March 2013 Thrive by The Greeley Publishing Company

March 2013

THRiVE

» NORTHERN COLORADO WELLNESS

In honor of Amanda

Amanda Moore was just 23 when she unexpectedly died from an aneurysm. Now her family is telling her story and spreading awareness in hopes that others won’t become an ‘unnecessary’ statistic. Page 6. » INSIDE: HEART HEALTH & HEREDITY • NURSING JOB PROSPECTS GRIM • MARCH HEALTH EVENTS

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Ask the Expert:

Hip Replacement

I need a total hip replacement but Iâ&#x20AC;&#x2122;m concerned about the long healing time. Are there alternatives? There is a relatively new approach to total hip surgery called Anterior Total Hip Arthroplasty, available at North Colorado Medical Center.

Potential Patient benefits include: Surgery is performed through the front of the hip instead of the side, which requires shorter, less-invasive incisions that donâ&#x20AC;&#x2122;t cut the muscle. That typically makes it easier for your body to heal. Patients may benefit from a quicker recovery time and shorter hospital stay so you can get back to doing what you love even sooner. A smaller incision means patients will have less scarring.

Now is a great time to learn more about your options. If you have any questions, contact Dr. Hale today.

Where

Experts Work Best.

Riley Hale, M.d. orthopedic surgeon

Banner Health Clinic specializing in Orthopedics and Orthopedic Surgery 5890 W. 13th St. Suite 101, Greeley Appointments: (970) 348-0020

To find a Banner Health physician in your area, visit www.BannerHealth.com/BMG Accepting Kaiser Permanente Members

/BannerHealth

February 27, 2013

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THRIVENC

Reason #12 : Medicare PLaNS

aS UNiQUe aS YOU are. Rocky Mountain HealtH PlanS PutS you in contRol of youR MedicaRe Plan.

FOR THE TRIBUNE

Ask the expert: Heart failure and heredity By Missy Jensen For The Tribune

Qmother has heart UESTION — My

failure. Does this mean I will also have this when I am older?

NSWER — Heart

failure is not typically a hereditary condition, though certain health conditions that do run in families may contribute to heart failure, such as high blood pressure. Heart failure can be a confusing term because it doesn’t mean the heart has actually failed. Rather, the heart becomes incapable of meeting the body’s needs because it can no longer pump efficiently. As a result, blood backs up into the veins, causing the kidneys to retain fluid

and tissues throughout the body to swell. This swelling, called edema, can affect the legs, the lungs and other organs. Heart failure typically occurs as a result of other heart disease progressing. In addition to high blood pressure, other conditions that ultimately cause heart failure include coronary artery disease, heart valve disorders, irregular heartbeat, diseases of the heart muscle, congenital heart disorders and illicit drugs. People with heart failure often experience significant fatigue, difficulty breathing due to the swelling in their lungs, swollen legs and ankles, and an enlarged abdominal area from fluid retention. An individual experiencing any of these symptoms should see a doctor for a full evaluation.

Fortunately, even people with family history can often dramatically reduce their risk of developing heart failure and many other forms of heart disease by making positive lifestyle decisions. Eating a diet low in fat, cholesterol and sodium, getting regular exercise, maintaining a normal body weight, managing high blood pressure, and avoiding tobacco are all ways to prevent or at least slow the progression of heart disease. Missy Jensen is a nurse practitioner who specializes in heart failure management at the Heart Failure Clinic at the CardioVascular Institute of North Colorado. For more information on this topic, talk with your doctor or call (970) 203-2411.

Shouldn’t you have a Medicare plan that’s as unique as you are? With one of the most extensive Medicare provider networks in the state, you can continue using your own physician and preferred hospital. And, no referrals are needed. Stay in control of your health with Rocky Mountain Health Plans.

Call to reCeive your free Personal HealtH Diary. With Rocky Mountain Health Plan’s Personal Health Diary, you can keep track of your health care visits, medications and any questions you have for your doctor.

To speak to a licensed sales agent call: Toll Free: 888-251-1330 TTY: 711 To request more information: www.rmhpmedicare.org

No obligation to enroll. RMHP is a Medicare-approved Cost plan. Medicare & Medigap plans are available for people with Medicare, regardless of their age. Customer Service: 888-282-1420 (TTY: 711) Available 8 a.m. to 8 p.m., Mountain Time, Oct. 1 – Feb. 14, 7 days a week; Feb. 15 – Sept. 30, M – F. ©2012

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February 27, 2013

Hearing Loss – What’s a Baby Boomer to do?

aby boomers are the largest generation of people ever born in this country. After World War II the United States went from having less than 2 Million births per year to 3.5 -4.2 Million births peryear. The world revolved around these children of the late 40s and 50s as schools, shopping center, cars, clothes, music, TV show, movies, universities, and many other things were built to accommodate them. Baby boomers all remember the 60s, rock and roll, Vietnam War, Woodstock, Haight/Ashberry, demonstrations, and the issues that have surrounded them all of their life. This generation changed the world and now the first of this generation qualified for early Social Security in 2008 and full retirement in 2011 at a rate of about 10,000 per day. In this new century they are now beginning to have hearing problems from military noise, recreational noise, disease, and hereditary deafness. The Deafness Research Foundation indicates that, although the general rate of hearing loss is about 17% of the population, between ages 65- and 74 the incidence of hearing loss goes up to 30%. As the baby boomers age further, 47% of them will have hearing loss by age 75.

Denial of a Hearing Loss

General Types of Hearing Loss

Hearing Loss Cannot Be Hidden

The most common type of hearing loss a sensori-neural loss is one that either involves the sensory part of the system (Cochlea, the part that looks like a snail shell) or the neurological connections (Auditory Nerve, that connect to the snail shell) from the inner ear to the brain. This can be the result of noise exposure, disease, or hereditary deafness. Of course, the first option for any hearing loss is to

consider medical or surgical treatment of the impairment. In the hands of a skilled and experienced surgeon, procedures for the restoration of hearing have about an 85%+ success rate. Audiologists are well qualified to evaluate hearing and make appropriate referral to either a family physician or an ear specialist for medical treatment of ear disease and/or restorative surgery. Sometimes it is simply cerumen (wax) blocking the system, other times its disease that can be treated and other times it is a sensori neural hearing impairment that has no treatment protocol except hearing instruments.

Patients with sensori-neural hearing loss do not lose their hearing overnight, is usually a very gradual onset and one that is usually noticed by those are the closest to the patient. For example, a classic statement from a patient is, “I think I am fine, my wife (or husband) thinks I have a hearing loss”. The people that know the person the best are those that tend to notice it first. Once it appears that there is a hearing impairment to patient, the literature indicates that it takes 5-7 years before they will consider the assistance of hearing instruments. In that time there are lots of excuses. Here are but a few of the classics I have collected over 40 years of clinical practice: • I hear fine, other people mumble. • I only have trouble in noisy places. • I hear what I need to hear. • It’s not bad enough to get hearing aids. • I probably just have some wax in my ears. Due to their denial patients often give up their favorite activities, avoid difficult listening situations, lose their sharpness, shift the burden of communication to others, and in the process often cause their loved ones to give up trying to communicate. It is difficult to hide the fact that there is a hearing impairment. Here are some useful methods to determine if someone you know has a hearing loss: • People with a hearing loss will answer questions with the wrong answer. • People with hearing loss will confuse similar words, such as may, bay, pay or seven, heaven or eleven. • People with hearing loss do turn the television up too loud. • People with a hearing loss ask for repetition, often say “what?” or Huh?” Patients must admit to themselves that they have a permanent hearing impairment that will not be cured by medication, and generally not by surgical intervention. They must admit it to themselves because the rest of the world (friends, relatives, coworkers, and others) know that impairment is present. Patient readiness for the rehabilitative process is key that the patient. While the products of the 21st century are fabulous, experience is that when people are not ready to experience amplified sound, hearing instruments are often unsuccessful. Sometimes people are pushed by relatives, an overzealous hearing aid sales person, rules of the job some other situation and rebel against the devices and their use. Sometimes it is type of hearing loss where the patient hears better for low pitched sounds than high pitched sounds and this creates a situation where they will hear OK sometimes, but have difficulty with high frequency speakers and when background noise will cover up their capability to predict what others are saying. These patients often feel as though they hear fine

and are difficult to convince that there is a hearing problem. If they do not realize there is a problem and purchase hearing instruments before they are ready, the devices are often destined for the dresser drawer.

Types of Hearing Instruments

Twenty first century hearing devices are exceptionally beneficial to the hearing impaired. A testament to that fact is that over the past 10 years the return rate for amplification products to manufacturers has gone from about 30% down to about 3-5%. This is due to new fitting techniques, new research in hearing, and both cosmetic and performance development of products offering more benefit from hearing instruments than ever before. When deciding on hearing instruments, patients must upon the general configuration of the instrument; should it be surgically implanted, extended wear, or daily wear.

Medical Treatment and Surgically Implanted Instruments

Surgical implantation of hearing instruments has been in development for quite some time and may be an option for some patients, especially those with profound hearing losses. There are basically two types of implantable hearing devices, those that implant in the middle ear (behind the eardrum), stimulating or taking the place of the three middle ear bones; the hammer, anvil and stirrup. The other type is the cochlear implant that began as a crude electronic non beneficial device in the late 1940s and has evolved into an extremely beneficial instrument allowing many profoundly deaf individuals to hear. The cochlear implant uses a wire implanted into the inner ear and stimulates the cochlea electronically. Basically, these instruments capitalize on the various research designs that have been used on monkeys, guinea pigs, chinchillas, and other animals. They have also been built upon the products and protocols built over decades with brave human subjects under close supervision of the Food and Drug Administration (FDA). Since the surgical options change routinely, it is best to discuss these possible options with your audiologist or a physician/surgeon that is specialized in ear disease and surgery, such as an Otologist. These special devices may be implanted in the middle ear (behind the eardrum) for moderate hearing losses or in the inner ear as with cochlear implants for profound hearing losses. While the middle ear implants are used for patients with a moderate loss, cochlear implants are traditionally used for patients with a profound hearing loss that do not obtain benefit from a traditional hearing device. When applied correctly, both of these general surgical options have been found to very beneficial. By the time that a patient pays for the surgeon, the hospital, the devices and the rehabilitative intervention the costs for some of these instruments can be

expensive (~$30-40,000), but for some patients with a profound hearing loss these devices are their only option.

Extended Wear Instruments

These products are new to the market over the past four years, cleared by the FDA in 2008. Under development for 10 years, these instruments are like “contacts for your ears”. The devices are programmed according to the patients hearing loss and inserted into the ear canal about 4 mm from the eardrum. The instrument resides in that position amplifying the sound to the patient until the battery no longer has power which is usually 2-4 months. These instruments do not compromise the patient’s lifestyle as they are totally invisible, no cleaning necessary, and, after a few days the patients do not even realize that the device is in their ear. The device can be worn in the shower, and generally works automatically. Though convenient, and beneficial it is, next to surgical implantation, the most expensive type of device as it is a renewable cost ($3,500-4,000) each year.

Traditional Hearing Instruments Most patients will choose traditional daily wear hearing instruments. Traditional devices have come a long way in the past few years in both the fitting and device technology. In the

old days of hearing instruments the audiologist had to tune the patient to the instruments, now the device is simply tuned to the patient’s needs. The instruments are now virtually all digital products in all sizes, from behind the ear to the newest invisible traditional device, the IIC. These days the instruments are fully automatic there with 6-48 amplifiers that will adjust the volume instantaneously, filter out the background noise, adjust to the wind noise, and change 2-6 special programs automatically for various situations. Additionally, most of these products can connect to the television, cell phones and other accessories via Bluetooth technology. They are truly “not your father’s hearing aids”. A set of traditional digital hearing instruments can cost from low of about $2,000 to $8,500 where the highest cost devices have the best performance capability, while the lower cost instruments provide benefit but use older technology.

Epilogue

So, what’s a baby boomer to do? If you have questions about your hearing or that of a loved one, call an audiologist and begin the process to keep doing the things that you have always enjoyed……. have a hearing evaluation today by your local audiologist, they can keep you in the game!

Author’s Bio:

Robert M. Traynor, Ed.D., MBA, FAAA Robert M. Traynor is the CEO and practicing audiologist at Audiology Associates, Inc., Greeley, Colorado with particular emphasis in amplification and operative monitoring. Dr. Traynor holds degrees from the University of Northern Colorado (BA, 1972, MA 1973, Ed.D., 1975), the University of Phoenix (MBA, 2006) as well as Post-Doctoral Study at Northwestern University (1984). He taught Audiology at the University of Northern Colorado (1973-1982), University of Arkansas for Medical Sciences (197677) and Colorado State University (1982-1993). Dr. Traynor is a retired Lt. Colonel from the US Army Reserve, Medical Service Corps and currently serves as an Adjunct Professor of Audiology at the University of Florida, the University of Colorado, and the University of Northern Colorado. For 17 years he was an Audiology Consultant to major hearing instrument and equipment manufacturers providing academic and product orientation for their domestic and international distributors. A clinician and practice manager for over 35 years, Dr. Traynor has lectured on most aspects of Audiology in over forty countries.

February 27, 2013

HEALTH

THRIVENC

MARCH HEALTH EVENTS « Walk with a doc, 8 a.m.

March 16 at the south 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.

« Day of dance, 9 a.m.-1 p.m.

March 2, Greeley Family FunPlex, 1501 65th Ave. in Greeley. Featuring dancing and lessons, hands-on exhibits, healthy food demos, health screenings, time to “Ask-theDocs” with pediatrics, family practice, internal medicine, sports medicine and orthopedics. Free. Details: (970) 392-2222, or www.BannerHealth.com/NCMCspirit.

« Blood Tests, 7-8:45 a.m.

March 13 and 27, North 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,

March 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 composi-

tion, 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 provid-

ers initial, 5-8:30 p.m. March 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: $55. To register, call (970) 350-6633.

« Cooking Class: Secrets To

Healthy Cooking, 6-7:30 p.m. March 19 at North Colorado Medical Center, Cardiac Rehab Kitchen, 1801 16th St. in Greeley. Easy ways to make your everyday meals healthier and tastier. Recipes and samples are included. Taught by Mary Branom, R.D. Cost: $10. To register, call (970) 350-6633.

« Heartsaver CPR with AED,

7-9 p.m. March 20 at the Greeley 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. Participants will receive a

Heartsaver course completion card valid for two years. Cost: CPR, $48; First Aid: $45, Combo: $88. To register, call (970) 350-9401.

« Heartsaver CPR with AED

— Windsor, 6-8 p.m. March 7 at 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 good for two years. To register, call (970) 6743500. Cost: $48.

« 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 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.

« Safe sitter, 9 a.m.-3 p.m.

March 28 at the Windsor Recreation Center, 250 11th St. Safe Sitter 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. To register, call (970) 674-3500.

« Yoga basics, 5:30-6:30 p.m.

Wednesdays March 6-April 17 at North Colorado Medical Center, 1801 16th St. in Greeley. 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 that students can take into their homes or other yoga classes. Yoga basics will also emphasize yoga as a tool for strength, flexibility and balance. This class is for students of most physical abilities. To register, call (970) 350-6633. Cost: $48.

« Yoga flow, 5:30-6:30,

Mondays March 4-April 8 at North Colorado Medical Center, 1801 16th St. in Greeley. Explore the strength, cardiovascular stamina and freedom of flexibility offered through the practice of yoga flow. This class offers traditional yoga poses linked together through movements called Vinyasa, which means to move with purpose. The flow style of moving practice puts the body into a fat-burning zone through anaerobic activity. Yoga Flow is for students of all levels. To register, call (970) 350-6633.

« Living Well with Diabe-

tes 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.

392-2344 to schedule an appointment.

« Diabetes Information

Group, 7-8 p.m. March 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.

« Diabetes and Pregnancy

« Cancer Support Group,

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)

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

« Man-to-Man Prostate

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

Scott R.

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HEALTH

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February 27, 2013

IN HONOR OF AMAN Family speaks out after young woman dies unexpectedly from By Alison Noon gtreporters@greeleytribune.com

manda Moore was oblivious to the deadly bubble growing inside her own head. The pregnant mother of two visited her doctor multiple times during her third pregnancy to address her intense headaches, nausea and blurry vision, her aunt said. But headaches and nausea are common in pregnancy, and she was told to take Tylenol and rest. The 23-year-old certified nursing assistant’s health problem climaxed on the morning of Feb. 1, when the aneurysm in Moore’s head ruptured while she was driving to work at Windsor Health Care Center. She died three days later, leaving her family in shock. Up to 6 percent of the American population is living with aneurysms at any given time, according to the American Association for Neurological Surgeons, and Moore was one of many whose diagnosis came too late. Moore’s mother, Tracy Friebus of Ault, also works at the health center and watched her daughter’s car wreck unfold in her own car. The crash was the least of their problems — Moore’s newly ruptured aneurysm put her life, as well as her 8-month-old’s life, at risk. The crash was deemed medically caused, according to Colorado State Patrol spokesman Trooper John Lewis, and Moore was rushed from the location of the wreck at Weld County roads 33 and 72 to North Colorado Medical Center just after 7 a.m. Greeley doctors determined that her brain was bleeding and Moore was flown to Swedish Medical Center in Denver for surgery. Her baby girl, Baylar Tiger, was safely delivered just after 11 a.m. Christy Lynn Young, a neurologist at NCMC, said 10 percent of people with

JOSHUA POLSON/jpolson@greeleytribune.com

CRISTI RYAN’S REFLECTION IS caught in a photo of her niece Amanda Moore. Moore died from an aneurysm. One thing we’ve all learned from this is to not ignore what your body is telling you. If someone had paid more attention to this or if Amanda had been firmer and said, ‘This isn’t right,’ then we wouldn’t be in this situation and Baylar would have had her mother.”

— CRISTI RYAN, Amanda Moore’s aunt

ruptured brain aneurysms die before they reach the hospital and only one-third of

those who pull through surgery have good results.

Moore’s family watched that statistic become reality as their beloved “Manda” went through two brain surgeries. She showed no brain activity on Feb. 4, and Moore’s family made the difficult decision to take her off life support. “One thing we’ve all learned from this is to not ignore what your body is telling

you,” Moo someone h or if Ama ‘This isn’t r situation a mother.” Many p aneurysms Christy Yo has caught fore they r threshold Aneurys en in a co Young said blood pres high chole of the incr People wit pus or con older than rysms, she Moore d tors, Ryan more likel men, espe cient or go Family major indi “My sist her childre Headac rebral ane tom. Othe like differ double vi drooping, light, blur and nause Young s ask their d aneurysm it is too lat “The de ly unneces us, but unn

February 27, 2013

HEALTH

THRIVENC

NDA

aneurysm

ore’s aunt, Cristi Ryan, said. “If had paid more attention to this anda had been firmer and said, right,’ then we wouldn’t be in this and Baylar would have had her

people live their entire lives with s, but diagnosis is difficult, says oung, a neurologist at NCMC. She ht several patients’ aneurysms beruptured because she keeps a low to run tests, she said. ysms occur when arteries weakoncentrated area and “balloon,” d, which makes people with high ssure, smokers and people with esterol more susceptible because reased pressure on their arteries. th polycystic kidney disease, lunnected tissue disorder, and those n 50 also see high rates of aneue said. did not have any of these risk facn said, but women are two times ly to experience aneurysms than ecially if they are estrogen-defioing through menopause. history of aneurysms also is a ication of a person’s risk. ter is already hoping to get all of en tested,” Ryan said. ches, a common symptom of ceeurysms, are not the only symper signs include eye abnormality rent-sized or dilated pupils and ision, cranial nerve palsy, face loss of sensation, sensitivity to rred or double vision, stiff neck ea. suggests that concerned patients doctor about the possibility of an so testing can be sought before te. eath of Amanda seems completessary,” Ryan said. “Tragic for all of necessary for sure.”

JOSHUA POLSON/jpolson@greeleytribune.com

CRISTI RYAN HOLDS A picture of her niece, Amanda Moore, Feb. 15, while sitting in her home in Greeley. Moore died from an aneurysm she suffered while driving to work.

» For more » The Brain Aneurysm Foundation is a nonprofit organization dedicated to providing awareness, education, support and research funding to reduce the incidence of brain aneurysms. Go to www.bafound.org. » The American Stroke Association is a division of the American Heart Association. It offers information about a wide variety of programs, products and services, from patient education materials to cutting-edge information for health care professionals. For more information, go to

www.strokeassociation.org/STROKEORG/ » National Institute of Neurological Disorders and Stroke works to reduce the burden of neurological disease through research, grants to institutions and people in the field, and collecting and disseminating information related to neurological disorders. For more, go to www.ninds. nih.gov/index.htm Source: National Institutes of Health

HEALTH

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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

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;

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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.

February 27, 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

February 27, 2013

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

2013 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

VEINS

REHABILITATION

VEIN CLINIC (NCMC)

ASCENT AT LIFE CARE CENTER

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

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

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

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

February 27, 2013

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

February 27, 2013

HEALTH

THRIVENC

PROSPECTS FOR Just in case NURSING STUDENTS you missed a day... LOOK GRIM IN COLO. By Katharina Buchholz gtreporters@greeleytribune.com

Rebecca Northup chose her nursing major at the University of Northern Colorado for the job security. But this security is no longer a reality for some graduates of nursing programs in Colorado. While just a few years ago, experts said nursing was the fastest-growing field and foretold a severe shortage of RNs to care for an aging population, nursing college faculty are now painfully aware that new graduates are hurting for jobs. “I had a friend who took 1 1/2 years to find a job as a nurse in Colorado,” Northup said. Inexperienced nurses are hit especially hard. An analysis by Colorado Public News found 752 openings advertised statewide among six employers. But only four of those jobs were open to new graduates. Recruiter Dee Cook of S.O.S. Healthcare Staffing said she hates having to turn away the new graduates. But, she said, “hospitals want experience. It’s a huge liability kind of industry, and you have to know what you’re doing.” Karren Kowalski, CEO of the Colorado Center for Nursing Excellence, said another reason is the $60,000 to $90,000 it costs to teach new nurses a particular hospital or clinic system. Some hospital groups offer paid nursing residencies. But the competition is fierce. Children’s Hospital, for example, gets 500 applications a year for 44 slots. The federal NURSE Corps helps pay student loans for nurses who will work in shortage-plagued rural areas and low-income clinics — but the program also has a glut of applicants. Nationally, nursing bachelor’s degrees doubled in 10 years, from 73,000 to 161,000. However, in a down economy, many older nurses postponed their own retirement. Sara Thompson, dean of the University of Colorado College of Nursing, said some of her 240 graduates a year expect to walk straight into an exciting top job, like the ones they saw on the television shows “ER”

and “Grey’s Anatomy.” “They have to be willing to work in other settings, which are not as glamorous,” the dean said. She tells students to start out in a rural area, or to try working in long-term care. However, recruiter Cook said hospitals do not consider long-term care as the type of experience they need. Cook said she believes some nursing schools are not being honest with their students when they sign up. “I always ask them, ‘What did your school tell you? How did they help you when you hit graduation? Will they help you get placed?’ ” Nursing and pre-nursing students at UNC hoped that their school’s good reputation would help their chances on the job market. They said that it was especially hard to land a job at a hospital, but that many specializations within nursing were not available in long-term care. Some, like freshman Vanessa Degraffenried, considered working as a missionary nurse, despite low pay. Nursing senior Northup hoped a clinical internship at a local hospital could be her foot in the door. Despite the troubles, Thompson predicts the nursing shortage will return soon, when the older generation of nurses finally retires and because the Affordable Care Act will result in new patients beginning January of next year. In fact, 37 percent of nurses in Colorado are 55 or older, with 9 percent older than 65, according to the Colorado Center for Nursing Excellence. The group’s CEO, Kowalski, said that after 30 years in the field, she’s seen this cycle happen over and over. “I would tell new nurses to hang in there, but find any kind of job in health care.” Kowalski predicts once the cliff occurs, Colorado will need 1,500 new nurses a year. UNC pre-nursing freshman Makenzie Lewis said she was confident the situation wasn’t permanent. “You’re gambling on the economy every day, and it’s horrible, but I have 4 1/2 years left,” she said. “Finger’s crossed, I’ll get a job.” Carol McKinley from Colorado Public News contributed to this report.

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February 27, 2013

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Northern Colorado Rehabilitation Hospital (NCRH) is designed solely for the provision of Prroovviiddhospital er SPECIALIZED rehabilitative care and is the only FREESTANDING rehabilitation RReesolely hhaaforacute bbthe Pprovision Northern Colorado Rehabilitation Hospital (NCRH) is designed of e r serving northern Colorado. YOU HAVE A CHOICE and NOT ALL rehabilitation providers are the SPECIALIZED rehabilitative care and is the only FREESTANDING acute rehabilitation hospital same. northern Our physician-led clinical care team and provides COMPREHENSIVE physical medicine Northern Colorado Rehabilitation Hospital (NCRH) designed solelyfor forproviders the provision of serving Northern Colorado. YOU HAVE A Hospital CHOICE NOTisisALL rehabilitation are of the Colorado Rehabilitation (NCRH) designed solely the provision Northern Colorado Rehabilitation Hospital (NCRH) is designed solely for the provision of SPECIALIZED Northern Colorado Rehabilitation Hospital (NCRH) is designed solely for the provision of and rehabilitation services designed tois help patients return home at their highest level of SPECIALIZED rehabilitative care and isthe theonly only FREESTANDING acute rehabilitation hospital SPECIALIZED rehabilitative care and FREESTANDING acute rehabilitation hospital Northern Colorado Rehabilitation Hospital (NCRH) is designed solely for the provision of same. Our physician-led clinical care team provides COMPREHENSIVE physical medicine rehabilitative care and is the only FREESTANDING acute rehabilitation hospital serving northern Colorado. SPECIALIZED rehabilitative care and is the only FREESTANDING acute rehabilitation hospital serving northern Colorado. YOU HAVE A CHOICE and NOT ALL rehabilitation providers are the independence. Our exclusive rehabilitation hospital features include: serving northern YOUis A patients CHOICE and NOThome ALL acute rehabilitation providers are and rehabilitation services designed toHAVE helponly return at their highest level of the rehabilitative care and the FREESTANDING rehabilitation hospital YOU SPECIALIZED HAVE A CHOICE and NOTColorado. ALL rehabilitation providers are the same. Our physician-led clinical care

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serving northern Colorado. YOU HAVE A CHOICE and NOT ALL rehabilitation providers are the same. Our physician-led clinicalcare careteam teamprovides providesCOMPREHENSIVE COMPREHENSIVEphysical physical medicine medicine same. Our physician-led clinical independence. Our exclusive rehabilitation hospital features include: teamserving provides COMPREHENSIVE physical medicine and rehabilitation services designed help patients northern Colorado. YOU HAVE A CHOICE and NOT ALL rehabilitation providers aretothe same. Our physician-led clinical care team provides COMPREHENSIVE physical medicine • Physiatrist-Led Multi-Disciplinary Team to help patients return home at their highest level and rehabilitation services designed of and rehabilitation services designed toto help return atphysical their highest highest levelof of return home their highestclinical level ofcare independence. Our exclusive rehabilitation hospital features include: and rehabilitation services designed helppatients patients return home home at their level same. Ourat physician-led team provides COMPREHENSIVE medicine • Physiatrist-Led Multi-Disciplinary Team independence. Our exclusive rehabilitation hospital features include: independence. Our rehabilitation hospital features include: • rehabilitation Certified Rehabilitation Nurses independence. Ourexclusive exclusive hospital features and services designed to help patients return homeinclude: at their highest level of • Physiatrist-Led Multi-Disciplinary Teamrehabilitation We’re not your average Rehabilitation Hospital, • Physiatrist-Led Multi-Disciplinary Team • Certified Rehabilitation Nursesrehabilitation • •Physiatrist-Led Multi-Disciplinary independence. Our exclusive features include: Physiatrist-Led Multi-DisciplinaryTeam Teamhospital We’re not your Rehabilitation have the average patient outcomes to proveHospital, it: We’reand notwe your average Rehabilitation Hospital, • 24-Hour Nursing Care • Certified Rehabilitation Nurses • Certified Rehabilitation Nurses and we have patient outcomes tohome prove • the 85% of our patients returned withit: a to prove it: and we have the patient outcomes 24-Hour Nursing Care • •Certified Rehabilitation We’re notrenewed your average Rehabilitation Hospital, • •Physiatrist-Led Multi-Disciplinary Team Certified RehabilitationNurses Nurses sense of self-sufficiency We’re not your average Rehabilitation Hospital, • 24-Hour Nursing Care • 85% ofhave our patients returned home with a to prove not your average Rehabilitation Hospital, • On-Site and we the patient outcomes it: We’re • 85% of our patients returned home with a • Pharmacy 24-Hour Nursing Care renewed sense of self-sufficiency and we have the patient outcomes to prove it: • Recognized in the Top 10% of 791 Inpatient renewed sense of self-sufficiency and we have the patient outcomes to prove it: • •Pharmacy 24-Hour Nursing Care On-Site 24-Hour Nursing Care • 85% of our patients returned home with a • •Certified Rehabilitation Nurses Rehabilitation Facilities in the United States.* • On-Site Pharmacy • Recognized inour the Topof10% of 791 home Inpatient • 85% of patients returned with a renewed sense self-sufficiency • On-Site Pharmacy • 6,000 Square Foot Therapy Gym Pharmacy •On-Site On-Site Pharmacy • 6,000•Square Foot Therapy Gym • 24-Hour Nursing Care Gym • 6,000 Square Foot Therapy • Therapy 6,000 Square Foot Therapy Gym • Aquatic Pool • 6,000 Square Foot Therapy • 6,000 Square Foot TherapyGym Gym • Aquatic Therapy • Aquatic Therapy PoolPool • On-Site Pharmacy • Aquatic Therapy Pool • 40 PRIVATE Rooms • Aquatic TherapyPool Pool • Aquatic Therapy 40 PRIVATE Rooms • 40 •PRIVATE Rooms • 40Foot PRIVATE Rooms • 6,000 Square Therapy Gym PRIVATE Rooms • •4040 PRIVATE Rooms

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