Prime Magazine Feb. 2015

WINTER - FEBRUARY 2015

RuRAl WORKOUTS

TEEN stress PG. 5

PG. 4

RAISING AN

Empathic Child

PeoPle

WHo ARe Too HeAlTHy PG. 10

A “Free Hearing Test” is not a Hearing Evaluation Until recently, there were only a couple of places that offered hearing instruments to the public in Greeley. Today there are many outlets that offer hearing instruments and it is difficult for the average consumer to discern the differences between the “deal of the

asked to repeat 2 syllable words and they will get softer each time until you cannot hear them. The words will be presented again until a level is found where you just barely hearing the words and can tell what was said. This speech level should be compared to the tones for reliability and validity.

A second speech test should be conducted so as to evaluate the patient’s understanding ability on scale from 1-100%. These are one syllable words and are assessed so as to determine how clear speech is to the person when it is at a comfortable level.

weekend” in the paper, ”free hearing tests” and other offers that seem to be available on every corner.

While it used to be that audiologists were the professionals that were providing aural rehabilitative treatment concerned with the benefit offered by the products that were provided as part of the rehabilitative process, currently there are many that work for hearing aid sales operations and their concern is how many products that sell each day. These facilities offer a “free hearing test”. A free hearing test is not an evaluation of your hearing.

A Hearing Evaluation should include the following battery of hearing tests: 1. A Hearing Health History: A discussion of the hearing difficulty and other health issues that could affect your hearing.

2. An examination of the ear with a microscope to insure that there is nothing blocking the ear canal and/or other disorders that require referral to your physician for medical treatment.

3. First of the evaluations is Pure Tone Air conduction. For this portion of the evaluation you should be evaluated using insert headphones in a sound treated environment (sound booth). At this point you are asked to listen for tones

5. Once the overall hearing loss and test reliability is determined, it is necessary Photo #3 to find out where in the auditory system

Middl

Photo #5

3. Franchise operations (i.e. Miracle Ear, Beltone, Audibel, etc) are usually more expensive than your private audiologist and often are simply hearing aid sales people, not audiologists.

present or absent. From these tests the audiologist can assess the middle ear function.

4. Many audiologists work for hearing aid sales operations and their goal is to sell as many products as possible, not necessarily the best ones for you and your lifestyle.

PROBLEMS WITH THE “FREE HEARING TEST”

5. Most sales operations handle only one manufacturer of hearing aids.

The true hearing evaluation consists of the review of all of the above specific tests. When considered in total there is a complete picture of how the patient actually hears sound. We know the type, degree, and configuration of the impairment and if there is special circuitry required to facilitate the hearing loss due to abnormal loudness sensitivity or other issues.

6. Big Box stores (COSTCO, Sams Club, etc.) that offer hearing aids are typically hearing aid salespeople and may have been stocking shelves a few months before you see them. Again, they are NOT Licensed in Colorado.

does the hearing impairment reside.

Photo #4 This is first done by a bone conduction

assessment. In the bone conduction

assessment a vibrator is placed on the

mastoid process (just behind the ear).

Middle The bone conduction evaluation tests

just the cochlea and the auditory path ways and by passes the eardrum and

bones of the middle ear. From this por tion of the evaluation the audiologist

will at if the hearing is the same Photo look #3 as the air conduction assessment or if

the hearing is better by bone conduc tion.

If the hearing is better, then phy sician referral may be indicated, if not

Middl the impairment is probably in the inner

ear and, generally, cannot be treated by

medication or surgery.

6. Some clinics will also include Oto acoustic Emissions. In this test a foam

plug is inserted into the ear and meaPhoto #4

Middle

From the review of a full hearing evaluation, it can also be determined if a physician referral is necessary and/or the characteristics of a specific hearing impairment that may need special attention in a hearing aid fitting.

Just a “Free Hearing Test” will usually just be the tones presented #3. Additionally, the “hearing test” is often conducted outside of a sound treated room, it may not be very accurate.

Here are some considerations that go along with a “Free Hearing Test” 1. Non-Audiologists that are hearing aid salespeople are NOT licensed in Colorado and the person testing your hearing could be someone that was selling shoes yesterday.

2. They are interested in selling product, NOT necessarily your best hearing.

7. Online hearing tests are totally unreliable and invalid.

8. Upon referral from your physician hearing evaluations are paid by health insurance and Medicare.

Hearing aids are quite beneficial if obtained through an audiologist that genuinely cares about you, your lifestyle, and your increased hearing capabilities. These products are expensive and require careful thought before their purchase. If you respond to your mailbox, the internet, some hearing aid salesperson, or a big box store, the risk that you will not get what you pay for significantly increases. Basically, its buyer beware and the best method of insuring that you are treated to a true hearing rehabilitation experience is to find a good audiologist that has been in business for a number of years in your city. This way you can check them out thoroughly for credentials and, most of all reputation! You owe it to yourself to find the best possible person to assist you with your hearing needs.

Author’s Bio:

Robert M. Traynor, Ed.D., MBA, FAAA Robert M. Traynor is the CEO and practicing audiologist at Audiology

Miller, a co-researcher at Michigan, that the noise-induced hearing loss prevention concoction could be

available within two years.

that are presented and push a button whenever you think that you hear a tone.

This first evaluation tests the whole auditory system is a cursory test that lets the examiner know if there is a hearing loss present.

4. Also part of the evaluation is Speech testing. The speech test is used to correlate the tonal test with speech to see if they are roughly the same. For this portion of the evaluation you will be

Associates, Inc., Greeley, Colorado with particular emphasis in amplification surements are conducted. We know and operative monitoring. Dr. Traynor holds degrees from the University that if we send a certain type of tone to of Northern Colorado (BA, 1972, MA 1973, Ed.D., 1975), the University the cochlea, it will send a tone back to of Phoenix (MBA, 2006) as well as Post-Doctoral Study at Northwestern usInifanother hearing is normal. not we do not study funded byIfthe Oklahoma Medical Research Foundation, University Hediscovered taught aAudiology at the University of Northern get a tone from the cochlea sent back to surgeon, researchers Dr. Robert Floyd and retired Army Dr. Richard(1984).

Kopke, M.D., the ear probe a hearingstopped loss exists (1973-1982), University of–Arkansas for Medical Sciences (1976-77) combination of then two compounds damage to theColorado inner ear caused by acute acoustic trauma atsomething that pitch.

Often this portion of the like an IED exploding.

Although they did not indicate what the compounds were(1982-1993). they felt and Colorado State University Dr. Traynor is a retired Lt. Colonel evaluation the finding,” overall hearing that,“This isvalidates a very exciting said Dr. Floyd, who holds theUS Merrick in Aging from the ArmyFoundation Reserve,Chair Medical Service Corps and currently serves as an evaluation.

Research at OMRF. “The research is still at a pre-clinical stage, but we’re hopeful that we soon at canthe begin Adjunct Professor of Audiology University of Florida, the University testing in humans. of Colorado, and the University of Northern Colorado. For 17 years he 7. Immittance Audiometry. In this test, was an Audiology Consultant to major hearing instrument and equipment the middle evaluated to deterMore recently,ear Dr. is Kathryn Campbell's work at Southern Illinois University involves the use of an manufacturers providing academic and product orientation for their mine how called the eardrum moves and if of fermented antioxidant D-methionine, a component protein domestic and international distributors. A clinician and practice manager the bones of the middle ear are funcfor over 35 years, Dr. Traynor has lectured on most aspects of Audiology in tioning normally. Muscle contractions over forty countries. are also taken to determine if they are

Features ALTERNATE LOGO \\ MASTEAD

PG.12

PG.14

Rural Workouts

Vaping

Finding ways to workout when you live miles from a gym isn’t easy. But the Personal Fitness Program at East Morgan County Hospital offers some solutions.

According to proponents, e-cigarettes offer a better alternative to their traditional counterparts. But health experts aren’t so sure.

PG. 4

PG. 6

PG. 10

What should you do to ensure your kids have this essential life skill?

What should you expect before you’re expecting?

Is it really possible to be too health conscious?

Raising empathetic children:

Having a baby:

Too much of a good thing:

PG. 16

PG. 5

PG. 8

There’s plenty for your teen to fret about.

Should you be worried?

Young drivers face plenty of challenges.

Are your teens ready for winter roads?

Teen stress:

Teen driving:

The deadly truth about ‘healthy obesity’:

A cold dose of reality, those extra pounds are harming you.

PG. 9 New medical training facility in Windsor | PG. 17 Centennial Area Health Education Center | PG. 18 February’s health events | PG. 19 Prime medical directory

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

CONTRIBUTING WRITERS James Redmond Analisa Romano Casey Kelly Sherrie Peif Sales MANAGERs Stephanie Mighell Bruce Dennis Sales Staff Cristin Peratt Creative supervisor/Design Alan Karnitz

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 February 2015, Volume 1, Issue 1.

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

3

Raising an empathetic child

By Lynn U. Nichols UC Health - For Prime

A

s parents, many of us say we just want our kids to be happy. But what is happiness? Is it being the best player on the team? Achieving top grades? Having a big house to live in?

These things bring about a lot of feelings, like satisfaction and pride, but they don’t bring happiness. We all have our own definition of happiness.

What’s yours? Likely a part of your answer involves having close friends and family. Intimate relationships are not achieved, they are fostered: by listening, understanding and really being there for

each other. In other words, by showing empathy.

The best way to describe empathy is standing in another person’s shoes.

It’s that feeling of deep understanding, often brought about by our own life experiences. We know what it’s like to be sad, disappointed, worried, or excited and filled with joy. We know what it feels like to fail, to be on the outside of a group, or to be at the top of our game. Sharing our own stories with our kids helps create both empathy and connection—and teaches them to do the same.

Empathy is both a learned skill and an innate personality trait. “We are all born with a certain temperament. Some kids naturally internalize and feel other kids’ feelings. Others need guidance from parents or other adults to recognize how another child might feel. All kids are

1. Strengthen her awareness of feelings One way to teach empathy is to point out to your child her own feelings and reactions to certain situations. Start by stating the obvious — if a friend gives your daughter a compliment, say, ‘it sure feels good to get a compliment, doesn’t it?’ By recognizing her own feelings, your daughter understands the joy of getting a compliment and is more likely to start giving compliments to others. The same is true for hurtful situations. If your daughter makes a birthday list and leaves off a friend, you can help her understand the consequences of her actions by reminding her of a time when she was left out and how that felt—and questioning, “Will Sara feel that way, too?”

Make a point of helping your child recognize what she is feeling in any given moment, and connecting it to an action.

For example, you can say, “Look, that little boy is sad because he can’t find his dog. He must really miss his dog. Let’s go help him.” Also, when reading, take the opportunity to ask how a character feels, or why she thinks that character feels that way.

2. Give praise for kind acts You can also teach empathy by praising your child when he does a kind act. Rewarding kind acts with praise gives the message that you value kindness.

“Parental approval is very important for kids. If you sense they are being kind to please you, that’s okay. Even if they do it for your attention, it’s forming a habit of kindness and over time, the rewards of giving will take over,” says Udupa. You can also reward with special activities or treats. For example, if your kids are getting along great you can say: “I like the way you and your brother are helping each other and being kind today. Let’s take a break and go on a bike ride together.” Doing so teaches that kindness brings reward—mostly internally but sometimes externally as well.

3. Be empathetic yourself Of course, kids learn most from watching their parents in action. The best way to teach empathy is to simply model it yourself. Offer to pick up your 4

PRIME \\ FEB. 2015

Udupa

capable of empathy, whether it comes naturally or not,” says Dr. Usha Udupa, a child psychiatrist with Mountain Crest Behavioral HealthCenter, which is part of the University of Colorado Health system.

It’s never too early to teach empathy.

Try these following tips to hone your child’s empathy skills:

neighbor’s papers while they are out of town or walk the dog of the elderly woman down the street. Bring flowers or a card to a friend who needs a boost, hold the door for the person behind you at the bank and offer for someone to go ahead in the grocery line. If this is the way you live your life, so will your kids.

Don’t forget to model good listening — a key ingredient in empathy. When your kids talk to you, stop, look them in the eyes, and listen. Reflect back what they are saying to you. Offer comfort or join in on their joy. Really be there for them, and for others, too.

4. Point out other people’s perspectives Young kids tend to think everyone feels the same as they do, and that life is basically the same for everyone. Spaghetti is their favorite food, so everyone must love it. They live in a house, so everyone else does, too. Teaching kids that people have different opinions and points of view—and that one way isn’t better than the other—helps foster empathy.

Help kids stand in other people’s shoes by adding perspectivetaking comments when you read books, watch shows or attend a community event. For example, you could ride the city bus if it’s something you normally don’t do, or attend a cultural event that shows different customs and traditions from yours.

Take the chance to point out how people who look or act differently than you often have the same feelings or wants and needs as you. This helps break down barriers between race, age and gender.

“Kids in general are afraid of what they’re not familiar with—anyone who looks differently or talks differently makes kids feel uncomfortable. It’s less an issue of racism and more an issue of feeling comfortable. Teach your kids that when someone is different it’s not wrong, just interesting, by exposing them to different races and cultures whenever you can,” Udupa advises.

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

expert: Teens face stresses daily By rebecca wyperd For Prime

i

t’s typical to worry when raising a teenager — but it’s important to remember that it’s more stressful being a teenager. Not making the cut for the football team, breaking up with a girlfriend, fighting with friends, bombing a test, moving to a new town, feeling one doesn’t belong or switching schools is stressful for many teenagers.

Because of this, it’s sometimes hard to know when resulting behaviors are typical and when you should seek help.

How do you know if your teen’s behavior is “normal?”

First, it is important to note that “normal” is a misleading word. So much of what someone does depends on his or her environment, experiences, family history and beliefs. What is familiar for one teen and family may not be familiar for the next; it is important to keep that in mind when evaluating how your teenager is responding to stress.

Consider what’s normal for your teen — and then determine whether and how much of a change you see in his or her behavior. As a caregiver, you may notice that something has changed or seems drastically different: like a once talkative, outgoing teen who suddenly has nothing to say and is hiding out in her room — or a straight-A student who is caught skipping school and fighting with his teachers.

here are some behaviors or events that could be cause for concern: » Change in eating or sleeping habits » Change in friends or activities » Change in mood or behavior like irritability, aggression with others » Change in grades, school performance, or attendance » Missing curfew, running away, or leaving without permission

» Isolation from family or friends » Suspected substance use » Suicidal thoughts or mention of suicide » Self-harming behaviors such as cutting » History of any trauma or abuse » Recent family conflict » Recent loss of loved one close to teen It is never easy being a teen, and it can be hard to watch one you care about struggle with challenges. When your teenager’s behavior has changed in ways that cause you concern, it can be helpful to seek support for your family. Many counselors or therapists are well versed in helping parents and caregivers discuss teens’ behaviors and what’s “normal.” If your teen is unwilling to go to a counselor, sometimes it is a good idea to seek help for yourself, to learn positive and practical coping and communication strategies. A good therapist will help you identify your family’s and teen’s strengths and build on those while addressing any concerns.

A family who is armed with the right emotional and communication tools is a stronger and happier one.

Rebecca Wyperd is the program director for Youth and Family Services at North Range Behavioral Health.

Kenneth Olds M.D.

GET MORE OUT OF

THE NEW YEAR

Flu Season is HERE!

WITH A HEARING EVALUATION FOR YOU OR A LOVED ONE.

ADDRESSING HEARING LOSS REALLY CAN ADD TO QUALITY OF LIFE—DURING THE HOLIDAYS AND YEAR ROUND. Here’s what getting a hearing test and using professionally fitted hearing aids, may do for you: STRENGTHEN TIES WITH FAMILY AND FRIENDS. Healthy relationships rest largely on good communication. In one BHI study, more than half the respondents said using hearing aids improved their relationships at home, their social lives, and their ability to join in groups. Many even saw improvements in their romance.

FOR ALL OF YOUR HEARING NEEDS

4675 West 20th Street Rd, Greeley, CO • 970-352-2881 • 877-499- HEAR

WWW. HEARINGTIME.COM

Certified To Do DOT Physicals Experienced Family Doctor

• Concierge service to include all family members.

• Same day appts with minimal wait time.

• Reasonable prices for uninsured.

• Botox/Juvaderem for the holidays.

Walk Ins Welcome

Open 7:30 a.m. - 5:00 p.m. Mon - Fri 6801 W. 20th St. #206 • 330-9061

So, you want to have a baby?

Photo – Courtesy of University of Colorado Health

Getting pregnant may take some time, so focus on getting healthy first

By Karla Oceanek UCHealth • For Prime

Dr. Natalie Rochester Women who want to have a baby should focus on their own health first, suggests Dr. Natalie Rochester, a University of Colorado Health OB/GYN who delivers babies at Medical Center of the Rockies in Loveland.

T

here may not be a more exciting time in a woman’s life than thinking about or trying to have a baby. If you’re in one of these modes, you’ve got time to prepare for a healthy pregnancy. Dr. Natalie Rochester, a University of Colorado Health OB/GYN who delivers babies at Medical Center of the Rockies in Loveland, offers these suggestions.

“We want mom to be as healthy as possible before she conceives,” said Rochester. “That means eating a healthy diet and exercising at least 30 minutes a day, and having all of your medical problems under excellent control before trying to conceive.”

6

PRIME \\ FEB. 2015

“Prenatal vitamins are also super-duper important. A couple of months before trying to get pregnant, start taking prenatal vitamins with folic acid. The vitamins lower the risk of birth defects.” Rochester said. You can buy prenatal vitamins over-the-counter or get a prescription from your doctor.

It’s important to know what to expect when you start trying to get pregnant. “Many women think they’ll get pregnant quickly and are surprised when they don’t,” said Rochester. “It often takes a number of months. In fact, only 85 percent of women with no infertility issues will be pregnant within a year, even if they’ve been having timed and frequent sex.”

If you’ve been trying to conceive for a while without success, Rochester suggests keeping an ovulation calendar. “Many women don’t understand their menstrual cycles and when they can get pregnant,” said Rochester. “Keep track of your periods and have sex at the most opportune times.”

Your ovaries release an egg about 12 to 14 days before your period starts. If you have a 28-day cycle, you’ll usually ovulate sometime between day 12 and day 16 of your cycle (with day one of your cycle being the day your period starts).

To conceive, your egg needs to be fertilized within 12 to 24 hours of ovulation. Sperm live for two or three days, so if you want to get pregnant, you need to have sex a few days before you ovulate through the day of ovulation.

After six months of regular and timed sex without a pregnancy and if you’re frustrated about your results, talk to your doctor. There are simple tests and treatments your doctor can use without going the full-blown infertility route. But remember, you’re still well within the one-year, 85-percent window.

“People don’t always seek care when they’ve been trying unsuccessfully because they’re afraid of the costs and protocols of infertility treatment,” said Rochester. “But the truth is, there are a number of simple next steps we can take.”

A blood test can reveal

whether or not you’re ovulating each month. Medications that stimulate egg production are also relatively easy to take and manage.

The prospective mom’s age is also a fertility factor. Women ages 20 to 35 have the highest chances of conceiving quickly and delivering a healthy baby without complications.

“But I have many patients who are in their late thirties and early forties,” said Rochester.

Finally, remember that each pregnancy is different. If you conceived quickly with your first baby but are having trouble conceiving your second, you’re not alone. It’s not uncommon for conception to take many months.

And during those months, it’s essential that moms don’t neglect their own health.

“After they have one child, women tend to be so busy that they don’t take care of themselves,” said Rochester. “But it’s important for them to be in good health before they get pregnant again.”

Karla Oceanek​is a freelance writer and children’s author in Northern Colorado. She wrote this on behalf of UCHealth.

Pre-pregnancy checklist I’m eating a healthy diet.

I’m exercising at least 30 minutes a day, most days.

I’m taking prenatal vitamins.

I’m abstaining from alcohol, drugs and marijuana.

I’m up-to-date on routine doctor’s check-ups, including my annual pelvic exam and pap smear.

I’ve talked to my doctor about any pregnancy risk factors I might have.

I’m managing well any chronic health conditions (such as diabetes or high blood pressure)

Come Stay & Play! Good health is right at your fingertips...

Check-in online for your urgent care visit today!

Columbine C ommons

Assisted Living

Windsor 449-5540

www.columbinehealth.com

6 Colorado Locations* Open Extended Hours & Weekends * Visit website for location details and hours

1-866-468-5230 • NextCare.com

Teen drivers face extra challenge in winter

By Kelly Campbell For Prime

N

ew drivers are at an increased risk of being involved in a crash. Winter months present new obstacles like snow- and ice-covered roads that add to the learning curve.

While your first instinct may be to locate a driving school that specializes in teaching teens how to maneuver a vehicle in wintry conditions, these are few and far between, and many are expensive and require travel.

Instead, take the time to get your teen acquainted with driving on slick surfaces before he or she heads out alone.

“Parents often step in and get behind the wheel when that first snow falls, rather than give their novice driver the opportunity to learn in those conditions,” said Duemece Aragon, DRIVE SMART Weld County Community Outreach Specialist. Consequently, often the first time these young drivers experience snowy roads is when they are driving without parental supervision (and the advice and direction that goes with it).

So, after the next snow fall, drive your teen to a big empty parking lot or open 8

PRIME \\ FEB. 2015

space and let him or her try stopping, starting and turning at safe speeds in a safe environment.

Here are some more tips from DRIVE SMART Weld County:

» Prep the Car: Make sure the battery is charged and ready. Cold temperatures can deplete an already-drained battery and leave your teen stranded. Stopping is difficult, if not impossible, on ice and snow. Give your teen a leg up with good brakes.

If nasty weather is approaching, place a plastic bag between your car door and the frame of the car to keep the door from freezing shut. If the locks freeze, heat your key with a pocket lighter or fill a jug with hot water and then place the jug against the lock. Do not pour the hot water onto the lock because it could freeze. » Slow down: Snow- and ice-covered roads are tricky to navigate and can appear with little warning. Be prepared by reducing your speed. » Give yourself breathing room. Leave a distance of 200 feet or 15 car lengths between yourself and the vehicle ahead of you. To demonstrate this with your teen, provide an example on the road (point out a sign or other roadside feature that is the proper distance away). » Apply brakes slowly when stopping.

Slamming on the pedal can cause the

car to spin on slick surfaces. Don’t cut off big trucks! They cannot stop. » Don’t use cruise control. While using cruise control is a good way to regulate your speed, you don’t want to use it when snow or rain is falling or when temperatures are at or below freezing.

If the car slides, cruise control will attempt to speed up, this could cause an accident. » Don’t hit the road without clearing snow and ice off of the windows and lights. Start the car early and let it warm up to melt off the excess or brush up on your scraping skills. » Don’t take friends along for the ride.

DRIVE SMART Weld County wants to remind parents that by adding one passenger in a teenager’s car, their chances of being involved in an accident double. » Don’t forget to print this list and share it with your teen. Teens may think they know it all, but many teens are still nervous about driving and will welcome the help.

Do what you can to build your teen driver’s skills and his or her driving confidence. As an added benefit, you might even decrease your stress level.

Kelly Campbell is the health communications supervisor for the Weld County Department of Public Health and Environment.

university of colorado Health opens Windsor training facility for health care workers, emergency responders

By James redmond For Prime

u

niversity of Colorado Health held a grand opening in January for a state-of-the-art training facility in Windsor to train health care workers and emergency responders.

The 13,000-square-foot Clinical Education and Innovation Center celebrated its official grand opening Jan. 13 at the center, located on the second floor of the Marina Health Campus building, 1870 Marina Drive in Windsor.

The celebration included a ribboncutting ceremony. Staff will also hosted an open house and conducted tours at the center.

The new center was built to bring all of UC Health’s clinical training resources together in one place to create a larger offering of services to employees and physicians,

emergency responders and area nursing schools, Bonnie Clipper, the chief nursing officer at Medical Center of the Rockies, said in a news release.

The center includes four simulation rooms that mimic real hospital rooms in their appearance, as well as the basic equipment that is available.

Sheila Kloster-Prew, UC Health’s regional director of clinical education and innovation, said the new $1 million center likely will build skills and experience of more than 5,000 people this year alone.

“Educating our staff is a big part of our mission,” Kloster-Prew said. “But long term, we want to be a center for education and innovation for not only our employees but our partners, as well.”

The Marina Health Campus, located in the Water Valley subdivision in southeast Windsor, also houses UC Health’s Poudre Valley Medical Fitness center, which opened in November 2010, as well as The Blend café, a coffee shop that reopened on the first floor in October.

ACCEPTING NEW PATIENTS · · · · · · · ·

Se Habla Espanol Children's Colorado Medicaid, CHP and most other insurances accepted Same Day Treatment Available in Most Cases Parents always welcome to accompany children to treatment area In-Office sedation available two days per month Spacious and kid-friendly lobby Friendly, experienced Dentists and Staff caring for your children School excuses given for missed classroom time

Smiles 4 Kids Greeley

2400 W 16th, Suite A, Greeley, CO 80634 (970) 395-1000 Office • www.smiles4kidsgreeley.com

For more information about uc health’s clinical education and innovation center, go to www.uchealth.org or call (970) 674-6550.

CHIROPRACTIC CARE HAS BEEN SHOWN TO HELP WITH:

colic, asthma, ear infections, headaches and ”growing pains”.

FA D MI EL LY W

Patricia Sorbo D.C., DiCCP Certified Pre-natal & Pediatric Chiropractic

Clinic of Chiropractic

Erik Sorbo D.C., CCSP

Certified Chiropractic Sports Practioner®

By Analisa Romano For Prime

T

urns out that too much of a good thing even applies to healthy habits.

With the advent of health-conscious food trends — clean eating, organic, glutenfree, GMO-free, etc. — a University of Northern Colorado professor is helping to identify a new eating disorder that revolves around an unhealthy obsession with healthy eating.

Orthorexia nervosa, as it’s called, has only recently emerged as a new kind of eating disorder, said Thom Dunn, an associate professor at UNC in the School of Psychological Sciences.

A good example of orthorexia would be starting out as a vegetarian, then eliminating other proteins from your diet. Slowly, other foods follow: gluten, anything with the chance of being inorganic, and even some fruits and vegetables. Such a restrictive diet often translates to malnutrition and that is unhealthy, even dangerous.

In March, Dunn co-authored an article on diagnosing the disorder in Psychosomatics, an academic journal.

About 60 to 70 percent of people who treat clients with eating disorders probably don’t even know about orthorexia nervosa, he said.

Orthorexia is not yet an official disease, according to the American Psychiatric Association, which is a part of what Dunn is out to change. His article early this year sought to define criteria for diagnosis, either so that others could examine his criteria and improve on them or for others to use to see how prevalent the disease is in the U.S.

Some journals in Europe and nutrition journals in the U.S. have published articles dealing with orthorexia, but Dunn’s is the first in a U.S. mental health journal.

Rather than being motivated by body image or a obsession with being thin, like anorexia or bulimia, this disease centers on the desire to be healthy, which is what makes it so ironic.

Before rushing to diagnose your in-laws, Dunn said the number of people who fit the criteria is much narrower than people who have strict routines or preferences.

“You are allowed to be quirky,”

Too health conscious?

Yeah, it can be a problem

With the advent of health-conscious food trends a University of Northern Colorado professor is helping to identify a new eating disorder that revolves around an unhealthy obsession with healthy eating.

Joshua Polson/jpolson@greeleytribune.com

Dunn said. “A lot of people have routines, but they are not OCD. And some people have weird dietary habits, but they are not full-blown eating disorders.”

Generally, Dunn said his diagnosis draws the line when food interferes with a person’s ability to have a relationship or hold down a job.

If your friends stop wanting to go out to eat with you because your process for picking a restaurant is too involved, or you have to bring a special meal to every outing, that is a red flag, Dunn said. So is weight loss and

fatigue, which could mean you’re not getting enough nutrients, and feelings of extreme guilt even for a small deviation from your diet.

There’s still much to be uncovered about orthorexia, such as whether some groups of people are more prone to it, Dunn said. He said his next step will be to study various college populations and where eating disorders abound, starting with the UNC campus.

Dunn said he would also like to study whether there is overlap between people who have orthorexia and are

WARNING

siGns UNC professor Thom Dunn offered a few signs to look for in diagnosing orthorexia nervosa, an unhealthy obsession with healthy eating:

» Fatigue is often a sign of malnourishment. If you have to go to the doctor because of your diet for any reason, that is a red flag, Dunn said. Some with orthorexia nervosa are underweight, but if you haven’t lost weight, it could be that the body is retaining fluids due to malnourishment. » If you are having problems getting friends to eat with you because it will be too much trouble for your dietary restrictions, it’s another red flag.

Bringing special meals or scales to a restaurant to every single outing could be crossing the line. » If you experience a great deal of distress over food, to the point that it distracts you from your job and your social life, it’s a problem, Dunn said.

Inner turmoil and depression over what you ate that day could be signs of orthorexia. chronically at the gym, and whether early-life experiences influence the likelihood of developing the disease.

For example, it could be that kids with a restrictive diet or who couldn’t afford to eat healthy become obsessive about it later in life. Or, orthorexia could be similar to other eating

disorders in that they often overlap with people who experienced sexual abuse, he said.

All will be revealed in good time. For now, it’s best to practice everything in moderation.

So don’t throw out that slice of cake just yet.

TO LEARN MORE ABOUT ORTHOREXIA and other eating disorders, visit www.nationaleatingdisorders.org or www.eatright.org.

“60 to 70 percent of people who treat clients with eating disorders probably don’t even know about orthorexia nervosa”

PRIME \\ FEB. 2015

11

RuRAl WORKOUTS By cASey Kelly foR PRime

WORKOUT ROUTINES COME WITH SPECIAL CHALLENGES FOR RURAL RESIDENTS

G

etting healthy and staying fit can be a challenge for some folks who live rural areas — you may not have a gym right down the street.

However, those who live near Brush have the Personal Fitness Program at East Morgan County Hospital, where they can learn exercise techniques tailored to their level of fitness and even take some of the moves home to do on their own time.

Timothy Brown, the director of rehab services for the hospital, said the program works with people who live in rural areas. Oftentimes, he said, these people come in to the facility to get screened by a fitness expert about what

12

PRIME \\ FEB. 2015

exercises work best for their situation, which they can complete at home or in the facility, whichever works best for their schedule.

“If they are far enough away from the facility, we like to get them in once or twice so we can show them exercises they can do at home, like resistance exercises with a theraband or lifting with dumbbells,” Brown said.

He said most of the people who use the program live in Brush or the surrounding area, and are generally mid- to older-age adults who are new to workout routines.

“We devise a program for people based on their personal fitness goals,” Brown said. “Some of the patients call with a specific goal — like helping a sore or stiff back. Oftentimes we can

pick out two or three exercises they can do at home so they don’t have to come into the gym every time they want to work on it.”

For Brush resident Deb Johnson, it was trying to rebuild the strength and range of motion in her shoulder after she fell at her granddaughter’s birthday party and broke both her arms. The accident meant she needed surgery on both her arms, as well as having her shoulder rebuilt. She completed physical therapy after her accident and learned she could continue her work through the hospital’s Personal Fitness Program.

She has a routine, making time for her workouts during her lunch break from her job as the library director at the East Morgan County Library.

Deb Johnson works on strengthen her arms while at East Morgan hospital in Brush recently. Johnson works out 3-4 times a week to recover from her injury. JIM RYDBoM/jrydbom@greeleytribune.com

“They showed me how to use the equipment I’d most benefit from.

Now, I go over there about four times a week,” Johnson said. “I also do several of the same exercises at home over the weekends. I do some weightlifting and my husband set me up with a pulley system so I can work on my range of motion, but I really enjoy the focused workout I get at the hospital.”

Johnson said her surgeon saw her on the anniversary of her accident and was amazed at the range of motion she’s been able to gain back as a result of her workouts. She said she knows if she stops her therapy, she’ll lose that range of motion and plans to continue using the program — likely for the rest of her life.

“I’m so grateful for the program.

Before my accident I had never even been in there to see it,” Johnson said. “I’m so very thankful that we have that resource in a small town like Brush.”

GettinG started

If you’re interested in getting started with a workout routine to meet your fitness goals, here are some tips to get you started: » 1) Get clearance from a physician, particularly if you’ve have impairments or have been injured in the past. The physician can make sure you’re doing the appropriate exercises so that you won’t injure yourself. » 2) Set some goals. Do you want to lose ten pounds? Be able to walk two miles? Run a marathon? It’s important to set realistic and attainable goals and have a plan to reach them. Try setting aside a small amount of time each day for activity. As you become stronger, you can go for longer periods of time. » 3) Start slow. If you start by pushing yourself too hard, you risk injuring yourself and setting yourself back. Even if it’s only 10 minutes a day to start, it’s worth every bit of those ten minutes.

Source: Timothy Brown, director of rehab services for East Morgan County Hospital

For more information about east morgan county hospital’s Personal Fitness Program, call (970) 842-6239 or go to the program’s website at http://goo.gl/Gs3a43.

PRIME \\ FEB. 2015

13

E-cigarette raises hopes, concerns

P

By Sherrie Peif speif@greeleytribune.com

roponents call the emissions from an e-cigarette vapor.

Opponents call it aerosol.

According to the dictionary they are both right. Aerosol and vapor are both gaseous suspension of fine solid or liquid particles.

It’s a craze that is unregulated, relatively untested and definitely unknown.

Two Greeley businesses that sell electronic cigarettes, or e-cigarettes, have opened since last year. Both Smokeless CG Vapors, 808 8th St., and Vapor Core, 3810 10th St., offer batteryoperated devices designed to deliver nicotine and flavor through an inhaled vapor. Both offer places for customers to sample or use the products. However, the Greeley City Council voted in January to treat e-cigarettes like their traditional counterparts and ban their use in public places.

Owners say they want to help smokers kick the habit. It’s the same argument most use to defend e-cigarettes. But because the Food and Drug Administration hasn’t taken a stance on them, no one really knows for sure. Those who use the devices swear by them, but health advocates are concerned.

Twyla Gutierrez said she began smoking when she was 10 and after smoking for 20 years now uses 14

PRIME \\ FEB. 2015

Twyla Gutierrez exhales some of the vapor as she sits in Smokeless CG Vapors, 808 8th St. Gutierrez used e-cigarettes to help quit smoking tobacco cigarettes. Joshua Polson/jpolson@greeleytribune.com

e-cigarettes as an alternative.

“It satisfies my need,” she said, “but my clothes don’t smell anymore, and my car doesn’t smell.”

Gutierrez also isn’t hooked on nicotine any longer. She worked her way down to a zero-nicotine cartridge and vapes, as it’s called, simply because she enjoys it.

However, Rachel Freeman, tobacco control program coordinator for the Weld County Department of Public Health and Environment, isn’t sold.

She said there are three main things

that bother her. They are not regulated, so every e-cigarette is different.

Emerging research shows that secondand even third-hand smoke from E-cigarettes does affect bystanders. And the growing perception from younger users that E-cigarettes are OK is not OK. The two businesses in Greeley won’t sell to anyone under 18.

“It is our job to prevent them from ever starting to use tobacco,” Freeman said of younger users. “But it is very appealing.”

Chris Gauman, owner of Smokeless CG Vapors, disagrees.

“No one has died from vapor,” Gauman said. “I’m tired of watching families bury their loved ones. The idea is to get off tobacco.”

Until there is more information available and the FDA weighs in, however, consumers will have to do their own research.

Ingredients in e-cigarettes » Propylene glycol — It is a bonding agent used in everything from brake fluid to food. It is produced by fermentation of yeast and carbohydrates. According to Drugs. com it is a commonly used drug solubilizer in topical, oral and injectable medications and has been used for more than 50 years. » Vegetable glycerin — It is what makes the vapor. It is also comes in various grades and is used in everything from antifreeze to vitamins.

It has a sweet taste when used in food. » Food flavoring — It is what is used to make the thousands of flavors available for the vapor. There are many different ways to make the additives. » Nicotine — It is the addictive chemical compound in tobacco. It is the additive that causes the buzz. In E-cigarettes it comes in levels of zero, three, six, 12, 18 and 24. A 12 is typical for a person who smokes one pack of cigarettes a day.

» E-cigarettes are appealing to youth and have the potential to attract youth to start using tobacco.

Types of e-cigarettes According to Electronic Cigarette Review, there are three basic types of e-cigs. There are also specialty E-cigarettes like those sold at the two Greeley stores, Smokeless CG Vapors and Vapor Core. » One-piece kits — It is the most convenient and usually the cheapest. It is a disposable cigarette and comes with a pre-charged battery and non-refillable nicotine cartridge.

» Two-piece kits — It comes with a rechargeable battery and a replaceable cartridge. The atomizer and nicotine cartridge are combined. An atomizer is the heating element that vaporizes the liquid to be inhaled. Users can switch flavors without using up a cartridge and switch back by unscrewing and screwing in a different cartridge. » Three-piece kits — It comes with a separate battery, atomizer and nicotine cartridge. The main benefit is nicotine cartridges can be topped-off before smoking.

Greeley City Council snuffs out e-cigs

The Greeley City Council voted 6-1 Jan. 20 to include electronic cigarettes in Greeley’s current anti-smoking ordinance, which in turn makes using the devices inside any business a misdemeanor criminal act, punishable by up to a $500 fine. However, the council may consider a measure that would allow use of e-cigarettes only in vapor bars.

“It is really kind of unknown,” said Mayor Pro Tem John Gates. “We wanted to get past this ordinance and not get the two co-mingled. I really don’t know if that part of the issue is dead.”

The positives Those in the vapor industry say: » E-cigarettes are healthier: The four ingredients do not contain cancercausing substances compared to the 4,000 chemicals in regular cigarettes. » E-cigarettes look, feel and taste like a regular cigarette, helping break the habit while tapering down nicotine content. » Non-flammable. » No smell.

Rows upon rows of flavors line the walls at Smokeless CG Vapors, 808 8th St. in downtown Greeley. The flavors range from ice creams to a peanut butter and jelly flavor. Joshua Polson/jpolson@greeleytribune.com

The negatives The Weld County Department of Public Health and Environment says: » E-cigarettes make it difficult for business owners and officials to enforce smoke-free laws. » Many e-cigarettes closely resemble marijuana vaporizers, which is odorless when vaporized. Some devices can be transformed to allow marijuana. » Some research shows exhaled E-cigarette vapor contains toxins and cancer causing chemicals that are then released into the air. » Some flavor components are not good for the lungs or upper airway tissue. » Third-hand exposure is possible from particles emitted from the vapor that settles on walls and within ventilation systems.

Dustin Barnett, co-owner of Vapor Core, builds a coil as part of an electronic cigarette at his store Wednesday in Greeley. SYDNEY HULSE\For The Tribune PRIME \\ FEB. 2015

15

The deadly truth about ‘healthy obesity’

By Esther J. Cepeda For Prime

Esther J. Cepeda Esther Cepeda is a columnist for the Washington Post Writer’s Group. Email her at estherjcepeda@washpost.com.

Follow her on Twitter, @estherjcepeda.

16

PRIME \\ FEB. 2015

CHICAGO — Here’s a cold dose of reality for people telling themselves that their extra pounds aren’t harming them: Contrary to 2013 research linking extra weight to a lowered risk of mortality, there’s really no such thing as “healthy obesity.”

In January of that year, the Journal of the American Medical Association published a survey of research that found people with a body mass index of 25 to 30 — considered overweight — have a 6 percent lower risk of death than people whose BMI is in the “normal” range of 18.5 to 25.

As you can imagine, warnings not to take that data as a license to overeat were roundly ignored and spurred by sensationalist news headlines that surely led countless New Year’s dieters to belly up to the table.

Findings published as a letter in this month’s Journal of the American College of Cardiology debunked the myth of “healthy obesity” by citing a 20-year study of individuals who at the beginning of the research period were obese but otherwise in good health.

Over the two decades, these people’s health degenerated. In the end, 51 percent of them were unhealthy and were almost eight times as likely to arrive at unhealthy obesity as the healthy, nonobese adults.

Joshua A. Bell, the study’s lead author, told The New York Times’ Well blog: “ ‘Healthy obesity’ is quite a misleading term. It sounds safe, but we know that it’s only healthy in a relative sense. The healthy obese become unhealthy and progress into the highest risk group. This is a real challenge to the idea that the obese can be healthy in the long term.”

Sadly, it’s not enough of a challenge that it’ll make a dent in the country’s apathy toward a state of health that the American Society of Clinical Oncology recently said could soon overcome tobacco as the leading preventable cause of cancer in the U.S. The identity politics around the issue always keep obesity just outside its proper realm of epidemiclevel public health crisis. The clashes pit individual liberties vs. nanny statism, and personal nutritional responsibility vs. predatory junk food marketing.

We have endless debates over evolving attitude about what is “beautiful.”

Alarming statistics about the number of adults, minorities, women, children and babies who are overweight or morbidly obese have failed to ignite interest that could lead to significant change. The same goes for evidence linking obesity to death.

Data released in August 2013 in the American Journal of Public Health suggested that obesity’s death toll on Americans is more than three times previous estimates and is associated with nearly one in five U.S. deaths. Using the Centers for Disease Control and Prevention’s number of 2.5 million mortalities in 2010, that comes to about half a million people annually.

But no one pays attention.

Is obesity too pedestrian? It doesn’t have the fictionalized TV-movie-of-the-week horror that helped get the American medical establishment to take special precautions against Ebola. Just for argument’s sake, let’s note that according to the CDC, 8,429 people have died from Ebola during the 2014 outbreak. Only two people have perished from Ebola in the United States.

This isn’t an irresponsible comparison. Obesity has been found to be socially transmissible — that is, friends, family, co-workers, peers and classmates influence individuals to eat or overeat certain foods in myriad ways.

Research has found that every person who isn’t obese has a 2 percent chance of becoming obese within a year because of their sedentary lifestyle and access to unhealthy foods. But it has been estimated that this number rises by 0.5 percent for every obese person they socialize with, meaning that knowing just four obese people can double a person’s risk of becoming obese.

While experts have proposed ideas to define obesity as a disease or a federally protected disability falling under the Americans with Disabilities Act, nothing has yet to “take,” even as a national discussion issue.

Perhaps we just don’t have enough concrete numbers to scare people into paying attention to the ravages of obesity.

For that we’ll need a movement to get the CDC to list obesity as an official cause of death and articulate clear guidelines for the medical establishment to start attributing morbidity to it.

If dread of a sick old age doesn’t get people’s attention about the risks of obesity, maybe fear of death will

the centennial area health education center By centennial area health education center staff and board members

t kindra mulch For further questions or inquiry, contact Kindra Mulch at hhskm@kitcarsoncounty.org.

he Centennial Area Health Education Center has been around for 30 years, hosting, sponsoring, and delivering all types of educational programs for a variety of audiences.

Like every business and organization going through ebbs and flows, one thing has remained constant for the Centennial Area Health Education Center, the board of directors. Many members have been committed to the agency representing various health and education audiences in which CAHEC targets programming efforts.

This month we would like to feature, Kindra Mulch, the director of Kit Carson County Health & Human Services. Kindra has served as a public health nurse and director of Kit Carson County Health & Human Services for more than 35 years. Her background as a public health nurse led her to become involved with CAHEC in the 1980s. Kindra was initially involved in the center’s continuing education services. Kindra recalls, “it was possible to travel to the metro area but the course offerings provided by CAHEC were relevant, culturally appropriate and timely.

Did I mention they were also affordable?”

This positive experience with CAHEC evolved into a board membership role, where she has devoted nearly 10 years in order to better represent the eastern frontier counties in the 10 northeast counties that comprise the CAHEC region. For those who know their geography you’ll recall that Kit Carson County borders Kansas, in the middle of the state north to south.

CAHEC continues to be a resource for professional development for health care providers while also serving as a conduit for engaging health care potential and current

students in direct learning opportunities in northeast Colorado. The pipeline opportunities have resulted in numerous homegrown professionals practicing and/or serving our communities.

Kit Carson County Health and Human Services has utilized CAHEC to write grants and serve as fiscal agent for direct services.

Direct services include oral health, nutrition, cooking classes, etc. There are often grant opportunities that a frontier county alone can’t compete for however when we put more than one county together options become available. CAHEC provides an essential tool in the health care system toolbox both in direct & indirect supports.

Public health nursing in Colorado is challenging to say the least. Part of Kindra’s responsibilities includes completing comprehensive community health assessments that result in identification of community health needs and development of strategic plans to address the unmet needs.

This entire process requires community engagement and often outside resources particularly in addressing the unmet needs.

Another way CAHEC serves the community is by filling this void.

Public health nurses in frontier communities are resourceful; they have neither time nor money to waste. Beyond that they just plain don’t abide by being wasteful of any resource. This is the same philosophy of CAHEC. When asked why she continues service to this board the answer is obvious.

The relationship with CAHEC is a partnership that’s strengthens both partners.

The commitment to continuous improvement is core to both our belief systems. When you find yourself in such a mutually beneficial relationship capacity to solve real problems and enhance quality of practice for the health care professionals results in improved health outcomes for the community. CAHEC serves as a linkage to services at University of Colorado Health Science Center, a real asset that provides critical resources to our frontier communities.

We hope this article continues to encourage you to learn more about CAHEC.

ADULT DAY CARE • Providing a break for the caregiver to regain strength • Giving their loved one an interesting day at Eldergarden

Sliding Scale Fee

970-353-5003 • www.eldergarden.org Present this coupon to receive a 5% discount on tuition.

The Best Idea You Possibly Never Heard!

HEALTH Events Calender Elegant Evening In Red, 5:30 p.m., Feb. 10, Embassy Suites, John Q. Hammons Event Center, 4705 Clydesdale Parkway, Loveland. “Stop Living Life Like an Emergency! Rescue Strategies for the Overworked and Overwhelmed” Don your red apparel, shoes or baubles and enjoy an evening of laughter, ladies and love. Dinner, music and speaker, Diane Sieg, will delight women of all ages. Based on Diane’s bestselling book, this is her most popular keynote to show you how to stay out of the emergency room of life! With humor injected stories from the emergency room, audiences come away from this upbeat and high energy program with a renewed energy and enthusiasm for self-care by learning how and why to say no; triage their daily activities; eliminate the energy drainers; use OPT (other people’s time and energy); eliminate excuses; and most importantly commit to action!

Learn more about Diane at www.DianeSieg.com Tickets are $25 and on sale until Feb. 1 at the NCMC Gift Shop, the McKee Medical Center Gift Shop, or by calling 970-203-6631. Please note that all ticket sales are final. No tickets will be available at the door.

Body Check... What you need to know: Head to Toe, Feb. 3 and Feb. 17 at Summit View Medical Commons, 2001 70th Ave. This head-totoe 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! This screening includes: health fair panel (fasting blood work, please fast 10-12 hours), sleep questionnaire, lung function test, body composition, weight and body mass index, hip and waist measurements, health education with a Wellness Specialist, EKG with results read by a board-certified cardiologist, peripheral arterial disease screening includes: education about peripheral vascular disease, stroke, stroke prevention and osteoporosis prevention, ankle brachial index, ultrasound of the carotid vessels, ultrasound of the aorta (above four screenings are read by a board–certified radiologist).

Upon request: colorectal take-home kit costs, $10 and prostate specific blood antigen screening cost $30, body check with colorectal takehome kit costs $185, body check with PSA costs $205, body check with a colorectal take-home kit and PSA costs $210. All results are sent to your personal physician and to you. The cost is $175 and payment is due at time of service. Please call (970) 350-6070 to schedule an appointment. Wellness services is not able to bill insurance.

PAD Screening (Peripheral Vascular Disease), 1-3 p.m., Feb. 3 and Feb. 17 at Summit View Medical Commons. NCMC’s Peripheral Vascular Disease Screening program offers the education and prevention proven to be the best tools for fighting vascular disease and stroke.

Patients receive: ankle brachial index, evaluation of leg circulation; carotid artery disease screening, ultrasound of the carotid vessels; abdominal aortic aneurysm screening, ultrasound of the aorta; lipid panel voucher; health education with a wellness specialist, health information packet. The cost is $100 and includes all four screenings. Payment will be due at the time of service, NCMC Wellness Services is not able to bill insurance. Call (970) 350-6070 to schedule an appointment.

Heartsaver CPR with AED, 6-8 p.m., Feb. 5, Windsor Recreation Center, 250 11th St., Windsor. Taught by the American Heart Association certified health care professionals, this class covers adult and infant/ child CPR, obstructed airway, Heimlich maneuver, and the use of a barrier device. Upon completion of the course, participants will receive a Heartsaver course completion card. The certification is valid for two years. Registration closes at noon, two days prior to class. The cost of the class is $48. Call (970) 674-3500 to register.

18

PRIME \\ FEB. 2015

Kid’s Yoga/Kid’s Cooking, 9-11 a.m., Feb. 6. Join us and have fun being healthy! This class will feature “Kid’s Valentine Yoga and Cooking.”

The class includes movement, dancing, and reducing stress through creative movement tied to books, memory, colors, breath work, and song. Learn to make tasty and healthy treats and snacks in our hands on cooking class. The cost is $10 for the first child, $5 per child after the first, if attending with the same adult. To register, please call (970) 350-6633.

CPR for Health Care Providers (Initial), 5-8:30 p.m., Feb. 9 at NCMC in Union Colony Room on the ground floor. This class is designed for licensed and non-licensed health care providers. Topics covered include: cardiopulmonary resuscitation, airway obstruction and rescue breathing for adult, children and infants. The certification is valid for two years. Registration closes at noon, two days prior to class. The cost of the class is $55. Your registration will be refunded minus $10 service charge. If you are absent from the class, you will be charged the full amount. Refunds will not be processed once classes have begun.

To register, please call (970) 350-6633. Please notify us one week in advance if you are unable to attend the class.

CPR for Health Care Providers Skills Check, Wellness Conference Room. This class is designed for licensed and non-licensed health care providers who need to re-certify through the American Heart Association. The certification is valid for two years. Renew your CPR certification by completing an online CPR module, which includes watching a video, reviewing content and an exam. When the online module is complete and a Course Completion Certificate is printed, call Wellness Services to schedule a skills check. Please bring a copy of the Course Completion Certificate with you. The fee is $50 plus the separate cost for the online course and can be paid online. The fee includes CPR for Healthcare Providers and skills check with a certified American Heart Association instructor. Payment due at the time of registration. If you are absent from the class, you will be charged the full amount. To register, please call (970) 350-6633.

Blood Tests, 7-8:45 a.m., Feb. 11 and Feb. 25 at NCMC via entrance No. 6 and Feb. 18 at Johnstown Family Physicians, 222 Johnstown Center Drive. Wellness Services offers low-cost blood screenings open to community members; some immunizations are also available upon request and availability. To schedule an appointment, call (970) 350-6633. Appointments preferred; please fast 12 hours prior to blood draw. The cost will vary and payment is due at time of service. NCMC Wellness Services will not bill insurance.

Cooking Classes, 6-7:30 p.m., Feb. 12, Cardiac Rehab Kitchen at NCMC. Come and learn a variety of fun and healthy cooking options.

These courses are taught by a registered dietitian and are a great way to modify your cooking habits and learn about heart healthy cooking.

Recipes and samples are included. This class will feature “Couple’s Class: Sushi for Two.” February is Heart Month. Celebrate by attending this couple’s class, where you can both experiment by making your own sushi and rice paper creations. Taught by Jeannie Pruett, NCMC culinary manager, and Mary Branom, R.D. The cost is $10 per class.

Payment will be due at the time of registration. If you are absent from the class, you will be charged the full amount. Please call (970) 3506633 to register.

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 Northern colorado allergy & asthma

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

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 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

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

CARDIAC vascular surgery

BONELL GOOD SAMARITAN

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

2404 17th Street Greeley, CO 80634 Phone: (970)351-6620

Columbine Commons

749 S. Lemay Avenue, Suite A1 Fort Collins, CO 80524 (970)221-5225

1475 Main Street Windsor, CO 80550 Phone: (970) 449-5540 www.columbinehealth.com GRACE POINTE

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

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

Miracle-Ear

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

Cardiac, Thoracic & Vascular surgery (NCMC)

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

CARDIOLOGY

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

PRIME \\ FEB. 2015

19

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 H, Suite 2 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

20

PRIME \\ FEB. 2015

Banner Health Clinic

Kenneth M. Olds

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

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

Banner health clinic

AllnutT & ResThaven Funeral services

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.

FUNERAL SERVICES 702 13th Street, Greeley, CO Phone: (970) 352-3366 650 W. Drake Road, Ft. Collins, CO Phone: (970) 482-3208 8426 S. College Avenue, Ft. Collins, CO Phone: (970) 667-0202 2100 N. Lincoln, Loveland, CO Phone: (970) 667-1121 1302 Graves Avenue, Estes Park, CO Phone: (970) 586-3101

gastroenterology

Family Physicians of Greeley, LLP-Cottonwood

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 Columbine Poudre Home Care

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

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.

Rehabilitation and Visiting Nurse Association

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

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.

North Colorado Gastroenterology (NCMC)

Touchstone home health

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

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

Hospice Hospice of northern colorado

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

Pathways hosPice

305 Carpenter Road Ft. Collins, CO 80550 Phone: (970)663-3500 Fax: (970)292-1085 www.pathways-care.org Email: info@pathways-care.org

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

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

columBine medical eQuiPment

1455 Main Street Windsor, CO 80550 (970) 460-9205 www.columbinehealth.com

mental health services

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

nePhroloGy Adult Mental Health & Addiction Services 1260 H Street • Greeley, CO 80631 970.347.2120 Child, Youth, & Family Mental Health & Addiction Services 1300 N. 17th Avenue • Greeley, CO 80631 970.347.2120 Counseling Center at West Greeley Children, Adult, & Family Counseling 7251 W. 20th Street, Building C Greeley, CO 80634 970.347.2123 Crisis Support Crisis Intervention, Care, and Detox Services 928 12th Street • Greeley, CO 80631 970.347.2120

Bonell Good samaritan

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

Greeley medical clinic

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

neuroloGy

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

columBine commons health & rehaB Facility

1475 Main Street Windsor, CO 80550 Phone: (970) 449-5541 www.columbinehealth.com

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 Banner health clinic

Fox run senior livinG

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

Banner Behavioral health

Dr. Patricia Al-Adsani, Child and Adolescent Psychiatry 5890 W. 13th Street #114 Greeley, CO 80634 (970) 392-5454

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

PRIME \\ FEB. 2015

21

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

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

22

PRIME \\ FEB. 2015

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

Columbine Commons health & rehab facility

1475 Main Street Windsor, CO 80550 Phone: (970) 449-5541 www.columbinehealth.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

respite/adult day care ELDERGARDEN Adult Day Care

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

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 Columbine Commons Health & Rehab Facility

1475 Main Street Windsor, CO 80550 Phone: (970) 449-5541 www.columbinehealth.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 Professionals: Lynne Jackowiak, M.S., CCC-SLP Julie Hanks, Ed.D Patty Walton, M.A., CCC-SLP

surGery General & trauma

What’s LOVE?

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

Taking care of yourself so you can be there.

veins

From wellness exams to complex conditions, UCHealth provides the most advanced health care in northern Colorado. Keeping you in the game since 1925.

vein clinic (ncmc)

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

PRIMARY CARE

Make an appointment.

970.286.7449 I uchealth.org/bethere