Live Well | page 2

MONDAY, APRIL 18, 2016

KYRS radio DJ Jonathan Shuffield talked to his listeners during the OUTSpoken LGBT show in Spokane on March 27. He recently talked about his struggle with Type 2 diabetes and wrote his story for a diabetes publication. (Kathy Plonka / The Spokesman-Review)

Breaking the silence on Type 2 diabetes 10 

Coming out as a Type 2 diabetic was difficult for Jonathan Shuffield because he didn’t want people to judge him – his weight, his food choices, his lifestyle. So the Spokane DJ kept silent for 11 years: long, terrifying years ...

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Dr. Zorba Paster: Eat right, lose weight

If you’re like most people, you’ve heard that song over and over again. And yet when you want to lose weight, you don’t. All over the place everyone shouts, “do this, do that,” and you do it and still don’t lose pounds.

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Boomers face pitfalls in complex Medicare choices 

Signing up for Medicare, the federal government’s health care system for the elderly and disabled, involves complex choices. Medicare’s complicated options involve potential pitfalls that can hurt people later in life, when medical and financial situations change.

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MONDAY, APRIL 11, 2016

What you need to know about alcohol use disorder

In hindsight, real estate developer Brinton Motheral recognizes his many “last straws.” He was going to learn to control his alcohol abuse, he told himself, the day he crashed his car. Slapped his girlfriend. Was sent home by his own staff for being disruptive. The day he gave away a condo.

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House call: Navigating changing cervical cancer protocol

It used to be that part of a woman’s annual physical exam included a Pap test to check for abnormal cells from the cervix, the lower part of the uterus. The purpose of looking for these abnormal cells is to prevent or detect cervical cancer. Over the years, we have learned that cervical cancer is typically a very slow growing cancer and that about 99 percent of cervical cancers are caused by the human papillomavirus (HPV).

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As patient-centered medical care has taken hold in recent years, there’s been a growing interest in finding ways to use outcomes reported by individuals to help guide care. (Handout / TNS)

Patients’ assessment of their health is gaining importance in treatment

It may seem like a no-brainer to include patients’ assessments of their physical and mental conditions and quality of life into medical care, but such patient-generated data has traditionally been confined to research rather than clinical settings. Clinicians have typically focused more on physical exams, medical tests and biological measures to guide patient care.

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Why is the FODMAP diet gaining converts?

Q. I have had a problem with smelly gas. Recently, I’ve looked into FODMAP research and learned that many of the healthy foods I was eating contain sugars that could be difficult to digest. I’ve narrowed my carbohydrate food choices to include primarily low FODMAP foods. I’ve found Pepto-Bismol helpful for gas odor. I try not to use it too much. Pepto-Bismol makes stool dark black, which can look scary but isn’t serious.

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Fitness bands work if they motivate you

Dear Doc: I just wanted you to know your advice impacted my life, positively. While I normally exercise at the Y several days a week, I’m a slug the rest of the time. Thanks to your column on fitness bands, ...

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Do sleeping pills increase the risk of dementia?

Q. I saw a physician’s assistant the other day for depression, insomnia and anxiety. Several years ago, a doctor prescribed Ativan and Ambien (and later Lunesta). At the time, he also had me on an antidepressant medication that I later weaned off. I may take an Ativan once during the week and a Lunesta one weekend night, just to help me catch up on sleep.

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Healthy diet and exercise can control type 2 diabetes

DEAR DOCTOR K: I was recently diagnosed with Type 2 diabetes. My doctor said the best thing I can do right now is to lose weight. Why? DEAR READER: Type 2 diabetes usually starts after a person becomes an adult. It is by far the most common type of diabetes. It has been clear that people who are overweight are at much greater risk for developing Type 2 diabetes.

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Was suicide triggered by pain medicine?

Q. My boyfriend was prescribed gabapentin for diabetic neuropathy. While taking it, he became withdrawn. One evening, he left the house without my knowledge and went to the hospital. There they prescribed sertraline for depression and gave him an appointment for counseling the following Monday. He committed suicide Saturday morning.

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MONDAY, MARCH 28, 2016

 (PARRA / Tribune News Service illustration)

Ensuring patients’ end-of-life plans aren’t lost in critical moments

In a perfect world, patients with advance directives would be confident that their doctors and nurses – no matter where they receive care – could know in a split second their end-of-life wishes. But this ideal is still in the distance. Patients’ documents often go missing in maze-like files or are rendered unreadable by incompatible software. And this risk continues even as health systems and physician practices adopt new electronic health records. So advocates and policymakers are pushing for a fix.

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Parting Shot — 5.23.16

Eight-Year-old Aspyn Keller, right, kicks high while she and her sister Harmony Keller, 5, watch the Spokane Lilac Festival Armed Forces Torchlight Parade on Saturday. Story here. (Kathy Plonka/SR photo) ...

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