2006-07 Northern Colorado Medical & Wellness Magazine and PVHS Physician Directory by Style Media & Design, Inc.

& MEDICAL WELLNESS FORT

M A G A Z I N E

A N D

D I R E C T O R I E S

VOLUME VIII

A Book 1.indb 1

STYLE

$6.95

COLLINS

2006 | 2007

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At North Colorado Medical Center, we understand how hard it is to take care of yourself when you're so busy taking care of everyone else. That's why we provide convenient health care focused on women. Our new labor, delivery and postpartum rooms are spacious and beautiful, and we even have special services such as bilingual training programs and new family-centered waiting rooms. Plus our new neonatal intensive care unit is equipped with the latest in technology. When it comes to breast care, our breast center provides leading diagnostic and treatment services focused on convenience and comfort. Choose North Colorado Medical Center for your health care needs. We are a Spirit of Women Hospital with some of the nation's highest satisfaction scores. Visit www.BannerHealth.com, keyword NCMC SPIRIT for more information.

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Banner Health facilities include: North Colorado Medical Center McKee Medical Center Sterling Regional MedCenter East Morgan County Hospital For more information, visit www.BannerHealth.com or call 800-505-6877. For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627). Banner Health is the leading provider of not-for-profit health care in northern Colorado.

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style media and design, inc. | 970.226.6400 |

w w w. s t y l e m a g a z i n e c o l o r a d o . c o m Publisher/President Lydia Dody EXECUTIVE Editor Austin J. Lamb ASSISTANT Editor Jennifer Leigh Johnson PHOTO Editor Diane M. Specht Art Director Anne Marie Martinez SENIOR Graphic Designer Lisa Gould Sales Manager Saundra Skrove (970) 217-9932 Advertising Sales EXECUTIVES Jon Ainslie (970) 219-9226 Karen Christensen (970) 679-7593 Lydia Dody (970) 227-6400 Office Manager Ina Szwec Accounting Manager Karla Vigil ADMINISTRATIVE Assistant Alexandria Dody-Hettler Data Entry Betty Frye Contributing Writers Alice Ashmore, Lynn Dean, Jennifer Leigh Johnson, Jason Clarke, Court Klinck, Diane M. Specht STAFF Photographer Diane M. Specht Contributing Photographers Lydia Dody Affiliations Fort Collins Area Chamber of Commerce Loveland Chamber of Commerce Greeley Chamber of Commerce Windsor Chamber of Commerce Estes Park Chamber of Commerce Johnstown-Milliken Chamber Of Commerce 2006 Style Magazines January-Loveland/Greeley Medical & Wellness Magazine and Directory February-Building & Remodeling March-Family, Community & Nonprofit April-Business of Northern Colorado May-Home & Garden June-Men & Business July-Fort Collins Medical & Wellness Magazine and Directories August-Women & Business September-Home Interiors & Entertainment October-Lifestyle, Health & Beauty November-Holiday December-Winter/Wedding Style Media and Design, Inc. magazines are free monthly publications direct-mailed to homes and businesses in Northern Colorado. Elsewhere, subscriptions for twelve issues cost $24 annually (53% off newstand price). Free magazines are available off stands at 75 locations throughout Northern Colorado. For ad rates, subscription information, change of address, or corresponfance, contact: Style Media and Design Inc., 2627 Redwing Rd., Suite 220, Fort Collins, Colorado 80526. Phone (970)226-6400, Fax (970)226-6427. E-Mail: Editor@StyleMedia.com or LydiasStyle@aol.com ÂŠ2006 Style Media and Design Inc. All rights reserved. The entire contents of Style Magazine is copyrighted and may not be reproduced without the expressed written consent of the publisher. Style Media and Design Inc. is not responsible for unsolicited material. All manuscripts, artwork, and photography must be accompanied by a SASE. The views and opinions of any contributing writers are not necessarily those of Style Media & Design Inc.

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& MEDICAL WELLNESS FORT

M A G A Z I N E

COLLINS

A N D

D I R E C T O R I E S

VOLUME VIII

T A B L E

2006 | 2007

O F

C O N T E N T S

Medical Magazine & Directory

Wellness Magazine & Directory

Publisher’s Letter

Introduction Letter

83 Wellness Directory

Rulon F. Stacey, President and CEO, Poudre Valley Health Systems

85 Voice Disorders: More Common Than We Think

Mind, Body, Spirit, Healing

Continuing Excellence in Healthcare

20 A Leader in the Industry Poudre Valley Hospital

24 Home Again: Kevin Unger President and CEO, Poudre Valley Hospital

26 The Next Level in Regional Healthcare Medical Center of the Rockies

35 Physician’s & Surgeon’s Directory 41

Introduction Letter Kevin Unger, President and CEO, Poudre Valley Hospital and George Hayes, President and CEO, Medical Center of the Rockies

55 Interventional Radiology 62 Spinal Cord Injuries 68 Sedation Dentistry 91

Taking Care of Our Own

98 PVH Intensivist Program 98 PVH Intensivist Program 102 Altitude Medicine

On the Cover:

Kevin Unger, his wife Stacey, and children, Sydney, 11 and Mason, 5 enjoy family time at Horsetooth Reservoir. Photo by Diane M. Specht. 10

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7/28/06 10:02:32 AM

BOARD

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Book 1.indb 11

7/27/06 2:13:56 PM

Publisher’s Letter

A commitment to excellence

PVH continues to receive numerous national awards recognizing its patient care, innovation, safety, nursing care, and technology among other categories.

This 8th annual issue of Style publications, the Fort Collins Medical and Wellness Magazine and Directories, is my favorite of all the issues we publish. Perhaps this is because I have personally experienced so many medical procedures and services through the years and am so familiar with many of the professionals serving our region. When I visit these topnotch professionals I continue to be impressed with their overall commitment to providing their patients with the highest caliber of health care. I have experienced medical care in other communities and can say with complete honesty, by comparison, our facilities, our physicians, and the many health care professionals serving our region are among the finest. The facilities, the technology and the care is outstanding at PVH! This mind-set of excellence also clearly pervades the entire Poudre Valley Health System as well. Starting from the top; the board of directors, Rulon Stacey, President and CEO of PVHS, Kevin Unger, President and CEO of PVH, George Hayes, President and CEO of the Medical Center of the Rockies, their exceptional management teams, the physicians, caring allied health professionals and compassionate staff all provide high quality caring patient services. We are truly fortunate to live in this area. No wonder Money Magazine selected Fort Collins as the No. 1 place to live in the United States, mentioning our top-ranked Poudre Valley Hospital as one of the reasons. PVH continues to receive numerous national awards recognizing its patient care, innovation, safety, nursing care, and technology among other categories. I am particularly impressed with their Solucient 100 Top Hospital Award based on their higher survival rates with fewer complications and adverse outcomes at lower patient rates, in addition to bringing the best possible treatment options to our communities. This level of excellence matters to all of us since health care touches all of us at some point. An exciting new structure gracing our horizon is the new Medical Center of the Rockies scheduled to open in February 2007. This regional hospital will provide services for residents in Northern Colorado, Southern Wyoming and Western Nebraska with 80% of the hospital’s beds committed to cardiac and trauma care, according to George Hayes. This state-of-the-art facility will truly position our area as a regional medical center. Medical research and improved procedures continue to improve treatment options and outcomes for patients. Become familiar with Spinal Cord Injuries through Dr. Timothy Wirt’s interview and be inspired by the attitudes of patients, Richard Dixon and Harleen Alexander. I am particularly impressed with the Interventional Radiology procedures now available to treat conditions that were not effectively treated in the past. Dr. Winfield Craven and Dr. Stephen Peck talk about needles, catheters, stents and balloons and how they use these with medical imaging to treat disease and relieve pain. Read about the ICU patient care in the PVH Intensivist Program, about the latest in treatment for Voice Disorders, the new modality of Altitude Medicine, the new approach to fear management through Sedation Dentistry and much more. This issue is our largest ever published and is brim full of useful and interesting information to help you be informed and in charge of your own health. We want you to be familiar with some of the services available in our area and hope you keep this issue as a reference guide throughout the year. The Physicians & Surgeon’s Directory is easy to use and lists all doctors by name under their specialty making it much easier to reference. We at Style Media & Design, Inc. continue to work hard and strive for excellence to earn your on-going confidence and support. This issue, along with our monthly magazines, are direct mailed at no charge to your homes and offices and distributed in 75 racks throughout our region for pick up. Be sure to call us if you would like to be added to our mailing list. We appreciate you, our readers, and value your ideas and suggestions. Email us at editor@stylemedia.com and be sure to visit our website, www.stylemagazinecolorado.com.

Wishing each of you good health,

1-53.indd 12

7/28/06 10:03:44 AM

IT’S A GREAT DAY AT THE CLUB (for the entire family). . .

and a great time to join!

Golf, tennis, swimming and dining, all at Northern Colorado’s original and time-honored country club. Experience the tradition, the friendships and business opportunities that a membership brings—not to mention our tree-lined fairways and the many exciting leisure and social activities for the entire family. Ask about our Junior Executive Membership Program for professionals under the age of 35 and other special incentive packages. Call Norm Nuwash or visit the Club for details—don’t miss another day!

Norm Nuwash, General Manager 1920 Country Club Road | Fort Collins, Colorado 80524 | (970) 482-1336 www.fcgolf.org | gmgr@fcgolf.org

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7/27/06 2:14:41 PM

••••

Locally owned Poudre Valley Health System dates back to 1925, when Poudre Valley Hospital first opened its doors. Since then, we have grown into a health system that serves not only Fort Collins but all of Northern Colorado. To better serve the region, we are building a second For employment opportunities, visit pvhs.org

Book 1.indb 14

hospital, Medical Center of the Rockies, which will open in February, 2007.

7/27/06 2:15:10 PM

Dear Fort Collins Medical & Wellness reader: Poudre Valley Health System is in the midst of an exciting time. We’re expanding; we’re upgrading—all as part of our vision to provide you with world-class health care. In early 2007, we will open the Medical Center of the Rockies at I-25 and U.S. Highway 34. The 136-bed hospital will be the region’s premier hospital for cardiology, cardiac surgery, and trauma care, with other associated medical services. MCR will be a state-of-the-art medical facility with the finest physicians and staff in the Rocky Mountain West. The hospital will offer robotic-assisted cardiac surgery, the most modern advancement in surgery. Meanwhile, Poudre Valley Hospital in Fort Collins will remain the PVHS flagship hospital in the tri-state region that we serve. During the remainder of 2006, as construction is completed on MCR and staff is hired and trained, we will focus on completing a master facility plan to upgrade PVH. The master plan includes a $35-million, 4-year upgrade of the PVH campus on Lemay Avenue. In addition, another $6 million will be spent over those fours years to retrofit the hospital with state-of-the-art information technology that will parallel the technology at MCR. By the time the master plan and information technology retrofit are completed, PVH will have: improved emergency room facilities; larger operating rooms to accommodate new surgical technology; a medical office building for local physicians; a parking garage designed to solve the hospital’s chronic parking shortage; a more modernized, larger patient care area for such key services as orthopedics, neurological services, women and family care, bariatric surgery, robotic-assisted surgery, and oncology; and information technology that is among the best in the medical industry (More information on the progression of MCR can be read in Medical Center of the Rockies: The Next Level in Regional Healthcare). Over the last three years PVH and the health system have been honored with three dozen national awards presented by independent health-care agencies throughout the nation. In early 2006, for example, PVH was named one of the nation’s top 100 hospitals for the third year in a row by Solucient, an independent firm that tracks patient care results and costs in the nation’s hospital industry. The hospital also received national patient safety awards in 2005 and 2006 from HealthGrades, an independent firm that analyzes patient records, and in 2005 was re-designated as a Magnet Hospital for Nursing Excellence, one of only a hundred in the nation, by the American Nurses Credentialing Center. (More information on PVH’s recognition can be read in PVH: A Leader in the Industry). The honors—and the great care that we provide—are due to the high quality of the more than 450 physicians and nearly 200 allied health professionals on the PVH medical staff, as well as the tremendous abilities of the 3,000-plus members of our staff. We are fortunate to live in a community where health-care providers are so talented and caring. On behalf of all of us at PVHS, I thank you for the opportunity to be your health-care provider and I promise that we will continue to provide worldclass medical services for you.

Rulon F. Stacey, Ph.D., FACHE President/Chief Executive Officer Poudre Valley Health System

1-53.indd 15

7/28/06 10:05:47 AM

medical PVHS

continuing excellence in

healthcare by Jason Clarke

As the opening of the new Medical Center of the Rockies on I-25 draws closer, Poudre Valley Hospital is preparing to enter a new era. A new focus on orthopedic care, oncology, womenâ&#x20AC;&#x2122;s and childrenâ&#x20AC;&#x2122;s services, geriatric, and surgical and neurological care will begin as the Poudre Valley Health System adjusts to the changes that will come with the opening of the regional cardiac and trauma center in Loveland.

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7/27/06 2:16:01 PM

Even as the new medical center prepares to open, PVH is bursting at the seams; Fort Collins and surrounding communities continue to grow while the hospital searches for innovative ways to expand in order to meet growing demand. Some services will be moved to the new location, but the existing hospital will continue to provide emergency and general medical care to the area and will be expanding many of its services to meet existing and future demand. As the hospital examines the continuing need to expand, hospital officials have realized that they will have to look beyond the hospital’s existing boundaries if they are to meet the demands that will be placed on the hospital in coming years. “We are a landlocked hospital,” says Kevin Unger, President and CEO. “It will really help to expand to the West.” The valuable retail land across the street from the hospital may hold the key to expansion at PVH. Faced with an ongoing parking crisis and with the demand for privacy from health services consumers and the demand for space caused by the large size of some of the latest high-tech medical equipment, the hospital plans to move forward with expansion plans even as the Medical Center of the Rockies relieves some of the pressure by allowing for the relocation of cardiac and trauma services. “The master plan will do away with semi-private rooms,” says Unger. “It also calls for the renovation of our emergency and operating rooms.” Giving patients the privacy they have come to demand will require more space as shared rooms are eliminated while providing room for new health care technologies will eat up even more square footage - adding up to big changes at PVH. As elements of trauma and cardiac care move to the Medical Center of the Rockies (MCR) in Loveland, space in the hospital will be opened up, allowing the existing emergency and operating rooms to expand in order to make more room for the latest in high-tech medical care. “The old rooms aren’t large enough for the new technology,” says Unger. The renovation will change this, ensuring that PVH continues to be an award-winning hospital, providing the very highest level of health services available. Currently the hospital is a leader in many innovative medical technologies, including the relatively recent introduction of Robot-Assisted Surgery, which enables the surgeon to guide robotic arms through a small incision during complicated surgical procedures. This technique decreases the risk of infection, decreases post-operative pain, and leads to a faster recovery. Technologies similar to this require larger amounts of space; however, Fort Collins Medical Magazine & Directories 2006

1-53.indd 17

PVH will necessitate the expansion of operating rooms in order to provide space for innovative surgical procedures. The relocation of certain trauma and cardiac services will open up much of the space that the hospital is looking for. Although much of the trauma and cardiac care currently provided at PVH will move to the new hospital, “PVH will still have a level 3 trauma program and an interventional cardiac program,” says Unger. “If PVH is closer, you can still go there for intervention, although open heart surgeries will be performed at MCR.” Although the new medical center will provide an emergency room and other services to those who live nearby, residents of Fort Collins should continue to turn to PVH as their primary provider of hospital medical services in the area. The ability to divide services between the two hospitals will provide a large amount of the room for the expansion of women’s care at PVH. By reducing redundant programs, both hospitals will be able to provide a higher level of health care. “The goal is to build our women’s and children’s care which will take up the entire third floor,” says Unger. “We will expand our level 3 nursery and also have room to provide some of the other services that will be in demand in the region in coming

7/28/06 10:06:16 AM

Kevin Unger President and CEO Poudre Valley Hospital

years.” These will include ante and postpartum care along with other programs that will complement those provided by the expanded nursery. Other elements of the hospital will expand as well. “Oncology will be allotted more space and orthopedics will move up to the fifth floor,” says Unger. “We will also be able to provide room for more medical beds.” Far from reducing the existing hospitals impact on the region, the upcoming expansion of the Poudre Valley Health System into Loveland will enable PVH to cement its place as a cornerstone of the Fort Collins economic landscape. As these services expand, solutions will need to be found for the problems facing the hospital as it grapples with some of the challenges of its new location in a fully developed part of the city. The hospital is surrounded by existing development on all sides, making expansion in all directions problematic. Unger is looking to the West, across Lemay Avenue, for a solution to the parking crisis and a place to locate a new medical office building that will be needed to service the burgeoning hospital. “The master plan calls for a medical office building and a parking structure across the street from us,” says Unger. “It will be connected to the existing hospital via overhead walkways that will cross Lemay Avenue.” The initial plans call for a four story parking structure that will provide approximately

300 new parking spaces for the hospital. Patients, visitors, and hospital personnel can park in the new structure and walk to the existing hospital without having to go outside or cross busy Lemay Avenue. “We have a verbal agreement, although it’s still in the approval process with the city,” says Unger, referring to the plans for expansion. Final approval will have to come from the city before any development can occur, but Unger is encouraged by how well the plans were received by the city government. Once approved, the expansion will match the existing architecture of the Poudre Valley Hospital and will be physically and visually connected via the proposed walkways. The development may also provide space for a retail component in addition to the parking and office buildings. “We may be able to locate a baby supply store or medical supply store there,” says Unger. “Patients could purchase the supplies and products that they need right here at the hospital, without having to travel across town.” Although the new buildings will be located across the street, the walkways will connect them directly to the existing hospital. This will enable pedestrians to safely and conveniently cross Lemay Avenue, which will help to maintain a convenient connection between the new parking structure, the new office locations, and the existing building at PVH. Although the proposal is still in the approval process, almost everyone agrees that something must be done to expand PVH and this proposal appears to meet the health care demands of our growing community while at the same time meeting the high standards for development that our city maintains.

1-53.indd 18

7/28/06 10:07:16 AM

Although the Medical Center of the Rockies will provide a much needed regional trauma and cardiac center for Northern Colorado and surrounding areas, the need to expand at the existing hospital in order to meet the demand here in Fort Collins continues to remain strong. For years Poudre Valley Hospital has been one of the finest health care facilities in the world and as it enters the new phase of its development it is positioning itself to meet the demands of a growing population and provide an even higher standard of health care services. If its past performance is any indication, it will continue to meet and exceed our expectations as it adapts its operations in cooperation with the Medical Center of the Rockies.

Jason Clarke is an English teacher at TVHS in Loveland. He lives in Fort Collins with his wife Victoria, their son Jaden, and their daughter Jordan. Fort Collins Medical Magazine & Directories 2006

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7/27/06 2:17:12 PM

medical PVH

Victoria Vaadia, Business Supervisor, Craig Luzinski, Chief Nursing Officer, Ric Detlefsen, Director of Quality, and Donna Poduska, Director of Resource Services, encircle several of the many awards PVH has received for their teams’ excellence.

Whether you are suffering from a migraine or have broken a bone - it’s a wonderful feeling to know that there is a place dedicated to helping you live your life in a healthy, happy way.

a leader in the

industry

by Jennifer Leigh Johnson

Ranked as one of the nation’s top 100 hospitals for the third year in a row (2006, 2005, 2004), and as one of America’s top 50 Best Hospitals by U.S. News & World Report in 2003, 2004 and 2005, it is clear that Poudre Valley Hospital, the flagship hospital for Poudre Valley Health System, does not go unrecognized for its superior clinical, operational and financial performance. “What really makes PVH a top 100 hospital in our eyes is the quality of care provided, competent staff, safe environment and excellent customer service and satisfaction we have to offer,” says Donna Poduska, Director of Resource Services at PVH. Craig Luzinski, Chief Nursing Officer at PVH, agrees with Poduska when it comes to what puts PVH in the top 100. “It’s the dedication of quality care beginning with the backing of the Board of Directors who support and direct us,” he says. “We also use the best practices with ongoing monitoring which we continue to work hard at day after day.”

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7/28/06 10:08:53 AM

CUSTOM DESIGN PAINTING

DAPHNE POTTER

970-227-2553

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Book 1.indb 21

7/27/06 2:18:50 PM

Established as the Larimer County Hospital in 1925, PVH, located in the heart of Fort Collins, has always been a leader in the industry – specializing in heart, orthopedic, trauma, neuroscience, cancer and bariatric surgery services; birthing and neonatal intensive care services; women and child services; and mental health services. The Solucient 100 Top Hospital Award is received on the basis of higher survival rates with fewer patient complications and adverse outcomes at lower rates than peer hospitals, as well as the efficiency of successfully adopting proven new technology and bringing the best possible treatment options to their communities. Along with this high ranking honor which places PVH among the top 3% of hospitals studied by Solucient – an independent company which tracks the performance of the nation’s non-federal acute care hospitals – PVH has also received several other prestigious awards and recognitions over the past few years. “Ongoing focus, staff engagement, our belief in the importance of identifying and implementing “best practices” and our great physician leadership group, help drive changes and improvements which help keep PVH in the top 100 and in high recognition,” says Luzinski. Patient care and patient safety are two of the most important factors when it comes to hospital excellence. In 2006 and 2005, PVH received the HealthGrades Distinguished Hospital Award for Patient Safety – an award signifying that the patient safety record at PVH is among the nation’s best and represents the top 3% of all hospitals nationwide for patient safety outcomes. HealthGrades also presented PVH with the Distinguished Hospital Award in 2004 for providing superior quality of overall patient care. PVH is among the top 3.4% of acute care hospitals in the country in terms of overall clinical excellence across a broad array of services. In 2004, PVH was honored with the Avatar International Award for Most Improved Inpatient and Outpatient Care. This award is presented for making the most improved strides in inpatient and outpatient care as measured through Avatar’s ongoing patient satisfaction survey. In 2005, the hospital received a similar award for outpatient care improvements. PVH has also been named one of the nation’s top 100 hospitals and health systems (2005 and 2004) which have made significant use of electronic technology to improve patient care and safety. In 2004, Avatar had also honored PVH with the International Five Star National Award for making improvements in exceeding patient expectations. In 2005, PVH was awarded the VHA Leadership Award for Operational Excellence – this award recognized PVH for the operational excellence that is required for a hospital to be redesignated as a Magnet Hospital for Nursing Excellence by the American Nurses Credentialing Association. Originally receiving the designation in 2000, PVH received its re-designation in 2004 which extended the title for four more years. The Magnet Hospital for Nursing Excellence is considered the gold standard

of patient care in the nation’s nursing and hospital fields. PVH was the 18th hospital in the nation and the first in the Rocky Mountain West to be named a Magnet Hospital. Aside from the remarkable patient care and trust instilled at PVH, technology and financial performance are ranked highly. Information Week added PVH to its annual list of America’s top 500 companies that are the most innovative users of information technology in the United States - PVH joined only 41 other health-care companies on this prestigious list in 2004 and 2005. In 2004, PVH entered the Hospital’s and Health Network’s 101 hospitals and health systems for significant use of electronic technology to improve patient care and safety. “I think our education, advances in technology and forward vision thinking are extremely important to PVH,” says Poduska. PVH also received national recognition for the financing of its new regional hospital – Medical Center of the Rockies – in 2005. Among 10 of the 14,000 eligible organizations to receive The Bond Buyer’s Deal of the Year Award, Poudre Valley Hospital’s success in crafting a deal that saves the locally owned, not-forprofit health system $6 million a year in interest expenses, has earned them this honor. PVH also received the National Research Corporation’s Consumer Choice Award in 2004. National Research Corporation is an industry leader in measuring the performance of health care organizations and named PVH one of only 207 hospitals in the nation to receive the award. Aside from national recognition, the state of Colorado also recognizes the hard work, commitment, trust, care and dedication of PVH. In 2004, PVH received the Colorado Performance Excellence Peak Award, the Coloradoan Best in Health Care in Larimer County, the Northern Colorado Business Report Emergency Services Award, the Achievement, Commitment and Excellence Award and the Best Community Health Program Award. “We have a lot more to offer than other hospitals,” says Luzinski. “The community should know that their local hospital is here for them and working harder each day to provide the best in quality care, patient safety and excellent service.” Although PVH receives the awards and honors with a feeling of great accomplishment and pride, the recognition is furthest from what drives their employees to exceed expectations in patient, technology and operational services. “We are very proud to receive such high recognition from outside sources,” says Poduska. “It is a great feeling to know that we achieve these awards for good reason.” Everyone at PVH works with great compassion and understanding to help better serve their patients and the community. “Our collaboration, community involvement and quality care are very important to us, helping us remain a leader in the industry.”

Jennifer Leigh Johnson is Assistant Editor of Style Media & Design Inc.

Book 1.indb 22

7/27/06 2:18:54 PM

••••

Michael P. Fangman MD, FACP

Miho Toi Scott MA,MD

Paolo Romero MD

Anne Kanard MD

at the POUDRE VALLEY HOSPITAL HARMONY CAMPUS 2121 E. Harmony Rd. Suite 150, Fort Collins • www.cancercenteroftherockies.com

970.493.6337

Live. Play. More. Get back to what you do best. Back to normal. Back to better. Life is waiting. Trust Orthopaedic Center of the Rockies. For over 35 years, we've been northern Colorado's leading source for excellence in orthopedic diagnostics, minor procedures, surgery and rehabilitation. We'll get you back to what you do best.

~ OCR ORTHOPAEDIC CENTER OF THE ROCKIES

I Loveland: 2923 Ginnala Drive I 800.722.7441 I www.orthohealth.com

Fort Collins: 2500 East Prospect Road 970.419.7050

Fort Collins Medical Magazine & Directories 2006

Book 1.indb 23

7/27/06 2:19:12 PM

Kevin Unger President and CEO Poudre Valley Hospital Photo by Diane M. Specth.

Book 1.indb 24

7/27/06 2:19:46 PM

medical PVH

home again

by Jason Clarke

Whenever I drive by Poudre Valley Hospital (PVH), or walk through its doors, I feel a sense of belonging - a sense of homecoming. Perhaps it’s because within those walls I welcomed each of my children into my life. It was there that I gave each of my little ones their first meal, their first burp, their first kiss on the forehead. It was there, too, that I kissed my father’s forehead for the last time as I said my goodbyes. Kevin Unger, President and CEO of PVH, expressed the fact that I’m not alone in my regard for the regal institution.

“We all have our stories,” says Unger. “You’d be hard pressed to find someone who lives in Fort Collins who doesn’t have a relationship with PVH. It’s where lives begin and end.” Hospitals are all about family and service. That’s one of the reasons Unger picked the field he works in today. “My parents were always involved in a lot of philanthropic activities, donating their time and money,” says Unger, the son of former Poudre School District Superintendent Don Unger. “They were always generous within the community and they ingrained “giving back” into my sister and me. That’s how I picked healthcare. It’s one of the businesses that help people. It allowed me to utilize some of the skills I had acquired (in past jobs) in a profession that has an impact on people’s lives.” Unger grew up in Fort Collins, graduated from Fort Collins High School and then studied at CSU where he graduated in 1992, with a degree in Sociology. He married his college sweetheart, Stacy, and they moved to Denver where Unger started a limousine service. During the day Unger was a stay-at-home dad to his young daughter Sydney. At night he endured the stresses caused by traffic, difficult brides and their mothers. He felt something had to change. Unger didn’t want to just endure; he wanted to make a difference. “When I was in college I participated in a program called Semester at Sea,” Unger explains. “It gave me time to think about what kind of culture we have here in the United States. Here anything’s possible. You can make anything happen.” He went back to school, and in 1998 earned an MBA and a Masters of Science in Health Administration from the University of Colorado in Denver. (He’s currently working on a PhD in Organizational Development at CSU.) All the while he had his sights set on a specific target. “When I was going to school and getting my masters, my goal was to be president of Poudre Valley Hospital.” Unger believes that one doesn’t have to go to many other hospitals to realize that things are different at PVH. “When I was consulting

I was in and out of a lot of hospitals and things just didn’t feel the same. PVH has a culture like I’ve never experienced elsewhere. People are here for the right reasons. You can tell they really take pride in what they’re doing. They love taking care of people and it’s all about the patients and family.” While living in Denver, Unger realized how special the Fort Collins community is and that was where he wanted to raise his family. So, five years ago Kevin Unger came home. Home to work in the hospital he was born in. Home to live in the town he grew up in. Home to raise his children in the community his parents and family live in. It is here where he feels a sense of belonging, a sense of purpose and a sense of family – at work and at home. Unger started at PVH as the Vice-President of Strategic Planning and Development. Later he moved into the Vice-President of Operations position, and then was offered his dream job: President and CEO. As PVH continues to expand, Unger’s goal is to continue to provide world-class care and build on the traditions of the past that led PVH to its ‘top 100 hospitals’ ranking. It’s a job Unger loves as much as he thought he would back in college. “I like the interaction with people– the patients, the physicians, the employees. I just enjoy being out and about - although I have a lot of meetings during the day, nothing can compare to being out on the floor and seeing what’s happening.” Unger has another “dream job” in his life. One he never imagined would be so fulfilling– that of husband and father. “Stacy and I often say ‘I wonder what we did before we had a family,” he jokes. “It definitely changes your focus. Every new phase is as much fun as the phase before.” Unger especially enjoys being a dad to Sydney, 11, and son Mason, 5. “It’s fun to watch them grow up– their inquisitive nature– how exciting it is the first time they do this or that. I enjoy just hanging out and being together.” continued on page 33

Book 1.indb 25

7/27/06 2:19:53 PM

medical/MEDICAL CENTER OF THE ROCKIES

the next level in

regional healthcare

by Jason Clarke

The new Medical Center of the Rockies is on schedule to open in February 2007, according to George Hays, President and CEO. The opening of the new hospital will be a major milestone in the development of the areaâ&#x20AC;&#x2122;s health care system and will create a regional medical center that will provide services for residents in Northern Colorado, Southern Wyoming, and Western Nebraska.

Book 1.indb 26

7/27/06 2:21:13 PM

Located near the intersection of I-25 and Highway 34 in Loveland, the new medical center will provide all of the services that are a necessary part of a hospital and trauma center, including emergency services, birthing and pediatric care, diagnostic services and general medical and surgical nursing, although its focus will be on cardiac and trauma care. “80% of our beds are committed to cardiac and trauma,” says Hays. The 570,000 square foot building will initially contain 134 beds, making it significantly smaller than Poudre Valley Hospital which has about 280, but it will be ready for quick expansion should the demand arise. “In a matter of months we could add 34 beds without expanding the existing building,” says Hays. Those rooms will not

Fort Collins Medical Magazine & Directories 2006

Book 1.indb 27

be finished by the February opening, but will be easy to complete if hospital officials see an immediate need for them. In fact, much of the future of the Medical Center of the Rockies will depend upon the needs of the region in coming years. Initially, for example, the MCR will provide only basic OB services while nearby Poudre Valley Hospital will provide a more complete range of women’s care services. But that may change in the foreseeable future. “We’ll have to see what the market demands,” says Hays. “There may be pressure to expand those services.” In the mean time, the new hospital will focus on providing the highest level and quality of cardiac and trauma services in the region. Cardiac services like diagnostics, surgery, and electro-physiology will

7/27/06 2:22:15 PM

be moved out of PVH and into the MCR. Patients requiring trauma care or cardiac surgery will be treated in the new medical center while women’s care and pediatric services will expand at Poudre Valley Hospital. “We don’t want to duplicate services any more than we have to,” says Hays. Hospital officials will work together to find an optimal combination of services between the two locations, although as Hays points out, “there is a cost involved in transferring patients, and we will continue to examine, and if necessary modify, our criteria for transfer as we look at the volume and demand.” Fortunately, cooperation with Poudre Valley Hospital along these lines will be made much easier by the fact that both are part of the Poudre Valley Health System, which also includes Mountain Crest Behavioral Center and the Harmony Campus medical center in south Fort Collins. The two hospitals will be able to monitor the needs of the region and respond accordingly, ensuring the best possible care for their patients. “We’re all under the umbrella of the Poudre Valley Health System,” says Hays. “We will be able to closely coordinate care between our different sites.” A similar relationship with the Regional West Medical Center, in Scottsbluff, Nebraska, which owns a 12% share of the new hospital, will also facilitate the transfer of trauma patients from western Nebraska to the new hospital, providing a new destination for patients who previously were sent to hospitals in Denver. The building itself will be designed to provide the latest and greatest medical technology to its patients while also looking after the local environment. It is a “green building” which means that it has been designed to have a reduced impact on the surrounding ecosystem. It was built using locally harvested materials in addition to a significant amount of recycled materials and its heating and air conditioning systems are designed for both energy efficiency and improved indoor air quality. As much as 50% of the construction debris, including concrete, dry wall, wood, copper and steel, have been recycled, dramatically reducing the amount

of material that otherwise would have wound up at the landfill. The design has also incorporated native plants and natural wetlands to filter storm runoff and a significant portion of its energy will be supplied by wind power. All of these innovations have made it eligible for the US Green Building Council’s “Leadership in Energy and Environmental Design,” or LEED program, according to Hays. Only one other hospital in the country has received this certification so far, making the Poudre Valley Health System a pioneer in environmentally friendly medical facilities. Hays, who received his undergraduate degree from CSU, brings a wealth of experience and talent to the job of opening the new hospital. Not only did he serve for 23 years as CEO of Saint Luke’s hospital in Kansas City, he has also previously served as the CEO of another new hospital, having seen it through its construction and early phases, making him the perfect man to see this project to fruition. Out of a desire to make the hospital a more friendly and comfortable place for its patients, it has been designed with more than a few features that are not common in older hospitals. continued on page 32

Atrium: A four-story atrium and fireplace featuring local harvested stone greets visitors to Medical Center of the Rockies.

1-53.indd 28

7/28/06 10:11:29 AM

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Book 1.indb 29

7/27/06 2:23:56 PM

continued from 28

The building itself will be designed to provide the latest and greatest medical technology to its patients while also looking after the local environment. It is a “green building” which means that it has been designed to have a reduced impact on the surrounding ecosystem.

George Hayes President and CEO Medical Center of the Rockies

Courtyard: Courtyards with native plants and water features provide healing spaces throughout the new hospital.

Roof garden: A rooftop terrace gives patients, family members, and staff an inspirational view of Longs Peak.

Book 1.indb 30

“We’ve incorporated garden areas,” says Hays. “There are courtyards on the north and south sides of the building, a healing garden, waterfalls, and a third courtyard outside the cafeteria. Patients will really be able to get away and enjoy the outdoors.” Patients will have one more connection to the local environment when they open their curtains. “Patient rooms on the west side of the building will have incredible views of Longs Peak and the mountain terrain,” says Hays. “We intentionally turned the building a bit so that we could maximize the views.” Visitors to the hospital will be greeted with a similar enhanced experience. Following the lead of companies like Disney, which designs its theme parks in order to create a “front stage” for customers and a “back stage” for employees, hospital designers made an extra effort to ensure that visitors can find their way easily, without passing through the work areas of doctors and nurses. Additionally, hospital workers will benefit from the improved design and easier access to rooms from supply and work areas. “In

7/27/06 2:26:18 PM

''CHANGING LIVES ONE SMILE AT A TIME.''

d}j-ouz: smite is ~iz:st to cz:eate a Lastintj impz:ession. (J)uz: ~ission is to heLp you achieve the pz:iae ana seL~-con~iaence that each ana evez:y human beinf! aesez:ves.

OVERT

Book 1.indb 31

7/27/06 2:26:35 PM

continued from page 28

hospitals which were expanded over time, you wind up with long, winding hallways,” says Hays. “If you visit our hospital, you won’t find yourself on an elevator with a patient. We’ve worked to create a public element that is separate from the staff side of the building.” Recognizing the difficulties that other hospitals have faced when the time comes to expand, this building has also been designed specifically with long-term expansion in mind. The five-story tower that will open in February is only the beginning. According to Hays, the master plan includes two more wings to the north and south sides of the existing building. “The site is designed to support a much larger facility,” says Hays. “We’ve already put in the conduits, tunnel connectors, and gas lines to set up the future expansion. When we do expand, we won’t have to incur the cost of putting those lines in; everything will be ready to go.” Along with plans for the north and south wings, future expansion may include a medical office on the north side of the existing building. “We could also expand the existing lab and emergency room in order to support additional volume when that becomes necessary,” says Hays. All in all, the master plan includes a vision to expand the hospital to as many as 400 beds, which would make it significantly larger than PVH. Designed to fill the regional health care needs of the present and positioning itself to grow and fill the health care demands of the future, the Medical Center of the Rockies is ready to take its place among the first-class health care facilities that are already a part of the Poudre Valley Health System family. In time it may become the largest regional health care facility in Northern Colorado, but starting in February 2007, it will be ready to take its place as the regional trauma and cardiac center of Northern Colorado.

Jason Clarke is an English teacher at TVHS in Loveland. He lives in Fort Collins with his wife Victoria, their son Jaden, and their daughter Jordan.

Book 1.indb 32

7/27/06 2:26:48 PM

continued from page 25

When Unger is not at work, he’s with his family. “They’re an equalizing force. You can have a terrible day and then go home and forget what happened.” Unger coaches his son’s soccer team and they all love fishing, biking and skiing together. They’ve recently taken up golf as a family endeavor. “We’re hoping that it will be a sport we’ll like to do together.” They also love to travel as a family. “Sydney’s already been to 42 of the 50 states,” he adds. Unger’s love of family also translates back into his work. “I was in the emergency room one day when a boy about Sydney’s age came in. He had been in a car accident. It really choked me up, and it was hard to focus on anything else for the rest of the day,” he shares. “It can be tough (working in a hospital) because you hear happy and sad stories. It can impact you differently because you relate everything back to your own family.” Even so, Unger feels that the good outcomes outweigh the bad ones and helping people and families is worth it. It’s this sense of family, service and love of work that he and Stacy, an active church and community volunteer herself, hope to pass on to their children. “Sydney wants to be a teacher or a nurse,” Unger says. His advice to Sydney and Mason being, “Pick a career that is worth getting out of bed for. Pick something you’re passionate about– something you enjoy doing. Don’t pick one just because it has a high salary.” Unger will also encourage his children to be patient– they’ll find their niche in time. “Everything comes together. It may seem disconnected, but every experience is adding to your knowledge. Get out and experience things. It’s just as important to find out what you don’t want to do in life.” In time, he’s confident his kids will find a job in which they feel at home– a part of a family, just as he does at PVH. “I just feel really blessed with the opportunity to do what I want to be doing, where I want to be doing it, with a supportive family that makes it all come together. I’ve just been really lucky.”

Lynn M. Dean is a freelance writer living in Timnath. Fort Collins Medical Magazine & Directories 2006

Book 1.indb 33

7/27/06 2:27:08 PM

••••

Poudre Valley Hospital was the first hospital in Northern Colorado to offer robotic surgery, and one of only a handful of hospitals across the country to offer robotic surgery for four specialties--cardiac, gynecology, prostate and general abdominal. Our new hospital, Medical Center of the Rockies, will also offer robotic surgery. For patients, robotic surgery often means For employment opportunities, visit pvhs.org

Book 1.indb 34

less pain and a much faster recovery. For more information, call (970) 495-8180.

7/27/06 2:27:35 PM

•

1-53.indd 35

7/28/06 11:19:51 AM

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(970) 282-2912. Open Evenings and Saturdays for your convenience. Toshiba’s Aquilion 64 CFX not only assures a fast, patient-friendly exam, its super-sharp images give doctors a clearer picture of what’s going on inside you.

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Book 1.indb 36

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Fort Collins Medical Magazine & Directories 2006

Book 1.indb 37

loveland 2996 Ginnala Dr. Suite. 101 Loveland, CO 80538 970.461.1994

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7/27/06 2:28:40 PM

••••

When you're focused on your patients there isn't much time to think about banking. That's why First National Bank is proud to introduce Medical Banking. Designed specifically for the needs of the medical field, it's a unique blend of Business Banking for the practice administrator and Private Banking for the physician. We concentrate on your finances so you can spend more time doing what you do best. If a higher level of service sounds good to you, call Shay Eikner today at 970.203.2601.

(j) First National Bank lstnationalbank.com 970.203.2601

Book 1.indb 38

MEMBER FDIC

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IName __

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New Name, Same Faces, Same Care.

Kara Micetich M.D.

Audrey Tool M.D.

The Fort Collins Women's Clinic is now The Women's Clinic of Northern Colorado. With two locations in Ft. Collins and our newest facility in Loveland (opening fall 2006), we are even closer to where you are.

Beverly Donnelley M.D. Warren James M.D.

Offering a Full Range of Women's Care • Ultrasound (New 3D) • Mammography • Bone Mineral Density • Laboratory Blood Draw • Genetic Counseling • Emergency OB/GYN Care • 24-Hour Emergency Care Including: - Phone Triage - Care at Poudre Valley Hospital - Care at Medical Center of the Rockies • Hysterectomy • Fibroid Removal • Vaginal Prolapse Repair • Surgery • Uro-Gynecology • Infertility • Oncology • Robotic-assisted Gynecological Surgery

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Phil Priebe M.D. Michelle Tollefson M.D. Darla Eisenhauer M.D.

o/ Ylorthern Colorado

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7/27/06 2:29:19 PM

••••

Have you ever been cared for by a PVHS nurse? Whether you've been a patient at Poudre Valley Hospital or at one of our outpatient locations, such as the Urgent Care Center, you know that our nursing staff is excellent. In fact, Poudre Valley Hospital has been recognized as a Magnet Hospital for nursing excellence since 2000. You can look For employment

opportunities, visit pvhs.org

Book 1.indb 40

forward to the same quality of nursing care at our new hospital, Medical Center of the Rockies, when it opens in February, 2007.

7/27/06 2:29:49 PM

Dear Fort Collins Medical & Wellness reader: As the presidents and CEOs of two major hospitals in northern Colorado, we’d like to offer our insights into the state of health care in our region. In summary, it couldn’t be better. You have easy access to world-class health care; medical equipment and facilities that are among the best in the world; and physicians, nurses, clinicians, and staff who are the best to be found anywhere. These many health services are offered through Poudre Valley Health System, a non-profit organization that owns Poudre Valley Hospital, is the majority owner of the Medical Center of the Rockies, and operates other medical facilities in northern Colorado. The Medical Center of the Rockies, scheduled to open in February 2007, will provide cardiology, cardiac surgery and trauma care, along with associated health services. As a way to deliver the highest quality care for patients, MCR will take advantage of the latest medical technology, including a robotic-assisted surgical system similar to the system already in use at PVH; advanced in-room telecommunications in every patient room (PVH will soon offer this, too); an intra-operative angiography suite; and medical imaging at the forefront of technology, also to be deployed at PVH in the near future. The new hospital’s family-centered design features all private rooms, complete with guest beds for family members: kitchenettes for family dining; and private corridors and elevators to ensure patient privacy. MCR was designed with patient healing in mind. Most patient rooms enjoy a breathtaking view of Long’s Peak. Meanwhile, walking trails, healing gardens, courtyards with water features, and a rooftop terrace provide opportunities for patients and their families to relax and enjoy the outdoors. Poudre Valley Hospital will continue its tradition of eight decades of excellent health care. A full range of inpatient services is offered at the hospital’s campus on Lemay, while outpatient services are provided on the Harmony Campus in southeast Fort Collins. PVH’s mental health services are located at Mountain Crest Behavioral Healthcare Center. PVH’s Family Medicine Center provides general medical care for patients of all ages. PVH will continue to provide and expand the specialties of orthopedics, women and family care, neurosciences, the Bariatric Center of Excellence, and the Cancer Treatment and Research Center. In addition, PVH will soon launch a $41-million upgrade of the Lemay campus. For more information on the upgrade, please read the letter by Rulon Stacey, PVHS president and CEO, elsewhere in this publication. Sometimes we are asked questions about the way PVH and MCR will function together. Will they be in competition with each other? The answer is a definitive no. Because both hospitals are part of PVHS, there is a seamless arrangement for medical services offered at and between each hospital. Physicians will be able to request medical privileges at both hospitals. The state-of-the-art electronic health records system currently in use and under development at PVH will also be used at MCR; this will allow for inter-facility communication of patient records and information. What happens if you have an emergency? If you have a heart attack near PVH, for example, hurry there for emergency services. (By the way, the general rule for heart attack victims is to always go to the nearest hospital.) On the other hand, if you are having a scheduled cardiac surgical procedure, it will be performed at MCR. We purposely located MCR at I-25 and U.S. Highway 34 because the site is in the epicenter of the region’s population growth. With this advantage of location, people from throughout the region who are involved in major trauma and cardiac emergencies will be treated at MCR. However, PVH’s emergency room and trauma center will be available to provide care as needed and appropriate. All in all, the presence of two top-quality regional hospitals bodes well for serving the health care needs of you and your family. Our goal is to provide world-class health care and remain the region’s premier health care provider for generations to come.

Kevin Unger President and CEO Poudre Valley Hospital

George Hayes President and CEO Medical Center of the Rockies

1-53.indd 41

7/28/06 10:12:15 AM

FORT COLLINS

ALLERGY/ASTHMA

Culver, William G., MD 2001 S. Shields St., Bldg. H......................498.9226 Gondalia, Lakham. MD Cheyenne, WY.................................1.800.437.5443 James, John M., MD 1136 E. Stuart St., Bldg. 3-#200.............221.1681 Kailasam, Velusamy, MD 2121 E. Harmony Rd., Ste. 350.... 221.2370 See ad this page

PHYSICIAN’S &SURGEON’S Horne, Stephen G., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985

Perschau, Erik R., DO 1236 E. Elizabeth St., Ste. 3.....................224.2985

Kirsch, Timothy E., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985

Rechnitz, Gary D., MD 1236 E. Elizabeth St., Ste. 3....... 224.2985 See ad on back cover

Krohn, Douglas, MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Lichon, Amy, DO 1236 E. Elizabeth St., Ste. 3.....................224.2985 Marks, Sandy C., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985

Laszlo, Daniel J., MD 2001 S. Shields St., Bldg. H......................498.9226

Martinez, Alice, MD 1236 E. Elizabeth St., Ste. 3.....................224.2985

Murthy, Krishna C., MD 2121 E. Harmony Rd., Ste. 350.... 221.2370 See ad this page

Maxwell, Mary S., MD Brighton, CO ..................................... 303.689.3843

Seeley, Janet K., MD 2001 S. Shields St., Bldg. H......................498.9226 Vedanthan, P.K., MD 2020 Wadsworth Blvd., #7 (Lakewood)... 303.238.0471

ALLERGY/IMMUNOLOGY

Lanting, William A., MD 2121 E. Harmony Rd., Ste. 350.... 221.2370 See ad this page

ANESTHESIOLOGY

Alessi, Richard D., MD 1236 E. Elizabeth St., Ste. 3....... 224.2985 See ad on back cover Bobo, Russell W., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Carline, Marylida, MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Cochran, Thomas S., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Deringer, Michael A., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Derrisaw, James, MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Dunn, Duane L., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Ford, Troy A., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Fuller, Andrea J., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Girardi, George E., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Harrison, William L., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Hodges, Kathleen A., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985

Meyer, Eric F., MD Steamboat Springs, CO..............................870.1669 Miller, Justin D., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Moss, William E., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Neff, William A., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985

Reed, Jay A., MD Loveland, CO..............................................667.8236 Richardson, Emily C., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Salimbeni, Julio C., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Serell, Sean M., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Velasco, Stephen E., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Wagner, Jan Gillespie, MD 1629 Blue Spruce Dr. #208.....................495.0300 Weiner, Kelli L., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985 Williams, Daniel K., MD 1236 E. Elizabeth St., Ste. 3.....................224.2985

2006 directory CARDIOLOGY

Ashmore, Roger C., MD 2121 E. Harmony Rd., Ste. 100.... 221.1000 See ad on page 90 Cullinane, David, MD 2121 E. Harmony Rd., Ste. 100.... 221.1000 See ad on page 90 Doing, Anthony, MD 2121 E. Harmony Rd., Ste. 100.... 221.1000 See ad on page 90 Downes, Thomas R., MD 2121 E. Harmony Rd., Ste. 100.... 221.1000 See ad on page 90 Green, C. Patrick, MD 2121 E. Harmony Rd., Ste. 100.... 221.1000 See ad on page 90 Johnson, C. Timothy, MD 2121 E. Harmony Rd., Ste. 100.... 221.1000 See ad on page 90 Larson, Dennis G., MD 2121 E. Harmony Rd., Ste. 100.... 221.1000 See ad on page 90 Luckasen, Gary J., MD 2121 E. Harmony Rd., Ste. 100.... 221.1000 See ad on page 90 Miller, William E., MD 2121 E. Harmony Rd., Ste. 100.... 221.1000 See ad on page 90 Myers, Gerald I., MD 2121 E. Harmony Rd., Ste. 100.... 221.1000 See ad on page 90 Oldemeyer, John Bradley, MD 2121 E. Harmony Rd., Ste. 100.... 221.1000 See ad on page 90 Stoltz, Chad Lynn, MD 2121 E. Harmony Rd., Ste. 100 ... 221.1000 See ad on page 90 Treat, Stephen A., MD 2121 E. Harmony Rd., Ste. 100.... 221.1000 See ad on page 90 Voyles, Wyatt F., MD 2121 E. Harmony Rd., Ste. 100.... 221.1000 See ad on page 90 Whitsitt, Todd B., MD 2121 E. Harmony Rd., Ste. 100.... 221.1000 See ad on page 90

DENTISTRY/GENERAL

Hargleroad, Jennifer K., DDS 1025 Garfield St....................................... 493.2254 Pixley, Thomas R., DDS 2170 W. Drake Bldg. 1..............................221.5115

Book 1.indb 42

7/27/06 2:30:54 PM

Kornfield, Bruce W., MD 1006 Centre Ave.......................................482.9001 Sayers, Clinton P., MD 1120 E. Elizabeth St., Bldg. G2.................484.6303 West, B. Lynn, MD 3726 S. Timberline Rd., Ste. 101..............221.5795

EAR, NOSE & THROAT

Chand, Maria S., MD 1120 E. Elizabeth St., Bldg. F-101...221.1177 See ad this page and on back cover Childers, Marvin A., MD 3820 N. Grant Ave. (Loveland).... 593.1177 See ad this page

DENTISTRY/PEDIATRIC

Conlon, William Sean, MD 1032 Luke St............................ 484.8686 See ad on page 44

DENTISTRY/PERIODONTICS

Eriksen, Christopher M., MD, FACS 1120 E. Elizabeth, Bldg. F-101.... 221.1177 See ad this page and on back cover

Evans, Gregory D., DDS 1220 Oak Park Dr.....................................223.8687

Johnson, David C., DDS, MS 1120 E. Elizabeth, G5................ 221.5050 See ad on page 4 Lindeberg, Richard W., DDS, MS 1120 E. Elizabeth, G5................ 221.5050 See ad on page 4

DERMATOLOGY

Baack, Brad, MD 1120 E. Elizabeth St., Bldg. G2.................484.6303

Runyan, Brad, MD 2121 E. Harmony Rd., Ste. 350.... 212.0169 See ad on back cover Schaffer, Stephen B., MD 2001 S. Shields St., Bldg. E-101......493.5334 See ad on page 44, page 86 and on back cover Smith, Bruce M., MD 2121 E. Harmony Rd., Ste. 350.... 484.6373 See ad this page and back cover Zacheis, David H., MD 1120 E. Elizabeth St.................. 221.1177 See ad on page this page

EMERGENCY MEDICINE

Dellota, Kriss, MD 1024 S. Lemay Ave...................................495.8006 Farstad, David J., MD 1024 S. Lemay Ave...................................495.8006

Repert, William B., MD 1024 S. Lemay Ave...................................495.8006 Snodderley, Paul L., MD 1024 S. Lemay Ave...................................495.8006 Teumer, James K., DO 1024 S. Lemay Ave...................................495.8006 Turner, Daniel T., MD 1024 S. Lemay Ave...................................495.8006 Updegraff, Jeffrey G., MD 1024 S. Lemay Ave...................................495.8006 Weil, Lawrence J., MD 1024 S. Lemay Ave...................................495.8006 Yanagi, Ann K., MD 1024 S. Lemay Ave...................................495.8006

ENDOCRINOLOGY

Izon, Meriam P., MD 2121 E. Harmony Rd., Ste. 380........295.0010 See ad on page 45 Widom, Barbara, MD 2001 S. Shields St., Bldg. H......................498.9226

Gill, Sarvjit “Sarge,” MD 3820 N. Grant Ave. (Loveland).... 593.1177 See ad this page

Johar, Jasjot S., MD 1024 S. Lemay Ave...................................495.8006

Gupta, Sanjay K., MD 5881 W. 16th St. (Greeley).............. (970)313.2740

Johnston, P. Scott, MD 1024 S. Lemay Ave...................................495.8006

Loury, Mark C., MD, FACS 2001 S. Shields St., Bldg. E-101......493.5334 See ad on page 44, page 86 and on back cover

Luttrell, Matthew, MD 1024 S. Lemay Ave...................................495.8006

Adamson, Theran B., MD 2021-D Battlecreek Dr..............................206.0851

Olsen, Eric B., MD 1024 S. Lemay Ave...................................495.8006

Anderson, Robert Scott, MD 1212 E. Elizabeth St..................................482.2791

Hultsch, Anne Lise, MD 3726 S. Timberline Rd., Ste. 101..............221.5795

Fort Collins Medical Magazine & Directories 2006

Book 1.indb 43

Robertson, Matthew L., MD 1120 E. Elizabeth F-101............. 221.1177 See ad this page

FAMILY PRACTICE

Abrahamson, Lara, MD 1635 Blue Spruce Dr.................................494.4040

7/27/06 2:31:09 PM

Anderson, Thomas M., DO 2701 Madison Square Dr. (Loveland).......663.0722

Bermingham, Roger P., MD P.O. Box 1864............................................407.8898

Askew, Crystal D., MD 1918 S. Lemay Ave., Ste. A.......................494.4531

Bethards, Kelby F., MD 1017 Robertson St....................................472.5000

Bailey, Austin G., MD 1025 Pennock Pl.......................................495.8800

Brewington, Flora Ho, MD 1136 E. Stuart St. ....................................224.0754

Basow, William M., MD Littleton, CO....................................... 720.922.7840

Brickl, Ian D., MD 1635 Blue Spruce Dr.................................494.4040

Beck, Susan M., MD 2121 E. Harmony Rd., Ste. 310................221.3855

Broman, Steven D., MD 1221 E. Elizabeth St., Ste. 4.....................484.1757

Bender, Edward L., MD 1212 E. Elizabeth St..................................482.2791

Burnham, Linda A., MD 1918 S. Lemay Ave., Ste. A.......................494.4531

Bender, John L., MD 4674 Snow Mesa Dr., Ste. 140.................482.0213

Bursten, Marian S., MD 110 W. Harvard, Ste. 2..............................221.3633

Caragol, Jennifer A., MD 1025 Pennock Pl.......................................495.8800

Furguson, David R., MD 3000 S. College Ave..................................266.8822

Carroll, Cory D., MD 2001 S. Shields St., Bldg. L.......................221.5858

Fields, Jacqueline C., MD 315 Canyon Ave., Ste. 1............................472.6789

Carson, Frank R., MD 2121 E. Harmony Rd., Ste. 370................221.2290

Flanagan, John P., MD 3519 Richmond Dr.....................................204.0300

Coburn, Thomas C., MD 1455 Main St. (Windsor)...........................686.0134

Fritzler, Stace, MD 2121 E. Harmony Rd., Ste. 370................221.2290

Cranor, J. David, MD 1124 E. Elizabeth St., Bldg. C...................484.0798

Glazner, Cherie, MD 1025 Pennock Pl.......................................495.8800

Davies, Ann T., MD 1025 Pennock Pl.......................................495.8800

Gould, Jacquelynn M., MD 1025 Pennock Pl.......................................495.8800

de la Torre, Rebecca A., MD 1212 E. Elizabeth St..................................482.2791

Gray, April K., MD 1918 S. Lemay Ave., Ste. A.......................494.4531

DeYoung, Douglas B., DO 1212 E. Elizabeth St..................................482.2791

Hawley, Laura K., MD 1025 Pennock Pl.......................................495.8800

Dischler, Dean, MD 1009 W. Oak St..........................................493.1310

Helgeson, Heidi E., MD 1025 Pennock Pl.......................................495.8800

Dubin, Jeremy A., DO 3320 W. Eisenhower (Loveland)................689.2849

Henderson, Sandra E., MD 2025 Bighorn Dr.......................................229.9800

Duran, Christine B., MD 1212 E. Elizabeth St..................................482.2791

Hoenig, Mark W., MD 116 E. 9th St. (Julesburg).........................474.3376

Duran, Matthew G., MD 1212 E. Elizabeth St..................................482.2791

Hopkins, Jan H., MD 1120 E. Elizabeth St., Bldg. G1.................493.2776

Duvall, Kirby J., MD 1000 Drake Rd..........................................498.3104

Hornung, Diana L., MD 1635 Blue Spruce Dr.................................494.4040

Book 1.indb 44

7/27/06 2:31:23 PM

Horstmeyer, Pamela L., MD 914 W. 6th St. (Loveland).........................667.3976 Jinich, Daniel B., MD 2001 S. Shields St., Bldg. E-201...............221.9991 Kaleta, Andrea D., MD 2025 Bighorn Dr.......................................229.9800 Kauffman, Jeffrey N., MD 1124 E. Elizabeth St., Bldg. C...................484.0798 Klinger, Susan K., MD 2025 Bighorn Dr.......................................229.9800 Kramer, Kyle V., DO 1025 Pennock Pl.......................................495.8800 Lembitz, Deanne D., MD 4630 Royal Vista Dr. #7 (Windsor)...........530.0575 Lesage, Margaret R., MD 1025 Pennock Pl.......................................495.8800 Lockwood, Stephanie R., MD 1025 Pennock Pl.......................................495.8800 Lopez, Joseph M., MD 1136 E. Stuart St., Bldg. 4-202................221.5925 Lundeen, Anna C., MD 1025 Pennock Pl.......................................495.8800 Luttrell, Brady, MD 1028 Pennock Pl.......................................495.8800 MacDonald, Nola A., DO 315 Canyon Ave., Ste. 3............................472.8008 Maes, Elizabeth J., MD 1025 Pennock Pl.......................................495.8800 Mallory, Patrick, MD 1952 Blue Mesa Ct. (Loveland)........669.9245 See ad on page 103 Marchant, David R., MD 1025 Pennock Pl.......................................495.8800 Martin, Deborah W., MD 1025 Pennock Pl. ....................................495.8800 Mason, R. Anthony, MD 4630 Royal Vista Dr. #7 (Windsor)...........530.0575 McCarthy, Victoria A., MD 2001 S. Shields St., Bldg. I........................221.5255

Smith, Jerome I., MD 2025 Bighorn Dr.......................................229.9800

McCreery, Colleen R., DO 3519 Richmond Dr.....................................204.0300

Sprowell, James A., MD 1221 E. Elizabeth St., Ste. 4.....................484.1757

Mercer, Jeanette Y., MD 1226 W. Ash St., Ste. B (Windsor).......................674.0899

Stansloski, Julie A., MD 1025 Pennock Pl.......................................495.8800

Merkel, Lawrence A., MD 2121 E. Harmony Rd., Ste. 370................221.2290

Stephens, Floyd V., MD 1113 Oakridge Dr......................................225.0040

Monaco, Julie A., MD 1635 Blue Spruce Dr.................................494.4040

Stoddard, Andrew P., MD 1124 E. Elizabeth St., Bldg. C...................484.0798

Mounce, Keri L., MD 2121 E. Harmony Rd., Ste. 310................221.3855

Sullivan, Donna L., MD, FAAFP 1025 Pennock Pl.......................................495.8800

Murphy, Lawrence E., MD 1113 Oakridge Dr......................................225.0040

Sunthankar, Shivalini M., MD 1014 Centre Ave.......................................482.8881

Nevrivy, Thomas E., MD 3519 Richmond Dr.....................................204.0300

Thieman, William J., MD 1217 E. Elizabeth St., Bldg. 1...................484.7245

Orozco-Peterson, Marilu, MD 811 E. Elizabeth St. .................................224.1596

Thorson, Steven J., MD 1212 E. Elizabeth St..................................482.2791

Ottolenghi, David R., MD 2121 E. Harmony Rd., Ste. 310................221.3855

Timberline Medical LLC â&#x20AC;&#x201C; Estes Park 131 Stanley Ave., Ste. 202.......... 586.2343 See ad on page 103

Fangman, Michael P., MD 2121 E. Harmony Rd., Ste. 150........493.6337 See ad on page 23

Tippin, Steven B., MD 2025 Bighorn Dr.......................................229.9800

Kanard, Anne Margaret, MD 2121 E. Harmony Rd., Ste. 150........493.6337 See ad on page 23

Palagi, Patricia C., MD 3000 S. College Ave., Ste. 210.................266.8822 Patterson, James L., DO 1635 Blue Spruce Dr.................................494.4051 Paulsen, Mark M., MD 1221 E. Elizabeth St., Ste. 4.....................484.1757 Peter, Beth A., MD 1025 Pennock Pl.......................................495.8800 Podhajsky, Tim P., MD 2025 Bighorn Dr.......................................229.9800 Reichert, Bryan K., MD 1025 Pennock Pl.......................................495.8800 Rodriguez, Juan B., DO 4674 Snow Mesa Dr., Ste. 140.................482.0213 Roller, Jennifer A., MD 3519 Richmond Dr.....................................204.0300 Rotman, Mark F., MD 2001 S. Shields St., Bldg. I........................221.5255 Rubright, Jon S., MD 2001 S. Shields St., Bldg. I........................221.5255 Sachtleben, Thomas R., MD 3519 Richmond Dr.....................................204.0300 Samuelson, Scott, MD 1124 E. Elizabeth St., Bldg. C...................484.0798 Sands, Arthur C., MD 1021 Robertson St....................................482.0666 Schmidt, David S., MD 2001 S. Shields St., Bldg. I........................221.5255 Seeton, James F., MD 2121 E. Harmony Rd., Ste. 310................221.3855 Serrano-Toy, Monica T., MD 2121 E. Harmony Rd. Ste. 370................ 221.2290

Fort Collins Medical Magazine & Directories 2006

1-53.indd 45

GASTROENTEROLOGY

McClellan, Danielle, MD 1025 Pennock Pl.......................................495.8800

Towbin, Michael M., MD 1017 Robertson St. 472.5000 Unger, Mark S., MD 1221 E. Elizabeth St., Ste. 4.....................484.1757 Valley, George E., MD 3000 S. College Ave., Ste. 210.................266.8822 Van Farowe, Cynthia K., MD 1014 Centre Ave.......................................482.2201 Wallace, Michael H., MD 2121 E. Harmony Rd., Ste. 310................221.3855

Compton, Rand F., MD 3702 Timberline Dr., Bldg. A.................... 207.9773 Dowgin, Thomas A., MD 3702 Timberline Dr., Bldg. A.....................207.9773 Dunphy, Rebecca C., MD 3702 Timberline Dr., Bldg. A.....................207.9773 Durkan, Mark N., MD 3702 Timberline Dr., Bldg. A.....................207.9773 Holland, Rod R., MD 3702 Timberline Dr., Bldg. A.....................207.9773 Jenkins, Joseph X., MD 3702 Timberline Dr., Bldg. A.....................207.9773 McElwee, Hugh P., MD 3702 Timberline Dr., Bldg. A.....................207.9773 Simmons, Robert A., MD 3702 Timberline Dr., Bldg. A.....................207.9773

HEMATOLOGY/ONCOLOGY

Medgyesy, Diana C., MD 1501 S. Lemay Ave............................... 212.7600 Merrill, Clinton F., MD Laramie, WY . .................................... 307.721.5859 Minkoff, Monica, MD 1501 S. Lemay Ave.................................. 212.7600 Romero, Paolo, MD 2121 E. Harmony Rd., Ste. 150........493.6337 See ad on page 23

Webber, Pamela, S., MD 1025 Pennock Pl.......................................495.8800

Scott, Miho Toi, MD 2121 E. Harmony Rd., Ste. 150........493.6337 See ad on page 23

Weiskittel, Deborah A., MD 1113 Oakridge Dr......................................225.0040

INFECTIOUS DISEASES

Weixelman, Janice M., DO 8025 First St., Unit B (Wellington)............568.7800

Cobb, David K., MD, FACP 2121 E. Harmony Rd., Ste. 380........224.0429 See ad below

Williams, David C., MD 1025 Pennock Pl.......................................495.8800 Wilson, Fiona A., MD 1221 E. Elizabeth St., Ste. 4.....................484.1757 Wilson, Keely D., DO 1025 Pennock Pl.......................................495.8800 Wozniak, Janell R., MD 1025 Pennock Pl.......................................495.8800 Servi, Jane T., MD 2121 E. Harmony Rd., Ste. 290................224.9890 Yemm, Stephen J., MD 2500 E. Prospect......................................419.7009

7/28/06 10:12:42 AM

Johnson-Baack, Tamara Sue, MD 2127 E. Harmony Rd., Ste. 380........224.0429 See ad on page 45 Liao Ong, Jacob C., MD 2121 E. Harmony Rd., Ste. 380........224.0429 See ad on page 45 Peskind, Robert L., MD 2121 E. Harmony Rd., Ste. 380........224.0429 See ad on page 45

INTERNAL MEDICINE

Abbey, David M., MD 1100 Poudre River Dr................................224.9508 Adamson, Carrie L., MD 2021 Battlecreek Dr..................................206.0851 Alessi, Grace, MD 2121 E. Harmony Rd., Ste. 330................482.3712 Allen, David K., MD 305 Carpenter Rd. ...................................292.0179 Asadi, S. Daniel, DO 2121 E. Harmony Rd., Ste. 300................224.9102 Austin, William B., DO 2121 E. Harmony Rd., Ste. 300................224.9102 Bush, James F., MD 1021 Luke St.............................................484.6406 Gaines, Jennifer L., MD 2121 E. Harmony Rd., Ste. 300................224.9102

Griffin, Daniel, MD 1006 Robertson St....................................482.3820

Stafford, Neil K., MD 1100 Poudre River Dr................................224.9508

Thilo, Elizabeth H., MD 1056 E. 19th Ave., B070 (Denver)... 303.861.6868

Hendrick, James D., MD 4674 Snow Mesa Dr., Ste. 100.................482.3712

Yoder, Elizabeth A., MD 2121 E. Harmony Rd., Ste. 300................224.9102

Wilkening, Randall B., MD 1056 E. 19th Ave., B070 (Denver)... 303.861.6868

Hendrick, Jennifer M., MD 4674 Snow Mesa Dr., Ste. 100.................482.3712

INTERNAL MEDICINE & PEDIATRICS NEPHROLOGY

Homburg, Robert C., MD 1100 Poudre River Dr................................224.9508 Johnson, Richard W., MD 1006 Robertson St., Ste. 104...................484.9027 Juhala, Robert J., MD 4674 Snow Mesa Dr., Ste. 100.................482.3712 Khera, Sukhjinder K., MD 1006 Robertson St....................................482.3820 Knepper, Katherine L., MD 4674 Snow Mesa Dr., Ste. 100.................482.3712 Lopez, William, MD 1136 E. Stuart St., Bldg. 2-140................221.3782 LumLung, Christine M., MD 2121 E. Harmony Rd., Ste. 300................224.9102 Lynch, Michael J., DO 1100 Poudre River Dr................................224.9508 Orton, Lambert C., MD 940 Central Park Dr. (Steamboat).... 970.879.3327 Ow, Cathy L., MD 4674 Snow Mesa Dr., Ste. 100.................482.3712

Drysdale, Christopher R., MD 4674 Snow Mesa Dr., Ste. 120.................266.3650 Lang, Christina, MD 4674 Snow Mesa Dr., Ste. 120.................266.3650 Simmons, Mark S., MD 4674 Snow Mesa Dr., Ste. 120.................266.3650

NEONATOLOGY

Barry, James S., MD 1056 E. 19th Ave., B070 (Denver)... 303.861.6868 Hall, Daniel M., MD 1056 E. 19th Ave., B070 (Denver)... 303.861.6869 Hernandez, Jacinto A., MD 1056 E. 19th Ave., B070 (Denver)... 303.861.6871

Haygood, Thomas A., MD 1600 Specht Point Dr., Ste. I........ 493.7733 See ad on page 47 Lee, William Po-Ping, MD 1600 Specht Point Dr., Ste. I.....................493.7733 Muelken, Kevin D., MD 1600 Specht Point Dr., Ste. I........ 493.7733 See ad on page 47 Simmons, Richard E., MD 1600 Specht Point Dr., Ste. I........ 493.7733 See ad on page 47 Singer, James R., MD 1600 Specht Point Dr., Ste. I........ 493.7733 See ad on page 47

MacRitchie, Amy N., MD Poudre Valley Hospital...............................495.8280

Teruel, Mark A., MD 1600 Specht Point Dr., Ste. I........ 493.7733 See ad on page 47

Paisley, Jan E., MD 1024 S. Lemay Ave...................................495.8282

NEUROLOGY

Rosenberg, Adam A., MD 1056 E. 19th Ave., B070 (Denver)... 303.372.6467

Allen, Timothy J., MD 2121 E. Harmony Rd., Ste. 270.... 221.1993 See ad below

Satterwhite, Daniel J., MD 1024 S. Lemay Ave...................................495.8280

Book 1.indb 46

7/27/06 2:31:43 PM

Kieft, Larry D., MD 1136 E. Stuart St., Bldg. 2-100 493.5904 King, Angela, MD 1106 E. Prospect Rd.................. 493.7442 See ad on page 39 Kozak, Susan H., MD 1106 E. Prospect Rd.................. 493.7442 See ad on page 39 and back cover Ludwin, Gary A., MD 1106 E. Prospect Rd.................. 493.7442 See ad on page 39 and back cover Micetich, Kara L., MD 1106 E. Prospect Rd.................. 493.7442 See ad on page 39 and back cover Curiel, Michael P., MD 2121 E. Harmony Rd., Ste. 270.... 221.1993 See ad on page 46 Friedman, Sheri J., MD 1221 E. Elizabeth St., Ste.3......................482.4373 McIntosh, Gerald C., MD 1221 E. Elizabeth St., Ste. 3.....................482.4373 Miller, Tamara A., MD 2121 E. Harmony Rd., Ste. 180................226.6111 Nash, Jerry D., MD 2121 E. Harmony Rd., Ste. 180................226.6111 Popwell Jr., Richard E., MD 2121 E. Harmony Rd., Ste. 180................226.6111

OBSTETRICS/GYNECOLOGY

Chyu, Jacquelyn K., MD 4200 E. 9th Ave. MSB198 (Denver). .....303.372.6695 Cloyd, David G., MD 1136 E. Stuart St. Bldg. 2-100.................493.5904 Cowlin, Michael A., MD 1106 E. Prospect Rd.................................493.7442 Donnelley, Beverly E., MD 1106 E. Prospect Rd.................. 493.7442 See ad page 39 and on back cover Franco, Jonathan E., MD PO Box 1418.............................................225.6100 Galan, Henry L., MD 4200 E. 9th Ave. MSB198 (Denver). .....303.372.6695 Hayes, Karen E., DO 1224 E. Elizabeth St..................................221.4977 Hayes, Kimberly W., MD 1136 E. Stuart St., Bldg. 2-100................493.5904

Serniak, Elizabeth K., MD 1106 E. Prospect Rd.................. 493.7442 See ad on page 39 and back cover Stauffer, Christine F., MD 1006 Luke St.............................................419.1111 Tool, Audrey L., MD 1106 E. Prospect Rd.................. 493.7442 See ad on page 39 Tool, Kevin J., MD 1106 E. Prospect Rd.................. 493.7442 See ad on page 39 Vance, Maude M., MD 1136 E. Stuart St., Bldg. 2-100................493.5904

OBSTETRICS/GYNECOLOGY/INFERTILITY Bachus, Kevin E., MD 1080 E. Elizabeth St.................. 493.6353 See ad on page 32, this page and back cover

OCCUPATIONAL MEDICINE

Holthouser, Michael G., MD 1330 Oakridge Dr......................................495.8450

OPTHALMOLOGY

Arnold, Patrick D., MD 1725 E. Prospect Rd.................. 221.2222 See ad on page 48 Bashford, Kent P., DO 1725 E. Prospect Rd. . ............. 221.2222 See ad on page 48 Crews, Kent R., MD 1725 E. Prospect Rd.................. 221.2222 See ad on page 48 Foster, Gary J., MD 1725 E. Prospect Rd.................. 484.5322 See ad on page 48

Hoffman, Mark F., MD 1136 E. Stuart St., Bldg. 2-100................493.5904

Norris, Andrew M., MD 2121 E. Harmony Rd., Ste. 190.... 224.2020 See ad on page 48

James, Warren K., MD 1106 E. Prospect Rd.................. 493.7442 See ad on page 39 and back cover

Olsen, Karl Erik, MD 1725 E. Prospect Rd.................. 221.2222 See ad on page 48

Jeffrey, Ransy L., MD 1106 E. Prospect Rd.................. 493.7442 See ad on page 39 and back cover

Reistad, Chet Erik, MD 1725 E. Prospect Rd.................. 221.2222 See ad on page 48

Fort Collins Medical Magazine & Directories 2006

1-53.indd 47

7/28/06 10:13:22 AM

Gordon, A. Lee, MD 2121 E. Harmony Rd., Ste. 260................221.2827 Grant, Michael P., MD 3810 N. Grant Ave. (Loveland).........669.8881 See ad on page 95 Grant, Lee B., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23 Grey, Sean G., MD 2500 E. Prospect Rd................. 493.0112 See ad on page 23 Grossnickle, Mark D., MD 1900 16th St. (Greeley)............................350.2427 Heare, Travis C., MD 5890 W. 13th St., Ste. 101 (Greeley)........348.0020 Horstman, James K., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23 Houghton, Michael J., MD 2500 E. Prospect Rd. ................ 493.0112 See ad on page 23 Jackson, Wesley P., MD 2500 E. Prospect Rd.................. 493.0521 See ad on page 23 Kindsfater, Kirk A., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23

Robinson, Matthew J., MD 1725 E. Prospect Rd.................. 221.2222 See ad this page Shachtman, William A., MD 1725 E. Prospect Rd.................. 484.5322 See ad this page Smith, Randall W., MD 1725 E. Prospect Rd.................. 484.5322 See ad this page Stevens, William W., MD 1725 E. Prospect Rd.................. 221.2222 See ad this page

ORAL/MAXILLOFACIAL

ORTHOPEDICS

Baer, Robert M., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23 Beard, David A., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23 Benz, Robert J., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23 Biggs, William D., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23

Young, Eric E., MD 3810 N. Grant Ave. (Loveland).... 669.8881 See ad on page 95

PAIN MANAGEMENT

Boylan, Thomas, DO 3744 S. Timberline Rd., Ste. 102..............495.0506 Hompland, Scott J., DO 1330 Oakridge Dr......................................377.9555 Sisson, Charles B., MD 1136 E. Stuart St., Bldg. 4-104................221.9451

PATHOLOGY

Colby, Raggio, MD 1024 S. Lemay Ave...................................495.8740 Staszak, Christopher, MD 1024 S. Lemay Ave...................................495.8740 Williams, James Elmer, MD 1024 S. Lemay Ave...................................495.8740

PEDIATRICS

Archer, Deborah, MD 1635 Blue Spruce Dr.................................494.4040 Ballard, Elizabeth A., MD 1200 E. Elizabeth St..................................482.2515 Beno, Carole M., DO 1200 E. Elizabeth St..................................482.2515

Knauer, Sally A., MD 2121 E. Harmony Rd., Ste. 290................224.9890

Booth, Richard R., M 2001 S. Shields St., Bldg. G.......................484.4871

Lundy, Douglas W., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23

Brockway, Julie M., MD 1200 E. Elizabeth St..................................482.2515

Magsamen, Benedict F., MD 3805 S. Centennial Dr...............................226.4465 Martin, Dale R., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23 McFerran, Mark A., MD 2923 Ginnala Dr. (Loveland).....................663.3975 Nelson, Garth C., MD 1020 Luke St.............................................493.2102

Crawford, Deborah D., MD 1635 Blue Spruce Dr.................................494.4040 Elliott, Max A., MD 1200 E. Elizabeth St..................................482.2515 Guenther, John P., MD 1200 E. Elizabeth St..................................482.2515 Hanson, Vaughn W., MD 1200 E. Elizabeth St..................................482.2515 Markley, Jennifer L., MD 2001 S. Shields St., Bldg. G.......................484.4871

Brackett, Bess, MD PO Box 336694 (Greeley)........................330.5400

Pazik, Thomas J., MD 7251 W. 20th St., Bldg. P (Greeley).......970.330.1090

Orr, Mark F., MD 2014 Caribou Dr., Ste. 100...................... 225.9555

Chamberlain, Satoru T., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23

Pettine, Kenneth A., MD 3810 N. Grant Ave. (Loveland).... 669.8881 See ad on page 95

Reynolds, Ralph R., DMD 2992 Ginnala Dr. (Loveland)........ 663.6878 See ad on page 82

Cohen, Nathaniel P., MD 2121 E. Harmony Rd., Ste. 290................224.9890

Reckling, W. Carlton, MD 800 E. 20th St., Ste. 300 (Cheyenne)....307.632.6637

O’Leary, Sean Timothy, MD 1200 E. Elizabeth St..................................482.2515

Thurgood, David B., DDS 2001 S. Shields St. J3............................... 498.0196

Donner, E. Jeffrey, MD 3810 N. Grant Ave. (Loveland).... 669.8881 See ad on page 95

Sobel, Roger M., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23

O’Leary, Sonja C., MD 1635 Blue Spruce Dr.................................494.4040

Duncan, Kenneth H., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23

Trumper, Rocci V., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23

Durbin, Mark B., MD 2500 E. Prospect Rd. ................ 493.0521 See ad on page 523

Watkins, John J., MD 1900 16th St. (Greeley)............................350.2427

Felton, Rickey E., DDS 1008 Centre Ave., Ste. B...........................221.4633

Troxell, James B., DDS 1120 E. Elizabeth St., Bldg. B3.................482.6811

McGinnis, James G., MD 1200 E. Elizabeth St..................................482.2515 O’Brien, Barry G., MD 2001 S. Shields St., Bldg. G.......................484.4871

Schaffer, Michael S., MD 1056 E. 19th Ave. Bldg. B-100 (Denver). ....303.861.6820 Seidman, Marc H., MD 1635 Blue Spruce Dr.................................494.4040 Sullivan, William J., MD 1200 E. Elizabeth St..................................482.2515

Book 1.indb 48

7/27/06 2:32:13 PM

Whitman, Douglas W., MD 1635 Blue Spruce Dr.................................494.4040

PHYSICAL MEDICINE AND REHABILITIATION

Adamson, Carrie L., MD 2021 Battlecreek Dr..................................206.0851 Bender, John D., DO 1330 Oakridge Dr., Ste. 130.....................377.9555 Jacob, Joseph P., MD 4401 Union St. (Loveland). ........................619.3400 Lockwood, Bruce A., MD 1300 Oakridge Dr., Ste. 130.....................377.9555 Reichhardt, Gregory, MD 1517 16th Ave. Ct. (Greeley).....................392.2170 Wunder, Jeffrey A., MD 4251 Kipling St., Ste. 220 (Wheat Ridge). .....303.423.8334 Zimmerman, Fredric D., DO 4251 Kipling St., Ste. 220 (Wheat Ridge). .....303.423.8334

PODIATRY

Anderson, James C., DPM 1355 Riverside Ave., Ste. C......... 484.4620 See ad on page 32 Burns, Michael J., DPM 2001 S. Shields St., Bldg. F.......................493.4660 Hatch, Daniel J., DPM 1931 65th Ave., Ste. A (Greeley). .........351.0900 See ad on page 77 Hecker, Thomas M., DPM 2500 E. Prospect Rd..........................493.0112 See ad on page 23 Knutsen, Chad M., DPM 2001 S. Shields St., Bldg. F.......................493.4660 Moore, Harold Randall, DPM 1217 E. Elizabeth St., Ste. 11...................472.8700 Oâ&#x20AC;&#x2122;Halloran, William D., DPM 1301 Riverside Ave...................................482.3668 Schulte, Robert C., DPM 2001 S. Shields St., Bldg. F.......................493.4660 Thomas, Michael I., DPM 1355 Riverside Ave., Ste. C......... 484.4620 See ad on page 32 Webb, Emily Huang, DPM 1136 E. Stuart St., Bldg. 3-220................416.9009

PSYCHIATRY

Gottfried, Joseph M., MD 4601 Corbett Dr.........................................207.4857 Heacock, Craig R., MD 4601 Corbett Dr.........................................207.4857 Moreno, Hermann A., MD 4601 Corbett Dr.........................................207.4857 Nagel, John K., MD 4601 Corbett Dr.........................................207.4857

Fort Collins Medical Magazine & Directories 2006

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Oddy, Richard A., MD 120 Bristlecone Dr.....................................224.5209 Pearson, Glenn E., MD 4601 Corbett Dr.........................................207.4857 Rennick, John H., MD 2001 S. Shields St., Bldg. K.......................494.4200 Udupa, Usha R., MD 4601 Corbett Dr.........................................207.4857 Watanabe, Kenneth S., MD 4601 Corbett Dr.........................................207.4857 Woodard, Timothy W., MD 4601 Corbett Dr.........................................207.4857

PULMONARY

Breyer, Diana M., MD 2121 E. Harmony Rd., Ste. 300.... 224.9102 See ad on page 49 and page 101 Gunstream, Stanley R., MD 2121 E. Harmony Rd., Ste. 300.... 224.9102 See ad on page 49 and page 101 Hoyt, James D., MD 2121 E. Harmony Rd., Ste. 300.... 224.9102 See ad on page 49 and page 101 Kukafka, David S., MD 2121 E. Harmony Rd., Ste. 300.... 224.9102 See ad on page 49 and page 101 Milchak, Richard J., MD 2121 E. Harmony Rd., Ste. 300.... 224-9102 See ad on page 49 and page 101

Neagle, Mark B., MD 2121 E. Harmony Rd., Ste. 300.... 224.9102 See ad on page 49 and page 101

Bodenhamer, John R., MD 2008 Caribou Dr. ...................... 484.4757 See ad on page 36

Hayes, Amy S., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

Petrun, Mark D., MD, FCCP 2121 E. Harmony Rd., Ste. 300.... 224.9102 See ad on page 49 and page 101

Craven, Winfield M., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36 and page 37

Howshar, Mark Edward, MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

Stevens, Eric E., MD 2121 E. Harmony Rd., Ste. 300.... 224.9102 See ad on page 49 and page 101

Cronin, John C., MD 1101 E. Elizabeth St..................................482.9414

Jess, Sarah J., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

Dunphy, Thomas R., MD 2008 Caribou Dr....................... 484.4757 See ad on page 36

Klingelheber, Bob F., DO 2008 Caribou Dr........................................484.4757

Fleener, Christopher M., MD 2008 Caribou Dr....................... 484.4757 See ad on page 36

Koplyay, Peter D., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

Florant, Tracy H., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

Luttenegger, Thomas J., MD, FACR 2008 Caribou Dr........................ 484.4757 See ad on page 36

Fuller, Samuel E., MD 2008 Caribou Dr....................... 484.4757 See ad on page 36

Markel, Curtis L., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

Geis, J. Raymond, MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

Pacini, Richard J., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

Geraghty, Micahel J., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

Peck, Steven H., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36 and page 37

Gunderson, Deborah Z., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

Reese, Mark F., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

Wallick, Kristin A., MD 2121 E. Harmony Rd., Ste. 300.... 224.9102 See ad on page 49 and page 101

RADIATION ONCOLOGY

Klish, Marie D., MD 2121 E. Harmony Rd., Ste. 160.... 482.3328 See ad this page Lim, Meng Lai, MD 2121 E. Harmony Rd., Ste. 160.... 482.3328 See ad on this page Lisella, Gwen H., MD 2121 E. Harmony Rd., Ste. 160.... 482.3328 See ad this page Simpson, C. Kelley, MD 2121 E. Harmony Rd., Ste. 160.... 482.3328 See ad this page

RADIOLOGY

Berkowitz, Bruce Andrew, MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

1-53.indd 50

7/28/06 10:13:48 AM

Singer, Charles J., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

SURGERY CENTERS

Stears, Robert L., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

Surgery Center of Fort Collins 1100 E. Prospect Rd.................. 494.4800 See ad on back cover

Weinstein, Stanley W., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

SURGERY/ASSIST

Weissmann, Jeffrey R., MD 2008 Caribou Dr........................ 484.4757 See ad on page 36

RHEUMATOLOGY

Meyer, Fred H., MD Fort Collins, CO..........................................224.2156 Thakor, Michael S., MD 2121 E. Harmony Rd., Ste. 361............... 267.9799 Thompson, John Stephen, MD 239 W. 67th Court (Loveland)...................461.1880

SPORTS MEDICINE

Harmony Ambulatory Surgery Center, LLC 2127 E. Harmony Rd., Ste 200.................297.6300

Conlon, Robert M., MD 1032 Luke St.............................................484.8686 Connally, Patricia A., DO 2500 E. Prospect Rd.................. 493.0112 See ad on page 23 Janasek, Mitchell J., MD 2121 E. Harmony Rd., Ste. 310................221.3855 Johnson, Robert V., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23 Kaiser, Dale C., MD 2500 E. Prospect Rd................. 493.0112 See ad on page 23

Servi, Jane T., MD 2121 E. Harmony Rd., Ste. 290................224.9890

Kesler, Kelvin F., MD 1106 E. Prospect Rd.................. 493.7442 See ad on page 39

Trumper, Rocci V., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23

Tutt, George O., MD Cheyenne, WY ................................... 307.798.7550

Yemm, Stephen J., MD 2500 E. Prospect Rd.................. 493.0112 See ad on page 23

Van Den Hoven, Raymond P., MD 2500 E. Prospect Rd................. 493.0112 See ad on page 23

Fort Collins Medical Magazine & Directories 2006

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7/28/06 10:14:51 AM

Wise, James K., MD 2121 E. Harmony Rd., Ste. 250... 482.6456 See ad on page 51

Dickinson, James M., MD 2121 E. Harmony Rd., Ste. 250.... 482.6456 See ad on page 51

SURGERY/CARDIOVASCULAR

Kaufman, Steven L., MD 1120 E. Elizabeth St., Unit G4...... 498.8346 See ad on page 11

Guadagnoli, Mark, MD 2121 E. Harmony Rd., Ste. 100... 224.4434 See ad on page 90 Lamounier, Fernando N., MD 2121 E. Harmony Rd. Ste. 100..... 224.4434 See ad on page 90 Stanton, Michael, MD 2121 E. Harmony Rd., Ste. 100... 224.4434 See ad on page 90

SURGERY/GENERAL

Bauling, Paulus C., MD 1148 E. Elizabeth St..................................221.5878 Chiavetta, Thomas G., MD 2121 E. Harmony Rd., Ste. 250.... 482.6456 See ad on page 51

Lee, James S., MD 1500 16th Ave. Ct. (Greeley)....................350.0948 Lee, Jeffrey S., MD 1500 16th Ave. Ct. (Greeley)....................350.0948 Ogren, Jason W., MD 1800 15th St., Bldg. 210 (Greeley)..........352.8216

SURGERY/OPHTHALMIC/ PLASTIC/RECONSTRUCTIVE

Reistad, Chet, MD 1725 E. Prospect Rd.................................221.2222

SURGERY/PLASTIC/ RECONSTRUCTIVE

Brewster, Amy Hill, MD 2121 E. Harmony Rd. #360......... 266.0456 See ad on page 51 Chand, Maria, MD 1120 E. Elizabeth St., Bldg. F-101...........221.1177

Parsons, Sally A., MD 1148 E. Elizabeth St..................................221.5878

Chapman, Jeffrey K., MD 1217 E. Elizabeth St., Bldg. 7...... 493.8800 See ad on back cover

Pettine, Stefan, MD 2121 E. Harmony Rd., Ste. 250.... 482.6456 See ad on page 51

Duncan, Diane, MD 1701 E. Prospect Rd.................................493.7445

Quaid, Robert R., MD 2121 E. Harmony Rd., Ste. 250.... 482.6456 See ad on page 37 and page 51

Clear, Craig R., MD 2121 E. Harmony Rd., Ste. 250.... 482.6456 See ad on page 51

Rubinson, Samuel M., MD 1730 N. Corona (Colorado Springs)................. 719.520.1411

Collins, John A., MD 1148 E. Elizabeth St..................................221.5878

Smith, Sara, MD 1148 E. Elizabeth St..................................221.5878

Cribari, Chris MD 1148 E. Elizabeth St.................. 221.5878 See ad on back cover

Woodard, Scott, MD 555 Prospect Ave. (Estes Park)...............586.2200

Turner, Donn M., MD 1313 Riverside Ave.................... 493.1292 See ad this page, page 65 and back cover Viola, John J., MD 1313 Riverside Ave.................... 493.1292 See ad this page and page 65 Wirt, Timothy C., MD 1313 Riverside Ave.................... 493.1292 See ad this page, page 65 and back cover

UROLOGY

Brutscher, Stephen P., DO 1500 S. Lemay Ave.................... 484.6700 See ad on page 101 Everett, Randy W., MD 1500 S. Lemay Ave.................... 484.6700 See ad on page 101

Gonyon, Denis L., MD 5881 W. 16th St. (Greeley)................ 970.313.2760

Lee, Michael R., DO 1500 S. Lemay Ave.................... 484.6700 See ad on page 101

Tsoi, Christopher M., MD 1217 E. Elizabeth St., Bldg. 7...... 493.8800 See ad on back cover

Nasseri, Kevin K., MD 1500 S. Lemay Ave.................... 484.6700 See ad on page 101

SURGERY/NEURO

Soper, Timothy H., MD 1500 S. Lemay Ave.................... 484.6700 See ad on page 101

Coester, Hans C., MD 1313 Riverside Ave. . ................ 493.1292 See ad this page, page 65 and back cover

Book 1.indb 52

7/27/06 2:33:41 PM

••••

The Birthing Center at Poudre Valley Hospital is privileged to welcome more than 2,600 babies to the world each year, yet we know that each and every birth is a special experience. Come tour our recently remodeled birthing suites and newborn nurseriesincluding our neonatal intensive care unit-and talk to our experienced nursing staff. For emp loym ent

opportunities,

We look forward to meeting you-and your precious little one.

visit pvhs.org

Book 1.indb 53

7/27/06 2:34:06 PM

Del len bach CHEVROLET & CADILLAC

3111 S. College (at Swallow) 970.226.2438

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7/27/06 2:36:03 2:35:03 PM 712:1108 W'M

radiology

A uterine fibroid embolization, using digital fluoroscopy, is performed by Dr. Stephen Peck with assistance from Thonni Hart, CT/Interventional Radiology Technologist. Photo by Diane M. Specht

Interventional radiologists use medical imaging to guide tools through blood vessels and other pathways to treat disease through the skin by delivering drugs, particles, and extreme heat or cold.

Interventional

radiology

“I can’t get it to go any further,” the nurse said as she tried to gently thread the catheter through the vein and up my sister’s arm toward her heart. Debi needed intravenous antibiotics for several weeks and a peripherally inserted central catheter (PICC) was the most effective way to deliver the strong drugs. “We’ll have to make it a midline,” the nurse said finally. “That should do for a while.” Unfortunately, it didn’t. Debi would have to wait for one of the interventional radiologists to insert the long, soft tube with the help of a fluoroscope or ultrasound image. As I listened to the nurse explain the upcoming procedure, I wondered just exactly what interventional radiologists were and what makes them different from standard radiologists? It seems I was not alone in my confusion. “Most people don’t know what interventional radiologists are or what they do,” says Dr. Winfield M. Craven, an interventional radiologist with Advanced Medical Imaging Consultants in Fort Collins. “Interventional radiologists are fellowship trained, board certified sub-specialists

Fort Collins Medical Magazine & Directories 2006

Book 1.indb 55

by Lynn M. Dean

7/27/06 2:35:37 PM

Visit www.LCTIX.com for complete access to: • Broadway Shows • Local Theatre • Concerts • Music • Buy Tickets • Calendar of Events

Tickets: (970) 221-6730 or www.LCTIX.com 417 W. Magnolia, Fort Collins

Dr. Stephen Peck demonstrates a kyphoplasty procedure using the vertebral body model.

Dr. Stephen Peck, with Shelly O’Leary, CT/Interventional Radiology Technologist, performs a percutaneous CT guided lung biopsy.

who use imaging equipment such as X-rays, magnetic resonance (MR) imaging, ultrasound and computed tomography (CT) to diagnose and treat disease,”he expounds. “We’re the guys with the needles, catheters, stents and balloons,” adds interventional radiologist Steven Peck, M. D. one of Dr. Craven’s associates. Interventional radiologists use medical imaging to guide these tools through blood vessels and other pathways to treat disease through the skin by delivering drugs (as in my sister’s case), particles, and extreme heat or cold. Basically “we’re medical doctors who use fancy equipment to treat disease,” says Dr. Craven. And unlike standard radiologists who work behind the scenes, interventional radiologists work directly with patients. “What we do is much more patient intensive,” agrees Dr. Craven. “That’s one of the things I like about my work. No matter what rotation I’m on, or what procedure I’m performing, I have direct contact with my patients.” Although the field of interventional radiology is not new, recent technological improvements have brought about new options and allowed for more of these minimally invasive, nonsurgical treatments. “Today, surgical treatment for a benign tumor is a fairly radical approach when we could just dissolve it,” says Dr. Craven. He explains that interventional radiology procedures offer many advantages over traditional surgical treatments of the past. Most procedures can be performed on an outpatient basis, do not require general anesthesia, are less expensive than surgery, and involve less risk, pain and recovery time.

Book 1.indb 56

7/27/06 2:36:55 PM

Interventional radiology procedures include: angiography - blockages of arteries and veins are located using X-ray dye and treated by inserting stents which expand and open the vessel angioplasty - a blocked vessel is opened by inserting a catheter and inflating a small balloon embolization - excessive bleeding is stopped by inserting a substance through a catheter into the blood vessel gastrostomy tubes - a feeding tube is inserted into the stomach intravascular ultrasound ultrasound is used inside the blood vessel to detect problems stent placement - a tiny, expandable tube is inserted into a blood vessel to keep it open and prevent blockage needle biopsy - a small needle is inserted into a tumor or other abnormality to extract a tissue sample blood clot filters - a filters is inserted to catch and break up blood clots injection of clot-lysing agents blood clots are dissolved by injecting drugs into a vessel

Today many common ailments which required surgery in the past can now be treated by interventional radiologists using these new devices and techniques. Common procedures include:

Liver and Kidney Radiofrequency Ablation Surgery is not an option for many patients diagnosed with liver cancer because their tumors are too widespread and inaccessible and because their medical condition makes an operation risky. So in the past, many of these patients had to forgo treatment. Today, two types of these cancerous liver tumors can often be treated using radiofrequency ablation- primary liver cancer (hepatocellular carcinoma) and colon cancer that has metastasized (spread) to the liver. In the case of kidney cancer, some patients are not candidates for partial or total removal of the kidney. Radiofrequency ablation can treat some of the tumors in the these organs, too. In this procedure, the interventional radiologist uses ultrasound or CT to insert a Fort Collins Medical Magazine & Directories 2006

Book 1.indb 57

7/27/06 2:37:10 PM

Dr. Winfield Craven explains how an ultrasound is used to guide the needle during the procedure. Dr. Winfield Craven performs an ultrasound on a patient prior to a thyroid biopsy.

probe heated by radiofrequency energy into the cancerous tumor thus destroying it. Although this procedure may not always cure the cancer, it can be combined with other treatments, can relieve some of the pain and suffering many patients experience, and it can be repeated, if necessary.

Uterine Fibroid Embolization Each year millions of women struggle with pain and other symptoms of fibroid disease. Fibroids are benign tumors that develop inside the uterus or on it. Usually benign, they can cause excessive bleeding, pain, abdominal fullness and need to urinate frequently. More than 20 percent of women over 35 have fibroids and they are the leading cause of hysterectomies. Uterine fibroid embolization can help many of these women. In this procedure, the interventional radiologist uses x-ray guidance to thread a catheter through the arteries and deploy small harmless, inert particles into the arteries that feed the fibroid to block its blood supply and shrink it.

Breast Cryoablation Many women suffer from benign breast tumors, or lumps, called fibroadenomas. In the past, women were either forced to endure the pain caused by these noncancerous tumors or undergo surgery. Moreover, excising these tumors surgically often left scars and deformations. Now interventional radiologists can use cold therapy to freeze and kill these tumors. Using ultrasound to guide them, they insert a probe cooled to minus 187 degrees Celsius into the mass. The tumor freezes from the inside out. Once the entire tumor has been frozen, the probe is removed and the dead tumor tissue is eventually reabsorbed by the body.

Kyphoplasty In addition to providing better alternatives to past therapies, the field of interventional radiology offers new advances that can treat conditions that were not effectively treated in the past. Take, for instance, vertebral body compression fractures (compression fractures of the back) commonly caused by osteoporosis. Such fractures cause a great deal of pain, limit a patientâ&#x20AC;&#x2122;s ability to perform daily activities and reduce the ability to breathe.

In the past, treatment was confined to bed rest, back braces and pain medicine. Today a new procedure called Kyphoplasty is giving hope to people afflicted with this debilitating condition. In this procedure, after the patient is sedated, the interventional radiologist uses Xray guidance to insert a needle into the back of the spine. The needle is gently moved through the bone to the front of the vertebra which is fractured. Once the first is in place, a second needle is similarly placed into the other side of the vertebra. Tiny high-pressure balloons are inserted through the needle into the bone. The interventional radiologist then inflates the balloon creating a cavity which is subsequently filled with bone cement. Studies show that this procedure relieves a significant amount of the pain allowing patients a better quality of life. As technology improves and scientists are able to develop even smaller tools and other devices, patients can expect to see more interventional radiology treatments in the future avoiding excessive pain, healing time and money.

Lynn M. Dean is a freelance writer living in Timnath.

Book 1.indb 58

7/27/06 2:38:07 PM

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Book 1.indb 59 I

Don't Miss the Boat! 59

7/27/06 2:38:41 PM

I-

Ahmed Sherif, M.D.

Yazan A. Qwaider, M.D.

Edward Marino, PA-C

NORTH COLORADO !

gastroentero ogy Ahmed Sherif, M.D.

Diagnosis and management of Gastro Intestinal disorders including: diseases of the esophagus, stomach, small and large intestines, hepatobiliary and pancreatic diseases. Testing and management for bacterial overgrowth . Also specializing in diagnostic and therapeutic Endoscopy which includes: state of the art Endoscopic Ultra Sound, Sphincter of Oddi Manometry and Colorectal cancer screening. Clinic's at NORTH COLORADO MEDICAL CENTER Monday through Friday 8 00 a m. to 4:30 p.m. E:A5 T MORC.AN COUNTY (Brust">) dnd C, E F-LINC RE Gâ&#x20AC;˘O'\IAL, Cdll fr)t t I cldy~

Edward Marino. PA-C Yazan A. Qwaider, M.D.

To schedule appointments or for more information please call:

1-888-557-0505 or 970-378-4475 or fax your referral to 970-378-4429.

Banner Health

North Colorado Medical CenterÂŽ Book 1.indb 60

7/27/06 2:39:11 PM

•••• Thomas Hanson, M.D. FACP

endocrinology Thomas Hanson, M.D. FACP

THOMAS HANSON, M.D. FACP, specializes in Adult Endocrinology, Metabolism, Diabetology, Insulin Resistant Syndrome (IRS), Diabetes Mellitus (Type 1 and Type 2), and Thyroidology. Outpatient diabetes education classes offered weekly.

NORTH COLORADO MEDICAL CENTER Monday, Wednesday, & Friday 8:15a.m. to 4:30p.m. MCKEE MEDICAL CENTER Tuesday 9:00a.m. to 3:30p.m. EAST MORGAN COUNTY (Brush) Thursday 9:00a.m. to 3:30 p.m.

To schedule appointments or for more information please call: 970-378-4676 or fax your referral to 970-378-431 5.

Banner Health

North Colorado Medical Center· Book 1.indb 61

7/27/06 2:39:30 PM

Neuro surgery

Spinal Cord

injuries

by Jennifer Leigh Johnson

Dr. Timothy Wirt explains the consequences of a cervical spine injury using a model of the spine.

Spine fractures range from painful compression fractures to more severe injuries such as burst fractures and fracturedislocations which occur following auto accidents or falls from height.

Photo by Diane M. Specht.

Most of us who live in Colorado look forward to skiing in the winter, jumping into fall leaves, riding a motorcycle or bike during the summer months and diving into a lake or swimming pool - but what happens when a fun activity turns into an unimaginable injury? Unfortunately it happens frequently and the only way to prevent a spinal cord injury from occurring is to always be aware and safe with every activity you enjoy doing. Timothy Wirt, MD, Neurological Surgeon at PVHS has seen an unfortunate number of spinal cord injuries over the past 26 years of his career. “The most common type of injury deals with the cervical spine,” says Wirt. “The cervical spine is what we consider the neck – it begins at the skull base and ends at the shoulders and it is extremely vulnerable to injury because it is the most fragile part of the spine.” Wirt says that cervical spine injuries occur in three separate ways: 1. Fractures – breaking of the bone 2. Dislocation – slipping of the bone 3. Disc Rupture – breaking/rupturing the disc

Book 1.indb 62

7/27/06 2:40:20 PM

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Fort Collins Medical Magazine & Directories 2006

Book 1.indb 63

7/27/06 2:40:45 PM

Spine fractures range from painful compression fractures to more severe injuries such as burst fractures and fracture-dislocations which occur following auto accidents or falls from height. These severe injuries frequently result in spinal instability, with a high risk of spinal cord injury and pain. “Young males are most susceptible to these injuries because of their tendency to take more risks,” says Wirt. “Diving accidents cause the highest amount of injuries in young males which is why the American Association of Neurological Surgeons (AANS) created the ThinkFirst program.” The ThinkFirst National Injury Prevention Foundation was first established in 1986 due to the frustration of not being able to cure or “fix” brain and spinal cord injured patients. ThinkFirst for Teens is offered to middle school and high school kids in order to teach them about personal vulnerability and risk taking. “The ThinkFirst program is to remind us, especially youth, to jump with your feet first, instead of diving, especially if you are unaware of what you are diving into,” says Wirt. Wirt says that although young males are typically at a higher risk, everyone is just as susceptible to spinal cord injuries. Middle-aged adults are frequently injured from motorcycle or automobile accidents, and women from sporting events such as horseback riding and roll over automobile accidents. The goals of treatment for cervical spine injuries are to: 1. Realign the spine 2. Prevent loss of function of neurological tissue 3. Improve neurological recovery 4. Obtain and maintain spinal stability and early functional recovery

“Depending upon the type of injury endured, surgery may or may not be needed. The hospital treats as many patients with surgery as we do without,” says Wirt. “If surgery is needed we take an anterior, or front approach, a posterior, or back approach, or both approaches depending on the case we are dealing with in order to decompress the spinal cord and nerve elements and to also stabilize the spine.” If surgery is not needed, immobilization can be reached in other ways. In less severe cases, such as a fracture, collars are used for bracing the neck while halo vests are used in more severe cases when the cervical spine is in an unstable condition. Wirt says that although anyone who endures a spinal cord injury feels it is a major injury and understandably so, more cases, however, are typically minor. Rehabilitation may or may not be a large part of the treatment process for patients with spinal cord injuries. “If there has not been a neurological deficit, or spinal cord or nerve

damage, rehabilitation is typically not needed and patients are usually free to go once determined stabilized,” says Wirt. “If there has been a neurological deficit, especially paralysis, then the patient usually stays in the Intensive Care Unit until they are stable enough to be transferred to Craig Hospital in Denver.” Craig Hospital is exclusively dedicated to rehabilitation and research for patients with spinal cord injuries or traumatic brain injuries. Craig has treated more than 25,000 patients since 1956 - more spinal cord injury patients than any other single facility in the world. Craig has been rated every year in the Top Ten Rehabilitation Hospitals by US News and World Report since the ratings began seventeen years ago. “Most patients who are transferred to Craig end up progressing a great deal over time,” says Wirt. If patients are not transferred to Craig Hospital, trauma surgeons at PVHS are quick to follow up with their patients to make sure everything is healing correctly. Spinal cord injury research has become more apparent throughout the years, especially after the tragedy of actor Christopher Reeve who was rendered a quadriplegic – one who experiences partial or complete

54-108.indd 64

7/28/06 11:31:53 AM

paralysis from the neck down – during an equestrian competition. The Christopher Reeve Foundation is dedicated to curing spinal cord injury by funding innovative research and improving the quality of life for people living with paralysis through grants, information and advocacy. “The Christopher Reeve story and foundation helped shine a lot of light onto spinal cord injury research and rehabilitation by making research for the cause more important and providing more financial backing,” says Wirt. Aside from the improvement in research and finances, Wirt says that there has been an increased awareness of spinal cord injuries in pre-hospital care – the paramedics and ambulance care - which helps to prevent further injury. Technology has also been improved, especially with today’s MRI scanning. “When it comes to spinal cord injuries it’s important to know that while there may not always be a perfect recovery, the condition can be improved through treatment, research and technology available for this cause,” says Wirt. Two of Wirt’s patients, Richard Dixon and Harleen Alexander, have found the strength and determination to pull through their cervical spine injuries and have learned how to live life after tragedy. In 1987, Richard Dixon was preparing for a festive holiday season by hanging Christmas lights on his home. In an instant Dixon fell from the roof of his home causing him to break three vertebrae in his cervical spine. “It was hard to believe what had happened,” says Dixon. “I went through three extreme ways of thinking about the condition I was in. At first I just kept thinking that this couldn’t possibly be happening to me, then I started to tell myself it would be ok and after awhile I wanted to give up because I didn’t want to live my life this way.” Dixon began to realize that he could overcome what had happened to him in large part to his faith. “It was a huge struggle in which I did a lot of searching and fighting within myself,” he says. “But then I found my faith and knew that God would start to help me if I let him – and that’s what I did.” “Relentless Race” a memoir of Dixon’s life

and injury was written in order to tell his story and struggles. “The story begins with how my counselor at the time helped me reunite with an old friend who later became my wife and helped me through all the hard times – it is a happy ending to a tough story.” Dixon not only receives endless care and support from his wife, but also from his yellow lab, service dog, Monte. “He’s a marvelous companion,” says Dixon. “He helps me take my mind off of my frustrations.” Monte comes from Canine Partners of the Rockies –

Fort Collins Medical Magazine & Directories 2006

Book 1.indb 65

a foundation providing highly skilled service dogs to children and adults with disabilities other than blindness. “The beauty of these dogs is that they change someone’s life,” says Dixon. If there is one thing that Dixon has learned through his experience it’s that you can either choose to be angry for what you lost, or grateful for what you still have. “Before the injury there was about 10,000 things I could do, now there are only 8,000 – what I have learned to do is focus on the things I still can do which is a blessing.”

7/27/06 2:41:31 PM

Richard Dixon introduces his new companion service dog, Monte. Trained by Canine Partners of The Rockies. Harleen Alexander, at The Group’s Harmony Office, has returned part-time to her job as a broker.

“Monte is a marvelous companion! He is good to have around because he takes the focus off my frustrations.”

—Richard Dixon

“A lot of little steps must be considered as big accomplishments in order to gain progress.” —Harleen Alexander

After falling off of a ladder while painting the exterior of her home, Harleen Alexander, says that she has had one of the most incredible journeys during her experience which has affected every aspect of her life. “It was a scary process to overcome, but I feel very lucky to be able to come back with hard work and dedication,” says Alexander. Alexander suffered an incomplete cervical spine injury in which the spinal cord was not severed allowing her the ability to walk again. “The biggest challenge I faced was the thought of never being able to walk again,” she says. “But after working at it consistently day in and day out for almost a year now, I have been blessed to be able to walk once again.” Alexander has suffered two spinal cord injuries in which she went to Craig Hospital for rehabilitation after both surgeries. “At Craig I did a lot of occupational therapy and physical activities to help strengthen my body and allow me to be more mobile,” she says. “The activities also help me to be more independent and do normal things such as house work.” Although she continues to have her up and down days, Alexander lives a wonderful and full life that she chooses to live with a happy heart and spiritual energy. “I have had the help of angels and miraculous guides to help me through the difficult times.” The best advice Alexander has for others dealing with similar traumatic experiences is to surround themselves with an incredible support team. “I have a wonderful husband and daughter who have been by my side to help me both physically and mentally and I am very grateful for that.”

Jennifer Leigh Johnson is Assistant Editor of Style Media & Design Inc.

Book 1.indb 66

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••••

GOT FEAR?

Dentist¥ Roger L. Northen, D.D.S. 1001 Centre Ave. Fort Collins, CO 80526

The most advanced medical procedure for the fearful dental patient.

970.407.1001 www.fortcollinsdentist.com

Am I A Good Candidate for Sedation Dentistry? • Have high anxiety or fear about dental visits • Have had traumatic dental experiences in the past • Need wisdom teeth removed • Have difficulty getting numb • Have strong gag reflex

• Have TMJ troubles and cannot open their mouth for extended periods • Are afraid of needles • Have sensitive teeth • Hate the noises and/or smells associated with dental care • Have busy schedules and need dental visits combined into fewer appointments

DESIGNS 4803 INNOVATION DR., SUITE 1 FORT COLLINS, CO

Fort Collins Medical Magazine & Directories 2006

Book 1.indb 67

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DENTISTRY

sedation

dentistry

Dr. Northen explains the intravenous administration of IV Conscious Sedation to a patient, with Christy Saxe, E.D.D.A. (Expanded Duties Dental Assistant), assisting.

by Jennifer Leigh Johnson

You sit in the waiting room where everything seems quiet and still; you can hear the clock tick as each second passes you by; you hear the sounds and smells of the dental office in the distance as you start to feel the butterflies flutter in your stomach; the door opens and they call you back. It is a well known fact that the dentist office is usually the last place where anyone wants to spend their time, but for those who suffer from high anxiety or fear about dental visits, there is a new technique to help put your nerves at ease. Sedation Dentistry is the most advanced medical procedure for the fearful dental patient. Not only is the procedure safe, comfortable and effective, but it will leave you remembering almost nothing about your visit. For those who have a busy schedule or would prefer to have several procedures done at once, multiple appointments may be combined into just one visit with this new, technique. “This advanced medical procedure enables us to perform dental procedures in a way that is comfortable for the patient,” says Dr. Roger Northen of Centre Family Dentistry in Fort Collins. “It reduces fear and anxiety and helps put the patient in a relaxed state of mind because of the medications used which cause amnesia and a very carefree attitude.”

As a member of the American Dental Society of Anesthesiology, Dr. Roger Northen is specially trained and licensed to perform Sedation Dentistry. Northen completed a mini residency in conscious sedation at the University of Alabama Dental School and has also trained with Doctors of Conscious Sedation to which he is a member. Centre Family Dentistry has received a conscious sedation permit from the Board of Dental Examiners for the State of Colorado – the highest recognition of approval given to general dentists in the state. Dr. Northen is very passionate about Sedation Dentistry and a huge advocate for the procedure because of the positive response he receives from his patients. “A large percentage of patients that we talk to about sedation dentistry will end up making appointments utilizing these procedures.” he says. “It completely changes the way they feel about dental appointments and every patient tells us that it was the best dental appointment they have ever had – it’s incredible.” IV Conscious Sedation uses several classes of sedative drugs, and the medications are administered intravenously rather than orally. IV Conscious Sedation provides the ability to better modify the level and length of sedation needed depending on the type of procedure and has a history of safety. The sedation medication used with IV Conscious Sedation reduces your brain’s ability to feel anxious or nervous. These medications have no significant effects on your heart or your ability to breathe and the medications are proven to be highly effective and safe. While under sedation, patients are monitored closely with computerized monitoring equipment specifically designed for the purpose of this procedure. Blood pressure, heart rate, breathing and other signs of comfort are monitored in order to remain completely aware of the patients needs. Safety is not the only benefit to Sedation Dentistry. The procedure is also fast and convenient for patients with busy lifestyles. Multiple procedures may be performed during the same appointment. These procedures include crowns, fillings, root canals, removal of wisdom teeth, treatment for gum disease and cosmetic dental procedures. Appoint-

Book 1.indb 68

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ments can be as short as an hour or two or can extend to several hours depending on what is necessary to meet the patient’s treatment plan. “The other day I performed four wisdom tooth extractions, five fillings and two different gum procedures all within the same appointment,” says Northen. “There is really no limit to what can be done with Sedation Dentistry.” Another benefit to this procedure is the lack of pain a patient will experience both during and after the appointment. “Although the pain really depends on the tolerance of the patient and their perception of pain, the anesthetic lessens the ability to remember if you encountered any pain while under the sedatives.” There are also pain medications given in the IV during the appointment to help with post procedure pain. While some may believe that there is an added risk involved when it comes to the use of sedation medications during the dental procedure, Dr. Northen believes that the use of conscious sedation is what tends to make dental appointments safer. “Since we are lowering ones anxiety and stress levels, the patient is less prone to high blood pressure or heart complications during the appointment, making it a safe procedure and one our patients can trust.” Before considering Sedation Dentistry it is a good idea to make sure it will be a useful procedure to you. The Centre Family Dentistry website, www.fortcollinsdentist.com, provides a list of reasons why some patients are good candidates for this procedure. Some of these reasons include:

• If you have high anxiety or fear about dental visits • Had traumatic dental experiences in the past • Have difficulty accepting numbness • Have a strong fear of needles • Have sensitive teeth • Hate the noises and/or smells associated with dental care • Need wisdom teeth removed Jennifer Leigh Johnson is Assistant Editor of Style Media & Design Inc. Fort Collins Medical Magazine & Directories 2006

Book 1.indb 69

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••••

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M I RAMO NT LIF"ESTYLE F"ITNESS

Book 1.indb 70

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•

-1 I

54-108.indd 71

•

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••••

-..;._._.--.,............ At Mobility and More, we specialize in mobility ... custom fit to your needs. We have two certified ATS on staff to ensure that you receive the highest level of professional care as we assess and provide you or your loved one's needs with the proper mobility device. We proudly carry Permobil, Pride, Quickie, lnvacare, Medline, Bruno, Activeaid and many more of the top names in mobility products. We are Medicare/Medicaid providers and accept many private insurances.

Sales • Rentals • Installation • Service Trust the mobility experts at Mobility & More! We also carry: • Ambulatory Aids • Bath safety equipment • Aids for Daily Living • Lightweight and Ultralight Wheelchairs • Custom Seating and Positioning Equipment • Vehicle Lifts/Ramps

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Book 1.indb 72

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Lydia's STYLE Magazine

7/27/06 2:45:00 PM

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Bariatric w eight loss surgery has rest o red health t o tho usands of obese people- and it's a specia lty at Poudre Va lley Hospital. Together with the skilled surgeons of No rthern Colo rado Surgical Associat es, o ur Bariatric Center of the Rockies has been named a Center of Excellence by t he A m erican Society f o r Bariatric Surgeons and by Anthem Blue Cross and Blue Shield of For employment opportunities,

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visit pvhs.org

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WELLNESS

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Mind Body Spirit •

•

healing by Jennifer Leigh Johnson

Aura Painting

spiritual

healing

As I walked into the enchanting home of Carol Skylark I was mesmerized by a very interesting painting - Skylark told me it was her first aura painting based on her own energy field. She explained to me that through the use of various colors and intricate brush strokes the aura painting shows where a person is open and joyous and where there are wounds which need to be attended to. The subtle energy, the spiritual centers and the streams of light essence, from the self out and from spirit back, are also recorded. I was interested to find out how Skylark developed the amazing ability to bring these portraits to life with her breath-taking artistic and psychic abilities. Skylark has been a painter for as long

as she can remember. She started with painting realism; portraits of people, places and objects. Psychic information and visions began for Skylark when she was in her teens, allowing her to see changing qualities in others. “I began to see a cycle of emotion occur in people, leading me to focus on what these changes meant,” she says. As a student of Claudio Naranjo, a

Chilian mystic-psychologist who taught her various aspects of meditation and healing, Skylark began to learn more formally how to focus on psychic reading and healing techniques. After many years of working with her own psychophysical systems through intense self-portraits, she began to work with others in order to help them see and expand the light within themselves. Being overly clairscentious, (the ability to feel someone else’s feelings and take on their characteristics), Skylark discovered that by drawing a sensitive outline around herself she could create a boundary and thus come back into her own reality and feel like herself again. These subtle touch drawings began to ‘draw’ deeper within into the circuits people often call meridians and chakras. She painted what she experienced, creating the amazing technique called ‘Aura Portraiture.’ Skylark discovered herself through her drawings by using her brush as a focusing agent. “It’s almost as if I am performing a surgery by finding the problem and healing it with light,” she says. Through the clairvoyant reading and spiritual healing process, Skylark creates a powerful energy exchange of healing, insight and focused consciousness which occurs between herself and the individual. “It is a visual journey, in which I bring in light to shift the negative energy into positive energy,” says Skylark, “and where I depict the beautiful energy that is unique to each individual.”

Fort Collins Medical Magazine & Directories 2006

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The portraits begin with concentrated eye contact between Skylark and the individual in order to develop a mental and centered connection with one another. Once a connection has been established, Skylark guides energies throughout their being much like bathing them in light. Most people can feel the energy and begin to sense changes and expansions in their auric field. After Skylark establishes the opened and closed places, she closes her eyes and begins to “see” a more intricate aspect of the aura – colors, configurations and places where energy is being actively used. For those who are not familiar with the term “Aura,” Skylark describes it as the energies that exists both inside and outside of us. “My job is to direct positive energy into this powerful field where it is needed.” The aura is very mobile, changeable and suggestible – it responds to being seen and touched. This is what Skylark does with each individual she communes with: show, tell and experience together the instantaneous changes. The first aspect of the process – the clairvoyant reading - allows Skylark to see into the past and discuss issues with the individual in order to enlighten and release the dark areas of the aura. The second aspect – spiritual healing – helps individuals let go of those darker sectors and “lighten” up. “Individuals who come to see me are amazed by the power of the reading and healing process – it can change their entire being.” The end result of the clairvoyant reading and spiritual healing process is not only an amazing portrait, which can be used as a meditation mirror allowing you to re-center to places where the experience of expansion occurred, but the painting is also a reminder of the gifts you have, the transformations you are experiencing and the new roads you are choosing to take your next journey on. “There is a big difference between being consumed with issues of anger and depression versus experiencing peace and joy,” says Skylark. “I can help an individual clear their troubles by changing how they view themselves and others, by teaching them how to ‘paint’ themselves brighter.”

acupuncture

While I was lying down with tiny needles placed in different parts of my skin, I wondered why this ancient Chinese process known as acupuncture is seen as so relaxing, but five minutes later my headache disappeared and the tension in my neck ceased. Rachel Blunk, L. Ac. (Licensed Acupuncturist), at the Aspen Wellness Center, helped me to relax by placing fine, sterile needles at specific places on my body. By activating my body’s Qi (pronounced as chee) – the life energy which flows throughout the body – Blunk was able to improve my overall function and well-being. “Qi is very powerful. When it is able to flow freely throughout the body there is a sense of relaxation in our physical, mental and emotional state-of-being,” says Blunk. “If Qi can not properly move through the body, problems arise in the areas where hindrance occurs.” There are several things which can affect an individuals Qi such as physical and emotional trauma, stress, lack of exercise, overexertion and diet. The majority of Blunk’s clients come to her for infertility and prenatal care acupuncture, but back pain, headaches, stress, depression, anxiety and allergies are also among the many reasons individuals seek acupuncture. “Many times, individuals can feel a difference after one session,” says Blunk. I was surprised to find that I was one of these individuals, especially since I was

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skeptical about the process before hand. “Not only has the process been around for 3,000 years, but it has been proven to work through extensive research,” says Blunk. “I was very skeptical of the process at first, then when I was 19 years-old I went to see an acupuncturist for my back pain and after one treatment it was gone,” she says. “Being a pre-med student at the time, I couldn’t believe it. I was completely blown away and impressed that the problem was fixed without surgery or medication.” There are only a small percentage of individuals (about 5%) for whom acupuncture will not work. This is due to their body not responding to opiates such as morphine and codeine, or to natural opiates called endorphins. However, more studies continue to emerge showing the efficacy of acupuncture. One of the main concerns individuals may have when it comes to the idea of acupuncture is the thought of needles. “If you’ve never had acupuncture done you’ll be surprised at how painless the process is.” In fact, the needles are intended to move energy and cause relaxation. I told Blunk about the constant headache, dizziness and neck pain I have been feeling for several months. She spoke with me about my health history and lifestyle, checked my pulse and looked at my tongue in order to assess my general health through the color, shape, cracks and coating. From this, Blunk was able to diagnose places on my body where the Qi has been blocked. Needles were then inserted into these places in order to unblock the Qi and promote energy movement. My first experience with acupuncture has convinced me in the healing power of the treatment. What I once thought to be painful and useless has left me feeling energized and well-balanced. “I am very passionate about my job and acupuncture itself,” says Blunk. “I have seen first hand how it can heal an individual in several different ways. It’s such a remarkable experience.” continued on page 80

Fort Collins Medical Magazine & Directories 2006

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mind c body c spirit c healing

Book 1.indb 78

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healing c spirit c body c mind

Fort Collins Medical Magazine & Directory 2006

Book 1.indb 79

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body c mind c healing c spirit

continued from page 77

therapy

massage

One of the best ways to relieve stress, tension and anxiety, relieve pain, maintain a healthy mental and physical state and promote a fast recovery to injury, is to experience a therapeutic massage. Dianne Batchelder, Certified Massage Therapist at Intuitive Touch Massage in Fort Collins describes massage therapy as the manipulation of soft tissues. â&#x20AC;&#x153;With the ability to apply varied modalities, massage therapy contributes to and speeds up the healing process,â&#x20AC;? she says. Individuals seek massage therapy for many reasons, but whether it is to relieve pain, heal an injury, or just take some time for themselves, it is by far one of the most popular treatments. â&#x20AC;&#x153;Many times clients are surprised at the things I find during a session which

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therapy

they were not aware of. Facilitating an awareness of the mind/body connection is one of the most rewarding benefits of my work,” says Batchelder. Although massage therapy does wonders for relaxing the body, most don’t realize how effective it is when it comes to relaxing the mind and healing emotional trauma. “Muscles store memories of events both positive and negative and when these areas are touched, emotions may come into awareness,” says Batchelder. “Massage allows the client to release negative emotions, clearing the path to healing.” Batchelder provides a guided therapeutic massage using breathing techniques in order to allow the client to quiet the mind and bring awareness to physical and emotional issues. “Not only does massage therapy help individuals deal with pain and stress, but it also maintains overall health, balance and well being.” The health benefits are important to know when it comes to understanding the power of massage therapy, especially for those who may feel that a massage is selfindulgent. The following list provides reasons why massage therapy helps promote a healthy way of life:

• Massage reduces tension and anxiety. • Massage improves blood circulation, which delivers oxygen and nutrients to the cells. • Massage stimulates the lymphatic system, which carries away the body’s waste products. • Massage therapy can also help with pain management in conditions such as arthritis, sciatica, and muscle spasms. “It is important to remember that massage therapy is done for a variety of reasons, but no matter what the reason--pain relief, injury, or for de-stressing and pampering--it helps heal the body both physically and mentally,” says Batchelder.

hand

therapy

When I was younger, my dad was diagnosed with Carpal tunnel syndrome - a painful progressive condition caused by compression of a key nerve in the wrist. In order to ease his pain he endured several hand therapy sessions. I could see a positive difference in his level of pain after one therapy session – a difference felt by almost every individual who seeks hand therapy. “Hand therapy helps treat injuries caused by accidents such as fractures and/or pain caused by repetitive activities such as computer use, home repair, landscaping/gardening, sports, and activities performed within certain job fields,” says Brenda Cummings OTR, CHT (Occupational Therapist, Registered Certified Hand Therapist), at Harmony Hand and Physical Therapy Center in Fort Collins. Cummings says that hand therapy not only helps to resolve injury or pain, but also helps to prevent it. “We offer classes to large and small companies on preventing repetitive trauma in order to reduce the risk of injuries as well as to promote a healthy workplace,” she says. One of the most recurring hand injuries this time of year is tendonitis in the forearm and hand due to yard work and home projects. “Individuals will often begin to feel pain in the elbow, wrist, or fingers,” says Cummings. “This pain is typically misperceived as arthritis, but can be effectively treated with hand therapy and various splints.” The Harmony Hand and Physical Therapy Center specializes in customized splints that

Fort Collins Medical Magazine & Directories 2006

54-108.indd 81

help relieve pain by allowing the area to rest. “The splinting combined with hands-on treatment allows the area to rest and promotes healing,” says Cummings. “In many cases surgery can be avoided with the combination of treatment and splint use.” For Cummings, helping people return to their normal activities is a very rewarding part to her job. “It’s a great feeling to be able to offer this treatment to our clients.” Another beneficial aspect to hand therapy at the Harmony Hand and Physical Therapy Center is the professional and well-educated staff. Each therapist proves their competency through exams as well as annual courses attended to learn up-todate treatments and therapy techniques. “We spend a lot of time perfecting our skills to benefit the patients,” says Cummings. “This is our passion and we are very serious about it.” Cummings says that patients are usually surprised at how many individuals endure hand injuries and seek therapy as a way of treatment. “I think most individuals are surprised to find that there is a specialty field for hand, wrist and arm injuries,” she says. “When they come to our clinic, they begin to see how many actually need this type of treatment.” The Harmony Hand and Physical Therapy Center offers several beneficial treatments to their patients, including:

• Occupational Therapy • Physical Therapy • Hand Therapy by Certified Hand Therapists • Lymphedema Management • Customized Splinting • Wound Care Management • Injury Prevention Lectures/Classes • Functional Capacity Evaluations • Work Conditioning • Job Site Analysis/ Ergonomic Assessments • ADA Job Description Development “We are very dedicated to what we do,” says Cummings. “Our clinic is specialized in many services to help patients with

7/28/06 9:50:56 AM

touch

healing

There are many different types of massage – deep tissue, hot stone, Swedish massage, Shiatsu – each providing a unique take on massage therapy. But perhaps one of the most interesting and unique types of body therapy is Healing Touch. “Healing Touch is a biofield therapy that is a modern interpretation of ancient healing wisdom,” says Lauri Pointer, CHTP (Certified Healing Touch Practitioner). “It’s a treatment given with the use of the hands, both on and off the body, with the purpose of promoting a vibrant flow of life force energy through the body. It creates the conditions for optimal health and well-being and enhances the body’s natural ability to heal.” The goal of Healing Touch is to restore harmony and balance in the energy system which places the client in a position to selfheal. Body, mind, emotion, and spirit are touched through this therapeutic process, and each individual is empowered to participate fully in his or her healing journey. Healing Touch complements conventional health care and is used in collaboration with other approaches to health and healing. When it comes to the body’s healing abilities, Pointer believes that while the body knows how to come into balance and selfheal, an energy treatment can help make this process faster and more efficient. “Touch is very calming and relaxing. With Healing Touch, we are able to evoke a physical and mental state of relaxation, which helps the energy in the body to flow and any time we can create movement of the energy in the body, we can create healing,” she says.

In Healing Touch, the hands are used both on and off the body, including some light massage, to clear, energize, and balance the human energy flow. Different from massage, the client is fully clothed for a treatment. The reasons individuals go to Healing Touch are varied – to heal chronic pain, stress, emotional pain and even for support in the healing process of certain health ailments such as cancer. “Healing Touch can help reduce the side effects from chemotherapy, by supporting the body in releasing toxins,” says Pointer. Pointer stresses the fact that all healing is self-healing. Healing Touch facilitates the healing process from an energy perspective rather than a physical perspective. It is a complementary mode of health care which, when used in conjunction with traditional medicine, enhances its overall effectiveness. Healing Touch practitioners use touch and intentionality to realign the energy flow, reactivating the mind/body/spirit connection to eliminate blockages to self-healing. Pointer explained that Healing Touch is used as a way to help with physical and mental and/or emotional pain. “Many people first come for Healing Touch for the treatment of a physical symptom, but because our body systems are so interconnected, as we move the energy, they often experience an emotional release and an emotional, mental or spiritual healing, which then allows the body to let go of the physical symptom.” Clients are usually very impressed by the results of Healing Touch. “Most people leave a session in a well balanced state-ofmind and with a feeling of empowerment for their own healing journey,” says Pointer. “My goal is to help people tune into their individual energy systems and ultimately enhance their happiness and zest for life.”

Jennifer Leigh Johnson is Assistant Editor for Style Media & Design Inc.

Book 1.indb 82

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FORT COLLINS

WELLNESS 2006 directory

ACUPUNCTURE ::

DENTISTRY/ORTHODONTICS ::

INDEPENDENT LIVING ::

PHYSICAL THERAPY ::

Bradford N. Edgren, DDS, MS (Greeley) 3400 W. 16th St., Bldg. 4-V..........1.888.356.5900 See ad on page 76

Ridgen Farm Senior Living 2350 Limon Dr. (Ridgen Farm)................... 224.2700 See ad on page 59

Harmony Hand & Physical Therapy Center, Inc. www.harmonyhand.com........................... 204.4263 See ad on page 69

Rachel Blunk, LAc 2601 S. Lemay (Aspen Wellness Center) ...... 223.4422 See ad on page 78

Burdett R. Edgren, DDS, MS (Greeley) 3400 W. 16th St., Bldg. 4-V..........1.888.356.5900 See ad on page 76

MASSAGE THERAPY ::

Right Touch PT Plus 2001 S. Shields St., Bldg. G-203............ 690.0312 See ad on page 78

ALTERNATIVE WELLNESS ::

DENTISTRY/PERIODONTICS ::

Bethesda Wellness Center, LLC 8010 Larimer County Rd 5...............970.556.3876 See ad on page 79

Awesome Universe www.awesomeuniverse.....................303.668.8961 See ad on page 80

AURA PORTRAITURE HEALINGS ::

Aura Portraiture Adventures-Carol Skylark www.skylarkproductions.com................... 225.6981 See ad on page 80

BIO-TECH/MEDICAL/GREEN CLEANING SERVICES ::

David Clark Johnson, DDS, MS 1120 E. Elizabeth St., G5 . ..................... 221.5050 2996 Ginnala Dr., Ste. 101 (Loveland) .... 221.5050 See ad on page 4 Richard W. Lindeberg, DDS, MS 1120 E. Elizabeth St., G5........................ 221.5050 2996 Ginnala Dr., Ste. 101(Loveland)...... 221.5050 See ad on page 4

DENTISTRY/SEDATION ::

Porter Industries Inc. www.porterindustries.com.............1.800.352.5239 See ad on page 72

Centre Family Dentistry- Roger L. Northen, DDS 1001 Centre Ave..................................... 407.1001 See ad on page 67

BODY CONTOURING ::

Northern Colorado Dental Care-Mark Brown, DDS 3535 W. 12th Street, Ste. A (Greeley).......353.7811 See ad on page 78

Body Contouring of Colorado 333 W. Drake Rd., Ste. 260............. 970.980.7606 See ad on page 88

COUNSELING ::

Maureen McVicker Trump Psy. D. www.Hopefulway.com........................970.988.6298 See ad on page 80

DENTISTRY/COSMETIC :: Overton Center for Dental Arts - Thomas F. Overton, DDS

www.overtoncenter.com........................... 223.6677 See ad on page 31

DENTISTRY/ENDODONTICS :: David O. Carbone, DDS, MS 1331 E. Prospect Rd., Bldg. B-1............. 482.4916 2996 Ginnala Dr., Ste. 101 (Loveland)...... 461.1994 See ad on page 37 Anthony F. Girardi, DDS 1331 E. Prospect Rd., Bldg. B-1............. 482.4916 2996 Ginnala Dr., Ste. 101 (Loveland)...... 461.1994 See ad on page 37

HEALING TOUCH :: Healing Touch - Lauri Pointer, CHTP/I 633 S. College Ave., Ste. B...................... 484.2211 See ad on page 80

HEALTH CARE :: Columbine Health Systems www.columbinehealth.com.............1.800.718.2224 See ad on page 2 and this page

HEALTH CLUBS :: Miramont Lifestyle Fitness 901 Oakridge Dr...................................... 282.1000 1800 Heath Pkwy..................................... 221.5000 See ad on page 70 The Other Club 1227 Riverside........................................ 221.4348 See ad on page 80

HOME/DURABLE MEDICAL EQUIPMENT (DME) ::

David M. Jones, DDS 1331 E. Prospect Rd., Bldg. B-1............. 482.4916 2996 Ginnala Dr., Ste. 101 (Loveland)...... 461.1994 See ad on page 37

Mobility & More 1447 N. Denver Ave. (Loveland)................ 461.8400 See ad on page 72

Kelly B. Jones, DDS, MS 1331 E. Prospect Rd., Bldg. B-1............. 482.4916 2996 Ginnala Dr., Ste. 101 (Loveland)..... 461.1994 See ad on page 37

HOMEOPATHY ::

Jason E. Maines, DDS, MS 1331 E. Prospect Rd., Bldg. B-1............. 482.4916 2996 Ginnala Dr., Ste. 101 (Loveland)..... 461.1994 See ad on page 37

MIDWIFERY :: The Women’s Clinic of Northern Colorado 1106 E. Prospect Rd............................... 493.7442 4674 Snow Mesa Dr., Ste. 200............... 493.7442 2695 Rocky Mountain Ave., Ste 200....... 493.7442 See ad on page 84

NATURAL MEATS/ ORGANIC VEGETABLES :: Town & Country Foods www.townandcountryfoods.com............... 225.3786 See ad on page 80

PHARMACY :: City Drug 101 S. College Ave.................................. 482.1234 See ad on page 79

PILATES :: Mountain View Pilates www.mountainviewpilates.org.................. 207.1797 See ad on page 79

SALON & SPA :: Josefina’s at DF Goodhair 2561 S. Shields St. (Raintree Plaza)........... 226.1666 See ad on page 78 Máya Bleu - A Distinctive Beauty Refuge 706 S. College Ave., Ste. 206................ 221.2027 See ad on page 78 Reflections Medspa 4060 S. Timberline Rd., Ste. 120 .......... 372.0307 See ad on page 84

SENIOR HEALTH CARE :: Fort Colllins Good Samaritan Village 508 W. Trilby Rd....................................... 226.4909 See ad on page 87

SKIN CARE :: Harmony Laser Center 2126 Milestone Dr., Ste. 107.................. 282.8266 See ad on page 79 Skin Care Specialist 776 W. Eisenhower Blvd................1.800.733.3116 See ad on page 105

SPEECH/LANGUAGE THERAPY :: Speech & Language Stimulation Center, Inc. 317 N. Meldrum St.................................. 495.1150 See ad on page 78

SUNGLASSES :: The Eyes Have It 107 N. College Ave.................................. 407.0665 Foothills Mall............................................ 377.3223 See ad on page 104

YOGA/FITNESS APPAREL :: Prima Bodywear 123 N. College Ave., Ste. 112................. 484.2623 See ad on page 88

Classical Homeopathy 1302 S. Shields St., A1-3........................ 416.1611 See ad on page 79

HOSPICE :: Hospice of Larimer County www.hlchospice.org................................. 663.3500 See ad on page 56

Fort Collins Medical Magazine & Directories 2006

54-108.indd 83

Intuitive Touch Massage-Dianne Batchelder, CMT 420 S. Howes.......................................... 222.3128 See ad on page 79

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Book 1.indb 84

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Lydia's STYLE Magazine

7/27/06 2:50:59 PM

VOICE & SPEECH

Voice Disorders

more common than we think

by Alice Ashmore

Dr. Steve Schaffer demonstrates how the use of Digital Laryngeal Stroboscope produces imagery of the motion of vocal folds and chords.

We tend to believe only professional singers and speakers need expert voice care, but the majority of people seeking help for vocal problems don’t fit that descriptions.

We tend to believe only professional singers and speakers need expert voice care, but the majority of people seeking help for vocal problems don’t fit that description. Voice problems can range from mild hoarseness caused by overuse to problems that are more dramatic in nature and are often caused by physical or emotional stress. Some could potentially lead to permanent voice changes. Other vocal fold (also known as vocal cord) problems can mimic asthma or panic attacks. Esta Saffer, an administrator at Colorado State University, wasn’t prepared for what started as simple hoarseness to lead to permanent changes in her voice. Saffer suffers from spasmodic dysphonia, a condition in which the vocal folds spasm as she speaks. “It gradually began about a year and half a ago,” she says. “My voice started to get hoarse so I kept going to doctors.” Diagnostic testing ran the gamut from allergies to acid reflux. “My ENT referred me to Dr. Pendley and I was diagnosed last February.” Ann L. Pendley, Ph.D. is the owner of the Speech and Language Stimulation Center, Inc. in Fort Collins. Pendley is a certified speech-language pathologist. She and her colleague, Ibby Burlingame, receive many referrals from otolaryngologists; physicians commonly known as ENTs, or ear, nose and throat specialists. Along with other therapy techniques, Pendley uses the Kay/Pentax Visi-Pitch software in her practice. “The software utilizes the latest technology to help us diagnose and treat voice and speech disorders. It incorporates the same voice-matching technology that was used to verify voice samples from Osama bin Laden.” The software allows clients to see their voice represented graphically and in a variety of modes, including real-time pitch, voice games, a real-time spectrogram, a multi-dimensional voice program (MDVP) and auditory feedback tools. Pendley and her staff diagnose and treat a variety of issues, including articulation, language, pediatric feeding and swallowing, cognitive-language difficulties, literacy, traumatic and acquired brain injury, autism spectrum, stuttering and vocal fold problems. She also works with clients on foreign or regional accent modifications.

Fort Collins Medical Magazine & Directories 2006

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7/27/06 2:51:33 PM

Saffer says, “As I come to understand voice pathology and therapy, I learn how it gives me ways to speak.” Still, spasmodic dysphonia has changed her life. “It’s frustrating that I tend to avoid situations where I have to talk. It’s not easy and stress makes it worse.” Saffer finds telephone conversations are particularly difficult. She’s also aware that other people are unsure what to make of her unusual voice. “People look at me and Ann Pendley treats Esta Saffer with Visiwonder what’s wrong with Pitch, the latest technology to aid in the correction of spasmodic dysphonia. me. They sometimes think I’ve had a stroke.” Genetics and stress may be factors in Saffer’s spasmodic dysphonia, which affects a relatively small percentage of the population. She is hoping that media exposure will lead to awareness of the problem. “Once I explain it, people are at more at ease. They need to know what it is.” Carol*, Mark*, and their 11-year-old son Kevin,* (names are changed to protect patient privacy), have witnessed the chaos caused by vocal fold/cord dysfunction (VFD or VCD). Kevin had a previous diagnosis of asthma, but once he began to experience breathing problems during sporting events, asthma medications did nothing to relieve their son’s symptoms. “Sheer panic is what Kevin felt,” says Carol. Kevin’s VCD came on suddenly. “It was a very definitive change that happened last December. It happened frequently when he was running,” says Carol. “I was very worried and knew I needed to do something.” Her heart ached when Kevin revealed his worst fear to Pendley. “He was afraid he was going to die,” Carol says as tears brim in her eyes. “The best thing we could have done was bring him here.” VCD can also be associated with hyperventilation and passing out. It typically occurs in girls (more than boys) up to 20 years old and then again in the fourth decade of life. “It’s not uncommon, but people don’t recognize it,” says Pendley. Kevin’s treatment included teaching him how to recognize the signs of an impending attack, and ways of empowering him with techniques to relax and cope. “He’s empowered for his own recovery,” says Pendley. “VCD may develop with asthma and stress and asthmatics are not used to going deep for air,” says Pendley. Those with VCD may be driven, Type-A personalities, and also tend to be perfectionists. “It’s quite often confused with exercise-induced asthma,” says Pendley. The major difference is that VCD causes a squeak or stridor upon inhalation, while asthma causes a wheeze on exhalation. Once a diagnosis was made, Carol found a “plethora” of information on the internet about VCD. “It’s all about awareness. This could have easily gone undiagnosed.” She adds, “My husband was so relieved at the diagnosis. It’s easier to think of medicine instead of speech therapy.” She describes Kevin as “a really active, happy kid. He loves the outdoors and has a lot of friends. He likes to be involved in whatever is happening.” Pendley adds that there can be a “symbolic voice piece” to VCD/VFD and other muscle tension voice disorders. The disorder has also been linked to sexual abuse in some cases. “It’s about not having your “voice” heard.” Abuse was not present in Kevin’s case. The latest technology for diagnosing voice disorders and VCD recently debut in Fort Collins at Intermountain Otolaryngology, the practice of Dr. Mark Loury and Dr. Steve Schaffer.

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Schaffer says that to the best of his knowledge, the Digital Laryngeal Stroboscope he uses is the first in Northern Colorado. “It’s only been recently that stroboscopy has been available outside of the major voice centers.” The instrument uses light to “freeze” and photograph the motion of vocal folds/cords. These folds vibrate so fast during sound production that they are impossible to see with the naked eye. Using topical anesthetic, a small tube about the diameter of a pencil with a miniature camera is placed through the patient’s nose or mouth and provides a careful and detailed examination of the vocal folds and throat. The pictures are immediately displayed on a monitor and stored on a computer. Through an “instant replay” of the examination, both patient and physician can see the movements and disorders of the vocal folds. “The stroboscope is particularly good for diagnosing disorders of the vocal folds. These include cancer, polyps, nodules and cysts.” Schaffer says that voice disorders do not have age boundaries. “It affects all ages. I’ve seen children who are ‘screamers’ and toddlers who are ‘yellers’ with vocal cord nodules.” He adds, “Your voice is a tender, fragile instrument.”

Dr. Steve Schaffer and Dr. Mark Loury have acquired the latest technology for diagnosing voice disorder at Intermountain Otolaryngology.

Schaffer offers a unique perspective on voice care. He is both a trained musician and a medical doctor. Before becoming a physician, he earned a Master’s Degree in Choral Music from Arizona State University and was a member of The Continental Singers. The Pagosa Springs, Colorado native, attended medical school at the University of Arizona and performed his residency at Tulane University. He still has the passion for vocal performance. “I love to sing, especially musical

Fort Collins Medical Magazine & Directories 2006

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7/28/06 9:30:50 AM

theater.” Schaffer is part of the Laudamus Chorus in Fort Collins. Schaffer says you should see a physician if you have persistent hoarseness lasting longer than two weeks, have throat pain when speaking, noisy inhalations known as “stridor” or regularly choking when drinking or swallowing. These symptoms are particularly worrisome if you are a smoker. He works in tandem with speech-language pathologists to treat a range of voice issues. “Speech therapy is a huge part of this. The majority of speech problems are addressed by speech pathologists.” Pendley says that the time of day when voice problems occur can give hints to their origin. “If you wake up with a hoarse voice it could be due to an acid reflux problem similar to heartburn” she says. “If your voice worsens during the day it may be due to strain from the way you use your voice.” Along with the tendency of stress to tighten the muscles of the neck and jaw, extended cell phone usage is another potential cause of trouble. “In a crowd of people you can always pick out the people talking on a cell phone,” says Pendley. She notes that those talking on a cellular phone are usually speaking louder than necessary to communicate. “Just because the phone is small in size doesn’t mean you can’t be heard. Listen to yourself, especially when you are in the car. The voice tends to be louder and tenser. A hands-free headset is helpful.” Pendley also urges those who often use cell phones to take breaks between phone calls, talk softer and use more pauses between phrases. Pendley recommends a “voice nap” for strained voices. “Try not to talk, and if you must, speak in a ‘library voice’.” Breathing from your abdomen is also very important. “Active individuals tend to ‘live from the neck up’ and not pay attention to the rest of their body.” Coughing and clearing the throat may also make matters worse. “Most people don’t realize how important their voices are until problems arise,” says Pendley. Schaffer adds, “If your symptoms fail to improve, it’s probably time to see a specialist.”

Alice Ashmore is a regular contributing writer living in Loveland.

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•••• ~

Providing Contprehensive Medical Care for You and Your Fantily

&::< (:)

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Bone Density Studies

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Oncology

Coumadin Clinic

Oml Surgery

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Orthopedic Surgery

CT Scan

Osteoporosis Sewices

Dermatology

Otolaryngology (ENT)

Echocardiography

Pharmacy

Employment Drug Screen

Physical Therapy

Exercise Services

Plastic Surgery

Gastroenterology

Preventative Medicine

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Pulmonology

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Book 1.indb 89

7/27/06 2:53:13 PM

•••• IIFROM THE BEGINNING,

•

our llllSSlOll was to .

develop the

carchac program

•

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m the region.'' Today Heart Center of the Rockies offers a comprehensive range of services, from prevention and testing to surgery and rehabilitation. In addition to our offices at the Harmony Campus in Fort Collins and McKee Medical Center, we have satellite clinics in 13 locations throughout Northern Colorado, southern Wyoming, and western Nebraska.

On the horizon will be our presence at Medical Center of the Rockies, Poudre Valley Health System's second hospital, opening in February of 2007.

®-

PHYSICIANS I CARDIOLOGISTS Gary J. Luckasen, M.D., FACC Dennis G. Larson, M.D., FACC William E. Miller, M.D., FACC Todd B. Whitsitt, M.D., FACC Thomas R. Downes, M.D., FACC Roger C. Ashmore, M.D., FACC David W. Cullinane, M.D., FACC Stephen A. Treat, M.D., FACC

C. Patrick Green, M.D., FACC C. Timothy Johnson, M.D., FACC Wyatt F. Voyles, M.D., FACC, FACP Anthony H. Doing, M.D., FACC Gerald I. Myers, M.D., FACC J. Bradley Oldemeyer, M.D., FACC Gary Luckasen, M.D., FACC President & Founder, HCOR

Chad L. Stoltz, M.D. SURGEONS

Dennis G. Larson, M.D., FACC Founder, HCOR

Mark Guadagnoli, M.D., FACS, FACC Michael Stanton, M.D., FACS, FACC Fernando LaMounier, M.D.

Heart Center OF THE ROCKIES POUDRE VALLEY HEALTH SYSTEM

Expertise in Matters of the Heart www.heartcenteroftherockies.com Harmony Campus 2121 E. Harmony Rd. I Suites 100 & 200 I Fort Collins, CO 80528 (970) 221-1000

Book 1.indb 90

Physician's Plaza McKee Medical Center 1900 N. Boise I Suite 410 I Loveland, CO 80538 (970) 663-31 07

7/27/06 2:53:31 PM

senior care

Bob Wilson explains that with plans for a pharmacy, restaurant, medical equipment company and even a theatre, the Columbine Health Systems community hopes to revitalize the area.

taking care of

our own

by Jason Clarke

Columbine Health Systems has been locally owned and operated for 35 years. In that time Wilson has overseen dramatic changes in the industry and has consistently kept his company at the forefront in initiating and implementing those changes.

J. Robert Wilson has spent the last 35 years building one of the most dynamic and wideranging, long-term health care systems in the country. But if you think he’s ready to slow down, you don’t know Bob Wilson. “I’m often asked what my exit strategy is,” says the CEO of Columbine Health Systems. “But I hope to do this until I can’t do it anymore. It has taken me 35 years to build this business and now I have 20 more to make it even better.” Far from sitting back and resting on the success it has already had, Columbine Health Systems is moving forward with ambitious plans for expansion. The next big moves are the renovation of the former Steele’s building (the “Wilson Building”) on Drake, and the new Health and Rehabilitation Facility on Lemay Avenue. Plans for the Wilson building are extensive. It will eventually include a public Café, a medical equipment store, a distribution center, a health education department, a 105-seat conference room and public theatre, a banquet room, a computer training room, and a health and wellness center. All of these services are geared toward the goal of making things better for both employees, the customers the company serves in its numerous care and assisted living facilities, and future customers. “This is not just growth for the sake of growth,” says Wilson. “The growth of this company is based on what we perceive the public is looking for in Fort Collins.” “It truly is about the residents,” says Yvonne Myers, Health Systems Coordinator at Columbine Health Systems. “At the end of the day, the resident wins. I might spend time here someday, and I want it to be as good as it possibly can be.”

Fort Collins Medical Magazine & Directories 2006

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7/27/06 2:54:20 PM

That is an attitude that seems to motivate the entire company as it moves forward with plans to meet the expectations of a new generation of seniors. “People want a place that provides all kinds of different services,” says Wilson. “That place might be a campus, not just a single building. That way people can find the services that are most appropriate for them.” The renovation of the Wilson building will expand the company in directions that most health systems won’t or can’t go, providing a level of care that is hard to find anywhere else. “It’s unusual to have such a wide range of services coming from one company,” says Wilson. “Large companies generally key in on one aspect of long-term care because that focus makes the company easier to operate.” Although focusing on just one service might make the task of running a health services company easier, it doesn’t make life any better for the customers it serves, and Wilson is more than ready to take on the task of integrating each part of the company into a coherent whole if it means that

he can provide better care for his customers. “We built this company step by step, so we understand how all of the pieces fit together. Each individual leader here knows that certain feelings have to be set aside for the benefit of the whole company. We all cooperate to help ease the transitions from one service to the next.” “It is more difficult to operate,” admits Wilson. “But I don’t think there’s any question that our diversity gives us an advantage. There are multiple avenues into the company for our customers, and once they’re here they can use our services at whatever level fits their needs—whether that’s in-home care, rehabilitation, assisted living, or residential services.” The company’s vertical growth has also made it easier to provide customers with the very highest level of personalized care. “We control our own pharmacy,” Myers points out. “If a patient needs a medication for pain at four o’clock in the morning, most pharmacies aren’t interested in delivering it until the next day, but our pharmacy will show up right away—the quality of our care comes from that control.” Columbine Health Systems has been locally owned and operated for 35 years. In that time Wilson has overseen dramatic changes in the industry and has consistently kept his company at the forefront in initiating and implementing those changes. Looking back at his time here he is able to appreciate how far he has come. “One of the great joys of doing this job is having done it long enough that I’m now serving the 2nd generation of customers. In one case I’m serving the 3rd generation,” he says. “I’m very lucky; I have the best job in town -- I’m able to provide a good environment for my employees and take care of people. It’s a very gratifying and worthwhile profession.” The broad vision of Columbine Health Systems is reflected in the quality of their on-site employee training program, which according to the Colorado State Board of Nursing is one of the best in the state. “We provide our own CNA program,” says Myers. “New employees are paid to learn and in 104 hours of training they have skills that could enable them to find work anywhere in America.”

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In addition to CNA training, the education department at the Wilson building will also be able to provide computer training for employees, residents, and their families. “We can train employees who need to learn the basics of computers or those who have computer skills but need to learn the specifics of our uses. We’re able to provide webbased communication to our resident’s families including pictures, updates on upcoming activities and even secure status reports, and if needed, we can teach those family members how to access them. We can also use those same computers to train our residents who want to learn more about computers,” says Myers. “People who are 85-90 years old can learn to use email,” adds Wilson. “Our goal is to enhance the environment for our residents and our employees through these educational programs.” In addition to computer classes, residents and employees can also take advantage of the Wellness Centre at the Wilson building near Centre Avenue. “Exercise, stretching, and yoga can enhance your life at almost any stage,” says Wilson. Open to employees, residents, and family members, the Wellness Centre will include cardio, weights, an aerobics and yoga room, and a wide range of workforce development programs including smoking cessation and cholesterol reduction programs. “We want a healthy workforce,” says Myers. “We want longevity.” Plans are also under way to bring the wellness program into the nursing homes and independent living homes. “If you’re in independent living we want to keep you there as long as we can,” says Myers. “And if you’re in a nursing home, you can benefit tremendously from these programs.” Other interesting features of the newly renovated Wilson building will include a café and bakery that will be open to the public. “The café will be open for breakfast and lunch and the bakery will also provide fresh baked goods to our residents,” says Myers. Plans also call for a banquet hall next to the restaurant which will be attached to a stage theatre. Featuring the “Columbine Players,”

Fort Collins Medical Magazine & Directories 2006

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7/27/06 2:54:53 PM

In the old Steele’s building on Drake Road, Bob Wilson explains which area will become the 105-seat conference room and where the café and bakery will be housed to serve the public.

which will be led and organized by Gil Moon and containing a fully lighted and curtained stage, the new theatre will be a unique addition to the Columbine campus. “We’ll put together local shows,” says Myers. “There is a shortage of venues in this area and this is a way to bring more entertainment to our residents and their families.” Plans also call for a 105-seat conference room which will include a full projection system. “We’ll be able to offer a variety of educational seminars which we plan to develop in cooperation with other partners we have in the community. It’s a great location because it will have plenty of parking and easy access even for large conferences,” says Myers. There will also be plenty of room left over in the Wilson building for a large warehouse which will make distributing supplies to the 9 buildings, 1,000 residents and 1,100 employees of the health care campus much easier. “Rather than having huge trucks pulling up to each of our buildings in the early morning hours, making noise and annoying residents, trucks will be able to use the loading bays and docks that are already in the existing building to bring in the supplies we need,” says Myers. “We’ll be able to make volume purchases and have truckloads of the things we buy delivered to us. Semi trucks will deliver large loads to the new building and vans will take the products to the individual buildings,” says Myers. “We will really be able to take advantage of economies of scale and pass those savings on to our residents.” A retail component will also be included in the final renovation of the Wilson building. “Our medical equipment company will move to a store front location,” says Myers. “The move will increase accessibility from Drake to our clients in their own homes. We also provided the Farmer’s Market with space in the Wilson building’s parking lot. Our hope is to bring more energy and life back to the area and create more traffic through the lot which will help all of the nearby businesses as well.” Another exciting new addition to the Columbine Health Systems community is the Lemay Avenue Health & Rehabilitation

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Fort Collins Medical Magazine & Directories 2006

Book 1.indb 95

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7/27/06 2:55:47 PM

The new facility will be 79,420 square feet on 2 stories. It will have 130 total beds which include 66 private and 32 semi-private rooms.

Facility which will open in May of next year. All of the current residents of the Columbine Care Center East at 421 Parker will move to the new location, according to Myers. The new location will provide a number of new amenities for its residents. “The new facility will include more sunrooms, private dining rooms and more places to enjoy company, read a book or play games with other residents,” says Myers. Because Medicaid does not pay for a completely private room, the new building is designed to maximize privacy for those who qualify for Medicaid. “Every room will have its own toilet and shower. Two people will share the bathroom, but each resident will have their own space and much more privacy.” Other benefits of the new location will include excellent views from the rooms and well-maintained grounds. “Residents will have a great view of Horsetooth and access to good parks and landscaping. Our horticulture team and gardening crew will really keep up with things,” says Myers. Once residents have moved to the new building, the old Columbine Care Center East, which was built in the late 50s, will be remodeled into the assisted living center Parker Street Assisted Living. It will have half as many beds as the existing facility and will feature all private rooms. Because the rules for Medicaid are different for assisted living centers, residents will be able to have a private room. “Right now there are very few assisted living centers with private rooms that are able to have Medicaid recipients without a private pay supplement,” says Myers. “Assisted living facilities really look and feel like a house; it’s a great home for our residents.” The move toward more privacy and away from shared rooms is a reflection of the company’s goal to provide the very best care possible for all of its residents. “We’re a consumer driven business and the move to private rooms is the result of customer demand,” says Myers. “Forty years ago it didn’t bother people to share a bathroom with

several other people, but if you don’t keep evolving and growing, eventually the customer will no longer want the product.” The Wilson building renovation and the opening of the Lemay Avenue Facility are major milestones in the development of Columbine Health Systems. Where the company goes from here is anybody’s guess, but the smart money is on its continued growth and success. “Bob Wilson is such a visionary,” says Myers. “He’s always ten years ahead of all of us.” “Sure, I have a vision for the future of this company,” confirms Wilson. “But that’s for me to think about; right now we’re staying focused on the next step.” The next step will bring exciting changes and opportunities, not just for the employees and residents of Columbine Health Systems, but for the whole community of Fort Collins.

Jason Clarke is an English teacher at TVHS in Loveland. He lives in Fort Collins with his wife Victoria, their son Jaden, and their daughter Jordan.

54-108.indd 96

7/28/06 1:21:24 PM

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Fort Collins Medical Magazine & Directories 2006

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~ ~

THE

GROUP INC. Res/ Estata

7/27/06 2:56:15 PM

INTENSIVe care

Dr. James Hoyt, (second from left), meets with the team of multiple disciplinary healthcare professionals prior to early morning rounds in the Intensive Care Unit at PVH, including Susan Keller (far left), Amy Chapman, Hope Gregg, Dr. Jack Collins, Trish Goshey, Aislinn Hamilton, and Amy Edwards.

PVH implemented a new team-based approach, called the Intensivist Program, to improve ICU treatment and achieve better patient outcomes.

poudre valley hospital

intensivist program

by Court Klinck

Each of us has likely either been in an Intensive Care Unit (ICU) ourselves, or has had a close family member or friend in one. Itâ&#x20AC;&#x2122;s not a real pleasant experience, even under the best of circumstances. ICU patients are the most seriously ill patients in the hospital. Examples are patients with severe pneumonia requiring use of a ventilator, overwhelming infections such as sepsis (potentially leading to kidney failure, low blood pressure, difficulty coagulating blood, and respiratory failure), cardiovascular problems, and serious trauma. The ICU patientâ&#x20AC;&#x2122;s desire, short of not being there in the first place, is to spend as little time as possible in ICU and leave fully recovered. This is also the goal of Poudre Valley Hospital (PVH). In October 2003, after six months of comprehensive planning, PVH implemented a new team-based approach, called the Intensivist Program, to improve ICU treatment and achieve better patient outcomes. PVH has two ICUs, both covered under the Intensivist Program: 1) Medical/Cardiovascular ICU (for patients with heart problems, pneumonia, and various other critical medical conditions), and 2) Surgical/Neurological ICU (for patients with trauma, strokes

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and post-surgery problems). Of PVH’s 240 total patient beds, 23 (just under 10%) are allocated to the two ICUs. (An additional 24 critical care beds will be added as part of the Medical Center of the Rockies, a Poudre Valley Health Systems hospital being built in Loveland. The Intensivist Program will be implemented in the new hospital as well.) Intensivists (doctors specializing in critical care) have been around for 20 years or so, but this specialty has become more generally recognized in the medical community over the past decade. The PVH Intensivist Program is led by Northern Colorado Pulmonary Consultants, a group of eight physicians - six who are dedicated to the PVH program and two who provide Intensivist services at Loveland’s McKee Medical Center ICU. These internal medicine doctors are highly specialized, having had three extra years of ICU-related medical training. Seven of the eight doctors have received the board certification, Pulmonologist/Intensivist; the eighth doctor has been through training and is eligible for the board examination. In addition to the doctors from Northern Colorado Pulmonary Consultants, the PVH Intensivist Program also includes ICU nurses (about one third of whom hold the Critical Care RN or CCRN designation) and a variety of medical specialists such as trauma surgeons, cardiologists, cardiovascular surgeons, respiratory therapists, pharmacists, rehabilitation specialists, medical social workers, registered dietitians, and other specialists as required. Two Intensivist doctors are on duty each day during the day shift (each doctor assigned to one of the hospitals two ICUs). The doctors check on their ICU patients twice a day (morning and afternoon rounds). The entire on-duty Intensivist team of doctors, nurses and other medical specialists meet in

Dr. James Hoyt and Dr. Diana Breyer, with Lydia Baldwin, ICU Nurse, practice the team approach to patient care implemented in the Intensivist Program as they check on a patient during morning rounds.

the morning once every day in collaborative session to review each patient’s condition, determine specific treatments, and set daily goals for improvement. Each ICU patient’s nurse knows what the daily patient goal is and can communicate this information to the patient’s family. (Patients in ICU “for observation” are not seen by Intensivists twice each day but are included in the daily collaborative sessions.) Typically, because of the complexity and severity of the medical condition, the ICU patient’s family doctor turns over patient care to the Intensivist until the patient is stabilized and leaves the ICU. In cases where the patient’s physician is a specialist (e.g. cardiologist, cardiovascular surgeon, trauma surgeon), the specialist usually continues in the lead role while the patient is in ICU. However, even when specialists are the lead doctors, the Intensivist Program team takes care of patient needs such as adjusting medication when necessary (e.g. when kidney problems develop). It is primarily the “team approach” to critical care that differentiates the Intensivist Program from traditional ICU treatment. Traditionally, doctors, nurses and specialists seldom meet together. This makes communications difficult and lessens the chance that inputs from all relevant medical specialties can be obtained; the result under the old system-less than optimum patient care and poorer outcomes. While programs similar to PVH’s are becoming more common in major U.S. metropolitan and university hospitals, PVH is still somewhat unique in that only an estimated 10-15% of the country’s hospitals have them. (When all of PVH’s Intensivist Program services are considered, the percentage of comparable programs in other hospitals may be even less.) Dr. James Hoyt is Medical Director of PVH’s ICU and heads up the Intensivist team. He’s been at PVH since 1995. Dr. Diana Breyer, another Intensivist team member, came to PVH in 1999 and is Medical Director of Respiratory Therapy. Melanie Roberts, Critical Care Clinical Nurse Specialist

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Trish Goshey, RN, Aislinn Hamilton, RN, and Amy Edwards, Pharmacist, listen to Dr. James Hoyt prior to morning rounds.

Dr. James Hoyt explains how the new PVH Intensivist Program is achieving better patient outcomes, while costs are reduced.

Dr. Diana Breyer emphasizes that the teamwork of doctors and nurses in the Intensivist Program creates a constant improvement in critical care at PVH.

(and CCRN), is the liaison between doctors and nurses. She has been at PVH for 22 years and is responsible for nurse education and training, implementation of new ICU procedures and systems, and a variety of other functions such as new equipment evaluation and acquisition. Dr. Hoyt sees the Intensivist Program as a great benefit to both the patient and PVH. The patient receives the best care possible from a diverse team of medical experts. His or her stay in ICU is often shorter, medical outcomes are typically better, and costs are usually less. From PVH’s perspective, the hospital’s primary goals of maintaining optimum hospital safety and quality of patient care are achieved. The Intensivist Program, has been shown quantitatively to be very successful based on a variety of data including mortality rates, incidents of medical complications (e.g. respiratory problems and infections), length of a patient’s stay in ICU, number of incidents of patients returning to ICU while still in the hospital, etc. Dr. Hoyt points out that about 40 PVH ICU patients each year survive who, statistically, should not have. These data indicate that PVH’s ICU performance is significantly better than standard medical expectations, and an improvement over ICU performance prior to the implementation of the Intensivist Program. According to Dr. Hoyt, by reducing the time that patients spend in ICU, the Intensivist Program, basically pays for itself. The ballpark cost per day, per bed, for ICU care is roughly 2 ½ to 3 times that for a regular floor bed. Reducing ICU costs helps PVH economically since a substantial percentage of ICU patients (e.g. 60-70% of cardiac patients) are on Medicare, which pays a fixed amount regardless of actual costs incurred. Dr. Hoyt makes it clear, however, that improved patient care, not cost reduction, is the primary focus of the program. “We are not going into this with a focus on reducing costs but, rather, on taking the best care of our patients. If they need a new piece of equipment, they’ll get it.” Dr. Hoyt further emphasizes, “When we make our ICU rounds, we’re not concerned one way or the other whether the patient is a homeless person or a CEO-they’re all the same to us. Dr. Breyer reinforces this emphasis on universally available excellent care. “You can still get us in the middle of the night no matter who you are.” There is a strong push at PVH for the continuing education and training of nurses. Each ICU has a nurse responsible for education and competency testing. A beneficial adjunct to the Intensivist Program (though not, strictly speaking, part of the program) involves a medical response team of nurses. In this operation, an ICU nurse, often accompanied by a specialist such as a respiratory therapist, responds to a call from a floor nurse when a regular hospital patient is experiencing a problem. The patient is checked, treated on the floor if possible, or, after consultation with a doctor, moved to ICU. This rapid response capability contributes to the overall improvement in PVH’s critical care performance.

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Dr. Hoyt and Dr. Breyer both praise Nurse Roberts’ contributions to the Intensivist Program. According to Dr. Hoyt, “Melanie makes the ideas of the team happen - from updating ICU protocols and providing training to the nurses, to acquiring needed equipment-she’ll get it done well and quickly.” Nurse Roberts plays a key implementation roll in three to four major ICU improvement projects each year. Ideas for these projects typically come from the scientific literature. When a treatment procedure is involved, preprinted “order sets” are created that provide nurses and others with standard orders for handling specific medical problems. Nurse Roberts is responsible for moving each order set through PVH’s procedure approval process and subsequently training hospital personnel affected by the new orders. She also plays a key role in auditing patient charts, gathering patient history and outcome data, and evaluating ICU performance trends. A big part of her job is buying new equipment. The PVH purchasing process is detailed and lengthy. She first is required to justify the purchase based on scientific evidence. Then she needs to weigh equipment cost against estimated improvement in patient outcomes. Finally, she presents the equipment proposal to the PVH Products Committee and, upon approval, obtains the funding necessary for purchase. Nurse Roberts emphasizes the role of teamwork in the achievement of excellence. “Our Intensivist Program doctors are outstanding and really care about patients. They work closely with nurses to make the team better and provide ever improving critical care. But neither the doctors nor nurses can get the job done alone. It’s the teamwork - the combined skills and knowledge - that makes us successful. That’s how we become world class.” Probably the best endorsement of PVH’s Intensivist Program is Nurse Robert’s characterization of the hospital’s ICU: “It’s a good place to be critically ill. I mean it’s not good to be critically ill, but if you are,……..” Can it be said any better?

Northern Colorado Pulmonary Consultants, P.C. Pulmonary Disease

James Hoyt, M.D.

2121 E. Harmony Rd., Ste 300

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Sleep Disorders

A teAm ApproAch to criticAl cAre

F O RT C O L L I N S

Court Klinck is a freelance writer living in Eaton.

Critical Care

Fort Collins, CO 80528

970.224.9102

Diana Breyer, M.D. Stan Gunstream, M.D. James Hoyt, M.D. David Kukafka, M.D. Rick Milchak, M.D. Mark Neagle, M.D. Mark Petrun, M.D. Eric Stevens, M.D. Kristin Wallick, M.D.

Diana Breyer, M.D.

LOVELAND 1808 N. Boise Ave. Loveland, CO 80538

970.461.9124

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high altitude sickness

Dr. Weixelman uses a pulse oximeter, which is placed on Tom Shandley with a finger clip, to measure the amount of oxygen in the blood, while using a stethoscope to hear the regularity of the heartbeat.

With the growing number of people living and recreating at 6,0007,000 feet and higher in Colorado, health care providers in the state are seeing a steady increase in altitude related illnesses.

altitude

medicine

by Court Klinck

Researching, diagnosing and treating altitude-related illness is a relatively new area of medical specialization. While the specialty is new, the signs and symptoms of High Altitude Sickness (also known as Acute Mountain Sickness) have been recognized for more than 2,000 years. Many medical problems are brought on or worsened when a person moves to, or visits, a higher-altitude location. Until somewhat recently, 10,000 feet and above was considered to be the altitude at which health problems might occur. Today, however, medical professionals specializing in altitude-related health care know that, for some people, symptoms can develop at altitudes as low as 4,000 feet. Furthermore, many more cases are now known to occur between 6,000 and 10,000 feet (as well as, of course, above 10,000 feet). With the growing number of people living and recreating at 6,000-7,000 feet and higher in Colorado, health care providers in the state are seeing a steady increase in altitude related illnesses. People are traveling quickly to high elevations without spending sufficient time for acclimatization. A person, for example, can leave sea level and arrive at a destination over

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Dr. Weixelman explains that she uses an EKG (electrocardiogram) to check heart functions and determine if the heart is oxygen deprived.

12,000 feet in one day, too short a time for the body to adjust. Janice Weixelman, Doctor of Osteopathic Medicine (DO), specializes in the study, diagnosis and treatment of altituderelated illnesses. She heads the Red Feather Medical Clinic, which has locations in Wellington and Red Feather Lakes. Helped by Poudre Valley Hospital in its start-up phase, the clinic is now entering its third year of operation, providing family practice and urgent care services in addition to its work in the area of altitude medicine. Dr. Weixelman brings a unique and diverse set of experiences to her altitude medicine specialization. In addition to her medical school training at Midwestern University in Chicago, she was an Emergency Medical Technician (EMT) for six years (starting at age 18), an Emergency Room Nurse for ten years, and is currently the Training Coordinator and team member of Larimer County Search and Rescue. She is also a member of the Wilderness Medical Society, a group of doctors, nurses and other health care providers that studies the effects of various environments on health. In describing the effect that altitude can have on a personâ&#x20AC;&#x2122;s medical condition, Dr. Fort Collins Medical Magazine & Directories 2006

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Weixelman uses, as an example, differences between patient examinations at her two clinic locations. “There can be an amazing difference in the examination of the same person at the different locations because of the effect of altitude. They may have a normal exam in Wellington at 5,200 feet, and a heart murmur with significant difficulty breathing (and not the shortness of breath from simple exercise) in Red Feather Lakes at 8,400 feet.” Dr. Weixelman advises that altitude can affect anyone at anytime; even being young, a long-time resident of Colorado, and having no medical problems doesn’t assure a person protection. “One year ago, on July 4th, I assisted in the recovery of a 17year-old young man who collapsed and died at 9,600 feet. This young man was born and raised in Denver, and did not have any prior medical conditions. The cause of his death was High Altitude Pulmonary Edema. Many people, including a number in the medical field, were shocked by this unfortunate event, believing that such an occurrence could only happen at higher altitudes.” Dr. Weixelman indicates that High Altitude Sickness is divided into three categories – mild, moderate and severe – and describes them as follows:

Mild Altitude Sickness Although a nuisance, this condition is not serious. It should not, however, be taken lightly. If ignored, the symptoms may worsen and progress to a moderate or severe condition. Symptoms will usually occur within 8-24 hours of arrival at elevation and may include headache, nausea, vomiting, loss of appetite, fatigue or weakness, dizziness or lightheadedness, and difficulty sleeping. If one or more of these symptoms occur in a person at altitude who has been drinking alcohol, it is difficult to determine if his or her symptoms are caused by altitude or alcohol. Mild altitude sickness is an indication that more time should be allowed for acclimatizing. This can be accomplished by spending one or two days at a lower altitude, then, when the symptoms subside, returning to higher altitude. It is extremely important to seek medical attention if symptoms persist despite taking Ty-

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lenol or Ibuprofen, or if symptoms become moderate to severe.

Moderate Altitude Sickness In this condition, the headache becomes more severe and resistant to conventional pain medicine. In addition to the symptoms of mild altitude sickness, breathlessness with exertion, decreased urine output, and loss of coordination occur. If these symptoms are present, the person affected must descend to a lower altitude immediately and seek medical attention.

Severe Altitude Sickness This is an uncommon condition but potentially fatal. It is most prevalent among people exercising at an altitude of 14,000 feet or higher, but is becoming more common at lower altitudes as more and more people are venturing into wilderness areas. Symptoms are similar to moderate altitude sickness but progress to breathlessness at rest, productive cough-often with frothy pink sputum, inability to sleep, and confusion. Anyone with severe altitude sickness must descend to a lower altitude immediately and go to the nearest medical facility. For patients planning to travel to high altitudes, Dr. Weixelman performs a medical survey and examination to identify underlying medical conditions that might contribute to high altitude sickness. She also determines if the patient has ever had health problems at altitude in the past, and identifies what high-altitude activities are planned. From this thorough analysis, she prescribes a specific program for the patient including suggested acclimatization schedule, hydration levels and, where appropriate, medication. To expand her services, Dr. Weixelman will be collaborating with the University of Colorado Health Sciences High Altitude Research Center to pursue further studies and make available additional testing modalities (e.g. using the centerâ&#x20AC;&#x2122;s hypobaric chamber to simulate different altitudes). Dr. Weixelman advises anyone travel-

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ing to high altitudes, especially those who have had problems with altitude in the past, to adhere to the following three-step program:

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Acclimate Gradual ascent is important. For example, a person flying into Denver from a low altitude may benefit from spending the first night in Denver or one of the Front Range towns. At higher altitudes, people should not overexert, especially in the first few days. When hiking or climbing in the back country, they should not ascend more than 1000 feet per day. Although there are no absolute rules, it is often beneficial to “climb high but sleep low.”

Hydrate: Dehydration may lead to altitude sickness. Those ascending to higher altitudes should drink enough fluids to allow them to produce large amounts of clear urine. They should start increasing their fluid intake before activity so that they don’t have to “catch up.”

Medicate: Gingko Biloba has been shown to help decrease the symptoms of altitude sickness. For it to be effective, it needs to be started 35 days before traveling to altitude. (Starting it before that time will not make it more effective.) The current recommendation is 100mg of Gingko Biloba twice a day, continuing it for at least a week after arrival at altitude. There are also some prescription medications that have been shown to be effective. People should consult their doctor about these. According to Dr. Weixelman, it is not medically safe for certain people to be at high elevations. Examples of concern are people with conditions such as: heart disease with uncontrolled rhythm irregularities, Congestive Heart Failure, Mitral or Aortic Stenosis, Pulmonary Hypertension, moderate to severe COPD (Chronic Obstructive Pulmonary Disease), complicated pregnancy, uncontrolled hypertension, and sickle cell disease. People with these or any other significant medical problems, especially those related to the heart and lungs, should check with their physician before leaving for higher altitudes.

Dr. Weixelman’s leaves us with these final thoughts: “Preparation for any kind of recreation in the high country can help prevent an outcome that may cut short your trip. A few simple precautions can make your stay in the mountains a pleasant one. Be careful, always be aware of your condition, and enjoy the mountains.”

Court Klinck is a freelance writer living in Eaton.

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2627 redwing rd, ste 220 fort collins, co 80526

PRST STD US POSTAGE PAID Permit 266 Ft Collins, CO

CHANGE SERVICE REQUESTED

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