December 2012
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» NORTHERN COLORADO WELLNESS
Technology is a breath of fresh air Motion management technique helps NCMC focus more on treating cancer. Page 6
» INSIDE: SAFEGUARD AGAINST HYPOTHERMIA • DIABETES ON THE RISE • DECEMBER EVENTS
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It matters which emergency care you choose. If you want to keep your treatment close to home, it matters which emergency care you choose. Banner North Colorado Emergency Care in west Greeley gives you convenient access to top expertise and advanced technology 24-hours-a-day, seven-days-a-week. And, if you need to be admitted, you’ll be able to stay right here in Greeley and receive treatment at North Colorado Medical Center, rather than be transferred out of town. So the next time an emergency happens, keep your care close and get to Banner North Colorado Emergency Care.
71st Avenue & 20th Street, Greeley • Next to Banner Summit View Urgent Care. www.BannerHealth.com/NorthColoradoER • (970) 395-2626
November 28, 2012
November 28, 2012
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December health events « Gifts That Keep Giving: For
screenings open to community members. Some immunizations also are available upon request and availability. Participants need to fast for 12 hours before the blood draw. To make an appointment, call (970) 350-6633.
Body, Mind and Spirit, 6:308:30 p.m. Dec. 6, NCMC Cancer Center Lobby, 1801 16th St. in Greeley. A festive celebration of the season. The body: Massage, aroma therapy and the gift of quality health care. Meet and greet our brand new physicians. For the mind: Relaxation and other tips for de-stressing, remembering the important things — finding joy. For the spirit: Beautiful seasonal music, art for your soul, enjoying a festive evening with other women like you. There will also be appetizers, beverages and desserts. Free for Spirit of Women members; $10 for nonmembers. Call (970) 392-2222 to register.
« Body Check Head To Toe,
Dec. 4 and 18 at the Summit View Medical Commons, 2001 70th Ave. in Greeley. Head-to-toe health screenings include blood work, sleep questionnaire, lung function test, body composition, hip and waist measurements, health education, EKG with results, bone density, peripheral arterial disease screenings, ultrasound of carotid vessels and ultrasound of aorta, $175. To schedule an appointment, call (970) 350-6070.
« Blood Tests, 7-8:45 a.m. Dec.
12 and 26, North Colorado Medical Center, Union Colony Room, Area C on the ground floor, 1801 16th St. in Greeley. Wellness Services offers low-cost blood
« CPR for health care providers recertification, 3-5:30 p.m. Dec. 10. at North Colorado
Medical Center, Longs Room, second floor, 1801 16th St., in Greeley. This class is designed for licensed and nonlicensed 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. Cost: $50. To register, call (970) 350-6633.
« CPR for health care providers skills check, 3:30-4:30 p.m. Dec. 3 at NCMC, Wellness Conference Room, 1st Floor, 1801 16th St. in Greeley. This class is designed for licensed and non-licensed health care providers who need to recertify through the American Heart Association. The certification is valid for two years. Renew your CPR certification by completing an online CPR module (at www.onlineaha.org). Fee for CPR for Health Care Providers
includes skills check with a certified American Heart Association instructor. Separate fee for online course, payable online. To register, call (970) 350-6633.
« Cooking Class: One pot
meals, 6-7:15 p.m. Dec. 11 at North Colorado Medical Center, Cardiac Rehab Kitchen, 1801 16th St. in Greeley. Quick and easy one pot meals help take the chill out of winter and save you time during this busy season. Recipes and samples are included. Taught by Mary Branom, R.D. Cost: $10. To register, call (970) 350-6633.
« CT Heart Score Screening,
1 and 2 p.m. Mondays-Fridays at North Colorado Medical Center, 1801 16th St. in Greeley. This is a noninvasive test that measures the amount of calcified plaque in the arteries. The Heart Score program includes
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a 10-minute consultation with a wellness specialist, focusing on cardiac risk factor education, identification of nonmodifiable and modifiable risks, and lifestyle behavior change options. To make an appointment, call (970) 350-6070. Cost: $199.
« PAD Screening (Peripheral
Vascular Disease), 1-3 p.m. Dec. 4 and 18 at Summit View Medical Commons, 2001 70th Ave. in Greeley. Cost: $100.
« Living Well with Diabetes
Program, individual appointments and group classes in Greeley, Loveland, Windsor and Johnstown by calling (970) 392-2344. Education offered for patients with diabetes, and
their care givers or families, to provide knowledge, skills and tools to successfully manage their diabetes. Topics include nutrition, activity, monitoring, medications, problem solving, healthy coping, reducing risks, weight loss, insulin, or considering insulin pump therapy.
« Diabetes and Pregnancy
education, Offered weekly at North Colorado Medical Center, 1801 16th St. in Greeley. For women with type 1, type 2, or Gestational Diabetes to teach skills needed to care for themselves during pregnancy. Topics include: healthy eating, being active, blood glucose
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Just in case you missed a day...
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Winter carries its own health risks »»For»more
For The Tribune
Open 7 Days A Week; Extended Hours
2928 W. 10 th St., Greeley, CO 80634
1-866-467-5230
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November 28, 2012
HYPOTHERMIA
By Banner Health
Call Us & Skip The Waiting Room!
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As we launch the holiday season, it’s time to think about your health. Most people worry about the extra pounds they may pile on, but North Colorado Medical Center would like you to also think about staying safe when outdoors in the cold temperatures. Hypothermia is a condition where your body loses heat faster than it can produce it. Normal body temperature is 98.6 degrees — a body temperature below 95 degrees is considered an emergency and immediate medical attention is required. According to the Centers for Disease Control and Prevention, the following are the warning signs of hypothermia: Adults: » Shivering, exhaustion » Confusion, fumbling hands » Memory loss, slurred speech » Drowsiness Infants: » Bright red, cold skin » Very low energy Anyone exhibiting these signs needs immediate medical attention. The experts at NCMC advise getting the person exhibiting
Events from P.3
monitoring, medications, problem solving, healthy coping and reducing risks. The goal is to help you and your baby stay healthy. Cost: $10. Call (970) 392-2344 to schedule an appointment.
« Diabetes Information Group, 7-8 p.m. Dec. 11 at North Colorado Medical Center, Colonial Room, 1801 16th St. in Greeley. For people with diabetes, their
You can find information about hypothermia by going to the Health Library at http://healthlibrary.bannerhealth. com/. Search keyword: hypothermia.
these signs to the emergency department as quickly as possible. If that is not possible, the CDC suggests the following: » Get the victim into a warm room or shelter » Remove any wet clothing » Warm the center of the body first — chest, neck, head and groin. If an electric blanket is available, the CDC advises to use it. Skin-to-skin contact under loose, dry layers of blankets, towels, clothing, etc. also can help. » Give warm beverages — but not alcohol. If the person is unconscious do not try to force fluids. » If the person is unconscious apply CPR and continue doing so until you reach the hospital. » Get medical attention as soon as possible. Hypothermia is a serious condition and can cause heart attack or death.
family, friends, caregivers or anyone with an interest in diabetes. To register, call (970) 392-2344.
« Prediabetes class, meets
at North Colorado Medical Center, 1801 16th St. in Greeley. Call (970) 392-2344 to sign up for a three-class session. This class will teach the difference between prediabetes and diabetes; what you can do to prevent type 2 diabetes; how to develop a lifelong plan to help keep your blood sugars in
the normal range. Cost: $30.
« Cancer Support Group, 5:30-
7 p.m. Tuesdays at North Colorado Medical Center, 1801 16th St. in Greeley.
« Breast Cancer Support Group, 5:30-7 p.m. Dec. 6 at North Colorado Medical Center, 1801 16th St. in Greeley.
« Man-to-Man Prostate Cancer
Support Group, 5:30-7 p.m. Dec. 20 at North Colorado Medical Center, 1801 16th St. in Greeley.
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ELECTION ENSURES OBAMACARE WILL ACTUALLY TAKE EFFECT By Ann Imse Colorado Public News
T
he election results put an end to the threat of a Republican repeal of the health care law, but not to the public’s emotional response to it. Fueled by contradictory campaign claims, the public’s reaction ranges widely. Many Republicans fear interference with their medical care, while many Democrats are jubilant that everyone will be able to obtain health insurance for the first time, some with a subsidized price or even free. But many people remain utterly confused about what the law will change. Fifty-one percent of Colorado voters chose Obama — even though 55 percent of Coloradans surveyed in exit polls said they favored repeal of the health care law, according to the Colorado Health Institute. Experts say that the new rules will come quickly to allow full implementation of the law in just 14 months, and that will help sort out both what’s real, and what needs fixing. Up to half a million Coloradans are expected to obtain health insurance as a result of the law. According to the Kaiser Family Foundation, the changes by 2014 include: » Insurance companies won’t be able to refuse anyone coverage. Rejection for pre-existing conditions and age will be barred. » Families of four with incomes up to about $100,000 can expect tax credits to reduce the cost of insurance. » Most people will be required to buy insurance. Religious exemptions are allowed. » The tax for refusing to buy in-
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surance starts at $95 a year, and rises to $695 or 2.5 percent of income. » Insurance rates will drop for older people and rise for younger people. » Employers of 50 or more fulltime staff will have to provide health insurance or pay a tax. » Tobacco users can be charged extra for health insurance. Already: » Employers with 25 workers or fewer may be eligible for tax credits. » Insurance price hikes are limited. Charges for executive salaries and administration are limited. Insurance companies that violated these rules have paid millions of dollars in refunds to customers. People like Dr. William Plested, a former president of the American Medical Association who retired to Bayfield in southwest Colorado, have issued dire warnings that the
law will make cost containment more important than the best treatment for the patient. Plested expects a deluge of new rules in the coming months that will prove him correct. Some people at Colorado rallies for Republican candidate Mitt Romney said they expect outright rationing of health care because of high costs. But Alfred Gilchrist, CEO of the Colorado Medical Society, says physicians will speak up if any of that shows up. “To the extent that the law is impacting patient care, we’re going to be hearing about it,” and the CMS will pass physician concerns onto lawmakers and the Obama administration — whether the impact is positive or negative, Gilchrist said. “Very few laws are ever written perfectly,” he noted. One state legislator is a physician
herself, Sen. Irene Aguilar, a Democrat from Denver. She hopes for “an open and honest and mature discussion” about health care now that the election is over. And “the people who know how to save money and deliver good care are the physicians,” so she hopes to see them have greater influence in implementation. But there’s much left uncertain, largely because of funding shortages at the state and federal level. Most important, some 200,000 Coloradans may — or may not — gain free health insurance by being added to Medicaid, the government insurance program for low-income Americans. The law raises the income limit for Medicaid for a single person to about $16,000, just above a fulltime minimum wage. Michele Lueck of the Colorado
Health Institute said that the people who would benefit include “the worker who you see each morning when you buy your coffee, the bagger at your grocery store, the server who made your sandwich today, the clerk at the dry cleaning counter.” Lueck said Colorado’s Legislature will debate in January whether to accept federal funding to insure those people from 2014 to 2016. The state may have no costs for this, except for administration. But Lueck warned the funding might be reduced in federal budget negotiations. Starting in 2017, Colorado’s cashstrapped government must start paying a small percentage of the insurance cost for these 200,000 people, and that adds up into hundreds of millions of dollars. Colorado’s willingness to pay is in doubt. The election also switched control of the Colorado House of Representatives from Republican to Democratic. That puts Democrats in charge of both houses and the governor’s office. Aguilar said she thinks Democrats will be more interested than the very skeptical Republicans in taking federal funds to cover more people with health insurance. Democrats are more aligned with the idea that “we pay for health care one way or another — we pay for it now, or pay for it later with complications,” Aguilar said. Gov. John Hickenlooper, a Democrat, hasn’t announced his position. But the Colorado Hospital Association strongly supports the Medicaid expansion, spokesman Julian Kesner said. That’s because it would provide coverage to many people, and allow hospitals to reduce their $1.4 billion annual cost of care for people who don’t have insurance or don’t have enough insurance, he said.
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November 28, 2012
BREATH OF FRESH AIR
Motion management technology helps NCMC focus more on cancer By Joshua Espinoza jespinoza@greeleytribune.com
A
new technology that sharpens radiation therapy for cancerous tumors has been recently commissioned at North Colorado Medical Center in Greeley — improving the chances of eradicating the disease and lessening the chance of recurrence. And it’s all based on the technique of motion management. According to Dr. Brian Fuller, a radiation oncologist at NCMC, tumor movement was once a factor that did not receive as much attention as it should have. Acknowledging that breathing could potentially shift the position of a tumor is key to developing methods that ensure doses go directly to the cancer and nowhere else.
“What we’re hoping to achieve is improved tumor control with less toxicity,” Fuller said. “Cancer moves. And it is very important to be able to carefully deliver radiation therapy to the tumor and to be able to escalate the dose to the tumor without damaging surrounding normal tissue.” This tactic is made possible by a four-dimensional CT scan — a device that takes into account all three dimensions in addition to time. This CT scan is effective in its ability to generate more slices (crosssectional images of the body) than the standard 3D CT scan. With the 4D scan, about 10 slices per couch position are created, which allows doctors and physicists to view a full breathing cycle of the patient.
JOSHUA POLSON/jpolson@greeleytribune.com
ALEX MARKOVICH, SUPERVISOR OF medical physics at North Colorado Medical Center, recently points out a tumor
that was monitored with the 4D CT scan at NCMC’s Cancer Institute. The scan is able to create a movie so doctors can track the movement of a tumor when patients breath.
“
This is really important, especially for lung cancer, pancreas cancer and liver cancer — tumors that will likely move with each breath.
Alex Markovich
supervisor of medical physics at NCMC
“Each slice is a little instance in time,” said Alex Markovich, the supervisor of medical physics at NCMC. “When the patient is receiving treatment, they’re breathing, and the tumor will move; there’s no way around that. But with the 4D CT approach, we’re able to do a lot more slices, and we’re able to create
a movie of the tumor in motion.” Once experts see the way the mass shifts, which varies from patient to patient, they’re able to plan their radiation to go to a certain focus position — ensuring that the radiation doesn’t miss the tumor and affect surrounding structures. “This is really important, espe-
cially for lung cancer, pancreas cancer and liver cancer — tumors that will likely move with each breath,” Markovich said. “Those types of cancers need to get a lot of dosing without damaging the healthy tissue. The chance of us missing the tumor is minimized by this technology because we know where the tumor is and how it moves.” Though the use of this technology is new to the center — it has only been implemented on two NCMC patients so far — the actual equipment has been at the facility for two years. But there had not been
a team to push the technology until recently. That’s where Markovich and his crew of physicists came in. They learned about the technology and took the steps to initiate its use. “One of our primary roles is to learn how it works, explain and educate the rest of the staff on how it works — and then do what we call a quality assurance test. So we test it to make sure it’s running properly because this is really complicated equipment that can have some glitches, so we have to make sure it’s running properly so the patient is treated properly and safely.”
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5 TIPS TO KEEP YOUR FAMILY HEALTHY McClatchy Newspapers
Want to get your family off on a healthier track? It doesn’t have to mean radical change. Here are five little ways to produce big results. FITNESS
The family that plays together stays together. Everyone knows that regular physical activity will improve your health. Fitness icon Dr. Kenneth H. Cooper is an ardent advocate of exercise who still works out at 81. It wasn’t always that way. He didn’t exercise when he was a medical resident and had a cardiac incident at 29. He knew he had to change his life, and when he did he brought his wife and two kids along for the run. The result? A healthier family and a closer one. “Sunday afternoons we all ran together from the time my daughter was 10 and my son was 5. We were known as the running family. Now I walk briskly with my 6-year-old grandson.” » Cooper’s tip: “Find a game your family enjoys and play together. I’ve been married 53 years and now to have my son (Dr. Tyler Cooper) follow in my footsteps, taking over the aerobics center, it’s a dream come true.” » Note: The American Academy of Family Physicians recommends exercising four to six times a week for 30 to 60 minutes at a time and advises consulting with a doctor before you start. Cooper adds that if you want to go for a family run, do it before dinner because running after a heavy
familyday.org/ for ideas on how to get started.
meal can strain the heart. If you want to exercise after dinner, make it a gentle walk.
SLEEP
NUTRITION
Swap healthful ingredients for the unhealthful ones. You don’t need to toss your comfort foods, says Cindy Kleckner, a registered and licensed dietitian at Cooper Clinic. As part of her “recipe rehab” program, Kleckner shows people how to modify cooking techniques to get that “fried feeling” by breading and baking foods in small amounts of oil. She also suggests swapping fatty ingredients in baking, such as oil, for healthier options such as applesauce, mashed banana or mashed prunes. “I call it revitalizing your recipes for better health,” Kleckner says. “It’s not about taking away foods you love but making them better.” » Kleckner’s tip: Let a professional dietitian get you started. » Note: Missy Chase Lapine’s Sneaky Chef series shows how to add healthy vegetable purées to recipes. The Mayo Clinic offers a guide to healthy substitutions at www.mayoclinic. com/health/healthy-recipes/NU00585. MEDICAL
Keep on schedule with these apps. One of the biggest challenges to keeping a busy family on track for medical appointments, vaccinations and medications is remembering when they are. Dr. Philip J. Aponte, vice president of informatics at
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HealthTexas Provider Network in Dallas, says there are lots of good apps that can help. He relies on Microsoft Health Vault for his family, which is free at microsoft.com/en-us/healthvault/. “Inevitably, whether you’re going to a different physician or filling out a life insurance policy, you’re someplace where you need to recall information, and it seemed silly that I had to find a paper folder and search for it. Now I have the app on my iPhone and I can show the doctor all my medications and my laboratory data. I can track my weight and set goals, see if there might be any problems with drug interactions. When I had to register my daughter for kindergarten, it was easy because I had all her medical information there.” » Aponte’s tip: An app can simplify your life, but only if you commit to diligently updating it. » Note: Consider your
goals when you decide what medical app is right for you. Some will help you track glucose levels or can be connected with other devices, including scales. MENTAL
Just say yes to family dinners. Teens do better in school and are less likely to abuse prescription drugs, use illegal drugs, smoke or drink when they have regular family dinners, according to a 2007 report by the National Center on Addiction and Substance Abuse (CASA) at Columbia University. Plus, even if they don’t come out and tell you, 84 percent of teens prefer to have dinner with their families. Dr. Nancy Donachie, medical director of Seay Behavioral Health Center at Texas Health Presbyterian Hospital of Plano, says her top tip for parents is to “have dinner with the family with the TV off and take the opportunity to engage
in conversation.” Dr. Sarah Feuerbacher, clinic director of the Southern Methodist University Center for Family Counseling, agrees. » Feuerbacher’s tip: “It isn’t just about the tasty food we put into our mouths, although that allows for conversation and even laughter about the guacamole competitions we create or how many dinners in a row I can burn the bread. Just yesterday my 2-year-old said, and I kid you not, ‘This is where mama burns food’ as he pointed to his kitchen playset oven. It is about the dancing that we do while we cook, or recognizing someone is a great flavor inventor, or playing outside with the dogs while our food is on the grill, or watching my baby bounce in his seat and laugh while he takes in his family having fun as one of his first memories.” » Note: Check out CASA’s Family Day-A Day to Eat Dinner With Your Children program, at www.casa-
Turn off the phone — you, too, parents. If your kids are struggling, consider the possibility that their cellphones are interfering with their sleep. Fifty-six percent of teens bring their cellphones into their bedrooms and use them, with texting especially popular in the hour before trying to go to bed, according to the 2011 Sleep in America Poll from the National Sleep Foundation, a nonprofit group based in Washington, D.C. Before you wag that finger, however, look in the mirror. Parents need to turn off their cellphones, too, says Dr. Kara Starnes, a pediatrician with Texas Health Presbyterian Hospital of Allen. “I think you have to be a good role model,” Starnes says. “I hate when I see parents come into the room and they have their phones attached. It makes it harder when you have a teenager and they say, ‘Why do I have to put my phone down when you won’t put down yours?’ You have to sit down and explain why it’s important to change the behaviors together.” » Note: Technological fixes include setting a timer on the television and working with your cellphone carrier to limit the hours and the callers from whom you can receive calls and texts. Starnes also recommends talking to your doctor about starting a sleep hygiene program that works for the whole family.
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CDC reports diabetes rates rise dramatically Los Angeles Times
»»For»more
Diabetes prevalence rates jumped dramatically across the nation between 1995 and 2010, researchers at the U.S. Centers for Disease Control reported in Friday’s edition of the Morbidity and Mortality Weekly Report. Using data from the Behavioral Risk Factor Surveillance System, an annual phone survey of adults 18 and older, the investigators found that overall, the median prevalence of diagnosed diabetes went up from 4.5 percent in 1995 to 8.2 percent in 2010. Prevalence increased in all states, the District of Columbia and Puerto Rico, with the median up from 4.5 percent to 8.2 percent. Diabetes rates were highest in the South and in Appalachia, where Alabama, Mississippi, South Carolina, Tennessee, Texas and West Virginia all had 2010 rates
For more on diabetes and diabetes prevention, go to the CDC’s webpage on diabetes, www.cdc. gov/diabetes/.
above 10 percent. Rates also exceeded 10 percent in Puerto Rico. The states with the lowest prevalence of diabetes, between 6.0 percent and 6.9 percent, were Alaska, Colorado, Connecticut, Iowa, Minnesota, Montana, North Dakota, Oregon, South Dakota, Wisconsin, Vermont and Wyoming. In California, 8.6 percent of the people had the disease — a 38 percent increase over 1995. All told, rates increased 50 percent or more in 42 states, and 100 percent or more in 18 states. The largest increases were in Oklahoma (up 226 percent,) Kentucky (158 percent,) Georgia (145 percent,) Alabama (140 percent,) and Washington (135 per-
cent.) CDC representatives said the new numbers were a mere taste of what’s to come unless public health agencies figure out how to combat Type 2 diabetes, which was diagnosed in an estimated 18.8 million people in 2010. “These rates will continue to increase until effective interventions and policies are implemented to prevent both diabetes and obesity,” said Ann Albright, the director of the health agency’s Division of Diabetes Translation, in a statement. The new prevalence statistics did not include women with gestational diabetes or people with diagnoses of borderline diabetes or “prediabetes.” Also this week, the CDC launched Diabetes Interactive Atlases, a new tool to help Americans track diabetes incidence in different parts of the country and within states, as well as information on obesity and physical activity.
Celebrate the healthy way By North American Precis Syndicate
This year, along with the holiday presents you buy and wrap with bows, give another gift to your nearest and dearest. Give the gift of health. By making healthy food choices and adding physical activity to daily routines, you may reap benefits like having more energy and using more calories. You may also help to make a brighter future for yourself and the people you love. To help, the Weight-
control Information Network, a national information service of the National Institute of Diabetes and Digestive and Kidney Diseases, part of the National Institutes of Health, offers these tips for a healthy holiday season: CONTROL PORTIONS
» Eat a healthy snack before going to holiday parties. This may help you to feel full and prevent you from making unhealthy food choices. » Make half your plate fruits and vegetables.
» Split dessert with a friend or family member. » Pack a small cooler of fresh fruit, sliced raw vegetables and fat-free or lowfat yogurt if your holiday plans include road trips. KEEP MOVING
» Get at least 150 minutes each week of moderately intense physical activity. Divide these minutes up over the week as your schedule allows. Remember, some physical activity is better than none. » Keep track of your progress with a physical ac-
tivity journal or log. Record date, time and activity. Set goals and reward yourself. »» Get moving indoors with a walk around a shopping mall or through a museum, for days with bad weather. You can find more tips and ideas in the booklets “Just Enough for You: About Food Portions” and “Walking...A Step in the Right Direction.” For your copies and further information, call WIN at (877) 946-4627 or go to www. win.niddk.nih.gov/publications.
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30 of largest U.S. cities have no-smoking laws Los Angeles Times
Thirty of the 50 largest U.S. cities prohibit smoking indoors at all workplaces, restaurants and bars, the federal government reported. Just 12 years ago, only San Jose, Calif., had such a law. As of Oct. 12, 16 of the largest cities had comprehensive smoke-free laws, and 14 additional cities were covered under state laws, the Centers for Disease Control and Prevention reported this week. Overall, nearly half of Americans are covered by state or local smoke-free laws, compared with less than 3 percent in 2000, the CDC said in its report published in the agency’s Morbidity and Mortality Weekly Report. “Smoke-free laws save
lives and don’t hurt business,” said Thomas Frieden, the director of the CDC, who said communities have made “tremendous progress” in protecting people from secondhand smoke. Ten of the 20 cities without these laws are in the South, the CDC said. “If we continue to progress as we have since 2000, all Americans could be protected from secondhand smoke exposure in workplaces and public places by 2020,” Tim McAfee, director of the CDC’s office on Smoking and Health, said in a statement. The 2006 surgeon general’s report said there is no risk-free level of exposure to secondhand smoke. Cigarette use kills 443,000 Americans a year, according to the government.
November 28, 2012
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MEADOWVIEW OF GREELEY
CARDIOLOGY
2528 16th Street Greeley, CO Phone: (970)352-2881 Professionals: Robert M. Traynor, Ed. D. F-AAA; Karen Swope, M. A. CCC-A
708 22nd Street Greeley, CO 80631 Phone: (970)352-6082 Fax: (970)356-7970 Web Site: www.good-sam.com
1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com
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
AUDIOLOGY ASSOCIATES
2404 17th Street Greeley, CO 80634 Phone: (970)351-6620 749 S. Lemay Avenue, Suite A1 Fort Collins, CO 80524 (970)221-5225
BONELL GOOD SAMARITAN
CARDIAC, THORACIC & VASCULAR SURGERY (NCMC)
DENTISTRY - HYGENE
AABSOLUTELY SMILES
1135 N. Lincoln Avenue, Suite 4 Loveland, CO 80537 Phone: (970)622-0970 Fax: (970)622-0971 www.aabsolutelysmiles.com
DENTISTRY - PEDIATRIC
PEDIATRIC DENTAL GROUP
CARDIOVASCULAR INSTITUTE (NCMC) 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;
HEART FAILURE CLINIC (NCMC) (970) 350-6953 Missy Jensen, FNP-C
2003 46th Avenue Greeley, CO 80634 Phone: (970)330-4600 www.pediatricdentalspecialties.com Professionals: David Strange, DDS, MS Malcolm Strange, DDS, MS Courtney College, DDS, MS Justin Cathers, DDS, MS Gary Belanger, DDS
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
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2012 FAMILY PRACTICE MEDICINE
FAMILY PHYSICIANS OF GREELEY, LLP-CENTRAL 2520 W. 16th St. Greeley ,CO Phone: (970) 356-2520 Professionals: Joanna H. Branum, M.D.; Ann T. Colgan, M.D.; Jennifer D. Dawson, D.O.; Douglas A. Magnuson, M.D.; Lori A. Ripley, M.D.; Andrew P. Stoddard, M.D.; D. Craig Wilson, M.D.
FAMILY PHYSICIANS OF GREELEY, LLP-COTTONWOOD 2420 W. 16th Street Greeley ,CO 80634 Phone: (970) 353-7668 Professionals: Christopher T. Kennedy, M.D.; Daniel P. Pflieger, M.D.; Mark D. Young, M.D.; Stacey L. Garber, M.D. Amy E. Mattox, M.D.
FAMILY PHYSICIANS OF GREELEY, LLP-WEST 6801 W. 20th Street, Suite 101 Greeley ,CO Phone: (970) 378-8000 Professionals: 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.; Jeffery E. Peterson, 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
MEDICAL ARTS PRACTICE
1300 Main Street Loveland, CO 80550 Phone: (970)686-5646 Fax: (970)686-5118 Professionals: Lance Barker, DO Jonathan Kary, MD Trina Kessinger, MD Pharmacy on site - open to the public.
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; Janis McCall, MD; Angela Mills, MD Frank Morgan, MD; David Pols, D.O. www.bannerhealth.com
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THRIVENC
TRiBUNE MEDiCALDiRECTORY 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
NCMC - BEHAVIORAL HEALTH
WORK OUT WEST
928 12th Street Greeley, CO 80631 Professionals: Cheryl Giambrone, LPC Elise Pugh, LPC Shawn Crawford, LPC Laura Grotenhuis, LPC Tia Lewis, LPC Renée Rogers, LMFT Cleopatra Songa, LCSW, CACIII Susan Goodrich, LCSW Dr Michael Fuller, Adult Psychiatry Dr. Amy Laurent, Adult Psychiatry Dr Nicholle Peralta, Adult Psychiatry Dr Patricia Al-Adsani, Child and Adolescent Psychiatry Jose Vasquez, Psychiatric Nurse Practitioner
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
REHABILITATION AND VISITING NURSE ASSOCIATION 2105 Clubhouse Drive Greeley, CO 80634 Phone: (970) 330-5655 Fax: (970) 330-7146 Web Site: www.rvna.info Professionals: Crystal Day, CEO
MIDWIFERY CARE
CENTER FOR WOMEN’S HEALTH
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 Web Site: www.pathways-care.org
INDEPENDENT ASSISTED LIVING
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: Mark Rosenblatt, MD Ahmed M. Sherif, MD Yazan Abu Qwaider, MD
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
MENTAL HEALTH SERVICES
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
1715 61st Avenue Greeley, CO Phone: (970)336-1500 Professionals: Marie Foose, CNM; Krista O’Leary, CNM Karen Vorderberg, CNM
NEPHROLOGY
GREELEY MEDICAL CLINIC 1900 16th Street Greeley, CO 80631 Phone: (970) 350-2438 Professionals: Donal Rademacher, MD
NEUROLOGY
1801 16th Street Greeley, CO 80631 Phone: (970)350-6071 Fax: (970)350-6702
INTERNAL MEDICINE
BANNER HOME MEDICAL EQUIPMENT (NCMC) Phone: (970)506-6420
CENTENNIAL HEALTH CARE CENTER 1637 29th Ave. Place Greeley, CO 80634 Phone: (970) 356-8181 Fax: (970) 356-3278
OBSTETRICS & GYNECOLOGY
CENTER FOR WOMEN’S HEALTH 1715 61st Ave. Greeley, CO Phone: (970)336-1500 Professionals: Stewart Abbot, MD; Michael Plotnick, MD; Marie Foose, CNM; Krista O’Leary, CNM; Karen Vorderberg, CNM; Bea Bachenberg, WHCNP; Kecia Doll, Licensed Esthetician;
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; Angela Mills, MD Frank Morgan, MD; David Pols, D.O. www.bannerhealth.com
ONCOLOGY & HEMATOLOGY
GREELEY ORTHODONTIC CENTER
2010 16th Street Greeley, CO 80631 Phone: (970)350-5660 www.bannerhealth.com Professionals: Giovanna Garcia, MD Steven Kalt, MD
MEDICAL EQUIPMENT & SUPPLIES
NURSING HOME REHABILITATION
ORTHODONTICS
BANNER HEALTH CLINIC
1715 61st Avenue Greeley, CO Phone: (970)336-1500 Professional: Becci Payne, Certified Massage Therapist
2010 2012
1800 15th Street, Greeley, CO 80631 Phone: (970) 350-6680 Toll Free: (866) 357-9276 Fax: (970)350-6610 Professionals: Elizabeth Ceilley, MD Brian Fuller, MD Kerry Williams-Wuch, MD Ariel Soriano, MD
BREEN, JOHN F., MD (NCMC)
HEALING TOUCH MASSAGE @ CENTER FOR WOMEN’S HEALTH
November 28, 2012
CANCER INSTITUTE (NCMC)
INFECTIOUS DISEASE
MASSAGE THERAPY
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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
CENTENNIAL NEUROLOGY Dr. David Ewing 7251 W. 20th Street, Unit C Greeley, CO 80634 Phone: (970) 356-3876
NCMC NEUROLOGY CLINIC 1800 15th Street, Suite 100B Greeley, CO 80631 Phone: (970) 350-5612 Fax: (970) 350-5619 Professionals: Jeffery Siegel, MD William Shaffer, MD; Todd Hayes, DO Christy Young, MD
ORTHODONTIC ASSOCIATES OF GREELEY, PC
3400 W. 16thSt., Bldg 4-V Greeley, CO 80634 Phone: (970) 356-5900 Website: www.dredgren.com Professionals: Bradford N. Edgren, DDS, MS
November 28, 2012
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TRiBUNE MEDiCAL DiRECTORY 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 Daniel Heaston, MD Thomas Pazik, MD Shelly Remley, PA-C 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
PEDIATRIC REHABILITATION
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
PHYSICAL THERAPY
HOPE THERAPY CENTER (Formerly North Colorado Therapy Center) 2780 28th Avenue Greeley, CO 80634 Phone: (970)339-0011 Website: www.GCIinc.org Professionals: Chris Denham, PT; Kryste Haas, OT; Kathie Hertzke, PTA; Moni Kohlhoff, PT; Alex Luksik, PTA; Jeanne Rabe, PT; Howard Belon, PhD, Clinical Psychologist
NORTHERN COLORADO REHABILITATION HOSPITAL 4401 Union Street Johnstown, CO 80534 Phone: (970) 619-3400 Website: NCRH@ernesthealth.com
PODIATRY
FOOT & ANKLE CENTER OF NORTHERN COLORADO P.C. 1931 65th Ave., Suite A Greeley, CO 80634 Phone: (970) 351-0900 Fax: (970) 351-0940
4401 Union Street Johnstown, CO 80534 Phone: (970) 443-0925 Web Site: www.footandanklecolorado.com Professionals: Daniel J. Hatch, D.P.M. Mike D. Vaardahl, D.P.M.
PULMONARY/CRITICAL CARE
NORTH COLORADO PULMONARY (NCMC) 2010 16th Street, Ste A Greeley, CO 80631 Phone: (970)392-2026 Fax: (970)392-2028 Professionals: David Fitzgerald, DO Kelli R. Janata, DO Robert J. Janata, DO
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
SKIN CARE
KECIAS SKIN CARE @ CENTER FOR WOMEN’S HEALTH 1715 61st Avenue Greeley, CO Phone: (970)336-1500 Professinal: Kecia Doll, Licensed Esthetician
SKILLED CARE/REHAB
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
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
PROSTHETICS & ORTHOTICS
CERTIFIED PROSTHETICS & ORTHOTICS, LLC (GREELEY LOCATION) 1620 25th Avenue, Suite A Greeley, CO 80634 Phone: 970-356-2123 Fax: 970-352-4943
SURGERY GENERAL & TRAUMA
HANGER PROSTHETICS & ORTHOTICS
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 Phone: (970)350-6160
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: Lisa Burton, M.D.; Michael Harkabus, M.D.; Jason Ogren, M.D.; Samuel Saltz, D.O.; Robert Vickerman, M.D.
URGENT CARE
SUMMITVIEW URGENT CARE 2001 70th Avenue Greeley, CO 80634 Phone: (970)378-4155 Fax: (970)378-4151 www.bannerhealth.com Professionals: Thomas Harms, MD Amy E. Shenkenberg, MD Linda Young, MD
5890 W. 13th Street, Suite 106 Greeley, CO 80634 Professionals: James Wolach, MD Curtis Crylen, MD www.bannerhealth.com
1709 Heath Parkway Fort Collins, CO 80524 Phone: 970-482-7116 Fax: 970-498-9529
REHABILITATION
SURGERY WESTERN STATES BURN CENTER (NCMC)
MOUNTAIN VISTA UROLOGY
(FT COLLINS LOCATION)
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
2012
UROLOGY
CERTIFIED REHAB SERVICES, INC.
VEINS
BONELL GOOD SAMARITAN
VEIN CLINIC (NCMC)
708 22nd Street Greeley, CO 80631 Phone: (970)352- 6082 Fax: (970)356-7970 Website: www.good-sam.com
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
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 Daniel Heaston, MD Thomas Pazik, MD Shelly Remley, PA-C Kelly R. Sanderford, MD Steven Sides, MD Linda Young, MD
BARIATRIC SURGERY (NCMC)
1800 15th Street, Suite 200 Greeley, CO 80631 Phone: (970)378-4433 866-569-5926 Fax: (970)378-4440 Professionals: Michael W. Johnell, MD
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The wait is over.
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November 28, 2012
Patients across the nation are weary of waiting in emergency rooms. But the long wait is over in Greeley. Designed to reduce emergency wait times and increase patient comfort and convenience, Greeley Emergency and Surgery Center is now open. Check out some of the features of Greeley’s newest medical facility: • 10 private, spacious exam rooms,
Greeley’s new emergency and surgery center offers convenience and comfort. Greeley Emergency and Surgery Center A service of Medical Center of the Rockies
6906 10th St. | Greeley
(Next to King Soopers Marketplace at 71st Ave. and 10th St.)
GreeleyER.com
• Two kid-friendly emergency exam rooms. • Two operating rooms and three recovery rooms. • Full laboratory services available 24 hours a day, seven days a week. • A diagnostic imaging department open 24 hours a day, seven days a week. (Some procedures need to be scheduled.)