Prime - Winter / February 2017

WINTER - FEB. 2017

MORE OPTIONS & BETTER OUTCOMES FOR HELPING YOUR HEART

PG. 6 AIMS COMMUNITY COLLEGE'S NEW GYM OFFERS EDUCATIONAL FITNESS

PG. 14 ACTIVE AT 80: WORKING OUT FOR ELDERLY MAY HELP PREVENT INJURY, FALLS

PG. 16 VIDEO REMOTE INTERPRETATION HELPS HEALTH CARE PROVIDERS & PATIENTS UNDERSTAND EACH OTHER

Spring into a new

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FEATURES PG.9

PG. 14

Heart Health Technology

Active At 80

PG 4

New technology means more options, better outcomes when it comes to helping your heart.

Pet Ultrasound

Ultrasound a new but important tool for vets.

Working out for elderly may help prevent injury, falls.

PG 5

PG 6

PG 8

Good health and productivity begin with good sleep.

Aims Community College's new gym offers educational fitness.

Pork chops with sun-dried tomatoes & rosemary.

Importance of Good Sleep

Aims' New Gym

PG. 18 Health Events Calendar

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

CONTRIBUTING WRITERS Dan England Emily Kimme Jason Tacha Joseph Mellinger Kati Blocker Kelly Ragan SALES MANAGERS Stephanie Mighell Bruce Dennis SALES STAFF Cristin Peratt Mollie Lee Becky Colvin Constance Marx

Prime Eats

PG 12

PG 16

Changing Obamacare likely to mean higher costs, less coverage or both.

Video remote interpretation helps health care providers and patients communicate.

Thinking About Health

Interpretation

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 February 2017, Volume 3, Issue 1.

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

PRIME \\ JANUARY 2017

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ULTRASOUND A NEW BUT IMPORTANT TOOL FOR VETS

By Debra Singleton For Prime

S

ince pets are unable to tell their owners or veterinarians what is wrong when they are sick or in pain, there are multiple diagnostic tests that are commonly used to determine the source of symptoms.

These include blood testing, radiographs, and more recently, diagnostic ultrasound. Ultrasound is a rapid, safe, completely non-invasive technique that allows 3D images of the organs in the body without surgery. Ultrasound can be used to evaluate the heart and lungs, or more

commonly, the abdomen.

An ultrasound might be recommended for your pet for a number of reasons, including: • Abnormal findings during a physical examination, such as a heart murmur or mass • Abnormal lab test results • Abnormal radiographs • Vomiting or diarrhea, anorexia or weight loss with no known cause • Fluid accumulation in the chest or abdomen • Problems in the urinary tract or reproductive system • A patient with vague, unexplained symptoms of illness • An emergent patient with a history of trauma or collapse Information gained from an ultrasound can be essential in deciding whether additional blood testing, biopsies or surgery are indicated in a sick pet. It is a simple test to perform, and it generally does not require sedation. Occasionally, temperamental or mobile patients may require mild sedation; if a biopsy is required, they may have to be put under longer.

The procedure generally takes between 15 and 30 minutes; pictures of the internal organs are available immediately.

An ultrasound can be performed in multiple ways. For an emergency, vets may do a FAST, or focused ultrasound, to assess for fluid in the chest or abdomen and to screen the organs for damage and bleeding. A generalpractice veterinarian also may perform a one-organ, screening, or com4

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plete ultrasound to evaluate a patient. If a patient has a more complicated disease, such as heart disease or an endocrine (hormonal) disease, they may use a board-certified ultrasonographer.

The cost for an ultrasound may vary from $50-80 for a single organ to more than $500 for a board-certified evaluation.

Common ultrasound diagnoses include the following: • Abdominal masses — an ultrasound can help determine where a mass is located, if it has spread to other organs, and if it will need to be removed through surgery. One of the more common findings in middleaged to older large breed dogs is a mass in the abdomen associated with the spleen called a hemangiosarcoma, which can bleed internally.

• Possible obstruction — it can be helpful to ultrasound vomiting patients to determine if they swallowed an object and lodged in the GI tract, as not all items show up on X-rays — especially softer ones such as cloth and toys. The pancreas also can be evaluated for inflammation. If vets see no obstruction, they may be able to treat a patient conservatively rather than requiring surgery.

• Urinary tract — ultrasound evaluation of the bladder, kidneys, uterus and prostate is often used to check for urinary tract infections, bladder stones, kidney disease, pregnancy or pyometra (an urgent infection of the uterus) and cancer.

• Heart disease — a veterinary cardiologist can evaluate the cause and degree of heart disease and pulmonary hypertension and recommend the most effective therapies for these conditions via echocardiogram.

• Endocrine disorders — evaluating the size and shape of the adrenal glands may be helpful in determining if a patient has Cushing’s disease (an over-production of steroids) or Addison’s disease (a lack of steroid production). The effects on the liver and pancreas caused by pancreatitis or diabetes can also be assessed.

If your veterinarian recommends an ultrasound, it is a worthwhile investment. It will help in making more informed decisions about treatment, ensure additional or continued expenses are warranted, aid in obtaining a more rapid diagnosis and allow for immediate life-saving procedures if necessary.

— Dr. Debra Singleton is a veterinarian practicing in Colorado. She is a graduate of Colorado State University specializing in the treatment of dogs, cats and exotic animals.

You can e-mail her at dsingletondvm@yahoo.com.

GOOD HEALTH & PRODUCTIVITY BEGIN WITH GOOD SLEEP

avoiding excessive daytime fatigue, staying alert and focused, and strengthening the immune system, which also leads to better overall health, less sick days, and more productivity.

A lack of good sleep can pack a host of consequences including negatively impacting decision making and memory retention abilities, decrease in reaction time, irritability, weight gain and general physical stress on the body which can increase the risk of heart disease, stroke and diabetes.

Lack of sleep can also be dangerous for others, not just the person dealing directly with the issue. According to the National Highway Traffic Safety Administration, sleepy drivers cause more than 100,000 crashes each ear. Of those, 40,000 result in injuries, with 1,550 deaths. It only further highlights the importance of a good night’s sleep.

If you need help to remedy a lack of quality sleep, here are a few suggestions: • Get into a bedtime routine that occurs at the same time every day. Your body will automatically begin to “get sleepy” if you go to bed at the same time every night.

• Exercise during the day. Get at least 20-30 minutes of vigorous exercise daily. But don’t exercise too close to bedtime. It’s best to exercise five to six hours before bedtime.

• Try not to nap during the day. If you must take a nap, limit it to no more than 20 minutes.

• Avoid stimulants like smoking or drinking coffee within five or six hours from when you want to go to bed. Contrary to what you might think, alcohol can disrupt sleep as well. While it may cause you to fall asleep initially, it doesn’t allow for the more restful phases of sleep, not to mention that you may also have to get up in the night to use the bathroom.

• Create a meditative and relaxing environment in your bedroom that is quiet and dark, and use the time getting ready for bed to calm your mind.

This means that it is best to not have a television in the room. Also pick another room to charge your cell phone at night such as the kitchen or living room.

If you’ve tried most, if not all, of these already and you are still struggling with fatigue from poor sleep, medication is rarely the best option to get a better night’s sleep. Even over-the-counter medications have risks, especially when used regularly. If you are using medication for sleep more than a couple times a month, or if you find the suggestions above are not helping, it is worth mentioning at your next doctor’s appointment. There may be something more serious at play such as sleep apnea.

Getting a good night’s sleep can help to improve cognitive function, increase awareness and provide more energy. A few simple tweaks to your sleeping routine could be the difference. You can learn more and download a more in-depth, interactive sleep management kit at kp.org/ choosebetter.

— Dr. Lindsey Gerdes is a family medicine physician practicing at the Kaiser Permanente Greeley Medical Offices

By Lindsey Gerdes Kaiser Permanente

W

e’ve all been there from time to time… you toss and turn, look at the clock and inevitably wake up feeling depleted. It makes it tough to stay awake during the day and focus on important tasks. Sleeplessness is a common problem in our busy society, and an ongoing lack of sleep can impact every part of a person’s life.

A good night’s sleep helps the mind and body in many ways including

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AIMS COMMUNITY COLLEGE’S NEW GYM OFFERS EDUCATIONAL FITNESS

By Kelly Ragan For Prime

I

t was still dark outside when Kristie Herrara walked into the gym at Aims Community College. Despite the sharp morning chill, Herrara sported a tank top and weight lifting gloves.

Five years ago, Herrara of Greeley wouldn’t have been able to imagine the woman reflected before her as she curled weights to her chest.

She was overweight her whole life, even as a kid.

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Kristie Herrara, of Greeley, works out at Aims Community College. Aims opened its remodeled facility last September.

The community Herrara found there helped her change her life.

She worked in retail management, was unhappily married and weighed nearly 300 pounds.

Then Herrara and her then-husband divorced and her mom died.

“I didn’t know if I was coming or going,” Herrara said.

She decided to sign up for classes at Aims Community College, if only because she didn’t know what else to do. That choice helped her discover what she wanted her life to become.

She started working in admissions at Aims while finishing her degree at the University of Northern Colorado. She got gastric bypass surgery and discovered a love of fitness.

When she first walked into the new gym at Aims, she was scared. She wanted the trainers to leave her alone and let her be invisible. When they didn’t ignore her, she was angry.

“I didn’t want to be accountable,” Herrara said. “I’d always failed. I’d lost a hundred

pounds three different times and gained it all back.”

She learned the staff at Aims wanted her to succeed and were willing to help her do it. Knowing people wanted her to come work out pushed Herrara to endure those early mornings and over her hurdles of self-consciousness. Now she loves to lift weights, work hard and spend time with her friends at the gym. She goes, on average, five times per week.

“Through exercise, I’ve gained a sense of myself and a sense of accomplishment,” Herrara said. “It’s what has happened on the inside — from the first day being like, ‘don’t look at me, don’t pay attention to me,’ to being truly confident.”

She started working out at Aims’ gym last September, around the time when Aims opened the doors to its improved facility.

The state-of-the-art building cost $11 million. There are two levels.

The first primarily houses weights and resistance machines, along with a basketball court and a fitness studio. The second level boasts a track, treadmills and additional resistance machines.

Jay Hinrichs, the director of physical education and recreation at Aims, said first and foremost, the gym is an academic department. There’s a heavy focus on education with the 80 classes offered in the facility.

On winter and summer breaks, anyone is free to use the facility, take advantage of free personal trainers and try out various classes. During regular semesters, the gym is only open to students and faculty.

However, if you enroll in a belly dancing class, salsa dancing class, yoga class or any of the other physical education and dance classes at Aims, you have full access to the gym and the trainers. It’s a lot like taking a class at a rec center.

“It’s better (than other facilities) because we want to focus on the educational aspect of fitness and wellness,” Hinrichs said. “It’s not just a place to work out. It’s a place to learn something.”

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Hinrichs said Aims hopes to create an associate degree program for physical education, recreation and dance. It’ll help students who want to become trainers or get into the leisure business, Hinrichs said.

Herrara takes a cross training class about every morning with her friends. A certified trainer provides the day’s exercise regimens and helps Herrara and others when they need it.

D’Ann Anderson, one of the cross training classes faculty instructors, taught when Herrara first began her fitness journey.

“She’s been an inspiration to everyone working hard,” Anderson said.

“Through exercise, I've gained a sense of myself and a sense of accomplishment.”

- Kristie Herrara “She represents all things are possible if you have that drive, and you have that goal, and you’re willing to work for it.”

It’s the little things she’s noticed most, Herrara said, like being able to walk without getting winded.

Herrara remarried and is set to finish her bachelor’s degree in psychology at the University of Northern Colorado this year. She thinks she’ll stay at Aims, working in admissions because she loves helping students and she loves the community she found there.

Sometimes she catches a glimpse of her developing muscles and she’s overwhelmed by the progress. She never thought she could be one of the people she’d see with muscles. Now she doesn’t want to give it up.

. . . . . e r a We C ers It Matt We Care ...s..

It Matter

, e n i b m u l o C . y At l i m a F e r ’ u yo ne,

bi A t ColuFm ily. m a e r ’ u yo www.columbinehealth.com PRIME \\ JANUARY 2017

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PRIME EATS

BY EMILY KIMME FOR PRIME

PORK CHOPS WITH SUN-DRIED TOMATOES & ROSEMARY

A

fter a day at work, cooking is the last thing most of us have on our wish list. What's on yours?

I know resting my eyes and brain tops it, and there are so many nights when I want dinner to be quick and easy. I want to drape my legs over the arm of a comfy chair (yes, that is allowed at our house) and play Words with Friends.

I want to read a book, something I won't have to write about later. Preferably something that makes me laugh, or cry. I want to leaf through a home decorating magazine so I can figure out what's in, what's not, what's good, what's hot.

One problem, though: I still want dinner to taste great, and be healthy. I want it now, but I don't want take-out, and I don't want to go out.

Staying put is so relaxing. Bottom line is: I don't want to give up, give in, and order pizza anymore. Those days are so over. Putting something simple on the table is part of keeping life good.

I know I'll feel better tomorrow without all that salt, fat, and whatever else is hiding inside the paper bag.

This basic sun-dried tomato sauce recipe can be used with steaks, boneless chicken breasts, or pork chops, which I've featured here. It's fast and satisfying. You decide what to serve alongside. Dimitria's Greek Lemon Potatoes are pictured, but a quick wild rice, couscous, or fastcooking potato gnocchi are equally great. Steam up some veggies. It's your choice. You decide.

It's your evening.

INGREDIENTS: • 4 1 ½ inch boneless pork chops (America's cut is a good option) • 4 large cloves garlic, crushed • 3 T fresh rosemary, leaves stripped from stems, minced • 1 T kosher salt • 1 tsp black pepper • 1 cup julienned sun-dried tomatoes with oil, chopped in a small bowl Note: you can buy whole ones, but that adds another step. The sliced version is available at most larger grocery stores, and they're quicker to chop up.

• 4 T extra virgin olive oil, divided • 3 T butter, divided • ½ cup dry white wine, such as a Pinot Grigio • 1 ½ cups Kitchen Basics Chicken Stock A splash of Madeira, you decide how big of a splash. It was your day. It's up to you. But don't drown the sauce.

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Quick and easy for a weeknight, this sun-dried tomato sauce with rosemary pairs well with pork chops, chicken, or steaks. It'll dress up dinner, but not wear you out.

DIRECTIONS: Rinse chops and pat dry. In small bowl, combine rosemary, salt, and 2 T olive oil. Rub all over chops and let sit for 30 minutes. (You can prep the sides while the meat is marinating.)

Warm remaining 2 T olive oil and 1 T butter in heavy skillet over medium-high heat. Brown chops for 4 minutes, or until flesh releases easily from pan. Turn and brown on other side. Remove to clean plate.

Add wine to pan and bring to boil, scraping to dislodge browned bits. Continue on boil, reducing wine to half, for about one minute.

Reduce heat to medium-low and add 1 T butter to pan. Add garlic, and sauté for 30 seconds to allow scent to release. Add sun-dried

tomatoes, with oils, and chicken stock. Bring to boil. Reduce heat to low, and return chops to pan. Cover and simmer for 20 minutes, or until chops are no longer pink. Thicker chops will require longer cooking time, but should remain tender if you cover them. Remove chops to clean plate.

Add the Madeira, and the last tablespoon of butter. Salt and pepper sauce to taste. Increase heat to low boil, stirring occasionally. Test sauce until it coats the back of a spoon. This means that if, after you stir the sauce, and swipe your finger across the back of the spoon, a clean streak will remain.

Serves 4.

S

tephanie Davis, Certified Sommelier from Winacea, thinks that anything with Madeira in the recipe deserves 2 thumbs-up!

She says a simple Sangiovese-based wine is the way to go with this sauce, and particularly likes the inexpensive Morellino di Scansanos from Tuscany.

Make it your new ³house wine!² Award-winning author Emily Kemme writes about human nature, illuminating the everyday in a way that highlights its brilliance. Follow her on her blog, Feeding the Famished, https://www.facebook.com/EmilyKemme, or on Twitter @EmFeedsYou . Life inspired.

Vodka tempered.

The Absorb bioresorbable vascular scaffold is a first-of-its-kind innovation made of material similar to dissolving sutures. It treats coronary artery disease and then dissolves completely and naturally once it has done its job.

In 2016, heart specialists at UCHealth's Medical Center of the Rockies in Loveland were the first in Colorado to use the new dissolving stent following its approval from the Food and Drug Administration. Photo by Joel Blocker, for UCHealth.

NEW TECHNOLOGY MEANS MORE OPTIONS, BETTER OUTCOMES WHEN IT COMES TO HELPING YOUR HEART

By Kelly Ragan For Prime

H

eart procedures are changing in northern Colorado hospitals. With ever-improving technology, patients benefit from less invasive procedures and new ways to solve problems. Less invasive procedures make for fewer complications, shorter lengths of stay in hospitals and similar or better outcomes compared to traditional treatments.

Brad Oldemeyer, a cardiologist at UCHealth’s Heart Center in Fort Collins, said 2016 was an exciting year for cardiology.

“Rapid changes in technology in cardiovascular care continues to improve lives in the long run,” Oldemeyer said.

Patients have more options, especially if they are high-risk patients who can’t undergo major surgery.

Transcatheter mitral valve repair for example, is a procedure that

repairs heart valves. It helps patients who aren’t able to have open-heart surgery. It is similar to the edge-to-edge valve repair. Valves are clipped rather than sutured together.

“It can be offered to patients with diseases that make open-heart surgery unavailable to them,” Oldemeyer said. “With a catheter, it’s much less invasive.”

Oldemeyer specializes in structural heart procedures, like transcatheter aortic valve replacement. By using a catheter for the procedure instead of resorting to open-heart surgery, more people have access to treatment and have to spend less time in the hospital.

Anyone suffering new cardiology symptoms such as shortness of breath, swelling of the legs or atrial fibrillation could benefit by going to a structural heart clinic, Oldemeyer said. They’d meet with a physician in the clinic, get tested and get recommendations for treatment.

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“We’re able to offer more to those high risk patients and even medium risk patients,” said Dawn Olson, outreach program coordinator with the CardioVascular Institute of North Colorado in Greeley.

Olson said Banner will soon offer a new procedure for heart failure patients called CardioMEMS. It’s a device implanted in the heart to measure pressure. When people start to have heart failure, pressure in your heart goes up before you have symptoms.

“Patients will be at home and they’ll be able to transmit those pressures to us at NCMC,” Olson said. “We will be able to tell if everything is status quo or if we have to start taking action.”

The whole goal, she said, is to keep patients out of the hospital.

The Watchman is a small, umbrella-like device that prevents clots for people with non-valvular atrial fibrillation. In 2016, heart specialists at UCHealth's Medical Center of the Rockies in Loveland and University of Colorado Hospital were the first in Colorado to implant the Watchman, a small, umbrella-like device that prevents clots for people with non-valvular atrial fibrillation. Photo by Kelly Tracer, UCHealth.

Historically, UCHealth saw maybe 20 cases per year. Now, it sees more than 200.

“There was no clinic five years ago,” Oldemeyer said. “It’s grown since then.”

North Colorado Medical Center opened its structural heart clinic in 2016 and brought on cardiologists to take on these new procedures.

A team of providers from UCHealth Heart Center performs a transcatheter aortic valve replacement procedure at Medical Center of the Rockies in Loveland. From left, nurse Erin Walsh, Dr. Justin Strote, Dr. Brad Oldemeyer, Dr. Jeff Koepp, and Dr. Mark Guadagnoli each fulfill a role in multidisciplinary process that is serving as a model for other TAVR programs across the country.

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Wireless pacemakers Electrophysiologists now use wireless pacemakers, Oldemeyer said. In the past, folks would use a generator that went under the collarbone and a lead or wire to connect.

“Now, we can just put a pacemaker in the heart,” Oldemeyer said.

Patients like that there’s less hardware, he said.

The Watchman In November, the Food and Drug Administration approved a device called a Watchman. It’s a small, umbrella-like device. It’s designed to plug a patent foramen ovale, which is a small hole between the right and left atrium. It’s a common congenital heart defect that causes strokes. The device, which is a titanium plug, will help reduce the risk of stroke for those patients.

Before, patients had to use long-term medication or surgery, which Oldemeyer said was limited and questionably effective.

Dissolving stent An interventional cardiologist implanted a dissolvable stent into a Colorado man’s artery.

It was the first dissolvable stent implanted in a person in Colorado since the FDA approved the device in July.

Cardiologists implant the stent using a catheter to slide a tiny balloon through the artery. They inflate the balloon to crack open the plaque obstructing blood flow. They deploy the stent and use more balloons to ensure it’s properly placed.

The stent then dissolves when it’s no longer needed. It’s like a cast on a broken arm.

Once a patient has a stent, they have to take aspirin — a common blood thinner — every day for the rest of their lives. So, if 10 years down the road the patient has knee surgery, they cannot miss a dose of aspirin without risk of clotting.

Preventative Cardiology There is a new injection that helps patients lower their cholesterol, Oldemeyer said. PCSK9 inhibitors reduce the amount of harmful LDL cholesterol circulating in the bloodstream. Patients can give it to themselves twice a month to manage their cholesterol levels.

SAGE ADVICE Susan Bush, cardiac rehabilitation supervisor at North Colorado Medical Center in Greeley, offers advice on heart care. It’s better, she said, to prevent a problem than to fix it.

Exercise Any kind of physical activity will do, as long as it gets you moving. She recommends getting the whole family out and about, whether it’s a trip to the gym or a walk around the neighborhood.

Nutrition Eat a diet with low saturated fat and high fiber. Keep the majority of your plate full of fresh fruits and vegetables, eat more whole grains and eat less meat and diary products Bush said.

Be aware Make sure you get regular physicals. If you know where you’re at with your health, you can work to improve it sooner rather than later. Checking cholesterol levels periodically and being aware of your own risk factors could save you surgery down the line.

Diabetes is another risk factor. Doctors almost assume heart disease will be an issue if you have diabetes, Bush said. If you have it, ask what you can do to protect your heart.

Don’t smoke Smoking is a factor of heart disease. Too much alcohol can be problematic as well.

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THINKING ABOUT HEALTH: CHANGING OBAMACARE LIKELY TO MEAN HIGHER COSTS, LESS COVERAGE — OR BOTH

By Trudy Lieberman Rural Health News Service

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L

ori Eng, a 62-year-old office manager who works in western Nebraska, sent an email not long ago telling me she was “terrified” she might loose her Obamacare health insurance. The many horror stories passed along in the media had frightened her, and she wanted me to hear from someone who had benefitted from the law.

most of their bills. It would be combined with high-deductible insurance for catastrophic medical bills.

A new plan would continue to let people with pre-existing health conditions obtain coverage, but there might be strings attached. They might need to have been covered for a certain period, like 18 months, before obtaining new coverage. Insurers want to stop people from signing up when they get sick.

No wonder Eng is scared. Ever since the Affordable Care Act passed The minimum benefits now required for Obamacare policies might almost seven years ago, opponents, mostly Republicans, have vowed to become a thing of the past. That means insurers could offer cheaper repeal the law and replace it with a different plan. The November election coverage without maternity or psychiatric care or other services that will results now make that a likely reality. make policies cheaper and possibly more attractive to younger people.

Eng didn’t have

Older people health insurance could end up paying before the Affordable a lot more. Currently Care Act came along. the law prohibits Her four-day-a-week insurers from charging job did not provide it, older policyholders and her salary — less more than three times than $20,000 a year what they charge — was too low for her younger ones who are to swing an insurance presumably in better premium. She bought health. Under a new her first Obamacare version of Obamacare policy from one of older people could pay the insurance co-ops five times more. that operated in Iowa

Keep in mind and Nebraska that no health system is was supposed to offer perfect. Every system cheaper coverage. has the same stresses It did — until it and strains resulting collapsed. With her from increasing drug government subsidy, prices, high-priced she was able to buy a technology and plan for only $50. She physician demands also qualified for an for more money. How extra subsidy to help countries address pay her deductible those cost pressures and coinsurance. involves trade-offs.

When the co-op failed, as most eventually did, she got a similar plan the All countries, including ours, limit medical services, a point to rememnext year from another company. Because her subsidy had increased, she ber when the spin takes over in the Obamacare war. Other countries paid only $34 each month. That year Eng was diagnosed with breast canmay have a fixed number of very expensive imaging machines available cer, and her treatment, which included chemotherapy and a double masin a particular hospital or community, so queues form for some kinds of tectomy, cost around $200,000. treatments. In the U.S., the She paid just $1,450 out of of care limits who receives “I'm hanging on by my toenails until I get Medicare if it's cost pocket. it. If you can’t afford some Last year, marketplace still there when I'm able to get it.” high-priced scan or have no realities hit home. Premiums chances are you - Lori Eng, 62-year-old office manager insurance, and deductibles were going up won’t get the service. a lot. She found a plan with

I’m not a betting pera relatively small deductible; son, but if I had to wager on an Obamacare replacement, I would bet it but still must pay 20 percent coinsurance on everything until she reaches would almost certainly mean Eng and millions of others will assume more $2,250, the policy’s out-of-pocket limit. Other plans had much higher of the financial burden for their care. out-of-pocket limits, a risk she couldn’t take considering her health.

“I’m hanging on by my toenails until I get Medicare if it’s still there — The Rural Health News Service is funded by a grant from The Commonwealth when I’m able to get it,” Eng told me.

Fund and distributed through the Nebraska Press Association Foundation, the Colorado Because of people like Eng, it’s unlikely Congress will simply repeal the Press Association, the South Dakota Newspaper Association and the Hoosier (Indiana) existing law without creating a new plan to help out people with ObamState Press Association. acare policies. What it will be is anyone’s guess. But if it follows the thinking laid out by Georgia Rep. Tom Price, the incoming Secretary of Health and Human Services, it might well mean people will pay more.

Price proposes scrapping the individual mandate that requires nearly everyone to carry health insurance and eliminating the federal subsidies that make insurance premiums affordable for people like Eng. Instead, policyholders would be given tax credits to help buy insurance. Whether the credits would be adequate, given how high premiums are now, is an How do you think Obamacare should change? Write to Trudy at open question. More insurance policies would be offered with health savtrudy.lieberman@gmail.com. ings accounts; a tax-advantaged arrangement consumers would use to pay

WEIGH IN

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Barry Goldsmith works with the resistance bands as he shows some of the muscle groups he works on when he normally visits the gym on the Aims Community College campus in Greeley.

ACTIVE AT 80:

WORKING OUT FOR ELDERLY MAY HELP PREVENT INJURY, FALLS

By Kelly Ragan Photo Credit, Joshua Polson For Prime

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strength may be even more important to aging folks.

“One fall can really change a life and the comfort of that life,” Hawley said. “If you’re active, you’re preventing falls. If we can do that, we’ll be warding off a whole lot of injury.”

There’s a difference between safety limitations and sheltering yourself, Hawley said. Not everyone can run a marathon at 90, but maybe folks can run a 5K or take one class.

As for Goldsmith, he advises people to find a place they feel comfortable. For him, it’s the gym at Aims. He likes that he can talk to other people and compete with himself on his own and in the classes.

“There’s no snootiness here,” Goldsmith said.

“Everyone is just so kind to each other. I feel so at home and comfortable here.”

Barry Goldsmith works on his Tai Chi during a class at the Aims Community College gym in Greeley.

W

hen Barry Goldsmith was diagnosed with Parkinson’s disease, his doctor told him to look into taking Tai Chi classes. The big, wide movements are supposed to keep the balance and coordination the disease attempts to steal for as long as possible.

Goldsmith, a retired Greeley physician, signed up for the class at Aims Community College and started going to the gym.

At 80 years old, Goldsmith had his doubts about how other folks at the gym might treat him. At some other gyms, people weren’t always nice about him being there.

He was pleasantly surprised by Aims.

The instructor and his fellow classmates don’t judge him for his limitations, he said. He fell in love with it.

“I’m older; these kids are all much younger, but we’re all equals,” Goldsmith said. “I’m always delighted they accept me on an equal basis.”

It’s important for seniors to stay active, whether to delay or prevent diseases or protect against injury.

When folks enroll at a fitness or dance class at Aims, they have full access to the gym all semester. Goldsmith tries to make it to the gym four or five times per week outside of the Tai Chi class. When it’s cold outside, Goldsmith likes to walk on the track. He tries to walk a lap without his walking sticks to strengthen his muscles.

So far, he’s been able to keep up in all the classes and it’s helped his balance, he said. But Parkinson’s won’t go away, even with the exercise.

“For now, the ability to exercise and maintain balance is very important,” Goldsmith said.

He’s always felt strongly about staying active,

even when he got older. He used to ski. When his knees couldn’t take it anymore, he and his wife, Kathy, took up biking.

Phoebe Hawley is the outreach program manager with Seasons Club at McKee Medical Center in Loveland. It’s a health and wellness club for folks 50 and over.

As people get older, it’s important to focus on strength building, balance and stretching, Hawley said. Even if people didn’t have time to make it to the gym before they retired, it’s not too late to be more active.

Getting active doesn’t have to be intimidating.

“People often think exercise means you have to be in a gym sweating and wearing special clothes,” Hawley said.

But that’s not the case. Adding any activity can improve your quality of life, she said.

That can mean Tai Chi, yoga or simply parking farther away from your destination.

Some folks on fixed incomes also hesitate to sign up for gym memberships. But some gyms and senior centers are free. Hawley recommends checking the back of your insurance card to see if it says Silver Sneakers. If so, you can take part in some gyms and classes at no cost.

If folks are self-conscious or worried about sticking out, Hawley recommends bringing a friend or attending a class and making new friends.

“It can be a challenge, especially if you’ve lost a long-time spouse,” Hawley said. But she said it’s good to try something new and different.

Beyond preventing and delaying disease, staying active helps keep people out of the emergency room, Hawley said. According to the Centers for Disease Control, unintentional falls were the leading cause of hospitalization for almost every age group. That’s why working on balance and

LOOKING FOR PLACES TO BEGIN WORKING OUT? Aims Community College offers a variety of classes and gym access.

• Jazz dance • Belly dance • Fitness concepts • Weight training • Cross training • Fitness circuit training • Cardio kickboxing aerobics • Indoor stationary group cycle • Zumba • Body sculpting • Yoga • Fitness walking • Fitness jogging • Stretch N Relax • Tai Chi • Martial Arts • Self defense • Golf • Racquetball • Tennis • Archery • Dynamic workout • Volleyball • Softball • Basketball • Soccer To find out more, go to www.aims.edu/ or call (970) 330-8008 North Colorado Medical Center also offers a variety of different fitness classes. To find out more, go to http://bit.ly/2jFj8pb or call (970) 810-4121.

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VIDEO REMOTE INTERPRETATION

HELPS HEALTH CARE PROVIDERS AND PATIENTS UNDERSTAND EACH OTHER

By Kelly Ragan Photo Credit, Joshua Polson For Prime

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Melissa Parra leans in to check the video remote interpreting screen as she helps Maria Garcia and Christian Vargas at the North Colorado Medical Center in Greeley. The software allows the staff of NCMC to communicate with patients that speak a variety of languages.

M

aria Garcia of Greeley brings her 4-year-old son, Christian, to North Colorado Medical Center twice per week. Garcia doesn’t speak much English, but thanks to NCMC’s staff of interpreters, she’s able to understand what doctors recommend for her son.

Without the interpretive services offered at the hospital, Garcia would have a difficult time helping her son at home.

Medical terminology and scientific explanations can be difficult for folks who don’t speak English as their first language and could have disastrous consequences if misunderstood.

“I think it’s very important to be able to communicate clearly with providers,” Garcia said.

Proper diagnosis and treatment hinges on patients’ and doctors’ ability to understand each other. Gene Haffner, the hospital’s director of public relations, said doctors need to know what the patient’s symptoms are to be able to figure out what that patient needs. And family and friends are often unreliable interpreters.

Melissa Parra, a staff interpreter, was one of the first Spanish interpreters hired by NCMC more than 10 years ago. She said family might omit information they think might hurt their loved one, but in the medical field that can’t happen.

She recalls a story of one woman who interpreted for her father when he was diagnosed with cancer. She never told him he had cancer. In the late stages of the disease, the doctors needed the man to be capable of making decisions, but he didn’t really understand what was happening with him.

“You want the patient to be well-informed,” Parra said. “We don’t want anything negative to happen or for them to be treated incorrectly because of a misunderstanding.”

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Under federal requirements, all health care agencies must provide interpreters, said Paula Harsin, senior manager for Banner Corporate Language and Cultural Services.

NCMC has three Spanish interpreters on staff. They are the only in-person interpreter, but patients speak anywhere from 15-18 different languages in the hospital every day. UCHealth and Banner hospitals have traditionally used a telephone interpretation service that offers 200 different languages to support patient needs.

This summer, Banner invested in video remote interpretation. Providers roll the device — which looks like a computer screen attached to an IV pole — to patients and have them select the language in which they’d like to speak. For remote video interpreting, they have 18 different languages to choose from. They also have a choice between male and female interpreters, in case there’s a cultural preference.

An interpreter then appears on screen.

Sign language drove the use of video instead of phone interpretation.

“You want the patient to be well-informed. We don't want anything negative to happen or for them to be treated incorrectly because of a misunderstanding.”

- Melissa Parra, NCMC staff interpreter “Prior to having VRI, if patients were deaf, we didn’t have the capability to communicate with them,” Harsin said.

Luis Cazarin is an InDemand interpreter based in Chicago. He interpreted on screen for Garcia during the interview with The Tribune. He sees a wide variety of calls.

“It could be a cancer consultation, a check up on a 2-month-old or it could be someone informing their family of a (do not resuscitate order),” Cazarin said.

He gets calls from everywhere. Big cities tend to have an overwhelming demand for interpreters so video interpretive services help, while small cities need the service because they can’t hire full-time interpreters with such a low volume of patients.

“If you speak Spanish, you’re going to be busy,” Cazarin said.

Cazarin and Parra both underwent 40 hours of medical interpretation training to be qualified for the job.

Knowing the language is obviously important to interpretation, but subtler things, like understanding the patient’s culture adds another level of care.

Culture is critical, Parra said. She grew up around Spanish culture. It’s paid off to recognize when someone is trying to be polite by not asking too many questions, even if they didn’t understand what the doctor said.

Helen Lohnes, clinical care operations manager at NCMC, said it’s important to pay attention to population trends. Though Greeley has a number of Somali refugees, there isn’t enough of a need to support hiring a full-time staff interpreter.

That’s why video remote interpreting is so efficient. It gets used between 30-50 times per day, Harsin said. It’s common to see 50,000 minutes of video interpretation per month.

“I imagine as the refugee population in the community stays longer and gets an education, we will have more qualified interpreters,” Harsin said.

MORE INFORMATION For more information on medical interpretation training and certification, go to www.certifiedmedicalinterpreters.org.

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Manor

ndcelebrates theirpaHEALTH st whilecultivatingnewandvaluedrelationships.Events Calendar

dac ommodations,individualizeddining,commit edstaf that carelike Childbirth Preparation Class (four-week course), 6-9 p.m. Feb. 1, Feb. 8, Feb. 15 and Feb. 22 at UCHealth’s Medical Center of the Rockies, 2500 Rocky Mountain Ave., Loveland. Class includes overview of labor and delivery, coping techniques, medications, medical interventions, cesarean birth and breastfeeding. 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 $75. To register or for more information, call (970) 495-7500.

obstruction and rescue breathing for adults, children and infants. Certification is valid for two years. Registration closes at noon Feb. 4 prior to class. To register, call (970) 810-6633. Cost is $55.

Bright by Three Infant Group, noon-1 p.m. Feb. 7 and Feb. 21 at UCHealth’s 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 developmental years. A free infant packet includes a handbook provided by Bright Beginnings, brochures, a toy and board book. To register or for more information, call Jennifer Salvador at (970) 495-7500.

amenitieslikeafiresidelounge,garden,bistro,barberandbeautyshop

comfort andpas ionofdailylife.

Fast Track Childbirth Preparation (two-day course), 6-9 p.m. Feb. 3 and 1-5 p.m. Feb. 4 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. 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.

ites

Blood Tests, 7-8:45 a.m. or by appointment, Feb. 8 and Feb. 22, North Colorado Medical Center, 1801 16th St., Greeley. Wellness Services offers low cost blood screenings open to community members; some immunizations are also available upon request and availability. Call (970) 810-6633 to schedule an appointment.

Appointments preferred. Fast 12 hours prior to blood draw, drink plenty of water and continue medications as normal.

• OccupationalTherapy • WoundCare

Childbirth Breastfeeding Basics, 9 a.m.noon, Feb. 4 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.

herapy • Spe chTherapy

Yoga Support Group for Cancer Survivors, 9:3010:30 a.m. Feb. 8 and Feb. 22, North Colorado Medical Center, Wellness Classroom, 1801 16th St. Class is free, offered to those who have been touched by cancer. Call (970) 810-6633 to register.

CertifiedNurses

CPR for Health Care Providers (Initial), 4:308:30 p.m. Feb. 6, Wellness Classroom at North Colorado Medical Center, 1801 16th St., Greeley. Class is designed for licensed and non-licensed health care providers, and will cover cardiopulmonary resuscitation, airway

Elegant Evening in Red, 5:30 p.m. Feb. 16, Embassy Suites & Conference Center, 4705 Clydesdale Parkway, Loveland. Grab your girlfriends, don your red apparel and join for an Elegant Evening in Red to celebrate the heart of a woman. Coming back to Colorado, hall of

d and local y operated since 1964, cal 970-353-3 Fairacres 70 or visit www.fairacManor resmanor.com.

Continue Life’s Journey at Fair Acres Manor

Fairacres Manor contracts with Genesis Rehab Services to provide therapy services in our spacious and modern rehabilitation gym and guest rooms depending on your needs. Our rehabilitation program focuses on therapy and re-education in functional activities including wheelchair transfers and mobility, gait training, acuities for daily living, improvement in endurance and fitness levels and cognitive skills. The therapy staff also provides free therapy screens to new residents, as well as, home visits for any resident contemplating discharge.

nue | Gre ley,Colorado80631 | 970-353-3 70 | fairacres@vivage.com | fairacresmanor.com

1700 18th Avenue | Greeley, Colorado 80631 970-353-3370 | fairacres@vivage.com | fairacresmanor.com 18

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N

F

C

Family- owned and locally operated since 1964, Contact Ben Gonzales at 970-373-6469 or visit www.fairacresmanor.com

fame speaker, Kathleen Passanisi, will discuss “Choosing to Live a Happy, Balanced, Vibrant Life.” Schedule includes: 5:30 p.m. — Cocktails with a Cardiologist - Cash Bar; 6 p.m. — Doors open for a delectable dinner; and 7 p.m. — Hall of Fame Speaker Kathleen Passanisi. Tickets are $25, includes plated dinner, on sale until Feb. 6. Tickets can be purchased by calling (800) 230-2273, and all ticket sales are final. Seating is limited, and there will be no ticket sales at the door. For general questions, call (970) 810-3000.

Heartsaver CPR with AED, First aid: 4-6:30 p.m.; Heartsaver CPR: 6:45-9 p.m. Feb. 16, Windsor Recreation Center, 250 11th St., Windsor. Class is taught by American Heart Association certified health care professionals and covers adult and infant/child CPR, obstructed airway, the Heimlich maneuver, and the use of a barrier device. Upon completion of the course, participants will receive a Heartsaver course completion card, which is valid for two years. Registration closes at noon Feb. 14. Cost is $48 for CPR, $45 for first aid, and $88 for both. Call (970) 674-3500 to register.

Fast Track Childbirth Preparation (two-day course), 6-9 p.m. Feb. 17 and 1-5 p.m. Feb. 18 at UCHealth’s 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. 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.

Peripheral Vascular Disease screening, 1-3 p.m. Feb. 21 at Summit View Medical Commons, 2001 70th Ave., Greeley. North Colorado

Empowered Elders

Continue Journey atCall Fairacres Manor Dr. Dhupar Today.

Don’t missLife’s out on life

• Dr. Dhupar prides himself on the use of non-operative treatment in the vast majority of patients who seek consultation Nursing and rehabilitation doesn’t mean helplessness, loneliness or boredom at • Board Certified Fairacres Manor where elders retain autonomy and Free from restrictive • independence.

Advanced fellowship training in spinal andtoreconstructive surgery at Harvard routines and monotonous care, elders’ lives continue grow in an environment • Many treatment services on site

because of a bad back.

that fosters the spontaneity of life. An elder-centered community focuses on loving companionship, medical partnership, and fulfilling activity.

“Dr. Dhupar was able to guide through nonoperative A residence that honors the health, wisdom, and experiences ofme Fairacre elders treatment & avoid surgery. I preserves and celebrates their past while cultivating new and valued relationships. would highly recommend a visit Personalized accommodations, individualized dining, committed staffhave that care like if you back problems.“ family, and amenities like a fireside lounge, garden, bistro, barber and beauty shop

provide the comfort and passion of daily life.

• Private Suites • Physical Therapy

• Occupational Therapy

• Wound Care 6200 • Speech Therapy 970-353-5959 Certified Nurses

West 9th Street, Greeley, CO 80634 www.northcoloradospine.com

Family-owned and locally operated since 1964, call 970-353-3370 or visit www.fairacresmanor.com.

1700 18th Avenue | Greeley, Colorado 80631 | 970-353-3370 | fairacres@vivage.com | fairacresmanor.com

HEALTH Events Calendar Medical Center’s Peripheral Vascular Disease Screening program offers the education and prevention proven to be the best tools for fighting vascular disease and stroke. Cost is $100 for four screenings, due at time of service. NCMC Wellness Services does not bill insurance. Call (970) 810-6070 to schedule an appointment.

Body Check... What you need to know: Head to Toe, by appointment Feb. 21, Summit View Medical Commons, 2001 70th Ave., Greeley. This head-to-toe health assessment gives you tools to put health first. Call (970) 810-6070 to schedule an appointment. All results are sent to your personal physician and to you. Cost is $175, due at time of service. Wellness Services is unable to bill insurance. Available upon request: Body check with PSA for $205.

Diabetes Prevention Program, yearlong program starting Feb. 21, Poudre Valley Hospital, 1024 Lemay Ave., Fort Collins. UCHealth’s Diabetes Prevention Program is now enrolling

participants. This is a yearlong, evidenced-based program with 16 in-person classes in the first six months and six monthly follow up classes to promote long-term lifestyle change to prevent Type 2 diabetes and other related disease. To register or for a screening assessment to see if you qualify, call (970) 495-8205 or (970) 495-8777.

Additional classes likely will be scheduled in Loveland and Greeley locations in the spring. Call for more details.

Oh My Aching Back, noon-1 p.m. Feb. 28 at UCHealth’s Medical Center of the Rockies, 2500 Rocky Mountain Ave., Loveland. This free class will teach how the spine ages and what you can do to keep your back healthy. To register or for more information, call (970) 495-8560.

Cooking Classes, 6-7:30 p.m. Feb. 28, North Colorado Medical Center in the Union Colony Room. This month’s theme is “All Things Chocolate.” Course is taught by registered dietitian, samples and recipes are included. Join for some tasty treats and find out more about the

benefits of cocoa for heart health. Cost is $10.

Call (970) 810-6633 to register.

CT Heart Score, North Colorado Medical Center, 1801 16th St. Screenings are held at 1 p.m. and 2 p.m. Tuesdays and Thursdays. CT Heart Score provides a non-invasive test that accurately measures the amount of calcified plaque in the arteries. The Heart Score program includes a 10-minute consultation with a Wellness Specialist, focusing on cardiac risk factor education, identification of non-modifiable and modifiable risks and lifestyle behavior change options. Cost is $199, due at time of service.

Wellness Services will not bill insurance. Call (970) 810-6070 to schedule an appointment.

Amazing where you can go once you set your mind, and feet, to it.

Get active. Eat right. Lose weight. More energy. Feeling good physically. Feeling good period. All possible, once you commit to changing your lifestyle and a wellness program from Motovo. Because Motovo uses simple, easy to use tracking tools complete with a personal health coach who will help you determine your goals, create a wellness plan, monitor and evaluate your process using an app, and give you the advice and encouragement to get wherever you hope to go.

For more information call 1-888-868-0585 or visit motovo.org

Presented by the Good Samaritan Society (c) 2017 The Evangelical Lutheran Good Samaritan Society.

All rights reserved. 17-G0002

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PRIME Medical Directory 2016 ALZHEIMER’S/SKILLED CARE GRACE POINTE

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

ASSISTED LIVING GRACE POINTE

BURN CARE

CARDIOLOGY

WESTERN STATES BURN CENTER (NCMC)

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

ENDOCRINOLOGY ENDOCRINOLOGY CLINIC (NCMC)

CARDIAC VASCULAR SURGERY

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

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

FAMILY PRACTICE MEDICINE BANNER HEALTH CLINIC

AUDIOLOGY

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

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, AuD Rachel White, AuD Cheryl Hadlock, AuD Brenna Whittey, AuD Melissa Headley, AuD 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

BALANCE LIFE CARE CENTER OF GREELEY- ASCENT

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

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HUBBARD FAMILY DENTAL

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

BANNER HEALTH CLINIC

CARDIOVASCULAR INSTITUTE (NCMC)

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

HEART FAILURE CLINIC (NCMC)

CARDIAC, THORACIC & VASCULAR SURGERY (NCMC)

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

(970)810-6953 www.bannerhealth.com

DENTISTRY ASCENT FAMILY DENTAL

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

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

100 S. Cherry Ave., Suite 1 Eaton, CO 80615 Phone: (970)454-3838 www.bannerhealth.com BANNER HEALTH CLINIC

222 Johnstown Center Drive Johnstown, CO 80534 Phone: (970)587-4974 www.bannerhealth.com BANNER HEALTH CLINIC

5623 W. 19th Street, Greeley, CO 80634 Phone: (970) 810-9011 www.bannerhealth.com FAMILY PHYSICIANS OF GREELEY, LLP-CENTRAL

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

FAMILY PHYSICIANS OF GREELEY, LLP-COTTONWOOD

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

FAMILY PHYSICIANS OF GREELEY, LLP-WEST

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

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

GASTROENTEROLOGY

HEALTH AND FITNESS WORK OUT WEST

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

HOME HEALTH CARE CARING HEARTS HOME HEALTHCARE

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

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

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

TOUCHSTONE HOME HEALTH

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

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

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

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

INDEPENDENT ASSISTED LIVING GRACE POINTE

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

INTERNAL MEDICINE BANNER HEALTH CLINIC

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

MASSAGE THERAPY MELISTIC THERAPEUTIC MASSAGE

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

MEDICAL EQUIPMENT & SUPPLIES BANNER HOME MEDICAL EQUIPMENT (NCMC)

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

MENTAL HEALTH SERVICES NORTH RANGE BEHAVIORAL HEALTH

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

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

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

NEPHROLOGY GREELEY MEDICAL CLINIC

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

NEUROLOGY

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

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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

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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

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