Prime - Summer / August 2016 by The Greeley Publishing Company

SUMMER - AUGUST 2016

PG. 6 New Program helps prevent diabetes and build healthier lifestyles.

tips for talking to your doctor effectively

PG. 10 Thrive on the meditteranean diet as it has stood the test of time for 20 years. PG. 15 It's been proven time and again, seat belts can save lives in car crashes.

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Features

PG.12

PG. 10

Talk To Your Doctor Effectively

Thrive on the Mediterranean Flavor

For people looking to get the most out of their doctor's visits, a few things might not be the best advice.

Diet fads inundate bookstores, advertisements and internet searches. The Mediterranean diet has withstood the test of time and research for about 20 years.

PG 4

Sunscreen Protects Skin But Has Risks

Some byproducts in sunscreen can have side effects that rival the very risks we're trying to avoid.

PG 5

What's Bugging You This Summer?

Don't let mosquito borne illnesses and the risk of West Nile virus get in your way.

PG. 16 Beneficial For All

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

PG 6

PG 8

New Program Helps Prevent Diabetes

UCHealth's Diabetes Prevention Program gives people the tools needed to make lifestyle changes.

Health-care consumers get little help resolving financial complaints.

PG. 19 Health Events Calendar

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

Thinking About Health

Drive Smart: Seat Belts Save Lives

It's been proven time and again, a seat belt can save a life in a car crash.

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 August 2016, Volume 2, Issue 4.

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

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Sunscreen protects skin but not without risks By James Hagadorn For Prime

emember your first bad sunburn? Mine came adorned blaze-red blisters the day after a pool party. Despite an arsenal of new sunscreen technologies, sunburns happen all the time in Colorado. That’s because our high elevations make it easier for the sun to damage our skin.

Skin is one of your body’s main protectors. It maintains our temperature and moisture, generates vitamins and is a sun-warning system. Many of us don’t think much about these aspects of skin — we care how it looks or whether it grows cancer. Thus, we slather and spritz sunscreen to keep our skin in good shape. But as we’ve learned with DDT and BPA, some product ingredients, 4

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including those in sunscreens, can have side effects that rival the risks we’re trying to avoid. What is it about sunlight that makes us need sunscreen? Sunlight has different rays, including invisible ultraviolet (UV) rays, visible light and infrared (or heat) light. Most UV rays are a form called UVA. UVA zooms through glass, through clouds and deep into your skin. It gives you a tan. It wrinkles and prematurely ages skin, facilitates cellular damage and increases the risk of the most serious of skin cancers — melanoma. A small fraction of UV light is called UVB. These rays penetrate and cause thickening of your skin’s upper layer. UVB radiation helps Vitamin D production but also burns skin, damages cellular structures and leads to skin cancers. Broad-spectrum sunscreens aim to protect us from both UVA and UVB light. They employ ingredients that fall into two categories based on how they work: • Physical blockers that scatter and absorb UV rays and • Chemical blockers that absorb UV, converting it to heat. To help these physical blockers and chemical absorbers to work, sunscreens contain inactive ingredients designed to help them stick to your skin. Plus some chemicals that enable them to spread easily and prevent them from degrading

or reacting adversely with one another. Two physical blockers are commonly used: zinc oxide (ZnO) and titanium dioxide (TiO2). ZnO retards the full range of UVA and UVB rays, whereas TiO2 blocks about a quarter of them. Physical blockers don’t significantly penetrate intact skin to migrate into your blood or internal organs. Toxicology and epidemiology studies of these substances are in their infancy, but thus far little suggests that they’re harmful to humans. Except when they’re inhaled, such as from household dust or sunscreen sprays. Chemical absorbers include all the other unpronounceable substances on sunscreen’s “Active Ingredients” list. Each one absorbs a fraction of the UV spectrum — so they’re used in combination with each other to block all the different types of UV rays. For example, avobenzone retards the UVA spectrum but none of the UVB spectrum. It’s often combined with an UVBabsorbing agent, like oxybenzone, to cover the gap in UV radiation reaching your skin. One reason chemical sunscreens have proliferated is because they’re easy to spread, invisible and aren’t greasy-feeling. Many of these chemical absorbers, including oxybenzone, easily pass through your skin and into blood, organs and breast milk. Of greater concern, some chemical absorbers may behave as endocrine disruptors. Much like Bisphenol A (BPA), a compound that was recently removed from clear hard plastic bottles, these sunscreen ingredients may impact production of hormones such as estrogen or testosterone. This endocrine disruption affects reproductive systems at all scales — from female fetal development to sperm production in grown males. Although the FDA scrutinizes sunscreen’s effects on skin, most sunscreen ingredients haven’t been tested nor regulated for larger-scale human health impacts. Yet, there is growing data on their influence. Want to know more about the impacts of that stuff you slather on your skin? Start with skincancer.org, ewg.org, or ncbi.nlm. nih.gov/pubmed. In Colorado and for kids, sun is a pivotal part of an outdoor-oriented existence. Sunscreens permit us to cope with UV rays, so we can spend more time outdoors, living in places we’re not genetically equipped to live in, and doing activities that we’re not evolutionarily adapted to. Sunscreen’s rewards come with risks, but sunscreens are getting better and better. What does our family do? We mitigate risk by making shade and strategizing our sun-time. We hedge our bets by using sunscreens that only contain ZnO or ZnO plus TiO2. We favor ones that apply easily to squirming kids and don’t make us look like Casper. We wear hats outside, and being real pale, I wear a ridiculously huge one. We have fun in the sun, knowing that UV risks come with rewards. And a few wrinkles. James W. Hagadorn, Ph.D., is a scientist at the Denver Museum of Nature & Science. Suggestions and comments welcome at jwhagadorn@dmns.org

What’s bugging you this summer?

Mosquito borne illnesses and the risk of West Nile virus

By Lindsey Gerdes Kaiser Permanente

e are in the heart of summer here in northern Colorado, and summer in Colorado means spending a lot of time outdoors: hiking, gardening, barbecues, and mosquitoes.

Mosquitoes have been receiving a lot of press lately as other countries deal with the Zika virus. Let me start by saying that the Zika virus is still not present in the continental United States — when/ if it does arrive here there will be a lot of communication to the public, but this isn’t something to worry about at this time. In northern Colorado, residents are probably thinking more about West Nile virus, which has been known to happen here. While it is a seasonal concern in Colorado during the summer (August and September mostly) until the first frosts in late fall, it is far more prevalent in other parts of the country, especially southern California and Arizona. According to the Centers for Disease Control (CDC), Colorado had 101 reported cases of West Nile in humans in 2015. Of those cases, 10 were reported in Weld County while Larimer County had the highest reported number of cases at 17.* So What Is West Nile Virus? The West Nile virus is a transmitted to people and animals by bites from infected mosquitoes. Most people infected with West Nile virus either don’t develop any signs of the virus or display only minor symptoms, which can include fever and light headache or some weakness. These symptoms can last anywhere from a few days to a few weeks, and usually go away on their own. However, some people develop a life-threatening form of encephalitis that includes inflammation of the spinal cord or brain. These more severe symptoms start with a sudden high fever and headache, and rapidly lead to muscle stiffness in the neck, disorientation, muscle tremors, and even coma, and can cause permanent brain damage or in very rare cases may be fatal. People displaying these more extreme symptoms should seek professional medical care. There are several things that can be done to reduce your chance of being bitten by a mosquito. The Colorado Department of Public Health recommends the following: • Limit outside activity around dawn and dusk when Culex tarsalis mosquitoes feed. This is particularly important for elderly adults.

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• Wear protective clothing such as lightweight long pants and long sleeve shirts when outside. • Apply insect repellent to exposed skin when outside. Repellents with DEET are effective, but should be applied sparingly. • Products with 10 percent or less of DEET are recommended for children. • Make sure that doors and windows have tight-fitting screens. Repair or replace screens that have tears or holes in them. • Drain all standing water on private property, no matter how small an amount. • Stock permanent ponds or fountains with fish that eat mosquito larvae. Change water in birdbaths or wading pools and empty flowerpot saucers of standing water at least once a week. • Check around faucets and air conditioner units and repair leaks or puddles that remain for several days. • Make sure roof gutters drain properly and remove any standing water under or around structures or on flat roofs. • Remove items that could collect water such as old tires, buckets, empty cans, and food and beverage containers. • Eliminate seepage and standing water from cisterns, cesspools, septic tanks, and animal watering tanks. • Do not over-water lawns and gardens to prevent standing water. The reality is that the risk of extreme illness is very small, and most mosquito bites will only result in an itchy bump for a few days. Taking the time to dress in appropriate clothes and put on a repellant are the best deterrent. It’s still very healthy to be outdoors, and the risk does not outweigh the reward of enjoying our beautiful Colorado summers. *http://diseasemaps.usgs.gov Dr. Lindsey Gerdes is a family medicine physician practicing at the Kaiser Permanente Greeley Medical Offices.

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New program helps prevent diabetes, builds healthier lifestyles By Angeline Grenz Photo Credit: UC Health UCHealth For Prime

usan Epperson was on the road toward Type 2 diabetes. But she had made lifestyle changes before, and the results were less than successful. It was time for a little help.

“UCHealth’s Diabetes Prevention Program gives people the tools they need to make lifestyle change to prevent this disease,” said Linda Schoon, coordinator of the program. The program provides learning and support opportunities to help those with signs of prediabetes to make permanent lifestyle changes. Offered through the Center for Diabetes, the program includes classes in Fort Collins, Love-

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land, Windsor and Greeley. It is based on the Centers for Disease Control and Prevention’s National Diabetes Prevention Program. For Epperson, who sits much of the day in her position as blood service quality coordinator

Participants in UCHealth’s diabetes prevention program take a field trip to the grocery story to learn tricks to purchasing healthy foods.

“When I got my test results, my first reaction was to cut carbs and sugar out of my diet,” she said. Epperson was showing precursors for diabetes as reflected in the average glucose level shown in her hemoglobin A1C lab results. She tried methods on her own, but when her blood sugar levels were retested, the results were still too high. “It panicked me a little,” she recalled. Epperson does not have a family history of diabetes. Neither is she morbidly obese; in fact, Epperson walks every day and practices yoga several times a week. She, in all actuality, felt pretty good about her health.

“UCHealth’s Diabetes Prevention Program gives people the tools they need to make lifestyle change to prevent this disease.” - Linda Schoon, program coordinator at Poudre Valley Hospital, the assistance was just what she needed.

But the test was telling, and her knee-jerk reaction to cut carbs and sugar didn’t make a

difference. In fact, replacing carbs and sugar with high-fat, high-protein options was counterproductive to her goals. “Through the program, I learned that what I was doing was actually making matters worse,” Epperson said. Epperson attended a weekly class that taught her strategies for living: managing stress, eating well and increasing physical activity. Within a few months, she had dropped 7 percent of her weight — about 14 pounds. And just recently, test results showed she has dropped her levels to below the prediabetes zone. “The class was instrumental in teaching me how to adjust my diet back to a healthy option and keeping me on track with the food and activity record,” she said. The curriculum includes 16 weekly classes followed by seven monthly classes. The class is open to those age 18 and older who have a Body Mass Index equal to or greater than 24 (22 for those of Asian ethnicity), who have had lab tests or screenings that point to prediabetes, or who have a history of gestational diabetes. Although the program was initially offered only to UCHealth employees, it’s now open to the public. Interested participants are encouraged to contact their insurance provider to see if the cost is covered. “The first 16 weeks are very important,” said Schoon. “The class is an hour long — very feasible — with weigh-ins and goal setting.” Why 16 weeks? “We really dig deep into lifestyle, and change takes time,” she said, adding that the classes are taught by trained lifestyle coaches who are registered dietitians. In the first 16 weeks, program participants learn about healthy eating, portion control, reducing unhealthy fats in the diet, managing their environment around eating (no more stress eating), triggers that may lead to overeating, and behavior modifications that focus on a healthier lifestyle. At the same time, they work on increasing their amount of physical activity in manageable and enjoyable ways. The goal for participants is to lose 5 to 10 percent of their body weight. While not everyone is successful in the first 16 weeks,

the ongoing monthly classes allow participants to continue to work toward that goal or maintain their progress. It is the full-year curriculum that provides participants the support they need, added Schoon, who also provides individual support if needed. The majority of those who sign up for the class, according to Schoon, are attracted by the powerful incentive to prevent diabetes. Many have struggled for years with their weight and have tried other diets in the past with little success. What makes this program successful, Schoon said, is the instruction in “lifelong habits for eating and exercise.” The group setting also allows members to provide each other support, commiserate over obstacles and celebrate progress. Epperson, a self-described introvert, was pleasantly surprised by the benefits she gained from her classmates. In addition to the overall support, she came away with practical advice, like an app to monitor her diet and track exercise. “I still enjoy what I eat, but now I am just making smarter choices,” she said.

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ho protects consumers of health care?

was stuck with a bill that, so far, totals over $15,000 for the skilled nursing Two recent emails from readers got me thinking about care his wife did need. He said he had been a “significant donor” to the hospital foundation, and “I have told the foundation that what I spend that question. I don’t mean consumers in their role as patients as a result of ‘observation’ will come out of what I planned to give them, whose medical well-being is looked after by state medical boards and starting with the annual gift.” health departments that police doctors and hospitals. Those organizations The second email came from Kathryn Green, a college history profesdon’t always do a perfect job protecting patients from harm, but at least sor who lives in Greenwood, Mississippi. Green is fighting an air ambuthey are in place. lance company, which transported her late husband to a Jackson hospital But who protects patients when things go wrong on health care’s after he suffered a fatal fall in their home. This “nightmare,” as she calls it, financial side? What happens when you receive a bill you didn’t expect is a bill from the transport company that claims it’s outside her insurance and can’t afford to pay? What happens when insurers send unintelligible network, and says she owes them $50,950. explanations of benefits you can’t understand? What about questionable “I am 63 and will have a devastated retirement if this is upheld,” Green loan arrangements to avoid medical bankruptcy? told me. Consumers of health care are pretty much on their own. From the Blue Cross & Blue Shield of Mississippi, the administrator for her insur1960s though the 1980s when people complained, they got action from ance carrier the State and School Employees’ Health Insurance Plan, paid consumer organizations, government and even businesses that set up departments to handle complaints. That consumer movement is now but a $7,192 of the $58,142 the transport company billed. Blue Cross has told Green that she should be held harmless and should not be charged for the flicker. “balance after payment of the Allowable Charge has been made directly “We don’t have as many public-interest minded regulators, and officials to that provider.” who try to grab these issues by the horns and deal with them,” says Chuck Green is raising a ruckus and has taken her case to state and national Bell, director of programs for Consumers Union. media, members of Congress, the state attorney general, and the Missis The emails I received show that although it’s an uphill battle to get sippi Health Advocacy Program. The company has told redress, fighting back as an individual can get attention her it will begin collection efforts. and may ultimately lead to better protections for In both cases there’s a legislative solution. everyone. The three-day rule can be fixed by count John Rutledge, a retiree, got snared in ing all the time a patient spends in the Medicare’s three-day rule by a hospital hospital whether they’re classified as an near his hometown Wheaton, Illinois. “in” or as an “observational” patient. At the end of March he took his The ambulance problem can be wife, who was having breathing fixed by changing the 1978 airline problems, to the hospital where deregulation law that prevents states she was held for three nights of from interfering with fares, services, “observation.” Patients must be and routes. But money and politics in a hospital for three days as an block the federal changes that in-patient before they are entitled would help people like Rutledge to Medicare benefits for 100 and Green. days of skilled nursing home “It’s like playing a game care as I noted in a recent of health insurance roulette,” column. Bell says. “Your coverage Thousands of families exposes you to these gaps have been caught when that have been normalized. hospitals decide their loved It’s become the way of doing ones are admitted for “obserbusiness.” vation,” a tactic that allows A resurgent consumer them to avoid repaying Medimovement could change all care if government auditors that. find patients should not have What consumer problems been classified as “in-patients.” have you had with balance billing? Write Playing the “observational” to Trudy at trudy.lieberman@gmail.com. game is worth millions to hospitals but costs families tens of thousands of dollars when someone doesn’t qualify for Medicare-covered skilled By Trudy Lieberman nursing care. Rural Health News Service Rutledge knew about the three-day rule. Both his doctor and a pulmonologist at the same medical practice recommended an in-patient stay, and Rutledge refused to sign a hospital document saying his wife was admitted for observation. Still, the hospital prevailed, claiming a consultant made the decision to keep her for “observation.” Rutledge

THINKING ABOUT HEALTH:

Health-care consumers get little help resolving financial complaints

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Thrive on the Mediterranean flavor The Koobideh Kabob platter at Rumi’s House of Kabob in downtown Greeley includes skewers of beef and chicken with homemade Persian seasonings. The meat is cooked over an open fire and served with white basmati rice, a charbroiled tomato and a choice of Shiraizi salad, cucumber yogurt or hummans and pita bread. The dish includes vegetables and rice and a side of meat, a traditional arrangement in the Mediterranean diet.

By Kelly Ragan Photo Credit, Kelly Ragan/kragan@greeleytribune.com For Prime

iet fads inundate bookstores, advertisements and internet searches. Some weeks, people seek to eliminate carbs. Other weeks they do a detox cleanse.

People often think if they lose weight, everything will get better, said Jenifer Bowman, a registered dietitian with UCHealth. They think if they shed pounds, they will be healthy. But they may be wrong. And yet, one diet in particular is proven to improve cardiac health and overall health in addition to helping you lose a few pounds. The Mediterranean diet has withstood the test of time and research for about 20 years. It’s a 10

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comprehensive diet proven to improve cardiac and overall health, Bowman said. That’s why many hospital dietitians endorse it and even teach cooking classes on it. The Lyon Diet Heart Study, conducted in 1994, looked into how the diet influenced the health of people who had experienced a cardiac event such as a heart attack. “The research stopped early because their results were so overwhelmingly conclusive,” Bowman said. “It helped reduce cardiac death and overall death.” The basics of the Mediterranean diet include: • Eating many plant-based foods such as veggies, fruits, whole grains, legumes and nuts.

• Swapping butter for healthy fats such as olive oil. • Swapping salt for herbs and spices. • Limiting red meat to a handful of times per month. • Eating fish and poultry at least twice per week. • Eating as much fresh, minimally processed food as possible, and avoiding foods that come from a box. • Drinking red wine in moderation. Adding red wine, which does have health benefits, is recommended by some proponents of the diet, although you shouldn’t drink more than 5 ounces of wine for women and 10 ounces for men daily.

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Italy, Spain, Greece and northern Africa are regions typically associated with the diet — though Middle Eastern countries like Turkey, Syria, Jordan and Israel also border the Mediterranean Sea. Residents in Middle Eastern countries often eat many of the foods that fall under the Mediterranean category. The reason the Med diet improves cardio health is it’s a diet based in fats such as olive oil, canola oil, nuts and some fish. Those fats are monounsaturated and polyunsaturated. They contain Omega-3 fatty acids, which can decrease blood clotting, improve blood vessel health and help moderate blood pressure, according to the Mayo Clinic. Even though it’s high in fat, the diet can aid in weight loss, Bowman said. According to the Mayo Clinic, research shows a traditional Mediterranean diet reduces the risk of heart disease. The diet has a lower level of oxidized low-density lipoprotein cholesterol — the bad stuff— that’s more likely to build up in arteries. When people try to cut out carbs or fats or increase a specific vitamin, it often doesn’t have the impact diet followers look for. At the end of the day, their weight doesn’t change. “It’s your overall meal pattern (that affects change),” Bowman said. The diet may also help prevent cancer and other illnesses, as well as heart disease. An analysis of more than 1.5 million healthy adults showed following a Mediterranean diet was associated with a reduced risk of cardiovascular mortality, cancer, Parkinson’s and Alzheimer’s disease. Women who eat a Mediterranean diet with extra-virgin olive oil and mixed nuts have shown a reduced risk of breast cancer. Research suggests a Mediterranean diet may slow cognitive decline in older adults, reduce the risk of mild cognitive impairment, as well as

They moved to Greeley from Texas, where they took cooking classes, as well. Bascus thought she’d try the course. It helps her and her husband to try new foods, Bascus said. “I got some different recipes — the baba ganosh was my favorite,” Bascus said. “That’s definitely something I’ll try at home.” Rumi’s House of Kabab, 1116 9th St., is one of the only restaurants in town that specializes in Middle Eastern cuisine. Sher and Fahima Tarin own the place. The couple left Afghanistan in the mid-1970s. Now the couple lives in Windsor. It’s their goal to provide fresh, healthy, high-quality food Fahima Tarin said. They also provide vegan and gluten-free options. “We care about customers and I think serving healthy food is a good choice,” Tarin said. Most people don’t know about all the different kinds of food when they come in, Tarin said. “A lot of customers come in and ask how we make stuff and we will tell them the ingredients and how to make it,” Tarin said. “It feels good to share the culture.” Some menu items include falafel, hummus, red lentil soup, eggplant dip, gyro sandwiches, falafel sandwiches, cucumber yogurt and rice. Uriel Zozaya works in Rumi’s kitchen. Originally from Mexico, he didn’t know anything about Middle Eastern food before he started working there. “It’s very different — they like a lot of vegetables,” Zozaya said. “They like a lot of yogurt. They like a lot of high-quality stuff that’s very fresh.”

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“My patients ask me all the time, ‘What should I eat so this terrible heart thing doesn’t happen again?’. The American Heart Association issued some guidelines that included the Mediterranean diet as a heart-healthy plan.” - Jenifer Bowman, registered dietician with UC Health

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slow the progression of Alzheimer’s diseaseAnn Walker, a registered dietician with North Colorado Medical Center, teaches a cooking class. She teaches attendees related deaths, according to the Mayo Clinic’s how to make tasty eggplant dip by first baking the eggplant. website. “My patients ask me all the time, ‘What should I eat so this terrible heart thing doesn’t happen again?’,” Bowman said. “The American Heart Association issued some guidelines that included Fairacres Manor contracts with Genesis the Mediterranean diet as a heart-healthy plan.” Rehab Services to provide therapy services in our spacious and modern rehabilitation North Colorado Medical Center recognized the Mediterranean diet as gym and guest rooms depending on your a healthy option when it hosted a cooking class in its cardiac ward June needs. Our rehabilitation program focuses 14. on therapy and re-education in functional activities including wheelchair transfers Ann Walker, a registered dietitian, taught the class. The class, called and mobility, gait training, acuities for daily “Middle Eastern Meals,” featured kebabs, hummus and curry. Classes are living, improvement in endurance and fitness held regularly and cost $10 to attend. Walker included Middle Eastern levels and cognitive skills. The therapy staff provides free therapy screens to new food in the Mediterranean diet. Continue Life’s Journey also residents, as well as, home visits for any Nearly half the class had no previous experience with Middle Eastern resident contemplating discharge. at Fair Acres Manor food. “The foods for classes are chosen for a variety of reasons,” said Gene Family- owned and locally operated since 1964, Contact Ben Gonzales at 970-373-6469 or visit www.fairacresmanor.com Haffner, the hospital’s spokesman. “This is heart healthy and has a good balance of fruit and vegetables.” 1700 18th Avenue | Greeley, Colorado 80631 Deborah Ky Bascus of Greeley and her husband attended the class. 970-353-3370 | fairacres@vivage.com | fairacresmanor.com

Family-owned and local y operated since 1964, cal 970-353-3 Fairacres 70 or visit www.fairacManor resmanor.com. 170 18thAvenue | Gre ley,Colorado80631 | 970-353-3 70 | fairacres@vivage.com | fairacresmanor.com

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Tips for how to get the most out of your doctorâ&#x20AC;&#x2122;s visit By Kelly Ragan For Prime

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or people looking to get the most out of their doctor’s visits, a few things might not be the best advice: being overly friendly with your doctor, spending a lot of time investigating symptoms online, and airing every fleeting ache and pain.

Dr. Alyssa Gonzalez with UCHealth Family Medicine and Dr. Giovanna Garcia with Banner Internal Medicine in Greeley, share some of their tips for making the best use of the time you spend with your doctor: Keep The Banter To A Minimum Doctors do care how their patients are doing, but they want to do the most they can in the time they have. “Chit chat and banter is nice to have with your friends, but it’s not an efficient use of the 20-minute appointment,” Gonzalez said. Gonzalez recommends patients tell the appointment scheduler their major concerns. When the doctor knows what they have to focus on, they can redirect and focus the conversation to address those concerns.

Follow Through With Follow-Ups It’s imperative patients follow up with recommendations and requests, Gonzalez said. It’s hard for doctors to give patients the best care if they ignore advice, she said. “It’s important for people to really take responsibility for their mental and physical health,” Gonzalez said. “Our life is not a dress rehearsal.” Gonzalez recommends a yearly visit for preventative lab work and counseling for people who are generally healthy. This helps doctors know if there is a drastic change needing to be addressed, she said. “It helps us gain an understanding for where they are in life,” Gonzalez said. “(If something suddenly changes), we can ask ‘how can I help you? What’s going on?’ ” For stable patients suffering from diabetes, hypertension or depression, Gonzalez recommends sixmonth check-ups. Patients at varying ages will require different follow-ups, Garcia said. “If patients have family history of certain diseases, they may need to be checked as they progress in age.

Live Well Gonzalez Bring medication advises patients to bottles to the remember three appointment main things for “Many people don’t a healthy life: eat know exactly what a healthy diet, their medications get some form of are or the dosages,” exercise every day or Gonzalez said. every other day and do “It's important for people to really take responsibility for their Doctors benefit from not smoke. knowing as much about mental and physical health. Our life is not a dress rehearsal.” “Usually the patient as possible, - Dr. Alyssa Gonzales, UCHealth Family Medicine people who adhere to Garcia said. Along that advice don’t see me with knowing patient as often,” Gonzalez said. history, knowing what In Greeley, medication patients use can save time. Otherwise, doctors might have to call some of the most common health problems she deals with are depression, the pharmacy and track down the information during an appointment. That diabetes, high blood pressure, obesity and tobacco use. takes time. Prioritize Your Concerns Patients should make a list of two or three topics before the appointment to help prioritize their concerns, Gonzalez said. This can help patients set realistic expectations for their doctor’s visit, she said. “It’s very common for people to come in with different concerns,” Gonzalez said. “If they have several concerns, it might take multiple appointments.” Leave The Diagnosis To Your Doctor, Not Google “Be informed in the right way,” Garcia said. “If you don’t know what you’re looking for, don’t jump onto the Internet.” Internet searches can make patients nervous, and they sometimes demand to be tested for things they don’t need to be tested for. Those patients, Garcia said, are hard to deal with. “Not everyone went to medical school,” Garcia said.

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Garcia recommended patients stay up-to-date on their vaccinations as well. “A lot of patients are skeptical about vaccines,” Garcia said. She explained some are hesitant to get shingles vaccinations because they don’t want the vaccine to cause the illness. “Science has proven vaccines prevent those illnesses.”

Know Your Insurance Gonzalez recommends patients get familiar with what their insurance does and doesn’t cover to avoid frustration and confusion.

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Dri v e sm a rt:

Seat belts save lives and prevent injuries in five ways By Lyn Tausan DRIVE SMART Weld County

o you snap in your seat belt as soon as you get in the car? Do your children have the right safety seats for their weight and age?

It’s been proven time and again, whether on back country roads or super highways: A seat belt can save a life in a car crash. According to the National Highway Traffic Safety Administration (NHTSA), more than 15,000 lives are saved each year in the United States because drivers and their passengers were wearing seat belts when they were in the crash. Seat belts reduce serious crash-related injuries and deaths by about half, according to the Centers for Disease Control and Prevention. In addition, air bags provided added protection but not a substitute for seat belts. Air bags plus seat belts provide the greatest protection for adults. Buckling up is the most important safety measure you can take to protect yourself in a crash as it helps keep you safe and secure inside your vehicle. Seat belts are also the best defense against impaired, aggressive, and distracted drivers. According to NHTSA, the overall seat belt use rate in 2014 was 87 percent. Research has found that lap/shoulder seat belts, when used properly, reduce the risk of fatal injury to frontseat passenger car occupants by 45 percent and the risk of moderate-to-critical injury by 50 percent according to AAA. “Seat belts prevent occupants of the vehicle from serious injury in five ways”, says Ms. Osterhuber, director of the Pennsylvania Traffic Injury Prevention Project in PA. A seat belt: • Keeps the occupants of the vehicle inside. • Restrains the strongest parts of the body. • Spreads out any force from the collision. • Helps the body to slow down. • Protects your brain and spinal cord.

Primary seat belt laws are very effective in increasing seat belt usage. These laws have been shown to increase a state’s seat belt use by an average of 10 percentage points resulting in a decrease of injuries and fatalities. Currently, there are 34 states and the District of Columbia that have front seat primary seat belt laws on the books. In Colorado, the seat belt law for adults is a secondary offense, meaning the driver must be stopped for another offense before receiving a ticket for a seat belt violation. The seat belt law for child passenger safety in Colorado is a primary enforcement action. This means a driver does not have to be stopped for another driving offense before they can be ticketed for a violation of the child passenger safety laws. They can be pulled over for this reason alone. The seat belt law for child safety is from birth through 15 years of age is as follows from the Colorado Department of Public Safety: • The law requires infants to ride in a rearfacing child safety seat until they are at least one year old and weigh at least 20 pounds. • The law requires children ages 1 to 4 years old that weigh at least 20 pounds up to 40 pounds to be restrained in a forward-facing or rear-facing child safety seat. • The law requires that children who weigh over 40 pounds or who are at least four years old be properly restrained in a child booster seat or with a child safety belt-positioning device. Children must ride in booster seats until they

are eight years old. • A child who is at least eight years old must be properly restrained with a safety belt or child restraint system. What can parents and caregivers do to increase seat belt use? Here are some suggestions: • Use a seat belt on every trip, no matter how short. • Make sure children are properly buckled up in a car seat, booster seat, or seat belt, whichever is appropriate for their age, height, and weight. • Have all children age 12 and under sit properly buckled in the back seat. • Remember to never place a rear-facing child safety seat in front of an air bag. • Properly buckle children in the middle back seat when possible because it is the safest spot in the vehicle. Everyone can: Use a seat belt on every trip, no matter how short and require everyone in the car to buckle up, including those in the back seat before the starting the engine. Our loved ones are priceless. Buckle up every time ... everyone in the vehicle! 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. PRIME \\ AUGUST 2016

Manual breast pump, mothers breast milk is the most healthy food for newborn baby

Beneficial for all By Joe Moylan For Prime

t doesn’t happen every time Mike Schwan walks into a Weld County business, but he hears the same thing often enough he’s come up with a snappy answer.

A registered dietician and an early childhood obesity prevention specialist with the Weld County Department of Public Health and Environment, one of Schwan’s jobs involves working with local business owners on supporting employees who also are nursing mothers. Most importantly, Schwan helps businesses identify a private and comfortable place where nursing mothers can express breast milk at work. More often than not, business owners ask why women can’t just pump in the restroom, Schwan said. “You wouldn’t make a sandwich in the men’s room, would you?” Schwan replies. “Because that’s essentially what you’re asking a mother to do for her baby.” Schwan admits when he started with the 16

PRIME \\ AUGUST 2016

Weld health department, he thought a lactation support policy entailed convincing employers

“A big part of what I do is helping companies utilize things like new hire orientations, so employees are aware nursing mothers have this benefit.” - Mike Schwan, of the Weld County Department of Public Health and Environment to allow nursing mothers to bring their infants to work with them. He also didn’t know what pumping was, nor was he terribly comfortable talking about it.

But when he realized the health benefits to babies and their mothers, Schwan became a proponent. But before he could go out and assist employers, he knew the health department should lead the way. “We realized the county health department needed to serve as a model for the rest of the county,” Schwan said. “The first order of business was to designate a place for nursing mothers to pump here, as well as develop a workplace lactation support policy.” Health Benefits Leading health organizations recommend infants be fed only breast milk for the first six months of life, and then a combination of breast milk and other nutritious foods for up to one year, Schwan said. Breast milk protects both babies and their mothers from numerous illnesses. For example, mothers who breastfeed have a reduced risk for breast and ovarian cancers,

Breastfeeding benefits For Moms • Reduced risk of breast and ovarian cancers • Reduced risk of anemia • Protection against osteoporosis and hip fractures later in life • Faster return of mother’s body to its prepregnancy state • Helps delay return of fertility and to space subsequent pregnancies • Develops a special emotional relationship and bonding with child • Breastfed babies are sick less, reducing health care costs to family and requiring less time off work • Decreased mortality of rheumatoid arthritis has been associated with total time of lactation For Babies • Human milk provides most complete and optimal mix of nutrients • Breast milk has a varying composition, which keeps pace with an infant’s growth and changing nutritional needs • Protects against diarrhea, gastroenteritis and other stomach upsets • Reduced risk of diabetes • Protection against ear infections and respiratory illnesses • Reduced risk of SIDS • Protects against meningitis, childhood lymphoma, Crohn’s disease and ulcerative entercolitis • Reduced incidents and severity of allergic disease • Breastfeeding promotes emotional development of babies • Babies develop higher IQs and better brain and nervous system development Increased bone density For The Environment & Society • Breastfeeding reduces the cost of health care by promoting healthier children and mothers • Breastfeeding reduces global pollution by reducing resources and energy required to produce, process, package, distribute, promote and dispose of material created by artificial baby milk • Reduces tax burden on communities and governments to ensure children are properly fed • Reduced absenteeism in the workplace due to children’s illnesses

anemia and osteoporosis, as well as hip fractures later in life. Babies who are breastfed have reduced risks of diabetes, sudden infant death syndrome, meningitis, childhood lymphoma, Crohn’s disease and ulcerative entercolitis. Babies who are breastfed also have increased bone density and develop higher IQs, according to studies, Schwan said. There also are a variety of benefits to society, including the amount of money Americans spend on health care costs every year, Schwan said. State studies show although almost 90 percent of moms in Colorado start to breastfeed, only 50 percent do so exclusively for three months and only 30 percent do so for the recommended first six months of an infant’s life. One study speculated if 90 percent of women breastfed their babies exclusively for those first six months the U.S. would save $2.2 billion in annual health care costs, and there would be 1,000 fewer deaths every year. There’s also a high return on investment for corporations, as mothers who breastfeed or are allowed to express milk in the workplace have fewer absences because they’re at home caring for a sick child. Employers also are finding mothers return to the job sooner if they know they can pump at work and are generally happier and easier to retain. Mothers report the biggest barrier to meeting that six-month breastfeeding goal is returning to work because of a perceived lack of workplace lactation policies or a lack of support from colleagues, Schwan said. The Law On March 23, 2010, the Patient Protection and Affordable Care Act amended the Fair Labor Standards Act to require employers to provide a nursing mother reasonable break time to express breast milk for up to one year after the birth of her child. The amendment also requires employers provide a place other than a bathroom that is shielded from view and free from intrusion for an employee to express breast milk. The federal law defines an employer as anyone who employs at least 50 people. Companies with fewer than 50 employees are exempt from federal law. However, Colorado’s Workplace Pumping Law, passed by the state legislature in 2008, goes a few steps further than federal law. Among some of the notable differences are companies are required to provide nursing mothers reasonable time and accommodations to express milk at work for up to two years after the birth of her child. The state also defines an employer as anyone who employs at least one person, Schwan said. More than 60 percent of women work outside of the home and mothers are the fastest growing segment of the U.S. workforce, Schwan said. However, despite being in effect for more than eight years, employers still don’t know how

to comply with state pumping laws or worse, nursing mothers are unaware about their right to express milk at work. For Schwan, much of his focus as the county’s childhood obesity prevention specialist is helping employers understand the benefits of embracing the spirit of the law, not just the letter of the law. In other words, some companies have a workplace lactation support policy on the books, but they may not educate their employees about that particular benefit. “An employer may have a policy in place, but it doesn’t do a mother any good if she doesn’t know she has the right to pump at work,” Schwan said. “A big part of what I do is helping companies utilize things like new hire orientations, so employees are aware nursing mothers have this benefit. “But it’s also vitally important for coworkers to understand mothers have this benefit, so they’re not discriminated against for trying to give their babies the healthiest start possible.”

Northern Colorado Breastfeeding Coalition In addition to setting the example by becoming the first to publicly promote its workplace lactation support policy, the Weld County Health Department also reached out to other breastfeeding advocates to form the Northern Colorado Breastfeeding Coalition. The mission of the coalition is to provide the community with breastfeeding support, resources and education. The coalition works with employers to provide workplace lactation support resources, including worksite policy development, as well as incentives to become breastfeeding friendly. Employers that meet certain criteria can be nominated as a Breastfeeding Friendly Worksite. To date, there are 19 employers in Greeley designated as breastfeeding friendly. For more information, go to www. NoCoBreastfeeding.org or contact Mike Schwan, Weld County Health Department early childhood obesity prevention specialist, at (970) 400-2343 or mschwan@ weldgov.com.

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PRIME \\ AUGUST 2016

HEALTH Events Calendar CPR for Health Care Providers, 4:30-8:30 p.m. Aug. 1, 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 July 30 to register. Natural Childbirth, 6-9 p.m. Aug. 2, 9, 16 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. 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. Peripheral Vascular Disease screening, 1-3 p.m. Aug. 2 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.

not provide a certification card. Cost is $15 per person. Call (970) 810-6633 to register.

is $55. To register or for more information, call (970) 495-7500.

Blood Tests, 7-8:45 a.m. or by appointment, Aug. 10 and 24, 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.

Bright by Three Infant Group, noon-1 p.m. Aug. 23 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 Jennifer Salvador at (970) 495-7500.

Childbirth Preparation Class, (three-week course), 6-9 p.m. Aug 10, 17, 24 at UCHealth OB/ GYN, 1715 61st Ave., Greeley. 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 $65. To register or for more information, call (970) 495-7500. Healthy Hearts Screening, 7:30 a.m. Aug. 11 at UCHealth’s Greeley Medical Center, 1900 16th St., Greeley. Have your heart checked and receive information on nutrition, fitness and how to stop using tobacco. Cost: suggested $20 donation. To register or for more information, call (970) 3132796.

Body Check... What you need to know: Head to Toe, by appointment Aug. 2, 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.

Vitamins, Supplements and Prescriptions — Oh My, 2-3 p.m., Aug. 18 at Chilson Senior Center, 700 E. 4th St., Loveland. This free discussion will help you understand the benefits of vitamins and supplements as well as help you understand when prescription medication is necessary. Nancy Lamb, Ph.D. and owner of Good Day Pharmacy will lead the event. To register or for more information, call Stephanie Reid at (970) 495-8560.

Childbirth Breastfeeding Basics, 6:30-8:30 p.m. Aug. 3 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.

Heartsaver CPR with AED, 6-8 p.m. Aug. 18, 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 Aug. 16.

Yoga Support Group for Cancer Survivors, 9:3010:30 a.m. Aug. 3 and 17, North Colorado Medical Center, 1801 16th St., Greeley. Class is free, call (970) 810-6633 to register. Friends and Family CPR for Expectant/New Parents, 6-8 p.m. Aug. 4, NCMC, Union Colony Room. Topics covered will be infant and child CPR/choking and child AED. This course does

Fast Track Childbirth Preparation (two-day), 6-9 p.m. Aug. 19 and 1-5 p.m. Aug. 20 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

Spirit of Women: Candid Conversations with a Neurosurgeon about Backs and Bones, 6:30 p.m., Aug. 23, NCMC Auditorium, 1801 16th St., Greeley. Door about at 6 p.m. for registration and light refreshments. Learn how to fortify your bones, strengthen the muscles around your spine and ease back pain. To submit questions anonymously that will be answered at the event, go to www.BannerHealth.com/COspirit and click on “Events.” No cost. Use Entrance #6. Pre-registration is required, call (800) 230-2273 or email spirit.of.women@bannerhealth.com. General questions can be answered by calling (970) 810-3000. Fast Track Childbirth Preparation (twoday), 6-9 p.m. Aug. 26 and 1-5 p.m. Aug. 27 at UCHealth OB/GYN, 1715 61st Ave., Greeley. Class includes an 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. Cooking Classes, 6-7:30 p.m. Aug. 29, North Colorado Medical Center in the Cardiac Rehab Kitchen. Learn some new recipe ideas for the bountiful garden veggies. Recipes and samples included. Cost is $10. Call (970) 810-6633 to register. Childbirth Breastfeeding Basics, 6:30-8:30 p.m. Aug. 31 at UCHealth 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.

PRIME \\ AUGUST 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

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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

Rehabilitation and Visiting Nurse Association

Counseling Center at West Greeley Children, Adult, & Family Counseling 7251 W 20th Street, Building C Greeley, CO 80634 970.347.2123

Touchstone home health

5312 W. 9th St. Dr., Suite 120 Greeley, Co. 80634 Phone: 970-356-3922 www.touchstonehomehealth.com

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

Adult Mental Health & Addiction Services 1260 H Street Greeley, CO 80631 970.347.2120

Bloom at Home

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

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

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

North Range BEHAVIORAL HEALTH

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

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

Dowgin, Thomas A., MD. CENTERS FOR GASTROENTEROLOGY

Mental health services

independent assisted Living GRACE POINTE

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

internal medicine BANNER HEALTH CLINIC

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

medical equipment & supplies Banner HOme Medical Equipment (NCMC)

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

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

Additional Weld County Locations www.NorthRange.org banner BEHAVIORAL HEALTH

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 Shawn Crawford, LPC Banner Health Clinic 222 Johnstown Center Dr., Johnstown, CO 80534 Phone: (970)587-7543

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

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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

massage therapy Melistic Therapeutic Massage

2019 9th Street, Suite 4 Greeley, CO 80631 970-978-5479 melistic.abmp.com Melissa Andrews

pediatric rehabilitation 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

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

4401 Union Street, Johnstown, CO 80534 22

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Phone: (970) 619-3400 NCRH@ernesthealth.com

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

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

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

Urology

urgent care

Banner Health Surgical Associates (NCMC)

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

veins Vein Clinic (NCMC)

1800 15th Street, Suite 340, Greeley, CO 80631 Phone: (970) 810-4100 www.bannerhealth.com

Your Guide to Living a Healthy, Active and FULFILLING LIFE! WINTER - FEBRUARY 2015

RuRAl

FALL - OCT. 2015

SPRING - JUNE

2015

WORKOUTS

TEEN stress PG. 5

PG. 4

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PG. 15 Paths health-careto the Profession

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