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May 2014
THRiVE » NORTHERN COLORADO WELLNESS
There’s something
IN THE AIR Now that allergy season is in full force, check out all the ways to help keep the sneezing, runny noses and watery eyes at bay. Page 6.
» INSIDE: A LOOK AT DONATING BLOOD • CHECK YOUR BLIND SPOT WHEN DRIVING • HEALTH EVENTS
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April 30, 2014
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If you have acid reflux, ask your provider about seeing a Banner Health surgeon today.
Molly Decker, D.O.
Michael Harkabus, M.D. Jason Ogren, M.D.
Samuel Saltz, D.O.
Robert Vickerman, M.D.
Specializing in General Surgery 1800 15th St., Suite 200, Greeley Appointments: (970) 352-8216 www.BannerHealth.com/BMG-GreeleySurgery Accepting Kaiser Permanente Members
April 30, 2014
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HEALTH EVENTS IN MAY « NCMC Adult Fitness, this program is
otherwise noted. To register, please 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.
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 for a couple who must live in the same household is $80. Call (970) 350-6204 for information.
« Blood Tests, 7-8:45 a.m. May 14 and 28
« STAR-support touch and reach breast
cancer survivors (Breast Cancer Support Group), 5:30-7 p.m. May 1 at NCMC Cancer Institute Conference Room. For more information, call Betty Parson at (970) 339-7137.
« A Passport to Your Cardiovascular
System, 6-8 p.m. May 5 at Pellegrini Ristorante Italiano, 2400 17th St. in Greeley. An explanation on diagnosis, risk factors and treatment options. Like a street map in a new country, information on Atrial Fibrillation can sometimes be hard to navigate. Join Banner Health CardioVascular Institute of North Colorado physician Dr. Shane Rowanas as he guides you on the right path to understanding A-fib. Then learn from Carlo Pellegrini, native of Puglia, Italy, in his cozy restaurant — reminiscent of an old-world southern Italian farmhouse or “masseria.” Pellegrini will share food and customs from his roots in Puglia. Cost is $5 per person. Advanced ticket purchase required, no ticket sales at the door. For more information check www.bannerhealth.com/NCMCspirit or call (970) 392-2222.
« Body Check...What you need to know:
Head to Toe, by appointment May 6 and 20 at Summit View Medical Commons, 2001 70th Ave. in Greeley. This head-totoe 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 Panel (fasting blood work, please fast 10-12 hours), sleep questionnaire, lung function test, body composition, weight and Body Mass Index, hip and waist measurements, health education with a wellness specialist, EKG with results read
FOR THE TRIBUNE
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.
« PAD Screening (Peripheral Vascular
Disease), 1-3 p.m. May 6 and 20 at Summit View Medical Commons, 2001 70th Ave. NCMC’s Peripheral Vascular Disease Screening program offers the education and prevention proven to be the best tools for fighting vascular disease and stroke. Patients 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.
« Cooking Classes, 6-7:30 p.m. May 7 at
NCMC Cardiac Rehab Kitchen. Come and learn a variety of healthy and delicious meatless meals and explore new ways to include more plant-based foods into your diet. Taught by Mary Branom, registered dietitian. 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. Please call (970) 350-6633 to register.
« Heartsaver CPR with AED in Windsor,
6-8 p.m. May 8 at the Windsor recreation center, 250 11th St. in Windsor. 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 that is valid for two years. Call (970) 674-3500 to register. Cost is $48. Registration closes at noon, two days prior to class.
« CPR for Health Care Providers
(Recertification), 3-5:30 p.m. May 12 at NCMC Union Colony Room. 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. The class is located in the Longs Room, on the 2nd Floor, unless
at NCMC via Entrance No. 6 and May 21 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.
« Walk with a Doc, May 17 at the South
Entrance of the Greeley Mall. 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.
« Heartsaver First Aid, 4-6:30 p.m.
May 22 at the Greeley Family FunPlex, 1501 65th Ave. 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 a Heartsaver First Aid course completion card that is valid for two years. Please call for more information (970) 350-9401.
« Heartsaver CPR with AED, 7-9 p.m. May
22 at the Greeley Family FunPlex, 1501 65th Ave. 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 that is valid for two years. Cost is $48 CPR only; $45 first aid only; $88 combo. Please call for more information (970) 350-9401. Registration closes at noon, two days prior to class.
« Safe Sitter-Greeley, 9 a.m.-3 p.m. May
27 at Family FunPlex, 1501 65th Ave. in Greeley. 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) 350-9400. Registration closes at noon, two days prior to class.
« Yoga Experience for Parents and
Children, 10-10:30 a.m. Thursdays May 29-June 19 at NCMC Auditorium A and Colonial Room. Parents will enjoy a 30-minute yoga class while children enjoy a 30-minute yoga class in a separate room next door. Ages for children to participate are 3-10 years old. Cost is $30 for one parent and one child and $5 for each additional parent or child. To register call (970) 350-6633.
« CT Heart Score, 1-2 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
Turn to Events on P.4
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Just in case you missed a day...
from P.3
The Flu Can Be Tough! And old remedies don’t always work. Call Us & Skip The Waiting Room!
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« Diabetes and pregnancy
« CPR for Health Care Providers
Skills Check, 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 recertify through the American Heart Association. The certification is valid for two years. Renew your CPR certification by completing an online CPR module, which includes watching a video, reviewing content and an exam. Fee is $50 for CPR for
education, by appointment 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.
« Living Well with Diabetes
Program, by appointment 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.
« Pulmonary Rehabilitation,
contact (970) 350-6924 for information and opportunities in lung disease management, education and exercise.
COLUMBINE COMMONS ASSISTED LIVING • 24-hour caregiver staff available to help your loved one remain as independent 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!
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10th St. Chili’s
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Loaf & Jug Gas
modifiable risks and lifestyle behavior change options. Cost is $199. Payment is due at time of service, Wellness Services cannot bill insurance. Call (970) 350-6070 to schedule an appointment.
April 30, 2014
What is Assisted Living?
Visit website for additional locations and hours:
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Healthcare 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.
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Polomar Dr.
2928 W. 10 th St., Greeley, CO 80634 1-866-467-5230
1475 Main Street, Windsor | 449-5540
NextCareCO.com 1-866-467-5230 Clinic Hours: NextCareColorado.com 1011 39th Avenue Mon-Fri: 8am - 8pm t. hS
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April 30, 2014
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NURSING HOMES AND MANAGING YOUR BLIND SPOT IS KEY THEIR ALTERNATIVES TO SAFE DRIVING By Ron Pollack Families USA
U
ntil you spend time behind the wheel of a car, the concept of “blind spots” can be difficult to understand. Even the most experienced driver can forget to perform an over-the-shoulder check when changing lanes from time to time. A blind spot is any area of the street or intersection for which you do not have a clear unobstructed view or any area of the street where you have a limited line of sight. A blind spot can be anywhere and is generally considered to be on either side of the vehicle.
Many accidents occur because drivers fail to check the blind spot. It’s for this reason that driving instructors teach new drivers where the blind spot is and when to check it. Although mirrors allow a driver to see a wide angle of observation behind them there are areas that cannot be observed in the mirrors. Lyn These blind-spot areas TAUSAN can easily hide a cyclist DRIVE SMART or another vehicle. When driving, keep your eyes constantly moving, scanning the road ahead and to the side. Check your mirrors every five seconds or so. When using mirrors, there is an area on each side of your vehicle where you cannot see people or vehicles when they are in these spots. Make sure you see other drivers, and they can see you by doing the following: » Keep a clear view when driving. Do not put anything in your windows that will block your view. » The windows should not be coated with any material that keeps you from seeing out in any direction. » Check and adjust your mirrors and find your blind spots. Check your blind spots by turning your head to look over your shoulder before changing lanes, passing, turning or before opening your door when parked next to traffic. » When making a lane change, check your mirrors for a space in traffic where you can enter safely. Check your blind
spot by looking over your shoulder in the direction of the lane change. Signal when you want to move left or right. Check again to make sure the way is clear and steer gradually into the new lane, maintaining the same speed or gradually accelerating your speed. » Stay out of the other driver’s blind spots, especially large vehicles like trucks. » Take extra care to make sure the way is clear behind you when backing up. Some newer automobiles are being equipped with backup cameras and sensors. This facilitates identifying objects immediately behind a vehicle that are not visible in the rearview mirror. It is always safest to look behind the vehicle before getting inside and to not become overly reliant on backup cameras and sensors. Once you have determined how big your blind spot is, consider other drivers on the roadway around you. It is unlikely they can see you if you are in their blind spot. Remember to be a courteous driver and not linger in that area if you think you are in their blind spot. Driving defensively and constantly observing the vehicles and surrounding area around you are some of the keys to safe driving. Lyn Tausan is a retired school administrator and resides in Greeley with her husband. She is the marketing/public relations specialist for DRIVE SMART Weld County.
Have you started to experience challenges with living on your own? Do you need help with medical care or daily activities? A nursing home may seem like your only option. But there are good alternatives, including home care and assisted living. However, it’s important for you to learn what kinds of services Medicare and Medicaid will and won’t cover. WHAT IS HOME- AND COMMUNITY-BASED CARE?
You may have access to services such as Meals on Wheels, visiting and shopper services, and adult day care programs. But what if you need other kinds of assistance? Home health services help seniors who need additional support so they can safely stay in their homes or who are recovering after a hospital stay. These services include short-term nursing care and rehabilitative care (such as physical therapy). Medicare pays for a limited number of one-hour home health visits, but only for medical care. Medicaid may pay for other types of home care, depending on your situation. You may be able to find other non-medical services in your community through your local Area Agency on Aging. WHAT IS ASSISTED LIVING?
Assisted living facilities
bridge the gap between independent living and nursing homes. These facilities typically provide services such as assistance with personal care and medications, and they give residents more freedom and privacy than nursing homes. They range in size from small houses that serve a few residents to very large facilities. Assisted living facilities cost less than nursing homes but are still expensive, averaging $3,300 a month. NURSING HOME CARE
Medicare does not cover most nursing home care. Medicare pays only for certain skilled nursing or rehabilitative care, and only after a hospital stay. The duration of this coverage is limited. To learn more about coverage
limits, go to the Medicare website at www.medicare. gov/coverage/skilled-nursing-facility-care.html. Medicaid covers most nursing home care if you have a low income. Each state sets its own income eligibility level for Medicaid coverage of nursing home care.
TO LEARN MORE
To learn more about Medicare and Medicaid coverage, contact your State Health Insurance Assistance Program, or SHIP. Find the SHIP in your state online at https:// shipnpr.shiptalk.org/shipprofile.aspx. Also, the Eldercare Locator connects you with information on senior services. Find it online at http://www. eldercare.gov/eldercare.net/ Public/Index.aspx.
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April 30, 2014
THERE’S SOMETHING IN THE AIR
Everything you need to know to help keep pesky spring allergens at bay
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By CASEY KELLY ckelly@greeleytribune.com
s April showers give way to May flowers, pollen and other allergens can be a nuisance that last through the summer months. When residents come in contact with an allergen such as pollen, mold or pet hair, they can experience itchiness, a runny nose, sneezing or the inflammation of breathing airways, said Scott Pace, an allergist and internist with University of Colorado Health’s Greeley Medical Center.
Pace said allergy season begins with the pollination of juniper, cedar and elm trees between about mid-February to mid-April. This year’s allergy season got started around the beginning of March, he said. The pollination of hardwoods such as poplars, aspens and cottonwoods occurs near the third week in March and tends to drop off in May. “Once the trees have leafed out, the pollen is gone,” Pace said. Once the season has started, pollen can be nearly impossible to avoid, Pace said. While some recommend closing windows and not hanging laundry out to dry, Pace said pollen is so ubiquitous, these tips might not offer any relief. “All of those are impractical,” Pace said. “Pollens are microscopic and blow for miles.” Instead, Pace said over-thecounter medications are effective for many people who experience seasonal allergies. Antihistamines can take care of most allergy symptoms except for decongestion, however, Pace said he doesn’t prescribe his patients any antihistamines with pseudoephedrine because it can cause an unsafe increase in blood pressure in some people. For decongestion, Pace said he recommends using a topical decongestant for three days at a time or a nasal steroid spray. For symptoms that don’t get better with the use of over-the-counter
medicines, Pace suggested people seek out a board-certified allergist.
» What are allergies? Allergies are fairly common, affecting more than one out of every five people. With an allergic reaction, the body’s immune system reacts to an otherwise harmless substance. It may be a particular food, plant or even dust particle.
» The most common substances that can cause allergies include: » Pollen » Dust mites » Pet dander » Mold » Food
adjustments can help lessen the effects of allergies. Talk to your doctor about allergy medicines that might improve your symptoms. Discuss any side effects that may result from taking allergy medication. » Limiting the number of allergens you are around may help reduce your symptoms. For example, if you are allergic to pet dander, try to avoid having animals in your home that cause allergic symptoms. » If you are allergic to certain types of food, read food labels carefully, and avoid eating foods that cause reactions. » If you’re allergic to pollen, avoid keeping windows open when pollen counts are high, usually in the spring.
» Allergy tips for around your home
» Wash your hair before going to bed to get the pollen out. » Wear glasses rather than contact lenses. Contacts can trap pollen against your eyes.
» So which medicine is right for you? » Antihistamines. An allergen causes your body to release a chemical called histamine. This chemical inflames the tissues in your nose and changes the mucus you produce. Antihistamine medications prevent histamine from affecting the nasal tissues.
» Decongestants. As the nose tissues produce more fluid and mucus, you may feel congestion and pressure in your nose and head. You may even have trouble breathing through your nose. Decongestants help reduce the fluids. This relieves pressure and allows more air to flow through your nose. » Pain reliever. Each of these medications may also include a pain reliever for headaches and congestion. Sources: University of Colorado Health and Banner Health
» Keep windows, especially bedroom windows, closed to prevent allergens from drifting indoors. » Keep the air conditioner on. Be sure to clean or replace filters often. » Vacuum rugs and carpets regularly and dust frequently, using a damp cloth, to remove pollen and mold. » Shampoo pets regularly to remove allergens from their coats. And keep them out of the bedroom.
» Allergies can cause: » Sneezing » Runny nose » Watery eyes » Itching » Rashes
» Living with allergies Allergies can’t be prevented, but they can usually be treated and controlled. Minor lifestyle
FOR THE TRIBUNE
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EYE MOVEMENT TEST ASSISTS IN DIAGNOSIS OF CONCUSSIONS
Pittsburgh Post-Gazette
PITTSBURGH — In studies rel-
evant to the gridiron and other kinds of battlefields, researchers hope to use a new test based on eye movements to bring increased accuracy to the diagnosis of concussions. The research, by Allegheny Health Network and corporate partner Neuro Kinetics Inc., involves the use of high-speed digital photography and other technology to analyze a patient’s tracking of dots of light or other visual stimuli, which are projected against a light or dark background. In an initial study of high school football players, those with concussions had more difficulty tracking the images than a control group without brain injury. Results of the study will be among the promising developments in orthopedic medicine to be highlighted this month on the website of the American Academy of Orthopaedic Surgeons. With the Allegheny Health Network’s involvement, O’Hara-based Neuro Kinetics now is exploring a potential military application with trials at Naval Medical Center San Diego and Madigan Army Medical Center in Tacoma, Wash. Mounting concern about the long-term effects of concussions has spawned a flurry of new studies — including other research at Allegheny Health and at the University of Pittsburgh and its medical center — on how to better detect and manage concussions. There is no single “confirmatory diagnostic test for concussion,” said Dr. Jeff Kutcher, director of
MCCLATCHY NEWSPAPERS
J. HOWISON SCHROEDER, CEO of Neuro Kinetics Inc., hopes I-Portal will be more precise than other methods used to diagnose concussions. Michigan NeuroSport at the University of Michigan, who helped to write the American Academy of Neurology’s sports concussion guideline. Unlike broken bones, which show up on X-rays, or other conditions that can be detected through imaging, concussions are not readily observable. While doctors, athletic trainers and professionals have balance and cognition tests to guide them, diagnosis of concussions still relies partly on the self-reporting of athletes who may just want to return to the game. To some degree, “you are relying on patients telling you how they feel,” said Sam Akhavan, a sports medicine specialist at Allegheny General Hospital
who’s involved in the research of the Neuro Kinetics technology, called I-Portal. J. Howison Schroeder, Neuro Kinetics president and CEO, said he hopes I-Portal will be more clinically precise than methods now used to detect concussions, including the well-established King-Devick Test, a 2-minute eye-movement test that measures the speed and accuracy with which a person reads a sequence of numbers. Eye-movement tests, including King-Devick, also are used to assess people for multiple sclerosis, Parkinson’s disease, dyslexia and other disorders. Concussions are a major concern for the military, whose soldiers can sustain the injury in combat, and for sports at the
scholastic, college and professional levels. The National Football League faces a lawsuit from more than 4,000 former players who claim they weren’t properly warned about, or treated for, concussions. A judge last year rejected a proposed $765 million settlement, saying she didn’t believe the sum was sufficient. In the I-Portal trial, researchers administered the eye-tracking test to 292 high school football players with no record of brain injury. Ten of those players later sustained concussions that were diagnosed by the standard methods. When they were given the eye-tracking test again, the 10 performed at a significantly lower level than they or their peers had before.
“They fell well outside what the normal fit was,” Dr. Akhavan said. Kutcher and Steven Broglio, director of the University of Michigan’s NeuroSport Research Laboratory and lead author of the National Athletic Trainers’ Association policy on concussions, said I-Portal is less likely to be the magic bullet for diagnosing concussions than another tool health professionals will have available to them. To increase the accuracy of concussion detection, he said, some professionals use multiple tests on a patient. The companies owning the King-Devick Test and Pittsburgh-based ImPACT — which measures attention span, memory, reaction time and problem-solving ability — do joint marketing. Both products have a list of studies backing up their reliability, but neither considers itself a stand-alone diagnostic test. James S. Gyurke, chief marketing and sales officer for ImPACT, said his team is among those searching for improved measures of concussion detection. Besides the I-Portal research, Allegheny Health Network is helping to evaluate a test, developed by a Cleveland Clinic Innovations spinoff, that incorporates a patient’s vision, balance and motor function into concussion detection. Awarded one of 16 NFL-General Electric grants in January, UPMC is working on the development of a new imaging technique that would show concussion damage. Other grant recipients are working on other imaging techniques and blood tests.
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WHAT TO EXPECT...
When donating blood By Odil Macias omacias@greeleytribune.com
Banner Health’s North Colorado Medical Center is one of two hospitals in northern Colorado that offers a blood donor services center in its facilities. The center collects blood and blood products that help treat many patients. We spoke to Dee Gribble, manager at the center, to ask her about the importance of the facility to the community and about the experience when a person chooses to donate blood for the first time. UESTION — Why is doQnating blood important?
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NSWER — Because
there is no artificial product that can substitute for human blood. When someone needs a blood transfusion — whether it’s red cells, platelets or the liquid part called Plasma — they need it right then and there. In one occasion last year, our trauma program needed 60 units of blood the morning they brought a victim of a hit and run accident. In these situations we cannot wait a day or two for people to donate. It is important to have that sort of blood inventory available at all times for when the need arises.
Who are the recipients Qof—the donated blood?
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— Patients vary from the
trauma program to those in our general health care.
» Resources The North Colorado Medical Center’s Blood Donor Center is located on the first floor of the main hospital campus. Enter through entrance No. 7 on 1517 16th Ave. in Greeley. Hours are noon-5 p.m. Mondays, 11 a.m.-6 p.m. Tuesdays and 7 a.m.-1 p.m. Fridays. On-site blood drives can be scheduled by calling (970) 350-6100. For more information, visit www.bannerhealth.com and search for NCMC Blood.
» Check out video See video with this story at www.greeleytribune. com. They can be patients who undergo cancer treatment, such as those with leukemia, a bone marrow transplant, heart surgeries, burns and so many other conditions. This provision is a day-to-day need.
donating. Some people may think if they have high blood pressure or diabetes they cannot donate, but that is not always true. It is a case-bycase basis. There are certain general regulations but not as many as people might think.
Q— Who can donate?
— For how long is the Qblood stored?
A
— Any person who is healthy can donate. There is no maximum age limit but the minimum age limit in Colorado is 17 years, with parents’ consent. Donors also need to weigh at least 110 pounds.
Q— Who can’t donate?
A
— Generally if peo-
ple have had health problems, they should call and ask the facility for a more accurate answer of whether they can or can’t. There are conditions for temporary and permanent ineligibility. A history of cancer, a history of infectious diseases, travel to certain areas and intake of certain medications can preclude a person from
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— The red cells are kept in the refrigerator and can be used for 42 days, the plasma is frozen and can be used for one year and platelets are kept at room temperature and can be used for five days. We have guidelines of when to use the product, otherwise we have to dispose of it. Since platelets are only good for five days, we try to schedule three people every day we are open. For the whole blood donation we like to have about 35 people every day we are open.
come in and be well hydrated by drinking plenty of fluids. They will also need their identification with them. Lastly, we encourage them to ask as many questions as they want to eliminate any nervousness.
Q— What is the process?
A
— The process takes
about 45 minutes to an hour. The majority of that time is spent answering a series of questions asked to every donor every time to ensure the process is safe for the donor and the product will be safe for the patients. We also do what we call a mini-physical screen to check their iron levels, their blood pressure and pulse. After they pass the questionnaire, the donation process takes about 15 minutes as we extract one pint of blood. The materials used to extract the blood are always new, sterile and disposable. After, we ask donors to sit, have some snacks and relax for a few minutes. Does the process Q—hurt?
A
— The word hurt is not
— What should be done Qbefore donating blood?
really what should be used. Patients will feel a little pinch in their arm and they will know there is a needle in it but it is not painful. Most people tolerate the process totally uneventful.
A
How will patients Q—physically feel after
— Donors should eat a healthy meal before they
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April 30, 2014
» 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.
donating blood?
A
— People should feel
fine after, if they do have a reaction, it typically happens before they leave the center that day and they’ll need to let us know right away so we can accommodate them and get them to feel normal again.
different Q—typesAreofthere donations?
A
— There are two types
of donations. We have the whole blood donation, which is what a person can do every 56 days. A unit of
whole blood can be divided into three products and transfused separately — we can have one unit of packed red cells, one unit of liquid plasma and we can also manufacture platelets. The second form of donation is called the apheresis, which is a platelets and plasma donation and takes longer — close to an hour. It is a totally different process where we take out the blood and extract the platelets and plasma and then insert the remaining of the blood back to the donor. Each component can be transfused to different patients with different needs.
Are all hospices the same? Non-profit and for-profit hospices are different. A non-profit hospice uses all resources to care for patients and provide support to caregivers and is not concerned with creating shareholder value. Pathways Hospice is a local non-profit hospice offering educational and support programs benefiting the entire community at little or no cost.
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
April 30, 2014
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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. 3400 W. 16th Street, Suite 8-E Greeley, CO 80634 Phone: (970)351-0400 www.drjuliekav.com
AUDIOLOGY
ALPINE ALL ABOUT HEARING
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
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
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
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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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 St. Greeley ,CO Phone: (970) 356-2520 Professionals: Joanna H. Branum, M.D.; Ann T. Colgan, M.D.; Jennifer D. Dawson, D.O.; Douglas A. Magnuson, M.D.; Lori A. Ripley, M.D.; Andrew P. Stoddard, M.D.; D. Craig Wilson, M.D.
FAMILY PHYSICIANS OF GREELEY, LLP-COTTONWOOD 2420 W. 16th Street Greeley ,CO 80634 Phone: (970) 353-7668 Professionals: Christopher T. Kennedy, M.D.; Daniel P. Pflieger, M.D.; Mark D. Young, M.D.; Stacey L. Garber, M.D. Amy E. Mattox, M.D.
FAMILY PHYSICIANS OF GREELEY, LLP-WEST 6801 W. 20th Street, Suite 101 Greeley ,CO Phone: (970) 378-8000 Professionals: Daniel R. Clang, D.O.; Tamara S. Clang, D.O.; R. Scott Haskins, M.D.; Mathew L. Martinez, M.D.; Chima C. Nwizu, M.D.; Michelle K. Paczosa, D.O.; 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
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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
HOME HEALTH CARE
INDEPENDENT ASSISTED LIVING W/SERVICES
CARING HEARTS HOME HEALTHCARE
NCMC - BEHAVIORAL HEALTH
6801 W. 20th Street, Suite 207 Greeley, CO 80634 Phone: (970)378-1409
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
BLOOM AT HOME
1455 Main Street Windsor, CO 80550 Phone: (970) 460-9200 Web Site: www.columbinehealth.com/bloom
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
COLUMBINE POUDRE HOME CARE 1455 Main Street Windsor, CO 80550 Phone: (970) 460-9200 Web Site: www.columbinehealth.com
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
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
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
HEALTH AND FITNESS
WORK OUT WEST
Health & Recreation Campus 5701 W. 20th Street, Greeley, CO 80634 Phone: 970-330-9691 www.workoutwest.com
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
MENTAL HEALTH SERVICES
BONELL GOOD SAMARITAN 708 22nd Street Greeley, CO 80631 Phone: (970)352-6082 Fax: (970)356-7970 Web Site: www.good-sam.com
FOX RUN SENIOR LIVING 1720 60th Avenue Greeley, CO 80634 Phone: (970)353-7773 Fax: (970)330-9708 Web Site: www.good-sam.com
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
NEPHROLOGY
GREELEY MEDICAL CLINIC
1900 16th Street, Greeley, CO 80631 Phone: (970) 350-2438 Professionals: Donal Rademacher, MD
NEUROLOGY
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April 30, 2014
2010 2014 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
NEURO-SURGERY BRAIN & SPINE
BANNER HEALTH NEUROSURGERY CLINIC 1800 15th St., Suite 130 Greeley, CO 80631 Phone: (970)350-5996 Professionals: David Blatt, MD Beth Gibbons, MD
NURSING HOME REHABILITATION
CENTENNIAL HEALTH CARE CENTER 1637 29th Ave. Place Greeley, CO 80634 Phone: (970) 356-8181 Fax: (970) 356-3278
COLUMBINE COMMONS HEALTH & REHAB FACILITY 1475 Main Street Windsor, CO 80550 Phone: (970) 449-5541 Web Site: www.columbinehealth.com
OBSTETRICS & GYNECOLOGY
BANNER HEALTH GYN CONSULTANTS 1800 15th St., Suite 130 Greeley, CO 80631 Phone: (970)353-1335 Professionals: Susan Carter, MD
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
April 30, 2014
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TRiBUNE MEDiCAL DiRECTORY 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
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 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
ORTHODONTIC ASSOCIATES OF GREELEY, PC
Professionals: Bradford N. Edgren, DDS, MS 3400 W. 16thSt., Bldg 4-V Greeley, CO 80634 Phone: (970) 356-5900 Website: www.drbradsmiles.com
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
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
FRONT RANGE THERAPY
1475 Main Street, Windsor, CO 80550 Phone: (970) 492-6238 Web Site: www.columbinehealth.com
HOPE THERAPY CENTER (Formerly North Colorado Therapy Center) 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
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
SKILLED CARE/REHAB
NORTHERN COLORADO REHABILITATION HOSPITAL
4401 Union Street, Johnstown, CO 80534 Phone: (970) 619-3400 Website: NCRH@ernesthealth.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
SPEECH LANGUAGE PATHOLOGY
BANNER REHABILITATION CENTER 1801 16th Street, Greeley, CO Phone: (970)350-6160 Fax: (970)378-3858
NORTHERN COLORADO REHABILITATION HOSPITAL
4401 Union Street, Johnstown, CO 80534 Phone: (970) 619-3400 Website: NCRH@ernesthealth.com
UNC SPEECH LANGUAGE PATHOLOGY CLINIC
Gunter Hall, Room 0330, Greeley, CO 80639 Phone: (970)351-2012/TTY Fax: (970)351-1601 Web Site: www.unco.edu/NHS/asls/clinic.htm Professionals: Lynne Jackowiak, M.S., CCC-SLP Julie Hanks, Ed.D Patty Walton, M.A., CCC-SLP
SURGERY GENERAL & TRAUMA
PULMONARY/CRITICAL CARE
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
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
2014 SURGERY WESTERN STATES BURN CENTER (NCMC) 1801 16th Street, Greeley, CO 80631 Phone: (970)350-6607 Fax: (970)350-6306 Professionals: Gail Cockrell, MD Cleon W. Goodwin, MD BURN
SURGICAL ASSOCIATES OF GREELEY PC (NCMC) 1800 15th St. Suite 210, Greeley, CO Phone: (970)352-8216 Toll Free: 1-888-842-4141 Professionals: Molly Decker, DO; Michael Harkabus, MD; Jason Ogren, MD; Samuel Saltz, DO; Robert Vickerman, MD
URGENT CARE
SUMMITVIEW URGENT CARE 2001 70th Avenue, Greeley, CO 80634 Phone: (970)378-4155 Fax: (970)378-4151 www.bannerhealth.com Professionals: Susan Beck, MD Thomas Harms, MD Susan Kelly, MD Amy E. Shenkenberg, MD Linda Young, MD
UROLOGY
MOUNTAIN VISTA UROLOGY
5890 W. 13th Street, Suite 106, Greeley, CO 80634 Phone: (970)378-1000 Professionals: Curtis Crylen, MD David Ritsema, MD James Wolach, MD www.bannerhealth.com
VEINS
VEIN CLINIC (NCMC)
1800 15th Street, Suite 340, Greeley, CO 80631 Phone: (970)378-4593 Fax: (970)378-4591 Professionals: Maurice I. Lyons Jr., DO Kenneth M. Richards, MD Gene E. Tullis, MD
NORTH COLORADO PULMONARY (NCMC)
CERTIFIED PROSTHETICS & ORTHOTICS, LLC (GREELEY LOCATION)
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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
BARIATRIC SURGERY (NCMC)
1800 15th Street, Suite 200, Greeley, CO 80631 Phone: (970)378-4433 866-569-5926 Fax: (970)378-4440 Professionals: Michael W. Johnell, MD
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Homeopathic Medicine and Tinnitus Treatment– Part III Welcome to Part III in the quest to find the truth about homeopathic remedies and their benefit to tinnitus patients. In Part II we learned that there have long been issues with homeopathic remedies and most recently as they apply to tinnitus.
What is Tinnitus Anyway……. Tinnitus is usually reported as ringing, hissing, buzzing or clicking sound and its known causes, among other things, usually include medications and middle or inner ear disorders. Tinnitus varies greatly in its intensity, frequency, intermittency, subjectivity, objectivity, etiology and other variables. Sanders (2012) of the American Tinnitus Association (ATA) defines tinnitus as a totally subjective noise — one that only the person who has it can hear. In rare cases, when the tinnitus is caused by an abnormality in a vein or artery and is in rhythm with the heartbeat, the sound may be audible through a stethoscope placed on the neck or directly in the ear canal, these situations should be discussed with your physician as they usually require medical, sometimes surgical attention. Brain imaging research has shown that tinnitus often involves the limbic system, the brain’s emotional center. Brains seem wired to interpret constant loud noise, chronic pain, and vertigo as cause for concern. Since tinnitus may be a symptom of something gone wrong, patients should consult their physician first before seeking non-medical treatment of any kind. Tinnitus, as identified by homeopathic practitioners are also known scientific and medical causes of tinnitus; others are not. In homeopathy, the cause of the tinnitus is crucial as remedies are prescribed according to the cause. Some common homeopathic causes of tinnitus and their specific treatments are as follows: 1. Tinnitus associated with cochlear (inner ear) hair cells. Home remedy: Coenzyme Q10
(CO Q 10) a powerful antioxidant that is crucial in the effectiveness of the immune system and the circulation to the ears. 2. Tinnitus associated with loud noise and other sensori-neural hearing loss. (could be hair cell) related as well. Home remedy: Bayberry bark, burdock root, goldenseal, hawthorn leaf and flower and myrrh gum to purify the blood and counter act infection. 3. Tinnitus associated with hearing loss and noise exposure. (could be hair cell related as well) Home remedy: ginkgo biloba helps to reduce dizziness and improve hearing loss related to reduce blood flow to the ears. 4. Tinnitus associated with temporal-mandibular joint disorders. Home Remedy: fresh pineapple to reduce inflammation. 5. Tinnitus associated with the stiffening of middle ear joints. Home remedy: Include in your diet plenty of garlic, kelp, and sea vegetable. 6. Tinnitus associated with a tymanic membrane perforation or rupture. Home remedy: salt and glycerin a nasal spray bottle to spray each nostril with the solution until it begins to drain into the back of the throat. Homeopathic medicine practitioners believe that each of these causes requires a different treatment. Their treatments are typically various roots, barks, berries, pineapples, salt, glycerin, and mixtures that, in their opinion, treat tinnitus of various causes. Some people have taken minerals such as magnesium or zinc, herbal preparations such as ginkgo biloba, homeopathic remedies, or B vitamins for their tinnitus and found them helpful. Others have experienced tinnitus relief from acupuncture, sacral therapy, magnets, hyperbaric oxygen, or hypnosis. Over a long career, a clinician will hear lots of stories about home-made treatments curing tinnitus. These homeopathic methods, however, are more often interesting concoctions reminiscent of “grandma’s remedies,” snake oil, and voodoo. Many concoctions
and treatments have been perpetrated on those that suffer from tinnitus. Some are simply ”hit and miss” preparations, some homeopathically “proven”, and others that actually have research to support claimed benefits, but most are simply not effective for tinnitus.
Real Non- Medical Tinnitus Treatments
colleagues worldwide, I have had many patients try these preparations with virtually no positive results. Preparations that are broadly advertised, available on the internet are often extremely expensive and likely of no clinical benefit. Based upon my research, I have concluded that the only homeopathic remedy that has any REAL merit for tinnitus is probably the use of antioxidants. If patients are experiencing tinnitus, I will recommend that they consider the use of antioxidants. While the jury is still out, evidence suggests that when these antioxidants are received from natural foods and beverages, there are better results than when obtained from supplements. If an antioxidant supplement is used it should come from a reputable, known source to ensure that the substance is of high quality. Best to have great chocolate and a nice expensive red wine to obtain antioxidants than spend huge amounts for home remedies that are ineffective. While I do not endorse, or recommend any of these commercially available compounds, pills, or other preparations for tinnitus there are some effective non-medical audiological treatments for tinnitus. However, an old friend and Greeley colleague, Dr. Ray Yockey (2014) reminds this author that that some-
Audiologists consider traditional treatments such as Tinnitus Retraining Therapy, Tinnitus Masking, Neuromonics as well as possible disease processes while homeopathic medicine defines treatments for tinnitus. Most tinnitus treatment programs, including homeopathic remedies suggest counseling, diet modifications and a review of the use of over-the-counter and prescription medications, as these are both known to cause and/or exacerbate tinnitus. Types of tinnitus listed by the homep at h i c medicine sites seem to oversimplify the symptom and categorize it according to various areas of the ear that relate to possible causes and suggest a remedy according to it orgin. Once medical causes re rued out, audiologists may be able to reduce the tinnitus (about 50% of the time) by the use of hearing instruments or inexpensive masking noise generator, such as a pillow that generates noise, or a free phone application that can cover the or distract from the sounds. When choosing an audiologist to the conMiller, a co-researcher at Michigan, that noise-induced hearing loss prevention concoction could be sult within for tinnitus available two years. treatment, experience with tinnitus patients really counts. The process takes listening to the patient and their particular tinnitus issue and then considering a number of options.
times a pill (even an expensive one) with no physiological benefit, commonly called a placebo, can be of some significant benefit. He says, “There is a mindbody interaction that is poorly understood by today’s physicians but was well known to the ancient healers, who treated not only the physical but the mental and spiritual needs of their patients.” References: Home Made Remedies. (2014). Homeopathic medicine web site for Tinnitus. Retrieved from the World Wide Web, April 16, 2014: http://www.homemademedicine.com/home-remedies-tinnitus.html Sanders, B.T. (2004). What is Tinnitus? Tinnitus Today, American Tinnitus Association, Portland OR. Yockey, R., (2014). Personal communication. April 7, 2014.
Author’s Bio:
Tying it up
Robert M. Traynor, Ed.D., MBA, FAAA
In another study funded by the Oklahoma Medical Research Foundation, Robert M. Traynor is the CEO and practicing audiologist at Audiology If you have followed discusresearchers Dr. Robert Floyd andthe retired Army surgeon, Dr. Richard Kopke, M.D.,Greeley, discovered a Colorado with particular emphasis in Associates, Inc., sion through these three combination of two compounds stoppedparts, damage to the inner ear caused by acute trauma – amplification and acoustic operative monitoring. Dr. Traynor holds degrees it’s been a long journeyAlthough through something like an IED exploding. they did not indicate what University the compounds they felt Colorado (BA, 1972, MA 1973, Ed.D., from the ofwere Northern the ishistory of finding,” homeopathic that,“This a very exciting said Dr. Floyd, who holds the the Merrick Foundation in Aging 1975), University ofChair Phoenix (MBA, 2006) as well as Post-Doctoral medicine, how remedies Research at OMRF. “Thethe research is still atare a pre-clinical stage, hopeful that weUniversity soon can begin Studybutatwe’re Northwestern (1984). He taught Audiology at the made, their administration and testing in humans. University of Northern Colorado (1973-1982), University of Arkansas
finally their use in tinnitus treat-
for Medical Sciences (1976-77) and Colorado State University (1982-
at the benefits of these commercial preparations to our tinnitus patients in the clinic. I know that many audiologists, like me, in the US and likely many more countries around the world, are not very familiar with homepathic remedies. Like
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.
ments. beginning this More recently,At Dr. the Kathryn Campbell'sof work at Southern Illinois involvesisthe of an Lt. Colonel from the US Army Reserve, 1993).University Dr. Traynor a use retired quest, called I wasD-methionine, interested aincomponent lookingof fermented antioxidant protein Service Corps and currently serves as an Adjunct Professor of Medical
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