February 2013 Thrive by The Greeley Publishing Company

February 2013

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» NORTHERN COLORADO WELLNESS

BACK ON

TRACK Greeley resident Joe Yanes is on the road to recovery after having a heart attack and being revived by co-workers with an AED. Page 6.

» INSIDE: BINGE DRINKING AND WOMEN • USE CAUTION WITH ONLINE PHARMACIES • HEALTH 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-daysa-week. And, if you need to be admitted, you’ll be able to stay close to home and receive treatment at North Colorado Medical Center. So the next time an emergency happens, keep your care close and get to Banner North Colorado Emergency Care.

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January 30, 2013

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FEBRUARY HEALTH EVENTS « Walk with a doc, 8 a.m. Feb. 16 at the south

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.

entrance of the Greeley Mall. There will be an informal five-minute health talk, and a 30-minute walk (at your own pace). Families are encouraged to attend. There will be healthy snacks at the completion of the walk. Free blood pressure checks are available for those interested. Details: WalkwithaDoc.org.

« PAD Screening (Peripheral Vascular Dis-

ease), 1-3 p.m. Feb. 5 and 19 at Summit View Medical Commons, 2001 70th Ave. in Greeley. Cost: $100.

« Day of dance, 9 a.m.-1 p.m. March 2, Greeley

Family FunPlex, 1501 65th Ave., Greeley. Featuring dancing and lessons, hands-on exhibits, healthy food demos, health screenings, time to “Ask-the-Docs” with pediatrics, family practice, internal medicine, sports medicine and orthopedics. Free. Details: (970) 392-2222, or www. BannerHealth.com/NCMCspirit.

« 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 caregivers 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.

« An Elegant Evening in Red, 6-8 p.m. Feb.

19 at the Embassy Suites Event Center, 4705 Clydesdale Parkway, Loveland. Featuring Diana Jordan, nationally recognized humorist and motivational speaker. Don your red apparel and celebrate the heart of a woman with your friends for this delightful evening of ladies, laughter and life. There will also be a buffet. Tickets are $20 at NCMC or McKee Gift Shops, Accessories with Flair!, Gold’s Gym in Loveland, or by calling (877) 277-8975; choose option No. 2.

« “What’s Brewing?” Coffee Tea and Conflict

Resolution, 6:30-8 p.m. Feb. 21 in the NCMC Auditorium, 1801 16th St. in Greeley. There are real secrets to brewing a fine cup of coffee or tea and to a successful relationship! This is a great opportunity for couples to learn a few tips on both. A fun, low-key night with experts on both subjects! Free for members and partners; $10 for non-members and partners. For reservations, call (970) 392-2222.

« National Wear Red Day, Feb. 1 to help spread

the message that although significant progress has been made in increasing awareness among women that heart disease is their No. 1 killer, most women fail to make the connection between heart disease risk factors and their personal risk of developing the disease. Heart disease is largely preventable, but kills more women than all forms of cancer combined.

« Blood Tests, 7-8:45 a.m. Feb. 13 and 27, North

FOR THE TRIBUNE

Colorado Medical Center, Union Colony Room, Area C on the ground floor, 1801 16th St. in Greeley. Wellness Services offers low-cost blood 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 Check Head To Toe, Feb. 5 and 19 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.

« CPR for health care providers recertification, 3-5:30 p.m. Feb. 4. 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. Feb. 11 at NCMC, Wellness Conference Room, first floor, 1801 16th St., 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. $50. To register, call (970) 350-6633.

« Cooking Class: How To Tame Your Salt Habit, 6-7:30 p.m. Feb. 7 at North Colorado Medical Center, Cardiac Rehab Kitchen, 1801 16th St. in Greeley. Find out how much salt you really need, what foods have the most, and learn ways to prepare foods with flavorful alternatives. 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 a 10-minute consultation with

« 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 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. Feb.

12 at North Colorado Medical Center, Colonial Room, 1801 16th St. in Greeley. For people with diabetes, their family, friends, caregivers or anyone with an interest in diabetes. To register, call (970) 392-2344.

« 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. Feb. 7 at North Colorado Medical Center, 1801 16th St. in Greeley.

« Man-to-Man Prostate Cancer Support Group, 5:30-7 p.m. Feb. 21 at North Colorado Medical Center, 1801 16th St. in Greeley.

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January 30, 2013

Just in case you missed a day...

PHOTOS FOR THE TRIBUNE/Restore Health Center

New fat-reduction program to hold open house Friday Staff reports

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Loveland-based Restore Health Center has added a non-surgical fat reduction program to its menu of aesthetic services and is hosting an open house for the treatment in time for New Year’s resolutions. The FDA-approved CoolSculpting service is the only weight loss procedure comparable to liposuction that does not require surgery, according to Dr. James Howton, medical director and lead CoolSculpting operator at the health center. “You can target a specific area like trunk, love handles, tummy,” Howton said of the CoolSculpting procedure. “The applicators actually have suction that suck the fatty area into the applicator and cool it there for an hour.” It was developed by dermatologists with Popsicle panniculitis in mind, an observance in which dimples appear after children suck on Popsicles. About one third of targeted fat cells are frozen to death, which the body will eliminate during the 6-8 weeks following treatment, according to a news release. No harm is done to surrounding skin or tissue. Multiple body areas can be treated in a single procedure and patients are able to return to work immediately after the procedure because the treatment is not invasive. Despite making “Cracked’s” list of beauty products that qualify as torture, side effects

usually only include tingling of the treated area, Howton said. “Literally they can act completely normal afterward,” Howton said. “We tell people you can have some tingling or numbness, but that is normal.” Restore Health Center is the first in the Midwest region to offer CoolSculpting. Prices range from $1,250 for one treatment to $7,500 for 10 treatments. As part of its free open house, the health center is offering CoolSculpting consultations from 9 a.m.-3 p.m. Friday and program demonstrations from 4-7 p.m. that same day. Door prizes at the open house will include a free CoolSculpting treatment for one attendee and a $500 gift certificate to the individual who brings the most guests. Call (970) 278-0900 to register for the open house or visit www.freezefat.net/whatis-coolsculpting/next-coolsculpting-event for more information.

January 30, 2013

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STUDY FINDS BINGE DRINKING A PROBLEM IN WOMEN AND GIRLS By Alison Noon gtreporters@greeleytribune.com

tudies suggest that, despite popular belief, binge drinking is an ongoing problem among women and girls. The number of women binge drinking in the state of Colorado marginally surpasses the national level found in a recent Centers for Disease Control and Prevention report. Lorenza Ruiz, a 19-yearold sophomore at the University of Northern Colorado, said sees large groups of girls drinking more heavily at college gatherings than when just a couple of girls get together. She said she suspects females are trying to “keep up” with their male counterparts. “Girls want attention from the guys and that’s definitely a way to get attention,” Ruiz said. “It really depends on the girl, though.” The report, released in January, shows that about 12.5 percent of adult women and about 20 percent of high school girls binge drink in America. “It is alarming to see that binge drinking is so common among women and girls, and that women and girls are drinking so much when they do,” said Dr. Robert Brewer, of the CDC’s Alcohol Program. According to the report, which is based on results

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of a 2011 phone survey of about 278,000 women and 7,500 high school girls: » About one in eight women and one in five high school girls report binge drinking. » Women who binge drink do so frequently — about three times a month — and have about six drinks per episode. » Binge drinking was most common among white and Latino women, and among women with household incomes of $75,000 or more. » Half of all high school girls who drink alcohol report binge drinking. Girls are quickly catching up to boys when it comes to binge drinking. » Binge drinking results in about 23,000 deaths in women and girls each year. In Colorado, 14 percent of binge drinkers are women, according to statistics provided by Director of Maternal Child Health Surveillance Rickey Tolliver at the Colorado Depart-

ment of Public Health and Environment. Additionally, Weld County Prevention Partners has found that 24.7 percent of Weld County high school students who reported binge drinking in

2012 are female. “We’re looking a little different than the nation,” Tolliver said. The difference is slight, but meaningful in the state that ranked as the nation’s 11th healthiest state in 2012 by America’s Health Rankings. Tolliver noted the difference in the definition of binge drinking between sexes, which the CDC measures as five drinks for men and four drinks for women because their bodies process alcohol and are sized differently. Stefan Richmond, a 19-year-old freshman at UNC, said he was surprised to learn the CDC’s binge definition.

» Binge drinking among women and girls in America » Women who engage in binge drinking nationally: 12.5 percent; Colorado: 14 percent » High school girls nationally: 20 percent; Weld County: 24.7 percent » Alcohol use in a community is affected by alcohol’s price and availability. » Underage drinking is affected by exposure to alcohol marketing. » Underage drinking is also influenced by adult drinking, and youth often obtain alcohol from adults. Source: Centers for Disease Control and Prevention and Weld County Prevention Partners

such as breast cancer, sexually transmitted diseases, heart disease and unintended pregnancy, CDC Director Thomas Frieden said.

“On that definition, I have definitely seen a lot of women binge drinking,” Richmond said on the Greeley campus. “I would define a binge as going past your limit.” Binge drinking puts women at a higher risk for many health problems,

The Atlanta JournalConstitution contributed to this report.

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January 30, 2013

NEA

Greeley man

By M

he day after Christm 23 years — he wen He went up high o The next thing he r Yanes had a heart attack. If it hadn’t been for his wel Defibrillator (AED), doctors Colorado Medical Center to v lapsed.

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AN AUTOMATED EXTERNAL DEFIBRILLATOR is demonstrated on a dummy. The NCMC Foundation is raising money to put AEDs in public buildings.

“My boss and co-workers helpe “They got me to the cafeteria and wasn’t for them, I would not be tal Dawn Olson, director of busine the CardioVascular Institute at N had blockages in his heart that cau dangerous rhythm. The shock from helped his heart regain natural rhy Yanes is now wearing a life ve portable AED, for up to 90 day heart and can shock him if need He is in cardiac rehabilitation th times a week and has changed diet, cutting out salt and fat. “Our life changed,” said his w Lucia. “As the doctors talked, I there shocked. As he gets better ev day, it gets easier. He’s getting back his old self. We are really thankful co-workers kept him going until t there. If they wouldn’t have, he wo Success stories like Yanes’ aren That is why the city of Greeley, th Banner Ambulance Services and t Vascular Institute have partnered Community, an effort to raise awa safety in Greeley. As part of the campaign, free C ing offered for anyone in the comm “The more the community kno these patients are when they hit said. CPR is an important part of th said, to keep blood flowing to the b “Sometimes what we see is if CP lose brain activity, as well,” Olson

January 30, 2013

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AR-DEATH EXPERIENCE

an credits co-workers, AED with saving his life after heart attack

Meagan Birely | mbirely@greeleytribune.com

mas, Joe Yanes of Greeley did what he has done for the past nt to work. He felt fine. It was like any other day at JBS USA. on his perch about three feet below the ceiling and got to work. remembers is waking up in the hospital seeing blurry faces.

ll-trained co-workers and the use of an Automated External told Yanes he would not be here. Co-workers arrived at North visit Yanes and tell him about what happened after he col-

ed me,” Yanes said. gave me CPR. If it lking to you now.” ess development in NCMC, said Yanes used it to go into a m the AED is what ythm. est, a personal and ys. It monitors his ded. hree his

wife, sat very k to Yanes the the ambulance got ouldn’t be here.” n’t always the case. he fire department, the NCMC Cardioto start Heart Safe areness about heart

CPR classes are bemunity. ows, the better off t our table,” Olson

he equation, Olson brain. PR is not done you n said. “They can’t

» AED donations To donate to the NCMC Foundation to help purchase Automated External Defibrillators, call Chris Kiser, foundation president, at (970) 3506775.

» Free CPR classes The city of Greeley Heart Safe City Project and Greeley Fire Department will be offering free American Heart Association, Family and Friends CPR training to the residents of Greeley and Western Hills. This is a short, non-certified course to teach people CPR and understand the use of an AED. The course is an hour and a half long. Classes: » 9 a.m. Feb. 9 and Feb. 23 at the Greeley Fire Department Station No. 1, 919 7th St., Nusbaum Training Room.

» Heart attack facts » Cardiac arrest is a common, lethal public health problem that affects 236,000-325,000 people in the United States each year. » Brain death starts to occur 4-6 minutes after cardiac arrest. » A victim’s chances of survival are reduced by 7 percent to 10 percent with every minute that passes without CPR and defibrillation. » Few attempts at resuscitation succeed after 10 minutes. » In cities where defibrillation is provided within 5-7 minutes, the survival rate is as high as 30 percent to 45 percent. » If bystander CPR was initiated more consistently, if AEDs were more widely available, and if every community could achieve a 20 percent cardiac arrest survival rate, an estimated 40,000 more lives could be saved each year. Source: The American Heart Association

AN AUTOMATED EXTERNAL DEFIBRILLATOR is displayed on a table. come back and be the same person as they were. It really makes the difference.” Participants can also learn how to use an AED. The NCMC Foundation is also trying to raise money to get AEDs in all public buildings and schools. One AED is $1,800. “(Joe) wouldn’t have survived if he had been where people didn’t know what to do,” Olson said. Olson added she thinks some people have a bit of fear when it comes to using an AED because they do not want to hurt the person. But she said AEDs are built so they can’t hurt the person. The machine tells you if it is OK to shock the person or not. The Greeley Recreation Department has purchased 10 AEDs and 12 have been placed in police cars. Olson said when AEDs are placed in a public building, dispatch is notified. So when a person calls

“

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How nice would it be if you knew if you walked into the grocery store and knew they have an AED and you are safe? We are making our community heart safe.

Dawn Olson

director of business development in the CardioVascular Institute at NCMC

911, dispatch will be able to tell the caller where the AED is located in the building. “How nice would it be if you knew if you walked into the grocery store and knew they have an AED and you are safe?” Olson said. “We are making our community heart safe.”

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January 30, 2013

BEWARE OF FAKE MEDICINES WHEN USING ONLINE PHARMACIES The Atlanta Journal-Constitution

Beware of big promises for cut-rate medicines from online pharmacies that can leave a potential buyer with more problems than cures. From illegal online pharmacies to unapproved over-the-counter drugs, there’s no shortage of scammers hoping to capitalize on New Year’s resolutions to lose weight, cure acne or enhance sexual performance. And there are dangers involved in getting pharmaceuticals online. According to the Food and Drug Administration, bad drugs could cost you your life. “People who buy medication from a fake online pharmacy may be putting their health at risk because the products sold, while being passed off as authentic, may be fake, expired, contaminated or otherwise unsafe,” said Sarah Clark-Lynn, an FDA spokeswoman. In fact, the proliferation of illegal online pharmacies is so vast, she said, the agency is working with its foreign counterparts to shut down websites selling unapproved and potentially dangerous medicines, and it recently launched BeSafeRx to help protect consumers from online scams. “We want to arm consumers with information they can use to make informed decisions about the medicine they take,” Clark-Lynn said. She said the FDA sent warning letters to the operators of thousands of websites and companies selling unapproved or misbranded prescription and over-the-counter drugs to consumers. An FDA survey shows one out of four Internet users reported buying prescription medicines online. But almost 30 percent said they are not confident they know how to buy medicines online safely. It’s a reminder to use caution in any transaction. Dottie Callina, a spokeswoman for the Better Business Bureau, said consumers should take simple steps to guard against Internet and other fraud, including limiting the amount of personal information you share online. Online shopping and chatting can offer some great benefits and deals, but be aware

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Some of the illegal medicines identified through an FDA operation: » Domperidone, which can be used for nausea and vomiting. » Isotretinoin, previously marketed as Accutane in the United States. » Tamiflu or oseltamivir phosphate is used to treat the flu and is often sold online as “generic Tamiflu.” However, there is no FDA-approved generic version of Tamiflu. » Viagra, sildenafil citrate, used to treat erectile dysfunction. Source: Food and Drug Administration

» Requires a valid prescription from a doctor. » Licensed and located in the United States. » Has a licensed pharmacist available for consultation. » May be linked to an established local brick-and-mortar pharmacy based in the U.S. or available through your health insurance plan or network. Signs that should raise a red flag: » Allows you to buy medicine without a prescription from your doctor. » Offers deep discounts or cheap prices that seem too good to be true. » Sends spam or unsolicited email offering cheap drugs. » Located outside of the United States or ships worldwide.

WARNING SIGNS

PROTECT YOURSELF

Signs an online pharmacy is safe, according to the FDA:

If you want to keep your finances healthy as well, the BBB offers these steps you can take to

of the dangers. Use the same connectivity to check out the people or businesses offering you a deal. BE ON THE ALERT

protect yourself from fraud: » Do your research. Whether it’s a business you’re looking to hire or a product you’re looking to buy, take the time to do your research. Check out a business at bbb.org to see its BBB Business Review. For product information, go to the Consumer Product Safety Commission. » Keep your computer safe. Install antivirus software on your computer and regularly check for software and operating system updates. Don’t open attachments or click on links in emails unless the email has been scanned for viruses or is from someone you know or trust. » Never wire money to someone you don’t know. Many scams require money to be wired back to the scammer. Tracking money sent via a money wiring service is almost impossible. » Protect your identity. Always shred paper documents that include sensitive financial data and dispose of computers, cellphones and digital data safely. Safely store all personal documents, such as your Social Security card.

January 30, 2013

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HYSTERECTOMY RATES DROP AS WOMEN LEARN THEIR OPTIONS The Sacramento Bee SACRAMENTO, CALIF. — Not

until after the surgery did Sandra Nauer realize how sick she'd been. “Oh, my gosh, I had no idea I was in such bad shape,” said Nauer, 44, who lives in Galt, Calif. After years of excruciating back pain, fatigue and other symptoms, she had an outpatient hysterectomy on May 22 — and on June 7, she returned to work running her catering business. “I'm a new woman,” she said. “Holy smokes, I feel like a million bucks.” For earlier generations of women, hysterectomy was all but a rite of passage before age 50, albeit a difficult one. Even now, it remains the second-most-performed surgical procedure for American women still of reproductive age, and by age 60, one in three women has undergone the surgery, according to the Centers for Disease Control and Prevention. Despite that, hysterectomy rates in the past three decades have dropped from almost 56 per 10,000 women to 33 per 10,000, American Congress of Obstetricians and Gynecologists statistics show, and the surgery itself has been streamlined into minimally invasive procedures that make the operation and recovery easier. But hysterectomy remains controversial. While many medical experts see good news in pioneering advances and quick recovery times, some of them also see bad news, as well, saying that up to two-thirds of the 600,000 hysterectomies performed each year in this country could be avoided. Are too many women undergoing hysterectomies, even now? Should women think twice before

having the surgery? “The rate has come down a little but not enough,” said Dr. William Parker, UCLA School of Medicine clinical professor and author of “A Gynecologist's Second Opinion.” “In the old days, hysterectomy was all we had to offer for patients. We were taught that it was the solution for almost every complaint.” Today, alternative treatments often replace surgery, particularly for women below age 50. “One of the problems is that the information on alternatives hasn't seeped out as widely as it should into the medical world,” said Parker. “A lot of the newer surgeries now are minimally invasive, but many doctors haven't been trained to do them.” For younger women, 90 percent of hysterectomies deal not with reproductive cancers but rather with pelvic pain; uterine fibroids, or benign tumors; excessive bleeding; and endometriosis. For older women, the most common underlying diagnosis is cancer. Side effects of the surgery — which involves the removal of the ovaries in almost three-fourths of patients — can include the early onset of menopause, bladder and bowel problems and loss of sex drive. Research also shows that hysterectomy can increase a woman's risk of heart disease and lung cancer. “It's important that women understand, even if they're not having children any more, they might like to have sex, and they might like not having a heart attack,” said Nora Coffey, founder of the Pennsylvaniabased Hysterectomy Education Resources and Services Foundation. “Whether the surgery is life-saving or completely unnecessary, you deserve to know the consequences.” But other medical experts insist

SACRAMENTO BEE

SANDRA NAUER WORKS DEC. 28 in Sacramento, Calif. Nauer had heard horror stories about hysterectomies from older relatives but her recovery took about two weeks with no complications, and she was able to return to her job as a caterer.

“

In the old days, hysterectomy was all we had to offer for patients. We were taught that it was the solution for almost every complaint.

Dr. William Parker

that alternative treatments are always their first choice before surgery. Hormone treatments can help relieve abnormal uterine bleeding and other menstrual cycle disorders, for example, as can endometrial ablation. Similarly, medications can help shrink uterine fibroids. “There are certainly non-surgical ways to deal with female problems besides removing the uterus,” said Dr. Wesley Hilger, medical director of Sutter Medical Center's minimally invasive gynecology program. “It's a conversation you have with

the patient.” Like other experts, he also sees a significant generational change in women's attitudes, with younger, consumer-oriented patients more comfortable demanding answers from their doctors. “Many older patients who've had hysterectomy years ago don't know why,” he said. “They'll say, ‘My doctor said I needed it.’ “Now patients have access to information on the Internet. We have a real discussion. The age of the paternalistic doctor is over. Now the decision is more what works for their condition and their lifestyle.” Of the 1,500 hysterectomies he estimates that he's performed in the past six years, he said, only a handful have involved the traditional abdominal incision stretching from hip to hip. Most are vaginal, laporoscopic or robotic surgeries, and increasingly no overnight hospital stay is involved. “You have to overcome historical bias,” he said. “Patients have the idea

that because their mother was in the hospital five days after her hysterectomy, they should be, too.” Noreen Rademacher, now 86, remembers the wave of hysterectomies that rippled through her age group of women four decades ago, and she remembers friends being bedridden with pain for much of their six-month recovery times. When she was in her early 70s — a retired teacher, widow and breast cancer survivor — she had a hysterectomy herself after she was diagnosed with a benign baseball-size growth outside her uterus. “My doctor said, ‘While I'm down there, why not get rid of Everything?’ ” said Rademacher. “He said, ‘You don't need it, and I'll remove the possibility of you getting cervical or ovarian cancer in the future.’ ” She spent a few days in the hospital after her hysterectomy and within a week was back to walking her dog and taking exercise class. And she has no regrets. “Once you've had cancer, you don't want it again,” she said. Sandra Nauer thinks her decision to undergo hysterectomy not only solved ongoing gynecologic issues now but also prevented problems in years to come. After an abnormal Pap smear and extensive tests, she chose a minimally invasive procedure. And then her mother and grandmother, who both had hysterectomies in their 40s, started sharing their long-ago experiences with her. “All these horror stories,” said Nauer. “I was really nervous about the surgery. I heard things from other women, all these frightening things. Everyone said, ‘You'll never be the same. You'll be down physically for a couple of years.’ “I was really scared, but it was nothing like I expected it to be.”

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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

FAMILY PRACTICE MEDICINE

BANNER HEALTH CLINIC 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

FAMILY PHYSICIANS OF GREELEY, LLP-WEST

GREELEY DENTAL HEALTH 1600 23rd Avenue Greeley, CO 80634 Phone: (970)353-4329 www.greeleydentalhealth.com Professionals: Randy C. Hatch, DDS Charles W. Johnson, DDS

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.

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.

January 30, 2013

2013 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.

Scott Williams, DMD 3535 W. 12th Street, Suite B Greeley, CO 80634 Phone: (970)351-6095 www.dentalgreeley.com

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

MIRACLE-EAR

GRACE POINTE

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)

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; Janis McCall, MD; Angela Mills, MD Frank Morgan, MD; David Pols, D.O. www.bannerhealth.com

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

January 30, 2013

HEALTH

THRIVENC

TRiBUNE MEDiCALDiRECTORY DiRECTORY TRiBUNE MEDiCAL GASTROENTEROLOGY

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

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

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

INDEPENDENT ASSISTED LIVING W/SERVICES

NORTH COLORADO GASTROENTEROLOGY (NCMC)

HEALTH AND FITNESS 700 11th Street, Greeley, CO 313-6924 or 388-7956 www.zumbalove.ning.com

WORK OUT WEST

CARING HEARTS HOME HEALTHCARE 6801 W. 20th Street, Suite 207 Greeley, CO 80634 Phone: (970)378-1409

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: Giovanna Garcia, MD Steven Kalt, MD

MEDICAL EQUIPMENT & SUPPLIES

BANNER HOME MEDICAL EQUIPMENT (NCMC) Phone: (970)506-6420

MENTAL HEALTH SERVICES

NCMC - BEHAVIORAL HEALTH

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

MIDWIFERY CARE

CENTER FOR WOMEN’S HEALTH 1715 61st Avenue Greeley, CO Phone: (970)336-1500 Professionals: Marie Foose, CNM; Krista O’Leary, CNM Brenda Bridges, CNM

NEPHROLOGY

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

NEUROLOGY

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

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

Elise Pugh, LPC Banner Health Clinic Westlake 5623 W 19th St Greeley CO 80631 Banner Health Clinic 1300 Main Street Windsor, CO 80550

2010 2013 NURSING HOME REHABILITATION

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

CANCER INSTITUTE (NCMC) 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

ORTHODONTICS

GREELEY ORTHODONTIC CENTER 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

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

STUDIO Z FITNESS

HOME HEALTH CARE

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

Shawn Crawford, LPC Banner Health Clinic 222 Johnstown Center Drive Johnstown, CO 80534 Banner Health Clinic-Internal Medicine 2010 16th Street, Suite C Greeley, CO 80631

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

Health & Recreation Campus 5701 W. 20th Street Greeley, CO 80634 Phone: 970-330-9691 www.workoutwest.com

FOX RUN SENIOR LIVING

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

HEALTH

THRIVENC

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) 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

CERTIFIED PROSTHETICS & ORTHOTICS, LLC (GREELEY LOCATION) 1620 25th Avenue, Suite A Greeley, CO 80634 Phone: 970-356-2123 Fax: 970-352-4943

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

SKIN TRANSFORMATIONS LLC 1711 61ST Avenue, Unit 102 Greeley, CO 80634 Phone: (970) 353-3008 Professionals: Lorrie Beamer, Licensed Esthetician Melissa Mclean, Licensed Esthetician Terri Crouch, Licensed Esthetician Alissa Siegfried, Licensed Esthetician

SKILLED CARE/REHAB

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

SURGERY GENERAL & TRAUMA

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

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: 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

UROLOGY

MOUNTAIN VISTA UROLOGY 5890 W. 13th Street, Suite 106 Greeley, CO 80634 Professionals: James Wolach, MD Curtis Crylen, MD www.bannerhealth.com

VEIN CLINIC (NCMC)

ASCENT AT LIFE CARE CENTER BONELL GOOD SAMARITAN 708 22nd Street Greeley, CO 80631 Phone: (970)352- 6082 Fax: (970)356-7970 Website: www.good-sam.com

GRACE POINTE

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

January 30, 2013

2013

VEINS

REHABILITATION

Phone: (970)350-6160

NORTH COLORADO SPORTS MEDICINE

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

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

BANNER REHABILITATION

UNC SPEECH LANGUAGE PATHOLOGY CLINIC

HANGER PROSTHETICS & ORTHOTICS

4800 25th Street Greeley, CO 80634 Phone: (970)330-6400 Website: www.lcca.com Professionals: Annie Bennett Leslie Vail

SPORTS MEDICINE

MOUNTAIN VISTA ORTHOPAEDICS

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