nc
August 2014
THRiVE » NORTHERN COLORADO WELLNESS
PUPPY
POWER
Complementary therapies aim to provide the best patient experience possible. Page 8.
» INSIDE: CURB BAD BREATH • WEST NILE’S UNPREDICTABILITY • AUGUST HEALTH EVENTS
2
n
HEALTH
THRIVENC
n
It’s what you don’t see that makes it so impressive.
When it comes to minimally invasive surgery, a smaller scar is just the start. For our patients it typically also means shorter hospital stays, and a faster recovery time. If you’ve been told you need surgery, there may be a minimally-invasive option available right here in the convenience of your hometown. Learn more and find a Banner Health Minimally Invasive Surgeon: www.BannerHealth.com/NCMCSmallScar • www.BannerHealth.com/McKeeSmallScar
North Colorado Medical Center McKee Medical Center Sterling Regional MedCenter
July 30, 2014
July 30, 2014
n
HEALTH
THRIVENC
DRIVE SMART WELD COUNTY
PARENTS PLAY KEY ROLE IN KEEPING KIDS SAFE DURING THE SUMMER
By Kelly Campbell For The Tribune
3
Just in case you missed a day... The Flu Can Be Tough! And old remedies don’t always work.
FOR THE TRIBUNE
Come Experience the difference!
Open 7 Days A Week; Extended Hours
34
10th St.
34 Loaf & Jug Gas
1-866-467-5230
Chili’s
38th Ave. Ct.
Kelly Campbell is the DRIVE SMART Weld County Coordinator.
Call Us & Skip The Waiting Room! ve. 39th A
» Restrict driving, especially when there’s no specific purpose for a trip. The teen crash rate is highest during the first year of driving, so parents should allow travel only with permission; » Limit the number of teens who can travel with a young motorist. That is likely to reduce the number of distractions — and leave it less likely a teen driver will take risky behaviors; » A teen driver is twice as likely to have a deadly crash at night, so restrict driving after dark unless a young driver is accompanied by an adult; » Practice driving with a teen even after they are licensed. That can help a young motorist understand what to do in a complex situation; » Be a role model. Other studies have shown that teens tend to emulate the driving behavior of their parents. More information on Drive Smart Weld County can be found at www. drivesmartweldcounty.com.
Polomar Dr.
Most people would assume that winter is a risky driving season for teen drivers, given the potential for ice and slick roads. But more teens die in car crashes during the summer months than any other season. Young drivers have three times the rate of fatal crashes as all motorists and the accident rate routinely spikes 26 percent during what AAA calls the “100 Deadliest Days” of the year. Parents can play a big role. Accident rates are measurably lower when teen have limits set on their driving privileges. During the summer months, teens are more carefree and excited to have the freedom to drive around. It’s imperative that parents help keep safety a top priority. There are more drivers on the road, in general, between the Memorial Day and Labor Day holidays, which only increase the risk to young, inexperienced drivers. And not only are teens more likely to be killed while behind the wheel, but they are also more likely to cause the death of others, whether they’re passengers, pedestrians or occupants of another vehicle. In fact, AAA says that each person who rides along with a 16- or 17-year-old driver is likely to lead to an “exponential” increase in the risk of a crash. Add one passenger under 21 and the risk of being killed jumps 44 percent. With two, it doubles, and it quadruples if there are three or more passengers on board under 21. That is a major reason why Colorado now issues graduated, first-time licenses that restrict the number of youths that a teen driver can travel with. The travel and highway organization issued suggested guidelines parents can follow to keep their teen drivers safe:
n
2928 W. 10 th St., Greeley, CO 80634
NextCareCO.com
1-866-467-5230 1011 39 Clinic Hours:
Mon-Fri: 8am - 8pm Sat-Sun: 8am - 4pm
th
t. hS
1t
1 W.
Avenue
Greeley, CO 80634 NextCareColorado.com Visit website for additional locations and hours:
CO_GreelyTribune_4C_0812.indd 1
.00 Flu
8/16/12 4:43 PM
4
n
HEALTH
THRIVENC
n
July 30, 2014
Hepatitis C a concern for older Americans By Ron Pollack
» Hepatitis C and the Affordable Care Act
For The Tribune
Hepatitis C is a disease that is caused by a virus that affects the liver. Even though the disease often doesn’t produce symptoms, it can seriously damage the liver and can be fatal. An estimated 3.2 million Americans have Hepatitis C. Older people are more likely to have been exposed to Hepatitis C, but many older Americans are not aware that they need to be tested for it. A December 2013 report found that Hepatitis C infections are
Thanks to the Affordable Care Act, hundreds of thousands of people with Hepatitis C have new access to treatment. All insurance must provide free screening for Hepatitis C for anyone born between 1945 and 1964. People with Hepatitis C cannot be turned down for insurance or discriminated against by an insurance company. Limits on out-of-pocket costs will make expensive treatment more affordable.
concentrated in the Baby Boomers generation (the report is available online at http://bit.ly/TTsXih). In another major study of people with the virus, 75 percent of the patients were born between 1945 and 1964. WHAT IS HEPATITIS C?
Hepatitis C is a
contagious liver disease that results from infection with the Hepatitis C virus, which is spread primarily through contact with the blood of an infected person. Hepatitis C ranges in severity from a mild illness that lasts a few weeks (referred to as an “acute” infection) to a
COLUMBINE COMMONS ASSISTED LIVING What is Assisted Living?
• 24-hour caregiver staff available to help your loved one remain independent as long as possible • Plan of care developed to meet your loved ones’ unique needs • LPNs to manage their medications • Chef-prepared breakfast, lunch, dinner, and snacks
When all of these needs are being met, your loved one will now have the time and energy to join in all of our wonderful activities and outings!
1475 Main Street, Windsor | 449-5540
www.columbinehealth.com
At Columbine, you're family.
serious, lifelong illness that can destroy the liver (referred to as a “chronic” infection). Most people with Hepatitis C do not have any immediate symptoms. However, 75 percent to 85 percent of people who are infected eventually develop a chronic infection. Chronic Hepatitis C is a serious disease that can result in long-term health problems, including liver damage, liver failure, liver cancer and even death. It is the leading cause of cirrhosis of the liver (liver scarring) and liver cancer and is the most common reason for liver transplants in the United States. About 15,000 people die every year from Hepatitis C-related liver disease. WHAT ARE THE SYMPTOMS OF CHRONIC HEPATITIS C?
Most people with chronic Hepatitis C do not have any symptoms, and they may not have symptoms until years later when they develop liver problems. In people with no symptoms, Hepatitis C is often detected during routine blood tests to measure liver function. Infected people who do develop symptoms
may experience the following: fatigue, joint pain, abdominal pain, loss of appetite, nausea, vomiting, fever, dark urine, light-colored stools, or yellowish eyes and skin (called jaundice). CAN A PERSON SPREAD HEPATITIS C WITHOUT HAVING SYMPTOMS?
Yes. Most people who are infected with Hepatitis C do not know they are infected because they do not look or feel sick. An infected person with no symptoms can spread the virus to others. Any activity that exchanges blood between two people can put a person at risk for exposure. Before 1992, Hepatitis C was commonly spread through blood transfusions and organ transplants. Widespread screening of the U.S. blood supply for Hepatitis C began in 1992. SHOULD I BE TESTED FOR HEPATITIS C?
Both the Centers for Disease Control and Prevention and the Preventive Services Task Force recommend screening for the Hepatitis C virus for people born between 1945 and 1964. Talk to your doctor about being tested for Hepatitis C if any of these apply to you: » You were born between 1945 and 1964. » You were treated for a blood-clotting problem before 1987. » You received a blood transfusion or organ transplant before July
1992. » You are on long-term hemodialysis treatment. » You have abnormal liver tests or liver disease. » You work in health care or public safety and were exposed to blood through a needle stick or other sharp object injury. » You have HIV. » You engaged in sex that could have caused bleeding. » You are a current or former injection drug user, even if you injected only one time or many years ago. CAN HEPATITIS C BE TREATED SUCCESSFULLY?
Yes. In about 25 percent of people, an acute infection clears up on its own without treatment. However, if acute hepatitis C is diagnosed, treatment reduces the risk that it will become a chronic infection. There are several medications that treat chronic Hepatitis C, including new treatments that appear to be more effective and have fewer side effects than previous options. The Food and Drug Administration keeps a list of approved treatments online at www.fda.gov/ForConsumers/ByAudience/ ForPatientAdvocates/ ucm151494.htm. However, treatment can be expensive. Clinical trials of new drug treatments may also be available. Ron Pollack is the executive director of Families USA.
July 30, 2014
n
HEALTH
THRIVENC
n
5
AUGUST HEALTH EVENTS « Aging Well, 9-11:30 a.m. Aug 5.-Sept. 9 in
great way to modify your cooking habits and learn about heart healthy cooking. Recipes and samples are included. All classes are held at North Colorado Medical Center in the Cardiac Rehab Kitchen. The cost is $10, unless otherwise noted. The class will be taught by Mary Branom, R.D. Please call (970) 350-6633 to register. Payment due at the time of registration. If you are absent from the class, you will be charged the full amount.
the Wellness Classroom, 315 11th Ave. No. C in Greeley. Weld County Area Agency on Aging offers a variety of Aging Well Self-Management classes such as: Be Well with Diabetes (living well with diabetes), Healthier Living (living with chronic conditions), A Matter of Balance (fall prevention) and Powerful Tools for Caregivers (self-care for family caregivers). Classes are offered at North Colorado Medical Center. For more information or to sign up please call: (970) 346-6950 ext. 6117. The classes are free but donations are accepted.
« Blood Tests, 7-8:45 a.m. Aug. 13, Aug. 27 and
« PAD Screening (Peripheral Vascular Dis-
ease), 1-3 p.m. Aug. 5 and Aug 19 at Summit View Medical Commons, 2001 70th Ave. 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, and health education with a Wellness Specialist and a health information packet. Cost: $100 (includes all four screenings). NCMC Wellness Services is not able to bill insurance. Payment is due at time of service. To register, call (970) 350-6070 to schedule an appointment.
FOR THE TRIBUNE
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, $10, prostate specific blood antigen screening, $30. Payment is due at the time of service. All results are sent to your personal physician and to you. For more information and to schedule an appointment call, (970) 350-6070.
« STAR support, 5:30-7 p.m. Aug.7 in NCMC Can- « CPR for Health Care Providers (Initial), cer Institute Conference Room. Support, touch and reach breast cancer survivors (Breast Cancer Support Group). For more information call Betty Parsons at (970) 339-7137.
« Body Check... What you need to know: Head
to Toe, by appointment Aug. 7 and Aug. 27 at Summit View Medical Commons, 2001 70th Ave. This head-to-toe health assessment gives you the tools to put your health first by receiving a comprehensive set of preventive health screenings. 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
5-8:30 p.m. Aug. 11 at NCMC in the Union Colony Room, 1801 16th St. 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. Please notify us one week in advance if you are unable to attend the class. Your registration will be refunded less a $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. The cost is $55. To register, please call (970) 350-6633.
« Cooking classes, “Shortcuts to Healthy Eating,” 6-7:30 p.m. Aug. 12 at NCMC in the Cardiac Rehab Kitchen. Come and learn a variety of fun and healthy cooking options. These courses are taught by a registered dietitian and are a
Aug. 20 at NCMC please enter through entrance 6, 1801 16th St. in Greeley and Johnstown on Aug. 20 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. Appointments preferred, please fast 12 hours prior to blood draw. NCMC will not bill insurance. To schedule an appointment, call (970) 350-6633.
« Spirit Passport to Health Community
Lecture “Palliative Care: to relieve suffering always,” 6:30-7:30 p.m. Sept. 8 at NCMC Auditorium, 1801 16th St. in Greeley. Learn how to navigate the terrain of serious illness and the role of Palliative Care — a new approach to medical care providing relief, comfort and support for individuals with serious disease or chronic illness and their families. Find answers to questions everyone wonders about, but are hesitant to ask. This lecture series is designed for men and women. Pre-registration is required. For more information, call (970) 392-2222 or email spirit.of.women@bannerhealth.com and for additional details coming soon, visit www. bannerhealth.com/NCMCspirit.
« CT Heart Score, 1-2 p.m. Monday-Friday at
NCMC, 1801 16th St. CT Heart Score provides a non-invasive test that accurately measures the amount of calcified plaque in the arteries. The procedure begins with a fast, painless computed tomography CT exam. CT, more commonly known as CAT scanning, uses X-rays and multiple detectors to create interior images of the heart. The Heart Score program includes a 10-minute consultation with a Wellness Specialist, focusing on cardiac risk factor education, identification of non-modifiable and modifiable risks and lifestyle behavior change options. Payment is due at the time of service. For more
information and to schedule an appointment call (970) 350-6070 to schedule an appointment. NCMC will not bill insurance cost values.
« CPR for Health Care Providers Skills Check,
call for an appointment. 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. There is a $50 fee for CPR for Healthcare Providers and this includes skills check with a certified American Heart Association instructor. Separate fee for online course, payable online. Payment due at the time of registration. If you are absent from the class, you will be charged the full amount.
« NCMC Adult Fitness, Cost per month is: $45
for individuals or $80 for a couple living in the same household. The Adult Fitness Program is available to people in the community who are interested in starting an exercise program in a health care setting. Call (970) 350-6204 for information.
« Walk with a Doc, Sept. 16 at Sanborn Park, 2031
28th Ave. Walk with a Doc is an international program where interested people meet at a park or public location (usually Saturday mornings) for an informal five-minute health talk, and a 30-minute walk (at your own pace). Families are encouraged to attend. There healthy snacks at the completion of the walk. Free blood pressure checks are available for those interested. Join us on the third Saturday of the month at Sanborn on the west side of the park. Upcoming walks are posted on the Walk with Doc website — WalkwithaDoc.org.
« Prostate Cancer Support Group, 5:30-7 p.m.
Aug. 21, in the NCMC Cancer Institute Conference Room. For further information please contact: Julianne Fritz at (970) 350-6567.
« Pulmonary Rehabilitation — Lung Disease Management, Education and Exercise. For more information contact (970) 350-6924.
6
n
HEALTH
UNVEILING THE TRUTH
n
July 30, 2014
A number of factors make West Nile virus disease unpredictable By Jason Webb For The Tribune
Two of the three mosquito-testing zones in Weld County have tested positive for West Nile virus, according to the Weld County Department of Public Health and Environment. This early detection does not necessarily mean that 2014 will reach the infection levels of 2003 when 408 cases of West Nile were reported. Last year, the first human case was reported on July 3. In total, the Colorado Department of Public Health and Environment reported 320 total cases in the state — 89 of which were in Larimer County and 43 in Weld. “The problem with West
Nile is the unpredictability,” said Dr. Jack Breen, an infectious diseases expert at North Colorado Medical Center. “It depends on the amount of infected mosquitoes, infected birds and standing water.” Breen said that, even if a person is infected, he or she may not show signs of the infection. Centers for Disease Control and Prevention statistics show that about 20 percent of people infected will have some symptoms. Symptoms for the mild form of West Nile include fever, headache, body aches, joint pain, vomiting, diarrhea, rash or fatigue. The fatigue and weakness can last for months, according to the CDC. “Some people may show
FOR THE TRIBUNE
no signs at all,” Breen said. “However, a very small percentage, about 1 percent, of people infected will develop neurological symptoms.” Those neurological symptoms include encephalitis, an inflammation of the brain, or meningitis, an inflammation of the protective layers of the brain and spinal cord. It can also include disori-
entation, coma, tremors, seizures or paralysis. Severe cases of the virus may leave patients with permanent neurologic effects. The CDC also notes that roughly 10 percent of people with severe infections die. Of the 2,469 cases reported nationwide in 2013, the CDC states there were 119 deaths. Blood tests are used to determine if someone is
infected with West Nile. If the blood test shows a positive infection, treatment is focused on relieving the symptoms. “In severe, cases where a patient has lasting neurologic effects, rehab may be necessary,” Breen said. There is no cure or vaccination for West Nile virus, so the best way to avoid it is to avoid mosquito bites. Breen recom-
mends remembering dusk, dawn and DEET to help you stay safe from bites. Dusk and dawn are when mosquitoes are most active, which is why experts recommend staying indoors or wearing clothes that cover more skin. DEET, an ingredient in some insect repellents, has been found to be effective in deterring mosquitoes when used as directed. Other ingredients found in insect repellent that may be effective include picaridin, IR3535 and some oil of lemon eucalyptus and para-menthane-diol. Experts also recommend spraying a repellent containing permethrin over clothes can keep mosquitoes from biting through thinner materials, but it should never be applied directly to the skin. Another suggestion is mosquito-proofing your home by ensuring all screens are in good shape and emptying all standing water around your house. Also, by using air conditioning, you can leave your windows shut and keep the mosquitoes outside. “There is a myth that if you’re infected once you don’t have to worry about getting West Nile again,” Breen said. “That’s simply not true.” Remember, it just takes a little precaution to keep you and your family safe. Jason Webb is a public relations specialist for Banner Health.
July 30, 2014
n
HEALTH
n
7
PUPPY POWER 8
n
HEALTH
D
THRIVENC
n
July 30, 2014
By Casey Kelly ckelly@greeleytribune.com
octors and their patients are turning to unique therapies that aim to fill in the gaps of a patient’s well-being, oftentimes coupled with conventional treatments, to provide the best possible experience for patients. According to the National Center for Complementary and Alternative Medicine, part of the U.S. Department of Health and Human Services, nearly 40 percent of Americans use health care approaches that fall outside of conventional medicine. These may include meditation, massage, aromatherapy, acupuncture, pet therapy and others that medical professionals say can help improve a patient’s health and well-being. While some people may be familiar with these therapies as alternative medicine, the health care field has embraced some of these treatments as complementary medicine, meaning that patients use the non-conventional approach together with conventional therapies. “I see complementary medicine as things like massage, aromatherapy, meditation — things that add on to the health benefits of standard or modern care,” said Doug Kemme, a medical oncologist for University of Colorado Health Cancer Care and Hematology in Greeley. “Alternative care, in my mind is more things that we really don’t have evidence for. I always try to deliver care that has some scientific basis.” For patients who are in the hospital, especially for prolonged periods of time, Kemme said, it is important that doctors not only treat a patient’s physical ailment, but also for their overall physical comfort and emotional well-being. “It’s not enough just to prescribe the right medicine and deliver the right chemotherapy,” Kemme said. “You have to look at the whole person from all angles. If you pay attention to that, you have a much better outcome for your patient.” THERAPY DOGS
For the past 12 years, the therapy dog program — also knows as the WAGS (Wonderful Animals Giving Support) team — has taken the dogs
on rounds through North Colorado Medical Center to visit patients. “We let the handler and the dog decide where they go,” said Leslie Exner, director of volunteers for NCMC. “Some dogs prefer pediatrics. Some dogs prefer oncology.” The handlers will often ask nurses if they have a particular patient that they’d like the dog to visit, Exner said. Sometimes a doctor may order a therapy dog visit for one of their patients because of the calming effect the animals have on the patients, she said. “There was one patient with dysphasia, meaning they couldn’t speak, after having a stroke,” Exner said. “The dog went in and snuggled up with the patient and the patient started petting the dog and said ‘everything is going to be OK.’” About 12 dogs and their handlers have gone through the certification process to make sure they have the right personality and disposition for the program. “You can sit and watch on heart-rate monitors drop down when a patient is petting a dog,” Exner said. “Especially for patients that are animal lovers, having a dog here really helps. They end up pouring their heart out to the dog.”
ABOVE, MOLLY, AN OLD ENGLISH sheepdog, explores the room briefly while visitin earlier this month in Greeley. Molly is part of the WAGS team (Wonderful Animals Giving Su 12 years at NCMC. AT RIGHT, Mike Wilson walks with Molly through the halls of NCMC. Exner said when she wanted to start the program 12 years ago, she thought she would have a tough time convincing the hospital it was a worthwhile program. However, she said the program was received with open arms and has become so successful that the hospital
has more patients wanting visits from the therapy dogs than they can provide. “Is it taking the place of therapy? No, but it’s an enhancement to a patient’s experience, and that means a lot,” Exner said. “I get letters from patients that say it was the highlight of their stay.”
AROMATHERAPY
Linsy Glassman, cialist for the med NCMC, has led the gram at the hospit years. The therapy uses
R
July 30, 2014
n
HEALTH
THRIVENC
n
9
Complementary support — including pet therapy — aims to provide the best patient experience possible pital, they are asked if they are interested in aromatherapy services. If so, a nurse is able to offer a hand or foot massage with the essential oils, or provide a bowl to release the fragrance of the oils in a patient’s room. “We really use this as complementary therapy,” Glassman said. “We’re not going to replace pain medication with essential oils for pain. It’s always as an adjunct. We’re just doing whatever we can for the patient to make them happy and satisfied.” She said patients who use the therapy often report that it worked well for them, alleviating whatever ailment for which they were using the oil. She also said patients report lower pain and anxiety after the therapy. “They are used a lot in pre- and post-surgery areas,” Glassman said. “It’s both physical and psychological. It helps that it feels like the nurse is going above and beyond and the patient feels comforted at their bedside.” HYPNOSIS
PHOTOS BY JOSHUA POLSON/jpolson@greeleytribune.com
ng Monte Sprague at North Colorado Medical Center upport), a program that has been helping patients for
, clinical nurse spedical service line at aromatherapy protal for about three
s essential oils from
plants to enhance a patient’s sense of well-being. The hospital uses five Banner Health-approved essential oil blends that are each formulated for a different ailment: anxiety, pain, insomnia, nausea and drowsiness. When a patient comes in to the hos-
Licensed professional counselor Sandi Squicquero offers medical hypnosis and psychotherapy services at the Medical Hypnosis and Counseling Center, 1180 Main St., Suite 5B in Windsor. Her patients come to her for help in many areas, including smoking cessation, weight loss, stress and pain management, depression and grief counseling. Squicquero said her program ties psychotherapy and hypnosis together, which she said allows her to better treat her patients. She said she boasts an 85 percent success rate in her work helping patients to quit smoking and a 60 percent to 70 percent success rate for her weight-loss patients. “Hypnosis is the best resort for some types of problems, but it’s often the last because people think of stage hypnosis and don’t see its value,” Squicquero said. “What I do is medical hypnosis — working around psychological and
» Want to learn more about pet therapy? For more information about Banner Health’s pet therapy program, including how to apply to have your pet be a therapy dog, go to http://www.bannerhealth.com/Locations/Colorado/North+Colorado+Medical+Center/Programs+and+Services/Integrative+Therapy/Pet+Therapy.htm.
» Want to learn more about aromatherapy? For more information about Banner Health’s aromatherapy program, go to http://www.bannerhealth.com/Locations/Colorado/North+Colorado+Medical+Center/Programs+and+Services/Integrative+Therapy/Aromatherapy.htm.
» Interested in hypnosis? Medical Hypnosis and Counseling Center is located at 1180 Main St., Suite 5B in Windsor. For more information, call (970) 674-0191 or go to http://www.medhypnosis1.com.
» Interested in meditation? For more information about Terese Shanley’s private mediation instruction, call Poudre Valley Medical Fitness at (970) 674-6500.
medical problems.” Squicquero said therapeutic hypnosis is directed toward specific goals and follows the medical model of treatment. She said she works with her clients on specific issues over a number of sessions, each building on the last. “Hypnosis is repetitive,” she said. The National Center for Complementary and Alternative Medicine has said hypnosis has been studied for a number of clinical uses including anxiety before a procedure, headaches, smoking cessation, pain control, hot flashes in breast cancer survivors and irritable bowel syndrome. MEDITATION
Terese Shanley, a registered nurse for 26 years, teaches a yoga class and offers private instruction in meditation at Poudre Valley Medical Fitness Center in Windsor. She said meditation helps decrease stress, heart rate and blood pressure, as well as help with mental focus. There
are many different forms of meditation and Shanley said she peppers in bits of lots of those into her classes and finds out what resonates with a particular student. “A lot of people come to me because they don’t know how to balance their life,” Shanley said. “Some people are getting help with big medical issues that they need help with, but they’re needing help learning how to deal with their illness.” National Center for Complementary and Alternative Medicine studies have looked at meditation to relieve stress in caregivers for elderly patients with dementia, reduce the frequency and intensity of hot flashes in menopausal women, relieve symptoms of chronic back pain, improve attention-related abilities and relieve asthma symptoms. “I think the medical community is understanding that a more holistic approach can be kinder and gentler for patients, and it helps the physicians because it helps their patients,” she said.
10
n
HEALTH
THRIVENC
n
July 30, 2014
Health education center is here to serve By Marc Ringel For The Tribune
“Orthopedic shoes.” That’s about how sexy I think “Centennial Area Health Education Center” sounds. Have you heard of it? I’m going to tell you what CAHEC is and what it does, which explains why I’ve been affiliated for more than 20 years, the last seven of them on the board of directors. I expect you’ll agree that this organization is vitally important, sexy name or not. The Area Health Education Center Program was created by Congress in 1971 to recruit, train and retain a health professions workforce committed to underserved populations. They still operate in most every state, including in Colorado, where the program began in 1977. Centenni-
al Area Health Education Center is one of six Colorado regions. We serve 10 counties in northeast Colorado, which, by anybody’s measure, contain many underserved communities. CAHEC’s mission has remained constant over its 37 years of existence. How it’s pursued that mission has changed over Ringel time. We still bring education to health professionals. In last month’s Thrive you read about our nationally known nurse educator conference. We offer some courses out in the territory, too. But in these days of electronic media, we tend to deliver most of our educational offerings via the Internet rather than face-to-face.
Students of pharmacy, nursing, dentistry, medicine and physical therapy depend on practitioners in our region to be their teachers. Their schools, mostly in Colorado, need what we in the provinces have to offer: a loyal patient population with practitioners who know their patients exceptionally well because they share the same community. These rotations, which can last up to three months, provide the sort of real world, nuts-and-bolts approach to health care that is hard to come by in the ivory tower. CAHEC sees to the housing and other needs of students who choose to train in our region. We are moving to provide much more, seeking to enrich trainees’ experience with local mentors and such. Getting students to experience the practice and to taste the life of a community is one of
the best ways to lure them back to work and live there. Another way to develop local professionals is based on the old silk purse/sow’s ear principle, “You can’t make a silk purse of a sow’s ear, unless you start out with a silk sow.” Kids who grow up in these underserved communities are the proverbial silk sows, people who already belong and, if encouraged, supported and nurtured in their careers, will come back to work there. CAHEC has a slew of pipeline programs, starting with grade school kids who get to learn about the human body from local professionals and going all the way up through high school, where we support health career counseling and summer-long internships at the University of Colorado Health Sciences Campus in Aurora. Thanks to fundraising efforts tied
to the annual Nightingale Nursing Award, we also provide health science scholarships. CAHEC is constantly looking for ways to engage with the communities we serve. We count a host of hospital and nursing home administrators, nurses, doctors, other health professionals, educators and just plain folks among our friends and supporters. To participate all you need is a passion for improving the health care in your community. Please contact us via our website: http:// www.cahec.org/ or call (970) 330-3608. We’d love to hear your ideas and, better yet, enlist you in making everyone’s vision of a healthier northeast Colorado happen. Dr. Mark Ringel is a board member for the Centennial Area Health Education Center.
Genetic mapping triggers new hope on schizophrenia Associated Press
Scientists have linked more than 100 spots in our DNA to the risk of developing schizophrenia, casting light on the mystery of what makes the disease tick. Such work could eventually point to new treatments, although they are many years away. Already, the new results provide the first hard genetic evidence to bolster a theory connecting the immune system to the disease. More than 100 researchers from around the world collaborated in the biggest-ever genomic mapping of schizophrenia, for which scientists had
WASHINGTON —
previously uncovered only about a couple of dozen risk-related genes. The study included the genetic codes of more than 150,000 people — nearly 37,000 of them diagnosed with the disease. Researchers found 108 genetic markers for risk of getting the disease, 83 of them not previously reported. And scientists say there are still likely more to be found. “It’s a genetic revelation; schizophrenia has been a mystery,” said study co-author Steve McCarroll, director of genetics for the Broad Institute of MIT and Harvard. “Results like this give you things to work on. It takes it out of the zone of guesses about which genes are relevant.”
The results were released Monday by the journal Nature. It takes large studies to ferret out genes related to schizophrenia risk because each gene generally has only a
part, and this work further confirms that. The results are a “big step” toward finding drug therapies, said study lead author Dr. Michael O’Donovan, deputy direc-
“
This makes me more optimistic than I was yesterday.
— DR. THOMAS SUMMERGRAD, American Psychiatric Association president
very weak effect. Schizophrenia is a debilitating mental disorder that makes it hard to tell the difference between what is real and not real, and affects about one out of every 100 people. Studies estimate that it costs $60 billion in the U.S. each year. Scientists have long known that genes play a
tor of the MRC Centre for Neuropsychiatric Genetics and Genomics at Cardiff University School of Medicine in Wales. While 108 genetic markers are a lot, the study authors say they tend to implicate a narrower group of biological functions, giving some but not too many hints for scientists to pursue.
“It’s a map or maze. It’s telling you were to start, it’s not telling you where to end,” O’Donovan said. Scientists who didn’t work on the study were excited by the possibilities it opens up. “This makes me more optimistic than I was yesterday,” said American Psychiatric Association president Dr. Thomas Summergrad, psychiatrist-in-chief at Tufts Medical Center. Dr. Thomas Insel, director of the National Institute of Mental Health, which funded the work, said the study provides useful hints about the biology of the disease, especially the link to the immune system.
“This really is a big step forward,” Insel said. “It’s not an answer; it’s a step forward toward an answer.” Scientists already knew that families with autoimmune disorders tend to have higher rates of schizophrenia, and there’s been a link between certain viral infections in the second trimester of pregnancy and higher rates of schizophrenia in offspring, Insel said. With the new work, “now it’s very clear that there’s something going in the immune system” with schizophrenia, said Eric Lander, founding director of the Broad Institute, which was heavily involved in the research.
July 30, 2014
n
HEALTH
THRIVENC
n
11
KNOW MORE YOUR MEDICARE SUPPLEMENTAL COVERAGE OPTIONS By Ron Pollack
WHAT ARE MEDIGAP PLANS?
For The Tribune
Medigap plans work with original Medicare and pay costs that are left over after Medicare has paid what it covers. Depending on the plan, they pay for some amount of Medicare’s deductibles and co-insurance. They do not usually offer additional services, so they will not pay for an item or service that Medicare does not cover. For example, they do not cover prescription drugs, so most people with original Medicare and a Medigap plan also buy a Part D plan. Medigap plans are sold by private insurance companies. These plans come in several different categories, each designated by a letter: For example, “Medigap Plan F.” Every plan with the same letter must offer the same benefits, so it is easy to compare plans from different insurers. In addition, these plans have to follow state and federal rules.
M
edicare health coverage is fairly comprehensive. But if you need a lot of care, Medicare can leave you with significant outof-pocket costs. That’s why most people have some kind of supplemental insurance to help cover the costs that Medicare doesn’t. Choosing a supplemental plan that makes sense for you is not always easy. Here are some tips that will help.
WHAT ARE THE TYPES OF SUPPLEMENTAL COVERAGE?
About a third of people with Medicare have supplemental insurance from a former employer. If you are lucky enough to have this type of coverage, it is probably your best option. Be careful if you ever decide to drop it — you may not be able to get it back. People with low incomes may qualify for their state’s Medicaid program (and other related programs) that cover Medicare premiums and prescription drug costs. If you don’t fall into these categories, you may want to consider buying either a private Medicare supplement plan (often called “Medigap”) or a Medicare Advantage plan. Both options have advantages and disadvantages, and you should do careful research before selecting one or deciding to change your current coverage.
WHAT ARE MEDICARE ADVANTAGE PLANS?
Medicare Advantage plans are different from Medigap plans. Medicare Advantage plans are run by private insurers that contract with Medicare to provide all Medicare benefits. Many of these plans include prescription drug coverage, and some plans also offer extra services that are not covered by traditional Medicare. Medicare Advantage plans usually have provider networks that limit which doctors and hospitals you can go to. Medicare Advantage plans also have
» How can I get more information? Anyone with Medicare can get help from a local counselor through their State Health Insurance Assistance Program (SHIP). Call 1-800-MEDICARE and ask for a referral to your local SHIP, or go to www.Medicare.gov and click on “Find someone to talk to.”
rules about what you will have to pay out of pocket that differ from the rules for traditional Medicare. Sometimes these rules are beneficial and can protect you from high out-of-pocket costs. For example, a Medicare Advantage plan may have a low copayment for office visits. But sometimes you may pay more for a service if you have a Medicare Advantage plan compared to traditional Medicare. WHAT FACTORS SHOULD I CONSIDER IF I’M DECIDING BETWEEN BUYING A MEDIGAP PLAN AND A MEDICARE ADVANTAGE PLAN?
There is no insurance that is right for everyone. Here are some key factors to consider: » Medicare Advantage premiums may be more affordable than Medigap premiums. » Medigap may offer better protection against high out-of-pocket costs (deductibles, copayments, and co-insurance) than Medicare Advantage. » Medicare Advantage plans may offer extra services not covered by Medicare. » Medicare Advantage plans can change what services they cover every year. Medigap plans usually do not
change what they cover, but they can, and do, raise premiums. » Medicare Advantage may limit your choice of doctors to a particular network and may require you to get a referral from your primary care doctor to see a specialist. Medigap will not. One key concern is that in many states, Medigap premiums can increase as you get older. And if you decide to drop your Medigap plan, you may have to pay a much higher premium to get that plan back in the future — if you can get it back at all. So be careful about making any changes to your Medigap coverage. WHEN CAN I ENROLL?
Normally, you can enroll in a Medicare Advantage plan only during Medicare’s annual open enrollment period, which runs from Oct. 15 to Dec. 7. Once you pick a Medicare Advantage plan, you must stick with it for the whole year (unless you qualify for a special enrollment period). Sign-up periods for Medigap plans vary from state to state. Ron Pollack is the executive director of Families USA.
TO ADVERTISE IN THIS SECTION PLEASE CONTACT YOUR SALES REPRESENTATIVE 970.352.0211 greeleytribune.com
mywindsornow.com
12
n
HEALTH
THRIVENC
TRiBUNE MEDiCAL DiRECTORY 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
WESTLAKE FAMILY PHYSICIANS, PC 5623 W. 19th Street Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 Professionals: Richard Budensiek, DO; Janis McCall, MD; Frank Morgan, MD; Jacqueline Bearden, MD; Angela Mill, MD Website: www.bannerhealth.com
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 Web Site: 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 Web Site: 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
COLUMBINE COMMONS
BALANCE
LIFE CARE CENTER OF GREELEY- ASCENT 4800 25th Street Greeley, CO 80634 Phone: (970)330-6400 Professionals: Cozette Seaver, PT; Leslie Vail, PT
CARDIAC VASCULAR SURGERY
1475 Main Street Windsor, CO 80550 Phone: (970) 449-5540 Web Site: www.columbinehealth.com
GRACE POINTE
1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com
HEART FAILURE CLINIC (NCMC) DENTISTRY
5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 Web Site: www.meadowviewofgreeley.com
ASCENT FAMILY DENTAL Scott Williams, DMD 3535 W. 12th Street, Suite B Greeley, CO 80634 Phone: (970)351-6095 www.dentalgreeley.com
THE BRIDGE ASSISTED LIVING 4750 25th Street Greeley, CO 80634 Phone: (970)339-0022
JULIE KAVANAUGH, D.D.S.
AUDIOLOGY 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 Web Site: www.allabouthearing.com Professionals: Renita Boesiger, M. A., CCC-A Rachel White, M. A., CCC-A Cheryl Hadlock, M. S., CCC-A
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 Web Site: 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
1800 15th Street, #310 Greeley, CO 80631 Phone: (970) 392-0900 Professionals: James H. Beckmann, MD; Harold L. Chapel, MD; John Drury, MD; Lin-Wang Dong, MD; Cynthia L. Gryboski, MD; Cecilia Hirsch, MD; Paul G. Hurst, MD; Brian Lyle, MD; Randall C. Marsh, MD; Arnold Pfahnl, MD; James E. Quillen, MD; Gary A. Rath, MD; Shane Rowan, MD; Ahmad Shihabi, MD; Stephen Zumbrun, MD (970) 350-6953 Missy Jensen, FNP-C
MEADOWVIEW OF GREELEY
ALPINE ALL ABOUT HEARING
CARDIOVASCULAR INSTITUTE (NCMC)
CARDIAC, THORACIC & VASCULAR SURGERY (NCMC) 1800 15th Street, Suite 340 Greeley, CO 80631 Phone: (970)378-4593 Fax: (970)378-4391 Professionals: Lyons, Maurice I. Jr. DO Richards, Kenneth M. MD Tullis, Gene E. MD
CARDIOLOGY
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 Professionals: Nirmala Kumar, MD Kimberly Rieniets, MD Corinn Sadler, MD
FAMILY PRACTICE MEDICINE
BANNER HEALTH CLINIC 1300 Main Street Windsor, CO 80550 Phone: 970-686-5646 Fax: 970-686-5118 Providers: Jonathan Kary, M.D. Trina Kessinger, M.D. Anthony Doft, M.D.
BANNER HEALTH CLINIC
100 S. Cherry Ave., Suite 1 Eaton, CO 80615 Phone: (970)454-3838 Professionals: Marianne Lyons, DO Lance Barker, DO, Internal Medicine
n
July 30, 2014
2014 BANNER HEALTH CLINIC
222 Johnstown Center Drive Johnstown, CO 80534 Phone: (970)587-4974 Professionals: Cara Brown, MD J.Matthew Brown, MD Joseph Gregory, MD Courtney Isley, MD Stephen Kalt, MD, Internal Medicine Thomas Kenigsberg, MD
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.
FAMILY PHYSICIANS OF GREELEY, LLP-COTTONWOOD 2420 W 16th Street Greeley, CO 80634 (970) 353-7668 Fax:970-353-2801 Professionals: Stacey L. Garber, M.D. Amy E. Mattox, M.D. Christopher T. Kennedy, M.D. Daniel P. Pflieger, M.D. Mark D. Young, M.D.
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.
KENNETH M. OLDS
6801 W. 20th Street, Suite 208 Greeley ,CO 80634 Phone: (970)330-9061
WESTLAKE FAMILY PHYSICIANS, PC 5623 W. 19th Street, Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 Professionals: Richard Budensiek, D.O.; Jacqueline Bearden, MD; Tong Jing, MD; Janis McCall, MD; Frank Morgan, MD; David Puls, D.O. www.bannerhealth.com
July 30, 2014
n
HEALTH
THRIVENC
TRiBUNE MEDiCAL DiRECTORY DiRECTORY TRiBUNE MEDiCAL FUNERAL SERVICES
ALLNUTT & RESTHAVEN 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
HEALTH AND FITNESS
INDEPENDENT ASSISTED LIVING W/SERVICES
WORK OUT WEST
NCMC - BEHAVIORAL HEALTH
Health & Recreation Campus 5701 W. 20th Street, Greeley, CO 80634 Phone: 970-330-9691 www.workoutwest.com
Dr Patricia Al-Adsani, Child and Adolescent Psychiatry Banner Health Clinic-Internal Medicine 2010 16th Street, Suite C, Greeley, CO 80631 Banner Health Clinic- Windsor 1300 Main Street, Windsor, CO 80550
HOME HEALTH CARE
Shawn Crawford, LPC Banner Health Clinic 222 Johnstown Center Dr., Johnstown, CO 80534 Banner Health Clinic-Internal Medicine 2010 16th Street, Suite C Greeley, CO 80631
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 Web Site: www.columbinehealth.com/bloom 1455 Main Street Windsor, CO 80550 Phone: (970) 460-9200 Web Site: www.columbinehealth.com
2105 Clubhouse Drive Greeley, CO 80634 Phone: (970) 330-5655 Fax: (970) 330-7146 Web Site: www.rvna.info Professionals: Crystal Day, CEO
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 Website: www.digestive-health.net
NORTH COLORADO GASTROENTEROLOGY (NCMC) 2010 16th Street, Ste. A Greeley, CO 80631 Phone: (970)378-4475 Fax: (970)378-4429 Professionals: Tong Jing, MD Mark Rosenblatt, MD Ahmed M. Sherif, MD Yazan Abu Qwaider, MD
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 Web Site: www.pathways-care.org Email: info@pathways-care.org
INDEPENDENT ASSISTED LIVING
GRACE POINTE
1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 Website: www.gracepointegreeley.com
MEADOWVIEW OF GREELEY
5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 Website: www.meadowviewofgreeley.com
NEPHROLOGY
GREELEY MEDICAL CLINIC
1900 16th Street, Greeley, CO 80631 Phone: (970) 350-2438 Professionals: Donal Rademacher, MD
NEUROLOGY
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
COLUMBINE POUDRE HOME CARE
REHABILITATION AND VISITING NURSE ASSOCIATION
MENTAL HEALTH SERVICES
2010 2014
BONELL GOOD SAMARITAN 708 22nd Street Greeley, CO 80631 Phone: (970)352-6082 Fax: (970)356-7970 Web Site: www.good-sam.com
FOX RUN SENIOR LIVING 1720 60th Avenue Greeley, CO 80634 Phone: (970)353-7773 Fax: (970)330-9708 Web Site: 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 Professionals: Danielle Doro, MD Giovanna Garcia, MD
MEDICAL EQUIPMENT & SUPPLIES
BANNER HOME MEDICAL EQUIPMENT (NCMC) Phone: (970)506-6420
COLUMBINE MEDICAL EQUIPMENT 1455 Main Street Windsor, CO 80550 (970) 460-9205 Web Site: www.columbinehealth.com
Elise Pugh, LPC Banner Health Clinic Westlake 5623 W 19th St, Greeley CO 80631 Banner Health Clinic 1300 Main Street Windsor, CO 80550 Susan Goodrich, 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 303 Colland Drive, Fossil Creek Fort Collins, CO 80525
NORTH RANGE BEHAVIORAL HEALTH ADULT SERVICES 1306 11th Avenue & 1260 H Street Greeley, CO 80631 970-347-2120
CHILD, YOUTH, AND FAMILY SERVICES 1300 N. 17th Avenue Greeley, CO 80631 970-347-2120 COUNSELING CENTER AT WEST GREELEY 7251 W. 20th Street, Building C Greeley, CO 80631 970-347-2123 CRISIS STABILIZATION SERVICES 1130 M Street Greeley, CO 80631 970-347-2120 FT. LUPTON PROGRAM 145 1st Street Fort Lupton, CO 80621 303-857-2723 SUICIDE EDUCATION & SUPPORT SERVICES (SESS) 2350 3rd Street Road Greeley, CO 80631 970-347-2120
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 Professionals: Barbara Hager, MD Todd Hayes, DO William Shaffer, MD Christy Young, MD
n
13
14
n
HEALTH
THRIVENC
TRiBUNE MEDiCAL DiRECTORY NEURO-SURGERY BRAIN & SPINE
BANNER HEALTH NEUROSURGERY CLINIC 1800 15th St., Suite 130 Greeley, CO 80631 Phone: (970)350-5996 Professionals: David Blatt, MD Beth Gibbons, MD
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 Web Site: www.columbinehealth.com
OBSTETRICS & GYNECOLOGY
OPTOMETRY
FOX HILL VISION CLINIC
2001 46th Avenue Greeley, CO 80634 (970) 330-7070 Professionals: Dr. Nancy Smith, OD Dr. Tarry Harvey, OD Website: www.foxhillvision.com
ORTHODONTICS
GREELEY ORTHODONTIC CENTER
BANNER HEALTH OB/GYN CLINIC 2410 W. 16th Street Greeley, CO 80634 Phone: (970)352-6353 Professionals: Neil Allen, MD Laurie Berdahl, MD
WESTLAKE FAMILY PHYSICIANS, PC 5623 W. 19th Street Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 Professionals: Jacqueline Bearden, MD; Richard Budensiek, D.O.; Janis McCall, MD; Frank Morgan, MD; David Pols, D.O. www.bannerhealth.com
ONCOLOGY & HEMATOLOGY
CANCER INSTITUTE (NCMC) 1800 15th Street, Greeley, CO 80631 Phone: (970) 350-6680 Toll Free (866) 357-9276 Fax: (970)350-6610 Professionals: Jeffrey Albert, MD Elizabeth Ceilley, MD Brian Fuller, MD Benjamin George, MD Samuel Shelanski, MD Kerry Williams-Wuch, MD Alice Wood, MD Ariel Soriano, MD
BANNER REHABILITATION CENTER 1801 16th Street, Greeley, CO Phone: (970)350-6160 Fax: (970)378-3858
PERSONAL RESPONSE SERVICE
BANNER LIFE LINE (NCMC)
2010 16th Street, Suite C, Greeley, CO 80631 Phone: 1-877-493-8109 (970) 378-4743
2021 Clubhouse Dr., Suite 110 Greeley, CO 80634 Phone: (970) 330-2500 Fax: (970) 330-2548 E-Mail: gocpc@doctork.com Website: www.DoctorK.com Professionals: Dr. Gary J. Kloberdanz
FRONT RANGE THERAPY
ORTHODONTIC ASSOCIATES OF GREELEY, PC
HOPE THERAPY CENTER (Formerly North Colorado Therapy Center)
Professionals: Bradford N. Edgren, DDS, MS 3400 W. 16thSt., Bldg 4-V Greeley, CO 80634 Phone: (970) 356-5900 Website: www.drbradsmiles.com
BANNER HEALTH GYN CONSULTANTS 1800 15th St., Suite 130 Greeley, CO 80631 Phone: (970)353-1335 Professionals: Susan Carter, MD
PEDIATRIC REHABILITATION
ORTHOPEDICS
MOUNTAIN VISTA ORTHOPAEDICS 5890 W. 13th Street, Suite 101 Greeley, CO Phone: (970)348-0020 Fax: (970)348-0044 Web Site: www.bannerhealth.com Professionals: Randy M. Bussey, MD Riley Hale, MD Daniel Heaston, MD Thomas Pazik, MD Kelly R. Sanderford, MD Steven Sides, MD Linda Young, MD
PEDIATRICS
BANNER HEALTH CLINIC 6801 W. 20th Street, Suite 201 Greeley, CO 80634 Phone: (970)350-5828 www.bannerhealth.com Professionals: Amanda Harding, MD James Sando, MD
PHYSICAL THERAPY 1475 Main Street, Windsor, CO 80550 Phone: (970) 492-6238 Web Site: www.columbinehealth.com
2780 28th Avenue, Greeley, CO 80634 Phone: (970)339-0011 Website: 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 Website: NCRH@ernesthealth.com
PULMONARY/CRITICAL CARE
NORTH COLORADO PULMONARY (NCMC)
1801 16th Street, Greeley, CO 80631 Phone: (970)392-2026 Professionals: Kelli Janata, DO Robert Janata, DO David Fitzgerlad, DO Michael Shedd, MD Danielle Dial, NP
PROSTHETICS & ORTHOTICS
n
July 30, 2014
2014 SKILLED CARE/REHAB
CERTIFIED PROSTHETICS & ORTHOTICS, LLC (GREELEY LOCATION)
1620 25th Avenue, Suite A, Greeley, CO 80634 Phone: 970-356-2123 Fax: 970-352-4943
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 Website: 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
BONELL GOOD SAMARITAN
Phone: (970)350-6160
708 22nd Street, Greeley, CO 80631 Phone: (970)352- 6082 Fax: (970)356-7970 Website: www.good-sam.com
COLUMBINE COMMONS HEALTH & REHAB FACILITY
COLUMBINE COMMONS HEALTH & REHAB FACILITY
BANNER REHABILITATION
1475 Main Street Windsor, CO 80550 Phone: (970) 449-5541 Web Site: www.columbinehealth.com
FRONT RANGE THERAPY
1475 Main Street, Windsor, CO 80550 Phone: (970) 492-6238 Web Site: www.columbinehealth.com
NORTHERN COLORADO REHABILITATION HOSPITAL
4401 Union Street, Johnstown, CO 80534 Phone: (970) 619-3400 Website: 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
1475 Main Street Windsor, CO 80550 Phone: (970) 449-5541 Web Site: www.columbinehealth.com
GRACE POINTE
1919 68th Avenue, Greeley, CO 80634 Phone: (970) 304-1919 Website: www.gracepointegreeley.com
SPORTS MEDICINE
MOUNTAIN VISTA ORTHOPAEDICS 5890 W. 13th Street, Suite 101, Greeley, CO Phone: (970)348-0020 Fax: (970)348-0044 Web Site: www.bannerhealth.com Professionals: Randy M. Bussey, MD Riley Hale, MD Daniel Heaston, MD Thomas Pazik, MD Kelly R. Sanderford, MD Steven Sides, MD Linda Young, MD
NORTH COLORADO SPORTS MEDICINE 1801 16th Street, Greeley, CO Phone: (970)392-2496
July 30, 2014
n
HEALTH
THRIVENC
n
15
WHY BAD BREATH HEATS UP IN SUMMER Staff reports
» About Bob Kross
Whether it’s a picnic, beach day, family gathering or a night out with friends, summer is a time when people come together for fun. Unfortunately, there are plenty of flies in the ointment during this “fun season” — higher gas prices, forgetting your sunscreen, waiting in line for the roller coaster, or that great social buzz kill: bad breath. “For a significant number of people, bad breath — also called halitosis — is an unnecessary embarrassment caused by malodorant sulfur compounds created by putrefying bacteria in your mouth, primarily in crevices of your tongue,” said Bob Kross, a researcher and oral care scientist and inventor who created the Breath Appeal products that eliminate the excess odor causing bacteria. Normal amounts of these bacteria will hardly affect your breath at all, but excessive levels can lead to bad breath and oth-
Bob Kross is a Ph.D scientist associated with All USA Direct producer of Breath Appeal products. Many of Kross’ 40 U.S. patents, and more overseas, reflect his biomedical specialization, including oral antimicrobials and associated conditions and diseases.
FOR THE TRIBUNE
er serious oral problems, Kross said. “You don’t have to have a chronic condition for bad breath to be a problem,” he said. “Summer is full of breath busters.” As you plan get-togethers, he suggests keeping the following in mind: » Barbecue feeds more than your taste buds. While some bad breath may originate in the lungs and gut, easily 90 percent comes from the mouth itself. For chronic sufferers of bad breath, excessive malodorant-producing bacteria are con-
sistently present. For the average person, however, the same bacteria thrive when fed by food particles and other debris lingering in mouth tissues. “It’s not pleasant to think about, but grilled meat can sit wedged in your teeth and tongue crevices for hours, and these particles feed the mouth’s bacteria, increasing the risk of embarrassment associated with bad breath,” he said. » Just as your favorite beer or cocktail leaves an unpleasant residual odor in your mouth, frequent and long-term alcohol consumption can throw your mouth’s bacterial balance out of whack from dehydration. “Saliva acts as a natural barrier to germs — it creates an environment that
they can’t tolerate,” Kross said. “If you have a dry mouth, whether from dehydration related to alcohol consumption, heat or a medication you’re prescribed, you lose that defense against germs.” » School is near. Fresh breath can help kids’ social life. “No one is too young to experience bad breath, and schoolchildren of all ages who are seeking structure and acceptance at the beginning of a school year can suffer a traumatizing setback if they’re teased about their breath,” he said. Make sure your student is practicing good oral hygiene this summer with regular brushing and flossing. If the problem persists, remember that most traditional mints and sprays merely blanket underlying odors for the short term.
TRiBUNE MEDiCAL DiRECTORY SPEECH LANGUAGE PATHOLOGY
BANNER REHABILITATION CENTER 1801 16th Street, Greeley, CO Phone: (970)350-6160 Fax: (970)378-3858
NORTHERN COLORADO REHABILITATION HOSPITAL
4401 Union Street, Johnstown, CO 80534 Phone: (970) 619-3400 Website: NCRH@ernesthealth.com
UNC SPEECH LANGUAGE PATHOLOGY CLINIC
Gunter Hall, Room 0330, Greeley, CO 80639 Phone: (970)351-2012/TTY Fax: (970)351-1601 Web Site: www.unco.edu/NHS/asls/clinic.htm Professionals: Lynne Jackowiak, M.S., CCC-SLP Julie Hanks, Ed.D Patty Walton, M.A., CCC-SLP
BARIATRIC SURGERY (NCMC) SURGERY GENERAL & TRAUMA
1800 15th Street, Suite 200, Greeley, CO 80631 Phone: (970)378-4433 866-569-5926 Fax: (970)378-4440 Professionals: Michael W. Johnell, MD
SURGERY WESTERN STATES BURN CENTER (NCMC) 1801 16th Street, Greeley, CO 80631 Phone: (970)350-6607 Fax: (970)350-6306 Professionals: Gail Cockrell, MD Cleon W. Goodwin, MD BURN
SURGICAL ASSOCIATES OF GREELEY PC (NCMC)
1800 15th St. Suite 210, Greeley, CO Phone: (970)352-8216 Toll Free: 1-888-842-4141 Professionals: Molly Decker, DO; Michael Harkabus, MD; Jason Ogren, MD; Samuel Saltz, DO; Robert Vickerman, MD
URGENT CARE
SUMMITVIEW URGENT CARE 2001 70th Avenue, Greeley, CO 80634 Phone: (970)378-4155 Fax: (970)378-4151 www.bannerhealth.com Professionals: Susan Beck, MD Thomas Harms, MD Susan Kelly, MD Amy E. Shenkenberg, MD Linda Young, MD
UROLOGY
MOUNTAIN VISTA UROLOGY
5890 W. 13th Street, Suite 106, Greeley, CO 80634 Phone: (970)378-1000 Professionals: Curtis Crylen, MD David Ritsema, MD James Wolach, MD www.bannerhealth.com
2014 VEINS
VEIN CLINIC (NCMC)
1800 15th Street, Suite 340, Greeley, CO 80631 Phone: (970)378-4593 Fax: (970)378-4591 Professionals: Maurice I. Lyons Jr., DO Kenneth M. Richards, MD Gene E. Tullis, MD
16
n
HEALTH
THRIVENC
n
July 30, 2014
The Deafness of George
George Washington is well known as the first president of the United States. While a born leader, his cost of leadership was a hearing impairment that, of course was not really known until recent forensic studies of his life and disorders. Mr. Washington’s lineage in the colonies dates back to his great-grandfather, John Washington (1633–1677), who held some distinction in England before he left for the colonies. Due to his stature in English society John was granted land by King Henry VIII. During the Puritan Revolution, a political and military conflict between 1640 and 1660 that followed the collapse of the rule and religious policies of Charles I, the Washington family lost most of their wealth. Consequently, in 1657 George’s grandfather, Lawrence Washington (1718–1752), migrated to Virginia and became a militia captain and a member of the Virginia House of Burgesses, the first gathering of elected representatives in the new world. Its purpose was to encourage English craftsmen to settle in North America and to make conditions in the colony more agreeable for its current inhabitants. Lawrence became a large landowner in Virginia responsible for establishing the town of Alexandria, Virginia as well as a founding member of the Ohio Company, a land speculation company organized for the settlement by Virginians of the Ohio Country (approximately the present state of Ohio) and to trade with the Native Americans. The Company had a land grant from Britain and a treaty with Indians, but France also claimed the area, and the differences between the English and the French provoked the outbreak of the French and Indian War (17541763), sometimes called the Seven Years War in Europe. George’s father, Augustine Washington (16941748), inherited the family fortune
sore throat that within hours creat- that he made it through that rathfected by smallpox at about age 19. Photo #6 Its effects on the internal organs are ed significant problems swallowing. er well without much complication. the complications that kill 1 out of Consistent with medical treatment So, it is possible that George Wash3 smallpox victims. While Washing- of the times, physicians thought it ington probably had a simple, but ton survived, he did have serious might be due to an excess amount very significant noise-induced hearscarring pock marks on his face for of blood. Within 12 hours, they had ing loss from all of his battles during taken about 80 ounces of blood, the French and Indian War as well the rest of his life. • Dysentery – Today dysentery is which is 35% of the blood in an as the Revolutionary War. He was typically defined as bloody diar- adult’s body and finally Washington also left handed, suggesting more rhea, which may also contain mu- died of the disorder (or the blood of a loss on the right ear than the cous in the liquid-like stools. Wash- loss). left ear as the right side would be ington had dysentary many, many more exposed to the muzzle blast times, including while fighting in Washington’s Hearing Loss of the musket. Check out the dethe French & Indian War. While a Audiologically, the odds are high piction of his possible hearing loss pain in the kiester, his dysentery that the dysentery, malaria, quinsy in the audiogram. As for the speech probably had no effect on his hear- and carbuncle did not have much data, it is possible that the speech effect on his hearing. The pneumo- recognition would have been about Washington’s 9 Deadly ing. • Malaria – Washington probably Photo #7 nia could have had had some great 30 dB HTL for the left ear and 50 Diseases dB HTL for the right ear with word The noise of battle with its cannon, contracted malaria, very common recognition scores in the 70% range muskets and other noise can be in the US at the time, at about age or even less. This is an educated deafening....but Washington has of 17. It strikes and the fever will estimate of the amount of hearing some other contributors to the come, and then it goes away. It’s acloss that President Washington had hearing loss, noted by his close col- tive, quiet, active and quiet, and as while in the White House during leagues. He is documented to have a result Washington probably had (1789-1797). While it could have contracted 9 deadly diseases during bouts with the disease throughout his life. (Place Photo #6 About Here) been a very difficult problem, the his lifetime: saving (Place Photo #8 about Here) • Diptheria – A very common in- Treatment at the time was the use fection in the colonies, particularly of bark from the chinchona tree, grace is that most of his cabinet and in childhood. Records suggest that which contains quinine, known to many of those that surrounded him Washington may have had it when cause temporary hearing impairwere also war veterans and expehe was 15- 18 years of age. Diph- ment. riencing some significant hearing theria strikes in two stages, first • Quinsy – Quinsy is rather an animpairment. Those must have been with a terrible sore throat and then tiquated 18th century term that effects if the fever was high enough some interesting state discussions a pseudo-membrane over the back generally refers to tonsillitis or an during the illness, but reports are in his cabinet. of the throat which poses a risk of infection of the tonsils, which in suffocation. It also creates a toxin today’s clinic is often called “Strep which circulates around the body, Throat.” In Washington’s time, weakening the heart and some- there were no antibiotics for this times causing a person to drop disorder but his frequent Quinsy dead several weeks later. Diph- attacks, though painful and frustheria in childhood may have con- trating, probably did not have had sequences for hearing that do not any effect on his hearing. Miller, a co-researcher at Michigan, that the noise-induced hearing loss prevention concoction could be • Carbuncle – He got his carbunbecome apparent until later in life. available within two years. cle late in life, probably sometime A possible biological mechanism for diphtheria effects on hearing ability in 1795. It was a bump on his face exists: The toxin produced by the that some thought to be a cancerCorynebacterium diphtheriae bac- ous tumor but it could have simteria can cause damage to cranial ply been a streptococcal or staphnerves and therefore may affect the ylococcal. Obviously had no real Robert M. Traynor is the CEO and practicing audiologist at Audiology effect on the President’s hearing. auditory neural pathway. Associates, Inc., Greeley, Colorado with particular emphasis in • Pneumonia If Oklahoma you get Medical pneu- Research Foundation, • Tuberculosis - Washington’s In another study funded by– the amplification and operative monitoring. Dr. Traynor holds degrees Dr. Robert Floydaand retired Army surgeon, Dr. Richard Kopke, M.D., discovered a you have very high fever, brother Lawrence had TB and researchers a monia, from University of Northern combination of two compounds stopped damage to the inner ear the caused by acute acoustic trauma – Colorado (BA, 1972, MA 1973, Ed.D., common treatment of the time was great difficulty breathing, and you 1975),what thethe University Phoenix something an IED they did not indicate compoundsof were they felt (MBA, 2006) as well as Post-Doctoral justlike feel sickexploding. overall. Although The possible to “breathe in fresh air”...so George Study Northwestern University that,“This is a very exciting finding,” said Dr. Floyd, who holds theat Merrick Foundation Chair in Aging (1984). He taught Audiology at the and Lawrence took a sea trip to Bar- high fever might put his hearing University Northern (1973-1982), University of Arkansas Research at OMRF. “The research is still at a pre-clinical stage, but we’reof hopeful that weColorado soon can begin at risk, possibly destroying some bados. While on that trip George testing in humans. for Medical Sciences (1976-77) and Colorado State University (1982contracted TB from his brother. An of the delicate hair cells in the 1993). Dr. Traynor is a retired Lt. Colonel from the US Army Reserve, cochlea. infection of the lining that coats the More recently, Dr. Kathryn Campbell's work at Southern Illinois University involves theand use of an Medical Service Corps currently serves as an Adjunct Professor of • Epiglottitis – Issuesawith the epilungs, it can return later in life even antioxidant called D-methionine, component of fermented protein Audiology at the University of Florida, the University of Colorado, and after it is thought to be cured. If glottis are more commonly found the University of Northern Colorado. For 17 years he was an Audiology contacted today hearing loss could in kids and tend to be caused by Consultant to major hearing instrument and equipment manufacturers be a factor because the antibotics Haemophilus influenzae. While providing academic and product orientation for their domestic and used to treat it are often ototoxic, there is no official record, Washinternational distributors. A clinician and practice manager for over but this disease probably had little ington was out riding on his 35 years, Dr. Traynor has lectured on most aspects of Audiology in over Mount Vernon estate on a cold effect on George’s hearing loss. forty countries. • Smallpox – Washington was in- winter day and came in with a
in 1698 at 4 years of age and continued their tradition of land and slave owning, raising tobacco, and political activism, even serving as a Justice of the Peace and County Sheriff. Thus, George Washington (1732-1799) was born into Virginian wealth and political activism with a strong tradition of military service in the family. Inheriting the family fortune of farms, estates, slaves and other riches, by 1752 at age 20 he was well heeled and ready to enter into a career of service and politics.
Author’s Bio:
Robert M. Traynor, Ed.D., MBA, FAAA
that is found in yogurt and cheese. The antioxidant, in concentrated doses, has been found to improve some forms of hearing loss and even prevent hearing loss before the exposure to noise. "We've been able to show in animal studies that if we give it before and after noise exposure, that we can get pretty full protection from noise-induced hearing loss," Campbell said. According to Campbell and her colleagues will continue their studies by looking at the effects of