Prime June 2015

SPRING - JUNE 2015

with the warm weather comes the urge to get active.

Medical professionals and athletes say the key to getting active for the summer is to start slow.

PG. 15 TIPS FOR HAPPY HEALTHY SKIN THIS SUMMER

PG. 16 grades that measure hospital service

PG. 19 JUNE HEALTH EVENTS

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PG.12

PG.8

Push it?

With the warm weather comes the urge for some couch potatoes to get active. Medical professionals and athletes say the key to getting active for the summer is to start slow.

Gut feeling

Medical professionals have found a new treatment that may make you a little queasy to talk about. But it’s getting results and helping people who suffer from a painful condition.

PG. 4

PG. 11

PG. 16

Good manners and politeness are keys to helping your child live a happy and fulfilling life.

During the summer months, it’s time for Coloradans to think about ground-level ozone.

Here’s how the pollutant affects your health and what you can do about it.

The government has released its first set of grades that measure hospital service as seen by patients. Where do hospitals in Colorado rank?

How to win friends and influence people

Something’s in the air

PG. 6

Rules of the road

With all the truck traffic on the highways these days, it pays to listen to the professional drivers when it comes to learning to how to stay safe around the big rigs. Here’s what a longtime trucker has to say about playing it safe.

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

PG. 18

PG. 15

A growing role

Here comes the sun

With the warmer weather, it’s time to think about your skin. Here are some tips to stay safe and healthy during the summer heat.

PG. 10 Becoming more athletic

PUBLISHER Bart Smith

Making the grade

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PG. 19June’s health events

CONTRIBUTING WRITERS Allison D. Bluemel Dan England Sales MANAGERs Stephanie Mighell Bruce Dennis Sales Staff Cristin Peratt Mollie Lee Shane Fanning Creative supervisor/Design Alan Karnitz

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Nurses do so much more than they once did.

That’s made training nurses and ensuring enough people are interested in the career field essential to the practice of health care.

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: bjacobson@greeleytribune.com June 2015, Volume 1, Issue 3.

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

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Udupa

Politeness, patience:

More than mere icing, they often make the cake you. It was a parent-centric world. In the past few decades, parenting styles shifted, and the focus was put more on kids. There are many reasons for this shift. With it, manners have fallen somewhat to the wayside.

“It’s a phenomenon across the world that families are getting smaller. Having just one or two kids means parents can focus more on each child and be more in tune with their needs and wants,” said Dr. Usha Udupa, a child and adolescent psychiatrist with University of Colorado Health’s Mountain

necessary,” she added.

Some experts claim that parents who are overly fixated on their child’s well-being send the message earning to say please, thank you and that the wellbeing of others isn’t as important. They wait his turn in preschool just may feel that by making our kids little kings and queens help your son land his dream job and reinforcing that how they feel and what they are experiencing is of utmost importance, we give after college. them a false sense of greatness. Others point fingers While manners may seem insignificant compared at the media for teaching kids that being rude is a to other issues like smarts, safety and self-esteem, social norm. Udupa would add that our increased they are surprisingly tied to success in life. They’re use in technology also is changing the landscape of more than mere icing — they’re the substance. manners.

Often making the “With so much difference between technology, kids being satisfied in a “Our kids don’t need to be taught more technology connect a lot quicker, career as an adult, skills; they need to learn more people skills” and they expect making friends and immediate responses. learning the give With all the different and take that makes Crest Behavioral Health Center in Fort Collins. ways to immediately connect and comment, relationships work. Ultimately, this adds up to She also points out that families are more nuclear minding manners and being patient has become happiness; exactly what you want most for your and rely less on extended family members for help. less important. It’s no longer considered rude to sit child. Here’s why it makes a difference, and how That might mean both parents are working to make with a friend and ignore them as you text on your you can help instill these valuable traits in your ends meet, and they have less quantity time for phone or work on your computer,” she said. children. the kids, therefore, they bank on quality time and Why politeness and patience still matter The changing landscape of manners possibly feel more of a desire to give in and satisfy.

If you are ever tempted to give in when your In the past, kids were often expected to be seen “Kids learn less give and take when there are just child is whining for a toy this instant or insisting you and not heard. They had to respect their elders, not one or two kids in a family. In a large family, taking go to McDonald’s for a treat right now, think about talk out of turn, and always say please and thank turns and sharing comes easier because it’s more

By Lynn U. Nichols UCHealth

L

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this: being patient is a big part of succeeding in life. If you don’t help your child learn patience, they might not have what it takes to stick to it when times get challenging now or later on at college or in a career. They might get frustrated waiting for things to happen and simply quit.

“Providing instant gratification is a disservice, not only immediately, but in the long term as well. If your child really wants something, start the conversation by saying, ‘What are you going to do to help earn it?’

Maybe you have them earn half of it through chores and savings. If they have to wait for that special toy or gadget, they will likely appreciate it more and probably take better care of it,” Udupa said.

Another take on instant gratification is over-praising your kids. Does it rub you the wrong way to pitch in for soccer trophies at the end of every season, rewarding kids simply for playing? Do you hear yourself praising everything your child does and wonder if it’s the right thing to do?

Of course, praising is a good habit, but it’s only effective if you really mean it. Kids can see right through false praise, and they might not trust you the next time you say it. If you are selective and praise when they really do something special, they’ll be more inclined to take it in.

“Ultimately, we want our kids to do a good job for themselves and their own sense of self, rather than to receive praise externally.

Praise is important, but by praising everything our children do, we are setting them up for a false expectation of what the future holds. As adults, when they enter the work world and expect their boss to praise them every day, they might be disappointed and dissatisfied in their jobs,” Udupa said.

The same holds true with teachers and coaches. If they are not receiving constant praise, they may feel like they are not doing well at school or a sport, and lose motivation.

Politeness teaches patience. To be polite, your kids have to sit and wait their turn or listen to their old aunt’s long-winded story without interrupting — skills that will come in handy as they sit through long lectures, listen to their friends’ problems or wait in the lunch line at school.

Politeness and patience are the building blocks of relationships.

They are what make other people feel heard and respected. They are important for making friends and maintaining meaningful relationships. If your child is rude or interrupts, other kids will avoid her. If she can’t make a good impression by smiling and greeting someone in a polite way, she may not be welcome by others. If she always wants her needs to come first, she may struggle in intimate relationships.

“Our kids don’t need to be taught more technology skills; they need to learn more people skills.

Learning how to talk to people, respect others, give compliments, accept feedback, and learn to give and take will always be valuable — and even more important in 20 to 30 years,” Udupa said.

Politeness and patience are two really important ingredients in those beautiful cakes you are making.

Lynn U. Nichols is a freelance health writer in northern Colorado. She wrote this on behalf of UCHealth.

Teaching

patience, politeness You know this to be true: you are teaching your kids every minute of every day. They look to you to know how to respond to the world. With that said, teach wisely.

“Sit back and remember what it’s like to be a kid. Try to think about things from their perspective. If you tell your kids lying is bad, but the phone rings and you shake your head and whisper, ‘I’m not here’ they see that as lying. They can’t see the grey area that you might understand,” said Dr. Usha Udupa, a child and adolescent psychiatrist with University of Colorado Health’s Mountain Crest Behavioral Health Center.

Are you polite to strangers by opening doors and stopping to aid them when needed? Do you practice please and thank you at home and out in the world? How do you greet people on the phone or welcome them into your home?

Do you patiently wait in line at the grocery store or do you complain when someone is too slow? Staying conscious of your manners when your kids are in tow will help them learn the valuable life skills of patience and politeness.

“When kids are young, it’s okay to remind them often to say please and thank you, to wait their turn, and to listen while other people are talking. As they get older give them occasional reminders and by the time they are teenagers you have to trust it’s ingrained,” Udupa said.

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By Scott Murray Drive Smart Weld County

Drive Smart:

Be careful, courteous around trucks on highways

E

ven with the downturn in the oil and gas industry, there still is a lot of truck traffic in Weld County.

With U.S. 85 and Interstate 25 connecting Denver to Cheyenne, and the various arterials connecting the foothills to the plains, we have thousands of miles of roads, and just about as many trucks.

Many truck drivers, like myself, are paid by the hour; the rest are paid by the load. So the more runs they make, the more money they make.

Consequently, those truckers always seem to be in a hurry, and they are. So when you come to an intersection, even though legally you may have the right-of-way, it doesn’t mean you should take it.

Defensive driving pays in many ways.

When I give my portion of the Drive Smart Teens presentation to high school students, I tell them about the No Zones and highway etiquette around a big truck. The No Zones are the areas around a tractor-trailer where you should not hang out.

Coming up behind a truck, don’t tailgate or “draft.” You may have heard about “drafting,” where one vehicle follows another closely, reducing the overall effect of drag due to the lead car’s slipstream. This works for NASCAR at 180 mph on an oval track, but it doesn’t work on our highways. In a town like Firestone, tailgating is a four-point and $200 ticket. Being that close to a truck, you can’t see his brake lights if he has to stop fast. Also, the turbulence created by the truck kicks up road debris that can land on your hood, windshield, or if you’re driving a convertible, lap!

I’ve seen that happen.

Even though I drive a truck, I don’t like being stuck behind a truck. On a two-lane road, be sure you have enough time between you and oncoming traffic to safely pass the truck without encroaching on the oncoming vehicle’s space. Running somebody off the road will get you in bunches of trouble. Dash cams don’t lie.

On the Interstate, hanging out next to a truck is not smart. If a tire blows on the truck, the tire tread, or “alligator,” could cause serious damage to your car, and possibly to the occupants.

Also, Colorado law states that if there is an emergency vehicle on the shoulder, you must move over or slow down to pass. If you are next to a truck, he can’t move over, so he’ll have to slow down, which is not very energy efficient or safe.

So if you have to pass a truck, pass it, but be safe about it. And after you have passed the truck, don’t “brake check” them. Slowing down quickly in front of the truck is a good way to get yourself killed.

You passed, now get on down the road.

Those of us in the trucking industry are out here to do our job and to make your life better, not to inconvenience you. So please, give us some room, show some courtesy, and we’ll all be able to get home to dinner in one piece.

Scott Murray is a long-time resident of Weld County and a Drive Smart Weld County coalition member.

Professionally, he has over 35 years and 5 million miles driving trucks.

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Advertisement

The War of Jenkins’ Ear

All wars have names, and England has taken part in many. The Wars of the Roses, The War of Spanish Succession, The Boer War and, of course World War I and World War II, but the War of Jenkins’ Ear is an odd sounding one! Although this war is not usually studied in history courses, it would be interesting to know what kind of a war involves the ear! The first question is, who was Jenkins and what did his ear have to do with anything? Robert Jenkins,

1731 when the British brig Rebecca was boarded by the crew of a Spanish coast guard patrol boat, the La Isabela, commanded by Captain Julio León Fandiño. Apparently, the Spanish found a cache of smuggled goods on board the ship in violation of the treaty between Britain and Spain. After boarding, Fandiño cut off the left ear of the Rebecca’s captain, Robert Jenkins, who had been accused of piracy. Fandiño told Jenkins, “Go, and tell your King that I will do the same, if he dares to do the same.”

Upon his return to England Jenkins met with King George II and not much was fuss was initially made over Jenkins losing his ear for his country. Jenkins then went through the laborious process of petitioning the British government for redress of grievances. Seven years later, in

owner of said ‘ear’, was an English sea captain whose ear was said to have been cut off by Spanish Coast Guards who boarded and searched his ship “Rebecca” suspecting that he was a smuggler. The situation came in the aftermath of the Treaty of Utrecht, which ended the War of the Spanish Succession, Britain signed a 30-year trade agreement with Spain that permitted British merchants to trade up to 500 tons of goods per year in the Spanish colonies as well as sell an unlimited number of slaves.

Though the agreement was in effect, its operation was often hindered by military conflicts between the two nations.

In the wake of the Anglo-Spanish War (1727-1729), Britain granted Spain the right to stop British ships to ensure that the terms of the agreement were being respected.

Believing that the British were taking advantage of the agreement and smuggling, Spanish authorities began boarding and seizing British ships, as well as holding and torturing their crews. This led to an increase in tensions and an upswell of anti-Spanish sentiment in Britain. The incident at sea that appalled the British and gave its name to the war occurred in

baying for blood. The incident was considered alongside various other cases of “Spanish Depredations upon the British Subjects,” and was perceived as an insult to the honor of the nation. Though wishing to avoid war, First Minister Sir Robert Walpole was pressured into sending additional troops to Gibraltar and dispatching a fleet to the West Indies. In response, King Philip V of Spain suspended the agreement and confiscated British ships in Spanish ports. Still attempting to avoid a military conflict, both sides met at El Pardo Palace in Madrid to seek a diplomatic resolution, and the resulting Convention of Pardo agreement was signed in early 1739. The resulting agreement proved unpopular in Britain and the public clamored for war. Many merchant (Place Photo#5 About Here) captains were extremely unhappy that the British compensation claim had been more than halved, while the South Sea Company was concerned by the agreement allowing the Spanish limited rights to search British ships.

Within months the situation had turned sharply toward war, and the Convention agreement grew increasingly fragile. Both Britain and Spain violated the Convention, and First Minister Walpole reluctantly followed the wishes of Parliament and officially declared the War of Jenkins’ Ear on October 23, 1739. One of the first actions of the British Navy was to capture the Spanish held coastal town of Porto Bello in Panama. On November 22, 1739, Porto Bello was attacked by six naval ships under the command of Admiral Edward

Vernon, who captured and destroyed its fortifications, port and warehouses. In Britain the victory was greeted with much celebration, and streets and towns in the British Isles were re-

named Portobello to memorialize the victory in Panama over the Spanish.

The War of Jenkin’s Ear later become submerged into the wider War of the Austrian Succession. The issues that had started the war were largely forgotten during the Congress of Breda and the Treaty of Aix-la-Chapelle that ended hostilities in 1748.

Yet, without doubt, Robert Jenkins’ severed ear is one of the most famous ears in history!

References: Hickman, K. (2015). The War of Jenkins’ Ear: Prelude to a grater conflict.

About Education. Retrieved May 5, 2015: http://militaryhistory.about. com/od/battleswars16011800/p/ jenkinsear.htm Wikipedia, (2015). Robert Jenkins, Master Mariner. Retrieved May 5, 2015: http://en.wikipedia.org/wiki/ Robert_Jenkins_(master_mariner) Images: Tarr, R., (2007). The War of Jenkin’s Ear. You tube. Retrieved May 5, 2015: https://www.youtube.com/ watch?v=LP-gAdWxjv4

Author’s Bio:

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

1738, Jenkins was finally called beMiller, a co-researcher at Michigan, that the noise-induced hearing loss prevention concoction could be fore awithin House Commons committee available twoof years. with his severed ear in a pickle jar.

When asked, “What did you do?”

Jenkins replied, “I commended my soul to God and my cause to my country.”

Robert M. Traynor is the CEO and practicing audiologist at Audiology Associates, Inc., Greeley, Colorado with particular emphasis in amplification and operative monitoring. Dr. Traynor holds degrees from the University of Northern Colorado (BA, 1972, MA 1973, Ed.D., 1975), While there are no detailed accounts the University of Phoenix (MBA, 2006) as well as Post-Doctoral Study at of the study meeting with Parliament, the Research In another funded by the Oklahoma Medical Foundation, Northwestern University (1984).

He taught Audiology at the University House must haveFloyd been at this researchers Dr. Robert andaghast retired Army surgeon, Dr. Richard Kopke, M.D., discovered a of ear Northern (1973-1982), University of Arkansas for Medical story and, it’scompounds reported,stopped they started combination of two 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 on most aspects of Audiology in over forty countries.

Intestinal fortitude:

There’s an illness lurking that causes chronic, debilitating pain. The cure, however, comes from deep within

By Dan England For Prime

D

oug Kemme fights cancer with humor, as well as whatever tools modern medicine can give him. Last week, the mambo song, the one you heard while roller skating, played in the waiting room of the University of Colorado Health Cancer Care Center next to the Greeley Medical Clinic.

Naturally, then, in the rare instances Kemme suggests a specific treatment for a patient’s chronic and debilitating intestinal problems, they think he’s joking.

He understands. When he first heard about the treatment, Kemme thought it was a joke as well.

It’s called a fecal transplant, and yes, it’s exactly what you think it is. It’s a procedure that puts someone else’s poop in your colon.

This is a serious procedure for a serious, even life-threatening illness.

So before we continue, we’ll let you laugh about it like a fifth-grader. Go ahead. We know it’s funny. Even doctors and champions of this procedure can’t help but smile when they talk about it.

You done? You sure? OK. We’ll get to the poop later. The illness is called Clostridium Difficile Infection. Medical professionals call it C-Diff for short, and so that’s what we’ll call it here.

You can carry C-Diff and not even know it. It becomes a problem, however, when someone takes antibiotics, any antibiotics, or they compromise their immune system in some way, and it messes with the complex village of bacteria living in your gut. Here’s a fun fact: There are 50 million species — that’s right, species, not individual bacteria — living in there. That’s really much more than a village. That’s like China.

When the antibiotics, or chemotherapy, or other factors, kill some of that good bacteria, it allows C-Diff to rise up and make its hosts miserable.

Kemme is an oncologist, remember, so his patients carry all the risk factors for getting it: They take antibiotics, and chemo, and they spend time in a hospital. Even so, he doesn’t see it often: Maybe a dozen patients out of the hundreds he treats every year get it. Those that do, though, don’t find it funny.

The chronic diarrhea is not only excruciating, it’s embarrassing, so those infected with C-Diff tend to live in seclusion. They can’t eat much, if anything. One of Kemme’s patients even had to stop her chemotherapy treatments because of it, and the drugs weren’t working. She was facing surgery to remove her colon, a drastic and life-changing surgery.

That’s when Kemme started looking for alternatives. When he heard about the Fecal Microbial Transplant, he giggled, and then he started to listen.

Dr. Doug Kemme. Tribune File Photo 8

PRIME \\ JUNE 2015

It made sense.

The C-Diff flares up because the bacteria that kills it have been wiped out by drugs or chemo, so the idea behind a fecal transplant is to reintroduce the beneficial bacteria that kills the C-Diff.

When his patient underwent the fecal transplant, she felt better right away. Most usually do. The procedure is more than 90 percent effective, and it begins to work hours later.

The woman lived another three years, and they were good years, Kemme said, because she could resume her treatments.

“It works really well,” Kemme said.

“When I explain it, these people are willing to try anything at that point.

The only part that gets people is the donation. They will say, ‘Really? I have to find a donor?’ ” Yep. Really.

You may not want to eat lunch with Misty Bever, a certified gastroenterologist nurse at Medical Center of the Rockies in Loveland, one of two hospitals in the region that

do fecal transplants. She loves to talk about it, and she will, to anyone who will listen.

Bever is one of the experts on the procedure at the hospital, along with Dr. Dan Langer, a gastroenterologist who performs the procedure at the UC Health Greeley Emergency and Surgery Center in west Greeley.

She presented on Dr. Dan Langer it at three medical conferences, and others are pushing her to publish a paper on it.

Bever first did the procedure with another hospital as far back as 2008. Even so, it seemed a little weird when MCR began to perform it in June 2013. The idea of putting fecal matter inside a body seems like a great way to cause an infection, not cure it. Then again, the patients who needed the procedure hadn’t responded to the drugs and were literally out of options.

“There is a risk, and we know that,” Langer said. “We don’t know much about fecal biology. There are still a lot of unknowns.”

Yet the success rate of the procedure is so good that for now it seems to override any lingering concerns. Of the 36 who have undergone the procedure at MCR, 35 of them got better.

The procedure is probably not as gross as you might think. In fact, it’s not much different than a colonoscopy.

Bever prepares a cocktail using someone’s fresh stool (the fresher the better, preferably less than two hours after it is passed) in a blender.

Medical professionals jokingly call it a “shitini.” The, ahem, cocktail is then inserted into the colon using a colonoscopy scope.

Hospitals have looked at prepackaged, frozen stool, or maybe putting it in pill form, but one of the reasons it’s so successful, Bever and others believe, is because the stool is fresh, not frozen or processed: The bacteria thrives that way.

The best part about the transfer is anyone can be a donor, as long as he or she passes the screening.

Patients generally ask a loved one, such as a spouse or a child, which gives them a great story for their next family reunion. There’s no known case of rejection, unlike organ or blood donations. Bever’s even donated for a few cases.

Donors receive a kit they can take home, along with instructions on avoiding allergy-prone foods such as nuts or eating too much fiber.

Donors don’t have to pay for the screening, which can cost hundreds of dollars. MCR looks at it as a blood donation, so it waives the cost. That helps because despite the overwhelming success, insurance companies still balk occasionally at paying for it.

That’s why Bever tries to talk about it as often as she can.

She wants people to see it as normal. It may take a while, but eventually, the results may speak for themselves.

“Even here, in the hospital, I’ll make a joke, and people will say ‘ewwwwww,’ ” she said. “ But when you have a patient come back and say it gave me my life back, or another say it gave me my mother back, well…”

She trails off. That mother called Bever, and the others who helped her through the procedure, angels.

The pain was gone the same day.

She could lead a normal life. She could eat again. The memory makes Bever tear up.

“That’s why I became a nurse,” she said.

ABOVE: Misty Bever, a nurse at Medical Center of the Rockies, demonstrates how she would prepare a cocktail for a fecal transplant. The fecal transplant reintroduces good bacteria in the colon that kills an infection that causes colitis.

LEFT: Bever, holds up the container that would hold the fecal matter that would be ready for transport.

PHOTOS BY: DAN ENGLAND/dengland@greeleytribune.com

C-DIFF facts • Clostridium Difficile Infection is now considered a superbug, meaning it has mutated to the point where it is resistant to many antibiotics.

• Perhaps as a result, not only are hospitals and nursing homes seeing a rise in cases, but people are catching it in the outside world, as well.

• People catch it on surfaces, such as a toilet.

fun fact:

There are 50 million species — that’s right, species, not individual bacteria — living in your gut.

• You can catch it and carry it — doctors think as many as 20 percent carry C-Diff — but it won’t affect you unless antibiotics or other treatments kill enough good bacteria to allow it to flare up.

• C-Diff causes colitis, meaning chronic and debilitating diarrhea, with or without blood, intestinal pain and fever.

• Doctors can try expensive drugs to kill it, but if that doesn’t work, the only real treatment is the fecal transplant.

Program helps improve athleticism

By Jason Webb Banner Health

F

or more than six years, Greeley-area athletes have worked to run faster, jump higher and improve their overall athletic ability with a former AllAmerican punt returner.

Paul Aanonson, who earned the All-American honors while playing for South Dakota State University, is the lead sport performance specialist at Acceleration Sports Training, 1517 16th Ave. Court.

Acceleration, which has been part of Banner Health’s Sports Medicine program at North Colorado Medical Center for more than 10 years, provides individualized training to help athletes improve athleticism.

“Depending on the athlete’s sport, age, skill level and goals, we develop a program that emphasizes speed, agility, balance, mechanics, mobility, strength, endurance and injury prevention,” Aanonson says.

The first day of the two-and-ahalf month program is to orient people to help them understand their strengths and deficiencies, as well as what they hope to gain from the program.

A functional movement study, which is a careful examination of

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how the athletes use their bodies, helps find their deficiencies. A deficiency may be something as seemingly small as correctly planting a foot when running.

Once the Functional Movement Screen is completed, Aanonson develops an individualized plan to help each athlete become more efficient. Over the course of the program, athletes typically train for 45-50 hours, working to improve power, speed and strength.

“What they put into it, they get out of it,” Aanonson says.

“Results are really subjective, but on average, we see two tenths off of 40-yard dash times, two inches added to vertical jumps and six inches on broad jumps.”

Aanonson says athletes learn how to use their body to the best capability. While the program can benefit anyone participating in a variety of sports, Aanonson emphasizes the goal is to teach him or her to be a better athlete and let the sport coaches teach the athlete the techniques to the sport.

“We are their sports performance coach,” he says. “So when they get to camp for their sport they are better trained and prepared.”

Aanonson and his team work with between 150 and 200 athletes each year and provide individual attention to the

participants, including focusing on mental aspects.

“People who watch sports on television may not know how athletes react in their personal lives,” Aanonson says. ”When they come in after a bad day, we’re willing to look at them as a person first and help them refocus to get on with their work.”

During his time with Acceleration, Aanonson has worked with the elite, collegiate scholarship athletes and state and collegiate champions to young athletes just getting started in a sport and adult athletes who want improve their skills and endurance.

Besides being a collegiate football player and a four-sport athlete in high school, Aanonson is a Certified Strength and Conditioning Specialist from the National Strength Conditioning Association in Colorado Springs and has a Functional Movement Screen Certification. He has an Exercise Science degree from South Dakota State University and a master’s degree in sports administration from the University of Northern Colorado.

“My passion is training athletes and helping them to become the best at what they do,” Anonson says. “I very much believe in this program.”

For more information On upcoming sessions, call (970) 392-2107.

Acceleration hours are 8 a.m.-7 p.m.

Monday-Thursday.

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As summer ozone season sets in, Weld County residents encouraged to drive less

By The American Lung Association

J

une 1 is the official start of ground-level ozone season across the Northern Front Range.The American Lung Association in Colorado is working with residents in Weld County to encourage them to drive less in an effort to reduce this harmful pollutant.

Now in its second year, the American Lung Association Colorado’s “Skip the Trip — Clear the Air Challenge,” encourages residents to walk, bike, carpool or take the bus whenever possible to reduce vehicle miles traveled during the month of June.

Ground-level ozone pollution forms when emissions from gas and diesel powered vehicles and lawn equipment, industrial processes and other sources react with heat and sunlight. Ground level ozone is often invisible, but that doesn’t negate its harmful effects on human health and plant life. This pervasive and harmful air pollutant affects everyone, but children and the elderly are especially vulnerable. It exacerbates symptoms in people with pre-existing health conditions such as asthma and COPD, but also impacts healthy people who work or exercise outdoors, causing a “sunburn” of

sorts on the lung tissue.

“Even small changes such as someone walking to lunch instead of hopping in their car and driving can make a big difference in air quality,” said Kim Tyrrell, Air Quality Programs Manager for the American Lung Association in Colorado. “Through the Skip the Trip – Clear the Air Challenge, Weld County residents have a unique opportunity to get directly involved in improving air quality. It’s also a great opportunity to get out and explore the area’s growing bike lane and trail system, the revamped bus system and take a walk to explore new areas.”

To get involved

This year, the American Lung Association Colorado is also partnering with OrderUp and Tynan’s Nissan in Fort Collins to provide zero emission lunch deliveries in the Greeley area. Many restaurants in the area are offering special deals to Skip the Trip participants, and Greeley-Evans Transit is offering a heavily discounted bus pass to participants. At the end of June, after the challenge is completed, participants also will be entered into a drawing for great prizes like an iPad mini, $50 Visa gift card, an annual pass to Rocky Mountain National Park and other items. Registration and information can be found at www.SkipTheTripColorado.org.

16th Annual Spring Memorial

A Live Butterfly Release Remembering Lost Loved Ones

June 20, 2015 • 9:00 am • Bittersweet Park - Greeley, CO Call (970) 352-8487 or visit us at www.HospiceofNorthernColorado.org to purchase your butterflies!

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With the warm weather comes the urge to get active.

Medical professionals and athletes say the key to getting active for the summer is to start slow.

By Allison D. Bluemel \\ Photos By Joshua Polson For Prime

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hile the warmer weather can tempt eager recreationists to jump into a season of outdoor activities, sports medicine experts and athletes alike warn against the risk of injury caused by a lack of preparation and conditioning.

“You need a gradual increase in activity compared to what you did in the winter and do the specific sports activity you want to do,” Dr. Robert Pace, a physician at University of Colorado Health Internal Medicine, said. “In order to condition in an activity you have to be doing that activity.”

Off the bat, a lack of proper warmup, or too little of it, poses a great risk of injury, said Tracy Damrell, director of the sports medicine program at North Colorado Medical Center in Greeley.

“One of the biggest problems that we see are people going from zero to 60,” he said. “It’s a 10 or 15 minute thing, not a two minute thing.”

After warm up, athletes must be careful not to overuse muscles or push their injuries too far, lifelong runner and Greeley resident Rick Denning said.

“If you’re increasing your mileage more than 10 percent a week (for running, biking or hiking) — in intensity or total mileage — you’re likely going to have an overuse injury,” he said.

“The main message is gradual training,” Pace said. “Work the muscles you’re going to use during the summer.”

For example, Pace said, if training for hiking, work on lower elevation trails to prepare for more rigorous routes, or start running on a treadmill indoors to get the heart in shape before running outdoors.

Even for those who remained active doing activities such as skiing in the winter months, taking a step back to condition for a new activity can help prevent injury, Damrell said.

“If you’re been active over the winter, you’re transition will be easier but you use different muscles groups,” he said. “Skiing is a different activity than tennis and softball.”

Deciding which sport is the best fit is also an important part of the process before starting an activity.

Some of the most popular sports for the season are biking, running and rock climbing, Pace said, but it’s important no matter the choice to know the unique challenges and gear requirements for each.

“Colorado is a mountain and rock climbing paradise, but it’s important to find an appropriate mentor or school to help you understand the technical aspects and the associated,” Damrell said.

Some of the unique risks of rocking climbing and hiking in the mountains include falling and weather dangers such as lighting, depending on the time of day, he said.

“If you’re going to try and do that, be aware of the safety considerations,” Damrell said.

For those interested in trail or general outdoor

running, components such as shoes, age and joint health can determine if the activity will fit well into a fitness regimen.

Outdoor runners should make themselves aware of the weather conditions before working out outdoors, Damrell said.

“If you’re used to running when its dry then you have to be more aware of your surroundings (with weather),” he said.

In order to get the best experience running outdoors, Denning recommends avoiding hard surfaces like concrete and asphalt that can stress knees. If unavoidable, he said running on asphalt is preferred to concrete.

When it comes to gear, Denning said proper shoes are a must and that not all of them are created equal.

“Go to the running store and talk to them,” he said. “They are experts of running fates and foot problems that you’re going to have instead of going to bigger market stores.”

Shoes can help mitigate joint problems and provide extra stability when trail running or running in varying conditions, he said.

However, Pace said that the activity does not benefit every person.

“I think probably for most people, running past age 50 is not a good idea,” Pace said. “It’s a very jarring activity and is very hard on the hips and knees.”

However, previous injuries or health concerns do not immediately disqualify someone from any particular activity, Damrell said.

After warm up, athletes must be careful not to overuse muscles or push their injuries too far, lifelong runner and Greeley resident Rick Denning said.

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“It doesn’t mean that people who have health issues can’t do it,” he said. “Just don’t take up running and run fives miles the first time.”

Following a knee injury, Denning worked on strength training and biking to build up the muscles surrounding the injured joint.

“When I was coming back I built up a good base for the first two months,” he said. “Biking is good for the knees.”

When it comes to individual injuries, the consequences can vary widely depending on the activity and the participant.

For instance, ankle and knee injuries are common with running, while upper-body injuries tend to appear most during the winter sports season.

“If injuries flare up, dial back or stop for a while,” Pace said. “Be aware of the injuries of individual activities.”

Pre-existing injuries, such as joint problems, require extra monitoring by a physician in order to address special activity needs, Damrell said.

“Take a day or two off and then if it continues to bother you see your doctor sooner rather than later, and get control of it before it becomes too much of a problem,” he said.

During his recovery, Denning followed his doctor and physical therapist’s orders religiously to prevent further damage, he said.

“I’m pretty sure that the doctor knows more than I do,” Denning said. “A lot of people don’t do that and tend to strike out on their own and injure themselves.”

When it comes to gear, Denning said proper shoes are a must and that not all of them are created equal.

One of the biggest problems that we see are people going from zero to 60”

-Tracy Damrell, director of the sports medicine program at North Colorado Medical Center

SUMMER RUNNING GEAR

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Brooks Adrenaline GTS 15 (Men) MSRP: $119.95

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Brooks Adrenaline GTS 15 (Women) MSRP: $119.95

Here Comes the Sun

Come Stay & Play!

Tips for Skin Safety this Summer tip every year but what you might not know is it’s best to reapply your sunscreen every two hours. If you’re swimming, hiking, biking, working outside or just using it on a daily basis, don’t forget that step. Also don’t forget sunscreen isn’t just for your face and shoulders – it’s important to wear on your legs and even feet too.

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 brings the promise of shorts, sandals and, unfortunately, sunburns. It’s the time of year we see a lot of members coming into our medical offices with sundamaged skin and questions about proper skin care. With regular poolside visits and outdoor activities planned, now is the perfect time to talk about how you can protect your skin.

The American Cancer Society reports skin cancer is the most common of all cancers, accounting for nearly half of all cancers in the United States. So whether you’re hiking in the Red Feather Lakes area or just going for a dip at the local pool, here are a few simple tips to help protect your skin.

Apply Sunscreen There are many different sunscreens out there so choose one based on what you plan on doing, but make sure it’s at least 15 SPF, greater than 30 SPF probably doesn’t add more protection. You hear this

Find Shade It’s important to seek out shade every once in a while especially in the middle of the day when the sun’s rays are strongest, typically avoiding direct sun exposure between 11 a.m.-2 p.m. is best. It helps your skin and your core temperature cool down. Don’t forget to take breaks as frequently as you can.

Use Eyewear They’re not just for looking cool.

Try to wear sunglasses with 100 percent ultraviolet A and ultraviolet B absorption to protect your eyes and the surrounding skin. Both UVA and UVB contribute to premature skin aging, eye damage, and skin cancers.

Cover Up Even with sunscreen and taking breaks to slump under a shady tree, the sun can still be intense on your skin. Throw on a tee shirt and guard as much skin as possible especially when you’re in the sun for extended periods of time. Try to use fabrics that are thick enough. You can test this by holding the article of clothing up to the light. If you can see through it, chances are it isn’t thick enough and may let in unwanted sunlight.

Don’t underestimate the importance of a good sun hat — it protects your skin and eyes. It’s best to find one that shades your ears and back of neck as well as your face.

These tips should help you stay safe but it’s not the end of the world should you get a sunburn this summer. Take necessary precautions ahead of time to stay safe and visit your physician or dermatologist if you have any concerns.

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THINKING ABOUT HEALTH: Patients Grade Their Local Hospitals

By Trudy Lieberman Rural Health News Service

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he government recently announced its firstever star ratings of the country’s hospitals based on patients’ assessments of the care they received. Other organizations have dabbled in this ratings business, many of them to make a buck by selling their rankings. And it’s not uncommon for some of these outfits to get licensing fees from hospitals that get glowing report cards they can then use to market themselves.

I’ve tended to view those ratings schemes with skepticism. The government’s ratings, however, don’t come with any of that baggage and don’t appear to be sugarcoated for commercial purposes. Only 251 of the 3,500 or so hospitals that received a rating got the top score of five stars — about 7 percent of the total.

It turns out many of them are small specialty hospitals like the Heart Hospital at Deaconess Gateway in Newburgh, Ind. I checked the rankings for the seven states participating in the Rural Health News Service. Nebraska, South Dakota and Indiana scored in the top group with hospitals averaging the most stars. Colorado, Wyoming and Illinois ranked in the second highest group, and California was in the bottom tier where hospitals averaged the fewest number of stars.

The government gathers its data by randomly selecting both Medicare and non-Medicare patients and asking them to fill out a questionnaire about their experiences in the hospitals. They are asked if doctors and nurses always communicated well with them; if the area around their rooms was quiet at night and bathrooms were clean; whether the

staff explained medications before administering them and patients’ pain was controlled; whether they were given discharge instructions when they left the hospital and whether they understood them; whether they received help as soon as they wanted it and whether they definitely would recommend the hospital to others.

While there are many other components that measure differences between a really good hospital and one that’s so-so such as infection control, patient safety and clinical outcomes, patient experiences are nothing to be sniffed at.

Why would any patient want to have an operation in a hospital where the bathrooms weren’t clean and they’d always be yelling for pain relief ? The problem is many patients have no choice when they need a hospital procedure. They go where their doctors go. Certainly they have no choice when an emergency arises.

But in parts of the country where hospitals are competing for your business — and, yes, hospitals are now very big businesses — you might be able to use such ratings when you

choose your next health insurance policy.

Increasingly, insurers are asking patients to pick policies that come with very narrow provider networks.

Carriers are giving the lowest premiums to policyholders who pick networks where doctors and hospitals have agreed to the prices insurers want to pay. Often those low-cost networks exclude well-known, marquee hospitals that often come with high price tags like Cedars-Sinai Hospital in Los Angeles, Memorial Sloan Kettering in Manhattan and Chicago’s Northwestern Memorial Hospital.

If you will be facing such a choice of networks and the premium trade-offs that come with them — wider networks usually mean higher premiums — the government’s patient satisfaction ratings might tip the balance in favor of one network rather than another.

If your doctors want you to go to a facility that has gotten middling ratings or low scores with one or two stars that should spark a conversation about what the doctors actually know

Average State Ratings For Hospital Patient Satisfaction In the new scoring system released by federal officials, Maine, South Dakota and Wisconsin hospitals averaged the most stars based on patient reviews.

Hospitals in Maryland and Nevada averaged the fewest stars.

about the care their patients are getting and why they want you to use a particular hospital.

Now that there is a more objective way to measure hospital experience, beware of all that hospital advertising aimed to make you think well of the facility and build the brand.

The government’s ratings show that sometimes there is no correlation between patient satisfaction and a hospital’s advertising to promote its lucrative services.

In New York City where I live, three hospitals, which received mediocre ratings, advertise widely on TV sometimes featuring over-the-top success stories of patients who have been miraculously cured. They also use subway advertising and banners hanging from street posts to help build their customer base. Clearly the message for patients and doctors is: Come to us.

As I’ve written many times, shopping for healthcare is not as easy or as much fun as buying a new computer or car, but this latest crop of government ratings offers good, straightforward data to help with that task.

We’d like to hear your experiences with hospital care. Write to Trudy at trudy.lieberman@gmail.com.

Editor’s note: The Rural Health News Service is funded by a grant from The Commonwealth Fund and is distributed through the Nebraska Press Association Foundation, Colorado Press Association, South Dakota Newspaper Association, Hoosier (Indiana) State Press Association, Illinois Press Association, Wyoming Press Association and California Newspaper Publishers Association.

Colo Avg

3.6

source: kaiserhealthnews.org For more information, go to http:kaiserhealthnews.org/news/only-251-hospitals-score-five-stars-in-medicares-new-ratings/

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Nurses do so much more than they once did

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

W

hat has four legs, grew up in the country, is really smart, passionate about education, and never wears white?

Two Centennial Area Health Education Center Board members, Audrey Snyder and Faye Hummel. Both are nurses. (Today’s nurses eschew white uniforms, more about that later.) Faye is leaving after 12 years on the board and Audrey is just coming on. CAHEC has had the extreme good fortune to be the recipient of both of their talents.

Audrey Snyder grew up in rural Virginia, tobacco country. For years she cared for her ill grandmother who, as a lay midwife, had delivered many of the babies in their neck of the woods.

That’s what got Audrey interested in nursing. Once trained, she worked out of Charlottesville, Va., much of the time as a flight nurse serving a very rural territory.

The flight crew was often out of radio contact, which meant, “You really had to know your stuff.”

Needing to really know her stuff led Audrey to become a nurse practitioner and an educator. She never stopped practicing, either. In 1991, she got a grant for a program that trained rural doctors and nurses together. The collaborative nature is the thing she loves second-most about rural practice. The first is the strong connection to the community.

Faye Hummel, acting director (for two years now) of the University of Northern Colorado School of Nursing, recognized a great rural nurse when she interviewed Audrey. Faye should know. She grew 18

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up on a dry land farm and ranch near Holyoke.

Faye chose nursing out of the recognition, springing directly from the closeness of relationships in rural communities, that people need help. Her pioneer grandmother inspired her to start her nursing career in gerontology.

She received successive degrees from the Community College of Auraria, Metro State, and the University of Colorado, culminating in a Ph.D from Colorado State University.

Faye has been teaching at UNC since 1986, a niche she chose because she wanted to shape the future, especially the future of rural nursing.

The communitarian nature of rural life allowed Faye’s mother, with the support of family and neighbors, to stay independently in her home in the country until she died two years ago at the age of 92, a perfect illustration of why Faye does what she does.

Neither Faye nor Audrey wears a white uniform. Nobody does any more. Nursing has changed. There’s still the passionate desire to care for people, coupled with strong skills. Today’s nurses have a great deal more independence than they used to. Their job entails so much more than the traditional one of carrying out doctors’ orders, in their starched uniforms and prim caps. This is a great time to be a nurse.

Thanks to institutions like the UNC School of Nursing and to faculty like Audrey and Faye, the intellectual underpinnings of the profession are growing by leaps and bounds. Both have published numerous research articles.

Audrey, who joined the UNC faculty only last fall, is in the midst of organizing a brand new adult-geriatric acute care nurse practitioner training program, with an emphasis on rural care.

Not long after Faye recruited Audrey to the nursing shool, she also introduced her to the CAHEC Board. Audrey is a perfect fit with the CAHEC mission of enhancing rural health care by supporting, in multiple ways, recruitment and training of health professionals to serve there.

“We really scored when we (the School of Nursing) got Audrey,” Faye said.

So did CAHEC. If you are interested in any health career, especially in a rural area, CAHEC is a great place to start getting information and support. Needless to say, nursing is one of the things we know a whole lot about.

Audrey Snyder

Faye Hummel.

HEALTH Events Calendar CPR for Health Care Providers (Initial), 5-8:30 p.m., June 1, Union Colony Room, NCMC. Cost: $55. This class is designed for licensed and non-licensed health care providers. To register, please call (970) 350-6633.

Lincoln Park, Walking Tour, 7 p.m., June 1, Lincoln Park, details, maketodaycountorg PAD Screening (Peripheral Vascular Disease), 1-3 p.m., June 2 and June 16, Summit View Medical Commons. The cost: $100 (includes all four screenings) Payment is due at time of service. NCMC Wellness Services is not able to bill insurance. Call (970) 350-6070 to schedule an appointment.

General Cancer Support Group, 5-6:30 p.m., June 2 at University of Colorado Health’s Aspen Club, 2000 16th St., Suite 3, Greeley. Cost: Free.

For more information, call (970) 297-6165.

Family Bike Ride, 6 p.m., June 2, Josephine Jones Park, 26th Street and 53rd Avenue, maketodaycountorg .

Body Check... What you need to know: Head to Toe, June 2 and June 16, Summit View Medical Commons, 2001 70th Ave. Cost: $175. This headto-toe health assessment gives you the tools to put your health first by receiving a comprehensive set of preventive health screenings. Invest in your health today. Upon request: Prostate Specific Blood Antigen screening, the cost is $30; Upon request: Body Check w/ PSA- $205.

Call (970) 350-6070 to schedule an appointment.

Bike Workshop, 7-9 p.m., June 3, Turn Around Bikes, 134 11th Ave., details, maketodaycountorg.

CT Heart Score, 1 p.m. and 2 p.m., Tuesdays and Thursdays, NCMC. Cost: $199. CT Heart Score provides a non-invasive test that accurately measures the amount of calcified plaque in the arteries. Payment is due at time of service. NCMC Wellness Services is not able to bill insurance.

Call (970) 350-6070 to schedule an appointment.

Safe Sitter, 9 a.m.-3 p.m., June 3, Windsor Recreation Center, 250 11th St. in Windsor.

Registration closes at noon, two days prior to class. Call (970) 674-3500 to register.

PALS Preparation Class - Northern Colorado, 8 a.m.-5 p.m., June 3 at University of Colorado Health’s Clinical Education Innovation Center, 1870 Marina Drive, Suite 201, Windsor. The goals of this eight-hour course are to help participants gain a solid understanding of the American Heart Association PALS curriculum and to contribute to their success in the PALS course. Cost: $50 (price does not include textbook). Call (970) 674-6550 to register.

Aspen Club New Member Orientation, 1-2:30 p.m., June 4 at University of Colorado Health’s Aspen Club Office, 2000 16th St., Suite 3. Cost: Free. For information or to register, call (970) 495-8560.

STAR, Breast Cancer Support Group, 5:30-7 p.m., June 4, NCMC Cancer Institute Conference Room. For details contact, Betty Parsons at (970) 339-7137.

Relay for Life, 6 p.m., June 5, University High School, details, maketodaycount.org.

Johnstown BBQ Days, all day, June 6, Parish Park, Johnstown, details, maketodaycount.org.

Into the Wild, Running Festival, 8 a.m., June 7, The Wild Animal Sanctuary, 1946 County Road 53, Keenesburg, details, maketodaycount.org.

Island Grove Splash Park, 1-4 p.m., June 8, Free and open to the public, details, maketodaycount.org.

Safe Sitter, 9 a.m.-3 p.m., June 9, Eaton Recreation Center, 223 First St. in Eaton.

Registration closes at noon, two days prior to class. Call (970) 674-3500 to register.

ACLS Two-day Provider Class, 8:30 a.m.-5 p.m., June 9 and June 10 at University of Colorado Health’s Clinical Education Innovation Center, 1870 Marina Drive, Suite 201, Windsor. Cost: $200 (including textbook). For information or to register, call (970) 674-6550 or email ceic@uchealth.org.

Blood Tests, 7-8:45 a.m., June 10, June 24, NCMC, via entrance 6 and June 17 at Johnstown Family Physicians, 222 Johnstown Center Drive.

The cost will vary. Please fast 12 hours prior to blood draw. Wellness Services offers low-cost blood screenings open to community members; some immunizations are also available upon request and availability. Payment is due at time of service. NCMC Wellness Services will not bill insurance. To schedule an appointment, call (970) 350-6633. Appointments preferred.

Memory Techniques, 9:30-11 a.m., June 10 at the Greeley Senior Center, 1010 6th St. Cost: Free. For information or to register, call (970) 495-8560. To register online, go to uchealth.org/event/memory-techniques.

Loveland Walks-Windsor, 7:30-8:15 a.m., June 11, River Bluffs Open Space, Country Road 32E, Windsor. Walk along a section of the Poudre River Trail. Cost: Free. For information, call (970) 495-8560.

Childbirth — Parent Preview Tour, 5:30-6:30 p.m. or 7-8 p.m., June 11; 9:30-10:30 a.m. or 11 a.m.-noon June 13; 9:30-10:30 a.m. or 11 a.m.noon June 20; 5:30-6:30 p.m. or 7-8 p.m. June 25 at Medical Center of the Rockies, 2500 Rocky Mountain Ave, Loveland. Cost: Free. Call (970) 495-7500 for more information or to register. To register online, go to uchealth.org/event/childbirth.

Free Mobile Food Pantry, noon-1:30 p.m., June 11, Weld Food Bank, Gilcrest Pool Highway 85 and Frontage Road, details, maketodaycountorg.

Heartsaver CPR with AED, 6-8 p.m., June 11, Windsor Recreation Center, 250 11th St. in Windsor. Cost: $48. Registration closes at noon, two days prior to class. Call (970) 674-3500 to register.

Skate Session (13 and under), 4:30-6:30 p.m. and 7-9:30 p.m., June 12, Higher Grounds Community Center, 134 11th Ave, details, maketodaycountorg.

Wheelie, Wheelie Fun!, 10 a.m.–1 p.m., June 13, Summit View Medical Commons parking lot — 20th Street and 71st Avenue. This safety fair on wheels is geared for the entire family and will include, family-centered exhibits and activities.

The cost is free. For more information: Call (970) 810-3000, email: spirit.of.women@bannerhealth. com or go to bannerhealth.com/NCMCspirit.

Fleet of Feet Run Club, 9:30 a.m., June 13, Cranford Cove Tea Tavern, 823 10th St., details, maketodaycountorg.

Walking Tour: Glenmere, Park Tree Tour, 6:30 p.m., June 15, Glenmere Park, maketodaycountorg.

Greeley Walks, 7:30-8:15 a.m., June 16, Bittersweet Park, 35th Avenue and 12th Street, Greeley. Meet at the parking lot on the south end of the park next to the Veterans Memorial. Cost: Free. For information, call (970) 495-8560.

Cooking Classes, “New Ways With Chicken”, 6-7:30 p.m., June 16, Cardiac Rehab Kitchen, NCMC. Cost: $10. Come and learn a variety of fun and healthy cooking options. Taught by Mary Branom R.D. Payment due at the time of registration. Please call (970) 350-6633 to register.

Macular Degeneration, 5:30-7 p.m. June 17 in the lower level conference room at University of Colorado Health’s Greeley Medical Clinic, 1900 16th St., Greeley. At this UCHealth Aspen Club event, learn about signs and symptoms, treatments and how vision may be affected. Cost: Free. For information or to register, call (970) 495-8560. To register online, go to uchealth.org/event/macular-degeneration.

Bike Workshop, 7-9 p.m., June 17, Turn Around Bikes, 134 11th Ave, Greeley Hearing Screening, 11 a.m.-1 p.m., June 18 at University of Colorado Health’s Aspen Club Office, 2000 16th St., Greeley. Cost: Free. Call (970) 495-8560 or email aspenclub@uchealth.org for more information.

Prostate Cancer Support Group, 5:30-7 p.m., June 18, NCMC Cancer Institute Conference Room. For further details contact: Julianne Fritz at (970) 350-6567.

Walk with a Doc, June 20. Upcoming walks are posted on the Walk with Doc WalkwithaDoc.org.

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PRIME Medical Directory 2015 Acupuncture Phyllis Hamar, L.A.C.

Master of Science, Traditional Chinese Medicine NCCAOM Board Certified 710 11th Ave., Ste. 106 Greeley, CO 80631 970-539-0324

Allergy and asthma Colorado Alergy & Asthma Centers, P.C.

7251 W. 20th Street, Bldg N, Ste 1 Greeley, CO 80634 Phone: (970) 356-3907 1136 E. Stuart St, Bldg 3, Ste 3200 Ft. Collins, CO 80525 Phone: (970) 221-1681 4700 E. Bromley Ln., Ste 207 Brighton, CO 80601 Phone: (303) 654-1234 www.coloradoallergy.com Professionals: Dr. Daniel Laszlo Dr. John James 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 allergy & asthma Center of the ROckies

1029 Robertson St., Ft. Collins, CO 8223 W. 20th St., Greeley CO 1000 Lincoln St.,Ft. Morgan, CO 1405 S. 8th Ave., Suite 102, Sterling CO

Alzheimer’s/Skilled Care Bonell Good Samaritan

708 22nd Street Greeley, CO 80631 Phone: (970)352-6082 Fax: (970)356-7970 www.good-sam.com 20

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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 BONELL GOOD SAMARITAN

708 22nd Street Greeley, CO 80631 Phone: (970) 352-6082 Fax: (970) 356-7970 www.good-sam.com GRACE POINTE

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

Audiology Associates

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

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

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

CARDIAC vascular surgery

BALANCE LIFE CARE CENTER OF GREELEY- ASCENT

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

burn Care western states burn center (NCMc)

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

Cardiac, Thoracic & Vascular surgery (NCMC)

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

CARDIOLOGY

Cardiovascular institutE (NCMC)

1800 15th Street, #310 Greeley, CO 80631 Phone: (970) 392-0900 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 JULIE KAVANAUGH, D.D.S.

3400 W. 16th Street, Suite 8-E Greeley, CO 80634 Phone: (970)351-0400 www.drjuliekav.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 Banner health clinic

Kenneth M. Olds

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

gastroenterology

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

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.

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. Family Physicians of Greeley, LLP-West

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.

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

Family Physicians of Greeley, LLP-Central

Family Physicians of Greeley, LLP-Cottonwood

Bloom at Home

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

Touchstone home health

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

Hospice Hospice of northern colorado

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)378-4475 Fax: (970)378-4429 www.bannerhealth.com

Administration Office 2726 W. 11th Street Road Greeley, CO 80634 Phone: (970)352-8487 Fax: (970)475-0037

independent assisted Living GRACE POINTE

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

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

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independent assisted living w/services

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

banner health clinic

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)

Bonell Good Samaritan

708 22nd Street Greeley, CO 80631 Phone: (970)352-6082 Fax: (970)356-7970 www.good-sam.com

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 22

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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

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

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

Skilled care/Rehab

Professionals: Lynne Jackowiak, M.S., CCC-SLP Julie Hanks, Ed.D Patty Walton, M.A., CCC-SLP

surgery General & Trauma

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

physical therapy Front Range Therapy

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

Banner Rehabilitation Center

1801 16th Street, Greeley, CO Phone: (970)350-6160 www.bannerhealth.com Front Range Therapy

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

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

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 BONELL GOOD SAMARITAN

708 22nd Street, Greeley, CO 80631 Phone: (970)352- 6082 Fax: (970)356-7970 www.good-sam.com

GRACE POINTE

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

sports medicine Mountain Vista Orthopaedics

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

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

speech language pathology Banner Rehabilitation Center

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 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

Banner Health Surgical Associates (NCMC)

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

urgent care SUMMITVIEW URGENT CARE (NCMC)

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

Urology Banner health clinic (NCMC)

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

veins Vein Clinic (NCMC)

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

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Located at Summit View Medical Commons 2001 70th Ave. • Greeley