Prime Aug 2015

SUMMER - AUG. 2015

The Key

to a solid physical foundation lies in early childhood activities

PG. 8

- plus Working Out

AT WORK PG.10

PG. 12 prescription drug prices, and use on the rise

PG. 18 The rigors of practicing rural medicine

PG. 19 become a stroke hero

Mike’s back in You can be too.

Start taking care of yourself and your heart today.

UCHealth has the largest cardiovascular program in the state. UCHealth Heart Center performs more than four times as many cardiac surgeries as any program in northern Colorado and is the only heart program in the region performing minimally invasive heart valve procedures like TAVR and Mitral Clip.

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970.251.0196 To learn more about Mike’s story, visit uchealth.org/loveyourheart

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PG.8

PG.10

Striking a balance

Workin’ it

Becoming physically active at an early age is important to helping your kids stay healthy for the rest of their lives. But experts say adults must be careful not to overdo it.

Your office could be killing you. That’s because sitting — like behind a desk — is one of the most unhealthy things you can do. Here’s some advice for staying fit in the workplace.

PG. 4

PG. 14

PG. 16

A Greeley organization is using the power of horses to help everyone from veterans who are battling post traumatic stress disorder to kids with autism.

What can you do to get your kids to eat healthy foods? Do it yourself.

For many people these can be debilitating.

Prime contributor Nikki Work shares her experience with headaches and tells you what you can do about yours.

Animal instincts

PG. 6

Not so smart

Smart phones mean that teens can be in danger when they’re walking to or from school, or to other activities.

PG. 12 Nightingale Award

PUBLISHER Bart Smith EDITOR Randy Bangert General manager Bryce Jacobson CREATIVE MANAGER Kyle Knoop BUSINESS MANAGER Mike Campbell MANAGING EDITOR Nate A. Miller

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Healthy habits

What a headache!

PG. 12

Up, up and away

No matter how you crunch the numbers, they all point to one thing — Americans are using more prescription drugs and paying more for them.

PG. 19 Become a stroke hero

|

PG. 18

A different kind of person

Not everyone is suited to the rigors — and slow-paced lifestyle — of practicing rural medicine.

PG. 19 August’s health events

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PG. 20 Prime medical directory

CONTRIBUTING WRITERS Allison D. Bluemel Nikki Work

PRIME MAGAZINE 501 8th Ave. P.O. Box 1690 Greeley, CO 80632

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For all editorial, advertising, subscription and circulation inquiries, call (970) 352-0211.

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Send editorial-related comments and story ideas to: rbangert@greeleytribune.com

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For advertising inquiries, contact: bjacobson@greeleytribune.com August 2015, Volume 1, Issue 4.

Published by: Greeley Publishing Co., publisher of The Greeley Tribune, Windsor Now, the Fence Post, Tri-State Livestock News, and Energy Pipeline PRIME \\ AUGUST 2015

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Therapy Horses Helping develop confidence, heal wounds through equine interaction doesn’t heal through riding but instead through interactions. Brushing, haltering, leading and just being around a horse can be therapeutic, McMahan said. There’s something about going out into a field with a 1,000-pound animal and feeling love, not fear. He calls his method Natural Humanship Training.

McMahan started Colorado Therapy Horses in 2003 after working as a licensed psychotherapist for more than 25 years. He believed animals could give people confidence, and he believed those suffering

the horses can always tell who they can help the most, he said. People brush the horses and pet them, and after training, they can even learn how to layton Newbold walked into a lead and halter them. cluster of big, dark-colored horses “Something happens out there,” he said. afraid, even close to panic.

“There’s some magic.”

The 14-year-old with autism ran away, his arms Nearly every Monday this summer, kids from flailing. But Clayton had been through this before the Sierra School of Weld County, a school for on the Colorado Therapy Horses pasture in north children with emotional disabilities or autism such Greeley. He’d visited the ranch several times, and as Clayton, go out to McMahan’s property in north he likes to be around people. He just struggles with Greeley. new situations. And Stephanie Marshall, so, with the support of the program director one of his teachers, he for the Sierra School, soon tried again. Once said the horses his hands tentatively bring the kids an came into contact with overwhelming sense of the chestnut hair of happiness and calm.

-Richard McMahan, founder of Colorado Therapy Horses one of the horses, he After spending became calm. With time with the horses, a teacher’s hand over Marshall said the his, he started moving the wire brush over the from emotional trauma or emotional or mental kids begin to make connections with the staff horse’s back. Within 15 minutes, his teacher didn’t disabilities could benefit from that confidence. It and volunteers as well. Some kids open up to the even have to show him how to pet the horse. A could, in fact, almost make them a new person. He Colorado Therapy Horses staff about past traumas smile replaced the anxiety. calls this equine therapy The Wounded Human within minutes of spending time with the horses.

Richard McMahan, founder of Colorado Project.

Because of the horses, they are able to start building Therapy Horses, called the breakthrough a miracle.

McMahan said in the last 15 years, several relationships with people.

Then again, these miracles are why he founded the thousand people have come to see his horses. When After spending time at Colorado Therapy organization. new clients step into the pasture, his herd of horses Horses, these feelings carry over into the classroom Unlike other horse therapy sites in northern surrounds them, swishing their tails. Without fail, as well.

Colorado, Greeley’s Colorado Therapy Horses one horse will walk up and choose the person — As Marshall watched Clayton happily pet the

By Nikki Work For Prime

C

“Something happens out there.

There’s some magic.”

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horses, which seemed to gravitate to him, the high-wattage grin on her face matched his.

“It’s absolutely amazing,” she said. “We’ve seen him just completely move forward.”

For 14-year-old Taylor Sarchet, The Colorado Therapy Horses helped with the transition back into public school after attending the Sierra School.

She said she gained the confidence to go to public school after McMahan pointed out how much personal strength it takes to handle a horse. If she could go out to halter, brush and control a 1,200-pound animal, she could handle anything other kids could throw at her.

That kind of self-confidence, coupled with the unconditional love the horses can show, is what makes McMahan’s methods successful.

“I guess I’m going to pass to the next life being a very happy man because of the people that I’ve experienced that have really gotten something out of the horses,” McMahan said.

Working with veterans An important component of the Colorado Therapy Horses program is working with veterans suffering from PTSD. Mike Ackelson, an Iraq war vet and graduate of the University of Colorado, said working with horses helped him handle the anxieties and stresses of transitioning back to civilian life. Now, he works with the organization to help other vets heal. To this day, eight years after he came home from overseas, among the herd of horses is where finds his harmony.

“It’s unexplainable what the horses do but it helps in so many different ways,” Ackelson said. “I come out here to deal with my emotions instead of going to a bar or getting in trouble, I come out here with the horses.”

Since returning from Iraq, Ackelson said four of his fellow veterans have committed suicide. More awareness about opportunities like this, he said, could help lower the rates of veteran suicides and hopefully, help servicemen and women heal.

“It hits home because it is real. It is very real to us,” he said.

“Because they’re our brothers so it like losing a family member every single time it happens.”

The reason equine therapy is so important and effective for veterans is purpose, said Harrison Swift, an intern at The Colorado Therapy Horses.

“When we’re in the Marine Corps, we thought we were helping the world,” Swift said. “And when you get out, you feel like you’re not doing much.”

He said many vets are left asking, “What for?” When kids like Clayton throw their arms around a horse and grin widely, Swift finds the answer to that question.

“When you leave here, you carry that same pride as when you were in uniform,” Ackelson said.

Contact

For more information on Colorado therapy Horses, contact Richard McMahan at (970) 302-5204 or info@coloradotherapyhorses.com.

Expansion

Colorado Therapy Horses is hoping to expand its program to a larger property and to encompass more programs. McMahan said the envisioned result would be an agritourism destination with a therapeutic focus, complete with barracks, miniature farming operations, various kinds of livestock and more. Though this vision is still in its infancy, McMahan said he and the organization’s board of directors are looking to solidify initial plans soon.

“Why not give every kid in Greeley a chance to get to know a horse or a cow or a sheep or a goat or whatever?” McMahan asked. “There’s a lot of miracles that can happen in that experience.”

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Drive Smart: Digital devices can make walk to school dangerous

By Lyn Tausan DRIVE SMART Weld County

S

ummertime offers a nice break from the rigors of shuffling papers, carpools and heavy backpacks of the school year. Once the month of August begins, the preparations for the beginning of the next school year ramp up in families, schools and communities across the nation. As your children march out the door on the first day of school, and following days, there is one priority for every parent — make sure they arrive home safely, every day!

In 1995, children ages 5-9 were more at risk than any other age group under 19 for being struck by a vehicle while walking. The death rate for children in this category has declined more than 50 percent in the last 20 years, which marks an improvement.

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According to a study by SafeKids.org, 61 children are hit by cars every day in the United States, most often during the hours before and after school, with a peak in September. There has been a noticeable demographic shift. It is more likely a teenager will be hit by a car than his or her younger siblings. Of the 490 pedestrians ages 19 and younger who died being hit by a motor vehicle in 2012, 48 percent were ages 1519. With the popularity of digital devices, it is not surprising this age group is the new population most likely to be hit by a car. It is called “distracted walking” — specifically, walking and texting. According to a study by the Nielsen Company, teens age 13-17 send more than 3,400 texts a month.

This is seven messages for every hour the teens are awake. It is not surprising that teens age 15-19 are the demographic most likely to be hit by a car using their devices while walking.

Staying safe Some safety tips for your children before they head off to school this August by the National Safety Council: • Don’t walk, talk, and text.

• If you have to talk or text, move out of the way of others and to the side of the walkway.

• Do not cross or walk in the street while using an electronic device.

• Do not walk with headphones in your ears.

• Be aware of your surroundings, especially in congested areas.

Some safety tips for adults/parents while school is in session: • Don’t text while driving. It is against the law in Colorado.

• Yield to the school buses.

• Expect the unexpected. Children can dart out unexpectedly. Yield to the crossing guards and be vigilant.

• Budget extra travel time.

• Watch out for hot spots: marked school zones, areas near bus stops and bike lanes • Protect new teen drivers. Teen crashes spike in September as they head back to school and happen more often during hours when school begins and lets out.

As your children prepare for the new school year, they need to learn and practice basic safety while walking to and from school, around school buses, cars and to other activities. While it is important to keep these rules in mind during the school year, they should be practiced at all times.

Advertisement

The Deafness of Edison

Through his many inventions, including the phonograph, the transmitter for the telephone speaker, an improved light bulb, and key elements of motion-picture apparatus, Edison has influenced virtually every life all over the world. Most knew that Edison had a hearing impairment but our interest is not necessarily the hearing loss but in his well-publicized hearing loss affected his inventions.

An International Family Connection

Edison’s grandfather, Captain Samuel Edison, served with the British in the War of 1812. In Ontario, Edison’s father, also named Samuel, met and married Nancy Elliott, a school teacher and daughter of Ebenezer Matthews Elliott, a captain in Washington’s Revolutionary War Army. The migration of the Edison family from Canada to the United States is interesting in itself. The young-

mand. The rebellion failed and Captain Edison, as one of the rebel leaders, had a price on his head. He decided to take a risky flight to the United States over the safer choice of Bermuda.

Facing innumerable dangers and hardships, Samuel walked a total of 182 miles, taking just one 3-hour break, before finally reaching the town of Milan, Ohio, where he decided to settle.

Born February 11, 1847 in Milan, Ohio, Thomas Alva Edison was the last of Samuel and

Nancy Edison’s seven children.

At age 7 Edison moved with his family to Port Huron, Michigan.

The Deafness

Edison had deafness from his childhood throughout his life.

These caused him some difficulty when he entered school. His

room schoolhouse classroom and learn the way as the other students. He would rather draw in his notebook instead of copying down assignments and asked more questions than the teacher wanted to answer.

To make things worse, Little Al (short for Alva, as his parents called him) was often sick and was already losing his hearing, which made it even harder for him to pay attention in school causing his teacher to make fun of him, sitting him in the corner for punishment. After being credited with only three months of official schooling, Edison quit and became an avid reader.

Since his mother was a teacher, Edison’s further schooling may have been a very early version of the now common, Home Schooling. Additionally, he reportedly lost more of his hearing, becoming technically deaf in his early teens.

The actual cause of Edison’s impairment is not known. It could have resulted from an early childhood illness or, as legend has it, from having his ears “boxed” by a rail conductor when he was about 12 years old. In any case, Edison lost “almost all his hearing.” It is now believed that a major cause was a bout with Scarlet Fever during childhood, along with recurring untreated middle ear infections.

These causes suggest that he had significant early hearing impairment that he lived with

most of his life. By all indications, it was conductive or mixed in nature, probably worsened by age in later years. Otolaryngologists or ENT physicians believe that Scarlet Fever produces acute otitis media more often than any other specific disease.

They further report that the percentage of scarlatinal otitis that progresses to mastoiditis requiring surgical intervention is very high. It’s also quite possible that Edison had a conductive hearing loss from Otitis Media with Mastoiditis. There are indications that Edison could have had surgery for his hearing loss, a further indication that his impairment was likely conductive, but he refused the surgery, fearing that good hearing would disrupt his thought processes and impede his thinking. After reviewing the various references on Edison, I suspect that this brilliant individual, inventor of many of our most beneficial things, had a maximum conductive loss, 50-60 dB, likely in both ears that was exacerbated by the aging process.

teachers considered him to be a dull student as he had difficulty following the lessons and, consequently, his school ater Samuel (Edison’s father) was tendance became sporadic. In Author’s Bio: a British Loyalist but became fact, young Edison’s mind waninvolved in a Canadian political dered so much he was noted struggle for independence (an to be terrible at mathematics, unsuccessful Canadian counter- unable to focus, and had difficulty with words and speech. part of the American Revolution Miller, a co-researcher at Michigan, that the noise-induced hearing loss prevention concoction could be His within teacher, Crawford, known as the Papineau-MacK- available two years. Mr. enzie Rebellion). In 1837, Ca- called him “addled” and said nadians rose up against the that he had something wrong British government for taxation with his brain and would nevRobert M. Traynor is the CEO and practicing audiologist at Audiology without representation (sound er be able to learn. It was true Associates, Inc., Greeley, Colorado with particular emphasis in

Robert M. Traynor, Ed.D., MBA, FAAA

familiar?). It was led by Louis J. Papineau, a French-Canadian.

Edison’s father, a firm believer in the rights of people, joined the Canadian insurgents and was given a captaincy and a com-

amplification and operative monitoring. Dr. Traynor holds degrees from the University of Northern Colorado (BA, 1972, MA 1973, Ed.D., 1975), the University of Phoenix (MBA, 2006) as well as Post-Doctoral Study at In another study funded by the Oklahoma Medical Research Foundation, Northwestern University (1984).

He taught Audiology at the University researchers Dr. Robert Floyd and retired Army surgeon, Dr. Richard Kopke, M.D., discovered a of ear Northern (1973-1982), University of Arkansas for Medical combination of two compounds stopped damage to the inner caused byColorado acute acoustic trauma – Sciences and were Colorado State University (1982-1993). Dr. Traynor something like an IED exploding. Although they did not indicate what(1976-77) the compounds they felt that,“This is a very exciting finding,” said Dr. Floyd, who holds Merrick Chair the in Aging is a the retired Lt.Foundation Colonel from US Army Reserve, Medical Service Corps Research at OMRF. “The research is still at a pre-clinical stage, we’re hopeful that can begin and but currently serves aswe ansoon Adjunct Professor of Audiology at the University testing in humans. of Florida, the University of Colorado, and the University of Northern Colorado. For 17 years he was an Audiology Consultant to major hearing More recently, Dr. Kathryn Campbell's work at Southern Illinois University involves the use of an instrument and equipment manufacturers providing academic and antioxidant called D-methionine, a component of fermented protein product orientation for their domestic and international distributors. A clinician and practice manager for over 35 years, Dr. Traynor has lectured that young Thomas Alva Edison on most aspects of Audiology in over forty countries.

didn’t want to sit still in his one-

Lifelong benefits of recreation for kids finding the balance between too intense and too light

By Allison Dyer Bluemel For Prime

W

hile regular exercise helps promote healthy living at any stage in life, the key to a solid physical foundation lies in early childhood activities.

“It’s tremendously important in a lot of different ways,” said Dr. Christopher Dr. Christopher Moore, a pediatrician at Moore University of Colorado Health Pediatrics in Greeley. “Short term, it provides a break and really does help with overall mental depression. Long term it establishes the habits of a healthy lifestyle.”

In many cases, deconditioning and habits leading to obesity in adulthood can be traced back to childhood, he said.

“Physical inactivity increases one’s risk for dying prematurely,

dying of heart disease and developing diabetes, colon cancer and high blood pressure,” according to the Centers for Disease Control and Preventing’s long-term consequences of physical inactivity.

On the other hand, regular physical activity helps to build and maintain healthy bones and muscles, reduce the risk of diseases such as cardiovascular disease, reduce feelings of depression and may help improve students’ academic performance, according to the CDC. “I’m hoping to inspire a love of fitness,” Windsor mom Leanne Scholand said about the importance of her son’s activities.

“I’d like it to be a guiding force and set a foundation for his life.”

While overall physical activity is beneficial to children for a variety of reasons, Moore warned the needs and tolerances for exercise change with age. Too much pressure for organized sports early on could result in athletic burnout.

“Younger kids don’t need as much encouragement,” he said.

“As the kids get older, you start

seeing more structured activity.”

For younger age groups, Moore recommended getting them outside in general and away from distractions.

“The prime motivation is just having fun,” he said. “Provide an opportunity and stay out of the way.”

Summer community programs, such as Windsor-Severance Fire Rescue’s Fit Kids Summer Camp, which promote group, social fitness offer an example.

“They have fun,” Windsor mom Shelly Rodgers said. “It’s keeps them engaged outdoors instead of inside.”

Community programs also gives kids a way to play with their age group at a similar fitness level.

“We try to do something new,” Windsor mother Cynthia Kintzley said. “Their friends being active helps.”

In general, anaerobic activities involving running — such as tag or hide and go seek — are good past times for younger age groups.

By the elementary school, they can begin to grasp the concept of competition.

Moving into the middle school age bracket, children become more able to process rules and structure in organized sports.

A lot of the difference comes from attention spans lengthening overtime, he said.

“It’s different to maintain the kind of focus you need to able to compete,” Moore added.

As children transition from middle school into high school, they learn how to use to strategy in the sports they play, he said.

While gradual conditioning for more competitive sports later in development may begin in early childhood, Moore and the American Academy of Pediatrics warn against specializing early activities. Over the years, the thinking of many parents has been to start their child out in a single sport early on in hopes it will push them to succeed athletically in that sport over time.

“Youth sports participation has evolved from childdriven, recreation free play for enjoyment to adult-driven, highly structured, deliberate practice devoted to sports-specific skill

“The prime motivation is just having fun”

-Dr. Christopher Moore

LEFT: Sebastian Nash, 8, stretches before working out at Boardwalk Park in Windsor. PHOTO BY: Joshua Polson/jpolson@greeleytribune.com

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Physical Activity for Children and Youth Overall physical activity: • 42 percent of children ages 6-11 years old had more than 60 minutes of moderate-to vigorous physical activity five days per week.

• 8 percent of ages 12-15 years old had more than 60 minutes of moderate-to-vigorous physical activity five days per week.

Kloey Maggiano, 11, gets ready to throw a ball during a dodge ball game at Boardwalk Park park in Windsor. PHOTO BY: Joshua Polson/jpolson@greeleytribune.com

development,” according to “Sports Specialization in Young Athletes,” published by the National Institute of Health.

By definition, sports specialization “is intense training in one sport while excluding others” in year-round training, according the institute.

Instead, the American Academy of Pediatrics strongly recommends mixing up athletic activities and free for play for physical activity about 50 percent of the time until age 12.

Moore noted that the free play could certainly be within the context of early childhood sports.

According to the study, while some specialists believe that a certain degree of early childhood training is necessary to excel later in life, too much runs the risk of increased injury, psychological stress and burnout.

In particular, children who specialize in one sport run the risk of repetitive motion injuries and adults should take care not to push kids to play through the pain, Moore said.

“The take-home message is

early diversification is beneficial to athletic success, some degree of specialization is necessary for high achievement … and that specialization should not happen until adolescence,” he said. “There is no evidence that early intensive training creates superior athletes in the long run.”

Moore noted that many athletes say, in retrospect, parents generally supported rather than drove training.

In this way, and others, family members and their attitudes toward fitness shape how children view exercise in life.

An easy way to encourage healthy activity is to participate in exercise with children, Moore said.

“Avoid seeing conditioning as punishment,” he said. “(Parents should) get their own habits up to speed. It’s not just about the kids, it’s about the parents.”

Finally, Moore recommended having frequent conversations with each child about what activity most interests them.

“Make sure the child is involved in decision making,” he said.

Average number of minutes children spent on physical activity per day: •Total average of 54.4 between ages 6-19 years old • 88 minutes for 6-11 year olds • 33.3 minutes for 12-15 year olds • 25.5 minutes for 16-19 year olds • 63.8 minutes for boys • 44.4 minutes for girls Non-active minutes per day • Overall: 424.7 minutes (7.1 hours) • 6-11 years old: 351 minutes (5.9 hours) •12-15 years old: 462.6 minutes (7.7 hours) • 16-19 years old: 499.0 minute (8.3 hours) • Boys: 415.1 minutes (6.9 hours) • Girls: 434.7 minutes (7.2 hours)

Christian Kintzley, 9, does a burpee during a special workout on Tuesday at Boardwalk Park in Windsor.

PHOTO BY: Joshua Polson/jpolson@ greeleytribune.com

Source: Data courtesy of the 2014 United States Report Card on Physical Activity for Children and Youth by the National Physical Activity Plan

You’ve got to move it, move it: Ways to do less sitting at work and improve your health

By Nikki Work For Prime

W

hen Dolly Fonseth walks into an office and sees people sitting, it inspires her.

“Movement is medicine,” she said, repeating her mantra over and over.

She said it’s easy to get up and move throughout the day at work — and important, too. Fitness doesn’t have to be a daily hour-long workout. The more you move, the better.

Fonseth, a personal trainer and group fitness instructor at Work Out West, recommended several simple exercises that workers can do at their desks to break up the sitting.

1 Exercise ball: An optional tool for an office-friendly workout is an exercise ball, Fonseth said. It’s a good reminder to keep good posture and work your core. “You always want to keep your stomach sucked in,” she said. “Tighten up your stomach all of the time.” When working with a medicine ball, she said to sit, put the ball between the knees and squeeze.

She also said squeezing the ball between the hands, extended in front or above the head, is a good rep.

4 Stretching: Stretching Something as simple as stretching can be beneficial, Fonseth said. She recommended several stretches, like pointing and extending the hands over the head and leaning to the side to stretch out back and side muscles. Another stretch she said is helpful is to extend the arms straight out at the sides with fingers pointed to the ceiling.

‘Anything is better than sitting’ Barry Braun, professor and department head of the department of health and exercise science at Colorado State University, said studies have shown sitting for long periods of time at work can be harmful.

Braun said breaking up prolonged bouts of sitting can lower the risk of heart disease, hypertension and diabetes.

“Everything that is benefited by physical activity,” he said, “sitting seems to do the opposite.”

HOW TO: EXERCISE video can be found at

http://www.greeleytribune.com/news/16740429113/youve-got-to-move-it-move-it-ways

2.

2 Resistance bands: Fonseth said another option for a small-space workout is resistance bands. Two of the workouts she recommended are bicep curls, shown here, and shoulder presses.

3 Chair exercises: Fonseth recommends using chairs. As long as the chair doesn’t have wheels, it’s perfect for squats or tricep dips.

Squatting with the help of a chair is helpful for people who tend to bring their knees over their toes when they squat. “When your knee goes over your toes that’s putting way too much pressure on your knee joint,” she explained. For the tricep dips, she said to hold the edge of a chair and lower the body down and back up.

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Paddy Dempsey, a doctoral candidate at Baker IDI Heart and Diabetes Institute in Melbourne, Australia, who visited Colorado State University earlier this month, helped conduct studies that a patients with Type 2 Diabetes’ were able to better regulate glucose when they moved throughout the day.

Studies also found it doesn’t have to be a strenuous three minutes either.

Dempsey recommended a stroll to the water cooler or standing at a desk rather than sitting for 30 minutes out of the hour. Standing desks, or office desks that have the capability to be raised so employees can work standing up, are a viable option, he said.

“It seems as though the change in posture really matters,” he said. “Its not that people are burning hundreds and hundreds of calories in these breaks. Its just not sitting seems to be really important.”

Standing desks in action The Weld County Regional Communications Center has used standing desks for decades, said Mike Wallace, director of public safety communications for the county. The consoles don’t only provide variety for dispatchers, but also proper equipment storage and functionality.

The desks can be raised to a standing level appropriate for even tall heights, and lowered nearly far enough to sit on the floor. This kind of flexibility is important for the long hours dispatchers need to work at their desks.

“We are more or less confined in this room and attached to the console,” said Jon Lunsford, communications center manager.

Lunsford and Wallace said it is important in a 24/7 facility to have equipment that can sustain long hours and constant use. This ability to sustain long hours of use — and as Lunsford put it, abuse — is the main purpose of the console, along with the ability to house the equipment. The option for dispatchers to stay mobile at work is just an added bonus.

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THINKING ABOUT HEALTH: Prescription Drug Prices Climb into the Stratosphere

By Trudy Lieberman - Rural Health News Service 12

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T

here’s no getting around it.

Americans are using more medications and spending more for them. The latest evidence just came from Express Scripts, the pharmacy benefit manager, which acts as a middleman between drug makers and employers. The number of Americans — almost 600,000 — with yearly medication costs of more than $50,000 rose 63 percent from 2013 to 2014. The group of patients with costs over $100,000 nearly tripled.

By any measure these are huge increases that don’t signal much hope that the U.S. can bring down its medical spending, which is now over 17 percent of the country’s national income. Express Scripts was frank about the long-term impact on employers and others who actually pay most of those bills. It’s an “unsustainable $52 billion a year.”

Who are the patients with these stratospheric drug expenses? Nearly 60 percent are Baby Boomers, and over half of those with expenses greater than $100,000 are men. Nearly two-thirds are taking 10 or more different medications. The use of antidepressants was more than twice as prevalent among these heavy users as it is in the general population.

What’s wrong with that? Don’t we want people to have the latest and greatest drugs? After all, we’ve been conditioned for decades now to believe that modern medicines work miracles. Of course, some have, but others have not. Yet it has become ingrained in the American psyche that patients are entitled to these medicines, no matter the cost.

Perhaps that’s why we tolerate those intrusive drug company commercials that bombard us at the dinner table with cures for toenail fungus. But those ads work. They motivate consumers to

ask about the drugs being hyped. Most of the time the docs prescribe them.

Cancer medications, hepatitis C drugs like Sovaldi with its $84,000 annual price tag, and compounded medications, which use ingredients mixed together in the exact strength and dosage required by the patient are the main culprits for the increases, Express Scripts said.

A year ago Express Scripts, which works on behalf of insurers, stopped covering some 1,000 active ingredients compounding pharmacies use for ointments, creams, and powders shifting some of the cost to patients.

Not long ago, I talked to Peter Bach, a physician and epidemiologist at Memorial Sloan Kettering Cancer Center in New York City, about the high cost of drugs. He echoed the Express Scripts findings. Bach told me makers of cancer drugs can pretty much do what they want in setting prices.

The worst that happens is a journalist writes a story about super-high prices, and the practice continues.

Bach has called for freeing insurers and government programs from requirements to include all expensive drugs in their plans and explaining to the public that some are not effective enough to justify the price, or setting prices equal to those in Western Europe, which are usually determined through government and drug company

negotiations. Either way, he says, it’s better than what we have now.

What about the claim that the high cost of developing these drugs justifies their high price tags?

In mid-May a study published in the New England Journal of Medicine found the highly profitable drug and biotech industries “actually spend only a small fraction of their revenues on truly innovative research.”

The study noted large drug companies did not develop some of the most important recent new drugs but acquired them by purchasing the biotech companies that did. In its first year of sales, Gilead, the company selling Sovaldi, totally recouped the $11 billion it paid for the rights to market the drug.

The public is becoming more skeptical and starting to question both prices and drug company marketing practices. “A year ago there was little discussion,” says John Rother, who heads a group called the National Coalition on Health Care.

“Today that is 100 percent reversed,” and the group’s Campaign for Sustainable Rx Pricing may be catching on. “But I think we’re still a long way from agreement about what to do,” he said.

Increasingly all consumers will bear the costs of high-priced medicines through higher deductibles and more cost-sharing. Sovaldi and similar drugs added $4.5 billion to Medicare spending last year, more than 15 times what Medicare paid for older hepatitis C drugs the year before. Only as Medicare beneficiaries and everyone else with prescription drug coverage feels the pinch, will there be any serious chance people’s voices will be loud enough to effect any changes. That will happen, as Express Scripts pointed out, when the prices become unsustainable.

The Rural Health News Service is

funded by a grant from The Commonwealth Fund and distributed through the Nebraska Press Association Foundation, the Colorado Press Association, the South Dakota Newspaper Association and the Hoosier (Indiana) State Press Association.

Weigh in: We’d like to hear about your experiences with paying for medications. Write to Trudy at trudy.lieberman@gmail.com.

University of Northern Colorado professor honored with Nightingale Award

For Prime A University of Northern Colorado nursing professor has received the prestigious Nightingale award for her work as an advocate for patients in Greeley and around the world.

The Centennial Area Health Education Center announced the award in July in a news release.

Vicki Wilson, a UNC professor, has worked as an advocate for at-risk university students and under-served and vulnerable residents in the Greeley community and around the world, according to a news release from the Centennial Area Health Education Center.

Wilson, who holds a doctorate in nursing, was chosen by the State Nightingale Committee as one of six finalists in Colorado for her work in nursing, the release stated

Most recently, Wilson helped Sunrise Community Health Center in Greeley develop a community partnership model and obtain in grants of $236,000. During the first two years, the effort served 2,765 patients.

Additionally, Wilson has been able to sustain the service even when the grant monies expired, the release stated.

“Her determination and passion to make a difference for underserved populations, (enhancement of) nursing education experiences and active community engagement are clear evidence of Dr. Wilson’s commitment to advocacy,” said Faye Hummel, interim director professor and Banner Health endowed distinguished professor at UNC, in the release. “We are so proud of Dr. Wilson’s contribution to excellence in education and for the outreach and service she performs for the community.”

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Your Summer Guide to

Healthy Eating

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

By Lindsey Gerdes Kaiser Permanente

S

ummer conjures thoughts of overflowing ice cream cones, the crisp crack of a freshly opened cold soda, and plopping down in front of the TV to watch reruns in a nice airconditioned room. But more often than not, we don’t think about how our behaviors directly influence our kids’ eating habits and even increase their risk of obesity.

For example, if you skip breakfast you may be teaching your child that same habit. Skipping breakfast has been linked to obesity in children and even metabolic syndrome in adults.

It’s not all bad news. Many studies have found an association between family routines and a decreased risk of obesity. But studies are one thing, practice is another. So, for those of us who, despite our best efforts, have trouble getting our kids to eat more fruits and vegetables, here’s a helpful guide to get you and your kids started down the path to healthy eating: Get your kids involved Kids who shop and cook with their parents, and therefore have 14

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more ownership in food preparation, are more likely to be healthier eaters. Let them pick a vegetable for a meal or try a fruit they find interesting. I suggest pointing out Pitaya, also known as dragon fruit.

It’s a sweet fruit that tastes like a cross between a strawberry and a pear — plus, it’s kind of fun to say.

Offer veggies along with favorite foods Try macaroni and cheese with broccoli or pizza with mushrooms, tomatoes, spinach, zucchini or other veggies added. Experiment with themes like taco night and salad night that offer plenty of healthy choices.

Play with your food Making faces with cut-up veggies may help get them from plate to mouth. Calling broccoli “trees” or

cauliflower “brains” can make them much less intimidating. Making food mini-sized also can make it more kid-friendly. Try these ideas for making fun food faces: • Eyes and nose: peas, olives, beans, cherries, raisins or nuts • Mouth: orange or apple slices, carrots or strawberries • Hair: broccoli, cauliflower, or grapes • Glue: honey, low-fat yogurt, low-fat cream cheese or peanut butter Don’t make the dinner table a battleground If kids don’t want to try a new veggie, avoid the temptation to react, which can create emotional drama.

Kids’ tastes change as they get older, so don’t give up.

Set a good example It’s hard to convince a child to

eat Brussels sprouts if you won’t go near them. Be a salesman by eating veggies yourself and make sure your child is watching.

Some children will be more difficult than others, and will require more effort and patience. It’s important to realize, however, the habits they develop at a young age will remain with them long into adulthood. Set a good example, create fun, positive experiences around food and do anything else you can to keep exposing them, in a pleasant way, to healthy foods. Your persistence will pay off.

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

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When I get a

headache, I lose a day.

By Nikki Work For Prime

S

ometimes, I can feel the pain coming before it really hits. I have trouble focusing on easy tasks. Then, it starts to feel like my brain is a little too big for my head. When this hits, I have about 30 minutes to treat the pain or else I’m useless.

Once the headache kicks in, there’s nothing I can do but find a dark, quiet room and wait it out. The quiet is important. Something as simple as a dog barking next door sounds like a firework screaming skyward. The thumping bass of a car feels like an earthquake between my temples. The glow of a lamp looks like the sun exploding.

According to the National Institute of Neurological Disorders and Stroke, more than 45 million Americans suffer from chronic and recurring headache pain. About 29 million Americans suffer from migraines, according to the 2006 American Migraine Prevalence and Prevention Study. The World Health Organization estimates nearly half the global population has suffered at least one headache in the past year.

I suffer from chronic headaches. They hurt so badly, they often bring tears to my eyes. Numerous doctor visits, home remedies and thousands of ibuprofen tablets later, I’m no closer to living pain free. I usually have at least one of these mindsplitting headaches per week. Sometimes, they last for days. I’m know I’m not alone.

The biggest obstacle to headache relief is everyone’s pain is different. Millions of people, millions of headaches and billions of potential causes leave some stuck in an ocean of Tylenol and temple-rubbing. Countless people suffer through recurring headaches and migraines without relief and without knowing why.

There are causes and cures. But they don’t work for everyone. And that’s what really hurts.

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Causes of migraines and headaches Every person has different triggers for headaches or migraines. Amanda Hill, a pediatrician at the Kaiser Permanente Greeley Medical Offices, said it is important to identify individual triggers to pinpoint treatment options. She said some of the biggest triggers can be vision, stress, diet and hydration. Hill asks her patients to keep headache diaries to help identify these causes. The diary entry for each headache includes the duration, intensity, a description of the feeling, treatment, food eaten, amount of water drank and activity levels.

“Prevention is key,” she said, adding these diaries have been helpful with identifying the specific causes of headaches.

Even the weather is an issue. Christy Young, neurologist at North Colorado Medical Center, said she believes there is a link between weather and headaches.

“The theory is, yes, there’s definitely something to it with the weather,” she said. “Anecdotally, people definitely feel like they have an increase in migraines with weather change.”

Migraines tend to run in families as well, according to the Migraine Research Foundation.

There is a 40 percent chance a child will inherit migraines from one parent. That chance increases to 90 percent if both parents suffer from migraines.

The foundation also reports women are three times more likely than men to suffer from migraines, likely due to the direct link between migraines and estrogen. Up to one third of women suffer from migraines during their lifetime.

According to the American Anxiety and Depression Association, people who suffer from migraines often also suffer from anxiety and/or depression at significantly higher rates than those who don’t have migraines.

“Emotional stress in general seems to run very, very, very high with migraine sufferers,” Young said.

An article on the American Headache Society’s Committee for Headache Education said people

who suffer from migraines can be up to two to five times more likely to have anxiety or depression symptoms. There is no clear pattern to which came first, the migraine or the mental disorder, but Young said she believes there is some degree of causation between the two.

“If I can’t get people to decrease their headaches, a lot of times, I’ll stop and talk with them, and say, ‘Well, are you depressed?’” she said.

Treatment options For people suffering from migraines and severe headaches, Young said there are two main types of treatment: rescue and preventative.

Rescue is treating an existing headache by administering a prescription drug, like a triptan, which alleviates pain by narrowing blood vessels.

Caffeine is also often used for rescue because it also narrows the blood vessels in the brain.

Preventative drugs are used when a patient has more than four migraines a month, Young said.

These prescriptions can include beta-blockers, seizure medications or antidepressants, among others.

For chronic migraine sufferers, a more intense therapy like Botox injections every three months may be used. Young said she has seen a good response rate in her patients.

But not every treatment works for every patient.

Botox treatments may be cost-prohibitive because not all insurances cover them. While some may get relief from caffeine, others’ headaches are worsened by it. Some prescription options are simply not viable. For example, when I was given a prescription for my headaches, I was warned it would likely make me dizzy and drowsy. I had to choose between being unable to function from a headache or a pill.

It’s situations like these that make patients, like me, feel like they have no option but to live with prohibitive pain.

Treatment for children Headaches are one of the most common reasons

for pediatric visits, Hill said. She has seen children start to suffer from headaches as young as preschool age.

According to the National Headache Foundation, 20 percent of children 5-17 years old are prone to headaches, with 5 percent of these kids suffering from migraines.

One of the biggest causes for these headaches is impaired vision. When a child comes to Hill’s office complaining of a headache, she always recommends an eye exam. Another prominent cause is not eating well during the day. Eating healthy meals, avoiding caffeine and drinking plenty of water are all important tips for children with headaches. Stress in children is also a common cause. Hill said it is important for her to try and find the root of the problem with kids because she wants to find the simplest, healthiest solution.

“The biggest thing for kids is that most of the time, kids don’t want to take medicines, parents don’t want their kids to be on medicines and as a pediatrician, I don’t want my patients to be on medicines,” she said.

Types of headaches

The head bone’s connected to the backbone Headaches are the second most common reason people seek care at Weld Family Clinic of Chiropractic, according to owner and chiropractor Erik Sorbo.

“The biggest question is: What’s causing the headaches? If it’s coming from the spine, if it’s coming from the nervous system, if we find evidence of that, there’s a good possibility that chiropractic care can help,” he said.

Because the spinal cord carries signals from the brain to the rest of the body, any misalignment or stuck joints in the back can impede that communication and impact headaches. Sorbo said chiropractors can use gentle spine adjustment to release these joints and help alleviate head pain.

Most often, these problem areas will be in the neck.

“The No. 1 thing is headaches are never normal.

Pain is never normal,” Sorbo said.

Sorbo said chiropractic care is becoming more and more a viable option for headache treatment because people aren’t finding lasting relief with over

The two main categorizations for headaches are primary and secondary. Primary headaches the most common and are not caused by an underlying illness. These include migraines, tension and cluster headaches. An injury or a serious medical issue, like a concussion, stroke or aneurysm, is what causes secondary headaches.

Tension headaches are the most common type, and often feel like a vice around the head, according to Christy Young, neurologist at North Colorado Medical Center.

These are headaches that can be worked through, as the pain is not as severe.

Cluster headaches are associated with a stabbing pain in one location, like the eye, which then causes eye and nose watering. Young said these headaches are less frequent and though intense in pain, often can disappear for months at a time.

the counter pain relievers.

“Like I always say, headaches aren’t caused by a Tylenol deficiency,” he said.

A part of life For as long as I can remember, headaches have been a part of my life.

I can’t recall a time before they started. My mom and brothers suffer from them as well. None of us has found the answer to the problem though we all have gotten different advice from doctors.

Every time someone makes a suggestion for a new remedy, whether it’s crushing up ibuprofen and drinking it in a soda or rubbing essential oils on my temples, I jump to try it. Sometimes, I feel a little relief. Sometimes, I think I would have been better off not experimenting.

I’ve learned to live with my chronic headaches though I still hope I will someday find a treatment that helps. In the meantime, I will just turn off the lights and hope the dogs stop barking.

Though there are several subtypes of migraines as well, Young said a high percentage of migraines are stress induced, disruptive to daily activities and bring about different symptoms, like light and sound sensitivity. Migraines can occur on both or one side of the head.

According to the Migraine Research Foundation, most migraine sufferers only have a few attacks per month, but about 3 percent of the U.S. suffers form chronic migraines, where at least 15 days of the month are afflicted.

Another type of headache is a rebound headache, which is caused by overuse of pain medication to treat headaches. When people are using pain remedies daily and repeatedly throughout the day, Young said they see an increase in the number of headaches they get.

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Simple life, challenging work

Dr. Marc Ringel Dr. Marc Ringel is a member of the board of the Centennial Area Health Education Center.

By Marc Ringel

Centennial Area Health Education Center

M

y grandpa lived in the Ukraine until he was 12, then in Chicago for the rest of his life. When he visited me in Yuma, he took a walk every day. And every day he’d come back with the same comment.

“Such broad beautiful streets. But

they don’t go anywhere!”

When it comes to health care, this can be a problem for the 21 percent of the United States population that reside in rural areas. They are served by only 10 percent of our nation’s doctors. It’s hard to get physician trainees, the vast majority of whom are city-bred, to consider a career in a place where the streets are wide but they don’t seem to go anywhere. Training in big urban medical centers dissuades even doctors who grew up in small towns from returning to their roots.

When my grandfather visited me in Yuma, I was working as a general practitioner, under the auspices of the National Health Service Corps.

Like Grandpa and both of my parents, I’d grown up in Chicago.

But rural people and culture and the medical challenges grabbed me.

Ever since, I’ve devoted my career to practicing, teaching and researching rural medicine. That’s a pretty unusual choice for a guy who was

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raised in the city.

Following is my own theory about what sort of person thrives in rural medical practice.

One of the many tools psychologists use to categorize us humans is the Sensation Seeking Scale. An individual’s preferred level of sensory stimulation appears to be innate.

From the cradle, some babies favor calm, predictable environments, placid colors, soothing music, and measured activity, whereas others prefer bright colors, upbeat tempos and lots of action. These preferences hold into adulthood.

Rural medical life tends to be exciting when compared to urban practice. Country doctors must employ wide-ranging skills in the absence of most specialists for immediate backup, with lots of call and lots of crises that they’ve got to handle themselves. Rural life, on the other hand, is calmer, quieter and more

predictable than urban life, the sort of situation that would appeal to a low-stimulus kind of person.

Whether a person grew up in the boonies or in the city, I believe preferred level of sensation seeking is most important for predicting a good match between a doctor and a rural practice, (almost as important as happiness of the spouse. But that’s another story.)

Here’s the rub as I see it. The ideal rural doctor loves the lower stimulus of slower-paced country life filled with familiar people. She or he doesn’t care much about catching a performance of a far-out band or rubbing elbows with strangers at a trendy new restaurant. Kicks come instead from a medical career that is different and challenging every day, in other words, a high stimulus practice.

Where does one find such a creature who will be happy with the

higher stimulus career and the lower stimulus life a small town practice offers? In spite of my counterexample, it wouldn’t be very efficient to start the search in Chicago. Here in northeast Colorado, we devote a good deal of our recruitment effort to folks who hail from the 10 Colorado counties served by Centennial Area Health Education Center, people who’ve likely been groomed and supported by CAHEC from even before beginning their professional training.

I like to imagine running a want ad in all the important medical journals that reads, “WANTED: Physician who seeks lots of career excitement and broad beautiful streets that don’t go anywhere.”

Dr. Marc Ringel is a member of the board of the Centennial Area Health Education Center.

Quick action can help you save lives Northern Colorado Rehabilitation Hospital Every 40 seconds, someone in America has a stroke. It’s the 5th leading cause of death in the United States, and the leading cause of adult longterm disability.

A stroke occurs when blood flow and oxygen is blocked from getting to the brain — usually caused by a blood clot or broken blood vessel.

When this happens, brain cells begin to die, and brain damage occurs. This can affect speech, movement and memory.

“Stroke can happen to anyone at any time, regardless of race, sex or age,” says Dr. Nathan Swartz, associate medical director of Northern Colorado Rehabilitation Hospital. “Yet, despite the tremendous toll stroke takes, the vast majority of Americans don’t think of stroke as a major health concern.”

That’s why Swartz and Northern Colorado Rehabilitation Hospital are asking community members to become “stroke heroes” by learning the F.A.S.T. stroke warning signs so they can recognize a stroke and act quickly. F.A.S.T. is an

acronym that stands for: -F – Face drooping. Does one side of the face droop down?

-A – Arm weakness. Ask the person to lift their arms. Does one drift downward?

-S – Speech difficulty. Ask the person to repeat a simple phrase. Is the speech slurred or strange?

-T – Time to call 911. If the person has any of the above symptoms, call 911 immediately. The person could be having a stroke.

“If more people know the symptoms of stroke and act quickly, they can have an impact on the recovery process and rehabilitation,” Swartz says.

“The sooner a stroke is treated, the better the odds are of survival.”

If you can get help quickly, Swartz says, there’s a medication that may reduce long-term disability for the person having the stroke if it’s administered within three hours of the first symptom.

“So, don’t ever hesitate to call for help,” he says. “Your quick thinking and reaction can make a significant difference to that person’s life.”

HEALTH Events Calendar What’s The Impact?, 6:30 p.m., Aug. 4, Greeley Central High School Auditorium. Get your game plan and learn more about how to prevent, recognize and respond to concussions. Cost: Free.

Pre-registration is required. Call (970) 810-3000 or email spirit.of.women@bannerhealth.com to register.

Powerful Tools for Caregivers, 9-11:30 a.m., Tue. Aug. 4 and Aug. 8, North Colorado Medical Center. Weld County Area Agency on Aging will offer this class to provide information on self-care for family caregivers. Cost: free, but donations are accepted. For more information or to sign up, call (970) 346-6950 ext. 6117.

Heartsaver CPR with AED, 6-8 p.m., Aug. 6, Windsor Recreation Center, 250 11th St. This class covers adult and infant/child CPR, obstructed airway, Heimlich maneuver and the use of a barrier device. The certification is valid for two year. Cost: $48. Call (970) 674-3500 to register.

Healthy Hearts Screening, 7:30-11 a.m., Aug. 6, third floor at University of Colorado Health’s Greeley Medical Clinic, 1900 16th St. This heart check includes a full lipid panel, fasting blood sugar and assessments for heart, stroke and diabetes risk. A 12-hour fast is required. Cost: Suggested donation of $25. To schedule an appointment, call (970) 313-2796.

Kidney Smart Education, 10:30 a.m., Aug. 8, Lincoln Park Library. For more information, go to: www.maketodaycount.org.

“Casseroles and Slow Cooker Ideas” Cooking Class, 6-7:30 p.m., Aug. 10, North Colorado Medical Center in the Cardiac Rehab Kitchen.

On busy days there’s something tempting about these “one-pan” meals. Taught by registered dietitian Mary Branom. Cost: $10. Call (970) 8106633 to register.

Nutrition Class, 6-7:30 p.m., Aug. 10, Farr Library. For more information, go to: www. maketodaycount.org.

The Conversation Project, 9:30-11 a.m., Aug. 12, Greeley Senior Center, 1010 6th St. Less than 30 percent of people talk about end-of-life issues for themselves and their loved ones. This program helps people start the conversation on this important topic. Cost: Free. For more information or to register, call (970) 495-8560 or go online to www.uchealth.org/event/the-conversationproject.

Blood Tests, 7-8:45 a.m., Aug. 12 and 26, NCMC, via entrance 6 and Aug. 19 at Johnstown Family Physicians, 222 Johnstown Center Drive. Some immunizations are available upon request and availability. Please fast 12 hours prior to blood draw. Cost: varies, payment is due at time of service. Appointments preferred, call (970) 8106633 to schedule.

Get Movin’ Walking Group, 6:30-7:30 p.m., Aug. 17, Fort Lupton Library. For more information, go to www.maketodaycount.org.

AARP Driver Safety Course, 4:30-9 p.m., Aug. 18, lower level conference room at University of Colorado Health’s Greeley Medical Clinic, 1900 16th St. The class covers defensive driving skills, age-related changes and driving safely in today’s world. Cost: $20. For more information and to register, call (970) 495-8560 or go to www. uchealth.org/event/aarp-driver-safety-course.

Body Check... What You Need to Know: Head to Toe, Aug. 18, Summit View Medical Commons, 2001 70th Ave. A number of screenings can be performed. Cost: $175. Prostate Specific Blood Antigen screening: $30, Body check with PSA: $205. Payment is due at the time of service. Call (970) 810-6070 to schedule an appointment.

PAD Screening (Peripheral Vascular Disease), 1-3 p.m., Aug. 18, Summit View Medical Commons.

NCMC’s PVD Screening program offers the education and prevention to the best tools for fighting vascular disease and stroke. Cost: $100 and includes all four screenings. Call (970) 8106070 to schedule an appointment.

Fast Track Childbirth Preparation (Two-Day), 6-9 p.m. Aug. 28 and 1-5 p.m. Aug. 29, University of Colorado Health’s Greeley Medical Clinic, 1900 16th St. This 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 a water bottle. Wear loose-fitting, comfortable clothing. Cost: $5. For more information or to register, call (970) 495-7500 or go to https://www.uchealth.org/event/fast-trackchildbirth-preparation-two-day---gmc---greeley.

Understanding Birth eClass, This eClass is designed to be distributed to expectant parents who are unable to attend traditional childbirth classes. Four-six hours are recommended for the completion of the class material. You will have 30 days to complete the material beginning on your first log-in date. Cost: $65. For more information or to register, call (970) 495-7500, or go to www. uchealth.org/event/understanding-birth-eclass--online-childbirth-northern-colorado.

CPR for Health Care Providers Skills Check, Wellness Conference Room. This class is for licensed and non-licensed health care providers who need to recertify through the American Heart Association. The certification is valid for two years. You must, first, complete an online CPR module at www.onlineaha.org. Once completed, call Wellness Services to schedule a skills check at (970) 810-6633 to register. Cost: $50, due at the time of registration.

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PRIME Medical Directory 2015 Allergy and asthma Allergy Partners of Northern COlorado

Greeley Phone: (970) 330-5391 Loveland Phone: (970) 663-0144 Ft. Collins Phone: (970) 221-2370 www.allergypartners.com /northerncolroado Professionals: Dr. Vel Kailasam, MD Krishna C. Murthy, MD Loran Clement, MD Michael Martucci, MD

Alzheimer’s/Skilled Care GRACE POINTE

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

5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 www.meadowviewofgreeley.com

Assisted living GRACE POINTE

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

5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 www.meadowviewofgreeley.com The Bridge Assisted Living

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

AUDIOLOGY 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

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CARDIOLOGY

1801 16th Street, Greeley, CO 80631 Phone: (970)350-6607 www.bannerhealth.com

CARDIAC vascular surgery

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 Cardiovascular institutE (NCMC)

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 UNC Audiology Clinic

Gunter Hall, Room 0330 Greeley, CO 80639 Phone: (970)351-2012/TTY Fax: (970)351-1601 www.unco.edu/NHS/asls/clinic.htm Professionals: Diane Erdbruegger, Au.D., CCC-A; Erinn Jimmerson, M.A., CCC-A Jennifer Weber, Au.D., CCC-A

BALANCE LIFE CARE CENTER OF GREELEY- ASCENT

4800 25th Street Greeley, CO 80634 Phone: (970)330-6400 Professionals: Cozette Seaver, PT; Leslie Vail, PT

20

burn Care western states burn center (NCMc)

1800 15th Street, #310 Greeley, CO 80631 Phone: (970) 392-0900 www.bannerhealth.com

Cardiac, Thoracic & Vascular surgery (NCMC)

1800 15th Street, Suite 340 Greeley, CO 80631 Phone: (970)378-4593 www.bannerhealth.com

HEART FAILURE CLINIC (NCMC)

(970) 350-6953 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 P, Greeley, CO 80634 (970) 663-6878 www.reynoldsoralfacial.com

Endocrinology Endocrinology Clinic (NCMC)

1801 15th Street, Ste 200 Greeley, CO 80631 Phone: (970)378-4676 Fax: (970)-378-4315 www.bannerhealth.com

Family practice medicine Banner Health Clinic

1300 Main Street Windsor, CO 80550 Phone: 970-686-5646 Fax: 970-686-5118 www.bannerhealth.com Banner Health Clinic

100 S. Cherry Ave., Suite 1 Eaton, CO 80615 Phone: (970)454-3838 www.bannerhealthc.om

Banner Health Clinic

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

Family Physicians of Greeley, LLP-Cottonwood

2420 W 16th Street Greeley, CO 80634 (970) 353-7668 Fax:970-353-2801 Professionals: Stacey L. Garber, M.D. Amy E. Mattox, M.D. Christopher T. Kennedy, M.D. Daniel P. Pflieger, M.D. Mark D. Young, M.D.

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

Family Physicians of Greeley, LLP-West

North Colorado Gastroenterology (NCMC)

6801 W. 20th St., Suite 101 Greeley, CO 80634 (970) 378-8000 Fax: (970) 378-8088 Professionals: Nathan E. Bedosky, PA-C Ann T. Colgan, M.D. Daniel R. Clang, D.O. Tamara S. Clang, D.O. R. Scott Haskins, M.D. Mathew L. Martinez, M.D. Chima C. Nwizu, M.D Michelle K. Paczosa, D.O. Andrew P. Stoddard, M.D. Kyle B. Waugh, M.D. Charles I. Zucker, M.D.

Banner health clinic

5623 W. 19th Street, Greeley, CO 80634 Phone: (970) 353-9011 Fax: (970) 353-9135 www.bannerhealth.com Family Physicians of Greeley, LLP-Central

2520 W. 16th Street Greeley, CO 80634 (970) 356-2520 Fax: (970) 356-6928 Professionals: Joanna H. Branum, M.D. Angela M. Eussen, PA-C Jennifer D. Dawson , D.O. Douglas A. Magnuson, M.D. Paul D. Lobitz, M.D. Lori A. Ripley, M.D. D.Craig Wilson, M.D.

Dowgin, Thomas A., MD. CENTERS FOR GASTROENTEROLOGY

Kenneth M. Olds

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

gastroenterology

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

2010 16th Street, Ste. A Greeley, CO 80631 Phone: (970)378-4475 Fax: (970)378-4429 www.bannerhealth.com

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

independent assisted Living GRACE POINTE

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

5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 www.meadowviewofgreeley.com

independent assisted living w/services FOX RUN SENIOR LIVING

1720 60th Avenue Greeley, CO 80634 Phone: (970)353-7773 Fax: (970)330-9708 www.good-sam.com

infectious disease Breen, john f., md (NCMC)

1801 16th Street Greeley, CO 80631 Phone: (970)350-6071 Fax: (970)350-6702

internal medicine BANNER HEALTH CLINIC

2010 16th Street Greeley, CO 80631 Phone: (970)350-5660 www.bannerhealth.com

medical equipment & supplies Banner HOme Medical Equipment (NCMC)

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

Touchstone home health

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

PRIME \\ AUGUST 2015

21

Mental health services

NEPHROLOGY Greeley medical clinic

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

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

NEUROLOGY

obstetrics & gynecology BANNER HEALTH GYN CONSULTANTS

1800 15th St., Suite 130 Greeley, CO 80631 Phone: (970)353-1335 www.bannerhealth.com Banner Health OB/GYN Clinic

2410 W. 16th Street Greeley, CO 80634 Phone: (970)352-6353 www.bannerhealth.com

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

banner health clinic

Crisis Support Crisis Intervention, Care, and Detox Services 928 12th Street • Greeley, CO 80631 970.347.2120

5623 W. 19th Street Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 www.bannerhealth.com

Suicide Education & Support Services Prevention, Education, & Grief Support 2350 3rd Street Road • Greeley, CO 80631 970.347.2120 or 970.313.1089 Additional Weld County Locations

www.NorthRange.org

oncology & HemaTology cancer Institute (NCMC)

1800 15th Street, Greeley, CO 80631 Phone: (970) 350-6680 Toll Free (866) 357-9276 Fax: (970)350-6610 www.bannerhealth.com

banner BEHAVIORAL HEALTH

Dr. Patricia Al-Adsani, Child and Adolescent Psychiatry 5890 W. 13th Street #114 Greeley, CO 80634 (970) 392-5454 Shawn Crawford, LPC Banner Health Clinic 222 Johnstown Center Dr., Johnstown, CO 80534 Stephanie Carroll, LCSW, CACIII Banner Health Clinic 1300 Main Street, Windsor, CO 80550 Banner Health Clinic - Fossil Creek 303 Colland Dr Fort Collins, CO 80525 Elise Fair, LPC 5890 W. 13th Street #114, Greeley CO 80634 Susan Garvin, LCSW Banner Health Clinic -Loveland Pediatrics Loveland Pediatrics, Loveland CO Banner Health Clinic - Windsor 1300 Main Street Windsor, CO 80550 Renee Rogers, LMFT Banner Health Clinic 1300 Main Street, Windsor, CO 80550 Banner Health Clinic - Fossil Creek 303 Colland Dr Fort Collins, CO 80525 22

PRIME \\ AUGUST 2015

Centennial NEUROLOGY

Dr. David Ewing 7251 W. 20th Street, Unit C Greeley, CO 80634 Phone: (970) 356-3876 NEUROLOGY CLINIC (NCMC)

1800 15th Street, Suite 100B Greeley, CO 80631 Phone: (970) 350-5612 Fax: (970) 350-5619 www.bannerhealth.com

NEURo-SURGERY BRAIN & SPINE BANNER HEALTH neurosurgery clinic

1800 15th St., Suite 130 Greeley, CO 80631 Phone: (970)350-5996 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

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)348-0020 Fax: (970)348-0044 www.bannerhealth.com

pediatrics Banner Health Clinic

6801 W. 20th Street, Suite 201 Greeley, CO 80634 Phone: (970)350-5828 www.bannerhealth.com

pediatric rehabilitation Banner Rehabilitation Center

1801 16th Street, Greeley, CO Phone: (970)350-6160 Fax: (970)378-3858 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 Hope therapy center (Formerly North Colorado Therapy Center)

2780 28th Avenue, Greeley, CO 80634 Phone: (970)339-0011 www.GCIinc.org Professionals: Jeanne Rabe, PT; Jennifer Branson, PT Kryste Haas, OT; Molly Wuethrich, PTA Moni Kohlhoff, PT

Northern colorado rehabilitation hospital

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

pulmonary/critical care North Colorado Pulmonary (NCMC)

1801 16th Street, Greeley, CO 80631 Phone: (970)392-2026 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)350-6160 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

sports medicine

surgery General & Trauma

Mountain Vista Orthopaedics

SUMMITVIEW URGENT CARE (NCMC)

5890 W. 13th Street, Suite 101, Greeley, CO Phone: (970)348-0020 Fax: (970)348-0044 www.bannerhealth.com

2001 70th Avenue, Greeley, CO 80634 Phone: (970)378-4155 Fax: (970)378-4151 www.bannerhealth.com

North Colorado Sports medicine

Urology

1801 16th Street, Greeley, CO Phone: (970)392-2496

Banner health clinic (NCMC)

5890 W. 13th Street, Suite 106, Greeley, CO 80634 Phone: (970)378-1000 www.bannerhealth.com

speech language pathology Banner Rehabilitation Center

veins

1801 16th Street, Greeley, CO Phone: (970)350-6160 Fax: (970)378-3858 www.bannerhealth.com Northern colorado rehabilitation hospital

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

urgent care

Vein Clinic (NCMC)

Banner Health Surgical Associates (NCMC)

1800 15th Street, Suite 340, Greeley, CO 80631 Phone: (970)378-4593 Fax: (970)378-4591 www.bannerhealth.com

1800 15th St. Suite 210, Greeley, CO Phone: (970)352-8216 Toll Free: 1-888-842-4141 www.bannerhealth.com

UNC Speech Language Pathology Clinic

Gunter Hall, Room 0330, Greeley, CO 80639 Phone: (970)351-2012/TTY Fax: (970)351-1601 www.unco.edu/NHS/asls/clinic.htm Professionals: Lynne Jackowiak, M.S., CCC-SLP Julie Hanks, Ed.D Patty Walton, M.A., CCC-SLP

respite/adult day care ELDERGARDEN Adult Day Care

910 27th Avenue Greeley, CO 80634 970-353-5003 Website: www.eldergarden.org Sliding scale fee or no fee for Medicaid Enrollment process required

Skilled care/Rehab GRACE POINTE

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

At Columbine, you're family.

Columbine Commons

1475 Main Street Windsor

Columbine Medical Equipment Poudre Infusion Therapy Columbine Poudre Home Care Bloom at Home Non-Medical Home Care

www.columbinehealth.com PRIME \\ AUGUST 2015

23

y

ydo I Where turn when it comes

My family’s health? is that

to my health?

I’VE NEVER even heard of that Is it

medication

safe?

treatable?

What’s the latest

technology?

y

Who doI TALK TO

y

I have terrible heartburn.

Do I need to see my doctor about this?

DISEASE.

about this?

What are my OPTIONS

now?

Heartburn is often due to acid reflux, or gastroesophageal reflux (GERD).

This is a very common problem. Fortunately, there are many excellent treatment options available, ranging from medications, to minimally invasive surgery.

Acid reflux occurs when acid from your stomach enters your esophagus rather than your intestinal tract, causing irritation to the lining of the esophagus which is perceived as heartburn.

Ask the

Expert

Heartburn is the most common symptom of acid reflux. Other symptoms include coughing, a sour taste in your throat, hoarseness of your voice and frequent clearing of your throat.

In some cases, chronic obstructive lung disease (COPD) and asthma may be due to acid reflux.

Lifestyle changes, dietary modification and medications can adequately treat most cases of acid reflux.

Surgical treatment of acid reflux can be used as an alternative to medications, or when medications do not adequately control acid reflux.

Minimally invasive surgical techniques for control of acid reflux recreate the body’s natural barrier to acid reflux, and has over a 90% patient satisfaction rate.

If you have acid reflux, ask your provider about seeing a Banner Health surgeon today.

Greeley: 1800 15th St., Suite 200 • (970) 810-8216 • www.BannerHealth.com/BMG-GreeleySurgery Molly Decker, D.O. • Michael Harkabus, M.D. • Khoi Le, M.D. Jason Ogren, M.D. • Samuel Saltz, D.O. • Robert Vickerman, M.D.

Loveland: 1900 N. Boise Ave., Suite 420 • (970) 820-3212 • www.BannerHealth.com/BMG-LovelandSurgery Thomas Blomquist, M.D. • Jerome Collins, M.D. Bradford Keeler, M.D. • Karin Schmidová, M.D. Fort Collins: 4700 Lady Moon Dr. • (970) 821- 4500 • www.BannerHealth.com/HealthCenterFoCoMedCtr Lawrence Schoelkopf, M.D.

Accepting Kaiser Permanente Members