September 2013 Thrive by The Greeley Publishing Company

September 2013

THRiVE » NORTHERN COLORADO WELLNESS

A walk on the healthy side

As students head back to the classroom, check out tips to keep them happy and healthy. Page 6.

» INSIDE: DRIVING SCHOOL TIPS • HEALTHY AGING • SEPTEMBER HEALTH EVENTS

HEALTH

THRIVENC

August 28, 2013

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August 28, 2013

HEALTH

THRIVENC

SEPTEMBER HEALTH EVENTS « PAD Screening (Peripheral Vascular

Disease), 1-3 p.m. Sept. 3 and 17 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 receive: 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; health information packet. Cost is $100, payment is due at time of service. NCMC is unable to bill insurance. To schedule an appointment, call (970) 350-6070.

« Body Check ... What you need to

know: Head to Toe, by appointment Sept. 3 and 17 at Summit View Medical Commons. This head-to-toe health assessment gives you the tools to put your health first by receiving a comprehensive set of preventive health screenings. Invest in your health today! This screening includes: 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 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, ultrasound of the aorta (screenings are read by a board-certified radiologist). Upon Request: 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.

« Recipes for a Healthy Lifestyle:

Fortify Your Spine, 7-9 p.m. Sept. 4 at NCMC Auditorium, 1801 16th St. in Greeley. Spine issues don’t have to take the flavor out of your life. Both men and women are invited by NCMC Spirit of Women to ask the expert about spine issues. Neurosurgeon David Blatt, MD, will present timely information on neurosurgery, spine and neck issues, treatment options and other ingredients to Fortify Your Spine. Free. Registration required. To register, call (970) 392-2222 or email Spirit.of.Women@BannerHealth.com.

« Heartsaver First Aid, 4-6:30 p.m.

Sept. 5 at the Family FunPlex. 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. This is a contract class with the City of Greeley Leisure Services. To register, call (970) 350-9401.

« STAR — support touch and reach

breast cancer survivors (Breast Cancer Support Group), 5:30-7 p.m. Sept. 5 at NCMC Cancer Institute Conference Room. For more information, call Betty Parsons at (970) 339-7137.

« Heartsaver CPR with AED, 7-9 p.m. Sept. 5 at the Family FunPlex. The class is taught by American Heart Association certified health care professionals and covers adult and infant/child CPR, obstructed airway, the Heimlich maneuver, the use of a barrier device and AED hands-on training. Upon completion of the course, participants will receive a Heartsaver course completion card.

The certification is valid for two years. This is a contract class with the City of Greeley Leisure Services. Costs are: CPR: $48, First Aid: $45, Combo: $88. Registration closes at noon, two days prior to the class. To register, call (970) 350-9401.

« Chair Yoga, 9-9:45 a.m. Mondays,

Sept. 9-Oct. 14. Primarily from sitting in a chair, we focus on gentle movements coordinated with breathing exercises to facilitate greater range of motion, flexibility and relaxation. Some standing poses may be included. Cost is $48 for six weeks.

« Yoga Basics, 4:30-5:30 p.m. Mon-

days, Sept. 9-Oct. 14. Yoga Basics is an introduction to the foundational poses in a beginning yoga practice. This class will focus on careful physical alignment for the creation of a safe practice. This class is best suited for those with no physical limitations. Cost is $48 for six weeks.

« CPR for Health Care Providers

(Initial), 5-8:30 p.m. Sept. 9 at NCMC, Longs Room, second floor. 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. Registration closes at noon, two days prior to class. To register, call (970) 350-6633. 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 a $10 service fee. Cost is $55.

« Yoga Flow, 5:45-6:45 p.m. Mondays,

Sept. 9-Oct. 14. Yoga Flow teaches the student to build skills into flowing sequences with a focus on combining breath with movement. This class is challenging and dynamic, for those with no physical limitations. Cost is

$48 for six weeks.

« Pre-Diabetes Class Session 1, Sept.

9, 16 and 23 at Banner Health Clinic. In these classes you will learn: The difference between pre-diabetes 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 is $30 for the three-part series. One support person may attend at no additional charge.

« Boys 2 Men: Understanding

the Brains and Bodies of Boys, 6:30-8:30 p.m. Sept. 10 at NCMC Auditorium. Experts in adolescent health will use an engaging format to discuss topics on the minds of parents and sons. Topics include physical and behavioral changes and how to talk about the “tough stuff” like sex, drugs and other pressures boys face. The boys will also learn basic skills from the International Black Belt Academy in Greeley. Boys around 11-14 years of age must be accompanied by a parent or guardian; both mom and dad are encouraged to attend. Free for all boys, Spirit members and spouses are free, $10 non-members.

« Greeley’s Diabetes Information

Group/Support Group, 6:30-7:30 p.m. Sept. 10 at NCMC. For people with diabetes, their family, friends, caregivers or anyone with an interest in diabetes. Free. For more information, call (970) 392-2344.

« Blood Tests, 7-8:45 a.m. Sept. 11 and

25 at NCMC via Entrance #6. Wellness Services offers low-cost blood screenings open to community members; some immunizations are also available upon request and availability. Appointments preferred, please fast 12 hours prior to blood draw. To schedule an appointment, call (970) 350-6633. Payment due at time of service, NCMC will not bill insurance. Cost varies.

« Yoga Flow, noon-12:45 p.m. Wednes-

days, Sept. 11-Oct. 16. Yoga Flow teaches the student to build skills into flowing sequences with a focus on combining breath with movement. This class is challenging and dynamic, for those with no physical limitations. Cost is $48 for six weeks.

« Gentle Yoga, 5:30-6:30 p.m. Wednesdays, Sept. 11-Oct. 16. In Gentle Yoga, the postures are presented in an easy to follow, accessible manner with plenty of time for modifications and focus on breath work. An excellent class for seniors, those with chronic illness or injuries, those newer to yoga or students wanting a gentle practice. Cost is $48 for six weeks.

« Heartsaver CPR with AED — Wind-

sor, 6-8 p.m. Sept. 12 at the Windsor Recreation Center, 250 11th St. Taught by the American Heart Association certified health care professionals, this class covers adult and infant/ child CPR, obstructed airway, Heimlich maneuver and the use of a barrier device. Upon completion of the course, participants will receive a Heartsaver course completion card. The certification is valid for two years. Class is $48. Registration closes at noon, two days prior to class. To register, call (970) 674-3500.

« Blood Tests, 7-8:45 a.m. Sept. 18 at

Johnstown Family Physicians, 222 Johnstown Center Drive. Appointments preferred, please fast 12 hours prior to blood draw. To schedule an appointment, call (970) 350-6633. Payment due at time of service, NCMC will not bill insurance. Cost varies.

« Prostate Cancer Support Group,

5:30-7 p.m. Sept. 19 at NCMC Cancer Institute Lobby. For more information, call Julianne Fritz at (970) 350-6567.

« Walk with a Doc, Sept. 21 at Sanborn Turn to Events on P.8

HEALTH

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August 28, 2013

HOW TO SELECT A DRIVING SCHOOL FOR YOUR TEEN With traffic crashes being the leading cause of death for teens, making sure new drivers have a solid foundation in basic driving skills is critical to their success behind the wheel. To help parents select a quality driving school, DRIVE SMART Weld County offers advice, resources and tips. Making sure your new driver Lyn is more TAUSAN than ready DRIVE for the road SMART involves exploring different driving school options. The following are tips to help you find the program that is right for you and your teen: » Seek advice from neighbors, other parents and teens about driving schools and visit the facilities. » Look for a school that doesn’t rush the learning process. The classroom portion of the program is important, but behindthe-wheel training is critical. » Beginners learn best with two in-car lessons each week. Driving environments should include residential streets, city traffic, rural roads, highways and limited-access

» Resources for parents » Graduated Driver’s License: www.coteendriver. com » Drive Smart Weld County: www.drivesmartweldcounty.com » National Highway and Traffic Safety Association: www.nhtsa.gov » Colorado Teen Driving: www.coloradodot.info » Every 15 Minutes: www.every15minutes.com

freeways. » Make sure the school covers issues such as road rage and laws about cell phone use and texting. » Steer clear of programs with emergency driving maneuvers training such as skid control. These programs have been found to increase crashes. » Compare school and state curriculums and check out the driving schools’ state licenses and accreditation. » Check to see if the school has received any disciplinary actions for violating licensing laws or rules and is in “good standing.” Also check references and complaints on the school. » Make sure the driving course meets your insurance company’s requirements. If the driving class is being taken to receive a discount on insurance, be sure to check directly with the insurance provider, rather than take the driving school’s word for it.

» The driving school should carry a minimum of $1 million liability coverage to insure student and parent/guardian security. » Don’t let choosing a driving education program be the last step. Once your teen has completed the class, the bulk of his or her practice and instruction should be directly supervised by you, the parents. Although it can be time-consuming to seek out the perfect match, it is definitely worth the effort if there is a choice. A solid driver education program can be one of the best ways to ensure that your teen stays safe and healthy as he or she takes to the roads.

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.

August 28, 2013

HEALTH

THRIVENC

PROGRAM RAISES Just in case AWARENESS OF you missed a day... FALLING ACCIDENTS By Bethany Morris gtreporters@greeley.tribune.com

» Screenings To sign up for the screening, call (970) 352-9022.

reeley resident Lynn Donahue is offering residents a chance to regain their independence, peace of mind seen and costly expenses. “I’m so excited to help people get involved in and safety. Donahue is promoting the Centers for Dis- this program,” Donahue said. “I’d like to make ease Control and Prevention’s program STEA- people more aware about the seriousness that DI (Stopping Elderly Accidents Death and In- falls have in a population. A fall can be traujury). This program will raise awareness for the matic in terms of costs, but prevention can be need to help prevent unnecessary deaths and life-saving.” Here is what the CDC says you can do to injury caused by falling accidents. Donahue is a physical therapist, who af- help prevent falls: » 1. Begin a regular exercise program. Exter going back to school to get her doctorate, learned about new ways to treat osteoporo- ercise helps make you feel better and improves sis in patients. Instead of the often strenuous your strength. Exercises that combine balance physical activities that doctors typically pro- and coordination are the most helpful. » 2. Have your health care provider review vide their patients, Donahue instead focuses on activity that can help cut down on repetitive your medications. Medications can work differently on an aging body. Some side effects stress and motion to the body. “I saw a need in the population,” Donahue are drowsiness and dizziness. Have your health care provider resaid. “I returned to school after I saw a need in the population. I view all of your being a therapist returned to school after being a medications, even the overfor a long time, and I was able to therapist for a long time, and I was able t h e - c o u n t e r ones. research how to to research how to help women like Have help women like myself who suffer from osteoporosis. your» 3. vision myself who sufLynn Donahue checked. You fer from osteophysical therapist should have your porosis.” One-third of people who are 65 or older suf- vision checked at least once a year to make sure fer from a fall, and out of these, one-fifth of the your prescription hasn’t changed or to make falls cause serious injury to the brain or to the sure that cataracts or glaucoma aren’t affecting bones. Many of the breaks that occur from the your vision. » 4. Make your home safer. Half of the falls falls are silent breaks, meaning the person who sustained the injury isn’t aware that it has oc- that afflict elders occur in the home, so make your home as safe as possible by removing curred. Donahue will set up a free clinic in Septem- things you can trip over from places that you ber that will offer free screening to those who walk, removing or taping down rugs, keep choose to participate. The screening will in- items within easy reach to avoid using a stepclude a balance test, as well as general informa- ping stool, have grab bars in your bathroom, tion about how to improve the safety and living use nonslip mats in the shower or bathtub, conditions of the patient involved. Prevention, improve lighting, have handrails and lights put not treatment is the answer, Donahue says in on all staircases and wear shoes both inside because medical bills for a fall that can render and outside of the house; avoid wearing slipan elder incapacitated can rack up into unfore- pers or going barefoot.

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August 28, 2013

A WALK ON THE HEALTHY SIDE Tips to get prepared, keep kids germ-free as they head back to school

By SARAH MOE smoe@greeleytribune.com

n the first few weeks that students are back at school, parents and kids should take time to make sure they’re prepared for a healthy year. Schools and individuals have the means to make the transition back to school a smooth one, and ensure that students feel prepared for when a medical situation arises, according to school health experts. The first step is to be prepared. Dr. Amanda Harding, a pediatrician with Banner Health, said many kids don’t wash their hands properly. Reviewing proper handwashing techniques and supplying students with hand sanitizer can help prevent kids from getting sick in the first place. Elizabeth Eberhard, school nurse assistant at Centennial Elementary School, said that the “big four” health concerns in Greeley-Evans School District 6 are diabetes, asthma, allergies and seizures. Parents of students with chronic conditions should be prepared with the appropriate paperwork if their child needs medication at school. Schools require current prescriptions with the child’s name on them. With the proper planning, kids who need to take medication at school can do so without feeling singled out. When a student has a condition that requires frequent nurse visits, such as diabetes, the disease can create disrup-

tion in the student’s day. Eberhard said that school health workers strive to make kids who need to take medication at school feel like they’re integrated with the other students. Part of this is educating teachers, another part is creating an agreement with parents. Kids who are old enough also are encouraged to participate in their own health. “We encourage the children, as developmentally appropriate, to advocate for themselves,” Eberhard said. When a medical situation does arise, students have care options within the district. Sunrise, Maplewood and Dos Rios elementary schools have health clinics offering immunizations, physicals, dental, mental health and more expanded services. District 6 students and their siblings up to age 19 are eligible to receive care at these clinics. If a child becomes sick during the day, they may be taken to one of the clinics, with parent permission. The clinics are in partnership with Sunrise Community Health. Harding said that a lot of stress can be alleviated simply by making sure that a plan is in place for what to do if a child gets sick or hurt during school. “Just talking it out, knowing that they won’t have to do it by themselves,” can be helpful to kids, Harding said. Kids who are unsure about what they should do if they need medical help during

Joshua Polson/jpolson@greeleytribune.com

Students walk down the hallway Aug. 15 at Christa McAuliffe Elementary School in Greeley as they go to class with their parents.

» To be prepared Students who need to take medication at school or require special care because of a chronic condition must have paperwork filed with the school. The forms can be found online at www.greeleyschools.org/ Domain/2582.

school need the chance to discuss it, she said. “The best thing they can do is to ask questions so that they understand what to do,” Harding said. On the first day at Christa McAuliffe Elementary earlier this month, physical education teacher John Paxton

stood in front of the school directing traffic, answering questions and asking kids if they were excited to be back at school, to mixed answers. “I’m making sure there’s no traffic jams here in the parking lot and welcoming them to the school,” Paxton said.

Many parents walked in with their kids, wishing them good years and taking pictures of them in their school clothes. Melissa Shyrock, whose daughter Briar is a secondgrader at Christa McAuliffe, said she was provided plenty of information on health at the school. She got her information at the school’s open house. “The pamphlets that we got at the open house, and I also know it’s in the handbook and you can find it online,” Shyrock said of how she

got information on school health. “I would say the only thing is I want, honestly, for them to actually wash their hands instead of using sanitizer,” Shyrock said. She said she thinks it is especially important for kids to wash their hands before eating lunch. Whether kids make the occasional visit to a school nurse’s office or utilize the health clinics, District 6 has options available so that students and parents can be in control of their health this school year.

August 28, 2013

HEALTH

THRIVENC

LOW TESTOSTERONE IS A REAL PROBLEM, BUT FEW ACTUALLY HAVE IT By Landon Hall The Orange County Register

Low testosterone, or hypogonadism, is a legitimate health problem. Men who have it can suffer a variety of conditions, from low energy and sex drive to depression, weight gain and even bone loss. But chances are, you don’t have this problem, and neither do many of the men you know. The best evidence is only about 2 percent of U.S. males ages 40 to 79 are below the minimum T threshold. That hasn’t prevented a wave of interest in testosterone-replacement therapy. At the top of the hierarchy, there are the prescription-only gels and injections that replace the diminished hormone with synthetic testosterone. At the other, much more dubious, end of the spectrum are the dozens of over-the-counter supplements that purport to help the body boost its own Tlevels naturally. “It’s just a bunch of nonsense,” Dr. Ellis Levin said of the supplements. He’s chief of endocrinology, diabetes and metabolism at the University of California-Irvine’s School of Medicine, and he said those products aren’t FDA-approved, nor are they generally tested to see how well they work. “So people can claim whatever they want, and nobody will hold them to the truth.” Often, when a user does find a benefit, it’s a placebo effect that dissipates over time, he said. The supplements, with

names like Manimal, HexaTest and High T, often make bold claims in advertising and marketing. Andro400, which has a mailing address in Ventura, Calif., says on its website that its capsules are “powered by testosterone,” which can have a variety of therapeutic properties, including the ability to “melt” body fat. Elsewhere on the exclamation-point-filled home page are slogans like “Get back your enthusiasm, motivation and zest for life!” — “Recharge your energy, strength, stamina and sports performance!” — “Enhance sexual performance and bring back romance!” One 60-pill bottle costs $39.95. Is it true that men produce less testosterone as they age? Generally, yes. But that might not mean much. And there are other factors that can bring the level of hormone down, including injury, illness, obesity and heavy use of marijuana and opiates. A 2012 study found that men who were married tended to have less precipitous drops, possibly owing to being happier or having more sex. However, a 2011 study said new dads can see their levels drop faster than non-dads, an effect possibly caused by the body’s need to nurture a child outweighing the need to perform historically macho tasks, like fighting a rival suitor. Of course, many of the symptoms associated with low testosterone, such as fatigue, could come from other sources. For instance, erectile dysfunction is more often caused by cardiovascular dis-

For The Tribune

ease than by low T. A normal level of testosterone is 300 to 1,100 nanograms per deciliter of blood; a test is normally given twice — in the morning, when levels are at their highest, and after fasting. A low reading means the testicles aren’t producing enough testosterone, but most of the time the problem originates in the brain, Levin said: There’s a mix-up in signals from either the hypothalamus or the pituitary gland, which tell the testicles when to make more. The best evidence is that only about 2 percent of the U.S. male population ages 40 to 79 are below the minimum T threshold. But a study published in June in JAMA Internal Medicine showed that prescriptions for men 40 and older shot up 300 percent between 2001 and 2011. About one-quarter of them had not received a testosterone test at all. Although a study in Ger-

many last year chronicled consistent weight loss among study subjects who had testosterone by injection (not available in the United States), there’s little research on the long-term effects of T replacement in men who don’t already have low levels. The industry leader in synthetic testosterone is AndroGel, a name similar to Andro400 (androgens are male sex hormones, testosterone being the major one). The gel, developed by Solvay Pharmaceuticals and approved by the FDA in 2001, is rubbed directly on the skin. It comes in two concentrations, 1 percent and 1.62 percent, and children and women are cautioned against touching the areas that aren’t clothed or washed off after the higherconcentration version is applied. The website also warns that using 1.62 could reduce a man’s sperm count. The site encourages men with symptoms of hypogonadism to

consult with their physicians and “ask to be evaluated,” including possibly getting a blood test. Other products include several gels: Axiron (by Eli Lilly, approved in 2010), which is applied to the underarm; Testim (by Auxilium, 2002); Bio-T-Gel (by BioSante, 2012); and Fortesta Gel (by Endo, 2010). Testopel (Slate, 2008) is a pellet inserted beneath the skin that lasts three to four months; and Androderm (Watson, 2011) is a low-dose patch applied daily. By contrast, the supplement-makers tend to be less explanatory about their products. Andro400 contains Eurycoma longifolia, a flowering plant native to Indonesia. Another supplement, Troxyphen, has caffeine and green coffee bean extract among its ingredients, as well as Testofen, the brand name for an extract sold by an Anaheim, Calif.-based company called Gencor.

Peter Jenkins, manager of the customer-support team for Andro400, says Eurycoma longifolia works by stimulating the hypothalamus and the pituitary, helping the body raise its own levels of testosterone. “It’s actually been used by indigenous populations for hundreds of years for medicinal purposes to treat malaria and pre-diabetes,” Jenkins said. “It’s a very unique herb. What it’s also been known for, for years in Southeast Asia and much more broadly worldwide, is its aphrodisiac qualities.” Jenkins said synthetic testosterone carries “risks” and “negative side effects,” one of which is it could result in the body further reducing its own production of natural testosterone. Levin said that claim was absurd. Jenkins says, however, it’s often difficult to pinpoint a man’s actual testosterone level, because many testing methods are imprecise. But even an accurate number might not tell the whole story. If a middle-age man has a lower reading than an 18-year-old, it might not be so terrible. “There’s got to be some real symptoms, that we are convinced can be due to the loss of testosterone, before I begin an investigation,” he said. “Generally, our feeling is that if you’re in the 200 (nanogram) range, you’re clearly hypogonadal, if you have accompanying symptoms. If you don’t have symptoms, that may be age-appropriate production for you.”

HEALTH

THRIVENC

AUTISTIC KIDS’ BRAIN SCANS SHOW DIFFERENT PATTERN OF ACTIVITY THAN PEERS By Lisa M. Krieger San Jose Mercury News

SAN JOSE, CALIF. — Stanford researchers have unearthed clues about the formidable brains of some autistic children, suggesting that the diagnosis may signal a different cognitive style, not disability. Superior math skills were found in autistic San Francisco Bay Area children with average intelligence compared with matched children who were not autistic. The two group’s brain scans were different, as well. Images of the autistic children’s brains while calculating math problems revealed a different pattern of activity than those of non-autistic children. This small but important study, the first of its type, “makes us better aware of the unique talents that these people have, which could help them have better academic and professional lives,” said postdoctoral scholar Teresa Iuculano, lead author of the study. “We think it could be reassuring for parents,” she said. The study is being published online Saturday in the journal Biological Psychiatry. Like all people with autism, the children had difficulty with social interactions. But they showed strengths, as well, according to the team of scientists at the Stanford University School of Medicine and Lucile Packard Children’s Hospital. “It is not necessarily a deficient brain, but a different brain,” said Iuculano. In the future, the team hopes to also study normal children who struggle with math. Autism comes in many forms. It can be a devastating diagnosis with profound retardation. But people can also have exceptional skills or talents, known as “savant” abilities. Like Dustin Hoffman’s character in the movie “Rain Man,” they may be adept at calendar calculation — identifying on

which day of the week someone was born, obsessive practice — and that other chilbased on the year of birth. Or they may dren might show similar skills if they have stunning visual memories, remem- had the motivation. But the researchers believe there is a bering, for instance, how many windows biological basis, as well. are in a skyscraper seen only once. They studied 36 youngsters, age 7 to The discovery of math talents in such children is particularly relevant in Sili- 12. Half had been diagnosed with aucon Valley, where autism diagnoses ex- tism. All participants had IQs in the norceed the national average — although mal range. On standardized math tests, the chilno one knows if there is actually a higher incidence or just better diagnosis. Noted dren with autism significantly outperpsychologist Simon Baron-Cohen at formed the others. The average test score Cambridge’s Autism Research Centre dis- of the control group was 100; for the aucovered a correlation between incidence tistic group, it was 125. In interviews after the test, the chilof autism and familial relation to engineers. His 1997 study found that 12.5 per- dren with autism described a more anacent of fathers and 21.2 percent of grand- lytic approach to problem-solving. While fathers of autistic children were engineers, other children counted on their fingers or memorized compared to 5 the percent and It is not necessarily a deficient answers, autism chil2.5 percent of brain, but a different brain. dren broke children without autism. Teresa Iuculano the problem lead author of the study down into “The study components backs up what — a method we already know — that some of these kids have great called decomposition. For instance, if talents and can often excel. But they look asked the sum of 7 plus 4, they would at the world differently, organize it differ- add 7 plus 3, then add one. Then, the children worked on solving ently and sometimes focus on things differently,” said Brad Boardman, executive math problems while their brain activity director of the Morgan Autism Center in was measured in a magnetic resonance San Jose, a school for youths and adults imaging scanner. The brain scans of the autistic children revealed an unusual with autism. Jeff, a 43-year-client at the center, pattern of activity in a part of a brain just solves multiplication problems for relax- below the ears, called the ventral tempoation, Boardman said. “He will do intri- ral occipital cortex. This is an area specialized for processcate multiplication — pages and pages of problems,” Boardman said. “He is abso- ing visual objects, such as faces, leading the team to wonder whether in autistic lutely gifted.” “If they are interested in a topic, that children’s focus on math undercuts their interest can be a springboard for a really ability to recognize the emotional cues in in-depth understanding of those things, conversation. “This different brain architecture such as in engineering or software demight even be suitable for certain strong sign.” The Stanford researchers didn’t rule skills to develop, such as problem solvout the possibility that autistic children’s ing, even though there are things that math skills strengthen due to years of they may not be good at,” said Iuculano.

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August 28, 2013

MORE HEALTH EVENTS

Events from P.3

Park, 2031 28th Ave. Walk with a Doc (WWAD) is an 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 healthy snacks at the completion of the walk. Free blood pressure checks are available for those interested. For more information, visit www.WalkwithaDoc.org.

« Meatless Meals Cooking Class, 6-7:30 p.m. Sept. 23

at NCMC Cardiac Rehab Kitchen. Learn to make tasty meatless recipes using a variety of plant based products. Taught by Mary Branom, R.D. Call (970) 350-6633 to register. $10.

« Pre-Diabetes Class Session 2, Sept. 30, Oct. 7 and 14

at Banner Health Clinic. In these classes you will learn: The difference between pre-diabetes 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 is $30 for the three-part series. One support person may attend at no additional charge.

« CT Heart Score, 1 and 2 p.m. Monday-Friday at NCMC.

CT Heart Score provides a non-invasive test that accurately measures the amount of calcified plaque in the arteries. The procedure begins with a fast, painless computed tomography CT exam. CT, more commonly known as CAT scanning, uses x-rays and multiple detectors to create interior images of the heart. The Heart Score program includes a 10-minute consultation with a Wellness Specialist, focusing on cardiac risk factor education, identification of non-modifiable and modifiable risks and lifestyle behavior change options. Cost is $199. Payment is due at time of service, NCMC will not bill insurance. To schedule an appointment, call (970) 350-6070.

« Diabetes and Pregnancy education, group and

individual sessions available. 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. Group classes are $10. For more information, call (970) 392-2344.

August 28, 2013

HEALTH

THRIVENC

TRiBUNE MEDiCAL DiRECTORY ACUPUNCTURE

ASSISTED LIVING

PHYLLIS HAMAR, L.A.C.

BONELL GOOD SAMARITAN

Master of Science, Traditional Chinese Medicine NCCAOM Board Certified 710 11th Ave., Ste. 106 Greeley, CO 80631 970-539-0324

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

WESTLAKE FAMILY PHYSICIANS, PC

GRACE POINTE

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

ALZHEIMERâ&#x20AC;&#x2122;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

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

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

(970) 350-6953 Missy Jensen, FNP-C

DENTISTRY

4750 25th Street Greeley, CO 80634 Phone: (970)339-0022

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

THE BRIDGE ASSISTED LIVING

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)

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

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

2013 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.; 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

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

HEALTH

THRIVENC

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

WORK OUT WEST

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

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

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

GRACE POINTE 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

STUDIO Z FITNESS

3483 W. 10th Street, Unit A Greeley, CO 313-6924 or 388-7956

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

MEADOWVIEW OF GREELEY

5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 Website: www.meadowviewofgreeley.com

INDEPENDENT ASSISTED LIVING W/SERVICES

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

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

2010 16th Street Greeley, CO 80631 Phone: (970)350-5660 www.bannerhealth.com Professionals: Danielle Doro, MD Giovanna Garcia, MD

MEDICAL EQUIPMENT & SUPPLIES

NURSING HOME REHABILITATION

CENTENNIAL HEALTH CARE CENTER 1637 29th Ave. Place Greeley, CO 80634 Phone: (970) 356-8181 Fax: (970) 356-3278

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

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

MENTAL HEALTH SERVICES

NCMC - BEHAVIORAL HEALTH

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

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

2010 2013

CANCER INSTITUTE (NCMC)

Phone: (970)506-6420

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

August 28, 2013

ONCOLOGY & HEMATOLOGY

BANNER HOME MEDICAL EQUIPMENT (NCMC)

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

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

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

August 28, 2013

HEALTH

THRIVENC

TRiBUNE MEDiCAL DiRECTORY ORTHOPEDICS

MOUNTAIN VISTA ORTHOPAEDICS

5890 W. 13th Street, Suite 101 Greeley, CO Phone: (970)348-0020 Fax: (970)348-0044 Web Site: www.bannerhealth.com Professionals: Randy M. Bussey, MD 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

HOPE THERAPY CENTER (Formerly North Colorado Therapy Center) 2780 28th Avenue Greeley, CO 80634 Phone: (970)339-0011 Website: www.GCIinc.org Professionals: Chris Denham, PT; Kryste Haas, OT; Kathie Hertzke, PTA; Moni Kohlhoff, PT; Alex Luksik, PTA; Jeanne Rabe, PT; Howard Belon, PhD, Clinical Psychologist

NORTHERN COLORADO REHABILITATION HOSPITAL 4401 Union Street Johnstown, CO 80534 Phone: (970) 619-3400 Website: NCRH@ernesthealth.com

PODIATRY

FOOT & ANKLE CENTER OF NORTHERN COLORADO P.C. 1931 65th Ave., Suite A Greeley, CO 80634 Phone: (970) 351-0900 Fax: (970) 351-0940

4401 Union Street Johnstown, CO 80534 Phone: (970) 443-0925 Web Site: www.footandanklecolorado.com Professionals: Daniel J. Hatch, D.P.M. Mike D. Vaardahl, D.P.M.

PULMONARY/CRITICAL CARE

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

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

NORTH COLORADO PULMONARY (NCMC)

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

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

SURGERY GENERAL & TRAUMA

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

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

2013 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

CERTIFIED PROSTHETICS & ORTHOTICS, LLC (GREELEY LOCATION)

VEINS

BONELL GOOD SAMARITAN

VEIN CLINIC (NCMC)

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

1800 15th Street, Suite 340 Greeley, CO 80631 Phone: (970)378-4593 Fax: (970)378-4591 Professionals: Maurice I. Lyons Jr., DO Kenneth M. Richards, MD Gene E. Tullis, MD

GRACE POINTE

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

SPORTS MEDICINE

MOUNTAIN VISTA ORTHOPAEDICS 5890 W. 13th Street, Suite 101 Greeley, CO Phone: (970)348-0020 Fax: (970)348-0044 Web Site: www.bannerhealth.com Professionals: Randy M. Bussey, MD Riley Hale, MD Daniel Heaston, MD Thomas Pazik, MD Kelly R. Sanderford, MD Steven Sides, MD Linda Young, MD

NORTH COLORADO SPORTS MEDICINE 1801 16th Street Greeley, CO Phone: (970)392-2496

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

HEALTH

THRIVENC

August 28, 2013

The Deafness of Goya his summer (June 14 – TLoveland September 22) the City of is sponsoring a Francisco Goya Exhibit. As the Father of the Modern Art Era, Goya and many famous painters of his time, ended up with a significant hearing impairment and his story is quite interesting. During his lifetime, Goya was without peer in his native Spain. As a painter, draftsman, and print maker, he was awarded the prestigious title of “first painter to the king” and served three generations of Spanish royalty. In the art world, Goya stood at the crossroads of great Spanish art, straddling the boundary between the Old Masters and the modern era of Spanish painting and printmaking. Imagination, its origins and its limits, fascinated Goya and permeated his work, outweighing tradition and inspiring the likes of Bacon, Picasso and Monet. It is well known that Goya had bright period and dark periods that were probably shaped by his life experiences. Before concentrating on his hearing loss, let’s get to know him.

Young Goya Born Francisco de Goya y Lucientes on March 30, 1746, in Fuendetodos, a village in northern Spain slightly above the city of Zaragoza on the map. Later the family moved to Zaragoza where his father worked as a gilder. At about age 14 young Goya was apprenticed to Jose Luzan, a local painter where he worked for about 4 years. At this time he was the ring leader for a local gang and one night showed up with a knife in his back and, seeing some promise, Luzan encouraged him to apply to the Academy of San Fernando, the leading art school at the time in Madrid. Goya submitted two applications for entry into the Spanish Royal Academy in 1763, and 1766, but each time he was denied entrance. When he was turned down for the second time, in 1766 he was twenty-years old, he embarked on a journey to Italy. As the center of the world of art at that time, Italy was frequented by artists from many countries. He lived there two years, won an award for painting skill at an open competition provided by the Academy of Parma completing several small oils which have survived over the centuries. In the more romanticized tales of Goya, he is supposed to have carved his name into the lantern at St. Peter’s at the Basilica in Rome. Legend has it that he might have stayed longer in Italy, but had to leave Rome rapidly as he had created some issues with the Church by trying to kidnap a young Nun from the convent. Upon returning to Zaragoza in 1771, he painted frescoes (murals on plaster) for the local cathedral. These works, done in

the decorative rococo tradition (sometimes called late Baroque style) which firmly established Goya’s artistic reputation. Artistic Reputation Builds In 1773, he married Josefa Bayeu “Pepa” the sister of a Zaragozan artist Francisco Bayeu. Though a successful artist, Goya got his real professional break in 1774 through his marriage to Pepa which facilitated an introduction to the Royal Tapestry Workshop. For five years he designed about forty-two patterns for tapestry and settled down in the Court discovering the prodigious world of Spanish nobility. As a result of a canvas painted for the altar of the Church of San Francisco El Grande he was finally appointed as a member of the Academy of San Fernando, where he was denied entry years before. He became an astute observer of human behavior which assisted him in the development of his first genre of paintings consisting scenes from everyday life. He was also influenced by Neoclassicism which, at this time, was gaining favor over the Rococo style resulting in a looser, more spontaneous painting technique. In 1783, the Count of Floridablanca, a favorite of King Carlos III, commissioned Goya to paint his portrait. Later, he also became friends with Crown Prince Don Luis (Infante), and spent two summers, painting portraits of the Infante (the Spanish prince) his family. During the 1780s, his circle of patrons grew to include many Nobles and the King of Spain. In 1786, Goya was given a salaried position as painter to Charles III that lasted through the reign of Charles IV, when he enjoyed his peak of popularity with the Spanish royalty.

restored to power. Goya was pardoned for serving the French, but his work was not favored by the new King Ferdinand VII and thus, lost his appointment to the Spanish Court. He was even called before the Spanish Inquisition to explain his earlier portrait of The Naked Maja, one of the few nudes in Spanish art at the time. Goya resented this intimidation by the Inquisition, and soon after his bout them he began his period known as the “Black Paintings or las pinturas negras.” In the Black Paintings, which were painted on the walls of his house, Goya gave expression to his darkest visions. Toward the end of his life, Goya had become deaf, withdrawn, embittered, and disillusioned. After years of witnessing the excesses of absolute monarchy, Goya went into self-imposed exile in Southern France in 1824. He continued to work in the Bordeaux region until his death on April 16, 1828.

Possible Causes for the Deafness

particularly at that time, were exposed to a number of potentially harmful chemicals, fumes, dusts, and heavy metals. Though it was not known at the time, painting in the 18th, 19th and even the early 20th was a hazardous occupation. Most artists mixed their own pigments, using lead, cadmium, mercury, and other deadly substances. Lead compounds were an important component of many paints in the past because lead in the forms of lead carbonate and lead oxides had excellent adhesive, drying, and covering abilities.

Which is the true diagnosis? Forensic physicians suggest that if Goya’s illness was syphilis there would have been more evidence of sickness and bizarre behavior indicating a spreading disease process with more cardiovascular and neurological implications at a younger age. The likelihood of VKH syndrome is a possibility, but it is not a very common disease and thus, lead poisoning is probably the most reasonable cause of both the illness and the resulting change into the “black Period “ of his paintings.. Goya was known for his messy way of painting, with brush, trowel, rag, and hands furiously moving as he mixed and worked, likely absorbing the toxins through his lungs, mouth, and skin. Goya could have slowly poisoned himself without knowing it, possibly by sucking his fingers

that were forever full of flakes of white paint. Many famous artists have had serious health problems related to the materials they used. A number of historians agree that because he was one of the artists who mixed all of his own paints, Goya could well have developed a very serious case of lead poisoning. Throughout the rest of his career, Goya repeatedly suffered bouts of this same mysterious sickness. When he fell ill, he was forced to quit working. These respites probably saved his life as these layoffs would have allowed the lead levels in his blood to drop, at least until he felt well enough to resume working again, starting the cycle all over. White lead, linseed oil, and inorganic pigments were the basic components for paint, and there is no reason to believe that the “Father of Modern Art” was any more immune to these toxins than Beethoven or Van Gogh, both of whom are thought to also be victims of lead poisoning. During the bright period he painted numerous portraits of royalty, scenes from Spanish and French life; paintings in the dark period (after the Illness) were nightmarish, gruesome and grotesque, and they stirred up great controversy. While a controversial artist due to these two artistic periods in his life, he remains a legend among painters and certainly worth a visit to the City of Loveland’s exhibit.

Goya’s illness is said to have come from “out of the blue” after he exerted himself in an attempt to fix an axle on a carriage in the rain and cold. We know from his letters to close friends that the “illness” left him virtually incapacitated as his vision went blurry, he suffered from comas and partial paralysis, and he struggled with bouts of dizziness and hearing loss. After the illness left him deaf, his interior world had to feed itself on light and shadow and emotions, and it began to populate itself with feelings, longings, and ghosts. Goya became more withdrawn and introspective and his vitality Author’s Bio: was directed entirely to his painting. Theaillness itselfatlasted forthat almost Miller, co-researcher Michigan, the noise-induced hearing loss prevention concoction could be 2 years before the symptoms The Illness available within two years. disappeared--except for the A serious illness in 1792 left Goya deafness. There is significant permanently deaf but none of speculation as to the cause of the references have recorded his deafness, with suggestions the severity his deafness nor of syphilis, toxic lead poisoning do they offer a clear indication and Vogt/Koyanagi/Harada of the specific cause. Isolated Syndrome (an auto immune from others by his deafness, he disorder). In an attempt to became increasingly occupied sort out these causes, there with the fantasies and inventions Robert M. Traynor is the CEO and practicing audiologist at Audiology Associates, In study funded byof theGoya’s Oklahoma Medical Research Foundation, isanother ample evidence of his imagination as well as with Greeley, Colorado with particular emphasis in amplification and operative Dr.freewheeling Robert Floyd andlifestyle. retired Army surgeon, Inc., Dr. Richard Kopke, M.D., discovered a wild and critical and satirical observations researchers monitoring. holdstrauma degrees combination of two compounds stopped damage to the inner ear causedDr. byTraynor acute acoustic – from the University of Northern Colorado Cawthorne (1962) states relative of mankind. As a result, he something an IEDdiagnosis: exploding. Although they did not indicate whatMA the1973, compounds theythe felt University of Phoenix (MBA, 2006) as well to the like syphilis “he was evolved to a bold free new style (BA, 1972, Ed.D.,were 1975), a goodis looking young mansaid and close to caricature. In 1799, he that,“This a very exciting finding,” Dr. Floyd, who holds the Merrick Foundation Chair in Aging as Post-Doctoral Study at Northwestern University (1984). He taught Audiology probably not “The infrequently at risk published the Caprichos, a series Research at OMRF. research is still at a pre-clinical stage, but we’re hopeful that we soon can begin at the University of Northern Colorado (1973-1982), University of Arkansas for for the disease.” Syphilis was a of etchings satirizing human folly testing in humans. common diagnosis for diseases and weakness which became Medical Sciences (1976-77) and Colorado State University (1982-1993). Dr. that were strange and unknown penetrating characterizations of More recently, Dr. Kathryn Campbell's work at SouthernTraynor Illinois University involves the usefrom of anthe US Army Reserve, Medical Service Corps is a retired Lt. Colonel at the time. Another possibility the subjects as Goya saw them. antioxidant D-methionine, a(1962) component of fermented andprotein currently serves as an Adjunct Professor of Audiology at the University of outlinedcalled by Cawthorne During the Napoleonic invasion is a very rare syndrome, Vogt, and the Spanish War of Florida, the University of Colorado, and the University of Northern Colorado. Independence from 1808 to 1814, Koyanagi, Harada Syndrome For 17 years he was an Audiology Consultant to major hearing instrument and (VKH). True VKH syndrome is a Goya served as court painter to human disease, well described the French Court. He expressed equipment manufacturers providing academic and product orientation for their his horror of armed conflict in The for nearly a century. A syndrome domestic and international distributors. A clinician and practice manager for Disasters of War, a series of starkly is a collection of auto immune over 35 years, Dr. Traynor has lectured on most aspects of Audiology in over symptoms. realistic etchings that depicted Another very real possibility is the atrocities of war. After the forty countries. toxic lead poisoning. Artists, is found in yogurt and cheese. The antioxidant, in concentrated war, the Spanish monarchy was that

Robert M. Traynor, Ed.D., MBA, FAAA