nc
October 2011
THRiVE
Food Fight
» northern colorado wellness
■■The FDA and the food industry
are battling over how best to label foods to help you and other consumers make nutrition decisions and reverse the nation’s obesity epidemic. PAGE 8
» INSIDE: HealtHy Competition Banner HealtH/nCmC Walk to rememBer HealtH events ■ Businesses are competing
to provide flu shots, and you could be the beneficiary of the battle.
■ Families that have felt the
pain of losing an infant will come together to remember and honor their children.
■ See what’s
happening this month in the local health care community.
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Ask the Expert:
Breast Cancer
What do I need to know about hereditary breast cancer? +HUHGLWDU\ EUHDVW FDQFHU UDWHV UDQJH IURP ¿YH WR SHUFHQW RI DOO EUHDVW FDQFHU FDVHV <RX DQG PHPEHUV RI \RXU IDPLO\ PD\ EH DW KLJKHU ULVN IRU WKH EUHDVW FDQFHU JHQH LI DQ\ RI WKH IROORZLQJ IDFWRUV H[LVW 1) $ IDPLO\ KLVWRU\ WKDW LQFOXGHV D NQRZQ EUHDVW FDQFHU JHQH 2) $ SHUVRQDO KLVWRU\ RI EUHDVW FDQFHU EHIRUH DJH 3) $ SHUVRQDO KLVWRU\ RI EUHDVW FDQFHU EHIRUH DJH ZLWK RQH RU PRUH FORVH EORRG UHODWLYHV ZLWK EUHDVW RYDULDQ RU SHULWRQHDO FDQFHU 4) 0RUH WKDQ WZR EORRG UHODWLYHV ZLWK EUHDVW RYDULDQ RU SHULWRQHDO FDQFHU DW DQ\ DJH 5) $ SHUVRQDO KLVWRU\ RI PDOH EUHDVW FDQFHU 6) $ SHUVRQDO KLVWRU\ RI RYDULDQ RU SHULWRQHDO FDQFHU 7) $VKNHQD]L -HZLVK ,FHODQGLF 6ZHGLVK RU +XQJDULDQ HWKQLFLWLHV 7R OHDUQ PRUH FDOO 6XPPLW9LHZ %UHDVW &HQWHU DW DQG VFKHGXOH D YLVLW
Where
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Banner Medical Group North Colorado Medical Center 7R ¿QG D %DQQHU +HDOWK SK\VLFLDQ LQ \RXU DUHD YLVLW ZZZ %DQQHU+HDOWK FRP &2GRF &RQQHFW ZLWK XV
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Sept. 28, 2011
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more ways to do business. to subscribe, call 970.352.8089
OCTOBER EVENTS of Women Spirit Girls’ « Spirit Night Out, 6:30 p.m. Oct. 13
at the University of Northern Colorado ballroom, in the University Center, 11th Avenue and
20th Street, Greeley. The event will provide up-to-date health education on breast health, women’s cancers and will also include an opportunity to visit
The symptoms of heartburn are hard to ignore.
We take heartburn seriously, and so should you. • Heartburn is a common condition, experienced by most everyone at some point in their life. • If left undiagnosed and/or untreated, heartburn can lead to more severe problems such as cancer. • Chronic heartburn could be a symptom of a serious condition such as gastroesophageal reflux disease also known as GERD.
The Heartburn Clinic physicians at North Colorado Medical Center specialize in gastroenterology and the treatment of severe and chronic heartburn. Call North Colorado Gastroenterology Heartburn Clinic at North Colorado Medical Center for your assessment today at 970-378-4475 or 1-800-557-0505 1800 15th St., #300, Greeley Also located at: The Medical Arts Centre of Windsor 1300 Main Street, Windsor www.bannerhealth.com keyword: NCMC GI As in any emergency, if you think you may be having a heart attack, please dial 911.
with Banner Medical Clinic physicians. The theme of the evening will be laughter and fun is central to good health. There will also be food, games and prizes. Actors from the show “Girls Only, The Secret Comedy of Women” will also provide entertainment. Tickets are $15 and can be purchased at the North Colorado Medical Center gift shop, 1335 8th Ave., Greeley, online at www. BannerHealth.com/NCMCspirit, or at the door for $20.
Tests, 7-8:45 a.m. « Blood Oct. 12 and 26, North Colorado
Medical Center, Union Colony Room, Area C on the ground floor, 1801 16th St., Greeley. Wellness Services offers low-cost blood screenings open to community members. Some immunizations also are available upon request and availability. Participants need to fast for 12 hours before the blood draw. To make an appointment, call (970) 350-6633.
Check Head To Toe, « Body 7-10 a.m. Oct. 4, 11, 18 and 25
at the Summit View Medical Commons, 2001 70th Ave., Greeley. Head-to-toe health screenings including blood work, sleep questionnaire, lung function test, body composition, hip and waist measurements, health education, EKG with results, bone density, Peripheral Arterial Disease screenings, ultrasound of carotid vessels and ultrasound of aorta. Cost $175. To schedule an appointment, call (970) 350-6070.
and Crock Pot « Casseroles Meals Cooking Class, 6-7:15
p.m. Oct. 19 at North Colorado Medical Center, Cardiac Rehab Kitchen, 1801 16th St., Greeley. This class is taught by Mary Branom, R.D., and will teach fun and healthy cooking options. The cost is $10. To register, call (970) 350-6633.
Score Screening, « CT1 andHeart 2 p.m. Mondays-Fridays
at North Colorado Medical Center, 1801 16th St., Greeley. This is a noninvasive test that measures the amount of calcified plaque in the arteries. The procedure uses X-rays and multiple detectors to create interior images of the heart. The Heart Score program includes a 10-minute consultation with a wellness specialist, focusing on cardiac risk factor education, identification of nonmodifiable and modifiable risks, and lifestyle behavior change options. Cost: $199. To make an appointment, call (970) 350-6070.
Vascular Disease « Peripheral screening, 1-3 p.m. at Summit
View Medical Commons, 2001 70th Ave., Greeley. Wellness Services’ Peripheral Vascular Disease Screening program offers the education and prevention proven to be the best tools for fighting vascular disease and stroke. Fasting is not required. Patients receive evaluation of leg circulation, ultrasound of the carotid vessels, Carotid Intima Media Thickness testing, ultrasound of the aorta, lipid panel, health education with a Wellness Specialist and a health information packet. Cost: $100. To make an appointment, call (970) 350-6070.
Yoga, 5:15« Restorative 6:15 p.m. Mondays Oct. 3-
Nov. 7 at North Colorado Medical Center, Colonial Room, 1801 16th St., Greeley. Recommended for those recovering from surgery or chronic illness. This gentle movement support group uses chairs and mats only, no standing poses. The focus is on gentle movements coordinated with breathing exercises to facilitate greater range of motion, flexibility and relaxation. The instructor will address the full spectrum of students’ needs by using a personalized approach. The instructor will also teach modifications of all poses so students can learn a safe
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and effective way to practice yoga. Cost: $48 for six weeks. To register, call (970) 3506633. Basics, 5-6 p.m. « Yoga Wednesdays, Oct. 5-Nov. 9;
or 6:15-7:15 p.m Wednesdays, Oct. 5-Nov. 9 at North Colorado Medical Center, Colonial Room, 1801 16th St., Greeley. Introduction to the foundational poses in a beginning yoga practice. This class will focus on careful physical alignment for the creation of a safe practice that students can take into their homes or other yoga classes. Yoga Basics will also emphasize yoga as a tool for strength, flexibility and balance. This class is for students of most physical abilities.
Flow, 5-6 p.m. Wednes« Yoga days, Oct. 5-Nov. 9; or 8-9
a.m. Saturdays, Oct. 8-Nov. 12. at North Colorado Medical Center, Colonial Room, 1801 16th St., Greeley. Explore the strength, cardiovascular stamina and freedom of flexibility offered through the practice of yoga flow. This class offers traditional yoga poses linked together through movements called Vinyasa, which means to move with purpose. The flow style of moving practice puts the body into a fat-burning zone through anaerobic activity. Yoga Flow is for students of all levels.
With Cancer Support « Coping Group, 5:30-7 p.m. Tuesdays at North Colorado Medical Center, Cancer Institute lobby 1801 16th St., Greeley.
Cancer Support « Breast Group, 5:30-7 p.m. Thursdays at North Colorado Medical Center, Cancer Institute lobby, 1801 16th St., Greeley.
to Man, Prostate « Man Cancer Support Group,
5:30-7 p.m. third Thursdays, Cancer Institute lobby,North Colorado Medical Center, 1801 16th St., Greeley.
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“
We see the biggest changes in impulsivity and neuroticism between age 18 and 25. After age 30, most personality traits are usually set in plaster and they’re not changing much.”
St. Louis Post-Dispatch
S
LiveWell Weld County is helping to
LiveWell County choice is helping makeWeld the healthiest the to for our residents creating: makeeasiest the healthiest choicebythe easiest for our residents by creating:
• Active Community Environments ounty is helping to • Access to Healthy Foods est choice the Ͳ Active Community Environments • Farm to School Programs sidents by creating: Ͳ • Worksite Access to Healthy Foods Wellness
Ͳ Farm to School Programs mmunity Environments Healthy Foods Ͳ Worksite Wellness chool Programs Wellness
LiveWell is a supporter of Weld County school district healthy eating and active living initiatives!
LiveWell is a supporter of
l is a supporter of Weld County Department of Weld County school district unty school district Public Health and Environment. (970) 304-6470. healthy eating and active living ting and active living nitiatives! initiatives!
ment of Public Health and Environment. (970) 304Ͳ6470.
Weld County Department of Public Health and Environment. (970) 304Ͳ6470.
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Sept. 28, 2011
STudy offERS InSIGHTS InTo SmokInG dECISIonS By Cynthia Billhartz Gregorian
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T. LOUIS — Mike Johnston has no idea what he was thinking when he took up cigarettes at age 15 “I was definitely more impulsive back then than I am now,” said Johnston, 39, of Oakville, Mo., as he puffed away on a downtown sidewalk during a work break. “I was young and had no responsibilities. Now I have a wife and two kids.” Charlie Condor, 49, of St. John, Mo., was smoking with co-workers when he admitted that his lifestyle and woeful views about life might have played a role in his decision to start smoking 28 years ago. “Just kid stuff, you know? I was coming up through adulthood and it seemed like life was against me,” he said. The way that Johnston and Condor assess their younger selves mirrors recent findings of two researchers at University of Missouri. By analyzing data collected during a long-term study, Andrew K. Littlefield, doctoral student in psychology, and Kenneth J. Sher, professor of psychology, have found that people who smoke at age 18 have higher rates of impulsivity than nonsmokers at that age. They’ve also found that those who quit between ages 18 and 25 show the biggest decreases in impulsivity during that time period. The study, which began in 1987 with one group of 489 Mizzou students and has continued with several more groups, is intended to assess substance use in general, not just smoking, according to Littlefield.
— Andrew K. LittLefieLd, doctoral student in psychology at University of Missouri
Among other things, subjects are asked to rate how well two statements describe their behaviors on a scale of one to 10. The statements pertain to whether they tend to think through facts, details and consequences before deciding to do something and whether they tend to worry a lot. They are surveyed seven times — once a year during college then at about age 25, 29 and 35. “We see the biggest changes in impulsivity and neuroticism between age 18 and 25,” Littlefield said. “After age 30, most personality traits are usually set in plaster and they’re not changing much.” Changes in people ages 18 to 25 begin happening when they leave their fami-
lies, go to college, enter the workforce, get married and have children. Logic would dictate that becoming less impulsive and neurotic are a part of maturing, which causes many smokers to quit. But Littlefield and other scientists aren’t ready to draw that conclusion yet. Quitting smoking might be prompting the changes in personality traits, he said. He stressed, however, that he means personality changes over a long time frame, not short-term ones like nervousness and lower self-regulation that come from nicotine withdrawals. Littlefield and Sher have also concluded that, by the time a person is 35, smoking is usually no longer related to neuroticism and impulsivity.
“Now, it’s moving from those traits to addiction and compulsivity, which is when your behaviors are patterns,” Littlefield said. “You’re on autopilot, lighting up without thinking when you get out of bed or on the way to work.” He believes the findings of his study could be useful in figuring out ways to help people quit smoking before it becomes addictive and compulsive. Studies have shown, he said, that “there are residual effects when you follow up with students after they’ve taken a money management course. You find that many of them reduce drinking and either quit or reduce smoking. They not only spend less, but they reduce behaviors associated with high impulsivity.” He urges people to think of self-regulation as a muscle. It can become fatigued if you use it too much, or it can grow stronger when exercised. “Likewise,” he added, “if you can target internal thoughts, you can make them more positive and reduce the impact of being neurotic.”
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n■Banner HealtH/nortH Colorado MediCal Center’s Walk to reMeMBer
EVEnT LETs fAMILIEs MouRn TogETHER By David Martinez
gtreporters@greeleytribune.com
E
leven years ago, only two families participated in Banner Health/North Colorado Medical Center’s Walk to Remember, which honors families that have experienced the loss of an infant through perinatal or neonatal death, stillborn death or Sudden Infant Death. By last year, that number had ballooned to more than 150. And once more, on Oct. 16, the medical center will
honor those families with a walk around Greeley’s Glenmere Park. Ruth Alles, a nurse at the medical center, organized the event and runs it with fellow nurses and volunteers. She said the ceremony can be especially emotional because many of the families who attend have never had a memorial service for their children. But she said many of the families continue to come back — some for five or six years — and provide support for other families. “It is very emotional,”
» Information The event will take place from 2-4 p.m. Oct. 16 at Glenmere Boulevard and 16th Avenue in Greeley. For more information, those interested can call Monfort Family Birth Center at (970) 350-6580. Guests register the day of the event.
JIM RYDBOM/jrydbom@greeleytribune.com
This yEar’s Walk to Remember is Oct. 16.
Alles said. “But it’s nice to see these families again. (The nurses) were with these families when they went through their tragedies.”
This year’s event will start with a roll call of the babies being honored, with participants blowing bubbles “to heaven” after each name. Participants will then walk around Glenmere pond and share letters, comments or music dedicated to their lost children, followed by a release of balloons with messages to the infants. Much of the ceremony will be presented in both English and Spanish, and help pamphlets will be printed in both languages as well.
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THERApy-dRug combo HELps kIds wITH ocd by melissa Healy Los Angeles Times
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ASHINGTON — Children plagued by the repetitive behaviors, irrational fears and intrusive thoughts of obsessivecompulsive disorder often get some relief from widely prescribed antidepressants. But when they also get a form of psychotherapy that teaches them different ways to think about and respond to their fears and compulsions, they get much better, a new study finds. The study extends to children a finding that already has some traction among adults. The nation’s 2.2 million adult sufferers of OCD have been shown to respond to cognitive behavioral therapy for the disorder. But roughly a third of people with this anxiety disorder are thought to have suffered symptoms in childhood, and there’s not much research on what works best for them. The study, published this week in the Journal of the American Medical Association, or JAMA, divided into three groups 124 children who had a diagnosis of OCD and were between the ages of 7 and 17. All the subjects had already been prescribed an antidepressant in the class of medications called selective serotonin reuptake inhibitors, or SSRI, and had seen some improvement of symptoms with the medications. One group continued on those medications with no additional treatment. In the second group, psychiatrists who prescribed the medication saw the child seven times over 12 weeks for about 45 minutes each. In addition to checking the child’s response to medications, the psychiatrist offered brief instructions on cognitive behavioral therapy, a checklist of problematic
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Children and teens do best when they are gradually exposed to their fears with trained clinicians. Medications help with the biological aspects. But (cognitive behavioral therapy) gives children and teens the skills and strategies to combat OCD over a lifetime.” — Mary alvord, clinical psychologist of Rockville, Md.
behaviors and responses to practice at home. Two “brief telephone check-ins” by the physician were used to review the instructions. This arm of the trial was designed to approximate a treatment plan “that could feasibly be implemented by psychiatrists in clinical practice settings that typically do not allow for long sessions,” the authors wrote. The third group of kids got 14 hourlong sessions conducted over 12 weeks with a clinical psychologist, who conducted a standardized cognitive behavioral therapy treatment for OCD. In that form of therapy, four sessions are spent identifying the rituals and obsessive thoughts and challenging the patients’ thinking and assumptions about those. Eight sessions follow in which the therapist gradually exposes the patient to the objects of her fears and teaches new responses to the thoughts and external triggers that set off the rituals. In the final two sessions, patient and therapist relate the lessons to unfamiliar places or future challenges, and plan ways to prevent relapses. After 12 weeks, kids in all groups were showing fewer OCD symptoms on average. The drugs-only group saw small improvements over where they started. And those who got brief instructions from a psychiatrist were doing a little better, but the statistical differences between the two groups’ levels of improvement was so slight that researchers could not conclude
that brief instructions in cognitive behavioral therapy conferred any benefit at all. The kids who got 14 sessions of cognitive behavioral therapy, however, saw significant reductions in their symptoms: By one standardized measure, the severity of their OCD symptoms declined 58 percent more than those of kids who got medications only. Clinical psychologist Mary Alvord of Rockville, Md., who was not involved in the current study, called it important. While she said the usefulness of the technique even for young children has been borne out in her practice, the study released this week “provides further support.” “Children and teens do best when they are gradually exposed to their fears with trained clinicians,” Alvord said. “Medications help with the biological aspects. But (cognitive behavioral therapy) gives children and teens the skills and strategies to combat OCD over a lifetime,” she said. For an anxious child, whose coping rituals have taken on a life of their own and reinforced the fears they were meant to dispel, such therapy offers a chance to regain control, Alvord said. “It’s empowering to know that you can effect change in a potentially disabling disorder through facing your fears and preventing the rituals with the guidance of a trained professional,” Alvord said.
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Attend a FREE WORKSHOP and learn how to live a more active and pain-free life Only Colorado clinic awarded “Gold” Excellence Award by Ideal Protein.
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n■HealtHy competition
BusInEssEs fIgHT To gIVE you fLu sHoTs By Carol McKinley Colorado Public News
Y
ou may want to shop around for your flu shot this fall, because businesses are competing for the opportunity to sell you one. Enticing offers include everything from a $5 discount on the vaccination to free groceries. Rite Aid is giving away coupon books with a flu shot. And if you get stuck at Safeway, you’ll receive a whopping 10 percent off of your shopping trip, anytime through flu season, Safeway’s Lindsey Carpenter said. There’s good reason for the sharp competition: Analyst say the profit margin for a flu shot runs from 30 to 50 percent. Dr. Lisa Miller, the state health department’s director of disease control and environmental epidemiology, says it’s not too early to get your shot. “It takes a couple of weeks for the vaccine to be effective,” she said. “That’s why we recommend people
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It takes a couple of weeks for the vaccine to be effective. That’s why we recommend people get vaccinated now. We don’t expect to see the flu for a couple of months, at least in large numbers.” — Dr. Lisa MiLLer, the state health department’s director of disease control and environmental epidemiology
get vaccinated now. We don’t expect to see the flu for a couple of months, at least in large numbers.” Health officials say you should not skip a flu shot this year because you had one last year. The vaccination contains the same strains, but “with the flu vaccine, our immunity wanes or decreases over time,” Miller says. “So we do recommend that every year people get vaccinated, even if those strains remain the same.” Last year, only 41 percent of Americans received the vaccination, and 1,000 Coloradans were hospitalized with the flu. Flu vaccinations tend to cost $14 to $32. Some
insurers, such as Kaiser Permanente, make their flu shots free. Those with needle phobias will be relieved to know that there are other options. This includes nasal sprays (recommended for 2- to 49-year-olds) and an intra-dermal vaccination, which only touches the skin and avoids penetrating muscle tissue. The Centers for Disease Control and Prevention is recommending immunizations for everyone 6 months old and up. For a list of flu shot clinics near you, check the website www.immunize colorado.com to find the closest clinic. They call it influenza.
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Government, industry spar over best way to help you make nutrition de
FDa consIDERs nEw lo
By DaviD Martine gtreporters@greele
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AssociAted Press
Designer renee Walker poses next to her food label samples in San Francisco. Nutrition and design experts want to overhaul the “nutrition facts” panel found on packaged foods to make it easier to understand what a food’s value is — and, hopefully, make healthier choices.
reel neve to th she The understand, and read the tiny prin And she isn’t th According to a can Dietetic Asso percent of people panel on food pa to purchase food “Now that I’m ters, I try to look said. “But it’s som got in the habit o But with some the Food and Dru said she might ta stop and read the The FDA want facts label — that salts, sugars and ing — to give con information and obesity epidemic A proposal is in several parts of th accurate serving sis on calories an the daily percent like fat, sugar, sod drates. “I look for thin them because it m said Heather Hem mother of two.”I labels) is a great i curate.” The change is t prove the way Am make choices abo comes in the wak in nutrition regu administration.
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ecisions
ook FoR FooD labEls
ez eytribune.com
ley resident Jan Carroll er really paid attention he nutrition labels, but knows that she should. e labels are difficult to she needs her glasses to nt. he only one. a study from the Ameriociation, only about 60 e use the nutrition facts ackaging when deciding ds. raising my granddaughout for sugars,” Carroll mething that I just never of.” e proposed changes from ug Administration, she ake a little more time to e labels. ts to revise the nutrition t breakdown of fats, nutrients on packagnsumers more useful help fight the national c. n the works to change he label, including more sizes, a greater emphand a diminished role in t values for substances dium and carbohy-
ngs with a lot of sugar in makes my kids crazy,” mesath, a Greeley think (changing the idea, as long as it’s ac-
the latest attempt to immericans view food and out what they eat, and ke of major advances ulations by the Obama
Calorie counts are popping up on menus of chain restaurants across the country, and the longstanding food pyramid was toppled this year by the U.S. government in favor of a plate that gives a picture of what a healthy daily diet looks like. The struggle to redesign the labels on every box, can and carton has been in the works since 2003, and some of the changes could be proposed as soon as this year. FDA Deputy Commissioner Michael Taylor cautions not to expect a grand overhaul, but the revamped label does mark a shift to create a more useful nutritional snapshot of foods millions of Americans consume every day. “It’s very important to have that information available, even if people are looking at it on a need-to-know basis,” said Marisa Bunning, an extension specialist at Colorado State University’s department of food science and human nutrition. “And in that case it needs to be portrayed accurately ... and it needs to be understandable.” For two decades, the black and white label has offered a glance of nutritional information about what’s inside each package, including calories and grams of fats, cholesterol, protein and carbohydrates. Critics have complained it’s confusing and doesn’t offer a simpler way to make a choice about whether it’s good for them — a judgment the industry wants to leave to consumers. The proposed label is likely to produce several changes, Taylor said. For starters, portion sizes should better reflect
reality. The 2.5 servings listed on a 20-ounce soda bottle are typically slurped up by an individual in one sitting rather than split between a couple and their child. The FDA is also likely to find a way to emphasize calories, which many people rely on for weight control. Other items likely to disappear or change because they haven’t proven useful include calories from fat and the daily percent value numbers that show how much an average diet should include. Still, some wish the revisions would go further to list information about the amount of preservatives in a food and the degree of processing it has undergone. Health activists say such changes could help trim waistlines in America. The food industry wouldn’t like to see many major changes. The current label is easily recognizable and adaptable to food packages of different sizes because it’s simple, said Regina Hildwine, director for science, policy, labeling and standards at the Grocery Manufacturers Association. Hildwine says her Washington-based group, which represents 300 top food and beverage companies, has provided extensive feedback to the FDA in the run-up to the proposed rule. Advocates believe the government and industry are too cozy, and that food companies are reluctant to overhaul food labels for fear of their profits being hurt. “It’s against the industry’s interest to help the con-
sumer make better choices because then they’ll sell less food,” said Kelly Brownell, director of Yale University’s Rudd Center for Food Policy and Obesity. “If the population is going to lose weight, it’s going to eat less food, so that means less business for them.” But Bunning said other areas of the industry, particularly those who showcase their food benefits, would benefit from these changes. Even smaller producers who aren’t required to include nutrition information generally include it anyway, she said, because consumers like to see it and the ingredient list sets them apart from larger commercial food producers. There’s no shortage of ideas on how to improve the label. A recent contest by the University of California, Berkeley and Good Magazine yielded 60 colorful new designs. A familiar theme popped up: red, yellow and green colors of a traffic light to indicate whether a food is good or bad. Another offered thumbs up and thumbs down on nutrients, depending on how much. Manufacturers don’t think a stoplight system would work because most foods have a mix of nutrients and diets are not the same for everyone, Hildwine said. “A color-coded scheme would not be as helpful to consumers as a fact-based approach,” she said. The winning design was created by Renee Walker, whose label is topped by a large blocks of color above the nutrient listing, with each block representing an ingredient. For example, a jar of peanut butter would typically have a big box for peanuts, a smaller box for sugar and other blocks for other ingredients. David Kessler, who served as FDA commissioner during what he called a “battle royale” over the first label, says the label is due for an update. Like many experts, he’d like to see the new label address how much ingredients are processed. A pie-chart could, for example, show how much of a jar of tomato sauce is from actual tomatoes, and how much is sugar, fats, sodium, water and whatever else may be in it. Not that all food processing is bad. Skim milk and lean meat have been skimmed and trimmed of fat. Frozen vegetables are typically captured at peak ripeness without introduction of preservatives or sodium. But many highly processed foods are stuffed with unpronounceable and nutritionally questionable substances. Add fat, sugar and salt, as processed foods so often do, Kessler said, and you have the perfect recipe for an American-style obesity epidemic. “Twenty years ago, you would have maybe 20 to 30 chews per bite of food,” said Kessler. “Today, food is so highly processed and so stimulating it goes down in a wash (of saliva), like we’re eating adult baby food.” The Associated Press contributed to this report
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■■Study: Fertility and mortality in men
Having kids May Help Heart By Marilynn Marchione Associated Press
F
atherhood may be a kick in the old testosterone, but it may also help keep a man alive. New research suggests that dads are a little less likely to die of heart-related problems than childless men are. The study — by the AARP, the government and several universities — is the largest ever on male fertility and mortality, involving nearly 138,000 men. Although a study like this can’t prove that fatherhood and mortality are related, there are plenty of reasons to think they might be, several heart disease experts said. Marriage, having lots of friends and even having a dog can lower the chance of heart problems and cardiac-related deaths, previous research suggests. Similarly, kids might help take care of you or give you a reason to take better care of yourself. Also, it takes reasonably good genes to father a child. An inability to do so might mean a genetic weakness that can spell heart trouble down the road. “There is emerging evidence that male infertility is a window into a man’s later health,” said Dr. Michael Eisenberg, a Stanford University urologist and fertility specialist who led the study. “Maybe it’s telling us that something else is involved in their inability to have kids.”
The study was published online Monday by the journal Human Reproduction. Last week, a study by other researchers of 600 men in the Philippines found that testosterone, the main male hormone, drops after a man becomes a dad. Men who started out with higher levels of it were more likely to become fathers, suggesting that low levels might reflect an underlying health issue that prevents reproduction, Eisenberg said. In general, higher levels of testosterone are better, but too much or too little can cause HDL, or “good cholesterol,” to fall — a key heart disease risk factor, said Dr. Robert Eckel, past president of the American Heart Association and professor of medicine at the University of Colorado, Denver. “This is a hot topic,” Eckel said. “I like this study because I have five children,” he joked, but he said many factors such as job stress affect heart risks and the decision to have children. Researchers admit they couldn’t measure factors like stress, but they said they did their best to account for the ones they could. They started with more than 500,000 AARP members 50 and older who filled out periodic surveys starting in the 1990s for a long-running research project sponsored by the National Cancer Institute. For this study, researchers excluded men who had never been married so they could focus on those most likely to have the intent and opportunity to father a child. Men with cancer or heart disease also were excluded to compare just men who were healthy when the study began. Of the remaining 137,903 men, 92 percent were fathers and half had three or more children. After an average of 10 years of followup, about 10 percent had died. Researchers calculated death rates according to the number of children, and adjusted for differences in smoking, weight, age, household income and other factors. They saw no difference in death rates between childless men and fathers. However, dads
“
I think there’s something there (and social science supports the idea that children can lower heart risks). Whether it’s with a pet, a spouse or social interaction ... all those things are associated with better outcomes.”
— Dr. Eric TOpOl, a cardiologist and genetics expert at Scripps Health in La Jolla, Calif.
AssociAted Press
A FAther And son play basketball at Independence Park
near uptown Charlotte, N.C. New research suggests that dads are less likely to die of heart-related problems than childless men are. The study by AARP, the government and several universities is the largest ever look at men, fertility and mortality.
» Online Medical journal: http:// humrep.oxfordjournals.org/content/ early/recent
were 17 percent less likely to have died of cardiovascular causes than childless men were. Now for all the caveats. Researchers don’t know how many men were childless by
choice and not because of a fertility problem. They don’t know what fertility problems the men’s partners may have had that could have left them childless. They didn’t have cholesterol or blood pressure information on the men — key heart risk factors. Less than 5 percent of participants were blacks or other minorities, so the results may not apply to them. All those questions aside, however, some prominent heart experts were reassured by the study’s large size and the steps researchers took to adjust for heart disease risk factors. “I think there’s something there,” and social science supports the idea that children can lower heart risks, said Dr. Eric Topol, a cardiologist and genetics expert at Scripps Health in La Jolla, Calif. “Whether it’s with a pet, a spouse or social interaction ... all those things are associated with better outcomes.” Dr. Daniel Rader, director of preventive cardiology at the University of Pennsylvania, said: “It’s biologically plausible that there’s a connection,” but the reduced risk attributed to having children “is pretty modest.” Men often ask him what they can do to keep from dying of a heart attack, he said. “I’m not really prepared to, on the basis of this, tell them to start having a few kids,” Rader said.
Sept. 28, 2011
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WestlAke FAmily physiciAns, pc 5623 W. 19th Street Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 Professionals: Richard Budensiek, DO; Janis McCall, MD; Frank Morgan, MD; Jacqueline Bearden, MD; Angela Mill, MD Website: www.bannerhealth.com
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Bonell Good sAmAritAn 708 22nd Street Greeley, CO 80631 Phone: (970)352-6082 Fax: (970)356-7970 Web Site: www.good-sam.com
GrAce pointe
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meAdoWVieW oF Greeley
5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 Web Site: www.meadowviewofgreeley.com
Assisted liVinG
Bonell Good sAmAritAn 708 22nd Street Greeley, CO 80631 Phone: (970) 352-6082 Fax: (970) 356-7970 www.good-sam.com
GrAce pointe
1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com
meAdoWVieW oF Greeley
5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 Web Site: www.meadowviewofgreeley.com
the BridGe Assisted liVinG 4750 25th Street Greeley, CO 80634 Phone: (970)339-0022
AudioloGy
cArdiAc VAsculAr surGery
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 Web Site: www.allabouthearing.com Professionals: Renita Boesiger, M. A., CCC-A Rachel White, M. A., CCC-A Cheryl Hadlock, M. S., CCC-A
AudioloGy AssociAtes
mirAcle-eAr
peAkVieW medicAl center 5881 W. 16th Street Greeley, CO Phone: (970)313-2745 Fax: (970)313-2744 Professional: Dice, Noel G., AuD
unc AudioloGy clinic
Gunter Hall, Room 0330 Greeley, CO 80639 Phone: (970)351-2012/TTY Fax: (970)351-1601 Web Site: www.unco.edu/NHS/asls/clinic.htm Professionals: Diane Erdbruegger, Au.D., CCC-A; Sonie Harris, M.A., CCC-A Jennifer Weber, Au.D., CCC-A
BAlAnce
liFe cAre center oF GreeleyAscent 4800 25th Street Greeley, CO 80634 Phone: (970)330-6400 Professionals: Cozette Seaver, PT; Leslie Vail, PT
1800 15th Street, #310 Greeley, CO 80631 Phone: (970) 392-0900 Professionals: James H. Beckmann, MD; Harold L. Chapel, MD; John Drury, MD; Lin-Wang Dong, MD; Cynthia L. Gryboski, MD; Cecilia Hirsch, MD; Paul G. Hurst, MD; Brian Lyle, MD; Randall C. Marsh, MD; Arnold Pfahnl, MD; James E. Quillen, MD; Gary A. Rath, MD; Ahmad Shihabi, MD;
heArt center oF the rockies
2528 16th Street Greeley, CO Phone: (970)352-2881 Professionals: Robert M. Traynor, Ed. D. F-AAA; Karen Swope, M. A. CCC-A 2404 17th Street Greeley, CO 80634 Phone: (970)351-6620 749 S. Lemay Avenue, Suite A1 Fort Collins, CO 80524 (970)221-5225
cArdioVAsculAr institute (ncmc)
cArdiAc, thorAcic & VAsculAr surGery (ncmc) 1800 15th Street, Suite 340 Greeley, CO 80631 Phone: (970)378-4593 Fax: (970)378-4391 Professionals: Lyons, Maurice I. Jr. DO Richards, Kenneth M. MD Tullis, Gene E. MD
cArdioloGy
1900 16th Street Greeley, CO 80631 Cardiologists: Roger C. Ashmore, MD, FACC Wendy J. Austin, MD, FACC William B. Baker, MD, FACC Anthony H. Doing, MD, FACC Tristan J. Dow, MD, FACC Thomas R. Downes, MD, FACC C. Patrick Green, MD, FACC Jennifer Hill, NP Timothy C. Johnson, MD, FACC Annaliese Jordan, NP Dennis G. Larson, MD, FACC Emily Leibow, PA Gary J. Luckasen, MD, FACC Robert H. Kiser, MD, FACC William E. Miller, MD, FACC Gerald I. Myers, MD, FACC J. Bradley Oldemeyer, MD, FACC Matthew T. Purvis, MD, FACC Robert Schultz, MP Chad L. Stolz, MD, FACC Justin A. Strote, MD, FACC Stephen A.Treat, MD, FACC Todd B. Whitsitt, MD, FACC
cArdioVAsculAr/ cArdiothorAcic surGeons
heArt center oF the rockies 1900 16th Street Greeley, CO 80631 Mark B. Douthit, MD, FACC, FACS Mark D. Guadagnodi, MD, FACC, FACS Thomas L. Mathew, MD, FACC, FACS
chiroprActic
cBp spine center
1180 Main Street, Suite 7 Windsor, CO Phone: (970)686-9117 Fax: (970)686-5441 Website: www.windsorspinecenter.com Professionals: Dr. Jason W. Haas Dr. Sandra Haas
corporAte heAlth
Greeley medicAl clinic pc 1900 16th Street Greeley, CO 80631 Phone: (970)350-2471 Fax: (970)350-2418 Professionals: John Charbonneau, MD Thomas Lynch, MD Raymond Van Den Hoven, MD
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2011 dentistry
Greeley dentAl heAlth 1600 23rd Avenue Greeley, CO 80634 Phone: (970)353-4329 www.greeleydentalhealth.com Professionals: Randy C. Hatch, DDS Charles W. Johnson, DDS
sidney Benner, d.d.s. Julie shArp, d.d.s. 3400 W. 16th Street, Suite 8-E Greeley, CO 80634 Phone: (970)351-0400 www.bennersharp.com
roBert kron, dmd scott WilliAms, dmd 3535 W. 12th Street, Suite B Greeley, CO 80634 Phone: (970)351-6095 www.drkron.com
dentistry - hyGene
AABsolutely smiles
1135 N. Lincoln Avenue, Suite 4 Loveland, CO 80537 Phone: (970)622-0970 Fax: (970)622-0971 www.aabsolutelysmiles.com
dentistry - pediAtric
pediAtric dentAl Group
2003 46th Avenue Greeley, CO 80634 Phone: (970)330-4600 www.pediatricdentalspecialties.com Professionals: David Strange, DDS, MS Malcolm Strange, DDS, MS Courtney College, DDS, MS Justin Cathers, DDS, MS Gary Belanger, DDS
dermAtoloGy
peAkVieW medicAl center 5881 W. 16th Street Greeley, CO 80634 Phone: (970)313-2700 Fax: (970)313-2733 Professionals: Mary A. Blattner, MD
medicAl clinic At centerrA pc 2500 Rocky Mountain Avenue Loveland, CO 80538 Phone: (970) 619-6558 Fax: (970) 619-6092 Professionals: Michelle D. Wis, MD
Sept. 28, 2011
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TRiBUNE MEDiCALDiRECTORY DiRECTORY TRiBUNE MEDiCAL EAR, NOSE & THROAT
AlpiNE EAR, NOSE & THROAT
FAmily pHySiciANS OF gREElEy, llp-wEST
1120 E. Elizabeth Street, Suite F-101 Ft. Collins, CO 3820 N. Grant Avenue Loveland, CO Phone: (970)221-1177 Professionals: Andrea Biegnski, P.A.C. Chris Eriksen, M.D., Maria Chand, M.D., Marvin Childers, M.D., Sarvjit Gill, M.D., Meg Ricci, PA-C, Matt Robertson, M.D. David Zacheis, M.D.
6801 W. 20th Street, Suite 101 Greeley ,CO Phone: (970) 378-8000 Professionals: Daniel R. Clang, D.O.; Tamara S. Clang, D.O.; R. Scott Haskins, M.D.; Mathew L. Martinez, M.D.; Chima C. Nwizu, M.D.; Michelle K. Paczosa, D.O.; Jeffery E. Peterson, M.D.; Kyle B. Waugh, M.D.; Charles I. Zucker, M.D.
NORTH cOlORAdO EAR, NOSE, & THROAT
kENNETH m. OldS
2528 West 16th Street Greeley, CO 80634 Phone: (970) 356-4646 Professionals: Dr. Keith Peterson, ENT Specialist; Dr. Thomas Peterson, ENT Specialist
pEAkviEw mEdicAl cENTER 5881 W. 16th Street Greeley, CO 80634 Phone: (970) 313-2700 Professionals: Arthur Chen, MD
ENdOcRiNOlOgy
ENdOcRiNOlOgy cliNic (Ncmc) 1801 15th Street, Ste 200 Greeley, CO 80631 Phone: (970)378-4676 Fax: (970)-378-4315 www.bannerhealth.com Professionals: Nirmala Kumar, MD
FAmily pRAcTicE mEdiciNE
FAmily pHySiciANS OF gREElEy, llp-cENTRAl
6801 W. 20th Street, Suite 208 Greeley ,CO 80634 Phone: (970)330-9061
mEdicAl ARTS pRAcTicE
1300 Main Street Loveland, CO 80550 Phone: (970)686-5646 Fax: (970)686-5118 Professionals: Lance Barker, DO Jonathan Kary, MD Trina Kessinger, MD pharmacy on site - open to the public.
1455 Main Street, Ste 100 Windsor, CO 80550 Phone: (970) 686-3950 Fax: (970) 686-3960 Professional: Emily Anderson, MD Egle Bakanaislas, MD Rovert Bradley III, MD Michael Carey, MD Keith Rangel, MD Julie Homann, FNP
FUNERAl SERvicES
AllNUTT & RESTHAvEN FUNERAl SERvicES 702 13th Street, Greeley, CO Phone: (970) 352-3366 650 W. Drake Road, Ft. Collins, CO Phone: (970) 482-3208 8426 S. College Avenue, Ft. Collins, CO Phone: (970) 667-0202 2100 N. Lincoln, Loveland, CO Phone: (970) 667-1121 1302 Graves Avenue, Estes Park, CO Phone: (970) 586-3101
gASTROENTEROlOgy
wESTlAkE FAmily pHySiciANS, pc 5623 W. 19th Street Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 Professionals: Richard Budensiek, D.O.; Jacqueline Bearden, MD; Janis McCall, MD; Angela Mills, MD Frank Morgan, MD; David Pols, D.O. www.bannerhealth.com
1455 Main Street, Ste 100 Windsor, CO 80550 Phone: (970) 686-3950 Peter Witt, MD
HEAlTH ANd FiTNESS
BEllS RUNNiNg/wAlkiNg 3620 W. 10th Street Greeley, CO 80634 Phone: (970)356-6964
Administration Office 2726 W. 11th Street Road Greeley, CO 80634 Phone: (970)352-8487 Fax: (970)475-0037
iNdEpENdENT ASSiSTEd liviNg
gRAcE pOiNTE
1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 Website: www.gracepointegreeley.com
mEAdOwviEw OF gREElEy
5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 Website: www.meadowviewofgreeley.com
iNdEpENdENT ASSiSTEd liviNg w/SERvicES
STUdiO z FiTNESS
2000 35th Avenue Greeley, CO 80634 Phone: 970-388-7956 Phone: 970-313-6924 www.zumbalove.ning.com www.zumba.com
cARiNg HEARTS HOmE HEAlTHcARE
2928 W. 10th Street Greeley, CO Phone: (970)351-8181 Fax: (970)351-0281 Professionals: Gregory Denzel, DO
FAmily pHySiciANS OF gREElEy, llp-cOTTONwOOd
wiNdSOR mEdicAl cliNic
HOSpicE OF NORTHERN cOlORAdO
HOmE HEAlTH cARE
NEXT cARE
5881 W. 16th Street Greeley ,CO 80634 Phone: (970)313-2700 Fax: (970)313-2720 Professionals: Joseph Corona, MD James W. Ley, MD William J. Oligmueller, MD Brian K. Schmalhorst, MD
2010 16th Street, Ste. A Greeley, CO 80631 Phone: (970)378-4475 Fax: (970)378-4429 Professionals: Mark Rosenblatt, MD Ahmed M. Sherif, MD Yazan Abu Qwaider, MD
HOSpicE
Health & Recreation Campus 5701 W. 20th Street Greeley, CO 80634 Phone: 970-330-9691 www.workoutwest.com
2500 Rocky Mountain Avenue Loveland, CO 80538 Phone: (970)203-7180 Fax: (970)203-7105 Professionals: Pamela Levine, MD
pEAkviEw mEdicAl cENTER
NORTH cOlORAdO gASTROENTEROlOgy (Ncmc)
2010 2011
wORk OUT wEST
mEdicAl cliNic AT cENTERRA pc
2520 W. 16th St. Greeley ,CO Phone: (970) 356-2520 Professionals: Joanna H. Branum, M.D.; Ann T. Colgan, M.D.; Jennifer D. Dawson, D.O.; Douglas A. Magnuson, M.D.; Lori A. Ripley, M.D.; Andrew P. Stoddard, M.D.; D. Craig Wilson, M.D.
2420 W. 16th Street Greeley ,CO 80634 Phone: (970) 353-7668 Professionals: Christopher T. Kennedy, M.D.; Daniel P. Pflieger, M.D.; Mark D. Young, M.D.; Stacey L. Garber, M.D. Amy E. Mattox, M.D.
wiNdSOR mEdicAl cliNic
6801 W. 20th Street, Suite 207 Greeley, CO 80634 Phone: (970)378-1409
HEAliNg HElpERS, llc
3527 W. 12th Street Suite 104, Greeley, CO Phone: (970) 302-5559 Email: (970) Nswanson33@gmail.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 Website: www.digestive-health.net
gREElEy mEdciAl cliNic pc 1900 16th Street Greeley, CO 80631 Phone: (970)350-2740 Professionals: Steven Kading, MD Peter C. Witt, MD
REHABiliTATiON ANd viSiTiNg NURSE ASSOciATiON 2105 Clubhouse Drive Greeley, CO 80634 Phone: (970) 330-5655 Fax: (970) 330-7146 Web Site: www.rvna.info Professionals: Crystal Day, CEO
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BONEll gOOd SAmARiTAN 708 22nd Street Greeley, CO 80631 Phone: (970)352-6082 Fax: (970)356-7970 Web Site: www.good-sam.com
FOX RUN SENiOR liviNg 1720 60th Avenue Greeley, CO 80634 Phone: (970)353-7773 Fax: (970)330-9708 Web Site: www.good-sam.com
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TRiBUNE MEDiCAL DiRECTORY infectious disease
Breen, john f., md (ncmc) 1801 16th Street Greeley, CO 80631 Phone: (970)350-6071 Fax: (970)350-6702
internal medicine
Banner health clinic 2010 16th Street Greeley, CO 80631 Phone: (970)350-5660 www.bannerhealth.com
midWifery care
center for Women’s health 1715 61st Avenue Greeley, CO Phone: (970)336-1500 Professionals: Marie Foose, CNM; Michael Plotnick, MD Krista O’Leary, CNM Karen Vorderberg, CNM
neuroloGy
5623 W. 19th Street Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 Professionals: Jacqueline Bearden, MD; Richard Budensiek, D.O.; Janis McCall, MD; Angela Mills, MD Frank Morgan, MD; David Pols, D.O. www.bannerhealth.com
1900 16th Street Greeley, CO 80631 Phone: (970)350-2438 Fax: (970)350-2473 Professionals: Berntsen, Mark F. MD Cash, Robert L. MD Christiansen, Dana L. MD Demacupoulos, Nicola MD Ebens, John B. MD Floyd, Chelsca PA-C Loftin, Andrew PA-C Rademacher, Donald R. MD Racine, Kim PA-C Randle, Michael T. MD Thompson, Keith S. MD Tryggestad, David I. MD Zenk, Daniel R.MD
2928 W. 10th St. Greeley, CO 80634 Phone: (970)351-8181 Fax: (970)351-0281 Professionals: Gregory D. Denzel, DO
massaGe theraPy
healinG touch massaGe @ center for Women’s health
1715 61st Avenue Greeley, CO Phone: (970)336-1500 Professional: Becci Payne, Certified Massage Therapist
medical equiPment & suPPlies
aerocare
700 Automation Drive Windsor, CO Phone: (970)686-6424
Banner home medical equiPment (ncmc) Phone: (970)506-6420
mental health services
ncmc - Behavioral health
928 12th Street Greeley, CO 80631 Professionals: Cheryl Giambrone, LPC Angelica Perino, LPC, CACIII Elise Pugh, LPC Shawn Crawford, LPC Laura Grotenhuis, LPC Tia Lewis, LPC Renée Rogers, LMFT Dr. Robert Ruegg, MD-psychiatry Jose Vasquez, Psychiatric Nurse Practitioner
1715 61st Ave. Greeley, CO Phone: (970)336-1500 Professionals: Stewart Abbot, MD; Marie Foose, CNM; Michael Plotnick, MD; Krista O’Leary, CNM; Karen Vorderberg, CNM; Bea Bachenberg, WHCNP; Kecia Doll, Licensed Esthetician; Becci Payne, Certified Massage Therapist
Westlake family Physicians, Pc
Greeley medical clinic Pc
next care
center for Women’s health
occuPational medicine
Greeley medical clinic
centennial neuroloGy Dr. David Ewing 7251 W. 20th Street, Unit C Greeley, CO 80634 Phone: (970) 356-3876
Greeley medical clinic
1900 16th Street Greeley, CO 80631 Phone: (970) 350-2438 Professionals: Donal Rademacher, MD
ncmc neuroloGy clinic
1800 15th Street, Suite 100B Greeley, CO 80631 Phone: (970) 350-5612 Fax: (970) 350-5619 Professionals: Siegel, Jeffery, MD Shaffer, William, MD; Hayes, Todd DO
nursinG home rehaBilitation
centennial health care center 1637 29th Ave. Place Greeley, CO 80634 Phone: (970) 356-8181 Fax: (970) 356-3278
oBstetrics & GynecoloGy
Greeley medical clinic Pc 1900 16th Street Greeley, CO 80631 Phone: (970)350-2403 Fax: (970)392-4708 Professionals: Burket, Charles R. MD Colberg, Craig S. MD Kiser, Rick E., MD
1900 16th Street Greeley, CO 80631 Phone: (970)350-2471 Professionals: John Charbonneau, MD Ray VandenHoven, MD Robert Nystrom, DO Michael Deitz, PA-C
oncoloGy & hemaloloGy
cancer institute (ncmc) 1800 15th Street, Greeley, CO 80631 Phone: (970) 350-6680 Toll Free: (866) 357-9276 Fax: (970)350-6610 Professionals: Elizabeth Ceilley, MD Brian Fuller, MD
Greeley medical clinic
1800 15th St. Greeley, CO 80631 *Moving in August - 1675 18th Avenue, Greeley, CO Professionals: Thomas R. Lininger, MD Phone: (970)378-4170 Fax: (970)378-4171 Douglas J. Kemme, MD Phone: (970)353-6722 Fax: (970)353-6434 Michael D. Stone, MD Phone: (970)378-4170 Fax: (970)378-4171 Debra DeWall, PA-C
Greeley medical clinic loveland 2050 N. Boise Ave. Loveland, Co, 80538 Professionals: Samuel A. Shelanski MD Phone: (970)667-7870 Fax: (970)667-4510
orthodontics
Greeley orthodontic center 2021 Clubhouse Dr., Suite 110 Greeley, CO 80634 Phone: (970) 330-2500 Fax: (970) 330-2548 E-Mail: gocpc@doctork.com Website: www.doctork.com Professionals: Dr. Gary J. Kloberdanz
orthodontic associates of Greeley, Pc
3400 W. 16thSt., Bldg 4-V Greeley, CO 80634 Phone: (970) 356-5900 Website: www.dredgren.com Professionals: Burdett R. Edgren, DDS, MS; Bradford N. Edgren, DDS, MS
oral surGery & maxillofacial surGury
nicholas, kenton c. md Greeley medical clinic 1900 16th Street Greeley, CO 80631 Phone: (970)350-2458 Fax: (970)392--4715
orthoPedics
Greeley medical clinic Pc 1900 16th Street Greeley, CO 80631 Phone: (970)350-2427 Fax: (970)350-2421 Professionals: Grossnickle, Mark D. MD Hunter, Brett P. MD Snyder, Joshua MD Simonsson, Michelle PA-C
mountain vista orthoPaedics 5890 W. 13th Street, Suite 101 Greeley, CO Phone: (970)348-0020 Fax: (970)348-0044 Web Site: www.bannerhealth.com Professionals: Randy M. Bussey, MD Daniel Heaston, MD Thomas Pazik, MD Shelly Remley, PA-C Kelly R. Sanderford, MD Steven Sides, MD Linda Young, MD
Pediatrics
Banner health clinic 6801 W. 20th Street, Suite 201 Greeley, CO 80634 Phone: (970)350-5828 www.bannerhealth.com
PeakvieW medical center 5881 W. 16th St. Greeley, CO 80634 Phone: (970)313-2700 Fax: (970)313-2727 Professionals: Amy Driscoll, MD Meshelle M. Kolanz, MD Chris Moore, MD Robert L. Pedersen, MD Joseph Ryan, MD Tom Deen, PA-C
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2011 Pediatric rehaBilitation
Banner rehaBilitation center 1801 16th Street Greeley, CO Phone: (970)350-6160 Fax: (970)378-3858
Personal resPonse service
Banner life line (ncmc) 2010 16th Street, Suite C Greeley, CO 80631 Phone: 1-877-493-8109 (970) 378-4743
Physical theraPy
hoPe theraPy center (Formerly North Colorado Therapy Center) 2780 28th Avenue Greeley, CO 80634 Phone: (970)339-0011 Website: www.GCIinc.org Professionals: Chris Denham, PT; Kryste Haas, OT; Kathie Hertzke, PTA; Moni Kohlhoff, PT; Alex Luksik, PTA; Jeanne Rabe, PT; Melissa Richardson, PT; Howard Belon, PhD, Clinical Psychologist
PeakvieW medical center 5881 W. 16th Street Greeley, CO 80634 Phone: (970) 313-2775 Fax: (970) 313-2777 Professionals: Kirk Henderson Ann Hurst, PT Lindsay Paulson, PT M. Elissa Marshall, OT Ola Simonsson PC-A
Podiatry
foot & ankle center of northern colorado P.c.
1931 65th Ave., Suite A Greeley, CO 80634 Phone: (970) 351-0900 Fax: (970) 351-0940 4401 Union Street Johnstown, CO 80534 Phone: (970) 443-0925 Web Site: www.footandanklecolorado.com Professionals: Daniel J. Hatch, D.P.M. Mike D. Vaardahl, D.P.M.
Greeley foot & ankle 2000 16th Street, Suite 3 Greeley, CO 80631 Phone: (970)352-4815 Fax: (970)352-5130 Professionals: Dr. Jean Masterson
Sept. 28, 2011
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TRiBUNE MEDiCAL DiRECTORY pulmonary/critical care
north colorado pulmonary (ncmc) 2010 16th Street, Ste A Greeley, CO 80631 Phone: (970)392-2026 Fax: (970)392-2028 Professionals: David Fitzgerald, DO Kelli R. Janata, DO Robert J. Janata, DO
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 Website: www.hanger.com Professinal: Ben Struzenberg, CPO Michelle West, Mastectomy Fitter
rheumatoloGy
Greeley medical clinic/ loveland 1900 16th Street Greeley, CO 80631 2500 Rocky Mountain Avenue Loveland, CO 80538 Professionals: James Levine, DO Phone: (970)350-2433 Fax: (970)392-4768 Garvin C.. Murray, MD Phone: (970)461-1880 Fax: (970)593-9731 J. Stephen Thompson, MD Phone: (970)461-1880 Fax: (970)593-9731
skin care
kecias skin care @ center For women’s health 1715 61st Avenue Greeley, CO Phone: (970)336-1500 Professinal: Kecia Doll, Licensed Esthetician
skilled care/rehab
1900 16th St. Greeley, CO 80631 Phone: (970) 350-2423
mountain vista orthopaedics 5890 W. 13th Street, Suite 101 Greeley, CO Phone: (970)348-0020 Fax: (970)348-0044 Web Site: www.bannerhealth.com Professionals: Randy M. Bussey, MD Daniel Heaston, MD Thomas Pazik, MD Shelly Remley, PA-C Kelly R. Sanderford, MD Steven Sides, MD Linda Young, MD
speech lanGuaGe patholoGy
banner rehabilitation center 1801 16th Street Greeley, CO Phone: (970)350-6160 Fax: (970)378-3858
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
surGery General & trauma
bariatric surGery (ncmc) 1800 15th Street, Suite 200 Greeley, CO 80631 Phone: (970)378-4433 866-569-5926 Fax: (970)378-4440 Professionals: Michael W. Johnell, MD
Greeley medical clinic/ loveland 1900 16th Street Greeley, CO 80631 2500 Rocky Mountain Avenue Loveland, CO 80538 Phone: (970)350-2426 Fax: (970)350-2452 Professionals: Steven M. Dubs, MD Lesley A. Fraser, MD Michael E. Peetz, MD Phone: (970)350-2426 Fax: (970)350-2452 James Schiefer, MD Phone: (970)203-7250 Fax: (970)619-6094
surGery western states burn center (ncmc) 1801 16th Street Greeley, CO 80631 Phone: (970)350-6607 Fax: (970)350-6306 Professionals: Gail Cockrell, MD Cleon W. Goodwin, MD BURN
windsor medical clinic
1455 Main Street, Ste 100 Windsor, CO 80550 Phone: (970) 383-3950 Mark Grossnickle, MD Brett Hunter, MD Joshua Snyder, MD
surGical associates oF Greeley pc (ncmc) 1800 15th St. Suite 210 Greeley, CO Phone: (970)352-8216 Toll Free: 1-888-842-4141 Professionals: Lisa Burton, M.D.; Michael Harkabus, M.D.; Jason Ogren, M.D.; Samuel Saltz, D.O.; Robert Vickerman, M.D.
banner rehabilitation Phone: (970)350-6160
cbp spine center
5881 W. 16th St. Greeley, CO 80634 Phone: (970)313-2775 Fax: (970)313-2777
sports medicine
1801 16th Street Greeley, CO Phone: (970)392-2496
Greeley medical clinic pc
peakview medical center
Gunter Hall, Room 0330 Greeley, CO 80639 Phone: (970)351-2012/TTY Fax: (970)351-1601 Web Site: www.unco.edu/NHS/asls/clinic.htm Professionals: Lynne Jackowiak, M.S., CCC-SLP Julie Hanks, Ed.D Patty Walton, M.A., CCC-SLP Mark Guiberson, Ph.D., CCC-SLP
north colorado sports medicine
radioloGy
1180 Main Street, Suite 7 Windsor, CO Phone: (970)686-9117 Fax: (970)686-5441 Website: www.windsorspinecenter.com Professionals: Dr. Jason W. Haas Dr. Sandra Haas
speech and lanGuaGe
unc speech lanGuaGe patholoGy clinic
bonell Good samaritan 708 22nd Street Greeley, CO 80631 Phone: (970)352- 6082 Fax: (970)356-7970 Website: www.good-sam.com
Grace pointe
1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 Website: www.gracepointegreeley.com
urGent care
Greeley medical clinic 1900 16th Street Greeley, CO 80631 Phone: (970)350-2425 Fax: (970)350-2447 Professionals: Grauerholz, Brent D. MD Lee, Dan PA-C Noordewier, Edward, MD Nystrom, Robert DO
2011 summitview urGent care 2001 70th Avenue Greeley, CO 80634 Phone: (970)378-4155 Fax: (970)378-4151 www.bannerhealth.com Professionals: Thomas Harms, MD Amy E. Shenkenberg, MD Linda Young, MD
uroloGy
Greeley medical clinic 1900 16th Street Greeley, CO 80631 Phone: (970)350-2491 Fax: (970)350-2492 Professionals: Gary R, Goodman, MD Hank Jounson, PA-C
mountain vista uroloGy 5890 W. 13th Street, Suite 106 Greeley, CO 80634 Professionals: James Wolach, MD Curtis Crylen, MD www.bannerhealth.com
veins
vein clinic (ncmc)
1800 15th Street, Suite 340 Greeley, CO 80631 Phone: (970)378-4593 Fax: (970)378-4591 Professionals: Maurice I. Lyons Jr., DO Kenneth M. Richards, MD Gene E. Tullis, MD
women’s services
Greeley medical clinic 1900 16th Street Greeley, CO 80631 Phone: (970) 350-2403 Charles Burket, MD Craig Colbery, MD Rick Kiser, MD Amy Schweers, NP
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HEALTH
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THRIVEnc
Ehrlich
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Sept. 28, 2011
SUBARU 0N 8TH AVE
GREELEY
2.9%APR 1.9%APR
*
UP TO 72 MOS. **
UP TO 36 MOS.
ON ALL NEW 2011
SUBARU MODELS 2011 SUBARU IMPREZA 2.5i
UP TO 31 MPG
2.9%* 1.9%**
2011 SUBARU OUTBACK 2.5i
UPTO 72 MOS. UPTO 36 MOS.
179
$
$595 $0 $179 $595
UPTO 72 MOS. UPTO 36 MOS.
PER MO. LEASE/36 MOS. 10,000 miles per year.
$1369 Total Due At Lease Signing
$18,220 MSRP - $1,111 Ehrlich Discount
OR
2.5x ALLOY WHEEL VALUE PACKAGE
UP TO 32 MPG
**
176 $2995 $0 $176 $595
PER MO. LEASE/36 MOS. 10,000 miles per year.
Down Payment Security Deposit First Months Lease Payment Acquisition fee
$3766 Total Due At Lease Signing
OR
Down Payment Security Deposit First Months Lease Payment Acquisition fee
$22,420 MSRP - $2,066 Ehrlich Discount
$20,354 TO FINANCE
$24,220 MSRP - $1,610 Ehrlich Discount
OR
$22,610 TO FINANCE
UP TO 37 MPG
2.5i
188
BFA-21 From Factory Allocation
PER MO. LEASE/36 MOS. 10,000 miles per year.
2011 SUBARU LEGACY $
UPTO 72 MOS. UPTO 36 MOS.
BDA-01 FROM FACTORY ALLOCATION
$4779 Total Due At Lease Signing
TO FINANCE
2.9% 1.9%
$
$3995 $0 $189 $595
$17,109
2011 SUBARU FORESTER *
189
$
BJA-01 From Factory Allocation
Down Payment Security Deposit First Months Lease Payment Acquisition fee
2.9%* 1.9%**
UP TO 34 MPG
$1495 $0 $188 $595
BAA-01 From Factory Allocation
PER MO. LEASE/36 MOS. 10,000 miles per year.
Down Payment Security Deposit First Months Lease Payment Acquisition fee
$2278 Total Due At Lease Signing
$20,630 MSRP - $1,379 Ehrlich Discount
OR
$19,251 TO FINANCE
EHRLICH MOTORS, INC.
8TH AVENUE
*W.A.C. See dealer for complete details. *2.9% APR for up to 72 months, availabe on all new 2011 Subaru Models. Cost of financing for 2.9% for 72 months is $15.15 per $1,000 financed. **1.9% APR up to 36 months available on all new 2011 Subaru Models. Cost of financing for 1.9% for 36 months is $28.62 per $1,000 financed. Subject to vehicle insurance and vehicle availability. No down payment required. Subaru Impreza, Outback, Legacy and Forester are registered trademarks. All vehicles subject to prior sale. All sale prices are good day of publication only. All offers include all rebates, incentives plus tax, tag, and license with approved credit. Photos for illustration purposes only. Not responsible for typographical errors. Color and equipment my vary. Offer ends 9/30/11. See dealer for complete details.
8TH AVENUE & HWY 34 BYPASS
GREELEY, COLORADO
www.EhrlichSubaru.com • 970-353-7707 • 866-413-5578
HIGHWAY 34 BYP ASS