52:10.994 --> 52:12.395 align:left position:10%,start line:89% size:80% THEY SIT DOWN TO START THE 52:12.395 --> 52:13.130 align:left position:10%,start line:89% size:80% PROCESS, EVEN IF THEY ARE 52:13.130 --> 52:14.731 align:left position:10%,start line:89% size:80% WORKING WITH ONE OF THE 52:14.731 --> 52:15.632 align:left position:10%,start line:89% size:80% IN-PERSON ASSISTORS? 52:15.632 --> 52:16.800 align:left position:10%,start line:89% size:80% YOU NEED SOME VITAL INFORMATION 52:16.800 --> 52:18.468 align:left position:10%,start line:89% size:80% THAT IS GOING TO NEED TO BE 52:18.468 --> 52:20.203 align:left position:10%,start line:89% size:80% AVAILABLE SO THAT YOU CAN GET 52:20.203 --> 52:20.770 align:left position:10%,start line:89% size:80% SIGNED UP. 52:20.770 --> 52:21.171 align:left position:10%,start line:89% size:80% >> SURE. 52:21.171 --> 52:22.239 align:left position:10%,start line:89% size:80% AND THE FIRST THING WE NEED TO 52:22.239 --> 52:24.141 align:left position:10%,start line:89% size:80% DO WE NEED TO VERIFY THEIR 52:24.141 --> 52:24.508 align:left position:10%,start line:89% size:80% IDENTITY. 52:24.508 --> 52:25.742 align:left position:10%,start line:89% size:80% SO WHAT A PERSON WOULD NEED TO 52:25.742 --> 52:27.277 align:left position:10%,start line:89% size:80% DO IS TO MAKE SURE THEY HAVE 52:27.277 --> 52:28.178 align:left position:10%,start line:89% size:80% THEIR DRIVER'S LICENSE, MAKE 52:28.178 --> 52:29.880 align:left position:10%,start line:89% size:80% SURE THEY HAVE -- IF POSSIBLE, A 52:29.880 --> 52:31.014 align:left position:10%,start line:89% size:80% SOCIAL SECURITY CARD. 52:31.014 --> 52:32.382 align:left position:10%,start line:89% size:80% I KNOW A LOT OF PEOPLE DON'T 52:32.382 --> 52:34.284 align:left position:10%,start line:89% size:80% CARRY THEM AROUND, BUT IF AT ALL 52:34.284 --> 52:35.185 align:left position:10%,start line:89% size:80% POSSIBLE, IT WOULD BE A GOOD 52:35.185 --> 52:36.086 align:left position:10%,start line:89% size:80% THING TO BRING. 52:36.086 --> 52:37.888 align:left position:10%,start line:89% size:80% WE RECOMMEND THAT PEOPLE BRING 52:37.888 --> 52:39.689 align:left position:10%,start line:89% size:80% COPIES OF THEIR LAST YEAR'S 52:39.689 --> 52:42.092 align:left position:10%,start line:89% size:80% TAXES BECAUSE YOU ARE REQUIRED 52:42.092 --> 52:44.895 align:left position:10%,start line:89% size:80% TO ESTIMATE YOUR INCOME, AND 52:44.895 --> 52:48.198 align:left position:10%,start line:89% size:80% ALSO -- AND ALSO TO IDENTIFY ALL 52:48.198 --> 52:49.699 align:left position:10%,start line:89% size:80% THE HOUSEHOLD MEMBERS BY NOT 52:49.699 --> 52:51.201 align:left position:10%,start line:89% size:80% ONLY NAME BUT ALSO BY SOCIAL 52:51.201 --> 52:53.136 align:left position:10%,start line:89% size:80% SECURITY NUMBER, SO THAT'S 52:53.136 --> 52:54.371 align:left position:10%,start line:89% size:80% TYPICALLY PRETTY CONVENIENTLY 52:54.371 --> 52:55.872 align:left position:10%,start line:89% size:80% LOCATED ON YOUR TAXES, 52:55.872 --> 52:58.909 align:left position:10%,start line:89% size:80% ESPECIALLY IF YOU HAVE CHILDREN 52:58.909 --> 52:59.809 align:left position:10%,start line:89% size:80% AS DEPENDENTS. 52:59.809 --> 53:01.077 align:left position:10%,start line:89% size:80% WE ASK PEOPLE TO BRING THOSE 53:01.077 --> 53:02.979 align:left position:10%,start line:89% size:80% KINDS OF THINGS. 53:02.979 --> 53:03.813 align:left position:10%,start line:89% size:80% THE AFFORDABLE CARE ACT IS 53:03.813 --> 53:05.415 align:left position:10%,start line:89% size:80% AVAILABLE TO NOT ONLY REGULAR 53:05.415 --> 53:07.350 align:left position:10%,start line:89% size:80% CITIZENS BUT ALSO PEOPLE WHO ARE 53:07.350 --> 53:08.885 align:left position:10%,start line:89% size:80% HERE ON A LEGAL BASIS. 53:08.885 --> 53:10.086 align:left position:10%,start line:89% size:80% IF PEOPLE ARE HERE ON CERTAIN 53:10.086 --> 53:11.621 align:left position:10%,start line:89% size:80% TYPES OF VISAS, WE MIGHT 53:11.621 --> 53:13.390 align:left position:10%,start line:89% size:80% RECOMMEND THAT THEY BRING A COPY 53:13.390 --> 53:14.391 align:left position:10%,start line:89% size:80% OF A VISA. 53:14.391 --> 53:15.725 align:left position:10%,start line:89% size:80% SOMETIMES THE SYSTEM WILL ASK 53:15.725 --> 53:17.694 align:left position:10%,start line:89% size:80% YOU TO VERIFY YOUR STATUSES IN A 53:17.694 --> 53:19.095 align:left position:10%,start line:89% size:80% CERTAIN WAY OF SOCIAL SECURITY 53:19.095 --> 53:20.564 align:left position:10%,start line:89% size:80% NUMBER, YOU KNOW, A VISA NUMBER 53:20.564 --> 53:21.164 align:left position:10%,start line:89% size:80% OR SOMETHING LIKE. 53:21.164 --> 53:24.434 align:left position:10%,start line:89% size:80% LIKETHAT. 53:24.434 --> 53:26.269 align:left position:10%,start line:89% size:80% SO WE HAVE THE ABILITY TO 53:26.269 --> 53:27.504 align:left position:10%,start line:89% size:80% ACTUALLY UPLOAD THEM TO THE 53:27.504 --> 53:28.405 align:left position:10%,start line:89% size:80% SYSTEM AND MAKE THEIR JOURNEY 53:28.405 --> 53:30.473 align:left position:10%,start line:89% size:80% THROUGH THE PROCESS EASTIER. 53:30.473 --> 53:32.209 align:left position:10%,start line:89% size:80% >> WHAT IS THE BEST WAY TO 53:32.209 --> 53:33.810 align:left position:10%,start line:89% size:80% CONTACT AN IN-PERSON ASSISTOR TO 53:33.810 --> 53:35.212 align:left position:10%,start line:89% size:80% GET THAT HELP, YOU SAY WHEN THEY 53:35.212 --> 53:35.512 align:left position:10%,start line:89% size:80% COME? 53:35.512 --> 53:36.279 align:left position:10%,start line:89% size:80% IS THERE A LOCATION THAT THEY 53:36.279 --> 53:37.914 align:left position:10%,start line:89% size:80% CAN ACTUALLY PHYSICALLY GO TO OR 53:37.914 --> 53:41.585 align:left position:10%,start line:89% size:80% SET UP AN APPOINTMENT TO GO TO? 53:41.585 --> 53:42.252 align:left position:10%,start line:89% size:80% >> WELL, THERE ARE MANY. 53:42.252 --> 53:43.987 align:left position:10%,start line:89% size:80% AS I SAID EARLIER, WE ARE ONE OF 53:43.987 --> 53:45.188 align:left position:10%,start line:89% size:80% MANY ORGANIZATIONS IN SPOKANE 53:45.188 --> 53:47.591 align:left position:10%,start line:89% size:80% THAT DO THIS WORK. 53:47.591 --> 53:48.792 align:left position:10%,start line:89% size:80% I WOULD RECOMMEND THAT THEY 53:48.792 --> 53:50.193 align:left position:10%,start line:89% size:80% COULD START BY CALLING OUR 53:50.193 --> 53:53.296 align:left position:10%,start line:89% size:80% ORGANIZATION, AND WE HAVE AN 53:53.296 --> 53:55.298 align:left position:10%,start line:89% size:80% APPOINTMENT LINE NUMBER. 53:55.298 --> 53:57.701 align:left position:10%,start line:89% size:80% IT'S 444-3066. 53:57.701 --> 53:59.302 align:left position:10%,start line:89% size:80% AND WE ALSO HAVE A GREAT PRIMARY 53:59.302 --> 54:06.209 align:left position:10%,start line:89% size:80% PARTNER WITH THE SPOKANE COUNTY 54:06.209 --> 54:08.578 align:left position:10%,start line:89% size:80% LIBRARY DISTRICT AND THEY HAVE 54:08.578 --> 54:14.184 align:left position:10%,start line:89% size:80% EIGHT NAVIGATORS ON THEIR STAFF 54:14.184 --> 54:19.489 align:left position:10%,start line:89% size:80% THAT IS 893-8400. 54:19.489 --> 54:19.956 align:left position:10%,start line:89% size:80% >> 893-8400? 54:19.956 --> 54:24.094 align:left position:10%,start line:89% size:80% >> YES AND YOU CAN GO TO THE 54:24.094 --> 54:27.397 align:left position:10%,start line:89% size:80% HEALTH PLAN, THE WA 54:27.397 --> 54:28.031 align:left position:10%,start line:89% size:80% HEALTHPLAN.ORG AND YOU CAN 54:28.031 --> 54:30.500 align:left position:10%,start line:89% size:80% ACCESS A LIST OF NAVIGATORS NOT 54:30.500 --> 54:31.801 align:left position:10%,start line:89% size:80% ONLY -- THROUGHOUT THE STATE 54:31.801 --> 54:34.871 align:left position:10%,start line:89% size:80% ACTUALLY BY NAME AND ZIP CODE, 54:34.871 --> 54:35.305 align:left position:10%,start line:89% size:80% ORGANIZATION. 54:35.305 --> 54:36.273 align:left position:10%,start line:89% size:80% >> DO YOU ANTICIPATE, RAY, THAT 54:36.273 --> 54:37.941 align:left position:10%,start line:89% size:80% IT WILL GET QUITE BUSY IN THE 54:37.941 --> 54:38.875 align:left position:10%,start line:89% size:80% NEXT WEEK? 54:38.875 --> 54:40.043 align:left position:10%,start line:89% size:80% >> WELL, ACTUALLY, IT'S BEEN 54:40.043 --> 54:42.912 align:left position:10%,start line:89% size:80% QUITE BUSY FOR A WHILE. 54:42.912 --> 54:45.315 align:left position:10%,start line:89% size:80% BECAUSE EVEN THOUGH, AS I STATED 54:45.315 --> 54:46.816 align:left position:10%,start line:89% size:80% EARLIER, A HIGH PERCENTAGE OF 54:46.816 --> 54:48.318 align:left position:10%,start line:89% size:80% PEOPLE REALLY DON'T KNOW HOW IT 54:48.318 --> 54:49.586 align:left position:10%,start line:89% size:80% AFFECTS THEM OR IF IT AFFECTS 54:49.586 --> 54:49.886 align:left position:10%,start line:89% size:80% THEM. 54:49.886 --> 54:53.390 align:left position:10%,start line:89% size:80% A LOT OF PEOPLE DO AND WORD OF 54:53.390 --> 54:54.924 align:left position:10%,start line:89% size:80% MOUTH FROM PEOPLE'S EARLIER 54:54.924 --> 54:55.892 align:left position:10%,start line:89% size:80% EFFORTS ARE STARTING TO DRIVE 54:55.892 --> 54:57.494 align:left position:10%,start line:89% size:80% PEOPLE TO NOT ONLY OURSELVES BUT 54:57.494 --> 55:00.297 align:left position:10%,start line:89% size:80% MOST OF THE MEDICAL CLINICS 55:00.297 --> 55:01.598 align:left position:10%,start line:89% size:80% HAVE -- IN TOWN HERE HAVE 55:01.598 --> 55:02.932 align:left position:10%,start line:89% size:80% IN-PERSON ASSISTORS, THE 55:02.932 --> 55:03.600 align:left position:10%,start line:89% size:80% HOSPITALS DO. 55:03.600 --> 55:04.634 align:left position:10%,start line:89% size:80% THERE'S AN ORGANIZATION CALLED 55:04.634 --> 55:06.803 align:left position:10%,start line:89% size:80% BETTER HEALTH TOGETHER, WHICH 55:06.803 --> 55:08.805 align:left position:10%,start line:89% size:80% ACTUALLY IS 9 -- KIND OF A 55:08.805 --> 55:09.472 align:left position:10%,start line:89% size:80% CLEARINGHOUSE OF THE OVERALL 55:09.472 --> 55:10.407 align:left position:10%,start line:89% size:80% ORGANIZATION THAT WE ALL REPORT 55:10.407 --> 55:13.109 align:left position:10%,start line:89% size:80% TO AND REPORT THROUGH. 55:13.109 --> 55:13.877 align:left position:10%,start line:89% size:80% THERE'S JUST A NUMBER OF 55:13.877 --> 55:15.412 align:left position:10%,start line:89% size:80% DIFFERENT PLACES THAT PEOPLE CAN 55:15.412 --> 55:15.679 align:left position:10%,start line:89% size:80% GO. 55:15.679 --> 55:20.116 align:left position:10%,start line:89% size:80% SO IT'S NOT A LACK OF RESOURCES. 55:20.116 --> 55:21.318 align:left position:10%,start line:89% size:80% I THINK -- MAYBE NOT NECESSARILY 55:21.318 --> 55:23.219 align:left position:10%,start line:89% size:80% BEEN A LACK OF INFORMATION, BUT 55:23.219 --> 55:24.688 align:left position:10%,start line:89% size:80% SOME PEOPLE JUST HAVEN'T REALLY 55:24.688 --> 55:26.222 align:left position:10%,start line:89% size:80% LOOKED IN THE RIGHT PLACE TO SEE 55:26.222 --> 55:27.257 align:left position:10%,start line:89% size:80% THE INFORMATION THAT'S OUT THERE 55:27.257 --> 55:28.825 align:left position:10%,start line:89% size:80% ABOUT THE RESOURCES THAT ARE 55:28.825 --> 55:29.192 align:left position:10%,start line:89% size:80% AVAILABLE. 55:29.192 --> 55:31.861 align:left position:10%,start line:89% size:80% >> AND, OF COURSE, A LOT OF 55:31.861 --> 55:32.896 align:left position:10%,start line:89% size:80% PEOPLE ANTICIPATING THAT THE 55:32.896 --> 55:34.297 align:left position:10%,start line:89% size:80% YOUNG ARE NOT SIGNING UP AND MAY 55:34.297 --> 55:36.199 align:left position:10%,start line:89% size:80% JUST TAKE THE PENALTY AND 55:36.199 --> 55:38.001 align:left position:10%,start line:89% size:80% PERHAPS WAIT THE NEXT YEAR AND 55:38.001 --> 55:39.536 align:left position:10%,start line:89% size:80% SEE SORT OF HOW THINGS GO. 55:39.536 --> 55:41.871 align:left position:10%,start line:89% size:80% IT'S JUST SORT OF HARD TO SAY 55:41.871 --> 55:43.239 align:left position:10%,start line:89% size:80% WHAT THEY ARE THINKING, THE 55:43.239 --> 55:44.407 align:left position:10%,start line:89% size:80% YOUNG AND HEALTHY AS THEY ARE 55:44.407 --> 55:45.008 align:left position:10%,start line:89% size:80% CALLING THEM. 55:45.008 --> 55:46.042 align:left position:10%,start line:89% size:80% >> RIGHT AND ONE THING I WOULD 55:46.042 --> 55:47.844 align:left position:10%,start line:89% size:80% SAY TO ANYONE WHO MIGHT BE 55:47.844 --> 55:49.012 align:left position:10%,start line:89% size:80% LISTENING, IS THAT A LOT OF 55:49.012 --> 55:50.280 align:left position:10%,start line:89% size:80% PEOPLE ARE ALSO UNAWARE THAT THE 55:50.280 --> 55:51.815 align:left position:10%,start line:89% size:80% STATE OF WASHINGTON CHOSE TO 55:51.815 --> 55:54.317 align:left position:10%,start line:89% size:80% EXPAND THEIR MEDICAID PROGRAM. 55:54.317 --> 55:55.518 align:left position:10%,start line:89% size:80% STATES HAD THE OPTION AND 55:55.518 --> 55:56.720 align:left position:10%,start line:89% size:80% WASHINGTON CHOSE TO DO THAT. 55:56.720 --> 55:58.722 align:left position:10%,start line:89% size:80% AND WHAT THAT MEANS IS THAT NOW 55:58.722 --> 56:00.824 align:left position:10%,start line:89% size:80% YOU CAN ACTUALLY HAVE MUCH MORE 56:00.824 --> 56:02.726 align:left position:10%,start line:89% size:80% INCOME AND BE ELIGIBLE FOR 56:02.726 --> 56:03.693 align:left position:10%,start line:89% size:80% ABSOLUTELY FREE HEALTH 56:03.693 --> 56:04.060 align:left position:10%,start line:89% size:80% INSURANCE. 56:04.060 --> 56:05.395 align:left position:10%,start line:89% size:80% AND WE WORKED WITH A NUMBER OF 56:05.395 --> 56:07.063 align:left position:10%,start line:89% size:80% YOUNG PEOPLE, PARTICULARLY 56:07.063 --> 56:08.598 align:left position:10%,start line:89% size:80% STUDENTS, FOR EXAMPLE, AND THEY 56:08.598 --> 56:10.133 align:left position:10%,start line:89% size:80% MAY THINK, WELL -- IF THEY DON'T 56:10.133 --> 56:11.201 align:left position:10%,start line:89% size:80% KNOW ANYTHING ABOUT MEDICAID, 56:11.201 --> 56:13.803 align:left position:10%,start line:89% size:80% YOU KNOW, NOT TOO LONG AGO, YOU 56:13.803 --> 56:16.673 align:left position:10%,start line:89% size:80% COULD ONLY MAKE JUST A FEW 56:16.673 --> 56:17.807 align:left position:10%,start line:89% size:80% HUNDRED DOLLARS A MONTH AND BE 56:17.807 --> 56:18.908 align:left position:10%,start line:89% size:80% ELIGIBLE FOR MEDICAID. 56:18.908 --> 56:20.944 align:left position:10%,start line:89% size:80% THEY EXPANDED THAT TO ALMOST 56:20.944 --> 56:21.411 align:left position:10%,start line:89% size:80% $16,000 A YEAR. 56:21.411 --> 56:24.214 align:left position:10%,start line:89% size:80% SO A LOT OF MINIMUM AGE WORKERS 56:24.214 --> 56:25.415 align:left position:10%,start line:89% size:80% AND COLLEGE STUDENTS WORKING 56:25.415 --> 56:27.417 align:left position:10%,start line:89% size:80% PART TIME COULD BE ELIGIBLE FOR 56:27.417 --> 56:28.885 align:left position:10%,start line:89% size:80% THE FREE HEALTH INSURANCE AND 56:28.885 --> 56:30.120 align:left position:10%,start line:89% size:80% IT'S GOOD COVERAGE AND IT IS 56:30.120 --> 56:33.289 align:left position:10%,start line:89% size:80% HEALTH INSURANCE, AND IT 56:33.289 --> 56:34.224 align:left position:10%,start line:89% size:80% SATISFIES THE MANDATE. 56:34.224 --> 56:35.925 align:left position:10%,start line:89% size:80% A LOT OF PEOPLE DON'T KNOW THAT 56:35.925 --> 56:36.259 align:left position:10%,start line:89% size:80% EITHER. 56:36.259 --> 56:37.227 align:left position:10%,start line:89% size:80% AND IT'S REALLY SOMETHING THAT'S 56:37.227 --> 56:38.628 align:left position:10%,start line:89% size:80% BEEN REALLY GOOD IN WASHINGTON 56:38.628 --> 56:38.928 align:left position:10%,start line:89% size:80% STATE. 56:38.928 --> 56:40.630 align:left position:10%,start line:89% size:80% I WOULD SAY THAT WASHINGTON 56:40.630 --> 56:41.931 align:left position:10%,start line:89% size:80% STATE'S EXPERIENCE, FROM WHAT I 56:41.931 --> 56:44.000 align:left position:10%,start line:89% size:80% HAVE OBSERVED, AS USUAL, IS 56:44.000 --> 56:45.435 align:left position:10%,start line:89% size:80% ALWAYS, YOU KNOW, RIGHT ON AND 56:45.435 --> 56:49.239 align:left position:10%,start line:89% size:80% VERY GOOD RELATED TO, YOU KNOW, 56:49.239 --> 56:51.141 align:left position:10%,start line:89% size:80% HEALTH, BUT ALL SOCIAL SERVICES 56:51.141 --> 56:53.910 align:left position:10%,start line:89% size:80% IT SEEMS LIKE WASHINGTON IS ON 56:53.910 --> 56:54.878 align:left position:10%,start line:89% size:80% THE CUTTING SMEENGE VERY GOOD 56:54.878 --> 56:56.312 align:left position:10%,start line:89% size:80% INFORMATION AND LOTS OF HELP 56:56.312 --> 56:56.679 align:left position:10%,start line:89% size:80% AVAILABLE. 56:56.679 --> 56:59.416 align:left position:10%,start line:89% size:80% THE DEADLINE IS MARCH 31st, 56:59.416 --> 57:00.817 align:left position:10%,start line:89% size:80% OPEN ENROLLMENT WON'T BEGIN 57:00.817 --> 57:03.219 align:left position:10%,start line:89% size:80% AGAIN UNTIL NOVEMBER OF 2014. 57:03.219 --> 57:05.588 align:left position:10%,start line:89% size:80% SO THERE'S A GAP IN THERE BEFORE 57:05.588 --> 57:07.223 align:left position:10%,start line:89% size:80% YOU CAN GO THROUGH OPEN 57:07.223 --> 57:08.091 align:left position:10%,start line:89% size:80% ENROLLMENT AGAIN. 57:08.091 --> 57:08.992 align:left position:10%,start line:89% size:80% >> RIGHT, HOWEVER, PEOPLE CAN 57:08.992 --> 57:10.827 align:left position:10%,start line:89% size:80% SIGN UP FOR MEDICAID ALL YEAR 57:10.827 --> 57:11.127 align:left position:10%,start line:89% size:80% ROUND. 57:11.127 --> 57:12.228 align:left position:10%,start line:89% size:80% >> THAT'S AN EXCELLENT POINT. 57:12.228 --> 57:13.830 align:left position:10%,start line:89% size:80% >> AND ALSO PEOPLE WHO MAY 57:13.830 --> 57:17.934 align:left position:10%,start line:89% size:80% HAVE -- WHAT THEY ARE CALLING 57:17.934 --> 57:18.435 align:left position:10%,start line:89% size:80% QUALIFYING EVENTS. 57:18.435 --> 57:20.236 align:left position:10%,start line:89% size:80% FOR EXAMPLE, IF YOU ALL OF A 57:20.236 --> 57:21.805 align:left position:10%,start line:89% size:80% SUDDEN BECOME UNEMPLOYED HALFWAY 57:21.805 --> 57:22.806 align:left position:10%,start line:89% size:80% THROUGH THE YEAR, YOU CAN GO 57:22.806 --> 57:24.808 align:left position:10%,start line:89% size:80% INTO THE HEALTH PLAN FINDER WITH 57:24.808 --> 57:26.709 align:left position:10%,start line:89% size:80% THE HELP OF SOMEONE AND ACTUALLY 57:26.709 --> 57:27.310 align:left position:10%,start line:89% size:80% PURCHASE A PLAN. 57:27.310 --> 57:28.011 align:left position:10%,start line:89% size:80% >> VERY GOOD. 57:28.011 --> 57:29.112 align:left position:10%,start line:89% size:80% RAY WHITE THANK YOU SO MUCH. 57:29.112 --> 57:30.613 align:left position:10%,start line:89% size:80% IF YOU WANT TO SCHEDULE AN 57:30.613 --> 57:31.614 align:left position:10%,start line:89% size:80% APPOINTMENT WE HAVE TWO NUMBERS 57:31.614 --> 57:32.649 align:left position:10%,start line:89% size:80% THAT YOU CAN CALL, THEY ARE ON 57:32.649 --> 57:35.251 align:left position:10%,start line:89% size:80% YOUR SCREEN. 57:35.251 --> 57:38.988 align:left position:10%,start line:89% size:80% (509) 444-3066 OR 57:38.988 --> 57:43.927 align:left position:10%,start line:89% size:80% 1-(855)-487-7686. 57:43.927 --> 57:46.596 align:left position:10%,start line:89% size:80% RAY WHITE, THANK YOU SO MUCH FOR 57:46.596 --> 57:47.831 align:left position:10%,start line:89% size:80% YOUR KNOWLEDGE AND WITH THE 57:47.831 --> 57:51.534 align:left position:10%,start line:89% size:80% LOOMING DEADLINE COMING UP ON 57:51.534 --> 57:55.605 align:left position:10%,start line:89% size:80% MARCH 31st. 57:55.605 --> 57:56.306 align:left position:10%,start line:89% size:80% WE'RE BACK ON APRIL 17TH WHEN 57:56.306 --> 57:56.973 align:left position:10%,start line:89% size:80% OUR TOPIC WILL BE ALLERGIES. 57:56.973 --> 57:57.607 align:left position:10%,start line:89% size:80% UNTIL THEN, THANK YOU FOR 57:57.607 --> 57:57.974 align:left position:10%,start line:89% size:80% WATCHING. 57:57.974 --> 57:58.475 align:left position:10%,start line:89% size:80% I'M TERESA LUKENS. 57:58.475 --> 58:02.378 align:left position:10%,start line:89% size:80% GOOD NIGHT. 58:02.378 --> 58:03.680 align:left position:10%,start line:89% size:80% >> "HEALTH MATTERS" IS MADE 58:03.680 --> 58:04.514 align:left position:10%,start line:89% size:80% POSSIBLE BY OUR VIEWERS, THE 58:04.514 --> 58:06.182 align:left position:10%,start line:89% size:80% FRIENDS OF KSPS. 58:06.182 --> 58:10.220 align:left position:10%,start line:89% size:80% AND BY PROVIDENCE HEALTH CARE. 58:10.220 --> 58:10.920 align:left position:10%,start line:89% size:80% PROVIDENCE'S MOTTO IS KNOW ME. 58:10.920 --> 58:11.354 align:left position:10%,start line:89% size:80% CARE FOR ME. 58:11.354 --> 58:12.288 align:left position:10%,start line:89% size:80% EASY MY WAY. 58:12.288 --> 58:13.923 align:left position:10%,start line:89% size:80% AND PROVIDENCE DOES THAT I'VE 58:13.923 --> 58:15.058 align:left position:10%,start line:89% size:80% SEEN IT OVER AND OVER AGAIN. 58:15.058 --> 58:16.125 align:left position:10%,start line:89% size:80% I'M DR. STEPHEN MURRAY AND I 58:16.125 --> 58:16.926 align:left position:10%,start line:89% size:80% CHOSE PROVIDENCE BECAUSE I 58:16.926 --> 58:18.027 align:left position:10%,start line:89% size:80% BELIEVE IN THE MISSION 58:18.027 --> 58:19.229 align:left position:10%,start line:89% size:80% STATEMENT. 58:19.229 --> 58:20.163 align:left position:10%,start line:89% size:80% AND WORKING TOGETHER WITH OTHERS 58:20.163 --> 58:21.464 align:left position:10%,start line:89% size:80% OF LIKE MIND IS A VERY POWERFUL 58:21.464 --> 58:24.167 align:left position:10%,start line:89% size:80% WAY TO TAKE CARE OF PATIENTS. 58:24.167 --> 58:25.568 align:left position:10%,start line:89% size:80% >> MY NAME IS BETH PEREZ AND I 58:25.568 --> 58:26.769 align:left position:10%,start line:89% size:80% AM A REGISTERED NURSE, AND I 58:26.769 --> 58:27.737 align:left position:10%,start line:89% size:80% WORK AT HOLY FAMILY HOSPITAL ON 58:27.737 --> 58:29.272 align:left position:10%,start line:89% size:80% THE LABOR AND DELIVERY UNIT. 58:29.272 --> 58:31.174 align:left position:10%,start line:89% size:80% I'M ABOUT TO HAVE MY SECOND 58:31.174 --> 58:32.475 align:left position:10%,start line:89% size:80% CHILD, AND I CHOSE PROVIDENCE 58:32.475 --> 58:33.576 align:left position:10%,start line:89% size:80% BECAUSE I LOVE AND TRUST THE 58:33.576 --> 58:35.345 align:left position:10%,start line:89% size:80% PEOPLE THAT I WORK WITH, AND WHY 58:35.345 --> 58:38.181 align:left position:10%,start line:89% size:80% WOULDN'T I SEEK CARE FROM PEOPLE 58:36.346 --> 58:38.948 align:left position:10%,start line:89% size:80% I LOVE AND TRUST. 58:40.783 --> 58:42.886 align:left position:20%,start line:5% size:70% CLOSED CAPTION PRODUCTIONS www.ccproductions.com