nc
July 2014
THRiVE » NORTHERN COLORADO WELLNESS
Enthusiasm
for education Nurse educators conference started by UNC grad still going strong 24 years later. Page 8. PLUS...
Information on this year’s and next year’s events. Pages 8-9. » INSIDE: WHAT COMES BETWEEN YOU AND DOC? • WATER BRINGS FUN, DANGER • HEALTH EVENTS
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ydo I Where turn when it comes
My family’s health? is that
to my health?
I’VE NEVER even heard of that Is it
DISEASE.
medication
safe?
treatable?
What’s the latest
Should I get genetic testing to find out if I’m at high risk for cancer?
technology?
y
Who doI TALK TO
y
n
y
2
about this? What are my OPTIONS
now?
Hereditary cancers are less common than you may think. However, genetics counseling and testing can help to evaluate your risk and health. Only 5-10% of cancer is known to be hereditary based on genetic testing that can identify a specific cancer-causing gene. Carrying an inherited genetic defect is not a guarantee that cancer will develop. The first step is genetic counseling, which evaluates the health history of close family-members (parents, siblings and children).
Ask the
Expert
A presence of cancer younger than age 50, two or more relatives on the same side of the family with the same cancer, such as breast or ovarian cancer, or a rare cancer show an increased risk. Genetic testing involves a blood draw and DNA analysis. Information derived from genetic counseling and testing may help ease uncertainty and allow you to take proactive steps to protect yourself from cancer.
If you have a family history of cancer and want to know more, contact us today. Kerry Williams-Wuch, M.D. Oncologist/Hematologist Banner Health Clinic specializing in Cancer and Oncology Services Appointments Greeley: (970) 350-6680 Loveland: (970) 679-8900 www.BannerHealth.com/COCancer
1800 15th St., Suite A, Greeley 2050 Boise Ave., Loveland
June 25, 2014
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THINKING ABOUT HEALTH
Who comes between you, your doc? By Trudy Lieberman Rural Health News Service
H
ow many times have you heard politicians say that no bureaucrat should come between you and your doctor? You and your physician should decide when you need to go to the hospital or when you might want to wait out that cold before taking an antibiotic. At least that’s been the American ideal of the doctor-patient relationship. The reality is something different. We are reaching a crossroads in this country in terms of physician autonomy, says Dr. Luis Collar who writes on the blog KevinMD.com. In an essay a couple of weeks ago, he wrote: “Despite the foul smog of competing interests that permeate this new delivery paradigm, one thing is clear — physicians are no longer calling the shots.” Collar is talking mainly about insurance companies and hospital administrators who are dictating what physicians can and cannot do. Increasingly, we are waking up to that realization. For me it’s been happening at the pharmacy where a kind of rationing is taking place in how much medicine people can get at one time. A woman comes into my local pharmacy and asks why she can’t get a 90-day supply of a medicine the doctor ordered. The pharmacist tells her the insurance company won’t pay for 90 days, only 30 days. Why? The pharmacist gives a couple of reasons. Insurers, he says, want to
push people into mail-order pharmacies or pharmacy benefit managers, which might be able to supply the drug cheaper. If patients become annoyed, more of them might agree to get their prescriptions through the mail. He also said they aren’t sure whether a doctor won’t change your medication so they don’t want to waste money on something policyholders might not need or use. In other words, the insurance company is making the call about what you will need and when you can have it. What about getting enough for a long vacation? The pharmacist gives a date when the prescription can be refilled but it’s after your departure date. There’s always the option of paying out of pocket for the drug.
That might be OK if the price is $11 or $50, but when the retail price is $400 or $600, what’s a patient to do? The Great Cost Shift that’s taking place in American medicine — from insurers and employers who pay the bills — has come to your local pharmacy. Here’s more evidence of the change in doctor/patient relationship. Recently I received a letter from my insurance carrier that suggested I needed a health coach “to get started on a healthier lifestyle.” The letter said that a nurse I could talk to once a month as part of a disease management program could help me reach my best health by suggesting ways I could lower my cholesterol, or lose weight, or by helping me with serious conditions like diabetes.
Do hospices offer different services? Core services, as required by Medicare, are similar among all hospice providers. Valuable additional services offered by Pathways Hospice include a special recognition program honoring military veterans, art and music therapy, and a variety of services for those living with serious illness. Pathways Hospice is a local non-profit hospice offering educational and support programs benefiting the entire community at little or no cost.
“Because of your health history, we think you might benefit from joining our program,” the letter advised. What history? I don’t have diabetes. I don’t have a weight problem, and my cholesterol is normal. What did the insurance company have in mind for me? Were my eye medicines getting too costly for the company? Was the insurer trying to switch me to a cheaper medication? Did the insurer want to switch me to a different med? Eye medications are my biggest healthcare expense. Some are expensive. I was annoyed by this intrusion and called the number listed on the letter. A
customer service rep told me I received “an outreach letter” to advertise the program. After I told her no, she said she had one more question. “On our calls we have to screen everyone for depression,” she said, and asked if I had been down or depressed in the last two weeks. This was over the top. If I were, which I wasn’t, why would I tell a customer service rep pushing a service on the phone. You’d be surprised how many people say yes to that question, the rep told me. Does the insurer then send them to therapy or suggest anti-psychotic meds? This tale reinforces my
Editor’s note: The Rural Health News Service is funded by a grant from The Commonwealth Fund and distributed through the Nebraska Press Association Foundation, the Colorado Press Association and the South Dakota Newspaper Association.
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
Learn more about our hospice at www.pathways-care.org 1455 Main Street, Suite 140, Windsor 970.674.9988 305 Carpenter Road, Fort Collins 970.663.3500
point. Medicine is no longer a matter between patient and doctor. As patients, do we still want such relationships, or are we willing to sacrifice them as insurers and other big stakeholders in the healthcare game push to change that in the name of cost containment?
www.columbinehealth.com
At Columbine, you're family.
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TO ADVERTISE IN THIS SECTION PLEASE CONTACT YOUR SALES REPRESENTATIVE 970.352.0211 greeleytribune.com
mywindsornow.com
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HEALTH EVENTS IN JULY « CT Heart Score, 1 and 2 p.m.
Monday-Friday at NCMC. 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. Cost is $199. Payment is due at time of service, Wellness Services cannot bill insurance. Call (970) 3506070 to schedule an appointment.
« PAD Screening (Peripheral Vascu-
lar Disease), 1-3 p.m. July 1 and 15 at Summit View Medical Commons, 2001 70th Ave. in Greeley. 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 can receive an ankle brachial index; evaluation of leg circulation; carotid artery disease screening; ultrasound of the carotid vessels; abdominal aortic aneurysm screening; ultrasound of the aorta; CardioChek fingerstick: lipid panel; health education with a wellness specialist; and a health information packet. Cost is $100, payment is due at time of service. NCMC is unable to bill insurance. To schedule an appointment, call (970) 350-6070.
« Body Check... What you need to
know: Head to Toe, by appointment July 1 and 15 at Summit View Medical Commons, 2001 70th Ave. in Greeley. This head-to-toe health assessment gives you the tools to put your health first by receiving a comprehensive set of preventive health screenings. Invest in your health today. This screening includes a Health Fair Pan-
el (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, bone density screening, Peripheral Arterial Disease screening including education about peripheral vascular disease, stroke, stroke prevention and osteoporosis prevention, ankle brachial index, ultrasound of the carotid vessels, and ultrasound of the aorta (screenings are read by a board-certified radiologist). Upon request, a Colorectal Take-Home Kit, $10, Prostate Specific Blood Antigen screening, $23. Cost for screening is $175. Payment is due at time of service, Wellness Services cannot bill insurance. Call (970) 350-6070 to schedule an appointment. All results are sent to your personal physician and to you.
« STAR-support touch and reach
breast cancer survivors (Breast Cancer Support Group), 5:30-7 p.m. July 3 at NCMC Cancer Institute Conference Room. For more information, call Betty Parson at (970) 339-7137.
« CPR for Health Care Providers
(Recertification), 3-5:30 p.m. July 7 in the Union Colony Room at NCMC. 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. To register, call (970) 350-6633. Cost $50. 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.
« Yoga Basics, 4:30-5:30 p.m. July 7-Aug. 11, Mondays at NCMC. This
class is an introduction to the foundational poses in a beginning yoga practice. This class will focus on careful physical alignment for the creation of a safe practice and is best suited for those with no physical limitations. Cost is $48 for six weeks. Payment is due at time of registration. Refunds will not be processed once classes have begun.
« Chair Yoga, 10-10:45 a.m. July 7-Aug.
11, Mondays at NCMC. Primarily from sitting in a chair, we focus on gentle movements coordinated with breathing exercises to facilitate greater range of motion, flexibility and relaxation. Some standing poses may be included. Cost is $48 for six weeks. Payment is due at time of registration. Refunds will not be processed once classes have begun.
« Cooking Classes, 6-7:30 p.m. July
8 at NCMC Cardiac Rehab Kitchen. Learn to jazz up any meal with sauces, salsas and marinades that will add flavor and antioxidants for health. Taught by NCMC chef Bob Demmler. These new ideas are a great way to modify your cooking habits and learn about heart healthy cooking. Recipes and samples are included. Cost is $10 per class. Payment due at the time of registration. If you are absent from the class, you will be charged the full amount. Please call (970) 350-6633 to register.
« Yoga Flow, noon-12:45 p.m. July
9- Aug. 13, Wednesdays at NCMC. Student will learn to build skills into flowing sequences with a focus on combining breath with movement. This class is challenging and dynamic, for those with no physical limitations. Cost is $48 for six weeks. Payment is due at time of registration. Refunds will not be processed once classes have begun.
« Gentle Yoga, 4:30-5:30 p.m. July
9-Aug. 13, Wednesdays at NCMC. Postures are presented in an easyto-follow, accessible manner with plenty of time for modifications and focus on breath work. An excellent class for seniors, those with chronic illness or injuries, those newer to yoga or students wanting a gentle practice. Cost is $48 for six weeks. Payment is due at time of registration. Refunds will not be processed once classes have begun.
« Blood Tests, 7-8:45 a.m. July 9 and
23 at NCMC via Entrance No. 6 and July 16 at Johnstown Family Physicians, 222 Johnstown Center Drive. Wellness Services offers low-cost blood screenings open to community members; some immunizations are also available upon request and availability. To schedule an appointment, call (970) 350-6633. Please fast 12 hours prior to blood draw. Payment due at time of service, NCMC will not bill insurance. Cost varies.
« Spirit Girls and Moms Too!,
6:30-8:30 p.m. July 10 at the NCMC Auditorium, 1801 16th St. in Greeley. Going through puberty is a lot easier when you and your daughter know what to expect. Visit with pediatricians and gynecologists from Banner Health Clinics for a discussion of normal puberty-related events and the opportunity to ask questions in a relaxed setting. Treats and fun activities will be provided. Call (970) 392-2222 to reserve your space. Free admission for Spirit members and $10 for nonmembers. All girls ages 8-12 are free. For more information, go to BannerHealth.com/NCMCspirit.
« Heartsaver CPR with AED-Wind-
sor, 6-8 p.m. July 17 at the Windsor Recreation Center, 250 11th St. Taught by the American Heart Association certified health care professionals, this class covers adult and infant/child CPR, obstructed airway,
Heimlich maneuver and the use of a barrier device. Upon completion of the course, participants will receive a Heartsaver course completion card. The certification is valid for two years. Cost is $48. Call (970) 6743500 to register.
« Walk with a Doc, July 19 at the west
side of Sanborn Park, 2031 28th Ave. in Greeley. Join this 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 are healthy snacks at the completion of the walk. Free blood pressure checks are available for those interested. Upcoming walks are posted at www.walkingwithadoc. org.
« Safe Sitter-Windsor, 9 a.m.-3 p.m.
July 22 at the Windsor Recreation Center, 250 11th St. in Windsor. Safe Sitter is a one-day, six-hour curriculum designed for 11- to 13-yearolds. Participants learn care of the choking infant and child, babysitting as a business, success on the job, child care essentials, safety for the sitter, preventing injuries, injury and behavior management and preventing problem behavior. For more information and to register, call (970) 674-3500. Registration closes at noon, two days prior to class.
« Heartsaver First Aid, 4-6:30 p.m.
July 24 at the Family FunPlex, 1501 65th Ave. in Greeley. Taught by the American Heart Association certified health care professionals, this First Aid class provides participants with an understanding of first aid basics, medical emergencies, injury emergencies and environmental emergencies. Upon completion of the course, participants will receive
Turn to Events on P.6
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5th Annual
Thursday, July 17, 2014 Boardwalk Park 4:00-8:30pm SAVE THE DATE!
a Heartsaver First Aid course completion card. The certification is valid for two years. For more information call (970) 350-9401.
« Heartsaver CPR with AED, 7-9 p.m. July 24 at
the Family FunPlex, 1501 65th Ave. in Greeley. The class is taught by American Heart Association certified health care professionals and covers adult and infant/child CPR, obstructed airway, the Heimlich maneuver, the use of a barrier device and AED hands-on training. Upon completion of the course, participants will receive a Heartsaver course completion card. The certification is valid for two years. Registration closes at noon, two days prior to class. For more information call (970) 350-9401. Cost is $48 for CPR only, $45 for first aid only and $88 for both.
« Safe Sitter-Greeley, 9 a.m.-3 p.m. July 30 at the Family FunPlex, 1501 65th Ave. in Greeley. This is a one-day, six-hour curriculum designed for 11- to 13-year-olds. Participants learn care of the choking infant and child, babysitting as a business, success on the job, child care essentials, safety for the sitter, preventing injuries, injury and behavior management and preventing problem behavior. For more information and to register, call (970) 350-9400. Registration closes at noon, two days prior to class.
« Boys 2 Men, 6:30-8:30 p.m. July 31 at the NCMC • A Collection of Northern Colorado Restaurants • Vendor Booths • Children Activities • Summer Concert Featuring: EUFõQUESTRA An ever-evolving sound that has been igniting dance floors across the country, blending the roots of funk, soul, afrobeat, reggae and dub to create a sound that is energy and rhythm personified.
In partnership with
Auditorium, 1801 16th St. in Greeley. Experts in adolescent health will use an informative and engaging format to discuss topics on the minds of parents and sons, including physical and behavioral changes, puberty and how to talk about the “tough stuff.” There will be snacks, time to ask questions, and boys will also learn basic self-defense skills from martial arts experts. Boys around 11-14 years of age must be accompanied by a parent or guardian. Both mom and dad are encouraged to attend. Free for all boys, Spirit members and spouse, and $10 for nonmembers and/or spouse. Registration is required. Call 970-392-2222 or email spirit. of.women@bannerhealth.com.
« CPR for Health Care Providers Skills Check,
FREE ADMISSION
call Wellness Services at (970) 350-6633 to schedule a skills check and bring a copy of the Course Completion Certificate with you. 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
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CPR certification by completing an online CPR module, which includes watching a video, reviewing content and an exam. Fee is $50 for CPR for health care providers and includes skills check with a certified American Heart Association instructor. Separate fee for online course, payable online. The class is in the Wellness Conference Room, unless otherwise noted.
« NCMC Adult Fitness, this program is available
to people in the community who are interested in starting an exercise program in a health care setting. Cost per month for individuals is $45 or $80 for a couple who must live in the same household. Call (970) 350-6204 for more information.
« Living Well with Diabetes Program, by ap-
pointment or class schedule. Services available in Greeley, Loveland, Windsor and Johnstown. 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. Cost varies, insurance billing available. Call (970) 392-2344 to schedule an appointment.
« Pre-Diabetes Classes, Quarterly classes,
call (970) 392-2344 to register and for dates. Courses will teach the difference between pre-diabetes and diabetes, prevention of type 2 diabetes and how to develop a lifelong plan to help keep your blood sugars in the normal range. Cost is $10 per class, one support person may accompany at no charge.
« Diabetes and Pregnancy Education, by ap-
pointment or class schedule. Services available in Greeley, Loveland, Johnstown and Windsor. Group and individual sessions 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. No referral needed for group sessions, referral from provider is required for individual appointments. Individual appointments billable to insurance. Cost is $10 per class. Call (970) 392-2344 to schedule an appointment.
« Pulmonary Rehabilitation, contact (970) 3506924 for information and opportunities in lung disease management, education and exercise.
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WHAT TO EXPECT...
When visiting a therapist By Odil Macias omacias@greeleytribune.com
One in four people in the U.S. goes through some type of mental illness that occurs either because of biological or situational circumstances, according to Bonnie Adams, program director for the west Greeley counseling center for North Range Behavioral Adams Health. Although everyone at some point feels sad, angry, frustrated, anxious or confused, depending how long these last and how you respond to them, it may signal a necessary professional treatment. We sat down with Adams and asked her about what it feels like to visit a therapist.
Qsomeone know when
UESTION — How does
they should see a therapist?
A
NSWER — Very often, things happen in our lives that are upsetting, and we have strong feelings about them. Most of the time we can resolve those feelings ourselves but every once in a while, those feelings just linger and get worse. They can begin affecting our relationships or work performance and make us act or abuse substances in dangerous, self-destructive or odd
» Resources North Range Behavioral Health offers more than four location in Greeley along with one in Fort Lupton. They count with various services and programs for all ages, including early childhood, child, youth, family and adult programs; crisis stabilization for both substance use and mental health disorders; suicide grief support, education and prevention; housing; rehabilitative and other vocational services; DUI and domestic violence education; underage drug and alcohol use prevention and education; integrated physical and behavioral health care; and mental health first aid training. Call (970) 347-2120 in Greeley and (303) 857-2723 in Fort Lupton from 8 a.m.-5 p.m. Monday through Friday to schedule an assessment and begin a therapy treatment. For more information visit www.northrange.org.
ways. If this is the case people should seek help. Some reasons someone would visit a therapist is because they are feeling depressed, sad, anxious or diagnosed with a chronic illness such as bipolar disorder or schizophrenia. old does someQ—oneHow need to be to begin seeing a therapist?
A
— Centers like ours of-
ten see young children and their parents, adolescents with and without their parents, young adults, middle-aged people and seniors. These services are for all ages because anyone of any age can face emotional and mental health problems.
Can families come Q—in for therapy together?
A
— Yes they can, in fact
family therapy is very often an important type of any counseling situation. Sometimes the client will come in alone a few times but very often issues will reach a point that centers
around the family. A good therapist can help understand the issues at the heart of family conflict, which is often the first step to healing, but more importantly, help identify and practice skills and approaches that improve family relationships. What is the process Q—of visiting a therapist like?
A
— First a client would
call and schedule their first appointment, which we call an “assessment” or “intake” that takes about an hour long. During that first assessment we ask about background information such as family of origin, about their immediate family members, about individual and family behavioral health history, and if there is any substance abuse disorder in the family. We then transition to talk about what brings the client to our offices, what is their issue and we set the goal for their therapy. Goals are set by the client because this is their therapy. And throughout the meetings,
we work to reach the goal the client has set for him or herself. An example of a goal a person with depression could set is to feel better and how we would work towards that is to look at what could be the stressors in their life and what is causing the condition, and then we can start prescribing some coping strategies and ways for them to manage their illness. What happens after Q—a first assessment?
A
— We schedule
another appointment immediately after they leave to revisit within a week or sometimes even sooner, depending on the situation and the client’s issue. If they are in deep distress, obviously we want them in sooner, and then possibly to visit once a week. During the next visits, a client finds out more about their mental or emotional health or addiction. They learn coping strategies and get insight into their own responses to stress and problems and ways to address past trau-
» What to expect It’s not uncommon to feel a little stressed out when you head to the doctor’s office for a new procedure. Of course, a lot of what makes us worry is that we don’t really know what to expect. This series is designed to give you a basic idea of what to expect when you go in for a common medical procedure. If you’d like to know more about a procedure and would like to see it featured here, contact Tribune reporter Odil Macias at omacias@greeleytribune.com.
» Check out video See video with this story at www.greeleytribune.com.
ma. Clients may be asked to practice some of these new skills and responses, or learn about community resources that can help in treatment. A good therapist will help define the goals for treatment and what the recovery looks like.
Qcounseling services are — What types of
medication services and by this we employ psychiatrists, nurse practitioners and physician assistants who are able to prescribe medications. Clients can be involved in more than one of these at the same time. always Q—meetWillwithclients the therapist
offered?
they met on their assessment?
A
A
— There is individual
therapy, which is similar to an initial assessment. There is group therapy that offers extra support by having other members of the group encourage an individual as they begin their process to reach a goal. The group therapy is designed so everyone in the group has similar issues and can help each other. There is family therapy, and many times when treating children we suggest this type of therapy because usually if a child is having an issue, the family is struggling, as well. There is couple’s counseling for marriages that may be struggling. And we have
— Intake coordina-
tors try very hard to match a suitable therapist to a client. Most of the time that works but occasionally they may not be a good fit and the therapist knows that during the initial assessment. If this occurs, they will forward the client to a different therapist whom they know are best equipped to counsel the client and their issue.
What are the hours Q—of service?
A
— The center offers
evening hours and if Saturdays are necessary the center works around that.
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ENTHUSIASM FOR EDU A By CASEY KELLY ckelly@greeleytribune.com
s Diane Stille was finishing graduate school for nursing education at the University of Northern Colorado, she felt she wasn’t prepared yet to go out and teach the next generation of nurses. She wanted more the practical details of teaching and began looking for something that would fill that need. She found a couple of nursing education conferences on the east and west coasts, but they were too expensive for her to attend, and she dropped the idea for a bit. After graduation, she was hired by the Centennial Area Health Education Center in 1989 specifically to provide continuing education conferences for nurses in northern and eastern Colorado. She envisioned a conference that would provide nurse educators with the latest tools to teach their students, and she worked with the nursing schools at the University of Northern Colorado and Front Range Community College. In 1990, the Nurse Educator’s Conference in the Rockies held its first event in Estes Park, drawing 100 nurse educators to a YMCA camp. “Everybody remembers the first year, if they went,” Stille said. “It was the only time they went to a nursing conference where they slept on bunk beds in group rooms and had food that tasted like it was from a Boy Scout camp.” The conference, in its 24th year, has come along way since those humble beginnings. It will meet again July 16-19 in Breckenridge. This year’s theme is “Recharge Your Focus on Education.” From the beginning, Stille worked closely with the nursing director at Front Range, Marty Bachman, and at UNC, Sandy Baird, to choose the topics that would be most helpful to the nursing teachers. “Diane would give us all the abstracts, and each of the colleges, UNC and Front Range, would get together, and we would decide who would be the speakers,” Bachman said. “It was a really fun time for the faculty to get together.”
She said some of the seminars that first year included bridging the needs between novice and senior faculty members and developing tools for grading in clinical settings. “We were always trying to catch the trends that were going on,” Stille said. “We wanted to be on the leading edge of everything.” For instance, Bachman said the second year, she taught a class on how to make fancier overhead projection transparencies. “That was the current technology at the time, in 1991,” she said with a laugh. While the technology in the field has changed over the years, Bachman said the conference’s focus on cutting-edge teaching tools hasn’t. For instance, Bachman described a simulator mannequin she uses to teach nursing students about delivering babies. “It’s a mannequin that you can program with a computer,” Bachman said. “She talks and has contractions and actually gives birth.” By the fifth year, the conference had moved to Copper Mountain and included 125 attendees from 18 states, and in its 10th year was draw-
PHOTOS B
DIANE STILLE, LEFT, AND Marty Bachman, right, look through old conference materials at the C tion Center in Greeley on June 6. ing about 200 people to the conference from 32 states. Stille said she wanted the attendees to have some fun too, so speakers were added to discuss topics like horseback riding, quilting and playing the harmonica. The conference eventually moved
» Save the dates The 2015 Nurse Educator’s Conference will be held July 13-18, 2015.
again to Breckenridge and continued to grow. By 2005, the conference included more information on
online education and technology, and by 2008, the conference broke 400 attendees and was attracting
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Nurse educators conference started by UNC grad still going strong 24 years later
MONICA DANIELS-MIKA IS THE executive director of the Centennial Area Health Education Center, the organization responsible for the annual Nurse Educator’s Conference of the Rockies.
» Registration
BY JIM RYDBOM/jrydbom@greeleytribune.com
Centennial Area Health Educa-
nurse educators from other countries. “They’re educating the next generation of nurses,” CAHEC Community Health Education Coordinator Megan Blaser said. “They truly are learning the latest and greatest in
Registration is full for the 2014 conference, however, people may still sign up for a wait list in case the conference has more spots become available. To sign up on the wait list, fill out a form at https://www.
surveymonkey.com/s/NECWaitlist.
healthcare education and delivery.” This year’s conference will feature seminars on team-based learning practices, reducing leadership turnover and social justice in the nursing curriculum. This year will also be the first year with a panel session on marijuana, Blaser said.
“We know a lot of people from other states are very curious, as well as understanding the implications for their states if they go down that path,” Blaser said. “We’re trying to add a little flavor.” She also said the conference will have an oxygen bar, which she said
was a hit at past conferences with attendees who came from lower altitudes. Monica Daniels-Mika, executive director of the Centennial Area Health Education Center, said it’s amazing to think of the impact that the conferences have had throughout the years for nurse educators. “They’re talking thousands of nursing engagement opportunities, if you look at how many people attended,” Daniels-Mika said. “It’s pretty impressive that couple of nurses from Northern Colorado can
» For more » WHAT: 24th annual Nurse
Educator’s Conference in the Rockies » WHEN: July 16-19
» WHERE: The Village at Breckenridge, 535 South Park Ave. » COST (after June 10): $595 » MORE INFO: www.cahec. org
get together and they can impact thousands of other nurses across the nation.”
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June 25, 2014
Water offers summer fun and danger By Jason Webb For The Tribune
Summer is here, and many people will seek relief through swimming or splashing in the water. After all, water is a great way to stay cool during the hot summer months, but it can also be a source of danger if one is not careful. The Centers for Disease Control and Prevention reports an average of 3,533 accidental fatal drownings per year from 2005-2009. Additionally, the CDC reports 347 people died each year from drowning in boating-related incidents. Much like the rest of the nation, northern Colorado has an abundance of places to enjoy water activities. What many people may not think about is that drowning is the fifth-leading cause of unintentional death or injury, according to the CDC, and it kills more children between the ages of 1 and 4 than anything but birth defects. It is important to prepare yourself for a day at the lake and observe common-sense precautions, as well as general safety rules to keep you and your family safe while you boat, swim or enjoy yourself around the water. Despite the best precautions, accidents can still happen. Here are tips to prevent and handle any emergency that may come up. First and foremost: Wear a life jacket. They may be hot, but they are vital in case someone falls overboard or the boat or watercraft capsizes. Children 12 years of age and younger are required to wear a personal floatation device — a life jacket — whenever they are on a boat that is on the water. The only instance where they are not required is when they are in an enclosed cabin or below
FOR THE TIRBUNE
» For more It is also important to understand Colorado’s boating regulations. You can find them at the Colorado Parks and Wildlife website: cpw.state.co.us/ thingstodo/Pages/BoatingRulesRegs. aspx.
deck. Make sure all life jackets fit properly for the person who is wearing it. Any floatation device you choose will need to be U.S. Coast
Guard-approved, readily available to passengers and in good condition. Pay attention to the passengers on the boat and be sure you know where everyone is at all times. If you are water skiing or swimming off a boat, please turn off the motor when boarding or exiting. Remember, the rules for boating are the same as the rules for driving a car — don’t drink and drive. Some additional things to remember when having fun around the water are: » Drink plenty of fluids (not alcohol).
» Use sunscreen and stay out of the direct sun between 10 a.m. and 2 p.m. » Late summer storms can be violent; if lightning is approaching, get out of the pool and away from the water. While some water sports are limited to summertime, many, such as swimming, can be enjoyed year-round. Always remember to play it safe when in or near the water. Jason Webb is a public relations specialist for Banner Health.
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June 25, 2014
HEALTH
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GRADUATED Just in case DRIVER’S LICENSE you missed a day... PART OF KEEPING TEENAGERS SAFE By Stacey Chase
» About DRIVE SMART
For The Tribune
DRIVE SMART Weld County — a nonprofit coalition that reaches out to residents and advocates safe driving practices — extends its deepest sympathy to the families that have suffered tragedy this spring. The coalition will continue to work to prevent any more young drivers from losing their lives on Weld roads. If you are interested in joining DRIVE SMART Weld County, contact the Weld County Department of Public Health and Environment at (970) 304-6470. Coalition meetings are every third Wednesday of the month at the Weld County Department of Public Health, starting at 8:30 a.m. For more information go to www. drivesmartweldcounty.com.
or other licensed driver is in the vehicle. » For the next six months of their license, drivers younger than 18 can have one passenger younger than 21 in the vehicle. » All passengers in a car driven by anyone under the age of 18 must have their seat belt on. This includes the backseat passengers. » No cell phone use, bluetooth or speaker phone, is allowed for drivers under the age of 18. They can only use it in an emergency; they must be pulled over and out of a lane of traffic.
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Stacey Chase is an emergency medical technician for Banner Health Paramedic Services and chairwoman for DRIVE SMART Weld County.
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Weld County is known for having some of the most dangerous roads in Colorado. The county has consistently been rated as having one of the highest traffic fatality rates in the state. Over a decade ago, our county mourned the loss of four teenagers who were involved in a fatal crash on U.S. 34 in Greeley. These fatalities resulted in the implementation of the Colorado Graduated Driver’s License Laws in 1999. Since then, our traffic fatalities have declined considerably. Even so, as a result of two recent crashes this month, community members throughout Weld are once again mourning the loss of three young lives. With these recent tragedies, DRIVE SMART Weld County would like to remind the community of some key graduated driver’s license laws restrictions that were implemented to keep teens safe during their first year of driving. The law states: » Drivers younger than 18 who have not had their driver’s license for a full year are not allowed to drive between the hours of midnight and 5 a.m. The only exception is having a written note specifying why the driver is driving past curfew for school functions, school sporting events or employment. The note for employment must come from the employer. » For the first six months of their license, drivers younger than 18 can’t have any passengers younger than 21 unless a parent
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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
(970) 350-6953 Missy Jensen, FNP-C
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
HEART FAILURE CLINIC (NCMC)
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
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June 25, 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
June 25, 2014
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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
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, YOURTH, 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 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
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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
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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
BANNER REHABILITATION Phone: (970)350-6160
COLUMBINE COMMONS HEALTH & REHAB FACILITY 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
BONELL GOOD SAMARITAN 708 22nd Street, Greeley, CO 80631 Phone: (970)352- 6082 Fax: (970)356-7970 Website: www.good-sam.com
COLUMBINE COMMONS HEALTH & REHAB FACILITY 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
June 25, 2014
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FDA WAGES FIGHT AGAINST TEEN TANNING Pittsburgh Post-Gazette PITTSBURGH — Ciana and Ka-
trina Cahill started tanning at age 15. Twice a month, the Wexford natives, who are now 21 and 26, respectively, would go to the salon, undress, rub on some lotion, strap on protective goggles, and lie back surrounded by the tanning bed’s bluish glow. But as relaxed as the sisters may have felt, each minute they spent under the tanning bulbs increased their risk of cancer-causing mutations in their skin. And according to recent studies, that risk was even higher because of their young age. The Food and Drug Administration is now trying to prevent Americans like the Cahills from tanning before the age of 18. Late last month, the organization announced a reclassification of sunlamp products
such as tanning beds from low to moderate risk, and ordered that these machines have a black-box warning against their use by children under 18. Yet the response from cancer researchers, tanning professionals and indoor tanners has been anything but unanimous. If you think that indoor tanning is not widespread, think again. A 2009 study found that, on average, there were more tanning salons than Starbucks or McDonald’s in American cities. The Indoor Tanning Association estimates that roughly 30 million Americans go to these salons every year. And those numbers have been increasing, especially among adolescent girls, said dermatologist Laura Ferris, who runs a high-risk skin cancer clinic at UPMC. “Like using drugs, tanning can actually be addictive,” she said. “It releases
the same endorphins, the feel-good hormones.” Studies have shown that the UV rays emitted by tanning beds increases the risk of melanoma, the deadliest form of skin cancer, by about 60 percent. “We see melanoma increasing at a high rate among the exact people who use tanning beds,” said Dr. Ferris. She finds it shocking to see how many of the Pittsburghers she treats are indoor tanners, and just how many of them began tanning as teens. Dr. Ferris explained why the FDA is especially worried about tanning among minors. Within our cells, we have an anti-cancer police force made up of tumor suppressor genes. Their job is to repair damaged DNA which could lead to cancer. If these genes are themselves damaged by UV rays, they are unable to do their job, and the
cancer-causing mutations can have a field day, making cells proliferate to form a malignant tumor. “The earlier you start having those mutations form, the higher the risk that you will have enough of them to develop cancer,” Dr. Ferris said. Which means that the earlier you start tanning, the likelier you are to get melanoma. Dr. Ferris would like to see a nationwide ban on indoor tanning for minors, but she is glad that the FDA is taking this first step. She also pointed out that in May Gov. Tom Corbett signed legislation that bans those 16 and under from using tanning beds and requires parental consent for 17-year-olds. This takes effect in July. DeAnn Lazovich takes a harder line. The University of Minnesota epidemiologist, who has been researching skin cancer and tanning
since 2000, is frustrated about the FDA advancing in half measures. “I think it is very problematic,” she said. “It leaves it up to the minor to see the warning. There is no onus on the salon operator.” In spite of clear evidence that tanning increases the risk of cancer, tanners and tanning salon operators have mixed feelings about the recent FDA warning. Some did not know about the change. “No one told us this. Nobody will enforce it,” said a tanning salon manager in Oakland who did not want her name or workplace published. When asked about enforcement, an FDA spokesperson wrote that the organization can refuse to approve devices that do not meet national standards. They can also “take various enforcement actions” based on inspections or complaints.
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Van Gogh DID NOT Cut Off His Own Ear Sherman (2009) states that Vincent Van Gogh is not only universally recognized as among the great artists in history, but also as the tortured genius and crazy painter who sliced off his own ear. Art-lovers everywhere have long been baffled by Van Gogh’s loss of his right ear and his much-discussed hearing impairment. Vincent Van Gogh, one of the leading Impressionists, takes his rightful place with other historical figures who have suffered from Meniere’s disease. These include Martin Luther and, more recently, Alan Shepherd, Les Paul, Peggy Lee, and many others (Disabled World, 2008). Although physicians diagnosed Van Gogh as having epilepsy and madness, Hargrave (2011) writes that the painter was known to have suffered from tinnitus, which he described as ringing or roaring in the ears, as well as impaired hearing and intolerance of loud noises (classic Meniere’s symptoms). The late 19th century Dutch artist created a number of paintings and drawings that are now among the world’s most valuable and popular works of art. But in his short lifetime, he sold only one of his more than 2000 works, which included 1100 drawings and sketches along with 900 paintings. The Van Gogh Gallery (2011) notes that he produced his finest works in less than three years, using a technique that grew more and more impassioned in brushstroke, in symbolic and intense color, in surface tension, and in the movement and vibration of form and line. Van Gogh’s inimitable fusion of form and content is
powerful; dramatic, lyrically rhythmic, imaginative, and emotional, for the artist was completely absorbed in the effort to explain either his struggle against madness or his comprehension of the spiritual essence of man and nature. Before becoming an artist, Van Gogh worked as a pastor, art salesman, and teacher. He was a wellknown recluse, sometimes spending hours in silence with his bible. Although Prosper Meniere’s 1861 paper outlining the disease that bears his name (Meniere’s Disease) was published two years before Van Gogh’s birth, the condition was not well known or medically accepted in the late 19th century. Therefore, it’s not surprising that Dr. Peyron, a physician at the St. Remy (France) asylum for epileptics and lunatics, diagnosed Van Gogh with epilepsy and thought this (Meniere’s Disease) to be the cause of his malady. Based upon this diagnosis, the painter voluntarily admitted himself to the St. Remy facility in May of 1889. For a century he was thought to have been epileptic and was well known as the crazy painter who cut off his own ear. In an effort to correct the record, Arenberg et al. (1990), a group of neuro-otologists, reviewed 796 of Van Gogh’s personal letters to family and friends written between 1884 and his suicide in 1890. Their analysis reveals a man who was constantly in control of his reason, but who suffered from severe and repeated attacks of disabling vertigo, not a seizure disorder. In their opinion, the clinical descriptions in his letters are those of a person suffering from Meniere’s disease, not epilepsy. The authors point out that Prosper Meniere’s 1861 description of his syndrome (an inner-ear disorder) was not well known even when Van Gogh died and that it often was misdiagnosed as epilepsy well
into the 20th century. Arenberg et al. concluded that it is highly probable that he suffered from Meniere’s. These days, we have a much better understanding of this disorder and we realize that Meniere’s is a debilitating disease that has a certain regimen for treatment. In Van Gogh’s time, however, the complications and frustrations created by the symptoms of the disease often caused significant behavioral difficulties. In Van Gogh’s case, these concomitant behavioral issues were often severe and created an image of a deranged individual capable of cutting off his own ear. The story goes that in the 1880s Van Gogh wanted to begin a painting school in Arles, a town in southeastern France. He hoped that his artist friends Camille Pissaro, Claude Monet, and Paul Gaugin would take part in this enterprise. But only Gaugin agreed to work with him for a time there. When Gaugin was about to leave Arles, legend has it, a frustrated Van Gogh chased him with an open razor, but ended up cutting off his own right pinna. Of course, this behavior was consistent with the diagnosis of epilepsy and madness, which has been part of popular folklore ever since.
weapon into the Rhône River. Van Gogh, meanwhile, delivered the severed ear to a prostitute and then staggered home, where police discovered him the following day, the new account claims. Samuel (2009) has discovered results from German art historians that indicate the two men both kept a “pact of silence” – Gauguin to avoid prosecution and Van Gogh in a vain attempt to keep a “friend” with whom he was hopelessly infatuated. The sword is said have been wrapped in cloth and handed it to a prostitute in a nearby brothel. “To do good work one must eat well, be well housed, have one’s fling from time to time, smoke one’s pipe, and drink one’s coffee in peace.”…..Van Gogh
References Arenberg, I; Countryman, L.; Bernstein, L., & Shambaugh, G. (1990). Van Gogh had Meniere’s Disease not epilepsy. JAMA, Vol 264, No 4, pp 491-493. Baloh, R., (2001). Prosper Meniere and his disease. Arch of Neurol, Vol. 56, No 7, pp1151-1156. Disabled World, (2008). Famous people with Meniere’s Disease. Hargrave, C., (2011). Health Discoveries: Alternatives to Medicine. Healthdiscoveries.com. Samuel, H. (2009). Vangogh’s ear was cut off by friend Gaguin with a sword. Telegraph. Sherman, W., (2009). Historians blame Van Gogh’s hearingloss on Gaugin. AnimalNewYork.com. Van Gogh Gallery (2011). Biography of Vincent Van Gogh.
Author’s Bio:
Robert M. Traynor, Ed.D., MBA, FAAA
Miller, a co-researcher at Michigan, that the noise-induced hearing loss prevention concoction could be available within two years.
Sherman (2009) cites new evidence that the disturbed Dutch Robert M. Traynor is the CEO and practicing audiologist at artist made up the story to proAudiology Associates, Inc., Greeley, Colorado with particular tect Gauguin, an object of his afemphasis in amplification and operative monitoring. Dr. fection at the time. This evidence Traynor holds degrees from the University of Northern Colorado suggests that it was Gaugin, an (BA, 1972, MA 1973, Ed.D., 1975), the University of Phoenix excellent fencer, who cut off Van In another study funded by the Oklahoma Medical Research Foundation, (MBA, 2006) as well as Post-Doctoral Study at Northwestern Gogh’s Dr. pinna with sword researchers Robert Floydaand retiredduring Army surgeon, Dr. Richard Kopke, M.D., discovered a University (1984). He taught Audiology at the University of combination of two compounds stopped damage ear caused by acute acoustic trauma – a quarrel. After an unhappy stay to the inner Northern Colorado (1973-1982), University of Arkansas for something likeGauguin an IED exploding. Although they what the compounds were they felt in Arles, was planning todid not indicate Medical Sciences (1976-77) that,“This is a very exciting finding,” said Dr. Floyd, who holds the Merrick Foundation Chair in Agingand Colorado State University move out, leaving his estranged Research at OMRF. “The research is still at a pre-clinical stage, but we’re hopeful we soon can (1982-1993). Dr.thatTraynor is begin a retired Lt. Colonel from the US friend behind. Gaugin had walked testing in humans. Army Reserve, Medical Service Corps and currently serves as an out of the house with his baggage, Adjunct Professor of Audiology at the University of Florida, the More Dr. Kathryn Campbell's at Southern Illinois University involves the use of an his recently, trusty épée in hand. Vanwork Gogh, University of Colorado, and the University of Northern Colorado. antioxidant called D-methionine, a component of fermented protein who had earlier thrown a glass at For 17 years he was an Audiology Consultant to major hearing Gaugin, followed him. As the pair instrument and equipment manufacturers providing academic approached a bordello, their row and product orientation for their domestic and international intensified, and Gauguin cut off distributors. A clinician and practice manager for over 35 years, Van Gogh’s left earlobe with his Dr. Traynor has lectured on most aspects of Audiology in over sword – either in anger or self-deforty countries. fense. Gaugin then threw the 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