Elevate Fall 2014 by Clementine Words

Living at the height of wellness Fall 2014 | Volume 2, Issue 4

Picking Well

Avoiding chemicals and processed foods helps avoid a crop of health problems. Read more on Page 4.

Protect Your Memory Page 3

Mammo Clarity Page 5

Pregnancy Tips Page 8

Early Knee Surgery Page 10

put your feet up

A Good Read As Coloradans, many of us don’t feel we’ve used our weekend right if we haven’t summited a 14er or run a marathon. But experts say downtime during the weekend is just as important as weekday rest. Try putting your feet up with a good book — a 2009 study by the University of Sussex found that just six minutes of reading can slash stress by 68 percent!

When you don’t get enough rest, your body feels the physical toll. From yawning and feeling drowsy in meetings to running out of steam — and turning to caffeine for a fix — by midafternoon. But lack of rest can have mental and emotional consequences as well. “Rest and taking time for ourselves is so rejuvenating — not only for the physical health benefits but for our mind, body, and spirit,” says Michelle Traver, physician assistant at Ridgeline Family Medicine at Castle Pines. Rest is also one of the key principles guiding the CREATION Health lifestyle, a scientifically proven approach that Castle Rock Adventist Hospital’s wellness programs are based on. Traver recommends taking time during each day to reflect on where your day has gone and where it needs to go. “Our lives are so busy. But if we take a moment to pull back and see what really needs to be done, I think we’d likely get to that endpoint in a better manner and give our bodies more time for the rest we need,” she says. To learn more about ways to stay well-rested, visit castlerockhospital.org/rest.

Are you taking your time? A recent survey found that only 38 percent of Americans reported using all of their vacation time.

Doctor’s order:

The myth of multitasking We’ve been taught to believe that managing multiple tasks at once will make us more efficient, but recent research shows that you’re actually making your brain work harder than necessary by switching back and forth between tasks. In fact, multitasking could be cutting your productivity by up to 40 percent. Instead, start your day by identifying one or two goals you’d like to accomplish, and focus on one task at a time.

ELEVATE is published four times annually by Castle Rock Adventist Hospital — Portercare Adventist Health System. As part of Centura Health, our mission is to nurture the health of the people in our community. The information herein is meant to complement and not replace advice provided by a licensed health care professional. For comments or to unsubscribe to this publication, please email us at elevate@centura.org. ELEVATE is produced by Clementine Words LLC. Executive editor is Christine Alexander. 2350 Meadows Boulevard | Castle Rock, CO 80109

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rest

is for Rest CREATION Health is a program to improve health and longevity based on scientific research. The name is an acronym of the eight practices that form the program, with “R” representing rest.

Aging well for seniors A shot of protection

Fall marks the beginning of cold and flu season, but a flu shot isn’t the only vaccine older adults will want to consider. Dwayne Thomason, DO, a family medicine physician at Ridgeline Family Medicine at The Meadows, recommends the following three vaccinations for seniors: Dr. Dwayne Thompson

Dwayne Thomason, DO, MS, FAOASM, FACSG, is a family medicine physician with specialties in sports medicine and geriatrics with more than 35 years of experience. He is a graduate of Kansas City University of Medicine and Biosciences in Kansas City, Mo., and completed residencies in Denver at Rocky Mountain Hospital for Children, Denver Health Medical Center, Children’s Hospital Colorado, and Presbyterian/St. Luke’s Medical Center and is boardcertified in family medicine, sports medicine, and geriatrics. He has practiced medicine in Castle Rock since 1978 and enjoys getting to know his patients personally and caring for multiple generations within a family. To make an appointment with Dr. Thomason, call 720-455-3750.

Protects against

Influenza

Pneumococcal

Shingles

Ridgeline Family Medicine has three offices located in Castle Rock and Castle Pines, and is now accepting Medicare patients. To find an office and make an appointment, go online to ridgelinefamilymedicine.org.

castlerockhospital.org

Frequency

The flu — and getting the flu Annually vaccine means you’ll be 60 percent less likely to need to see your doctor for flu symptoms. Pneumonia — including 23 types of One time pneumococcal bacteria that can cause serious illness. It is recommended for all adults 65 and over. Shingles (herpes zoster), a painful rash caused by the same virus responsible for chickenpox — but one that can lead to even more serious health complications. It is recommended for all adults 60 and over.

One time

4 ways to safeguard your memory Protecting your brainpower is important at every age. Here are four important steps you can take to preserve your memory.

Limit processed food “Avoid food in sacks and in cans. The produce section is your friend, and the meat section is good too — as long as it swims or flies,” Thomason says. He also recommends limiting alcohol intake.

Don’t overmedicate While it’s important to take the medications prescribed by your doctor, too much self-medication can be harmful. “Limit the medications you take — particularly sleep medications. Just like sleep deprivation, sleeping pills can cause memory loss,” Thomason says.

Take care of your teeth A recent study found that people who brush regularly may be at a lower risk for developing dementia.

Protect your hearing Research shows that there may be a connection between hearing loss and declining memory and cognitive skills. Having your hearing checked can help you stay sharp.

1/3

Besides helping to ward off influenza, a recent study found that getting a flu shot cuts your risk of heart attack, stroke, heart failure, and other major cardiac events by about a third over the following year.

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Eat

food

Not Chemicals

s the list of ingredients on food labels grows longer and more unrecognizable, it’s sometimes hard to know what foods are safe for your family. Michelle EasonDelhougne, MD, board-certified internist and pediatrician, offers one rule of thumb: “If you can’t pronounce it, it doesn’t belong there.” There are many additives that are fine and serve a good purpose, she says. “You have to separate those that are naturally occurring, such as vitamin C or salt, from those that are synthetically developed in a lab, like making the color greener,” she says.

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“If you can’t pronounce it, it doesn’t belong there.” Dr. Michelle Eason-Delhougne

Partially Organic

Hyperactivity Link Some studies link certain additives to attention deficit hyperactivity disorder (ADHD), autism, and other behavioral problems. In the 1970s, allergist Ben Feingold, MD, created a popular diet, still in use today, designed to treat ADHD by eliminating food additives. While many scientific studies have disproved Feingold’s theory, some parents who have tried the elimination diet have reported an improvement in their child’s behavior. Eason-Delhougne believes there is a correlation between many of the artificial substances in our food supply and hyperactivity in kids, depression, and other mood disorders in adults, inflammatory conditions of the intestines, early puberty, and possibly obesity. “That’s why I encourage my patients to eat real food — foods that you hunt, that you grow, or that you gather from the ground. It’s really going back to the idea of whole foods,” she says. “It is intuitive that the fewer chemicals the better — eat as few as you can, feed as little to your kids as possible. We still don’t know all the possible effects, both short and long term, of being exposed to pesticides, artificial food colorings, preservatives, sex hormones, and antibiotics in our food supply.”

Organic foods are great but often cost as much as 40 percent more than traditional foods. “It’s a great way to go if you can afford it,” she says. “By eating organic, you know you’re getting fewer pesticides, fewer chemicals, and you know you’re not getting genetically modified or engineered food products.” To stretch your budget, foods with a thick casing, such as bananas or cantaloupe, are typically safe from pesticides. Foods that you consume entirely, such as berries, should be organic.

Dr. Michelle EasonDelhougne is board-certified in internal medicine and pediatrics and treats ages newborn through geriatrics. She is currently accepting new patients, including Medicare patients. To make an appointment, call 303-649-3900.

additives to avoid include food dyes; artificial colors, flavors, and sweeteners; foods treated with pesticides, growth hormones, or antibiotics

Know the Difference Only foods that are made of at least 95 percent organic ingredients get to wear the USDA Organic seal, although foods with lower amounts can claim “made with organic ingredients.” Organic, which means grown without chemicals, is not the same as natural (which refers to no added artificial ingredients or color), free-range (which refers to the treatment of the animal), or hormone-free (which are already prohibited by the USDA in poultry and pork products). Be aware of the differences and choose what is most important to your family.

castlerockhospital.org

Two new practices offering primary care and OB/GYN services just opened in Lone Tree: Centura Health Physician Group Primary Care Centura Health Physician Group RidgeGate OB/GYN 9695 S. Yosemite St., Suite 255 Lone Tree, CO 80124 To make an appointment, call 303-649-3920.

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To learn more about what foods are safest bets for you and your family, Dr. Eason-Delhougne recommends visiting Environmental Working Group online at ewg.org.

inter arrior

Become a

Castle Rock Adventist Hospital 2350 Meadows Boulevard 720-455-2500 Littleton Adventist Hospital (featuring separate pediatric ER) 7700 South Broadway 303-730-5800

Tips to avoid the top three winter injuries

As the temperatures drop, visits to the ER rise, resulting in 25 percent more ER visits during the winter than the fall, according to the National Health Statistics Reports. “The colder temperatures and winter weather tend to lead to more injuries,” says Mark Elliott, MD, a board-certified emergency medicine physician with Centura Health South Denver Group, which includes Castle Rock Adventist Hospital, Littleton Adventist Hospital, Parker Adventist Hospital, and Porter Adventist Hospital. “We also see a spike in ER visits due to participation in winter sports, like skiing and snowboarding.” Below is a rundown on how to avoid the three most common winter injuries.

Cold Weather Exposure

Parker Adventist Hospital 9395 Crown Crest Boulevard 303-269-4000 Porter Adventist Hospital 2525 South Downing Street 303-778-1955 Centura Health at Southlands ER (opening early November) 6159 South Southlands Parkway 303-649-3000

Winter Sports

Falls

Falls account for up to 60 percent of ER visits during winter months. While bumps and bruises are the most common fall-related injuries, one out of three leads to serious head injuries, lacerations, or fractures, according to the Centers for Disease Control and Prevention (CDC). Prevention:

Castle Rock Adventist Hospital, a Level III Trauma Center, is part of the Centura Health Trauma System, the region’s largest and most comprehensive network of trauma care and emergency services.

 Clear snow and ice from walkways and driveways (use kitty litter, sand, or deicer on tough areas)  Wear shoes with extra grip or strap on shoe grips  Walk more cautiously

Winter sports result in half a million injuries annually, with snowboarding accounting for 25 percent of all winter sports-related ER visits, according to the CDC. Common injuries include strains and sprains, head injuries, eye injuries, fractures — and, especially in Colorado, knee injuries. Prevention:  Warm up prior to the activity and then stretch while warm  Wear a helmet when sledding, skiing, or snowboarding  Wear goggles and sunscreen when out in the snow “For skiers, I recommend staying forward in your boots, as sitting back in your boots can set you up for ACL injuries in the knees,” Elliott says.

Exposure to colder temperatures can lead to frostnip (itching and pain to skin), frostbite (tissue damage that often includes blistering, numbness, and pain to the exposed area), and hypothermia (cold exposure that leads to a drop in body temperature resulting in symptoms including shivering, confusion, memory loss, slurred speech, and drowsiness). Risk of hypothermia rises in the elderly and very young and after alcohol use. Prevention:  Layer clothing and wear water resistant clothing  Change out of wet clothing as quickly as possible  Avoid lengthy exposure to outdoor temperatures  Hydrate well  Avoid alcohol

“Anyone with a serious head injury, any obvious fractures, hypothermia symptoms, or concerns about head injury or frostbite should go to the ER immediately,” Elliott says. “Most other injuries, including bruises and strains, can be treated with rest and ice.”

 Download the FREE iTriage health app to check ER wait times, check symptoms, and get answers to health questions: itriagehealth.com/mobile.  ELEVATE

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Centura Health South Denver Emergency Facilities

The Centura Health Cancer Network offers five mammography facilities in the South Denver metro area. Castle Rock Adventist Hospital 720-455-1111 2350 Meadows Boulevard Trio Breast Center at Parker Adventist Hospital 303-269-4150 9397 Crown Crest Boulevard, Suite 100 Centura Health at Southlands (Aurora) 303-269-4150 6240 South Main Street, Suite 255 Littleton Adventist Hospital 303-738-2767 7700 South Broadway Porter Adventist Hospital 303-765-6500 2555 South Downing, Suite 140

Breast Care

Confusion Play it smart with annual mammography beginning at age 40

Although some women and even some doctors are confused about conflicting advice on when to start annual screening mammograms, the evidence is clear that starting annual mammograms at age 40 is the way to go.

Text

According to the American College of Radiology:

your Appointment

castlerockhospital.org

One in six breast cancers occurs in women aged 40-49

Dr. Jinnah Phillips

The confusion was caused when, in 2009, the U.S. Preventive Services Task Force recommended that women have mammograms every other year starting at age 50. “The USPSTF certainly caused an uproar, but the data they used to create their recommendations was flawed at best,” says Jinnah Phillips, MD, director of Women’s Imaging Services at Castle Rock Adventist Hospital. The American Cancer Society, the Society of Breast Imaging, and other organizations specializing in breast care held the line, recommending annual mammography beginning at 40. “Women in their 40s tend to have more aggressive, more rapidly growing cancers — making it that much more important to find and treat them early,” Phillips says. And if women over 50 only obtained a mammogram every other year, up to 30 percent of cancers would be missed, according to the American College of Radiation. Not to mention that those missed cancers would be given extra time to grow, Phillips says, noting that some women falsely believe that since they don’t have a family history of breast cancer, it’s OK to take a year off. “The reality is, only about 5 to 10 percent of breast cancers have any familial component,” she says. “That means between 90 and 95 percent of breast cancers are completely sporadic.” The bottom line? “Mammography beginning at age 40 saves lives. It’s important to do it annually,” Phillips says.

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Time for your annual screening mammogram, but you can’t find time to get it scheduled? We’re here to help! Text your name to 720-644-0880 and the schedulers at Castle Rock Adventist Hospital will call you to set up your appointment.

One in 69 women will be diagnosed with breast cancer between 40 and 49

Dr. Elise Chu

Elise Chu, MD, completed her medical degree at the University of Nebraska School of Medicine and her residency at the University of Kansas. Since 2006, she has been helping RidgeGate OBGYN patients with their obstetrics and gynecology needs, with a specialization in reproductive disorders. Chu has four children, loves spending time with family, giving back to her community, and teaching Sunday school at her church.

Dr. Melissa Zart

Melissa Zart, MD, completed her medical training at The Ohio State University of Medicine and Public Health. She specializes in obstetrics and gynecology with an emphasis on prenatal, childbirth, and postnatal care. Zart considers it a privilege to be so closely involved with families at such a personal time in their lives and watch her patients’ families grow over the years. She and her family live in Castle Rock.

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Perfectly

Pregnant Five simple tips to inspire a healthy and stress-free pregnancy If you’re like most women considering pregnancy or already expecting, you’re likely reading, researching, and talking with friends and family to learn about this special time in life. Advice and opinions are great, but expertise is better. Physicians from RidgeGate OBGYN in Castle Rock weigh in with their top tips to ensure a safe, healthy pregnancy.

Prepare your body

The stress from trying to become pregnant or pregnancy cravings might have you skipping workouts or eating an extra scoop of ice cream, but don’t let them derail your efforts. “Maintaining well-balanced nutrition and moderate exercise before and during your pregnancy is a healthy, smart decision,” says Kristen Sorensen-Boylan, MD. “Regular exercise decreases your chances for complications, such as gestational diabetes and high blood pressure.” And eating well and exercising regularly have an added bonus; they help you return to your prepregnancy level of fitness much faster.

Be patient

Once you decide you want to become pregnant, you’re ready for it to happen right away. But studies show only 30 percent of couples conceive in the first month, but by the 12th month, 85 percent are successful. If you’ve just begun trying, realize it may take several months to become pregnant. If you’ve tried for a few months and feel frustrated, take heart; it’s likely you just need a little more time. Finally, if you’ve experienced 12 months or more without success, see your doctor for a basic infertility workup.

Don’t believe everything you Google

We live smack dab in the middle of an information highway. With a few clicks, we’re exposed to all sorts of data; some based in sound research, and some rooted in opinion alone. “As doctors, our patients are often upset or worried about something they’ve found online,” says Amanda Meyer, MD. “I feel horrible they’ve spent time worrying when we can so easily alleviate their concerns.” Meyer urges all patients to ask for clarification when they’ve heard or read anything troubling.

Dr. Kristen Sorensen-Boylan

Dr. John Stallworth

Be open-minded

It’s normal to begin pregnancy with certain ideals in mind; your beliefs and desires combined with your doctor’s medical expertise create the perfect birth plan for you. But remember, your birth plan is just that, a plan. During labor and delivery, the unexpected can happen, so be prepared to be flexible. If you’re committed to healthy prenatal care, rest assured you’re doing everything within your control. Be open-minded and trust that a healthy outcome for you and your baby is your obstetrician’s only goal.

castlerockhospital.org

Have confidence

Pregnancy is the most natural thing in the world, yet it often evokes anxiety in the women experiencing it. “If I could share just one tip with my patients, it would be to have confidence in the fact that their bodies are designed to go through this process,” says Melissa Zart, MD. “As a patient, your job is to make healthy choices throughout your pregnancy and have confidence that the vast majority of the time, patients have uncomplicated pregnancies and births.”

Dr. Anna Lisa Jones

Kristen Sorensen-Boylan, MD, completed her medical education at the University of Tennessee at Knoxville. She attended the University of Texas Health Science Center at San Antonio for medical school. Sorensen-Boylan specializes in obstetrics and gynecology with an emphasis on prenatal care, childbirth, and well woman exams. She has specialty training in robotic gynecologic surgery and can help with all gynecologic concerns. She enjoys getting to know her patients, spending time with her husband, being involved in her church, and running outdoors.

John Stallworth, MD, completed his residency at the University of Southern California after graduating from the Tulane University School of Medicine. Stallworth specializes in gynecology, with special interest in menopause, abnormal uterine bleeding, abnormal Pap smears, gynecologic surgery, and contraception. He is a NAMS Certified Menopause Practitioner.

As the newest member of RidgeGate OBGYN, Anna Lisa Jones, MD, has practiced obstetrics and gynecology in the Knoxville, Tenn., area for the last five years. A graduate of Texas Tech School of Medicine, Jones completed her residency at the University of Tennessee in Knoxville. She specializes in obstetrics and gynecology, with special interests in infertility, prenatal care, and natural childbirth. She recently moved to the Castle Rock area with her husband and four children.

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Dr. Amanda Meyer

Amanda Meyer, MD, joined RidgeGate OBGYN earlier this year. She completed her medical degree at the University of Colorado School of Medicine and her residency at Advocate Lutheran General Hospital in Chicago. She specializes in both obstetrics and gynecology, but is especially interested in helping women improve their quality of life by finding relief from gynecologic issues, such as heavy bleeding.

Exploring the pros and cons of early knee replacement

Dr. John S. Xenos

Getting older doesn’t mean living with debilitating arthritis pain, thanks to options like total knee replacement. And as recent trends suggest, you don’t have to wait until your golden years to enjoy the benefits of knee replacement either. In 2008, 41 percent of knee replacement patients were younger than 65. That was up from 30 percent just a decade earlier.

Women lead the way Among younger people opting for knee replacement, women are having the procedure in greater numbers, says John S. Xenos, MD, an orthopedic surgeon fellowship-trained in adult joint reconstruction at Castle Rock Adventist Hospital. “Women have gotten more into high-energy contact sports such as soccer and skiing,” he says. “These are culprits that can result in ligament injuries, which directly correlates to a higher risk for arthritis.” Xenos notes that it’s an earlier instance of arthritis among this age group — often due to sports-related injuries in their teens and 20s — that’s driving younger people to surgery. Key considerations The decision to get knee replacement is much the same whether you’re in your 30s or your 70s, Xenos says. There are three primary considerations: • If you’re becoming a prisoner to your pain • If your pain is due to osteoarthritis • If you’ve tried other nonsurgical interventions and they haven’t worked “If you can check off all three, you’re likely a candidate for knee replacement, whatever your age,” Xenos says. “Younger people will have the advantage of getting a better functional gain, as people tend to be more active when they are younger. But an older person likely won’t have to have the surgery redone in their lifetime.” Satisfaction rates among all groups are high — between 85 and 95 percent, he says.

Do you have aching knees? Take a FREE online knee pain assessment quiz to help you decide your next step at castlerockhospital.org/knee-pain-quiz.

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Dr. Will Kramer

Foot and Ankle Pain Join fellowship trained foot and ankle orthopedic surgeon Dr. Will Kramer as he discusses the causes of foot and ankle pain and the latest treatments for arthritis, plantar fasciitis, and more. Date: Wed, Nov 5 Time: 5:30-6:30 p.m. Cost: FREE Register: castlerockhospital.org/register

A Proactive Stance

3 tips for a healthy weight following surgery Studies show that knee replacement may not be enough to get patients back on their feet and active after a long stretch of inactivity. Indeed, about one-third of knee replacement patients will gain at least 5 percent of their body weight after surgery, according to a study published in the journal Arthritis Care & Research. But there are ways to rebound from surgery to prevent this gain. Scott Bartel, director of physical medicine and rehabilitation at Castle Rock Adventist Hospital, offers these helpful tips: 1 Be active before surgery. If your knee pain is bad enough to warrant surgery, chances are that you have cut out a lot of your normal activity. Working with a professional rehabilitation therapist before surgery can improve your outcomes and help you maintain or lose weight. “A preoperative course of therapy that develops a home exercise program for the patient to maintain independently can improve their postoperative success.” Bartel says. 2 Keep it going. Being active doesn’t end after post-surgery rehabilitation. “Therapy is the starting point where the therapist and patient develop a tailored program that can be continued after formal treatment is finished,” Bartel says. 3 Healthy diet. “Your body is healing and needs the proper building blocks to do that effectively. For those who struggle in this area, I recommend they consult a dietitian who can help with creating a proper food balance,” Bartel says.

Battle of the bulge Two Castle Rock Adventist Hospital surgeons discuss the two most common techniques for hernia repair

Hernia repair is a common procedure to fix weakened or disrupted tissue that’s allowing other tissue to bulge through it in the lower abdominal wall. In fact, these types of repairs are performed between 800,000 and 1 million times annually — most often for inguinal hernias that occur in the groin — and there are two primary techniques for fixing them: laparoscopic (also called minimally invasive) and open (traditional) surgery. Both surgeries are effective, but each has advantages. Here, two Castle Rock Adventist Hospital surgeons explore the ins and outs of both techniques to help you understand your options.

Dr. david Lundy

Dr. john James Procedure: Open hernia repair Surgeon: John James, MD, a general surgeon at Castle Rock Adventist Hospital

Procedure: Laparoscopic hernia repair Surgeon: David Lundy, MD, a minimally invasive general surgeon at Castle Rock Adventist Hospital

What’s involved: The surgeon makes one incision in the groin, moves the hernia back into the abdomen, and bolsters the abdominal wall with stitches and mesh.

What’s involved: The surgeon makes three small incisions in the lower abdomen and uses a laparoscope (a thin tube with a camera attached) to view the hernia and repair it using mesh. Advantages: • Quicker recovery and return to normal function. “Many surgeons allow a quicker return to heavy lifting over 15 pounds after laparoscopic repair,” Lundy says. • Smaller incisions. • Better for bilateral hernias. “Both sides can be repaired through the same three small incisions,” Lundy says. • Fewer injuries to the nerves that run through the groin. • Fewer wound infections. • Better for repairing the recurrence of an open hernia.

Both men and women can experience inguinal hernias. But while approximately 25 percent of men will develop a hernia at some time in their life, only about 2 percent of women will.

Advantages: • More hands-on for the surgeon: “You can actually feel how tight each of the stitches are with your own hands, and add extra reinforcement if you need to,” James says. • A single incision hidden below the belt line. • Less soft tissue disruption in the case of a unilateral hernia. • Better for repairing recurrence of laparoscopic hernia or other significant lower abdominal scarring. • Can be performed under local anesthesia (unlike laparoscopic repair), which is good for people who cannot tolerate general anesthesia. • Safer for repairing very large bowel-containing hernias.

The middle ground: Where laparoscopic and open intersect Both Lundy and James agree the procedures are relatively equal when it comes to: • Postoperative pain: Its origin is internal and not due to external incisions. • Repair materials: Both use mesh, as it has a lower rate of recurrence.

• Length of hospital stay: Both are nearly always a same-day surgery. • Rate of recurrence: Nearly equal for both.

For many people, the decision to opt for open or laparoscopic repair is a matter of patient preference. James and Lundy each perform both procedures.

Understand Your Options

Learn more about hernia repair and other surgical procedures at Castle Rock Adventist Hospital by visiting castlerockhospital.org/surgery.

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ELEVATE

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Looking for A Primary Care Physician? Ridgeline Family Medicine in Castle Rock has three convenient locations, Plum Creek, Meadows (on the campus of Castle Rock Adventist Hospital), and Castle Pines. All locations treat newborns through seniors and are currently accepting new patients, including Medicare. For more information, go to ridgelinefamilymedicine. org or call 720-455-3750 to make an appointment.

Denver, CO Permit NO. 4773

2350 Meadows Boulevard Castle Rock, CO 80109

Castle Rock Adventist Hospital is part of Centura Health, the region’s leading health care network. Centura Health does not discriminate against any person on the basis of race, color, national origin, disability, age, sex, religion, creed, ancestry, sexual orientation, and marital status in admission, treatment, or participation in its programs, services and activities, or in employment. For further information about this policy, contact Centura Health’s Office of the General Counsel at 303-804-8166. Copyright © Centura Health, 2014.

Surgical Weight Loss Join bariatric surgeon Dr. Josh Long for a look at the pros and cons of various types of bariatric surgery and which may be right for you. Date: Wed, Oct 22 Time: 6:30-8 p.m. Cost: FREE

Meet Jinnah! Join us for afternoon tea and a Q&A about breast health in Manna Restaurant. Our boardcertified breast radiologist, Dr. Jinnah Phillips, will host an informal discussion on breast health and give the latest information about breast health and treatments. Date: Tue, Oct 28 Time: 3-4:30 p.m. Cost: FREE Location: Manna Restaurant

Know When It’s Time for Knee Replacement Meet fellowship-trained orthopedic surgeon Dr. John Xenos for a discussion on knee replacement. Get answers to questions like “Am I too young for knee replacement?” and learn the latest techniques that allow you to maintain an active lifestyle. Date: Wed, Oct 29 Time: 6:30-7:30 p.m. Cost: FREE

Menopause Meet Dr. John Stallworth, an OB/GYN and certified menopause practitioner. He will review what to expect during the menopause transition, outline management options, and raise awareness of the predatory practices that take advantage of women going through menopause. Husbands and significant others are invited too! Date: Tue, Oct 28 Time: 6-7 p.m. Cost: FREE

Foot and Ankle Pain Join fellowship-trained foot and ankle orthopedic surgeon Dr. Will Kramer as he discusses the causes of foot and ankle pain and the latest treatments for arthritis, plantar fasciitis, and more. Date: Wed, Nov 5 Time: 5:30-6:30 p.m. Cost: FREE

Is It a Cold or Allergies? Join Dr. Manujendra Ray, who is board-certified and fellowship-trained in allergy and immunology, and internal medicine, to learn how to tell if your symptoms are from a cold or from allergies. Date: Thu, Nov 6 Time: 6-7 p.m. Cost: FREE

All programs are FREE of charge but require registration. Register online at castlerockhospital.org/register.

elevate your Fall

All seminars will take place in the Castle Rock Adventist Hospital Conference Center unless otherwise noted. Parking is available in the main lot on the west side of the hospital.