Prime - Summer / June 2016 by The Greeley Publishing Company

SUMMER - JUNE 2016

recipes & tips for excellent summer dishes off the grill

PG. 6 windsor patient first in colorado to receive a-fib stroke prevention device. PG. 10 Nurse liason at Ncmc recognized during national nurses week. PG. 15 Drowsy driving is not only dangerous but can end with tragic results.

Do you know the Do you know the

signs of signs of aa stroke? stroke? Think F.A.S.T. Know the signs. Think F.A.S.T. Know the signs. FACE

FF A A S S T T

Ask the person to smile. FACE Does oneperson side oftothe face droop? Ask the smile. Does one side of the face droop?

ARMS Ask the person to raise both arms. ARMS Does oneperson arm drift downward? Ask the to raise both arms. Does one arm drift downward?

SPEECH Ask the person to repeat a simple phrase. SPEECH Is their or strange? Ask thespeech personslurred to repeat a simple phrase. Is their speech slurred or strange?

TIME Act fast. TIME

Every second, brain cells die. Act fast. Every second, brain cells die.

Call 911 if you think you or a loved one is having a stroke. Call 911 if you thinkcare, youUCHealth or a loved one isyou having a your stroke. When it comes to stroke is the team want on side. When it comes to stroke care, UCHealth is the team you want on your side.

MEDICAL CENTER OF THE ROCKIES | POUDRE VALLEY HOSPITAL MEDICAL CENTER OF THE ROCKIES | POUDRE VALLEY HOSPITAL uchealth.org/stroke

uchealth.org/stroke

Features

PG.12

PG.6

Safe Grilling & Health Eating Enjoying Life Again

Make plans to prepare several fun and healthy meals this summer season.

PG 4

Ovaries Removed After Test

A genetic test showing cancer risk leads a patient to have her ovaries removed.

PG 5

Things to Consider About Childhood Vaccinations

Parents get their kids ready for kindergarten with immunizations.

PG. 16 Planning Ahead Can Take Pressure Off Loved Ones

PUBLISHER Bryce Jacobson EDITOR Randy Bangert CREATIVE MANAGER Kyle Knoop BUSINESS MANAGER Doug Binder MANAGING EDITOR Nate A. Miller CREATIVE SERVICES SUPERVISOR Amy Mayer

A Windsor resident is the first A-fib patient in Colorado to receive a revolutionary medical device to prevent a stroke.

PG 8

PG 10

Prices for medical airlifts can hit the stratosphere.

Since the age of 10, Cindy Durham was drawn helping people.

Thinking About Health

PG. 18 Bringing Harmony to Screeching Sounds of Health Care

CONTRIBUTING WRITERS Joe Moylan Kelly Ragan Sales MANAGERs Stephanie Mighell Bruce Dennis Sales Staff Cristin Peratt Mollie Lee Becky Colvin Constance Marx Lead designer Joshua Aho

PG 15

Nurse Liason at NCMC Recognized

PG. 19 Health Events Calendar

Drive Smart

Drowsy driving can end with tragic results .

PG. 20 Prime Medical Directory

PRIME MAGAZINE 501 8th Ave. P.O. Box 1690 Greeley, CO 80632 For all editorial, advertising, subscription and circulation inquiries, call (970) 352-0211. Send editorial-related comments and story ideas to: rbangert@greeleytribune.com For advertising inquiries, contact: bdennis@greeleytribune.com June 2016, Volume 2, Issue 3.

Published by: Greeley Publishing Co., publisher of The Greeley Tribune, Windsor Now, the Fence Post, Tri-State Livestock News, and Energy Pipeline

PRIME \\ JUNE 2016

Patient gives up ovaries after genetic test shows cancer risk By Kelly K. Serrano Photo Credit: Kati Blocker, UC Health UCHealth

artha Albrecht knew cancer ran in her family. Her mom survived breast cancer in the 1970s, as did Albrecht when she was in her 30s. Her sister, Linda, died of breast cancer in 2003.

In May 2015, Albrecht, 53, received confirmation that she carries a mutated BRCA1 gene, one of many genes that are linked with breast cancer in women and men. This gene abnormality also increases the risk of ovarian cancer — a disease that is often fatal because by the time symptoms appear, it is too late to treat. “I was always told I was at high risk for ovarian cancer and should do genetic testing,” Albrecht said. But she hesitated because she had read that proof of the gene could affect the ability of her children to get health insurance, and she did not want that to hinder them. But then came health care reform, and Albrecht finally felt comfortable enough to oblige her older daughter’s request to have the genetic testing done. Testing showed that her 25-yearold daughter, LeeAnn, does not carry the gene, but her 22-year-old daughter, Alissa, does. Her son, Alex, 28, has not been tested. Armed with the knowledge that she had a BRCA1 gene mutation, Albrecht had the opportunity to knock much of the risk of ovarian cancer out of the picture. According to the American College of Obstetrics, those with the BRCA1 or BRCA2 gene reduce their chances of getting ovarian cancer by 80 to 90 percent by having their ovaries removed. And, if they do it before menopause, they reduce their risk of getting breast cancer by 50 to 60 percent. Still, Albrecht was hesitant to step into ring. Doing so would mean yet another surgery, and she 4

PRIME \\ JUNE 2016

had already had two partial mastectomies and breast reconstruction. She didn’t want the disruption to her life. “I felt shamed by my previous doctors that I didn’t want to do it,” she said. “They would say, ‘Don’t you know this will kill you?’ I never felt like I was heard.” She finally decided to follow one doctor’s advice and “just have a conversation” with Dr. Natalie Rochester, who practices at UCHealth OB/GYN in Loveland and Greeley. Rochester, who has removed the ovaries and fallopian tubes of 12 women at risk for ovarian cancer in the past year — a procedure known as prophylactic oophorectomy — said she could tell Albrecht was very anxious about having surgery, so she counseled her about positive outcomes as well as the risks of the procedure and why it was recommended. Rochester spent time with Albrecht to discuss her concerns and fears. Together, they talked about Albrecht’s “plan B,” which would require fanatical attention to her health. “I told her, ‘You’re going to get tired of seeing me,’” Rochester said. “She needed something concrete so she had a choice either way.” It took Albrecht a few months to mull over her options, initially planning to stick with plan B, Rochester said. But Albrecht eventually scheduled the surgery for November 2015. “Maybe it was her bedside manner,” Albrecht said of Rochester. “She was so relatable and so genuine; I immediately felt at ease. She acknowledged my fears. … She put the whole decision on me.” Albrecht was an excellent candidate for single-port laparoscopy, a procedure that involves removing the ovaries and fallopian tubes through an incision in the belly button. Because of scar tissue from previous surgeries, however, Albre-

Martha Albrech, left, and her 22-year-old daughter, Alissa, spend some quality mother-daughter time at the Fort Collins Club.

cht did require a second incision, but it didn’t hinder her recovery, Rochester said. In fact, Albrecht describes the surgery as “a piece of cake.” She said she was itching to return to the gym and her bike within a week, although Rochester counseled her to wait another week to ensure she was healed. The mental recovery was quick as well, Albrecht said. “I never realized (ovarian cancer) was that much of a fear for me, but obviously it was a huge fear for me because I felt so much relief,” she said. “The fear was so much greater than the actual procedure and recovery.” Not only does Albrecht have peace of mind about her health, but so does Alissa, who now has a clear idea of what she needs to do. “I can take steps and be proactive about it because early detection is the only cure,” Alissa said. Those steps include going to a doctor for breast exams twice a year and adding breast MRI alternated with mammograms when she turns 25. And she’ll get ultrasounds and pelvic exams once or twice annually until she is ready to have her own ovaries removed. “It’s definitely scary,” she said. “But I’m glad that I know that I can take steps to catch it early when it does come around.” Albrecht said she knows that if genetic testing had been available, it could have saved her sister’s life. But she’s relieved not only to have done all she can to prevent ovarian cancer, but also to empower Alissa with the knowledge to save her

own life. “I’m so tired of cancer — anything having to do with cancer as a part of my life,” she said.

Hereditary Risk Checklist If one or more of the following situations applies to you or your immediate family, you may want to make an appointment with a genetic counselor. • Many relatives in your family have had cancer. • Two or more of your relatives have had the same type of cancer. • You and a relative have had the same type of cancer. • You and/or a relative were/ was diagnosed with cancer before age 50. • You or a relative have/has had more than one type of cancer. • You or a relative have/has had a rare cancer (for example, breast cancer in a male). For more information or to schedule an appointment, call the Hereditary Cancer Clinic at UCHealth Cancer Care and Hematology in Greeley at 970.347.5780.

Gto consider R A Cwhen E it comes P O toI Some things

childhood

vaccinations By Lindsey Gerdes Kaiser Permanente

t is the time of year when I hear from a lot of parents who are getting their kids ready for kindergarten in the fall.

That preparation includes a series of required childhood immunizations. In Colorado, kids may not be able to enter kindergarten unless they receive six different vaccines — diphtheria, tetanus, pertussis (DTaP, which includes whooping cough); polio; measles, mumps, rubella (MMR); varicella (chickenpox); hepatitis B; and annual flu — or their parents request, and are granted, a medical, religious or philosophical exemption from the state. I’ve seen a trend develop over the past few years of more parents deciding not to follow the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices recommended vaccination schedule. Instead, they are choosing to have their kids receive shots one at a time, on an alternative schedule, when they are older or not at all. A study from the Kaiser Permanente Colorado Institute for Health Research published in JAMA Pediatrics, found nearly half of kids ages 2-24 months who were born between 2004-08 received some vaccinations late according to the recommended vaccination schedule. This is one of the first studies to look at the prevalence of alternative vaccination schedules in the U.S. It opens the door for the medical community to continue researching the safety of these different schedules and how they may impact a child’s risk for vaccine-preventable diseases. The reality is I would absolutely prefer for parents to choose an alternative vaccination schedule over no vaccinations at all. But I do let parents know I think it is best to follow the recommended guidelines to develop immunity against very serious diseases as early as possible often when those diseases are the most dangerous. Children are at the greatest risk for these diseases when they are young and unprotected. There are concerned parents who tell me they are afraid that their child will experience an allergic reaction to a shot. Others express concerns over the safety of vaccines delivered to small kids. My general rule practicing medicine is to treat patients the same way I treat my family. I apply the same philosophy to vaccines. I whole-heartedly agree with the medical community: vaccines are safe, they are effective and they are the best thing for long term personal and global health. I know we all try to make the best decisions for our kids and with a lot of robust opinions available about vaccines it can be hard to sift through it all. Here’s my story: my kids were born 7 weeks early and spent 3 weeks in the NICU. They were only about 7 pounds at their 2-month visit — my mom brain thought: “they are too small, we should just wait, I don’t want them to hurt.” Then I realized they are vulnerable. They are small and that is exactly why they need to get all the vaccines as early as they can. They are a year old now and continue to get all the recommended vaccines on the CDC schedule. Sometimes parents do end up refusing vaccines for their child after these conversations. I then talk with them about the potential conse-

quences of that decision for their child down the road they may not have considered. They are often surprised to learn an unvaccinated child may one day not be able to attend a state college, enlist in the military, peace corps or attend medical school. The other reality we have the luxury of ignorance to is these diseases were all too well known by earlier generations and by those less fortunate around the world. Polio very much still exists, tetanus is an ever present threat in the environment, a recent measles outbreak — these all are good reasons to protect your selves and your children with vaccines. Ultimately, determining a vaccination plan should include an informed conversation with your child’s doctor or nurse. So as you’re prepping your new kindergartner for the first day of school, also keep in mind that being vaccinated properly can lead to good health and important opportunities for your child in the future. Dr. Lindsey Gerdes is a family medicine physician practicing at the Kaiser Permanente Greeley Medical Offices.

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Enjoying life again:

Windsor resident first A-fib patient in Colorado to receive revolutionary medical device to prevent stroke

By Joe Moylan Photo Credit: UC Health For Prime

indsor resident Mae Lewis lived a good portion of her life knowing her heart condition put her at higher risk of having a stroke. First diagnosed with non-valvular atrial fibrillation about 12 years ago, Lewis, 79, was prescribed blood thinners — the most common treatment to prevent potentially life-threatening blood clots. She also underwent more than a dozen procedures in which doctors tried to “shock” her heart back into rhythm. A pacemaker was surgically implanted in 2009, but it only lasted a few years before expiring. As for the blood thinners, they caused Lewis to suffer strange side effects. One medication made her nauseous, another made her feel weak and yet another caused constant changes to her blood pressure. Although doctors found a drug that finally worked in Eliquis, it was the most expensive option, and Lewis worried her body might someday build up a tolerance. It was clear Lewis needed a different treatment, but there weren’t any other available until last year when the Food and Drug Administration approved a new medical device called a Watchman to reduce the risk of stroke for people with A-fib. In February, Lewis was the first of six University of Colorado Health patients to have the Watchman implanted at Medical Center of the Rockies in Loveland. “I don’t worry about anything now,” Lewis said in a phone interview on vacation in Texas. “I feel like I’m being taken care of because you

PRIME \\ JUNE 2016

Dr. Justin Strote, an interventional cardiologist with UCHealth at Medical Center of the Rockies, displays the Watchman, a revolutionary medical device designed to reduce the risk of stroke for patients with A-Fib. The Watchman is a small, umbrella-like device that is implanted into the left atrial appendage — an area of the heart where blood clots commonly form.

don’t even know it’s there. I feel great.” A-fib is the most common form of arrhythmia that affects about 9 percent of Americans, or more than 2.7 million people, said Dr. Justin Strote, a UCHealth interventional cardiologist who was part of the multidisciplinary team that conducted the Watchman procedures in February at MCR. It’s a condition when the upper chambers of the heart beat too fast and with an abnormal rhythm. Although the risk of developing A-fib generally increases as people get older,

the condition can occur across all age groups, races and genders, Strote said. When the heart beats out of rhythm, there’s a potential for blood to collect in the left atrial appendage, an area of the heart that doesn’t really serve a purpose. As blood begins to pool and become stagnant, it can clot. The clot can cause a stroke if it travels through an artery to the brain. People living with A-fib are up to five times more likely to have a stroke, Strote said. For years, the only way to reduce the chance

Dr. Justin Strote, a UCHealth interventional cardiologist who was part of the multidisciplinary team that conducted the first Watchman procedure at UCHealth’s Medical Center of the Rockies in Loveland, explains how the device is used like a plug to prevent blood from collecting in the left atrial appendage.

of a stroke was to place A-fib paWatchman, which had already tients on blood thinners. Another proven itself successful in reducing common treatment for patients the chance of stroke in A-fib pawith A-fib is electrical cardiovertients in Europe. About the size of sion, a brief procedure in which an a quarter, the watchman resembles electrical shock is delivered to the a tiny, self-expanding umbrella heart through paddles or patches made of Nickel and a mesh complaced on a prised of patient’s chest, titanium alloy according — also known to the Mayo as memory Clinic’s web metal. site. The shock stops the During the heart’s electriless-invasive cal activity procedure, a momentarily. team of cardiMae Lewis, 79, of Windsor was When it begins ologists inserts UCHealth’s first patient to receive the again, the hope the Watchman Watchman on Feb. 9 at Medical Center is the heart will through a cathof the Rockies. Lewis has suffered from resume its noreter in a vein A-fib for 12 years. mal rhythm. in the upper The treatleg and guides ment usually is successful, but — as it to the heart. The device crosses Lewis experienced — it’s not a from the right side of the heart to long-term fix, and patients usually the left side of the heart before it have to undergo regular cardioveris positioned in the correct spot in sion appointments. It also doesn’t the left atrial appendage, where it directly address the increased risk essentially serves as a plug. of stroke, Strote said. The procedure is done under It wasn’t until this year Amerigeneral anesthesia and typically can doctors first got their hands lasts one to two hours. After the on a third treatment option in the procedure, patients stay in the

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hospital overnight and recovery typically takes about 24 hours. Patients remain on blood thinners for about six weeks, at which point they are reassessed, and the device is examined through ultrasound to determine if the Watchman has closed off the left atrial appendage. If successful, most patients are switched off of blood thinners to aspirin. Patients can expect to take an adult aspirin every day for the first year and then one baby aspirin every day after that, Strote said. “The field of cardiology has moved in the last five years to lot of catheter based procedures that we couldn’t have imagined previously,” Strote said. “This device has dramatically changed the types of conversations we’re having with patients.

“To be able to tell people suffering from A-fib that we can provide the same kind of protection against a stroke without the use of blood thinners is revolutionary.” On Wednesday morning, Lewis was getting ready to join a group of U.S. Navy veterans and their families for a tour of a ship. Lewis’ husband is a Navy veteran who served on the USS Kearsarge. Despite her husband passing away seven years ago, Lewis still attends USS Kearsarge reunions. “I still like to stay active and I always have a lot of fun at these reunions because I know everyone,” Lewis said. “I also have a lot of family who live close to my little country house in Windsor. “Since the procedure, all I worry about is enjoying them and enjoying life.”

Need more information? For more information about the Watchman procedure, go to uchealth.org/watchman-device or call UCHealth Heart Center at Medical Center of the Rockies at (970) 616-6384.

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ot many of us think about needing air ambulances. We don’t dwell on that possibility, but for people hurt in car accidents or who live in smaller or rural communities without medical care at hand, being airlifted to a hospital can mean the difference between life and death.

from about $17,200 in 2009 to $40,000 in 2014. The problem with air ambulances is an example of the disorderly introduction of medical technology without any planning or regulation. Patients are trapped in the middle of a tug of war between insurers that want to keep payments low and air ambulance companies that are eager for profits. To collect more revenue from privately insured patients, ambulance companies sometimes resort to aggressive collection practices asking for financial information from privately insured patients to assess which ones have assets they can go after, Bell explained. One solution is to ban balance billing for the air ambulance industry and create a fee schedule for the entire marketplace, but that seems unlikely because of a 1978 federal law that deregulated the airlines and prohibited the federal government from regulating prices and schedules in the states. North Dakota passed a law requiring those needing air ambulances to use a list of providers that are part of insurers’ networks. One company sued, and the issue is tied up in court. Other federal laws may also inadvertently prevent a national solution that would apply to all consumers no matter what kind of insurance they had. The usual shopping advice doesn’t apply here. But you can check your insurance benefits and at least know if you are covered for these services. You can look at a chart from the Kaiser Family Foundation that offers guidance about your state’s rules on balanced billing. And, you can make a lot of noise with state officials if you face one of these bills. Some companies offer membership programs for a nominal fee that will pay some portion of the bills. These cards, which are not insurance, may not cover the full cost, and you may be picked up by a service that doesn’t honor your card. And in an emergency are you going to look for your card and tell the EMS worker, “Hey, call this one?” The Rural Health News Service is funded by a grant from The Commonwealth Fund and distributed through the Nebraska Press Association Foundation, the Colorado Press Association, the South Dakota Newspaper Association and the Hoosier (Indiana) State Press Association.

Increasingly, the service also can mean the difference between getting well at a price you can afford or at a price that could push you over a financial cliff. Air ambulances have become the centerpiece of a nationwide dispute over balance billing, a practice that requires unsuspecting families, even those with good insurance, to pay a large part of the bill. In Nebraska a woman who was injured when her van rolled on a gravel road found herself with a $44,000 air ambulance bill. Her insurance paid most of the bill. A North Dakota man who got a $67,300 bill from a company that transported his wife to the Mayo Clinic had to pay more than $50,000 out of pocket. In Ohio, a man filed for bankruptcy because he owed $22,000 to an air ambulance company, which had placed a lien on his home. And so it goes in other states where patients have complained about balance billing, this particularly dark side of the medical marketplace, which affects all health care services, not just air ambulances. It works like this. You have health coverage, incur a medical bill and assume the service is covered by your insurance, Medicare or Medicaid. Then comes the surprise. The bill isn’t covered because the provider is not in your insurer’s network. You’re on the hook for the entire amount. Sometimes it’s impossible to tell if a provider belongs to a network or not. When you are wheeled into the operating room, are you going to ask the anesthesiologist if he or she belongs to the hospital’s network? How many accident victims suffering from trauma are going to direct EMS workers to check if the air service is in or out of network before they’re lifted to a hospital? You can also get stuck even if the ambulance company is in the network. An insurance payment may not come close to covering the cost. “Rates ambulance companies charge private patients are much more than they are charging to Medicare or Medicaid patients,” says Chuck Bell programs director at Consumers Union, the nonprofit publisher of Consumer By Trudy Lieberman Reports. Rural Health News Service The industry argues Medicare rates are too low and some patients have no insurance so only by charging insured patients higher fees can they stay in business, Bell told me. “The air ambulance industry has grown rapidly, and prices have shot up a lot with some companies trying to make a quick buck.” For one large company the average bill went

THINKING ABOUT HEALTH: Prices for medical airlifts can hit the stratosphere

PRIME \\ JUNE 2016

Weigh in Have you had experience with balance billing? Write to Trudy at trudy.lieberman@gmail.com.

You Can’t Beat A Team That Won’t Be Licked! Remember the 1981 movie Chariots of Fire, the story of the 1924 Olympic track team? While Mike Murphy wasn’t a member or a coach of the famous 1924 team that won 32 medals in the Summer Olympics in Paris, the team owes its legacy to him. Murphy (1860-1913) was a sprinter, one of the first football coaches, and a premier track coach and trainer of the late 19th and early 20th centuries. M i chael Charles “Mike” Murphy’s childhood in either Worchester or Middlesex County, Massachusetts, was one of “humble birth and scant education”. The Philadelphia Inquirer (1913) indicates that Murphy’s father had a reputation as an athlete, and his early ambition was to become a great athlete. Murphy is reported to have traveled the country until about the age of 20, participating with some success in “six-day pedestrian races”, a form of endurance walking. He moved on to boxing and later attempted baseball in the minor leagues. At 24, using his knowledge of how to work with athletes, Murphy became a trainer for the famous boxer “The Boston Strong Boy,” John L. Sullivan with whom he refined his specifics of coaching and athletic training. His time with Sullivan put him in demand as a trainer and in 1887 he was recruited by Yale University where he stayed until 1896. While at Yale, he also served at the first Head Football coach for the University of Michigan in 1891. He later began the football program at Villanova in 1894 when he became an avid supporter of college football during the anti-football movement in the new century. His first love, however, was track and field. The tough northern winters in Connecticut were harsh on the frail Murphy so he went to the University of Pennsylvania for about five years, and then returned to Yale in 1901. Murphy’s success led to his appointment as trainer for the United States Olympic teams of 1900, 1908 and 1912. In 1900 he took 13 Penn athletes, along with a contingent from the New York Athletic Club, to compete in track and field at the Paris Olympics. The Penn Olympians won an amazing number of medals that year: 11 gold, 8 silver and 4 bronze. According to Penn Biographies (2013), at the 1904 St. Louis Olympics, Murphy was at Yale and not an Olympic coach, but two of his Penn track athletes won two silver and one bronze medal. Subsequent to his return to Penn and Olympic coaching, four of his Penn track stars won two gold, one silver and two bronze medals at the 1908 London Olympics. In the 1912 Stockholm Olympics, when Murphy coached the United States team, seven Penn

men won two gold, one silver and one bronze medals on the track and field. Murphy has been called the “Father of American Track Athletics”, producing 10 National AAU team titles. Murphy was credited with helping to develop the crouch start for sprinters and was regarded as one of the foremost coaching innovators of his era. He was also the originator of the now generally accepted belief that an athlete is a human. Under his system the old idea of athletes being steamed and worked like mules was not tolerated and he did not believe in training with weighted shoes or running uphill in rubber boots. He supported light shoes for racing and heavier ones for working out. Coach Mike’s Deafness For most of his life he was hearing impaired. While it is thought to have been mild to moderate at first, the loss became more severe as his career progressed. There are a myriad of hearing disorders (both conductive and sensori-neural) that could have caused his hearing loss, but to this clinician it sounds a bit like otosclerosis, where hearing is normal initially, initiates as mild to moderate, and progresses in severity over time. The hearing disorder did not prevent him from his work with athletes but the work became more challenging as he aged and the hearing loss progressed. According to Spoke (2013), Mike’s philosophy was to encourage the belief by his students that he was very deaf and thus break down the caution of the lads who prided themselves on their ability to outwit the veteran. The Philadelphia Enquirer (1911) recites an example from when Murphy was attending a fight in Reno, Nevada where a woman spent quite a while telling him of her marital woes. Murphy’s response was, “Madame, you have come to the right person. Your secrets are safe. I have not heard a word you said.” Murphy felt that his deafness made him more sympathetic to others and con-

tributed to his success as a handler of men. Mike Murphy was a legend in his own time, wellloved by all his athletes. Slight of build and deaf, he was a man of charm and a commanding personality, with the remarkable ability to discern athletic talent and then to train and inspire young men to achieve beyond expectations. He authored numerous articles and two books explaining his techniques, Training and College Athletics. After his death, a Philadelphia sports writer said of Murphy, “He could arouse a team to superhuman efforts as no trainer ever did or perhaps ever will do. Though deaf, he had an oratory peculiarly his own. It was sympathetic, winning, insistent, pleading, the acme of exhortation. The writer once saw him move a red and blue football team to tears between the halves of a great intercollegiate battle when they retired to their dressing room with the score against them and there appeared no reasonable probability of vanquishing their foes. The wonderfully magnetic and persuasive powers of the dead trainer were exerted to their utmost. Murphy’s appeal to the Penn players was a masterpiece of its kind. It fired the hearts of that disheartened, discouraged and well-nigh defeated team; it transformed every man into a fighting Titan, a giant who did not know his own strength and ability; it moved every man to tears; it converted an apparent defeat to one of the most glorious triumphs ever witnessed in the records of old Penn’s athletic history.” Not bad for a hearing impaired boy of “humble birth and scant education” whose motto was “You can’t lick a team that won’t be licked!” References: Penn Biographies (2015). Michael C. Murphy. Retrieved December 8, 2015. Spokeo (2015). Mike Murphy. Retrieved December 8, 2015. Wikipedia (2015). Mike Murphy (Trainer and Coach). Retrieved December 8, 2015. Philadelphia Inquirer (1911). Clubs and Clubmen. In Wikipedia, Retrieved December 8, 2015.

Author’s Bio:

Robert M. Traynor, Ed.D., MBA, FAAA Robert M. Traynor is the CEO and practicing audiologist at Audiology Associates, Inc., Greeley, Colorado with particular emphasis in amplification and operative monitoring. Dr. Traynor holds degrees from the University of Northern Colorado (BA, 1972, MA 1973, Ed.D., 1975), the University of Phoenix (MBA, 2006) as well as Post-Doctoral Study at Northwestern University (1984). He taught Audiology at the University of Northern Colorado (1973-1982), University of Arkansas for Medical Sciences (1976-77) and Colorado State University (1982-1993). Dr. Traynor is a retired Lt. Colonel from the US Army Reserve, Medical Service Corps and currently serves as an Adjunct Professor of Audiology at the University of Florida, the University of Colorado, and the University of Northern Colorado. For 17 years he was an Audiology Consultant to major hearing instrument and equipment manufacturers providing academic and product orientation for their domestic and international distributors. A clinician and practice manager for over 35 years, Dr. Traynor has lectured on most aspects of Audiology in over forty countries. PRIME \\ JUNE 2016

Cindy Durham, nurse at North Colorado Medical Center, holds a pen she crafted into a bouquet. Patients and families recognize her easily by her trademark pens.

Nurse liaison at North Colorado Medical Center recognized during National Nurse Week By Kelly Ragan Photo Credit: Kelly Ragan For Prime

indy Durham knew she wanted to be a nurse when she was 10 years old. Now, 23 years into her nursing career, Durham doesn’t regret a thing. At North Colorado Medical Center, she is most recognizable as the kind lady with the massive flower-bouquet pen.

“I think sometimes you’re just destined to go down a path,” Durham said. She was always drawn to the idea of helping people. Now, Durham’s 10

PRIME \\ JUNE 2016

worked for NCMC for about 13 years — for the past eight and a half, she’s taken on the role of nurse liaison. For National Nurses Week, which ran from May 6-May 12, NCMC recognized Durham because of the compliments and testimonials from patients and their families on the creative ways Durham connected with them, said Alicia Beard, spokeswoman for NCMC. Around the hospital, Durham is known for the homemade pens she started crafting almost seven years ago — which often turn into elaborate bouquets.

Patients and families recognized Cindy Durham, nurse at North Colorado Medical Center, for National Nurses Week. Durham is a nurse liaison and is often the first point of contact for family's with patients undergoing surgery. Every season, she creates a unique flower pen bouquet, which she uses as a conversation starter and ice breaker.

“I saw some at restaurants with one flower attached, and I thought ‘hey, that’s something I could do,’ ” Durham said. “I wanted something different and unique.” Each pen takes about three hours to make. Families of patients often ask where they can buy one. Durham tells those families they can’t. Instead, she simply gives them away to the people who want them. As the years went on, Durham made the pens bigger and bigger. She makes different pens for every season and holiday to keep things cheery around the Northern Colorado Rehabilitation Hospital (NCRH) is designed solely for the provision of SPECIALIZED rehabilitative c Northern Colorado Rehabilitation Hospital (NCRH) CELEBRATING hospital. and is the only FREESTANDING acute rehabilitation hospital serving northern Colorado. YOU HAVE A CHOICE and NOT A is designed solely for the provision of SPECIALIZED rehabilitation providers are the same. Our physician-led clinical care team provides COMPREHENSIVE physical medi Durham helps connect patients who are undergoing surgery and their and rehabilitation services help patients home at their highest level of independence. Our exclus rehabilitative care designed and isto the only return FREESTANDING families in the waiting room; they often recognize her by her bouquet. She rehabilitation hospital features include: • Physiatrist-Led Multi-Disciplinary Team Square Foot Therapy Gym is the first point of contact for families, delivering good news or bad. acute rehabilitation hospital serving northern Colorado. PA S S• 16,000 0 N AT E • Aquatic Therapy Pool • Certified Rehabilitation Nurses “It’s not a struggle for me to keep going,” Durham said. YEARS YOU HAVE A CHOICE and NOT ALL rehabilitation Durham didn’t start nursing right away. Right outNorthern of high school, she • 40 PRIVATE Rooms • 24-Hour Nursing Care Colorado Rehabilitation Hospital (NCRH) is designed solely for the provision of SPECIALIZED rehabilitative care 2005-2015 became a hairstylist. When she turned 30, she wentand back to school. She providers thenorthern same.Colorado. Our physician-led clinical • Earned The Joint Commission’s Go • HAVE On-Site Pharmacyand is the only FREESTANDING acute rehabilitation hospitalare serving YOU A CHOICE NOT ALLcare Seal of Approval® for its Stroke Progr knew if she didn’t go then, her dream might never come to fruition. rehabilitation providers are the same. Our physician-led clinical care team provides COMPREHENSIVE physical medicine team provides COMPREHENSIVE physical medicine and and rehabilitation Some of the principles of hairstyling apply to nursing, Durhamservices said. designed It’s to help patients return home at their highest level of independence. Our exclusive L AT C E L E BC RE NR C EAT LE EIB B RG AT II N NG G rehabilitation hospital features include: •rehabilitation servies to help patients • 6,000 Square Foot Therapy Gym return Physiatrist-Led Multi-Disciplinary Teamdesigned about helping people feel good about themselves. Durham frequently Aquatic Therapy Pool • Certified Rehabilitation Nurses takes the extra step to make people feel comfortable. home at their highest level of •independence. Our Northern Colorado Rehabilitation Hospital (NCRH) is designed solely for the provisio • 40 PRIVATE Rooms • 24-Hour Nursing Care For her, one of the hardest parts of the job can be leaving once her shift exclusive rehabilitaion hospital features include: • Earned The Joint Commission’s Gold • On-Site and Pharmacy is the only FREESTANDING acute rehabilitation hospital serving northern Colorad is finished. No one takes her place, and sometimes families are left alone. Seal of Approval® for its Stroke Program rehabilitation providers are the same.POur physician-led clinical care teamEprovides S 1 AT 0 Gym N SP SA1 0 N EAT PA SS S • Physiatrist-Led Multi-Disciplinary Team •A 6,000 Square Foot Therapy NCMC provides comment cards for families to leave notes for employees and rehabilitation services designed to help Y patients return home at their highest le Y E A R S E A R S who they feel went above and beyond in their efforts to serve. A thick stack • Certified Rehabilitation Nurses • Aquatic TherapyY Pool rehabilitation hospital features include: • Physiatrist-Led Multi-Disciplinary Team Northern Colorado Rehabilitation Hospital (NCRH) isis designed solely for the ofofSPECIALIZED rehabilitative care rthern Colorado Rehabilitation (NCRH) is designed solely for the provision of SPECIALIZED rehabilitative care Northern Colorado Rehabilitation Hospital (NCRH) designed solely for theprovision provision SPECIALIZED rehabilitative care 0 5 2 0 1 5 of those blue cards isHospital addressed to Durham, thanking her for her care. 20052 -220 0 1 5 00 -2015 24-Hour Nursing Care • 40•PRIVATE Rooms and is the only FREESTANDING acute hospital serving northern YOU HAVE Certified Rehabilitation Nurses d is the only rehabilitation hospitalDurham serving northern Colorado. YOU •HAVE A CHOICE and NOTand ALLNOT and only FREESTANDING acute rehabilitation hospital serving northern Colorado. YOU HAVEAACHOICE CHOICE and NOTALL ALL isFREESTANDING “Ithe don’t do thisacute job because ofrehabilitation the kudos,” said. “I do this jobColorado. rehabilitation the same. Our physician-led care team medicine abilitation providers are the are same. Our physician-led clinical clinical care team provides COMPREHENSIVE physicalphysical medicine • COMPREHENSIVE On-Site Pharmacy The Joint Commission’s Gold • 24-Hour Nursing Care rehabilitation providers are the same. Our physician-led clinical care teamprovides provides COMPREHENSIVE physical medicine • Earned because itproviders comes from the heart.”

and rehabilitation designed toto help patients return Our d rehabilitation servicesservices designed to help patients return home athome their highest level of level independence. Our exclusive and rehabilitation services designed help patients return homeat attheir theirhighest highest levelofofindependence. independence. Ourexclusive exclusive rehabilitation features include: •• 6,000 Square Foot Therapy • •Physiatrist-Led Multi-Disciplinary Team abilitation hospitalhospital features include: Foot Therapy Gym • Physiatrist-Led Multi-Disciplinary Team rehabilitation hospital features include: 6,000 Square Foot TherapyGym Gym Physiatrist-Led Multi-Disciplinary Team • 6,000 Square • • Certified Rehabilitation Nurses • Certified Rehabilitation Nurses Certified Rehabilitation Nurses

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® • of On-Site Pharmacy Seal Approval for its Stroke Program

For more information about National Nurses Week, go to www. nursingworld.org. PRIME \\ JUNE 2016

safe grilling & healthy eating

Vegetables pop off the pan as David Malthaner, executive chef, flips around the pan in his hand Thursday morning at the Greeley Chophouse.

Make plans to prepare several fun & healthy meals this summer. Grilled tuna with salsa

By Kelly Ragan Photo Credfit: Joshua Polson For Prime

s the last remnants of spring snow melt and give way to sunny days and warm nights, many folks fire up their grills. While those hot days are perfect for popsicles and ice cream sandwiches, they can also be a prime opportunity to step up healthy eating habits. Things to watch for Grilling at high temperatures can result in charred meat. According to the American Institute for Cancer Research, cooking meat at high enough temperatures to char the meat can create cancer-causing substances called polycyclic aromatic hydrocarbons and heterocyclic amines. They are carcinogens that can cause changes in DNA that may lead to cancer, the American Institute for Cancer Research said on its website. “Grilling can definitely be heart healthy,” said Jenifer Bowman, a registered dietician with the Heart Center at UCHealth in Fort Collins. “The fats drip away from the meat. It’s that fat, though, that catches on fire and creates that char.” Tips for healthier grilling from the 12

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American Institute for Cancer Research - Marinate your meat: Studies suggest marinating meat before grilling can decrease the formation of HCAs. • Pre-cook: If grilling larger cuts, reduce the time your meat is exposed to the flam by partially cooking it in the oven, stove or microwave first. • Lean cuts: By trimming the fat off your meat, you can reduce flare-ups and charring. Cook meat in the center of the grill and flip it frequently. • Mix it up: Cut meat into smaller portions and mix it with vegetables to shorten cooking time. Tips from a registered dietician • “Grilling fish is really nice in the summer,” Bowman said. “A lot of people don’t like the smell of fish in the house so it’s perfect.” • People often don’t get enough Omega 3s in their diet, Bowman said. Eating fish for two meals per week can help. • “Veggies are easy to grill and fun to grill,” Bowman said. “They can help create a balanced meal.” • According to USDA’s MyPlate nutrition guide, a balanced diet comes from consuming 30 percent grains, 40 percent vegetables, 10 percent

Ingredients - 6 (4oz) yellowfin tuna steaks, about ¾-inch thick - 1 Tbsp. brown sugar - 3 Tbsp. lime juice, divided cooking spray - 1 cup chopped tomato - 3 Tbsp. chopped fresh cilantro - 1 diced peeled avocado - 1 jalapeno pepper, seeded and chopped Directions Preheat gas grill or prepare charcoal grill. Combine the brown sugar and 1½ tablespoons lime juice; spread evenly over fish. Spray fish and grill with nostick cooking spray. Place fish on grill and cook 5 minutes on each side or until desired degree of doneness. While fish cooks, combine remaining 1½ tablespoons lime juice, tomato, cilantro, avocado and jalapeno, tossing gently. Serve fish with salsa. Makes 6 servings (1 tuna steak and ¼ cup salsa).

Barbecue Roasted Salmon Ingredients - ¼ cup pineapple juice - 2 Tbsp. fresh lemon juice - 6 (4oz) salmon fillets - 2 Tbsp. brown sugar - 4 tsp. chili powder - 2 tsp. grated lemon rind - ¾ tsp. ground cumin - ¼ tsp. ground cinnamon - Cooking spray - Lemon slices (optional) Directions Combine first 3 ingredients (pineapple juice, lemon juice and salmon) in a ziplock plastic bag; seal and marinate in refrigerator 1 hour, turning occasionally. Do not marinade more than 1 hour. Combine brown sugar and next 4 ingredients (chili powder through cinnamon) in a small bowl. Preheat oven to 400°. Remove fish from bag; discard marinade. Rub brown sugar mixture over fish, place in an 11x7-inch baking dish coated with no-stick cooking spray. Bake at 400 degrees for 10 minutes or until fish flakes easily when tested with a fork. Serve with lemon slices if desired. Makes 6 servings. “Fatty fish such as salmon are very high in omega-3 fatty acids,” Bowman said in an email. “This fatty acid relaxes blood vessels to maintain a normal blood pressure, promotes healthy blood clotting, reduces the risk for sudden death, slows plaque formation in arteries and reduces blood triglycerides.”

fruits and 20 percent protein, along with a small addition of dairy. “That’s what we use now,” Bowman said. “However, plates usually don’t look like they should. Vegetables are often lacking.” • To help her patients get more of the right nutrition, Bowman suggests they think about what they already enjoy and add to it. “People visualize this huge steaming pile of blucky vegetables they don’t like for it to count,” Bowman said. “They should add vegetables to what they are already eating.” Grilling safety General • Use propane and charcoal grills outdoors only • Place grill away from the home, deck railings and out from under eaves and overhanging branches. • Keep children and pets away from grill

Slices of meat are slowly grilled on Thursday at the Greeley Chophouse.

• Keep grill clean by removing grease or fat buildup • Never leave grill unattended Propane • Check the major connection points between

Grilled Vegetables Ingredients - 2 Tbsp. extra-virgin olive oil - 1 clove garlic, minced - 1 Tbsp. balsamic vinegar - zucchini - eggplant - mushrooms - bell peppers Directions Combine olive oil, garlic and balsamic vinegar in a small bowl. Set stand for 10 minutes to infuse flavors. Trim ends off zucchini and slice lengthwise into ½ inch thick planks for easy grilling. Cut eggplant in a similar manner. Cut large mushrooms into ½ inch “steaks”. Place small mushrooms on skewers for best results. Cut bell peppers in half lengthwise, remove seeds and stem then cut each half in thirds lengthwise. Using a pastry brush, baste vegetables with olive oil mixture. Grill over medium hot heat 8-10 minutes, turning once. Makes 4 servings.

Indian Chicken Provided by the Colorado Health Medical Group Ingredients - 1 cup low-fat plain yogurt - 2 tsp. ground cumin - 2 tsp. fresh ground black pepper - 1 tsp. curry powder - 2 Tbsp. grated fresh ginger - 1 Tbsp. minced garlic - 4 boneless, skinless chicken breast halves Directions Combine yogurt, cumin, pepper, curry powder, ginger and garlic in a medium bowl. Add chicken and marinate at least 30 minutes or up to 24 hours. Heat broiler to 500 degrees or set grill to medium heat. Remove most of the marinade from the chicken and broil 6 inches from heat for six minutes on each side. If using the grill, cook over indirect heat (on the side where the heat isn’t), cover the grill and cook for 15 minutes. You won’t need to turn the chicken. Makes 4 servings.

the gas (propane) tank hose and the regulator and cylinder, and where the hose connects to the burners. Tighten if loose. • Check the gas (propane) tank hose for the PRIME \\ JUNE 2016

potential (gas) leaks. • As you are cooking, if you smell gas, turn off the gas tank and burners.

Flames rise up as some oil burns in a pan while David Malthaner, executive chef, prepares some vegetables Thursday morning at the Greeley Chophouse.

Charcoal • If using starter fluid, use only charcoal starter fluid. Never add charcoal fluid or any other flammable liquids to the fire. • Keep charcoal fluid out of the reach of children and away from heat sources. • When finished grilling, let the coals completely cool before disposing in a metal container. Source: Provided by National Fire Protection Association

Citrus-marinated beef & fruit kabobs Ingredients - 1 pound beef top sirloin steak, boneless, cut 1 inch thick - 1 medium orange - ¼ c. chopped fresh cilantro leaves - 1 Tbsp. smoked paprika - ¼ t. ground red pepper (optional) - 4 c. cubed mango, watermelon, peaches and/or plums - Salt Directions Grate peel and squeeze 2 tablespoons juice from orange; reserve juice. Combine orange peel, cilantro, paprika, and ground red pepper, if desired, in small bowl. Cut beef Steak into 1-1/4-inch pieces. Place beef and 2-1/2 tablespoons cilantro mixture in foodsafe plastic bag; turn to coat. Place remaining cilantro mixture and fruit in separate food-safe plastic bags; turn to coat. Close bags securely. Marinate beef and fruit in refrigerator 15 minutes to 2 hours. Soak eight 9-inch bamboo skewers in water 10 minutes; drain. Thread beef evenly onto four skewers leaving small space between pieces. Thread fruit onto remaining four separate skewers. Place kabobs on grid over medium, ash-covered coals. Grill beef kabobs, covered, 11 to 15 minutes (over medium heat on preheated gas grill, 13 to 16 minutes) for medium rare (145°F) to medium (160°F) doneness, turning occasionally. Grill fruit kabobs 5 to 7 minutes or until softened and beginning to brown, turning once. Season beef with salt, as desired. Drizzle reserved orange juice over fruit kabobs.

PRIME \\ JUNE 2016

g n i v i r D y s w Dro D r i v e s m a r t:

Can End With Tragic Results

Stay alert Tips to avoid drowsy-driving:

By Lyn Tausan DRIVE SMART Weld County

rowsy driving is a major problem in the United States. It is a dangerous combination of driving with sleepiness or fatigue, and it oftentimes ends with tragic results.

This often happens when a driver has not slept enough, but it can also happen because of untreated sleep disorders, medications, drinking alcohol or shift work. Drowsy driving is a form of impaired driving that negatively affects a person’s ability to drive safely. Most people associate impaired driving with alcohol or drugs, but in this situation, sleepiness is the primary cause. Drowsy driving is not just falling asleep at the wheel. Driver alertness, attention, reaction time, judgment and decision-making all are compromised, leading to a greater chance of crashing. According to the National Highway Traffic Safety Administration’s National Motor Vehicle Crash Causation Study, drowsy drivers involved in a crash are twice as likely to make performance errors as compared with drivers who are not fatigued. In extreme cases, a drowsy driver may fall asleep at the wheel. Crashes caused by drowsy driving often exhibit a set of common factors. Although sleepiness can affect all types of crashes during the entire day and night, drowsy driving crashes most frequently occur between midnight and 6 a.m., or in the late afternoon. These are both times when there are dips in your circadian rhythm — the internal human body clock that regulates sleep. Many drowsy driving crashes

also involve only a single vehicle, with no passengers besides the driver, running off the road at a high rate of speed with no evidence of braking. Crashes from drowsy driving frequently occur on rural roads and highways. Those at risk for sleep-related crashes are most common in young people, especially men, adults with children, shift workers, commercial drivers and those with undiagnosed sleep disorders. Sleep deprivation and fatigue make lapses of attention more likely to occur, and may play a role in behavior that can lead to crashes. The warning signs of drowsy driving are yawning or blinking frequently, difficulty remembering the past few miles driven, missing your exit, drifting from your lane and hitting the rumble strip on the side of the road. Drowsy driving crashes can result in high personal and economic costs. Several incidents involving other vehicles results in jail for the individual. There can also be multi-million dollar settlements awarded to families of crash victims as a result of lawsuits filed against individuals, as well as businesses whose employees were involved in drowsy driving crashes. Drive alert and stay unhurt. Learn the risks of drowsy driving and how to protect yourself and your family. Lyn Tausan is a retired school administrator and resides in Greeley with her husband. She is the marketing/ public relations specialist for DRIVE SMART Weld County.

» Get enough sleep on a daily basis. Make it a priority to get 7-8 hours of sleep per night. » For more information on healthy sleep, see the National Heart, Lung, and Blood Institute website: www.nhibi.nih.gov/files/ docs/public/sleep/healthy_sleep_atglance. pdf » Before the start of a long family car trip, get a good night’s sleep, or you could put your entire family and others at risk. » Many teens do not get enough sleep at the same time that their biological need for sleep increases, thereby increasing the risk of drowsy driving crashes, especially on longer trips. » Avoid drinking any alcohol before driving. Consumption of alcohol interacts with sleepiness to increase drowsiness and impairment. » If you take medications that could cause drowsiness as a side effect, use public transportation when possible. If you drive, avoid driving during the peak sleepiness periods (midnight to 6 a.m. and late afternoon) » If you must drive during the peak sleepiness periods, stay vigilant for signs of drowsiness, such as crossing over roadway lines or hitting a rumble strip, especially if you are driving alone. » If you start to get sleepy while driving, drink 1-2 cups of coffee and pull over for a short 20 minute nap in a safe place, such as lighted designated rest stops. This has been known to increase alertness, but for a short time period. PRIME \\ JUNE 2016

Planning ahead can take pressure off loved ones By Joe Moylan For Prime

n September, 17-year-old Taylr Martin will begin his last year at University High School. He’s already planning out his senior project.

In addition to serving as a graduation requirement, University High School seniors are asked to choose a project that will in some way benefit the greater Greeley community. Although not yet approved, Martin, an aspiring pediatrician, already is looking ahead to next year’s project, which he plans to focus on advanced care planning. “It’s something I think all high school students should do before they leave for college, so their families know exactly what they want done if something happens to them,” Martin said. Advanced care planning is making those decisions that will guide a person’s care at the end of their life, including whether they want any medical efforts to keep them alive if they code, and it’s a topic that’ll soon garner a lot of community attention in Greeley and the rest of northern Colorado. Last week, Systems of Care Initiative Inc., a local nonprofit founded in 2010 by Dr. Jan Gillespie, announced it was awarded a $39,000 grant from the Colorado Health Foundation to assist residents with their own advanced care planning. Advanced care planning is most often completed so loved ones know what types of medical interventions a person wants done in the event they become brain dead, fall into a vegetative state or become terminally ill, Gillespie said. A key component of advanced care planning is designating a medical power of attorney to ensure those final wishes are respected. A medical durable power of attorney is especially important in Colorado because state law doesn’t recognize a default medical decision maker for people over the age of 18. Although parents take on that responsibility for their children, they no longer have the power to make medical decisions for their kids after they turn 18, Gillespie said. Most people assume that responsibility defaults to a spouse later in life, but that also is not the case in Colorado. Therefore, should an adult become incapacitated in an accident and unable to speak to advocate their final wishes for themselves, Colorado law requires that all interested parties — including spouses, family members and relatives — be brought together to determine what medical interventions they want done. If everyone is in agreement then there aren’t any issues. More often than not, family members fight over what they think is best for the patient, said Christine Cunningham, Systems of Care’s program director for advance care planning. When family members can’t come to an agreement, state law requires that they go to court to have a judge designate a proxy to make a person’s final medical decisions for them. It’s a time-consuming process that requires doctors to keep a person alive even if they don’t want any medical intervention. “Doctors are often more likely than the general public to cease medical intervention for terminally ill patients,” Gillespie said. “Designating a 16

PRIME \\ JUNE 2016

medical power of attorney is important because doing everything possible to keep a person alive can sometimes be very cruel and not in the patient’s best interest.” The grant Systems of Care received provides funding to train coaches about how to meet with residents and educate them about advance care planning, as well as assist with state-recognized paperwork. Coaches will be educated in all the various types of medical interventions, as well as receive specialized training to understand how different religions deal with end-of-life decisions. The grant also provides for the development of educational materials for physicians to teach them about how to talk about advanced care planning with their patients. If soliciting the help of a physician, some of the costs associated with advance care planning can be covered by Medicare, Gillespie said. It’s important to note designating a medical durable power of attorney is not the same as designating a financial power of attorney, Gillespie said. In today’s age, Gillespie said it’s also important for people to understand that agreements do not supersede the outcome of a divorce. “I think this is one place the legislature maintained a little bit of humor because most people designate their spouse as their medical durable power of attorney, but that becomes void if a couple gets divorced,” Gillespie said. “So people don’t need to worry about a disgruntled ex-spouse showing up to ‘pull the plug.’ ” But at the end of the day, the most important aspect is advanced care planning isn’t just for the old and frail, Gillespie said, which is why she is excited to see Martin taking an interest in the topic for his senior project. If approved next fall, Martin plans to compile a presentation about advanced care planning he hopes he will get the chance to present during student assemblies at other schools in Greeley and Weld County. “So many people, especially my age, do something as simple as driving a car without thinking that something bad can happen to them,” Martin said. “I want to save my family from the struggle of trying to guess what I would want done for me if I’m seriously hurt in an accident.”

Need more information about advanced care planning? For more information about advanced care planning or for information about how to become a volunteer, call Systems of Care Initiative Inc. at (970) 449-6840.

Don’t miss out on life because of a bad back.

“Dr. Dhupar was able to guide me through nonoperative treatment & avoid surgery. I would highly recommend a visit if you have back problems.“ • Dr. Dhupar prides himself on the use of non-operative treatment in the vast majority of patients who seek consultation • Board Certified • Advanced fellowship training in spinal and reconstructive surgery at Harvard • Many treatment services on site

970-353-5959 6200 West 9th Street, Greeley, CO 80634 www.northcoloradospine.com

Bringing harmony to the screeching sounds of health care By Kindra Mulch Centennial Area Health Education Center

’m writing to share the news about an exciting new health profession that is under development in Colorado. The Regional Health Connector, also known as RHC, is part of a team working on a grant from the Agency for Healthcare Research & Quality.

The funded entity is Colorado & New Mexico departments of family medicine for the purpose of “primary care practices that want to improve, change, redesign-transform-into examples of excellence in advanced patient-centered care.” The Evidence Now South West project works closely with other projects working in health care transformation. Health care transformation is driving patient-centered health care, which research has proven results in better outcomes. More information is available through The Practice Innovation Program Colorado for more information go to: www.practiceinnovationco. org. Regional Health Connectors are working

within the Colorado Health Extension System. The Colorado Health Extension System is a collaborative, multi-stakeholder organization that seeks to improve health and health care across Colorado through: supporting redesign and innovation in primary care practices, improving their readiness for new payment models through practice transformation support and infrastructure development; promoting local collaboration among health care providers, community groups, patient advisory groups, local public health officers, and public health agencies; and facilitating local or regional efforts to improve health care to meet the aims of improving quality, improving experience of health care for patients and providers, and reducing costs. Centennial Area Health Education Center was awarded a grant from the Colorado Foundation for Public Health and Environment. The Foundation is working directly with School of Family Medicine researchers to provide a framework for the development of the Regional Health Connectors that can be evaluated for

effectiveness. As a long-time public health nurse, I see my new RHC role as complimentary to the great public health professionals in this state. They are at the intersection of primary care; public health and human services and community organizations. Think of three circles that overlap. RHCs are uniquely positioned to link and coordinate promoting harmony that currently doesn’t exist in health care. My history in public health provides me with the expertise to realize that the notoriously screechings sounds of health care require harmonization. Do you remember how your school orchestra sounded when the teacher allowed everyone to play their xylophone any old way? Most of us realized early the music teacher did know best. The orchestra that sounds beautiful does so with a director. RHCs are here to bring linkages that promote harmony. Kindra Mulch is a registered nurse.

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HEALTH Events Calendar SafeSitter Babysitting Class, 8 a.m.-2 p.m. June 1 at Greeley Family FunPlex, 1501 65th Ave. Curriculum designed for ages 11-13. Call (970) 350-9401 for more information or to register. Childbirth Breastfeeding Basics, 6:30-8:30 p.m. June 1 at Medical Center of the Rockies, 2500 Rocky Mountain Ave., Loveland. Learn about the benefits of breastfeeding, establishing and maintaining a good milk supply and solutions to common breastfeeding challenges. Partners are welcome. Cost is $20. To register or for more information, call (970) 495-7500. Yoga Support Group for Cancer Survivors, 9:30-10:30 a.m. June 1 and 15, North Colorado Medical Center, 1801 16th St., Greeley. Class is free, call (970) 810-6633 to register. Memory Fitness, 9-11:30 a.m. Thursdays June 2-30 at Greeley Senior Center, 1010 6th St., Greeley. This recurring class is designed for people 50 and older who want to improve or maintain their memory abilities and learn about the keys to maintaining their memory. Memory fitness classes are not for anyone who has been diagnosed with dementia or is taking medication for memory loss. Cost is $60. To register or for more information, call (970) 495-8560. Spirit of Women: Candid Conversations with a Hand Surgeon, 6:30 p.m., June 7, Zoe’s Café and Event Center, 715 10th St., Greeley. Doors open at 5:30. Professionals will answer questions about diagnosis and treatment of common hand and wrist concerns and will discuss unique hand customs from around the world. Exhibits will feature care and adornment of the hands, wrists and arms. Cost is free for spirit members, $10 for non-members. Register by calling (970) 8103000 or email spirit.of.women@bannerhealth. com. Pre-registration is required. Cooking Classes, 6-7:30 p.m. June 7, North Colorado Medical Center in the Cardiac Rehab Kitchen. June’s class will be “Middle Eastern Meals.” Learn to make cuisine of the Middle East and India. Cost is $10. Call (970) 810-6633 to register. Be Well with Diabetes, 9–11:30 a.m. 9–11:30 a.m. Tuesdays June 7-July 12. Diabetes selfmanagement. Bone Density Screening, 9-11 a.m. June 7 at Medical Center of the Rockies, 2500 Rocky Mountain Ave., Loveland. An ultrasound bone sonometer is used to measure the bone density in the heel and results should be shared with your physician. Cost is $12. To register or for more information, call (970) 495-8560.

Bright by Three Infant Group, noon-1 p.m. June 7 or June 21 at Medical Center of the Rockies, 2500 Rocky Mountain Ave., Loveland. Free class provides parents and caregivers with educational tools, books and games to make the most of the very important developmental years. A free infant packet includes a handbook provided by Bright Beginnings, brochures and a toy and board book. To register or for more information, call (970) 495-7500. Natural Childbirth, 6-9 p.m., June 8, 15 and 22 at Medical Center of the Rockies, 2500 Rocky Mountain Ave., Loveland. This class will teach expectant mothers and their birth partner techniques and coping strategies for a nonmedicated childbirth. Techniques will include breathing, massage, relaxation, positioning, visualization, and aromatherapy. Parent preview tour class is included but breastfeeding class needs to be scheduled separately. Cost is $65. To register or for more information, call (970) 495-7500. Blood Tests, 7-8:45 a.m. or by appointment, June 8 and 22, North Colorado Medical Center, 1801 16th St., Greeley. Call (970) 810-6633 to schedule an appointment. Payment is due at time of service, costs vary. Relaxation and Meditation for Brain Health, 1:30-2:30 p.m. June 9 at Medical Center of the Rockies, 2500 Rocky Mountain Ave., Loveland. This free class combines memory games with various relaxation and stretching techniques to reduce stress and improve memory. To register or for more information, call (970) 495-8560. Aging Well, at North Colorado Medical Center in the Colonial Room. Weld County Area Agency on Aging offers a variety of Aging Well SelfManagement classes. Call (970) 346-6950 ext. 6117 to register or for more information. Cost is free, but donations are accepted. Medicare 101, 5-6:30 p.m. June 14 at Medical Center of the Rockies, 2500 Rocky Mountain Ave., Loveland. This free class will provide an overview of Medicare benefits, supplemental insurance, Medicare Advantage Plans, prescription drug plans, preventative services and show how Medicare works with employer health insurance. To register or for more information, call (970) 495-8560. Dreams: Exploring Their Meaning and Intention, 2-3 p.m. June 16 at Chilson Senior Center, 700 E. 4th St., Loveland. This free class combines memory games with various relaxation techniques including mindfulness, progressive relaxation and stretching to reduce stress

and improve memory. To register or for more information, call (970) 495-8560. HeartSaver CPR with AED, 6-8 p.m. June 16, Windsor Recreation Center, 250 11th St., Windsor. Upon completion, participants will receive a Heart Saver course completion card valid for two years. Cost is $48. Call (970) 674-3500 to register. Registration closes at noon June 14. Fast Track Childbirth Preparation (two-day course), 6-9 p.m. June 17 and 1-5 p.m. June 18 at Medical Center of the Rockies, 2500 Rocky Mountain Ave., Loveland. Class includes overview of labor and delivery, hospital routines, coping techniques, medications, medical interventions and cesarean birth. Please bring a support person, two bed pillows and water bottle. Also, wear loose-fitting, comfortable clothing. Register for hospital tour and Breastfeeding Basics class separately. Cost is $55. To register or for more information, call (970) 495-7500. Body Check... What you need to know: Head to Toe, by appointment June 21, Summit View Medical Commons, 2001 70th Ave., Greeley. This head-to-toe health assessment gives you tools to put health first. Call (970) 810-6070 to schedule an appointment. All results are sent to your personal physician and to you. Cost is $175, due at time of service. Peripheral Vascular Disease screening, 1-3 p.m. June 21 at Summit View Medical Commons, 2001 70th Ave., Greeley. Cost is $100 for four screenings, due at time of service. Call (970) 8106070 to schedule an appointment. Childbirth Breastfeeding Basics, 6:30-8:30 p.m. June 21 at OB/GYN, 1715 61st Ave., Greeley. Learn about the benefits of breastfeeding, establishing and maintaining a good milk supply and solutions to common breastfeeding challenges. Partners are welcome. Cost is $20. To register or for more information, call (970) 495-7500. CPR for Health Care Providers (Initial), 4:30-8:30 p.m. June 27, NCMC, Union Colony Room. This class is designed for licensed and non-licensed health care providers. The certification is valid for two years. Cost is $55. Call (970) 810-6633 by noon June 25 to register. CT Heart Score, 1 p.m. and 2 p.m. Tuesdays and Thursdays at North Colorado Medical Center. Cost is $199, due at time of service. Call (970) 8106070 to schedule an appointment. PRIME \\ JUNE 2016

PRIME Medical Directory 2016 Alzheimerâ&#x20AC;&#x2122;s/Skilled Care GRACE POINTE

1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com

Assisted living GRACE POINTE

1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com The Bridge Assisted Living

4750 25th Street Greeley, CO 80634 Phone: (970)339-0022

BALANCE

CARDIOLOGY

LIFE CARE CENTER OF GREELEY- ASCENT

4800 25th Street Greeley, CO 80634 Phone: (970)810-6607 Professionals: Cozette Seaver, PT; Leslie Vail, PT

Endocrinology Endocrinology Clinic (NCMC)

1800 15th Street, Ste 200 Greeley, CO 80631 Phone: (970)810-4676 www.bannerhealth.com

burn Care western states burn center (NCMc)

1801 16th Street, Greeley, CO 80631 Phone: (970)810-6607 www.bannerhealth.com

Family practice medicine Banner Health Clinic

1300 Main Street Windsor, CO 80550 Phone: 970-686-5646 www.bannerhealth.com

CARDIAC vascular surgery

AUDIOLOGY

Banner Health Clinic

Alpine All About Hearing

1124 E. Elizabeth Street, #E-101 Fort Collins, CO 80524 Phone: (970)221-3372 Fax: (970)493-9237 3820 N. Grant Avenue Loveland, CO 80538 Phone: (970)461-0225 Fax: (970)593-0670 www.allabouthearing.com Professionals: Renita Boesiger, M. A., CCC-A Rachel White, M. A., CCC-A Cheryl Hadlock, M. S., CCC-A

Cardiovascular institutE (NCMC)

1800 15th Street, #310 Greeley, CO 80631 Phone: (970)810-0900 www.bannerhealth.com

HEART FAILURE CLINIC (NCMC)

(970)810-6953 www.bannerhealth.com

DENTISTRY Ascent Family Dental

Audiology Associates

2528 16th Street Greeley, CO Phone: (970)352-2881 Professionals: Robert M. Traynor, Ed. D. F-AAA; Karen Swope, M. A. CCC-A Miracle-Ear

2404 17th Street Greeley, CO 80634 Phone: (970)351-6620 749 S. Lemay Avenue, Suite A1 Fort Collins, CO 80524 (970)221-5225 20

PRIME \\ JUNE 2016

Hubbard Family Dental

Hygiene Clinic 2918 W. 10th Street Phone: 673-8411 www.hubbarfamily dental.com

Cardiac, Thoracic & Vascular surgery (NCMC)

1800 15th Street, Suite 340 Greeley, CO 80631 Phone: (970)810-4593 www.bannerhealth.com

Scott Williams, DMD 3535 W. 12th Street, Suite B Greeley, CO 80634 Phone: (970)351-6095 www.dentalgreeley.com Ralph R. Reynolds, D.M.D., M.D.

Oral Surgery 7251 W. 20th St. Building H, Suite 2 Greeley, CO 80634 (970) 663-6878 www.reynoldsoralfacial.com

100 S. Cherry Ave., Suite 1 Eaton, CO 80615 Phone: (970)454-3838 www.bannerhealth.com Banner Health Clinic

222 Johnstown Center Drive Johnstown, CO 80534 Phone: (970)587-4974 www.bannerhealth.com Banner health clinic

5623 W. 19th Street, Greeley, CO 80634 Phone: (970) 810-9011 www.bannerhealth.com Family Physicians of Greeley, LLP-Central

2520 W. 16th Street Greeley, CO 80634 (970) 356-2520 Fax: (970) 356-6928

Family Physicians of Greeley, LLP-Cottonwood

2420 W 16th Street Greeley, CO 80634 (970) 353-7668 Fax:970-353-2801

Family Physicians of Greeley, LLP-West

6801 W. 20th St., Suite 101 Greeley, CO 80634 (970) 378-8000 Fax: (970) 378-8088 Kenneth M. Olds

6801 W. 20th Street, Suite 208 Greeley ,CO 80634 Phone: (970)330-9061

gastroenterology

Health and fitness WORK OUT WEST

Health & Recreation Campus 5701 W. 20th Street, Greeley, CO 80634 Phone: 970-330-9691 www.workoutwest.com

home health care Caring Hearts Home Healthcare

6801 W. 20th Street, Suite 207 Greeley, CO 80634 Phone: (970)378-1409 Bloom at Home

1455 Main Street Windsor, CO 80550 Phone: (970) 460-9200 www.columbinehealth.com/bloom Rehabilitation and Visiting Nurse Association

2105 Clubhouse Drive Greeley, CO 80634 Phone: (970) 330-5655 Fax: (970) 330-7146 www.rvna.info Professionals: Lori Follett, CEO

Touchstone home health

5312 W. 9th St. Dr., Suite 120 Greeley, Co. 80634 Phone: 970-356-3922 www.touchstonehomehealth.com Dowgin, Thomas A., MD. CENTERS FOR GASTROENTEROLOGY

7251 W. 20th St., Bldg J, Greeley, CO Phone: (970)207-9773

3702 Timberline, Ft. Collins, CO Phone: (970)207-9773 2555 E. 13th Street, Suite 220, Loveland, CO Phone: (970)669-5432 www.digestive-health.net North Colorado Gastroenterology (NCMC)

2010 16th Street, Ste. A Greeley, CO 80631 Phone: (970) 810-4475 www.bannerhealth.com

independent assisted Living GRACE POINTE

1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com

infectious disease

medical equipment & supplies Banner HOme Medical Equipment (NCMC)

Phone: (970)506-6420 www.bannerhealth.com

Mental health services North Range BEHAVIORAL HEALTH

Adult Mental Health & Addiction Services 1260 H Street Greeley, CO 80631 970.347.2120 Child, Youth, & Family Mental Health & Addiction Services 1300 N 17th Avenue Greeley, CO 80631 970.347.2120

Counseling Center at West Greeley Children, Adult, & Family Counseling 7251 W 20th Street, Building C Greeley, CO 80634 970.347.2123 Crisis Support Crisis Intervention, Care, and Detox Services 928 12th Street Greeley, CO 80631 970.347.2120 Suicide Eduction & Support Services Prevention, Education, & Grief Support 2350 3rd Street Road Greeley, CO 80631 970.347.2120 or 970.313.1089

Breen, john f., md (NCMC)

Additional Weld County Locations www.NorthRange.org

internal medicine

Dr. Patricia Al-Adsani, Child and Adolescent Psychiatry Carole Diamond, PMHNP Brett Smith, DD 5890 W. 13th Street #114 Greeley, CO 80634 Phone: 970)810-5454

1801 16th Street Greeley, CO 80631 Phone: (970)810-6071

BANNER HEALTH CLINIC

2001 70th Avenue, 3rd Floor Greeley, CO 80634 Phone: (970)810-5660 www.bannerhealth.com

Banner Health Clinic 222 Johnstown Center Dr., Johnstown, CO 80534 Phone: (970)587-7543 Stephanie Carroll, LCSW, CACIII Banner Health Clinic 1300 Main Street, Windsor, CO 80550 Phone: (970)674-3155 Susan Garvin, LCSW Banner Health Clinic -Loveland Pediatrics Loveland Pediatrics, Loveland CO Banner Health Clinic - Windsor 1300 Main Street Windsor, CO 80550 Phone: (970)674-3158 Renee Rogers, LMFT Banner Health Clinic 1300 Main Street, Windsor, CO 80550 Banner Health Clinic - Fossil Creek 303 Colland Dr Fort Collins, CO 80525 Phone: (970)821-3808

NEPHROLOGY Greeley medical clinic

1900 16th Street, Greeley, CO 80631 Phone: (970) 350-2438 Professionals: Donal Rademacher, MD

NEUROLOGY

banner BEHAVIORAL HEALTH

Shawn Crawford, LPC PRIME \\ JUNE 2016

NEUROLOGY CLINIC (NCMC)

1800 15th Street, Suite 100B Greeley, CO 80631 Phone: (970) 810-5612 www.bannerhealth.com

NEURo-SURGERY BRAIN & SPINE BANNER HEALTH neurosurgery clinic

1800 15th St., Suite 130 Greeley, CO 80631 Phone: (970) 810-5996 www.bannerhealth.com

nursing home rehabilitation Centennial Health Care Center

1637 29th Ave. Place Greeley, CO 80634 Phone: (970) 356-8181 Fax: (970) 356-3278

obstetrics & gynecology BANNER HEALTH GYN CONSULTANTS

1800 15th St., Suite 130 Greeley, CO 80631 Phone: (970) 810-1335 www.bannerhealth.com Banner Health OB/GYN Clinic

2001 70th Avenue, 3rd Floor Greeley, CO 80634 Phone: (970) 810-6353 www.bannerhealth.com banner health clinic

5623 W. 19th Street Greeley, CO Phone: (970) 810-9011 www.bannerhealth.com

oncology & HemaTology cancer Institute (NCMC)

1800 15th Street, Greeley, CO 80631 Phone: (970) 810-6680 Toll Free (866) 357-9276 www.bannerhealth.com

orthodontics Orthodontic Associates of Greeley, PC

Professionals: Bradford N. Edgren, DDS, MS 3400 W. 16thSt., Bldg 4-V Greeley, CO 80634 Phone: (970) 356-5900 www.drbradsmiles.com

orthopedics Mountain Vista Orthopaedics

5890 W. 13th Street, Suite 101 Greeley, CO Phone: (970) 810-0020 www.bannerhealth.com

pediatrics Banner Health Clinic

2001 70th Avenue, 3rd Floor Greeley, CO 80634 Phone: (970) 810-5828 www.bannerhealth.com

pediatric rehabilitation

pulmonary/critical care North Colorado Pulmonary (NCMC)

1801 16th Street, Greeley, CO 80631 Phone: (970) 810-2026 www.bannerhealth.com

Prosthetics & orthotics HANGER PROSTHETICS & ORTHOTICS

7251 West 20th Street, Building M, Greeley, CO 80634 Phone: (970) 330-9449 Fax: (970) 330-4217 2500 Rocky Mountain Avenue, Suite 2100 North Medical Office Building, Loveland CO 80538 Phone: (970) 619-6585 Fax (970) 619-6591 www.hanger.com Professinal: Ben Struzenberg, CPO Michelle West, Mastectomy Fitter

Banner Rehabilitation Center

1801 16th Street, Greeley, CO Phone: (970) 810-6900 www.bannerhealth.com

personal response service Banner Life Line (NCMC)

2010 16th Street, Suite C, Greeley, CO 80631 Phone: 1-877-493-8109 (970) 378-4743 www.bannerhealth.com

physical therapy Front Range Therapy

rehabilitation ASCENT AT LIFE CARE CENTER

4800 25th Street, Greeley, CO 80634 Phone: (970) 330-6400 Website: www.lcca.com Professionals: Annie Bennett Leslie Vail

Banner Rehabilitation Center

1801 16th Street, Greeley, CO Phone: (970)810-6900 www.bannerhealth.com Front Range Therapy

1475 Main Street, Windsor, CO 80550 Phone: (970) 492-6238 www.columbinehealth.com

Northern colorado rehabilitation hospital

4401 Union Street, Johnstown, CO 80534 Phone: (970) 619-3400 NCRH@ernesthealth.com

Peakview Medical Center

5881 W. 16th St., Greeley, CO 80634 Phone: (970)313-2775 Fax: (970)313-2777 22

PRIME \\ JUNE 2016

Skilled care/Rehab GRACE POINTE

1919 68th Avenue, Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com

sports medicine Mountain Vista Orthopaedics

5890 W. 13th Street, Suite 101, Greeley, CO Phone: (970)810-0020 www.bannerhealth.com North Colorado Sports medicine

1801 16th Street, Greeley, CO Phone: (970)810-2496

speech language pathology Banner Rehabilitation Center

1801 16th Street, Greeley, CO Phone: (970)810-6900 www.bannerhealth.com Northern colorado rehabilitation hospital

4401 Union Street, Johnstown, CO 80534 Phone: (970) 619-3400 NCRH@ernesthealth.com

Surgery General & Trauma

Banner Health Surgical Associates (NCMC)

• PhysicalTherapy • Spe chTherapy Urology

urgent care

SUMMITVIEW URGENT CARE (NCMC)

1800 15th St. Suite 200, Greeley, CO Phone: (970) 810-8216 Toll Free: 1-888-842-4141 www.bannerhealth.com

2001 70th Avenue, Suite 110 Greeley, CO 80634 Phone: (970) 810-4155 www.bannerhealth.com

Banner health clinic (NCMC)

5890 W. 13th Street, Suite 106, Greeley, CO 80634 Phone: (970) 810-1000 www.bannerhealth.com

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Your Guide to Living a Healthy, Active and FULFILLING LIFE!

FALL - OCT. 2015

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to the HIGHEST LEVEL.

America’s 50 Best Hospitals Award™ (2015-2016) Distinguished Hospital Award for Clinical Excellence™ (2009-2016) Critical Care Excellence Award™ (2009 – 2016) Pulmonary Care-America’s 100 Best Hospitals™ (2013-2016) Pulmonary Care Excellence Award™ (2009-2016) Neuroscience: Stroke Care Excellence Award™ (2014 – 2016) 1801 16th St,. Greeley • (970) 810- 4121 • www.BannerHealth.com/NCMC

North Colorado Medical Center 1801 16th St, Greeley CO • 970-810-4121 www.BannerHealth.com/NCMC