September 2012
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» NORTHERN COLORADO WELLNESS
Concussion
Conscious Coaches and players work to tackle the dangerous problems related to head injuries. Page 6
» INSIDE: FLU NOTHING TO SNEEZE AT • BLOOD TYPE, HEART DISEASE RISK LINKED • SEPT. EVENTS
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August 29, 2012
August 29, 2012
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■■HEALTH CARE
Debate rages over government’s role By Sarah Wolberg Colorado Public News
As the number of Americans tipping the obesity scale grows, another battle over the bulges has emerged: How much should public policy control the collective diet? Suggestions include: » Requiring government employees to meet certain health standards. » Taxing sugar-laden drinks. » Requiring healthier school lunches and physical education to curb childhood obesity. Some say the government has a duty to protect citizens from unhealthy foods. Others argue for a free-market approach, waiting for consumers to demand healthier foods. Yet others call for collaboration. The camps came together for a lively debate during the annual Colorado Health Symposium in Keystone late last month. Similar discussions are happening across the state and the nation. “I do think we can begin to turn (the obesity crisis) around, but I think it’s going to be a coordinated effort between the private sector, government and nonprofit groups,” said Dr. James O. Hill, founding executive director of the Anschutz Health and Wellness Center in Aurora. “Somehow, we have to develop strategies that allow each sector to play a role.” Hill, also a professor at the University of Colorado School of Medicine, supports the idea of health standards for government employees. The practice, which is also
increasingly being used by private employers, may include programs that reward employees for being healthy, including giving them salary bonuses and lower insurance premiums. “If you’re a government employee and you’re required to take care of yourself to work for the government, then part of doing that is going out into the community and seeking healthier options because being healthy is then important to your job,” he said. Some in the private sector have gone further, Hill adding penalties. Walmart now charges employees more for health insurance if they smoke. Hill also suggested that government buildings could serve as testing grounds, where only healthy foods could be sold, including in vending machines. “Rather than just implementing regulations, the government should test (possible solutions) to see if they will be effective,” he said. Another major area that Hill promotes for government intervention is promoting schools as the first defense against obesity. “Schools should teach kids healthy-eating skills that they’ll use throughout their lives, rather than just telling them what to do,” Hill said. That concept, he said, is effectively the result of strong government regulation. Hank Cardello, the director of the policy research or-
»»In»Colorado:»Sugar,»transfats Several skirmishes have recently surfaced in Colorado over the relationship between the level of government involvement in health-specific legislation, including: » Colorado lawmakers passed a bill this year that bans trans-fats in school meals, beginning Sept. 1, 2013. » Last year, Colorado Democrats and Republicans sparred over whether to repeal a 2.9 percent sales tax on soda that raises $12.3 million every year. Meanwhile, there has been debate whether to support an increased tax on sugary drinks — following states like New York, Hawaii and Massachusetts, which have already proposed taxes on soda and other drinks.
ganization Obesity Solutions Initiative at the Hudson Institute in Washington, argued that such government regulation is misguided. The food industry, Cardello insisted, should play the largest part in encouraging healthy eating. Cardello said that if consumers demand h e a l t h i e r Cardello foods by voting with their dollars — like buying health foods and leaving the potato chips on store shelves — companies will supply healthy products. Similarly, if companies supply healthier foods to the masses, consumers will support these companies and improve their health at the same time. Cardello, a former executive at companies including Coca-Cola and Nabisco, said companies consider their bottom line, rather than worrying about any adverse health effects of the foods they sell. Consumer demands for healthier foods would encourage the food industry to produce healthier foods, he said. “Not that anyone’s immoral here, but when (food
industry executives) go into the office in the morning, (they don’t hear), ‘You got 37 attaboys for doing the right thing yesterday,’ ” Cardello said. “They hear, ‘Your brand sold less than last year. Get to work.’ “That’s their report card. Their report card is not on addressing obesity.” Cardello said that individuals must take the initiative in their own healthy eating without government policies. “It’s not necessarily the food product (causing the obesity crisis),” he said. “We’re weapons of mass consumption. I have yet to meet the consumer who can say no.” Lisa Katic, a registered dietician who works with the Food and Drug Administration in Washington on food policy, maintains a middle ground. The government, she says, should have a role in healthy eating and wellness — but not be too heavyhanded. She cited Michelle Obama’s “Clear on Calories” campaign as an example of what she considers an effective approach. The campaign teamed the First Lady up with the beverage industry to put vital nutrition information
on the front of drink packaging. The campaign is a part of her larger “Let’s Move” campaign designed to bring both government and the private sector together to combat childhood obesity. “I don’t Katic think the government should have no role in the issue; I just don’t think the government should be too heavy-handed,” Katic said. “What the First Lady is doing right now to raise awareness (about healthy eating) is great. She’s bringing all the right parties to the table.” Katic, president of Washington-based K Consulting, said that other initiatives should also include the private sector. Government of-
ficials, she said, should work more with medical professionals — including dietitians like herself — when formulating health care policy. “Registered dietitians are woefully underutilized in the obesity discussion,” she said. “R.D.s are trained to make the link between nutrition and disease, and they are important in preventative care.” The debate over government’s role has taken on greater importance as health care costs continue to skyrocket. Also, Colorado’s status as the leanest state in the nation took a hit last year, as its population joined the other 49 states with an obesity rate over 20 percent. Currently, 55 percent of Colorado adults wellness are overweight or obese. CPN reporter Cara DeGette contributed to this report.
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August 29, 2012
Experts: Flu is nothing to sneeze at Candace Hoffmann For The Tribune
For most healthy adults, getting the flu is an inconvenience. However, for others who are at high risk of developing serious complications such as pneumonia if they get sick from the flu, it can be much more serious. Fortunately, the most impactful prevention step can be as simple as rolling up your sleeve and getting a flu shot. While protec-
tion is never 100 percent, vaccination is the main tool used to protect the population from influenza. Since the 2010-11 influenza season, influenza vaccination has been recommended for all people older than 6 months as an effective method of protection. The Centers for Disease Control and Prevention recommend people get the vaccine as soon as it becomes available to the community. Antibod-
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ies develop and provide protection in the body approximately two weeks after injection and influenza season can begin as early as October. Each year, the influenza vaccine contains three flu virus strains, which are selected based on predictions about which strains are expected to be most prevalent and potentially dangerous for the upcoming influenza season. “I think we’ve gotten lackadaisical about influenza, said Myrna Kamper, a registered nurse at the community and worksite wellness at North Colorado Medical Center. Influenza really can be deadly. Each flu season is different and affects different age groups more severely in different years. The CDC says to “Take 3” Actions to spare you from influenza. » First, take time to get
a flu shot. » Second, take everyday preventive actions to stop the spread of germs, such as hand washing, not touching eyes, nose and mouth, and staying away from sick people. » Third, take antiviral drugs if prescribed by your physician.” “Most people do very well with the flu vaccine, noticing no side effects at all,” Kamper said. “Some may experience mild discomfort or a slight fever or headache, while others feel more tired and achy. This is not harmful to your body. Some people worry they can actually contract influenza from a vaccine, but this is not possible as the vaccine does not contain any live virus.” The flu vaccine does not protect against the “stomach flu” or other influenza-like illnesses. While symptoms such as muscle aches and mild fever are similar among these viruses, people who exhibit signs of the flu should visit a physician to receive a proper diagnosis. “Debunking rumors and myths about the flu shot can be a challenge and it is important to get all of the facts. If you have concerns about receiving the influenza vaccination, take time to talk to a health care provider to become informed,” Kamper said. Candace Hoffman is a public relations specialist with Banner Health, which manages North Colorado Medical Center.
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SEPTEMBER HEALTH EVENTS « Heatlhy at every size? The paradox, « CPR for health care providers, 5-8:30 6-8 p.m. Sept. 11 High Plains Library District Building, 2650 29th St., Greeley. Participants will learn about a new approach to health and body image. Cindy Dallow, Ph.D. and Dr. Kurt Dallow will speak. Exhibits, info and healthy snacks. Free for Spirit members, $10 all others. To reserve a spot, call (970) 392-2222.
« Aging well, 2-5 p.m. Mondays, Sept.
4-Oct. 29 at North Colorado Medical Center, Union Colony Room, Area C on the ground floor, 1801 16th St. in Greeley. Class: Powerful tools for caregivers. Taught by Weld County Area Agency on Aging. Free, donations are accepted. Call (970) 346-6950, ext. 6117 for more information.
« Blood Tests, 7-8:45 a.m. Sept. 12 and
25, 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, Sept. 4, 11,
18 and 25 at the Summit View Medical Commons, 2001 70th Ave., Greeley. Head-to-toe health screenings include blood work, sleep questionnaire, lung function test, body composition, hip and waist measurements, health education, EKG with results, bone density, peripheral arterial disease screenings, ultrasound of carotid vessels and ultrasound of aorta, $175. To schedule an appointment, call (970) 350-6070.
p.m. Sept. 10 at North Colorado Medical Center, Longs Room, second floor, 1801 16th St., in Greeley. This class is designed for licensed and nonlicensed health care providers. Topics covered include cardiopulmonary resuscitation, airway obstruction and rescue breathing for adult, children and infants. The certification is valid for two years. Cost: $55. To register, call (970) 350-6633.
« Cooking Class: Soup’s on, 6-7:15 p.m.
Sept. 13 at North Colorado Medical Center, Cardiac Rehab Kitchen, 1801 16th St. in Greeley. Sample recipes bursting with flavor, without all the salt. Taught by Mary Branom, R.D. Cost: $10. To register, call (970) 350-6633.
« Heartsaver CPR with AED, 7-9
p.m. Sept. 6 at the Family FunPlex, 1501 65th Ave., 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. The certification is valid for two years. To register, call (970) 350-9401. Registration closes at noon, two days prior to class.
« Heartsaver first Aid, 4-6:30 p.m.
Sept. 6 at the Family FunPlex, 1501 65th Ave., Greeley. Taught by the American Heart Association certified health care professionals, this First Aid class provides participants with an understanding of first aid basics, medical emergencies, injury emergencies and environmental emergencies. Upon completion of the course, participants
will receive a Heartsaver First Aid course completion card. The certification is valid for two years. Details: (970) 350-9401.
« 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.
« PAD Screening (Peripheral Vascular
Disease), 1-3 p.m. Aug. 4 and 18 at Summit View Medical Commons, 2001 70th Ave. in Greeley. Cost: $100.
« Restorative Yoga, 5:15-6:15 p.m.
Mondays, Sept. 10-Oct. 15 at North Colorado Medical Center, 1801 16th St. in Greeley. Restorative Yoga will focus on gentle movements coordinated with breathing exercises to facilitate greater range of motion, flexibility and relaxation. Modifications of poses will be given to address the full spectrum of student needs in order to learn a safe and effective way to practice Yoga with a personalized approach. Students with any level of physical ability are welcome. This is primarily a chair and mat class. Cost: $48. To register, call (970) 350-6633.
« Yoga basics, 4-5 p.m. Mondays, Sept. 10-Oct. 15 at North Colorado Medical Center, 1801 16th St. in Greeley. Intro-
duction 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. Cost: $48. To register, call (970) 350-6633.
« Yoga flow, 5-6 p.m. Wednesdays,
Sept. 12-17 at North Colorado Medical Center, 1801 16th St. in Greeley. 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. Cost: $48. To register, call (970) 350-6633.
« Living Well with Diabetes Program,
individual appointments and group classes in Greeley, Loveland, Windsor and Johnstown by calling (970) 3922344. Education offered for patients with diabetes, and their care givers or families, to provide knowledge, skills and tools to successfully manage their diabetes. Topics include nutrition, activity, monitoring, medications, problem solving, healthy coping, reducing risks, weight loss, insulin, or considering insulin pump therapy.
« Diabetes and Pregnancy education,
Offered weekly at North Colorado Medical Center, 1801 16th St. in Greeley. For women with type 1, type 2, or Gestational Diabetes to teach skills needed to care for themselves during
Get the word out. It’s easy. Tell the community about your public events by posting them on our online calendar at www.greeleytribune.com. From the homepage, click Submit an Event on the calendar and enter your information. Yes, it’s that easy.
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pregnancy. Topics include: healthy eating, being active, blood glucose monitoring, medications, problem solving, healthy coping and reducing risks. The goal is to help you and your baby stay healthy. Cost: $10. Call (970) 392-2344 to schedule an appointment.
« Diabetes Information Group, 7-8
p.m. Sept. 11 at North Colorado Medical Center, Colonial Room, 1801 16th St., Greeley. For people with diabetes, their family, friends, care givers or anyone with an interest in diabetes. To register, call (970) 392-2344.
« Keep Pace: Lung Disease Manage-
ment, Education and Updates, 6:307:30 p.m. Sept. 20 or 10-11 a.m. Sept. 28 at North Colorado Medical Center, 1801 16th St. in Greeley.
« Prediabetes class, meets at North
Colorado Medical Center, 1801 16th St., Greeley. Call (970) 392-2344 to sign up for a three-class session. This class will teach the difference between prediabetes and diabetes; what you can do to prevent type 2 diabetes; how to develop a lifelong plan to help keep your blood sugars in the normal range. Cost: $30.
« Cancer Support Group, 5:30-7 p.m.
Tuesdays at North Colorado Medical Center, 1801 16th St. in Greeley.
« Breast Cancer Support Group, 5:30-7 p.m. Sept. 6 at North Colorado Medical Center, 1801 16th St. in Greeley.
« Man-to-Man Prostate Cancer Support Group, 5:30-7 p.m. Sept. 20 at North Colorado Medical Center, 1801 16th St. in Greeley.
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August 29, 2012
CONC
Coaches and
B
By JOSHUA ESPI jespinoza@greeleytr
ack in the day, it was com little “ding” that could be ing it off; however, in rece professionals and policy m more serious stance on an injury tha thing about: sports-related concuss The Centers for Disease Control a that as many as 3.8 million recreatio occur per year, which is a conservati many of these injuries go unreporte cation among some coaches and ath “When I was younger and started ting hit in the head was more likely the coach would ask your name, and ber it, then you could go back in and Mike Heatherly, head football coach School. “But nowadays, we certainly things involved in a concussion that order to keep our student-athletes s
JIM RYDBOM/jrydbom@greeleytribune.com
FRONTIER ACADEMY’S ALEXA ROSE, left, collides with Clear Creek goalie Kelsey Valdez while playing in the 3A state playoffs held at Jackson Stadium last May. Soccer is a sport where a lot of concussions occur.
Across the country, that realization has resulted in a number of program and policy implementations that aim to address this type of injury in organized sports, specifically in the prep landscape. As of Jan. 1, the Jake Snakenburg Youth Concussion Act took effect in Colorado, which is a law that mandates all coaches who participate in children sports activities receive mandatory, annual concussion education. The law also requires coaches to immediately pull an athlete who is suspected to have sustained a concussion from games and practices until said student is cleared by a licensed medical professional — steps that medical experts say will decrease the chances of concussions resulting in long-term effects or death. “For years and years and years, really up to the last seven or 10 years, we talked about concussions
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August 29, 2012
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CUSSION CONSCIOUS
d players learn to diagnose and react to head injuries
INOZA ribune.com
mmonly disregarded as a remedied by simply walkent years, many medical makers have taken a much hat few people know anysions. and Prevention estimate on-related concussions ive estimate considering ed because of a lack of eduhletes. d playing (football), getto be a situation where d if you could rememd keep on playing,” said h at Greeley Central High y know there are more t we need to monitor in safe.”
»»Symptoms
Amnesia Confusion Headache Loss of consciousness Balance problem or dizziness Double or fuzzy vision Sensitivity to light or noise Nausea (feeling that you might omit) Feeling sluggish, foggy or groggy Feeling unusually irritable Concentration or memory probms Slowed reaction time
terms of ‘I got my bell rung,’ and y were not treated as seriously as y are from a medical” standpoint, d Tracy Damrell, the manager of rth Colorado Sports Medicine. fore this law was passed, it was subjective. If an athlete said he she was feeling good, the coach eed, then they would return to
“
... If you injure your brain and don’t give it time to heal, you may have problems with processing information, problems with memory; you can live with a bad ankle, but living with a bad brain is much more difficult.
—»TRACY»DAMRELL, North Colorado Sports Medicine manager
play. This law mandates that all concussions are treated the same way, that they’re immediately removed from play. ... It takes the return-toplay decisions and brings it into the medical realm and out of the coaches’ realm.” Named after a Grandview High School freshman football player, the Jake Snakenburg Youth Concussion Act came about after the 15-year-old died of second impact syndrome in 2004, a condition that occurs when a person sustains a second concussion before the initial one is resolved. Following his death, Jake’s parents lobbied for the bill in the hopes that coaches, parents and athletes would educate themselves on concussions to avoid the kind of tragedy their family endured. In compliance with the act, all Colorado coaches now attend educational seminars to learn more about the signs and symptoms of concussions, as well as the necessary steps to make sure their athlete receives proper treatment for an injury that is particularly dangerous for the immature brains of youth. “We’ve seen that kids who have had concussions and don’t take care of them have significant problems in school,” said Damrell, who coordinates concussion symposiums
for regional coaches. “We’ve seen straight-A students who have had concussions drop to C’s and D’s because the brain doesn’t process information the same anymore.” Although the medical field no longer rates concussions, Damrell said there are many factors that determine how severe and problematic a concussion might be, such as the individual’s age and past head injuries. Developing brains are not as resilient as fully developed brains, which is why the younger the individual is, the more serious the medical condition will be. In addition, Damrell said, once a person gets a concussion, he or she is four to six times more likely become concussed again because of the fact that the threshold of injury is lower; therefore, it takes less and less force to sustain a concussion after each one. “We’ve seen athletes who have had three, four, five, six, seven concussions, so many that it takes so little to bring on another headache,” Damrell said. “If you have a kid who has had eight or 10, maybe not even that many, if they jump off a chair, the jarring force of landing will bring their symptoms back.” Typically, concussions resolve in five to seven days if the person takes the necessary steps to heal the injury. Unfortunately, there are no exercises or medication that can treat a concussion, so doctors rely on oldfashioned rest and relaxation — taking the athlete out of all strenuous activity, as well as minimizing brain stimulation as much as possible, which means no TV, video games, iPods or standard classroom activities. “Without the rest, the brain just
»»How»to»prevent»a»concussion Do not initiate contact with your head or helmet. You can still get a concussion if you are wearing a helmet. Avoid striking an opponent in the head. Undercutting, flying and sticks to the head all cause concussions. Follow your athletic department’s rules for safety and the rules of the sport. Practice good sportsmanship at all times. Practice and perfect the skills of the sport.
»»What»to»do If you think you have a concussion: » Don’t hide it: Tell your athletic trainer and coach. Never ignore a blow to the head. Also, tell your athletic trainer and coach if one of your teammates might have a concussion. Sports have injury timeouts and player substitutions so you can get checked out. » Report it: Do not return to participate in a game, practice or other activity with symptoms. The sooner you get checked out, the sooner you may be able to return to play. » Get checked out: Your team physician, athletic trainer or health care professional can tell you if you have had a concussion and when you are cleared to return to play. A concussion can affect your ability to perform everyday activities, your reaction time, balance, sleep and classroom performance. » Take time to recover: If you have had a concussion, your brain needs time to heal. While your brain is still healing, you are much more likely to have a repeat concussion. In rare cases, repeat concussion can cause permanent brain damage and even death. Severe brain injury can change your whole life.
doesn’t heal,” Damrell said. “It’s like with a sprained ankle: If you sprain your ankle and you go out running and jumping without any rest, you’re going to have an unstable and weak ankle. If you injure your brain and don’t give it time to heal, you may have problems with processing information, problems with memory; you can live with a bad ankle, but living with a bad brain is much more difficult.” Although Damrell said concussions are inevitable in all sports, he insists the mandatory concussion programs aren’t meant to deter children from participating in athletics, but rather to shed light on a type of injury that traditionally has been disregarded as minimal because of the lack of outward signs, including headaches, nausea, blurry vision
and confusion. Furthermore, medical experts say CT scans and MRIs are inaccurate in determining or ruling out a concussion, so a large part of diagnoses relies on the honesty of athletes and coaches, which hasn’t proved difficult considering children’s lives are on the line. “We at Greeley Central are certainly not in the business of winning games at players’ expense. Who can be proud of that? Talking about a win when you got somebody’s life at stake,” said Heatherly, who has been coaching football for 34 years. “We have been through concussion training, so we feel very confident and competent with our coaches, trainers and staff on how to recognize and treat concussions. We feel really good about it. We have all our bases covered to keep our kids safe.”
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August 29, 2012
■■CIRCUMCISION
RESEARCHERS: DECLINING RATES WILL RAISE HEALTH-CARE COSTS BY BILLIONS Los Angeles Times LOS ANGELES — Declining rates of circumcision among infants will translate into billions of dollars’ worth of unnecessary medical costs in the United States as the boys grow up and become sexually active men, researchers at Johns Hopkins University said. In a study published Aug. 13 in the Archives of Pediatric and Adolescent Medicine, a team of economists and epidemiologists estimated that every circumcision not performed would lead to significant increases in lifetime medical expenses to treat sexually transmitted diseases and related cancers — increases that far surpass the costs associated with the procedure. Circumcision is a hotly debated and emotional issue in the U.S., where rates have been falling for decades. In the 1970s and 1980s, about 80 percent of baby boys were routinely circumcised in hospitals or during religious ceremonies; by 2010, that figure had dropped below 55 percent, according to the Centers for Disease Control and Prevention. Some of that decline is due to shifting attitudes among parents, but at least part of it can be traced to the decision by many states to eliminate
Medicaid coverage for the procedure. Today 18 states, including California, do not provide Medicaid coverage for the procedure, which is considered cosmetic by many physicians. But in the past decade, studies have increasingly shown that removing the foreskin of the penis has significant health benefits, said Dr. Aaron Tobian, senior author of the new study. Three randomized trials in Africa have demonstrated that circumcision was associated with a reduced risk of contracting HIV, human papillomavirus and herpes simplex in men. One of those studies documented a reduced risk of HPV, bacterial vaginosis and trichomoniasis in the female partners of men who were circumcised. Circumcision is believed to prevent STDs by depriving pathogens of a moist environment where they can thrive. The inner foreskin has been shown to be highly susceptible to HIV in particular because it contains large numbers of Langerhans cells, a target for the virus. Tobian and his colleagues developed a computer-based simulation to estimate whether declining circumcision rates would lead to more STDs and thus higher medical
“
The federal Medicaid program should reclassify circumcision from an optional service to one all states should cover.
— DR. AARON TOBIAN, senior author
costs. If circumcision rates remain around 50 percent instead of the higher rates of years past, the lifetime health-care costs for all of the babies born in a single year will likely rise by $211 million, the team calculated. If circumcision rates were to fall to 10 percent — which is typical in countries where insurance does not cover the procedure — lifetime health-care costs for all the babies born in a year would go up by $505 million. That works out to $313 in added costs for every circumcision that doesn’t happen, according to the report. In this scenario, nearly 80 percent of the additional projected costs were due to medical care associated with HIV infection in men, the team wrote. The model includes only direct medical costs such as treatment for penile and cervical cancer, which are associated with HPV infection. It doesn’t consider nonmedical or indirect costs, such as transportation to doctors’ appointments or lost income. To Tobian, the message is clear: Government efforts to save money by
denying coverage for circumcision are penny-wise but pound-foolish. “The federal Medicaid program should reclassify circumcision from an optional service to one all states should cover,” he said. That sentiment was echoed in an editorial accompanying the study. UCLA health economist Arleen Leibowitz wrote that by failing to require states to cover circumcision in Medicaid plans, the U.S. reinforces healthcare disparities. “If we don’t give poor parents the opportunity to make this choice, we’re discriminating against their health in the future,” she said in an interview. “If something is better for health and saves money, why shouldn’t we do it? Or at least, why shouldn’t we allow parents the option to choose it?” Ellen Meara, a researcher at the Dartmouth Institute for Health Policy and Clinical Practice who was not involved with the study, praised the researchers for conducting a careful analysis. But she questioned whether data from HIV studies in Africa were applicable to the U.S. Medicaid population.
dure trump any economic analysis of its potential benefits. “You’re taking an asymptomatic individual and forcing a procedure on him,” he said. Hay also argued that Americans don’t need circumcision to prevent HIV infection because they have other options, such as using condoms. He said that just last month the U.S. Food and Drug Administration approved the use of a once-a-day pill called Truvada to reduce the risk of HIV transmission in high-risk groups. “There’s no reason why people have to engage in this irreversible procedure,” he said.
Still, it’s “the best information we have,” she said. “There’s nothing better to plug in.” The analysis comes a week before the American Academy of Pediatrics is scheduled to release a new policy on circumcision. Since 1999, the doctors group has taken a neutral stance on the procedure, saying that “the scientific evidence demonstrates potential medical benefits” but that it’s not strong enough to say that circumcision should be routine. Joel Hay, a health economist at the University of Southern California, said the new study is inherently flawed because ethical concerns about the proce-
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August 29, 2012
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STUDY SHOWS BLOOD TYPE, HEART DISEASE RISK LINKED Los Angeles Times
Just in case you missed a day...
LOS ANGELES — Poten-
tially good news for the 45 percent of Americans who have Type O blood: Researchers said earlier this month that those people appear to have a slightly lower risk of developing heart disease than their neighbors with Type A, B or AB blood. Dr. Lu Qi, an assistant professor of nutrition at the Harvard School of Public Health in Boston, analyzed heart disease risk in two large, multi-decade health studies — reviewing data collected from 62,073 women who participated in the Nurses’ Health Study, which was launched in 1976, and from 27,428 men who took part in the Health Professionals Follow-up Study, launched in 1986. Adjusting for heart disease risk factors including diet, diabetes status, gender and race, Qi and his colleagues found that study participants with type AB blood had the largest heart disease risk — 20 percent greater than that of people with Type O blood. (The team calculated that the incidence of heart disease was 125 cases per 100,000 person-years.) Type B was next with an 11 percent greater risk, and type A was third with an 8 percent greater risk, the scientists reported. The trend held up when the researchers compared their results with several other population studies recording the same factors. Across a total of seven studies, the increased risk for
FOR THE TRIBUNE
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It’s good to know your blood type the same way you should know your cholesterol or blood pressure numbers. If you know you’re at higher risk, you can reduce that risk by adopting a healthier lifestyle, such as eating right, exercising and not smoking.
— DR. LU QI, assistant professor of nutrition at the Harvard School of Public Health
people with non-O blood types was 11 percent higher than that for people with Type O. Rh factor — the “positive” or “negative” often included in blood typing — was not correlated with any differences in heart disease risk. The analysis was not designed to identify the reasons why blood type might influence heart disease risk. But the researchers noted that non-O individuals have higher levels of two proteins involved in clotting and atherosclero-
sis — and that people with Type A blood, in particular, have been reported to have higher levels of serum total cholesterol and LDL (bad) cholesterol. The research appeared in the journal Arteriosclerosis, Thrombosis and Vascular Biology, which is published by the American Heart Association. In a statement released by that organization, Harvard’s Qi said that learning more about the relationship between blood type and heart disease risk could help doctors tailor their advice - perhaps urging patients with Type A blood to watch their cholesterol more carefully, for example. “Our findings might help physicians better understand who is at risk for developing heart disease,” he said. “It’s good to know your blood type the same way you should know your cholesterol or blood pressure numbers. If you know you’re at higher risk, you can reduce that risk by adopting a healthier lifestyle, such as eating right, exercising and not smoking.”
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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
ALZHEIMER’S/SKILLED CARE
AUDIOLOGY
ALPINE ALL ABOUT HEARING
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
UNC AUDIOLOGY CLINIC
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
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
THE BRIDGE ASSISTED LIVING 4750 25th Street Greeley, CO 80634 Phone: (970)339-0022
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; Sonie Harris, M.A., CCC-A Jennifer Weber, Au.D., CCC-A
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
DENTISTRY - HYGENE
AABSOLUTELY SMILES
1135 N. Lincoln Avenue, Suite 4 Loveland, CO 80537 Phone: (970)622-0970 Fax: (970)622-0971 www.aabsolutelysmiles.com
DENTISTRY - PEDIATRIC
PEDIATRIC DENTAL GROUP
2003 46th Avenue Greeley, CO 80634 Phone: (970)330-4600 www.pediatricdentalspecialties.com Professionals: David Strange, DDS, MS Malcolm Strange, DDS, MS Courtney College, DDS, MS Justin Cathers, DDS, MS Gary Belanger, DDS
ENDOCRINOLOGY
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)
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
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; Ahmad Shihabi, MD;
DENTISTRY
ASCENT FAMILY DENTAL Scott Williams, DMD 3535 W. 12th Street, Suite B Greeley, CO 80634 Phone: (970)351-6095 www.dentalgreeley.com
GREELEY DENTAL HEALTH 1600 23rd Avenue Greeley, CO 80634 Phone: (970)353-4329 www.greeleydentalhealth.com Professionals: Randy C. Hatch, DDS Charles W. Johnson, DDS
JULIE KAVANAUGH, D.D.S. 3400 W. 16th Street, Suite 8-E Greeley, CO 80634 Phone: (970)351-0400 www.drjuliekav.com
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.
August 29, 2012
2012 FAMILY PHYSICIANS OF GREELEY, LLP-WEST 6801 W. 20th Street, Suite 101 Greeley ,CO Phone: (970) 378-8000 Professionals: Daniel R. Clang, D.O.; Tamara S. Clang, D.O.; R. Scott Haskins, M.D.; Mathew L. Martinez, M.D.; Chima C. Nwizu, M.D.; Michelle K. Paczosa, D.O.; Jeffery E. Peterson, M.D.; Kyle B. Waugh, M.D.; Charles I. Zucker, M.D.
KENNETH M. OLDS
6801 W. 20th Street, Suite 208 Greeley ,CO 80634 Phone: (970)330-9061
MEDICAL ARTS PRACTICE
1300 Main Street Loveland, CO 80550 Phone: (970)686-5646 Fax: (970)686-5118 Professionals: Lance Barker, DO Jonathan Kary, MD Trina Kessinger, MD Pharmacy on site - open to the public.
WESTLAKE FAMILY PHYSICIANS, PC 5623 W. 19th Street Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 Professionals: Richard Budensiek, D.O.; Jacqueline Bearden, MD; Janis McCall, MD; Angela Mills, MD Frank Morgan, MD; David Pols, D.O. www.bannerhealth.com
August 29, 2012
HEALTH
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TRiBUNE MEDiCALDiRECTORY DiRECTORY TRiBUNE MEDiCAL FUNERAL SERVICES
ALLNUTT & RESTHAVEN FUNERAL SERVICES 702 13th Street, Greeley, CO Phone: (970) 352-3366 650 W. Drake Road, Ft. Collins, CO Phone: (970) 482-3208 8426 S. College Avenue, Ft. Collins, CO Phone: (970) 667-0202 2100 N. Lincoln, Loveland, CO Phone: (970) 667-1121 1302 Graves Avenue, Estes Park, CO Phone: (970) 586-3101
GASTROENTEROLOGY
HEALTH AND FITNESS
INDEPENDENT ASSISTED LIVING W/SERVICES
BANNER HOME MEDICAL EQUIPMENT (NCMC)
WORK OUT WEST
Health & Recreation Campus 5701 W. 20th Street Greeley, CO 80634 Phone: 970-330-9691 www.workoutwest.com
Phone: (970)506-6420
MENTAL HEALTH SERVICES
NCMC - BEHAVIORAL HEALTH
928 12th Street Greeley, CO 80631 Professionals: Cheryl Giambrone, LPC Elise Pugh, LPC Shawn Crawford, LPC Laura Grotenhuis, LPC Tia Lewis, LPC Renée Rogers, LMFT Cleopatra Songa, LCSW, CACIII Susan Goodrich, LCSW Dr Michael Fuller, Adult Psychiatry Dr. Amy Laurent, Adult Psychiatry Dr Nicholle Peralta, Adult Psychiatry Dr Patricia Al-Adsani, Child and Adolescent Psychiatry Jose Vasquez, Psychiatric Nurse Practitioner
HOME HEALTH CARE
CARING HEARTS HOME HEALTHCARE 6801 W. 20th Street, Suite 207 Greeley, CO 80634 Phone: (970)378-1409
REHABILITATION AND VISITING NURSE ASSOCIATION 2105 Clubhouse Drive Greeley, CO 80634 Phone: (970) 330-5655 Fax: (970) 330-7146 Web Site: www.rvna.info Professionals: Crystal Day, CEO
MIDWIFERY CARE
HOSPICE
HOSPICE OF NORTHERN COLORADO Administration Office 2726 W. 11th Street Road Greeley, CO 80634 Phone: (970)352-8487 Fax: (970)475-0037
PATHWAYS HOSPICE
305 Carpenter Road Ft. Collins, CO 80550 Phone: (970)663-3500 Fax: (970)292-1085 Web Site: www.pathways-care.org
INDEPENDENT ASSISTED LIVING
DOWGIN, THOMAS A., MD. CENTERS FOR GASTROENTEROLOGY 7251 W. 20th St., Bldg J Greeley, CO Phone: (970)207-9773 3702 Timberline Ft. Collins, CO Phone: (970)207-9773 2555 E. 13th Street, Suite 220 Loveland, CO Phone: (970)669-5432 Website: www.digestive-health.net
NORTH COLORADO GASTROENTEROLOGY (NCMC) 2010 16th Street, Ste. A Greeley, CO 80631 Phone: (970)378-4475 Fax: (970)378-4429 Professionals: Mark Rosenblatt, MD Ahmed M. Sherif, MD Yazan Abu Qwaider, MD
GRACE POINTE
1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 Website: www.gracepointegreeley.com
MEADOWVIEW OF GREELEY
5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 Website: www.meadowviewofgreeley.com
MEDICAL EQUIPMENT & SUPPLIES
BONELL GOOD SAMARITAN 708 22nd Street Greeley, CO 80631 Phone: (970)352-6082 Fax: (970)356-7970 Web Site: www.good-sam.com
CENTER FOR WOMEN’S HEALTH 1715 61st Avenue Greeley, CO Phone: (970)336-1500 Professionals: Marie Foose, CNM; Krista O’Leary, CNM Karen Vorderberg, CNM
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: Giovanna Garcia, MD Steven Kalt, MD
MASSAGE THERAPY
HEALING TOUCH MASSAGE @ CENTER FOR WOMEN’S HEALTH
1715 61st Avenue Greeley, CO Phone: (970)336-1500 Professional: Becci Payne, Certified Massage Therapist
NEPHROLOGY
GREELEY MEDICAL CLINIC 1900 16th Street Greeley, CO 80631 Phone: (970) 350-2438 Professionals: Donal Rademacher, MD
NEUROLOGY
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2010 2012 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: Siegel, Jeffery, MD Shaffer, William, MD; Hayes, Todd DO
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 & HEMALOLOGY
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
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TRiBUNE MEDiCAL DiRECTORY 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
3400 W. 16thSt., Bldg 4-V Greeley, CO 80634 Phone: (970) 356-5900 Website: www.dredgren.com Professionals: Burdett R. Edgren, DDS, MS; Bradford N. Edgren, DDS, MS
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
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.
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
PEAKVIEW MEDICAL CENTER 5881 W. 16th St. Greeley, CO 80634 Phone: (970)313-2775 Fax: (970)313-2777
SKIN CARE
KECIAS SKIN CARE @ CENTER FOR WOMEN’S HEALTH 1715 61st Avenue Greeley, CO Phone: (970)336-1500 Professinal: Kecia Doll, Licensed Esthetician
SKILLED CARE/REHAB
NORTH COLORADO PULMONARY (NCMC)
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
NORTH COLORADO SPORTS MEDICINE
BANNER REHABILITATION CENTER 1801 16th Street Greeley, CO Phone: (970)350-6160 Fax: (970)378-3858
SURGERY GENERAL & TRAUMA
2012 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
PROSTHETICS & ORTHOTICS
MOUNTAIN VISTA UROLOGY
CERTIFIED PROSTHETICS & ORTHOTICS, LLC (GREELEY LOCATION)
5890 W. 13th Street, Suite 106 Greeley, CO 80634 Professionals: James Wolach, MD Curtis Crylen, MD www.bannerhealth.com
1620 25th Avenue, Suite A Greeley, CO 80634 Phone: 970-356-2123 Fax: 970-352-4943
CERTIFIED REHAB SERVICES, INC. (FT COLLINS LOCATION)
7251 West 20th Street, Building M Greeley, CO 80634 Phone: (970)330-9449 Fax: (970)330-4217 2500 Rocky Mountain Avenue, Suite 2100 North Medical Office Building Loveland CO 80538 Phone: (970) 619-6585 Fax (970) 619-6591 Website: www.hanger.com Professinal: Ben Struzenberg, CPO Michelle West, Mastectomy Fitter
SPORTS MEDICINE
SPEECH LANGUAGE PATHOLOGY
2010 16th Street, Ste A Greeley, CO 80631 Phone: (970)392-2026 Fax: (970)392-2028 Professionals: David Fitzgerald, DO Kelli R. Janata, DO Robert J. Janata, DO
HANGER PROSTHETICS & ORTHOTICS
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 Mark Guiberson, Ph.D., CCC-SLP
1801 16th Street Greeley, CO Phone: (970)392-2496
PULMONARY/CRITICAL CARE
1709 Heath Parkway Fort Collins, CO 80524 Phone: 970-482-7116 Fax: 970-498-9529
SPEECH AND LANGUAGE
UNC SPEECH LANGUAGE PATHOLOGY CLINIC
August 29, 2012
VEINS
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
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