2007-01 Northern Colorado Medical & Wellness Magazine and Banner Health Physician Directory by Style Media & Design, Inc.

medical wellness $7.00

Loveland /Greeley

magazine / director y 2007

A S T Y L E M E D I A A N D D E S I G N , I N C . P U B L I C AT I O N

E S T. 1 9 8 4

••••

•••

•

PROVIDING SoLUTIONS FoR: EMPLOYEE BENEFITS • RETIREMENT PROGRAMS INDIVIDUAL LIFE, HEALTH & LoNG TERM CARE

2 01.2007 Loveland Greeley Master.2 2

Lydia's STYLE Magazine

1/3/07 10:06:39 AM

••••

•••

•

Board certified by the American College of OB/GYN

New Name, Same Faces, Same Care. 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

The(~ Women's Clinic o/ f/orlhern Lo!orado

01.2007 Loveland Greeley Master.3 3

Angela King M.D.

Susan Kozak M.D.

Phil Priebe M.D.

Gary Ludwin M.D. Ransy Lee Jeffrey M.D.

Kevin Tool M.D.

Elizabeth Serniak M.D.

Michelle Tollefson M.D. Darla Eisenhauer M.D.

1106 East Prospect Street Fort Collins, Colorado 80525 4674 Snow Mesa Road, Ste 200 Fort Collins, Colorado 80528 2695 Rocky Mountain Ave ., Ste 200 Loveland , Colorado 80538 (970) 493-7442 www.fcwc.com

1/3/07 10:06:43 AM

When Medical Center of the Rockies opens in February 2007, there will be a whole new view of health care in Northern Colorado. With the same world-class, compassionate care you 've come to expect from Poudre Va lley Health System, Medical Center of the Rockies wi ll be a fu ll-service hospital with the region 's most advanced cardiac and trauma care. Come see for yourself! PUBLIC OPEN HOU SE Saturday, February 3, 2007 10:00 am - 6:00 pm

MEDICAL CENTER OF THE ROCKIES PART OF THE

01.2007 Loveland Greeley Master.4 4

POUDRE VALLEY

HEALTH

SYSTEM

FAMI LY

1/3/07 10:06:52 AM

•

Paolo Romero

Anne Kanard

•••

Regina Brown

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

970.493.6337

•

AMERICAN GEM S 0 C I E T y•

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.5 5

5 1/3/07 10:07:03 AM

Having a baby is one of the most important journeys in a woman's life. At McKee Medical Center, we go to great lengths to make sure that it is a special time for mother, baby, and the entire family. Our Family Birthing Center is dedicated to your health and comfort with amenities like jetted tubs and beautiful, new birthing suites that offer the convenience of staying in one room throughout labor, delivery, recovery and post-partum care. When it comes to the rest of your family, there's plenty of room for visiting siblings and a comfortable place for dad to spend the night. For babies with special needs, our Level II Nursery provides some of the most amazing care available. We even offer private lactation rooms and personalized instruction so mom and baby can get started on the right path. McKee Medica] Center. Remarkab1e hea1th care inspired by you.

Banner Health

McKee Medical Center 2000 N. Boise Ave. â&#x20AC;˘ loveland (970) 669-4640

Physician information: www.BannerHealth.com or 800-505-6877 Job opportunities: www.BannerHealth.com or 866-377-5627

01.2007 Loveland Greeley Master.6 6

Banner Health is the leading provider of nonprofit health care in northern Colorado.

1/3/07 10:07:16 AM

ORS

6™

STACKING RINGS

(Starting at $525) Change by Day Change by Night Change by Mood Change A nytime!

Gl; ~

I rTeJ;:veh

Je~ho . ~1/ r · '7/"ZZ£7'/--2 __r

T(J.e124Plaza at F . F l\ oothills Mall

'· 1onroe -D nve . 226-5808

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.7 7

1/3/07 10:07:24 AM

medical wellness

Loveland /Greeley

2007

magazine / director y

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/EDITOR Lydia J. Dody

CREATIVE DIRECTOR Austin J. Lamb ASSISTANT EDITOR Corey Radman PHOTO EDITOR Eric Goins

GRAPHIC DESIGNER Kerensa Fannon SALES MANAGER Saundra Skrove (970) 217-9932 ADVERTISING SALES EXECUTIVES Jon Ainslie (970) 219-9226 Barbara Burkett (970) 631-3599 Karen Christensen (970) 679-7593 Lydia Dody (970) 227-6400 OFFICE MANAGER Ina Szwec ACCOUNTING MANAGER Karla Vigil DATA ENTRY Betty Frye CONTRIBUTING WRITERS Alice Ashmore, Lynn M. Dean, Beth A. Herman, Court Klinck, Maryjo Faith Morgan, John Penney, Corey Radman, Dr. Ralph R. Reynolds, Kay Rios 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 2007 Style Magazines January-Loveland/Greeley Medical & Wellness Magazine and Directory February-Building & Remodeling March-Family, Community & Nonproﬁt March-Northern Colorado Medical & Wellness April-Business of Northern Colorado May-Home & Garden June-Business to Business June-Building & Remodeling July-Fort Collins Medical & Wellness Magazine and Directories August-Women & Business September-Home Interiors & Entertainment October-Women’s Health & Beauty October-Northern Colorado Medical & Wellness November-Holiday December-Winter/Wedding December-Northern Colorado Christian Magazine and Directory 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 newsstand price). Free magazines are available in stands at 75 locations throughout Northern Colorado. For ad rates, subscription information, change of address, or correspondence, contact: Style Media and Design Inc., 211 W. Myrtle, Fort Collins, Colorado 80521. Phone (970) 226-6400, Fax (970) 226-6427. E-Mail: Editor@StyleMedia.com or LydiasStyle@aol.com ©2007 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.

8 01.2007 Loveland Greeley Master.8 8

1/3/07 10:07:31 AM

on the cover physicians McKee Medical Center, Loveland Edward A. Norman, MD, received both his BA & MD from the University of Colorado and served a residency in internal medicine at the University of Wisconsin Medical School. He is board certified in internal medicine, and is currently a hospitalist at McKee Medical Center Curtis L. Markel, MD, has a BA from Colorado College and his MD from University of Colorado. He served a residency in radiology and completed a fellowship in body imaging at the University of New Mexico Health Sciences Center School of Medicine. He is board certified in radiology and is a radiologist at the McKee Breast Center. Karla F. Loken, DO, completed her BA at Augustana College and her DO at Des Moines University. She completed two OB/GYN residencies at Garden City Hospital and St. Joseph Mercy-Oakland Hospital and is a board certified OB/GYN. She is the OB/GYN at McKee’s Center for Women’s Health.

Mark E. Dixon, MD, received his BS from State University of New York at Buffalo and completed his MD at Harvard Medical School. He completed two residencies; one in general surgery at Johns Hopkins Hospital and a second in emergency medicine at Thomas Jefferson University Hospital. He is board certified in emergency medicine and serves as Emergency Department Medical Director at McKee Medical Center.

North Colorado Medical Center, Greeley Cleon W. Goodwin, MD, completed his medical degree at University of Pennsylvania School of Medicine, where he also served his residency in general surgery. He was the Johnson and Johnson Distinguished Associate Professor of Surgery at Cornell University Medical College and also Professor and Chief of Surgical Critical Care Services at Johns Hopkins Medical. He is now Director of the Western States Burn Center at NCMC.

Paul S. Hiratzka, MD, completed his medical degree at University of Iowa and served an OB/GYN residency at University of New Mexico. He is board certified in obstetrics & gynecology, and is a fellow of the American College of Obstetrics and Gynecologists. He serves as a Board of Trustees member at NCMC. Jim H. Beckmann, MD, has a private practice, North Colorado Heart Associates, and practices medicine at multiple facilities including NCMC. His MD was completed at the Medical College of Georgia in Augusta. He served his residency in internal medicine at the University of New Mexico and is board certified in internal medicine with a subspecialty in cardiovascular disease. He is currently Medical Director of Cardio Vascular Services for NCMC. Lisa K. Burton, MD, has a private practice, Surgical Associates of Greeley, and also holds privileges at NCMC. She received her MD from the University of Colorado at Denver, served a residency in general surgery at Baylor University Medical Center and is a board certified surgeon.

• DOMESTIC & FOREIGN COLLISION & MECHANICAL REPAIR • COMPLIMENTARY LOANER CARS AVAILABLE • ALL INSURANCE WORK WELCOME

KEEP THE CHILDREN SAFE IN THE FAMILY SLEIGH!

Where quality reflects in everything we do

“Keep your family winter wagon in tip-top shape... let our caring & credited staff service your automobile today!” - Peter Weeks - Owner

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.9 9

970.484.3657

407 Riverside : Fort Collins

9 1/5/07 9:01:31 AM

page 53

table of contents

medical wellness Loveland /Greeley

magazine / director y 2007

MMC: EMERGENCY SERVICES: Door 2 Doc

page 57

NCMC: BURN CARE: Western States Burn Center

page 61

UROLOGY: Local Center of Excellence for Urology

page 12 Publisher’s Letter

page 17

on the cover are featured

leading physicians serving Northern Colorado at North Colorado Medical Center, Greeley and McKee Medical Center, Loveland. Read physician biographies on page 9. Cover photos by Eric Goins.

MCKEE AWARDS & RECOGNITION: Leadership Breeds Success

page 21

page 62

MMC: PATHOLOGY: FISH Technology: A Tool in Cancer Diagnosis

page 64

ORAL & FACIAL SURGERY: Orthognathic Facial Reconstructive Surgery

NCMC: CARDIOVASCULAR page 68 INSTITUTE OF NORTH INJURY & RECOVERY: Injury COLORADO: Top-Ranked & Recovery Denzel Style Cardiovascular Care

page 24

NCMC: SURGERY TECHNOLOGY: Robotic Surgery Operating the Future

page 73 wellness section page 75

MMC & NCMC: MAMMOGRAPHY: MMC: DOCTOR PROFILE: Don’t Wait! Mckee’s Center for Women’s Health Welcomes page 80 THE ENVIRONMENT & Home Dr. Karla Loken YOUR HEALTH: Living Green Inside page 32

page 28

NCMC: TRAUMA SERVICES: Airlife Turns Twenty-Five!

page 37 medical directory page 50

ASTHMA: Understanding, Treating & Managing Asthma

page 82

NCMC: CHILDREN’S HEALTH: Local Program Targets Obesity in Youth

page 86

MMC: HEALTH & FITNESS: Resolve to Stay Fit & Healthy This Year

page 88

NCMC: WOMEN’S HEALTH: Spirit of Women Focuses on Health Issues The enclosed articles in this issue of Loveland/Greeley Medical Wellness Magazine/ Directory are for your general knowledge and not as a substitute for medical advice or treatment. If you have any questions or concerns about your health, please contact your doctor or health care provider.

88 10 01.2007 Loveland Greeley Master.10 10

1/5/07 9:02:33 AM

Make your legs one of your best features. You've been wanting to do it for a while. Those varicose veins have been making you feel less than confident about showing your legs. If you've been avoiding treatment because you think your only option is surgery, we've got good news for you. We offer a laser procedure with no surgery, no downtime, no scars, and no hospital stay. Your insurance may even cover the procedure. Find out more by contacting our highly

experienced team at 970-378-4100 for a free screening exam to determine if this leading edge procedure is right for you. Appointments also available in Johnstown and Windsor. Call for details. Kenneth Richards, MD, FACS Todd Bruce, PA-C

Banner Health

North Colorado Medical CenterÂŽ Vein Clinic 01.2007 Loveland Greeley Master.11 11

1800 1 5th St. #340 â&#x20AC;˘ Greeley www.BannerHealth.com Keyword: NCMC Banner Health is the leading provider of nonprofit healthcare in northern Colorado 1/3/07 10:08:55 AM

publisher’s

letter

Banner Health touches many lives in our region and we are fortunate to have this organization providing health care to our communities. We salute their excellent physicians at McKee Medical Center in Loveland and North Colorado Medical Center in Greeley and are honored to have them recognized on this 2nd annual Loveland/Greeley Medical and Wellness Magazine cover. As we produced this issue, I was again reminded of the exceptional caliber of physicians and health care providers in our area. Many of our specialists have extensive specialty training, supplementary experience and notable credentials they bring to our communities. Some even have national recognition they bring to the award winning Banner facilities. Together with a keen focus on patient satisfaction, Rick Sutton, CEO at McKee Medical Center and Gene O’Hara CEO for North Colorado Medical Center orchestrate exceptional professionals, state-of-the-art facilities, and leading edge technology to provide the highest level of care to our region. As baby boomers age, issues of health, wellness, and healing are becoming more and more important to our readers. Addressing this keen reader interest, we are very excited to announce that we will be bringing you four Medical and Wellness issues in 2007; January, March, July and October. Each issue will be packed with informative articles pertaining to disease management, health care services available, professional profiles and maintaining wellness. Two issues, January and July will continue to include our easy- to- use Physician Directories. We hope you find the articles in this issue timely, informative, and useful for you and your family’s health management. Wishing each of you love, joy, and good health,

12 01.2007 Loveland Greeley Master.12 12

1/4/07 8:14:26 AM

At McKee Medical Center, we have the people and the technology to get you a quicker diagnosis, so you can move on with your life sooner. Recognized by the American College of Surgeons Commission on Cancer, we lead the way as the first hospital in northern Colorado to acquire the advanced F.I.S.H. DNA technology. This system can more easily detect genetic abnormalities common in many cancers. Driven by these diagnostic innovations, along with our wide variety of treatment options and support groups, we can help steer you toward a better life. McKee

Medical Center. Remarkable health care inspired by you.

Banner Health

McKee Medical Center 2000 N. Boise Ave. â&#x20AC;˘ Loveland (970) 669-4640 Physician information: www.BannerHealth.com or 800-505-6877 Job opportunities: www.BannerHealth.com or 866-377-5627 Banner Health is the leading provider of nonprofit health care in northern Colorado.

01.2007 Loveland Greeley Master.13 13

1/3/07 10:09:26 AM

D N C R, Dear ortherN ColoraDo eaDer We N stated more than 18 monthsrago that, we were

Rick Sutton, MS, FACHE Chief Executive Officer McKee Medical Center

going to As I approach my first that anniversary as Chief at concentrate on 5 Priorities would enable us Executive to becomeOfficer the Best McKee Medical Center, a Banner Health facility, I am honored to be Hospital in Northern Colorado, Banner Health and the nation. associated with suchwere: an outstanding medical team, and to lead this Those priorities organization into the future. Employee Engagement We all are very aware that the health care environment we live in Patient Satisfaction is about to change I assure you that the McKee team will Quality Healthdramatically. Care meetPhysician that change, and continue to deliver high-quality, compassionate Friendly Environment health care to Strength the people of Loveland and surrounding communities. Financial McKee beendiligent providing care We havehasbeen in the ourLoveland focus oncommunity these areaswith and health have seen for the past 30 years. Many of you were born at McKee, and probably unprecedented results. moreEmployee of you have received health McKee over our the past three Engagement – In care one atyear we saw employee decades. We have always been the community hospital for Loveland, engagement score move from 54 percent to 72 percent. We are able to and have established this community. recruit and retain thevital bestrelationships staff even inwith a national health care worker Yet, we recognize that even as the landscape so must McKee. shortage situation. What’s better is that changes, we have other health care We have a world class team at McKee, and we are prepared to move providers waiting for opportunities to join the McKee team. forward. BeSatisfaction assured your hospital team provides care in all Patient – Currently, we are in the excellent top 3 percent of all aspects ofin thethe health care in continuum. We have made, andseriously will continue hospitals country patient satisfaction. We take what to make, strategic decisions move us into future, and our put our patients say about us andthat are will always looking forthe ways to better your hometown hospital in a position of continued strength. organization. We have ofcompiled five everyone at we McKee has Speaking the nation, wepriorities submittedthat our story of how focus and committed toward, with outcome quality deliver on theto5 work Priorities, and it wasthe selected as oneofofincreased only six “Success care and wonderful hospital experience at the The five areas Stories of athe Year” in the nation. We received officore. cial recognition and are: Employee Engagement, Patient Satisfaction, Quality Outcomes, presented our story at the National Press Ganey annual convention in Physician and Financial Strength. New York Friendly City in November. We are committed to ensuring all the stafftop at McKee are in highly Although we have been able tothat reach 3 percent the engaged, determined and committed to give you the best care possible. country, you can count on us to continue to improve and drive McKee We believe thattohaving highly Medical Center an even higherengaged level. staff results in the ability to provide higher quality care, lower turnover, increased productivity and Quality Health Care – I am proud to say that the level of health a more organization care youeffective will receive at McKeeoverall. is second to none. We, along with other We also are concentrating on our to patient make hospitals, monitor 18 quality initiatives give ussatisfaction an idea onto how we your experience at McKee one of the best in the country. At McKee are doing. McKee scores are rock solid! On 10 of the 18 initiatives, we are compared nationally other hospitals in theand country, are McKee scores in the top 10 topercent of the nation, on theand other consistently the top of allaverages. hospitals participating in eight, McKeeplacing scores in above stateone-third and national the patient satisfaction Physician Friendly survey. Environment – Our most recent physician Of utmost importance our ability to deliver care, satisfaction survey moved usisfrom 34 percent to 74quality percenthealth compared and according to our metrics, you can be assured that quality health nationally. We continually work with our physicians to ensure that care hospital is something you will receive at ourtohospital. the is anthat efficient place for them practice and that their We also that our care staff members are highly trained that patients willensure have superior during their stay. We have and worked we provide state-of-the-art technology so you receive the best health hand-in-hand with local physicians to bring additional providers to carearea in the market.that Youthere deserve that, andphysicians at McKeetoMedical the to ensure are enough provide Center, care to thatgrowing is what you will experience. our community. We also continue to grow programs with our We alsoand continue to work hand-in-hand our physicians to physicians, beginning this year you will see with us expand our presence ensuregeographically they are pleased theincare patients receiving. We are both as with well as thetheir numbers andare size of our existing making sure that all necessary equipment and supplies are available to programs. them as they provide care tothe thisstewardship community.of this organization Financial Strengthhealth – Through McKee to be financially strong dueand to the the we have beencontinues able to continually invest in McKee willsupport continueofinto community, physicians, and staff, and we’re well prepared to grow with the foreseeable future. One example is the Legacy II expansion project this community in the which is just under way.future. We are building a new and larger Emergency It boils down this: Yournew community is a physician Department, a newtoPharmacy, Laboratory,hospital Outpatient area, and friendly facility, employing highly engaged staff members that provide renovating the operating rooms. We are committed to ensuring that the highest level has of quality your family. our community the besthealth healthcare caretoinyou theand nation and are willing to Wetowill to ensure that you will not have a better health invest takealways us to strive that level. careIexperience thansee thethat oneMcKee you will have atCenter McKee. Qualitytoward health think you can Medical is moving care atthe your hometown hospital – that’s what we’re all about. being Best Hospital in Northern Colorado, Banner Health, and the nation. May God Bless you, the United States Military, and the United States of America. Sincerely, Rick Sutton Sincerely, Chief Executive Officer McKee Medical Center Rick Sutton Chief Executive Officer McKee Medical Center

12 14 zzz.indb 12 01.2007 Loveland Greeley Master.14 14

1/26/06 5:52:43 pM 1/3/07 10:09:36 AM

zzz.

:43 pM

Dď?Ľď?Ąď?˛ Nď?Żď?˛ď?´ď?¨ď?Ľď?˛ď?Ž Cď?Żď?Źď?Żď?˛ď?Ąď?¤ď?Ż Rď?Ľď?Ąď?¤ď?Ľď?˛, Dear NortherN oloraDo reaDer , Wellness magazine The 2007 issue of theCLoveland/Greeley Medical

Colorado Medical (NCMC) recently celebrated its and North directory is the result of Center collaboration between North Colorado 100th anniversary of providing quality health care service and leadership Medical Center (NCMC), McKee Medical Center, Banner Health, and for the residents of Greeley, Countyvaluable and northeastern Colorado. Style Media and Design, Inc.Weld It provides resource information Thousands of people in Weldhealth County, western about community and regional carenorthern services asColorado, well as directories Nebraska andwellness southeastern Wyoming havewill experienced the quality of health and providers. I hope you keep a reference copy health provided by NCMCâ&#x20AC;&#x2122;s caring and medical staff. for yourcare health care needs throughout theemployees year. Foris over 100 years, Colorado Medical Center hasthebeen Th issue comes to youNorth at a time when NCMC is celebrating 1st dedicated toofmedical excellence, anda signifi community service. A Anniversary the completion andeducation opening of cant patient care Colorado landmark since 1904, NCMC, a Banner Healththat facility, is now services facility expansion. An environment was created enables us a standard by which can be measured. to provide our region21st withcentury the bestmedical health centers care experience possible. Theroughout NCMC,2006, Inc. Board of Directors Health facility began Th the programs offeredand in Banner the expanded planning and in 1999,totothe meet the growing population have grown in preparation, the services provided residents of the region. The and health careInstitute needs inofour service regionis aforpremier a second century ofa CardioVascular North Colorado site featuring service. planning of vascular NCMCâ&#x20AC;&#x2122;s Second Project with led to the full rangeThe of cardiac and services allCentury in one location stateconstruction and opening of acardiovascular new Emergency Department 2003; of-the art advanced diagnostic equipment. The in Monfort a new comprehensive Cancer in 2004; and over a new2,400 patient care Family Birth Center staff andInstitute physicians delivered babies services expansionand in December, in the expanded renovated 2005. department. We were able to locally recently CardioVascular care The for infants withopened special expansion needs in theincludes expandedtheneonatal intensive Institute of North Colorado featuring a full range of new cardiac and care nursery. Over 7,200 surgeries were performed in the surgical vascular services in oneservice location thefor most advancedminimallydiagnostic complex. Roboticallsurgery waswith added performing cardiology equipment in northern The Monfort and Family Birth invasive weight loss surgeries as Colorado. well as gynecological prostate Center has been with comfort-enhanced spacious rooms and procedures. The expanded implementation of sophisticated monitoring systems neonatal intensive care surgical needsofofIntensive patients Care. are met in enhanced our ability tonursery. care for The patients in need twelve (12) new Surgical Suites, Pre-op area, Post Anesthesia North Colorado Medical CenterAssessment is the largest, single-campus and Post Surgical Robotic will be the latest surgical healthcare facility Care in theareas. region with a surgery comprehensive scope of services advancement offered in early 2006. A new Intensive Care Unit with 16 providing world-class quality of care to the communities we serve. We private bedsthat, and insophisticated monitoring systems the for each patient is are proud 2006, others have recognized quality service provided as provided bywell. designating NCMC with a variety of honors. Just a few Comfort and convenience is provided for our guests in familyof those include: friendly areas, welcomeoncenter, retail pharmacy, shopCare and â&#x20AC;˘Thewaiting Joint Commission the Accreditation of gift Health cafĂŠ. Over 100 new private rooms can be available to meet patient needs. Organizations granted full, three-year accreditation following their Specialsurvey lift systems in the of each room help ensure patient and 2006 of health careceiling practices at NCMC staffâ&#x20AC;˘Total safety.Benchmark A comfortable alcoveLLC, area an allows family and friends to stay Solution, independent healthcare rating with patients overnight if desired. company, rated the CardioVascular Institute in the top 1% of hospitals With completion of thecare $128 million Second Century expansion, nationwide for heart attack North Centerreceived is transformed into as thea largest, most â&#x20AC;˘ThColorado e Cardiac Medical Alert program designation Health-Care comprehensive, state-of-the-art health careColorado facility inBusiness the region. Hero Award recipient from the Northern Report Bute excellent patient Institute care is more than aa modern facility. Itâ&#x20AC;&#x2122;s â&#x20AC;˘Th CardioVascular was named 2006 CareScience peopleâ&#x20AC;&#x201D;doctors, nursesQuality and hundreds medical professionals and Select Practice National Leader inofthe category of heart failure, volunteersstroke â&#x20AC;&#x201C; all committed to medical excellence. ischemic and pneumonia Medical excellence measured, in part, by patient feedbackaward about â&#x20AC;˘Th e Cancer Instituteis Tumor Registry received a gold standard our â&#x20AC;˘Th service and recognition by state and national organizations for e Bariatric Surgery program continued its Center of Excellence the world-class careAmerican provided.Society NCMC is proud Surgery of our recognition as designation by the of Bariatric a Colorado Performance Excellence Awardprogram recipient in 2005 NCMC and the â&#x20AC;˘The Colorado Performance Excellence designated designation of the Bariatric as a Timberline Level award Surgery recipientprogram as a Center of Excellence by the American of Bariatric Examples likeSociety these recognize theSurgery. quality of care patients can expect and manyatother awards are significant recognitions fromThese an experience NCMC. Threceived ese achievements are a result of the and achievements. it is the day-to-day excellence of over commitment of our However, doctors, nurses, hundreds of medical professionals 350 volunteers physicians atand medical staff and 2,700 employees that and NCMC who aremembers all committed to medical excellence results in providing the highest quality services to patients, families and in the care of our patients. guests. We have made great strides this past year in living our vision of We recognized are honoredasthat thousands of people haveby chosen NCMC for â&#x20AC;&#x153;being a national healthcare leader providing world their quality, care. We are committed continuing to excellence.â&#x20AC;? make a difference in class service, technologytoand operational peopleâ&#x20AC;&#x2122;s livesyou through excellent patienttocare. I thank for the opportunity meet your health care needs. Over our 102 years of service, we are honored that thousands of people have chosen NCMC for their care. Sincerely, Sincerely, Gene Oâ&#x20AC;&#x2122;Hara Chief Oâ&#x20AC;&#x2122;Hara Executive Officer Gene NorthExecutive ColoradoOffi Medical Chief cer Center North Colorado Medical Center

Loveland/Greeley Medical Magazine & Directory 2007 zzz.indb 13 01.2007 Loveland Greeley Master.15 15

Gene Oâ&#x20AC;&#x2122;Hara, PharmD Chief Executive Officer North Colorado Medical Center

13 15 1/26/06 5:52:53 pM 1/3/07 10:09:45 AM

At the CardioVascular Institute of North Colorado, we have the power to change the course of your life. In fact, we're ranked in the top I% in the nation by Total Benchmark Solutions for heart attack care. Our highly specialized teams use world-class technology, like our 64-slice CT scanner, to provide the clearest possible picture of your overall heart health. In addition, our Cardiac Alert Program, recognized regionally for health care excellence, offers quicker care for emergency heart situations due to outstanding coordination between paramedics, cardiologists and the ER. All of this means there's no reason to go anywhere else for leading heart care.

North Colorado Medical Center. Your place for powerful medicine.

Banner Health

CardiaVascular Institute of North Colorado Âˇ 1801 16th Street â&#x20AC;˘ Greeley (970) 352-4121

Physician information: www.BannerHealth.com or 800-505-6877 Job opportunities: www.BannerHealth.com or 866-377-5627 Banner Health is the leading provider of nonprofit health care in northern Colorado.

01.2007 Loveland Greeley Master.16 16

1/3/07 10:09:56 AM

MCkee awards & reCogNitioN

Rick Sutton, MMC CEO and Sandy Scott, Director of Service Excellence display awards.

Do you love your job? Do you go to work

excited by the leadership and the direction your

company is taking? The staff at McKee Medical Center does, and CEO,

Rick Sutton is proud of their achievement.

leadership

breeds success by Corey Radman

Since taking over the role eighteen months ago, he and the McKee leadership team have developed and implemented an innovative plan to achieve five key goals. As a direct result of this inventive and inspirational leadership approach, McKee Medical Center has won multiple honors in 2006 including the Colorado Performance Excellence Award, and the national Press Ganey Success Story Award. Press Ganey Associates is a national reporting agency which provides support and information essential to the assessment and enhancement of the health care experience. This award was one of only six given nationally and

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.17 17

McKee is the only 2006 winner in the Western United States. Here’s How They Did It: McKee’s Leadership Team formulated a plan that was easily understood by all their staff from top to bottom of the organization. They developed five priorities, which speak to the business goals and supported their staff in achieving those goals by setting some basic ground rules. Says Sutton to employees, “You have the authority to say no if an assigned task does not in some way address these priorities.”

1 1/3/07 10:09:59 AM

Colorado Performance Excellence Award

Press Ganey Success Story Award

According to Sutton, the rules are “non-negotiable,” and apply to every staff member. By building a “no excuse” environment, McKee employees are expected to assist whenever and wherever they can. Sutton says, “I’m not qualified to insert an IV but I can certainly pick up trash in the parking lot. And, I do that frequently.” The phrase “that’s not my job” will not cut it in Sutton’s view. Other expectations include managing up by looking for moments to champion teammates, and keeping an open mind to all new suggestions. It was through this willingness to consider new ideas that the emergency department innovated the “Door 2 Doc” program whereby patients now see an average 18 minute wait time compared to a national average of 45 minutes. The Five Priorities are: 1. Employee Engagement – Sutton made very deliberate decisions to ensure that every staff member was “on the bus and in the correct seat.” Meaning that all employees know what the priorities are; they know their role in the plan; and have confidence that they can implement it. Sandy Scott, Director of Service Excellence explains that they have quarterly off-site employee celebrations to give employees opportunities to socialize and commemorate their combined successes. Other employee incentive programs include “Small Wins” where employees can nominate each other for small accomplishments. The 40-60 weekly winners are recognized by Service Excellence staff and their peers with small rewards. Best of all, the written records are saved in employee files for future reviews. Another very successful program has been the “You’re Worth a Million” incentive. Managers have specially printed Million Dollar bills (with CEO Sutton’s picture on them) and can hand them to employees whose work is exemplary. Employees can spend their “Millions of Dollars” on specialized McKee merchandise available only at the marketplace like McKee fleece jackets or stethoscope covers with McKee logos. 2. Patient Satisfaction – McKee’s patient satisfaction scores are through the roof. Scott states, “According to reported scores from Press Ganey (which administers the largest national health care survey), we continue to be in the top 1% for all areas of tracking.” Sutton adds that this is a huge turn-around in the last 18 months. McKee had previously been in the bottom 13% of the rank-

ings. McKee tracks patient satisfaction from the time you park your car to well after you leave the hospital. They strive to not only make sure that each patient had an excellent experience but has built a loyalty to the staff there and will be certain to return. They do this by ensuring that all staff are empowered to help in any way they can. Phrases as simple as, “Good morning, good night, please, thank you, and what else can I do for you?” are stressed among all staff and ensure that all patients receive the care and attention they expect. Scott notes that we currently exist in an Experience Economy, meaning that people expect advanced, customized, services that appeal to the senses. On surveys with ratings from 1 to 5, McKee consistently gets solid 5’s, which places them in the 99% on patient satisfaction surveys.

We continue to be in the top 1% for all areas of [patient satisfaction] tracking. – Sandy Scott, Director of Service Excellence This means that they provide superlative service and build loyalty among their patients. Scott adds that any survey that doesn’t score straight 5’s is noted and patterns are immediately addressed. Because employees are required to know their scores and check them daily, slumps can be corrected quickly. 3. Quality Health Care - this is non-negotiable at McKee and impressive. “On 18 publicly reported quality measures that compare all hospitals, McKee had 10 of the 18 initiatives come in at the top 10% across the nation. The other eight were above state and national averages,” says Sutton in an employee memo. McKee staff are striving to ensure that always, above all else, patient care is the best. 4. Physician Friendly – At the beginning of the planning process Sutton asked, “What can we do to make McKee the only hospital where a doctor would want to hold privileges?” Through

leader presence and visibility, care and attention paid to surveys, and other measures, physician satisfaction survey scores improved 89% over a three-year period. McKee Medical Center has recently partnered with Big Thompson Medical Group, the largest medical practice in Loveland. Sutton summarizes that by working together instead of competing against one another, they can share resources and dollars while empowering physicians to bring care to the next level. 5. Financial Strength - this is the final driver for success. As McKee grows, they continue to keep an eye on the bottom line and are confident that their market share will grow on the foundation of the strengths that they have built. “Walk the halls here and ask any employee from housekeeping staff to a physician if they know the five priorities and they can tell you what they are. And not only that, they can explain how they fit into the plan, and what their role is,” says Sutton. These drivers for success were vital in light of increased hospital and physician competition and high growth. By focusing their plan, McKee has distinguished itself as a market leader within the region. The outstanding communication with all of the team has certainly been vital in raising employee satisfaction and thus patient satisfaction. Leadership that requires supervisors to round daily on their staff rather than being locked away in offices is another practice Sutton encourages. One saying he keeps in mind is, “Visibility leads to credibility; credibility leads to trust.” He leads by example in this way and credits it as a large part of the hospital’s success. What’s Next? “2007 is going to be a phenomenal year for McKee. We’re going to lead the market and grow. McKee, which has always had great services is now going to let the world know we’re here,” says Sutton. With rock solid foundations set, McKee is positioned to expand their market share beyond Loveland and Larimer County into Northern Colorado. As Sutton says, “We’re just warming up.”

Corey Radman is the Assistant Editor for Style Magazine.

18 01.2007 Loveland Greeley Master.18 18

1/3/07 10:10:25 AM

Digital mammography will make you feel more confident about your breast health. Our Breast Center at Summit View Medical Commons is the first health care provider in northern Colorado to offer the latest in breast health technology - full-field digital mammography. With this state-of-the-art innovation, you can now benefit from less radiation exposure, shorter exam times and enhanced image clarity resulting in up to 28% more breast cancer being detected. Early detection is the best way to protect yourself from breast cancer. The American Cancer Society recommends an annual mammogram for every woman 40 and over. Feel confident about your breast health. Schedule your annual mammogram by calling 970-350-6082. Self referrals are welcome.

Banner Health

North Colorado Medical Center Breast Center

Appointment: 970-3 50-6082 Summit View Medical Commons 2001 70th Avenue â&#x20AC;˘ Greeley www.BannerHealth.com Keyword: NCMC

North Colorado Medical Center is a Spirit of Women hospital. Banner Health is the leading provider of not-for-profit health care in northern Colorado. 01.2007 Loveland Greeley Master.19 19

1/3/07 10:10:29 AM

North Colorado Medical Center provides surgeons with the most highly advanced robotic surgery equipment avaliable. Minimally invasive surgery using the daVinci® sn' Surgical System can reduce your hospital stay with less pain, scarring and discomfort. Best of all, robotic surgery provides a faster recovery time and a quicker return to normal daily activities. With the daVinci® STM Surgical System, North Colorado Medical Center is performing weight loss surgeries as well as gynecological and prostate procedures. Visit BannerHealth. com (keyword: NCMC) to learn more.

Banner Health

North Colorado Medical Center" 01.2007 Loveland Greeley Master.20 20

1801 16th Street • Greeley (970) 3 52-4121 www.BannerHealth.com Keyword: NCMC

1/3/07 10:10:39 AM

NCMC: CardioVascular Institute of North Colorado

top-ranked

xxxxxxxx xxxxxxxxx xxxxxxxxx xxxxxx xxxxx xxxxxxxxxxx xxxx xxxxxxx xxxxxxxxxxx

cardiovascular care by Alice Ashmore

A patient is prepped for a cardiac catheterization procedure in one of NCMC’s state-of-the-art cath labs. This lab utilizes a GE 2100 Lat Panel Detector for patient procedures.

The bad news:

Heart disease is the number one killer

of adult Americans. The good news: Top

quality diagnosis and

treatment is available

nearby, and we’re not talking about Denver.

The CardioVascular Institute of North Colorado at North Colorado Medical Center in Greeley, opened in December 2005. In just one short year, the CardioVascular Institute gained national attention and garnered a number of awards. “We do everything that is offered in Denver with the exception of transplants,” says Gene Haffner, Director, Public Relations, North Colorado Medical Center. The institute is ranked in the top one percent for heart attack care in the country by Total Benchmark Solutions, an independent company that analyzes outcome data from hospitals around the country. Haffner adds, “We ranked number 51 in the country out of more than 5,500 hospitals.” The CardioVascular Institute was the highest-rated heart center in Colorado. The facility also participates in the national databases of the American College of Cardiology and the Society of Thoracic Surgery. “Our participation is our commitment to utilizing national quality benchmark data and quality standards programs to continually improve our program and achieve excellent patient outcomes,” Haffner stated. The institute takes a multi-disciplinary, collaborative approach to vascular care. The cardiovascular system includes your heart and the vessels that surround it. It is for the care of this entire system that NCMC integrated all cardiovascular services into one Institute, which provides cardiac care, a vein clinic, and treats circulatory problem issues of entire body. “We formed the CardioVascular Institute of North Colorado to bring all these disciplines together because we believed

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.21 21

passionately about the quality of care for our patients,” says Paul Panico, Administrator over the CardioVascular Institute. Physicians at the institute include cardiologists, cardiovascular surgeons and interventional radiologists. “The Institute is really about all of these disciplines coming together.” Dr. Jim Beckmann, Medical Director of Cardio Vascular Services, notes that this innovative integration of different specialties “helps provide continuous care for patients and allows physicians to share ideas. They can form a comprehensive plan, which ultimately provides more treatment options for the patients.” In times past, a patient with a cardio vascular problem might have started and finished their care in the cardiac unit. Because all facets of the Cardio Vascular Institute are housed together on the same floor, the patient is the center of the care. “Instead of the patient being moved to the specialists, the specialists come to the patient,” says Beckmann. Panico adds, “As a part of the Institute, physicians and clinical staff agree to review patient cases as a team. For instance, we have a weekly conference in which interesting or unusual cases are discussed and used as a learning tool for the entire team.” The facility includes comprehensive diagnostic and treatment options, including a 64-slice CT scan machine. The 64-slice scanning machine was the first of its kind in northern Colorado, and allows physicians to build a three-dimensional image of a patient’s heart or vascular system without an invasive procedure. Three state-of-the-art cardiac catheterization labs are housed nearby. The labs

21 1/3/07 10:10:44 AM

Heart Disease Prevention • If you smoke, quit • Develop healthy eating habits • Exercise • Lower your cholesterol and blood pressure • Control diabetes Signs & Symptoms of Heart Attack • Chest pain • Neck pain • Shoulder pain • Abdominal pain • Shortness of breath • Sweating • Nausea • Fatigue • Light-headedness • Wrist pain • “Bad” arthritis pain If you continuously experience any of the symptoms, please contact your physician or call 911. Every second counts when you are having a heart attack, so do not delay in getting help.

Paul Skinger, RN, BSN, goes through a preprocedural scrub prior to a catheterization procedure at the CardioVascular Institute of North Colorado.

22 01.2007 Loveland Greeley Master.22 22

1/3/07 10:10:53 AM

use only GE equipment and serve as a regional show site for GE. Carotid stenting is one of the procedures available at the facility. The program developed through collaboration between cardiologists, cardio-vascular surgeons, and interventional radiologists. The stenting procedure gives patients who fit certain criteria an option to the traditional “open incision” for removing plaque from the carotid arteries. The institute began offering this new procedure in March of 2006. “The initiative of the multi-specialty physicians allowed us to be the first facility in northern Colorado to offer this procedure in the interest of providing the best care for patients,” says Panico. In 2007, the institute will also offer a treatment called Trans-myocardial Revascularization (TMR). Transmyocardial revascularization is a procedure used to treat angina pectoris. A laser is used to create a series of channels into the heart muscle, thereby increasing blood flow to it. “This treatment is known to reduce symptoms of angina (chest pain) and re-vitalizes the heart muscle,” Panico said. The Northern Colorado Business Report recently presented the Cardiovascular Institute of North Colorado with the “Healthcare Heroes” Award for their Cardiac Alert program. The program works to speed the time it takes for heart attack victims to receive treatment. Cardiac Alert is a cooperative project of the institute that includes Weld County EMS, NCMC’s Emergency Department and even helicopter transport. “If someone in the field is having a heart attack, a call goes to the ED, cardiologist, and the cath lab cardiovascular team,” says Panico. Information is transmitted to the unit before the patient arrives at the hospital, including 12lead EKG’s sent from the EMT first responders. “Time is muscle when someone is having a heart attack. Anything we can do to shorten the time to treatment saves heart tissue.” Panico adds that the time to treatment at the CardioVascular Institute is less than the national average. Patient recovery is speeded by first-class rehabilitation. “Our cardiac rehabilitation program is nationally certified,” says Panico. The rehab program is recognized by the American Association of Cardiovascular and Pulmonary Rehabilitation. The rehabilitation team includes physicians, cardiac rehab nurses, exercise specialists, dieticians and other health care professionals. The rehab program provides the support needed for patients to incorporate healthy lifestyle changes. “The physicians who participate in the Institute all have excellent outcomes.” Panico attributes the success to the collaborative nature of the CardioVascular Institute of North Colorado. “This team approach enhances the talent and skill that individual physicians bring to the quality of patient care.” Haffner notes, and Beckmann agrees that patients with heart conditions have very few reasons to leave Northern Colorado for cardiac care. Beckmann elaborates, “We have the whole spectrum to offer: all of the diagnostic capabilities and treatment options from minimally invasive procedures to surgery and rehabilitation… and all with quality assurance.” Alice Ashmore is a freelance writer living in Loveland

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.23 23

23 1/3/07 10:11:01 AM

NCMC: surgery technology

The word “robotic” may bring to mind modern assembly

robotic surgery

operating in the future by Alice Ashmore

lines creating consumer goods or a 1960’s science fiction contraption, but probably not a hospital surgery setting. However, it’s time to think again. The acquisition of

The hospital uses the daVinci Robotic Surgical System® to perform bariatric surgery; gynecological procedures, including hysterectomy and myomectomy; and prostatectomy (removal of the male prostate gland). Joanne Fenton, Chief Administrative Officer of North Colorado Medical Center, says “The robot can go where human hands cannot. This can result in shorter surgery, less bleeding and less pain.” She relates a story from a gynecologist whose patient reported no pain following a robotically-assisted hysterectomy. “He was thrilled with the outcome. The patient was very satisfied and quickly resumed her daily activities.” The development of robotic surgery allows many procedures that once required sizable open incisions to be done through a number of very small openings. This translates to shorter hospital stays, less pain,

the newest robotic surgical technology offers a number of medical advantages to patients at North Colorado Medical Center in Greeley.

24 01.2007 Loveland Greeley Master.24 24

1/5/07 8:55:43 AM

•

•••

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 970.619.3350 .

(j) First National Bank lstnationalbank.com 970.619.3350

01.2007 Loveland Greeley Master.25 25

MEMBER FDIC

1/3/07 10:11:20 AM

•

•••

~;,~ 14TH~

WEDNESDAY, FEBRUARY

955 52nd Ave. Ct., Suite 200 • GREELEY • 970 .352 .6580 • www.weissjewelers.com

NORTH COLORADO EAR, NO '/'

& THROAT

Reaching the Summit of Health Featuring: • ALLERGY & SINUS CENTER • PEDIATRIC ENT • HEARING & BALANCE CENTER

For over 30 years, our community has trusted...

Keith E. Peterson, MD Thomas T. Peterson, MD

2 01.2007 Loveland Greeley Master.26 26

Lydia's STYLE Magazine

1/3/07 10:11:29 AM

smaller chance of infections and faster recovery times. A surgeon’s skilled hands and eyes guide the multi-armed machine at all times. The machines cannot be programmed, and all movement is controlled by the surgeon. The robot has no decisionmaking abilities. The surgeon makes several initial 1- 2 centimeter-sized incisions, and carefully places the robotic arms before moving to the da Vinci console near the operating table. The surgeon’s console contains a high-performance vision system and proprietary EndoWrist® instruments. The surgeon’s precise hand movements are translated and scaled to guide the EndoWrist® instruments as if they were an extension of the physician’s own hands. It sounds high-tech and very complicated but in this case, the hands-off approach is a good thing… and patients understand that. Rather than being skeptical of the new machines, patients are traveling to Greeley for them. “In bariatric (weight loss) surgery, people are coming to us specifically for the robotics,” says Sue Liddell, co-manager of robotic surgery at the hospital. The North Colorado Medical Center offers both the adjustable Lap-Band and traditional gastric bypass procedures using the da Vinci Robotic Surgical System®. “No other bariatric center in Northern Colorado uses the robot,” adds Fenton. “It’s fantastic for the patient. There is a decrease in post-operative pain and a quicker recovery,” says Shelly Toth, robotic surgery co-manager. Robotic assisted surgery also results in better outcomes and fewer side effects for prostatectomy (removal of the prostate). “There is less swelling and a decreased chance of impotence and urinary incontinence,” says Toth. Dr. Jim Wolach of North Colorado Urology concurs. “Incisions are smaller, there is markedly less blood loss, patients have shorter hospital stays, and less pain and discomfort.” Wolach, a urologist with privileges at NCMC, performs robotic assisted, laparoscopic prostatectomies with excellent results. “Robotic is far less invasive. Before robotic, hospital stays were 5-7 days, and incision recovery took 6 weeks. Now hospital stays are 1-2 days, recovery takes a week, and normal activity can be resumed within 1-2 weeks. I haven’t done a traditional open prostatectomy in six months.” Liddell notes that even though the surgeon is several feet away from the patient, an entire surgical team is monitoring the patient. “The patient is never unattended.” Wolach adds, “It is true that with robotics, you don’t have the tactile sensation that you do with an open surgery. But because of the magnification capability and the manipulation of instruments, the surgery is far more delicate, much more delicate than an open procedure. It is much easier to preserve nerves, and therefore avoid erectile dysfunction with robotic.” Asked if he had a preference, Wolach says, “Of course all options are patient driven, but if I were a patient, I would want robotic.” A recently-completed hospital expansion increased the size and complexity of the operating rooms. “The hospital created 12 surgical suites sized between 650 and 1,000 square feet. Compared to Denver, these are huge. We are the largest medical center in Northern Colorado with 398

beds and 1.2 million square feet,” says Fenton. “We just acquired the new $1.2 million da Vinci S™,” says Fenton. “This is a significant investment. It was a physician-driven strategy.” Fenton sees long term benefits to the robotic-assisted surgery. “Many more procedures will become minimally-invasive.” She compares the robotic technology to the beginnings of laparoscopic surgeries, which are now commonplace. Fenton believes this strategy will continue to place North Colorado Medical Center at the forefront in surgical care. Alice Ashmore is a freelance writer living in Loveland

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.27 27

27 1/3/07 10:11:39 AM

mmc: doctor profile

After 15 long years away

from her beloved Loveland, Dr. Karla Loken, DO, OB/

GYN, has come home. Home to the town where she grew

up. Home to the place where her parents still live. Home

to the small town values and

Dr. Karla Loken monitors a patient

the community where she

mckee’s center for women’s health

welcomes home dr. karla loken by Lynn M. Dean

and her husband want to

raise their three children.

“I was given the opportunity to help build the gynecological services at McKee,” says Loken. She jumped at the chance to continue to build on the legacy of the excellent services offered in the past and fill the gap left by recent retirements. “McKee has always been at the forefront in terms of patient care,” explains Loken, the first physician hired to staff McKee’s new Center for Women’s Health. “Our goal is not to be a competitor, but to offer patients a choice and replace the volume that the retiring doctors were handling.

28 01.2007 Loveland Greeley Master.28 28

1/3/07 10:11:47 AM

We know that many people in the area go to physicians in surrounding towns because of limited access to providers here.” Loken also jumped at the chance to work at a smaller hospital, although she admits it’s “fun but awkward.” Awkward because many of her mentors– people who knowingly and unknowingly led to her to the field of medicine– are now her colleagues. Awkward because, as is true in all small towns, often her past and her present collide. Indeed, many people ask, “Don’t I know you from somewhere?” “I’ve already delivered one patient who I’d taught swim lessons to,” she explains. “Loveland is small enough that you often run into people you know.” The McKee Center for Women’s Health is located at 1813 Cheyenne Avenue in Loveland, the same location that Dr. James Anderson (now retired) shared with Dr. Robert Burke and Dr. John Carlton, whose practice has now moved upstairs. The Center offers women of all ages a full range of obstetrical and gynecological care and includes services and treatments related to infertility, menopause, pelvic pain and incontinence. Loken brings a wealth of medical knowledge and experience to the burgeoning practice.

W E A R E

C O M F O RT

K E E P E R S

Comforting Solutions For ln-Home Care Comfort Keepers are special people. When your family needs help with the care of an aging parent, or any loved one, there’s a Comfort Keeper close by to provide care, comfort and companionship.

FORT COllinS • GREElEy • WindSOR

970.67 4 . 0 8 0 0

ftcollins@comfortkeepers.com

“Our overall goal is to offer more access to obstetricians and gynecologists to women of all ages in the community.” -Dr. Karla Loken After growing up in Loveland and graduating from Thompson Valley High School, Loken left to “see the world.” After medical school, Loken chose Obstetrics and Gynecology as her specialty and completed her residency at St. Joseph Mercy Oakland Hospital (a branch of Michigan State University) in Pontiac, Michigan. “I liked the fact that I could be a surgeon and still have the opportunity to teach women about their health care needs,” she says. During her studies, Loken got to travel all over the country and even did a stint here in Loveland her fourth year of residency with Loveland Pediatrics and also with dermatologist Dr. Pat Lillis. “I learned that things don’t have to be done only one way,” she says of the experiences. “It’s valuable to have fresh energy and new ideas.” Back in Michigan, Loken honed her skills. “I was trained by some of the best doctors in Detroit, and I like to think that my diverse experience makes me a good physician.” She also traveled outside the United States. “I went to Brazil on a mission trip. There I delivered babies on squatting chairs and experienced another “world” of medicine.” She then established a practice in Wisconsin. Here, Loken also brings her experience as a patient and a woman to the practice. As the mother of three boys– twins who are almost four and a 16-month-old– Loken has been on the other side of the exam. “I’ve experienced some of the

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.29 29

29 1/3/07 10:11:57 AM

• l]j t>stabbsfp,g a 1/ealth 5aungs lccowzt IllS l)

in conj"ll< tzon 1L'lh a l11gh

•••

ded•Lctible health ,,faa

.-ou re takitlf( healthrare smwgs bach into wur ozn• hands to help make the dec;swns 1hat

are ngl•t [01

•

'Oil

b1 taking

·- .

odz.wzcag~

of the follon·ing benef!ls.

• I

NEW FRONTIER BANK "A NEW GENERATION OF BANKING*

24·25 35th Avenue I Greeley I 970.339.5100 1130 ~lain Str·eel I Wimlsor· I 970.674.9080 231;) N. Main Street I Longmont I 303.772.2112 www.newfrontierbank.com

30 01.2007 Loveland Greeley Master.30 30

*Annual Percentage Yield. Var·iahlc rate a•·count. The inter·es t rate may change after the account is OI)Cncd. Rates are a<"curatc as of 12/22/06. Minimum to o1•en is $100.

Lydia's STYLE Magazine

1/3/07 10:12:08 AM

Where In The World Did The Time Go? That’s a statement you’ll hear anywhere from New London, Connecticut to old London, England, because clocks do continuously tick away and to quote an age-old adage; time flies.

Albrachts One Hour Heating & Air Conditioning understands how important minutes can be when you experience furnace or air problems. Their experts in the big yellow trucks can render home service immediately and they guarantee: “Always on time, or you don’t pay a dime!” If it’s your time, lose no time in calling Albrachts One Hour.

Dr. Karla Loken of the Center for Women’s Health

Providing Comfort Since 1978

Fort Collins (970)224-5756 • Loveland (970)663-4002 Greeley (970)356-5178 • Longmont (303)702-0904 www.onehourair.com

same things as my patients,” she explains. “So I can relate to them person to person. My patients see me as very down-to-earth and someone they can talk to, someone who understands.” Of course women don’t need to be expecting or planning for a baby to benefit from the services offered by the Center for Women’s Health. “Our overall goal is to offer more access to obstetricians and gynecologists to women of all ages in the community.” The Center serves the very young to those well into mid-life and later. “I especially like working with young girls and talking about preventative health care.” On the other end of the spectrum, “Today’s women are living longer and are more health conscious as they age, so they have different questions and concerns than their mothers and grandmothers may have had. Many women have the attitude that they have to suffer because their mothers suffered. But they don’t.” Loken explains that there are new ways to treat age old problems. The Center plans to hire two additional doctors over the next nine months. Until that time, Loken shares call with Dr. Robert Burke. As she waits for the practice to expand, she is enjoying her new beginning here at home.

Lynn M. Dean is a freelance writer in Fort Collins.

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.31 31

31 1/3/07 10:12:14 AM

NCMC: trauMa serViCes

Airlife of Greeley Medical Transport Helicoptor

People in remote areas

of Colorado, Wyoming, Nebraska, and even

Kansas have survived

thanks to their fast expert response. Since 1982,

AirLife of Greeley has airlifted thousands of

people from their base at North Colorado Medical Center, providing acute aeromedical services

within a 300 mile radius.

airlife is

twenty-ﬁve! by Maryjo Faith Morgan

Awards point to hard work and exacting safety standards AirLife, accredited by the Commission on Accreditation of Medical Transport Systems since 1996, has flown incident free for over 15,000 consecutive flights. Dr. Tim Hutchison, AirLife’s Medical Director, praises the highly specialized team. “After an intensive initial six-week training, our nurses and paramedics are constantly rotating though anesthesiology, radiology, or intensive care and cardiac units, gaining knowledge and skill. They are the cream of the crop.” He confirms that the scope of their service extends to outlying areas that may have a nurse practitioner but no physician. “The beauty of it is that we can airlift someone who lives out at Pawnee Buttes or Walden, and cut their travel time to the hospital in half. The combined capabilities of crew and helicopter exceed a regular ambulance. Also, the closest pediatric intensive care unit is in Denver, so we transport an average of 100 critical care children there each year.” “Safety is a huge part of what we do … safety is a comprehensive endeavor.” Hutchison credits pilots, flight crews who work within the tiny spaces of the helicopter, dispatchers, the many rural volunteer firemen, EMT’s and especially, volunteers. “They are willing to go out at 2:00 am on a freezing night and help somebody who rolled their car. These are some of the finest people I have ever associated with.” In a recent issue of AirLife of Greeley-MedNews a list thanking local fire departments, hospitals, ambulance services, search and rescue and park rangers speaks to the dedication and continuously coordinated group effort of area responders to peak safety performance.

32 01.2007 Loveland Greeley Master.32 32

1/3/07 10:12:24 AM

Mobility & More carries a complete line of Durable Medical Equipment.

01.2007 Loveland Greeley Master.33 33

1/3/07 10:12:31 AM

As a paramedic, Chip Brownlee knows his team can have a huge impact on a patient’s ultimate outcome. In cases of heart attack the crew can perform an EKG right there in the helicopter, utilize the cardiac alert system to relay results to the hospital, and make pre-landing arrangements. They take the patient directly to the cath lab upon arrival. Brownlee cites the use of diagnostic ultrasounds to facilitate immediate triage, early recognition and intervention to interrupt a stroke. “Timely intervention could make the difference whether the patient survives or not, with or without a disability.” Pilot Carl Tofoya has complete confidence in AirLife’s red, white and blue Bell 407. “This aircraft is one of the few that works well in the mountains… the higher you go, the more engine you need and the harder the aircraft has to work. The pilot has to be vigilant, thinking about it [weather] all the time because it does change so quickly.” However, they do not hesitate to ground the flight for safety’s sake when necessary. The 407, known for its maneuverability, speed and superior performance, has been outfitted with a Real Time Satellite Tracking System and a patient loading system to facilitate a streamlined process. Daniel Beckle, RN, EMT-P says for the patient it is totally different than riding in a plane. “The blades provide your lift so there is no bouncing around.” He says their passengers comment, “This isn’t bad at all.” The crew find work at this level of critical care demanding but exhilarating; each call is different. Lyn Maier, Program Director/Chief Flight Nurse says a significant volume of their cases are trauma or cardiac, “It’s all about time. The sooner the patient is in a definitive care facility, the better the outcome for the patient.” The proliferation of cell phones, seatbelt use and cars with built-in stabilizers, enhanced steering and side curtain air bags greatly improve outcomes, too. Ken Klein and his wife JoAnne, both certified wilderness first responders with Larimer County Search and Rescue, have participated in numerous evacuations. “A helicopter eliminates a tough 12hour carryout over rugged terrain.” Many area first-responder agencies such as fire and police departments, offer helicopter safety training annually. Safety is a priority for everyone,

34 01.2007 Loveland Greeley Master.34 34

1/3/07 10:12:38 AM

Paramedic crew loads a patient aboard Airlife

on the ground and in the aircraft. “Those blades never stop moving, and an updraft can change to a downdraft in the vortex beneath the rotors. You have to think about what debris will get kicked up by the helicopter.” To bring the aircraft into an exact area they utilize radio, GPS coordinates, specific arm signals and even signal mirrors. Klein

“It’s all about time. The sooner the patient is in a deﬁnitive care facility, the better the outcome for the patient.” -- Lyn Maier, Program Director/Chief Flight Nurse says ground crews learn how to prepare a landing zone in the field. They want everything ready so the helicopter can land, load, and take off. “It only takes them a matter of minutes. They’re good.” Rocky Mountain National Park sees 3 million visitors a year. Chief Ranger Mark Magnuson says only about a dozen incidents a year that occur in remote areas warrant a rapid evacuation with the high level of care provided by an air ambulance. “We rely on them.” In fact, all of Northern Colorado relies on them. Maryjo Faith Morgan is a freelance writer happy to be living in Loveland.

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.35 35

35 1/5/07 8:55:12 AM

•

•••

NORTH COLORADO !

gastroentero ogy

Diagnosis and management of Gastro Intestina l disorders including: diseases of the esophagus, stomach, small and large intestines, hepatobi liary and pancreatic diseases. Test i ng and management for bacterial overgrowth. A lso special izing in diagnosti c and therapeutic Endoscop y w hich includes: state of the art Endoscopic Ultra Sound, Sphincter of Odd i Manometry and Colorecta l cancer screening.

cr,,c·s t NORTH (OlOF<ADO MED (A

(EN ER

M d< y tt>ro1 F• -lay B r t 4 lO 'rr

Edward Marino. PA-C

Yazan A. Qwaider, M.D. To schedule appointments or for more information please call:

Banner Health

North Colorado Medical Center 1800 15th Street, Suite 300 1 Greeley, CO

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

endocrinology Thomas Hanson, M.D. FACP

TH OMAS HANSON, M.D. FACP, specializes in Adu lt

NORTH COLORADO MEDICAL CENTER Monday, Wednesday, & Friday 8:15a .m. to 4:30p.m.

Endocrinology, Metabo lism , Diabeto l o gy, Insu lin Resistant Syndrome (IRS).

MCKEE MEDICAL CENTER

Diabetes Mellitus (Type 1 and Type 2).

Tu esday 9:00a.m. to 3:30p.m.

and Thyroidology.

Outpatient diabetes education classes offered weekly.

EAST MORGAN COUNTY (Brush) Thursday 9:00a.m. to 3:30p.m.

To schedule appointments or for more information please call: 970-378-4676 or fax your referral to 970-378-4315.

36 01.2007 Loveland Greeley Master.36 36

Banner Health

1800 15th Street. Suite 200 1 Greeley, CO

North Colorado Medical Center Lydia's STYLE Magazine

1/3/07 10:12:57 AM

----------•1

banner health mckee medical center

north colorado medical center

•• ••

------dl ••• r.ne a :• dtrec Qo fY 01.2007 Loveland Greeley Master.37 37 01.2007 Loveland Greeley Masllillr.37 37

. .

-~ .

. ..

·:· ·-"?-·- · ..

._ .

. .

..•. .. .. •

.:• .. . . . .

.. . .

1/3/07 AM 113107 10:13:02 10:13:02 AM

When faced with a cancer diagnosis, you deserve the best possible care. That's where North Colorado Medical Center comes in. Our Cancer Institute offers compassionate, quality care in one convenient location. Our experienced professionals change lives with some of the most highly specialized technology in the world, including advanced radiation techniques that focus on cancerous cells, leaving healthy cells undisturbed. We provide the broadest range of treatment options, such as access to clinical trials, stem cell transplants and PET /CT technology to better track tumors. As an accredited cancer program by the American College of Surgeons, there is no reason to go anywhere else for a positive outcome.

North Colorado Medical Center. Your place for powerful medicine.

Banner Health

North Colorado Medical CenterÂˇ 1801 16th Street â&#x20AC;˘ Greeley (970) 352-4121 Physician information : www.BannerHealth.com or 800-505-6877 Job opportunities: www.BannerHealth.com or 866-377-5627 Banner Health is the leading provider of nonprofit health care in northern Colorado.

01.2007 Loveland Greeley Master.38 38

1/3/07 10:13:14 AM

mckee medical center north colorado medical center & banner health

allergyimmunology James, John M., MD 2525 16th Street, Ste. C Greeley, CO 80634......................... 970-356-3907 Kailasam, Velusamy, MD 1130 38th Avenue, Ste. 2 Greeley, CO 80634 ............ 970-330-5391 See ad below Lanting, William A., MD 1130 38th Avenue, Ste. 2 Greeley, CO 80634 ............ 970-330-5391 See ad below

medical directory

allergyimmunologyinternal medicine Pace, R. Scott, MD 2000 16th Street, Ste. 5 Greeley, CO 80631......................... 970-353-0155

anesthesiology Abston, Phillip A., MD 1800 15th Street, G-10 Greeley, CO 80631......................... 970-396-6994

Agnello, Joseph, MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538...................... 970-667-9794

Thomas, Christopher D., MD 5890 W. 13th Street, Ste. 102 Greeley, CO 80634......................... 970-348-0090

Balestrieri, Frank, MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538...................... 970-667-9794

Thompson, William L., MD 1801 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800

Dick, Milton L., MD 2000 70th Avenue Greeley, CO 80634......................... 970-506-6789

Thorton, Meg N., MD 1801 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800

Dry, Owen L., MD 1800 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800 Foley, Kevin, MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538...................... 970-667-9794 Landes, Valdon G., DO 2000 7th Avenue Greeley, CO 80634......................... 970-506-6789 Lloyd, Alan, MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538...................... 970-667-9794 Lord, Jonathan G., DO 1801 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800 Michael, Christopher S., MD 1801 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800

Fuenzalida, Charles, MD 1444 S. Potomac, Ste. 300 Aurora, CO 80012 ......................... 303-750-0822 Miller, Frederick C., MD 1444 S. Potomac, Ste. 300 Aurora, CO 80012 ......................... 303-750-0822 Prager, Nelson A., MD 1444 S. Potomac, Ste. 300 Aurora, CO 80012 ......................... 303-750-0822

cardiology

Peetz, Shelley L., MD 2000 70th Avenue Greeley, CO 80634......................... 970-506-6789

Beckmann, James H., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ...... 970-392-0900 See ad on back cover

Robbiano, Peter J., MD 1801 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800

01.2007 Loveland Greeley Master.39 39

Cohen, Andrew I., MD 1444 S. Potomac, Ste. 300 Aurora, CO 80012 ......................... 303-750-0822

Morrow, Kenyon S., MD 2000 70th Avenue Greeley, CO 80634......................... 970-506-6789

Regnier, Patricia L., MD 1801 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800

Loveland/Greeley Medical Magazine & Directory 2007

cardiac electrophysiology

Chapel, Harold L., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ...... 970-392-0900 See ad on back cover

Song, Yo-Jun, MD 1801 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800

Culliane, David, MD 1907 N. Boise Ste. 410 Loveland, CO 80538.............. 970-663-3107 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528 .......... 970-663-3107

Stenbakken, Gelerie D., MD 2000 70th Avenue Greeley, CO 80634......................... 970-506-6789

Doing, Anthony, MD 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528 .......... 970-221-1000

39 1/3/07 10:13:17 AM

Green, C. Patrick, MD 2121 E. Harmony Rd., Ste. 100 Fort Collins, CO 80528........... 970-663-3107 Gryboski, Cynthia L., MD 1800 15th Street, Ste. 310 Greeley, CO 80631....... 970-392-0900 See ad on back cover Hurst, Paul G., MD 1800 15th Street, Ste. 310 Greeley, CO 80631....... 970-392-0900 See ad on back cover Johnson, C. Timothy, MD 1907 N. Boise Ste. 410 Loveland, CO 80538............... 970-663-3107 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528........... 970-221-1000 Larson, Dennis, MD 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528........... 970-221-1000 Marsh, Randall C., MD 1800 15th Street, Ste. 310 Greeley, CO 80631....... 970-392-0900 See ad on back cover

Rath, Gary A., MD 1800 15th Street, Ste. 310 Greeley, CO 80631....... 970-392-0900 See ad on back cover Shihabi, Ahmad H., MD 500 Main St. Fort Morgan, CO 80701......... 970-867-7900 Stoltz, Chad, MD 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528........... 970-221-1000 Treat, Stephen, MD 1900 N. Boise Ave., Ste. 410 Loveland, CO 80538............... 970-663-3107 Voyles, Wyatt, MD 1900 N. Boise Ave., Ste. 410 Loveland, CO 80538............... 970-663-3107 Zumbrun, Steven R., MD 1800 15th Street, Ste. 310 Greeley, CO 80631....... 970-392-0900 See ad on back cover

Myers, Gerald, MD 1900 N. Boise Ave., Ste. 410 Loveland, CO 80538............... 970-663-3107

cardiology interventional

Oldemeyer, J. Brad, MD 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528........... 970-221-1000

Gallant, Ellen M., MD 1800 15th Street, Ste. 310 Greeley, CO 80631................. 970-392-0900

dentistry Bland, Andrew A., DDS 3400 16th Street, Bldg. 8-E Greeley, CO 80634................. 970-356-5277 Ligon, Richard S., DDS 1825 56th Avenue, Bldg E Greeley, CO 80631................. 970-353-6249

dermatology Blattner, Mary A., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2734

Gill, Sarvjit, MD 3820 N. Grant Ave. Loveland, CO 80538......... 970-593-1177 See ad below Gupta, Sanjay K., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2740 Peterson, James H., MD 2528 W. 16th Street Greeley, CO 80634................. 970-356-4646 Peterson, Keith E., MD 2528 W. 16th Street Greeley, CO 80634....... 970-356-4646 See ad on page 26

Castle, Stephen P., DO 7251 W. 20th Street, Bldg. E Greeley, CO 80634................. 970-330-6075

Peterson, Thomas T., MD 2528 W. 16th Street Greeley, CO 80634....... 970-356-4646 See ad on page 26

ear,nose,throat

Robertson, Matthew, MD 1120 E. Elizabeth St., Bldg. F-101 Ft Collins, CO 80524.... 970-221-1177 See ad below

Chand, Maria, MD 1120 E. Elizabeth St., Bldg. F-101 Ft Collins, CO 80524........ 970-221-1177 See ad below

Zacheis, David, MD 1120 E. Elizabeth St., Bldg. F-101 Fort Collins, CO 80524.......... 970-221-1177 See ad below

Childers, Marvin, MD 3820 N. Grant Ave. Loveland, CO 80538............... 970-593-1177

40 01.2007 Loveland Greeley Master.40 40

1/3/07 10:13:22 AM

ear,nose,throat & plastic surgery Gill, Sarvjit, MD 3820 N. Grant Ave. Loveland, CO 80538......... 970-593-1177 See ad on page 40

eicu Chu Gregory T., MD 2145 W. Southern Ave. Mesa, AZ 85202..................... 480-512-5806 Groves Jr., Robert H., MD 2145 W. Southern Ave. Mesa, AZ 85202..................... 480-512-5806 Holcomb, Barry W., MD 2145 W. Southern Ave. Mesa, AZ 85202..................... 480-512-5806 Khazin, John E., MD 2145 W. Southern Ave. Mesa, AZ 85202..................... 480-512-5806 Legg Rebecca L., MD 2145 W. Southern Ave. Mesa, AZ 85202..................... 480-512-5806 Long, Donna R., MD 2145 W. Southern Ave. Mesa, AZ 85202..................... 480-512-5806 Raschke, Robert A., MD 2145 W. Southern Ave. Mesa, AZ 85202..................... 480-512-5806 Sado, Anthony S., MD 2145 W. Southern Ave. Mesa, AZ 85202..................... 480-512-5806

emergency medicine Baker, Jeffrey T., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244 Campain, James J., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244 Cole, Charles A., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244 Dixon, Mark, MD MMC Emergency Dept Loveland, CO 80539............... 970-635-4071

Doyle, Robert F., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244

Vanetti, Carol., MD 1801 16th Street Greeley, CO 80631................. 970-346-1567

Cabrera, Anthony, MD 914 W. 6th Street Loveland, CO 80537............... 970-667-3976

Dupper, Robert L., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244

Waggener, William, MD MMC Emergency Dept Loveland, CO 80539............... 970-635-4071

Carey, Michael V., MD 1300 Main St. Windsor, CO 80550................. 970-686-5646

Fischer, Randy, MD MMC Emergency Dept Loveland, CO 80539............... 970-635-4071 Fuhrmann, Eric, MD MMC Emergency Dept Loveland, CO 80539............... 970-635-4071 Genova, Ronald T., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244 Harms, Thomas L., MD 2001 70th Avenue Greeley, CO 80634................. 970-378-4155

Hanson, Thomas, MD 1800 15th Street, Ste. 200 Greeley, CO 80631..........970-378-4676 See ad on page 36

family medicine

Clang, Tamara S., DO 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000 Coleman, Mary., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424 Colgan, Ann T., MD 2520 W. 16th Street Greeley, CO 80634................. 970-356-2520

Hurst, John G., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244

Abrahamson, Bradley S., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424

Coonrod, Aline R., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424

Hutchison, Timothy J., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244

Albritton, Eliz, MD 7603 Colland Dr. Fort Collins, CO 80525........... 970-461-8031

Corliss, Scott A., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700

James, Tyler M., DO 1801 16th Street Greeley, CO 80631................. 970-350-6244

Allen, Thomas, MD 295 E. 29th Street Loveland, CO 80538............... 970-669-6000

Corona, Joseph A., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700

Jobin, Michael, MD MMC Emergency Dept Loveland, CO 80539............... 970-635-4071

Anderson, Thomas, DO 2701 Madison Square Dr., Loveland, CO 80538............... 970-663-0722

Dallow, Kurt T., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424

Link, David W., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244

Armour, Ross, MD 401 10th Street Berthoud, CO 80513.............. 970-532-4910

Danforth, James, MD 2701 Madison Square Dr. Loveland, CO 80538............... 970-663-0722

Maxwell, Peter W., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244

Bakanauskas, Elga A., MD 1300 Main Street Windsor, CO 80550................. 970-686-5646

Deutchman, Mark E., MD PO Box 6508 Aurora, CO 80045.................. 303-724-9725

McLaughlin, Keith, MD MMC Emergency Dept Loveland, CO 80539............... 970-635-4071

Bearden, Jacqueline S., MD 5623 W. 19th Street Greeley, CO 80634................. 970-353-9011

Purdie, Frank R., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244

Bender, John L., MD 4674 Snow Mesa Dr., Ste. 140 Fort Collins, CO 80528........... 970-482-0213

Rein, Jody A., DO 1801 16th Street Greeley, CO 80631................. 970-350-6244

Bradley, Robert C., MD 1300 Main St. Windsor, CO 80550................. 970-686-5646

Sato, Randall, MD MMC Emergency Dept Loveland, CO 80539............... 970-635-4071

Branum, Joanna H., MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000

Schwartz, Jeffrey C., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244

Buckley, Laura R., MD 100 S. Cherry Ave., Unit 1 Eaton, CO 80615.................... 970-454-3838

Sundheim, Scott, MD MMC Emergency Dept Loveland, CO 80539............... 970-635-4071

Budensiek, Richard L., DO 5623 W. 19th Street Greeley, CO 80634................. 970-353-9011

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.41 41

endocrinology

Clang, Daniel R., DO 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000

Doft, Anthony, MD 2701 Madison Square Dr. Loveland, CO 80538............... 970-663-0722 Dubin, Jeremy, DO 3320 W. Eisenhower Loveland, CO 80537............... 970-669-2849 Fahrenholtz, Daniel H., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424 Flower, Thomas J., DO 2122 9th Street Greeley, CO 80631................. 970-356-7555 Frickman, C. Elmo, MD 3320 W. Eisenhower Blvd. Loveland, CO 80537............... 970-669-2849 Garber, Stacey L., MD 2420 W. 16th Street Greeley, CO 80631................. 970-353-7668

41 1/3/07 10:13:23 AM

Grauerholz, Brent D., MD 1900 16th Street Greeley, CO 80631................. 970-350-2425

McCall, Janis R., MD 5623 W. 19th Street Greeley, CO 80634................. 970-353-9011

Schaffer, Scott J., MD 7603 Colland Dr. Fort Collins, CO 80525........... 970-461-8031

gastroenterology

Greene, Dana, MD 2420 W. 16th Street Greeley, CO 80631................. 970-353-7668

McDermott, Martin D., MD 327 N. Park Ave. Fort Lupton, Co 80621.......... 303-659-3151

Schipper, Leslie A., DO 1300 Main St. Windsor, CO 80550................. 970-686-5646

Abu Qwaider, Yazan, MD 1800 15th Street, Ste. 300 Greeley, CO 80631....... 970-378-4475 See ad on page 36

Gregory, Joseph E., MD 222 Johnstown Center Dr. Johnstown, CO 80534............. 970-587-4974

Morgan, Frank D., MD 5623 W. 19th Street Greeley, CO 80634................. 970-353-9011

Schmalhorst, Brian K., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700

Burgert, Stephen, MD 2555 E. 13th Street, Ste. 220 Loveland, CO 80537............... 970-669-5432

Grosboll, Robert, MD 232 W. 4th Street Loveland, CO 80537............... 970-667-3565

Nye, Bret, MD 3320 W. Eisenhower Blvd. Loveland, CO 80537............... 970-669-2849

Shenkenberg, Amy E., MD 2001 70th Avenue Greeley, CO 80634................. 970-378-4155

Chase, Jerry, MD 2555 E. 13th Street, Ste. 220 Loveland, CO 80537............... 970-669-5432

Hailey, Mark, MD 914 W. 6th Street Loveland, CO 80537............... 970-667-3976

Olds, Kenneth M., MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000

Sheppard-Madden, Dena, MD 295 E. 29th Street Loveland, CO 80538............... 970-669-6000

Kading, Steven O., MD 1800 15th Street, Ste. 320 Greeley, CO 80631................. 970-356-0011

Haskins, R. Scott, MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000

Oligmueller, William, MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700

Horstmeyer, Pamela, MD 914 W. 6th Street Loveland, CO 80537............... 970-667-3976

Paczosa, Michelle K., DO 2520 W. 16th Street Greeley, CO 80634................. 970-356-2520

Hollos, Lori, MD 2701 Madison Square Dr. Loveland, CO 80538............... 970-663-0722

Peterson, Jeffrey E., MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000

Jacob, Prema, MD 914 W. 6th Street Loveland, CO 80537............... 970-667-3976

Pflieger, Daniel P., MD 2420 W. 16th Street Greeley, CO 80634................. 970-353-7668

Jeffers, Wayne S., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424

Powell, Patricia K., MD 1028 5th Avenue Greeley, CO 80631................. 970-353-9403

Kasenberg, Thomas, DO 295 E. 29th Street Loveland, CO 80538............... 970-669-6000

Rangel, Keith A., MD 1300 Main St. Windsor, CO 80550................. 970-686-5646

Kenigsberg, Thomas A., MD 222 Johnstown Center Dr. Johnstown, CO 80534............. 970-587-4974

Reents, William, MD 914 W. 6th Street Loveland, CO 80537............... 970-667-3976

Kennedy, Christopher T., MD 2420 W. 16th Street Greeley, CO 80634................. 970-353-7668

Ringel, Marc A., MD 2400 W. Edison Brush, CO 80723................... 970-842-6262

Ley, James W., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700

Ripley, Lori A., MD 2520 16th Street Greeley, CO 80634................. 970-356-2520

Magnuson, Douglas A., MD 2520 16th Street Greeley, CO 80634................. 970-356-2520

Risenhoover, Edwin, MD 295 E. 29th Street Loveland, CO 80538............... 970-669-6000

Major, James C., MD 1900 16th Street Greeley, CO 80631................. 970-350-2425

Rommereim-Madden, Daphne, MD 222 Johnstown Center Dr. Johnstown, CO 80534............. 970-587-4974

Manter, Charles D., DO 2627 W. 10th Street, Ste. 3 Greeley, CO 80634................. 970-352-3274

Rule, Ingrid, MD 1323 Harlow Lane Loveland, CO 80537............... 970-667-3030

Martinez, Matthew L., MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000

Ruschak, Lisa J., MD 1028 5th Avenue Greeley, CO 80631................. 970-353-9403

Smith, David B., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424 Trevino, Julia B., MD 1028 5th Avenue Greeley, CO 80631................. 970-353-9403

King, Kerry MD 2555 E. 13th Street, Ste. 220 Loveland, CO 80538............... 970-669-5432 Lynch, Kathryn, MD 2555 E. 13th Street, Ste. 220 Loveland, CO 80537............... 970-669-5432

Tucker, Kelly W., MD 2520 W. 16th Street Greeley, CO 80634................. 970-356-2520

Sherif, Ahmed M., MD 1800 15th Street, Ste. 300 Greeley, CO 80631....... 970-378-4475 See ad on page 36

Volk, John W., MD 1028 5th Avenue Greeley, CO 80631................ 970-353-9403

Strong, Lewis, MD 2555 E. 13th Street, Ste. 220 Loveland, CO 80537............... 970-669-5432

Wallace, Mark E., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424

Witt, Peter C., MD 1900 16th Street Greeley, CO 80631................. 970-350-2440

Ward, John David, II, MD 6801 W. 20th Street, Ste. 101 Greeley, CO 80634................. 970-378-8000 Waugh, Kyle B., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424 Wiggins, Michael, MD 914 W. 6th Street Loveland, CO 80537............... 970-667-3976 Wilson, D. Craig, MD 2520 16th Street Greeley, CO 80634................. 970-356-2520 Young, Linda E., MD UNC-Cassidy Hall, Campus Box 37 Greeley, CO 80639................. 970-351-2412 Young, Mark D., MD 2420 W. 16th Street Greeley, CO 80634................. 970-353-7668 Zableckas, Egle A., MD 1300 Main St. Windsor, CO 80550................. 970-686-5646 Zucker, Charles I., MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000

gynecology Burke, Robert MD 1817 N. Cheyenne Ave. Loveland, CO 80538............... 970-669-4176 Carlton, John, MD 1817 N. Cheyenne Ave. Loveland, CO 80538............... 970-669-4176 Englert, Thomas, MD 2216 Hoffman Dr., Ste. 3 Loveland, CO 80538............... 970-669-8960

gynecologybreast center Carter, Susan D., MD 1800 15th Street, Ste. 220 Greeley, CO 80631................. 970-353-1335

42 01.2007 Loveland Greeley Master.42 42

1/3/07 10:13:23 AM

hyperbaric medicine (hbo)wound Farstad, David J., MD 1801 16th Street Greeley, CO 80631................. 970-350-6071 Olsen, Eric B., MD 1801 16th Street Greeley, CO 80631................. 970-350-6071 Radin, Robert A., MD 1801 16th Street Greeley, CO 80631................. 970-350-6071

internal medicineinfectious disease Currie, James B., MD 7251 W. 20th Street, Bldg. K Greeley, CO 80634................. 970-353-4322

internal medicine Berntsen, Mark F., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438

infectious disease Breen, John F., MD 1801 16th Street Greeley, CO 80631................. 970-350-6360 Liao Ong, Jacob, MD 2121 E. Harmony Rd., Ste. 380 Fort Collins, CO 80528.......... 970-224-0429 See ad this page Peskind, Robert, MD 2121 E. Harmony Rd., Ste. 380 Fort Collins, CO 80528.......... 970-224-0429 See ad this page

Mullins, David E., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438

Reinhardt, Marcus R., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438

Valin, James, MD 1808 N. Boise Ave. Loveland, CO 80538............... 970-278-1862

Bohm, Martin, DO 1818 N. Boise Ave. Loveland, CO 80538............... 970-278-1862 Cash, Robert L., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438 Christiansen, Dana, MD 7251 W. 20th Street, Bldg. K Greeley, CO 80634................. 970-353-4322 Denzel, Gregory D., DO 2928 W. 10th Street Greeley, CO 80634.........970-351-8181 See ad on page 70

Zenk, Daniel R., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438

maternal fetal medicine Galan, Henry L., MD 2410 16th Street Greeley, CO 8634.................... 970-352-6353

Ebens, John B., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438

neonatology

Edwards, Stanley O., MD 7251 W. 20th Street, Bldg. K

Wilkening, Randall B., MD 1056 E. 19th Avenue, Ste. B070 Denver, CO 80218.................. 303-861-6868

Greeley, CO 80634......... 970-353-4322 Klein, Christina, MD 1600 Specht Point Dr., Ste.1 Fort Collins, CO 80525........... 970-493-7733

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.43 43

Randle, Michael T., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438

Tryggestad, David I., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438

Minkoff, Monica, MD 1501 S. Lemay Ave. Fort Collins, CO 80524........... 970-212-7600

Haygood, Thomas, MD 1600 Specht Point Dr., Ste. I Fort Collins, CO 80525........... 970-493-7733 Muelken, Kevin, MD 1600 Specht Point Dr., Ste. I Fort Collins, CO 80525.......... 970-493-7733 See ad on page 44

Thompson, Keith S., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438

Lininger, Thomas R., MD 2050 N. Boise Ave., Ste. A Loveland, CO 80538............... 970-667-7870 1800 15th Street, Ste. C Greeley, CO 80631................. 970-378-4170

nephrology

Parliment, Joel, MD 1808 N. Boise Ave. Loveland, CO 80538............... 970-278-1862

Tello, Robert, MD 232 W. 4th Street Loveland, CO 80537............... 970-667-3565

Kemme, Douglas J., MD 1800 15th St., Ste. A Greeley, CO 80631................. 970-353-6722

Stone, Michael, MD 2050 N. Boise Ave., Ste. A Loveland, CO 80538............... 970-667-7870 1800 15th Street, Ste. C Greeley, CO 80631................. 970-378-4170

Norman, Edward, MD 1808 N. Boise Ave. Loveland, CO 80538............... 970-278-1862

Smith, Peter, MD 1808 N. Boise Ave. Loveland, CO 80538............... 970-278-1862

hematologyoncology

Shelanski, Samuel A., MD 2050 N. Boise Ave., Ste. A Loveland, CO 80538............... 970-667-7870 1800 15th Street, Ste. C Greeley, CO 80631................. 970-493-7733

Loecke, Steven W., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438

Rademacher, Donald R., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438 Simmons, Richard E., MD 1600 Specht Point Dr., Ste. I Fort Collins, CO 80525.......... 970-493-7733 See ad on page 44 Singer, James R., MD 1600 Specht Point Dr., Ste. I Fort Collins, CO 80525 970-493-7733 See ad on page 44 Teruel, Mark A., MD 1600 Specht Point Dr., Ste. I Fort Collins, CO 80525.......... 970-493-7733 See ad on page 44

nephrologyinternal medicine Bruce, Julia L., MD 900 14th Street Greeley, CO 80631................. 970-304-0010

neurology Ewing, David L., MD 7251 W. 20th Street, Bldg. C Greeley, CO 80634................. 970-356-3876 Jacobs, Marianne B., DO 295 E. 29th Street, Ste. 240 Loveland, CO 80538............... 970-669-2668 Mazowiecki, Michael C., MD 7251 W. 20th Street, Bldg. C Greeley, CO 80634................. 970-356-3876 Schmitt, Joseph, MD 295 E. 29th Street, Ste. 240 Loveland, CO 80538............... 970-669-2668 Tolge, Celina F., MD 5890 W. 13th Street, Ste. 112 Greeley, CO 80634................. 970-353-2255

43 1/3/07 10:13:25 AM

Hess, Kevin D., DO 1257 58th Avenue, Ste. A Greeley, CO 80634.........970-336-1500 See ad on page 85

Woodcock, Jonathan H., MD 8515 Pearl St., Ste. 203 Thorton, CO 80229................ 303-288-7882

ob-gyn

Hiratzka, Paul S., MD 2410 16th Street Greeley, CO 80634................. 970-352-6353

Crews, Kent R., MD 1725 E. Prospect Rd. Fort Collins, CO 80525.......... 970-484-5322 See ad on page 7

Kiser, Rick E., MD 1900 16th Street Greeley, CO 80631................. 970-350-2403

Crews, Michael J., MD 3400 W. 16th Street, Ste. O Greeley, CO 80634................. 970-351-6216

Loken, Karla, DO 1813 N. Cheyenne Ave. Loveland, CO 80638............... 970-203-6801

Dougherty, Marilyn A., MD 385 Broadway Boulder, CO 80303................. 303-449-3770

Oâ&#x20AC;&#x2122;Neal, Jean-Pierre, MD 2410 16th Avenue Greeley, CO 80634................. 970-352-6353

Foe, Elaine V., MD 1931 65th Avenue, Ste. C Greeley, CO 80631................. 970-352-1877

Saenz, Suzanne, MD 1900 N. Boise Ave., Ste. 300 Loveland, CO 80538............... 970-667-2009

Kirk, John, MD 3650 E. 15th Street Loveland, CO 80538............... 970-669-1107

Sokolowski, Irene, MD 1900 N. Boise Ave., Ste. 300 Loveland, CO 80538............... 970-667-2009

Palmer, Charles F., MD 3400 W. 16th Street, Ste. P Greeley, CO 80634................. 970-351-0999

Stoltz, Michelle, MD 2410 W. 16th Street Greeley, CO 80634................. 970-352-6353

Uyemura, Matthew J., MD 1616 15th Street Greeley, CO 80631................. 970-352-6688

Abbott, Stewart M., MD

Weeks, Jeffrey B., MD 1931 65th Avenue, Ste. C Greeley, CO 80634................. 970-352-1877

1275 58th Avenue, Ste. A Greeley, CO 80634.........970-336-1500 See ad on page 85 Allen, Neil H., MD 2410 16th Street Greeley, CO 80634................. 970-352-6353 Berdahl, Laurie D., MD 2410 16th Street Greeley, CO 80634................. 970-352-6353 Beresford, Kaea N., MD 1900 16th Street Greeley, CO 80631................. 970-350-2403 Budd, L. Ginger, MD 1900 N. Boise Ave., Ste. 300 Loveland, CO 80538............... 970-667-2009

Cecil, Jennifer, MD 2902 Ginnala Dr., Ste. 1 Loveland, CO 80538............... 970-669-8998

occupational medicine Charbonneau, John D., MD, MPH 1275 58th Avenue, Ste. C Greeley, CO 80634................. 970-352-8311 Jacob, Joseph, MD 4401 Union St. Loveland, CO 80637............... 970-619-3400 Smith, Cathy D., MD 1800 15th Street, Ste. 100B Greeley, CO 80631................. 970-350-6810

Burket, Charles R., MD 1900 16th Street Greeley, CO 80631................. 970-350-2403 Colberg, Craig S., MD 1900 16th Street Greeley, CO 80631................. 970-350-2403

opthalmology

Crane, John, MD 1900 N. Boise Ave., Ste. 300 Loveland, CO 80538............... 970-667-2009

Adams, John C., MD 3400 W. 16th Street, Ste. O Greeley, CO 80634................. 970-351-6216

Fiala, Jenna E., MD 2410 W. 16th Street Greeley, CO 80634................. 970-352-6353

Brotsky Rochelle J., MD 1616 15th Street Greeley, CO 80631................. 970-352-6688 Carter, Douglas B., MD 1931 65th Avenue, Ste. C Greeley, CO 80634................. 970-352-1877

Welch, John R., MD 1616 15th Street Greeley, CO 80631................. 970-352-6688

oral & maxillofacial surgery

Nicholas, Kenton C., DDS 1900 16th Street Greeley, CO 80631................. 970-350-2458

orthodontics Edgren, Bradford N., DDS 3400 16th Street, Bldg. 4-V Greeley, CO 80634....... 970-356-5900 See ad on page 34 Edgren, Burdett R., DDS 3400 16th Street, Bldg. 4-V Greeley, CO 80634....... 970-356-5900 See ad on page 34

orthopaedics Anderson, Gilbert I., MD 1801 16th Street Greeley, CO 80631................. 970-392-2496 Baer, Robert, MD 2500 E. Prospect Rd. Fort Collins, CO 80525........... 970-493-0112 Beard, David, MD 2923 Ginnala Dr. Loveland, CO 80538............... 970-663-3975 Benz, Robert, MD 2923 Ginnala Dr. Loveland, CO 80538............... 970-493-0112 Biggs, William MD 2500 E. Prospect Rd. Fort Collins, CO 80525........... 970-493-0112 Brackett, Bess, MD 7251 W. 20th Street, Bldg. N Greeley, CO 80634................. 970-330-5400

Reynolds, Ralph R., MD 2992 Ginnala Dr. Loveland, CO 80538......... 970-663-6878 See ad on page 67

Bussey, Randy M., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634................. 970-348-0020

oral surgery

Dhupar, Scott K., MD 5890 W. 13th Street, Ste. 102 Greeley, CO 80634................. 970-348-0020

Biggs, Don R., DDS 1032 Luke St. Fort Collins, CO 80524........... 970-482-1156

Donner, E. Jeffrey, MD 3810 N. Grant Ave. Loveland, CO 80538............... 970-669-8881

Mellin, Richard W., DDS, MD 3400 16th Street, Bldg. 1S, Ste. A Greeley, CO 80634................. 970-353-5826

Durbin, Mark, MD 2500 E. Prospect Rd. Fort Collins, CO 80525........... 970-493-0112

Chamberlain, Satoru, MD 2500 E. Prospect Rd. Fort Collins, CO 80525........... 970-493-0112

44 01.2007 Loveland Greeley Master.44 44

1/3/07 10:13:28 AM

Fenton, Darrel, DO 1405 S. 8th Street, PO Box 1191 Sterling, CO 80751................. 970-522-2264 Grant, Michael, MD 3810 N. Grant Ave. Loveland, CO 80538............... 970-669-8881

pain management Sisson, C. Brad, MD 1136 E. Stuart St., Bldg. 4-104 Fort Collins, CO 80525........... 970-221-9451

Heare, Travis C., MD-TCH 1056 E. 19th Avenue, B060 Denver, CO 80218.................. 303-861-6600 Houghton, Michael, MD 2500 E. Prospect Rd. Fort Collins, CO 80525........... 970-493-0112 Hunter, Brett P., MD 1900 16th Street Greeley, CO 80631................. 970-350-2427 Jackson, Wesley, MD 2500 E. Prospect Rd. Fort Collins, CO 80525........... 970-493-0112 Martin, Dale, MD 2923 Ginnala Dr. Loveland, CO 80538............... 970-663-3975 McFerran, Mark, MD 2923 Ginnala Dr. Loveland, CO 80538............... 970-663-3975 Pazik, Thomas J., MD 7251 W. 20th Street, Ste. P Greeley, CO 80634................. 970-330-1090 Pettine, Kenneth MD 3810 N. Grant Ave. Loveland, CO 80538............... 970-669-8881 Sanderford, Kelly R., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634................. 970-348-0020 Shannon, Michael J., MD 7251 W. 20th Street, Bldg. P Greeley, CO 80634................. 970-330-1090 Sides, Stephen D., MD-TCH 1056 E. 19th Avenue, B060 Denver, CO 80218.................. 303-861-6600 Tartaglia, Louis, MD 1708 Boise Ave. Loveland, CO 80538............... 970-669-6880 Watkins, John J., MD 1900 16th Street Greeley, CO 80631................. 970-350-2427 Young, Eric, MD 3810 N. Grant Ave. Loveland, CO 80538............... 970-669-8881

pathology Allen, Patrick, MD PO Box 419 Loveland, CO 80539............... 970-635-4126 Bee, Christopher, MD PO Box 419 Loveland, CO 80539............... 970-635-4126 Bonelli, Joseph E., MD PO Box 3500 Sterling, CO 80751................. 970-521-3159 Chaffin, D. Joe, MD 1801 16th Street Greeley, CO 80631................. 970-350-6724 Dunn, Cory D., MD 1801 16th Street Greeley, CO 80631................. 970-350-6725

Norman, Jennifer, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537............... 970-663-5437 Patrick, Jenny, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537............... 970-663-5437 Peterson, Robert L., MD 5881 W. 18th Street Greeley, CO 80634................. 970-313-2700 Quintana, Michael, MD 2021 N. Boise Ave. Loveland, CO 80538............... 970-669-3298 Ryan, Joseph P., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700

Halbert, Richard E., MD 1801 16th Street Greeley, CO 80631................. 970-350-6726

Teruel, Katherine MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537............... 970-663-5437 Wiesner, Mark, DO 2555 E. 13th Street, Ste. 130 Loveland, CO 80537............... 970-663-5437

Hamner, H. Wentzell., MD 1801 16th Street Greeley, CO 80631................. 970-350-6433

Wright, Jason, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537............... 970-663-5437

Neuhauser, Thomas, MD PO Box 419 Loveland, CO 80539............... 970-635-4126

pediatrics Bruce, Robert, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537............... 970-663-5437 Dubynsky, Orest G., MD 1620 25th Avenue, Ste. D Greeley, CO 80631................. 970-356-2600 Kaplan, Kenneth H., MD 1620 25th Avenue, Ste. B Greeley, CO 80631................. 970-352-1900 Kolanz, Meshelle M., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.45 45

Mead, Andrea, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537............... 970-663-5437 Moore, Christopher P., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700

Grossnickle, Mark D., MD 1900 16th Street Greeley, CO 80631................. 970-350-2427 Hajek, Michael R., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634................. 970-348-0020

Marler, McKay, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537............... 970-663-5437

pediatricsallergy Murthy, Krishna C., MD 1130 38th Avenue, Ste. 2 Greeley, CO 80634....... 970-221-2370 See ad on page 39

pediatricscardiology Sondheimer, Henry M., MD 1056 E. 19th Avenue Denver, CO 80218.................. 303-861-6669

pediatricsdentistryorthodontics Morin, Charles K., DMD, MSC 2003 46th Avenue Greeley, CO 80634................. 970-330-4600

pediatricsgastroenterology Soden, Jason S., MD 1056 E. 19th Avenue Denver, CO 80218.................. 303-861-6669 Sondheimer, Judith M., MD 1056 E. 19th Avenue Denver, CO 80218.................. 303-861-6669

pediatricsphysical medicine & rehabilitation Apkon, Susan D., MD 1056 E. 19th Avenue Denver, CO 80218.................. 303-861-6633

pediatricsurology Koyle, Martin A., MD 1056 E. 19th Avenue Denver, CO 80218.................. 303-837-2680

physical medicine & rehabilitation Bender, John D., DO 1517 16th Avenue Ct. Greeley, CO 80631................. 970-392-2170 Cutter, Nancy C., MD 1800 15th Street, Ste. 200 Greeley, CO 80631................. 970-353-1009 Gehrs, Mindy A., MD 8515 Pearl St., Ste. 350 Thorton, CO 80229................ 303-255-4000

45 1/3/07 10:13:29 AM

Northern Colorado Pulmonary Consultants, P.C. Pulmonary Disease

Critical Care

Sleep Disorders

Lockwood, Bruce A., MD 1300 Oakridge Dr., Ste. 130 Fort Collins, CO 80525........... 970-377-9555 Reichhardt, Gregory, MD 2001 70th Avenue, Ste. 205 Greeley, CO 80634................. 970-392-2490 Van den Hoven, Raymond P., MD 1275 58th Avenue, Ste. C Greeley, CO 80634................. 970-352-8311 Wunder, Jeffrey A., MD 3555 Luthern Pkwy., Ste. 320 Wheatridge, CO 80033........... 303-423-8334 Zimmerman, Frederick D., DO 3555 Luthern Pkwy., Ste. 320 Wheatridge, CO 80033........... 303-423-8334

Diana Breyer, M.D.

Stan Gunstream, M.D.

James Hoyt, M.D.

podiatry Atwood, Thomas C., DPM 2122 9th Street, Ste. 3 Greeley, CO 80631................. 970-353-5800 Hatch, Daniel J., DPM 1931 65th Avenue, Ste. A Greeley, CO 80634....... 970-351-0900 See ad on page 54 Jensen, Jeffrey L., DPM 4600 Hale Pkwy., Ste. 440 Denver, CO 80220.................. 303-321-4477

David Kukafka, M.D.

Rick Milchak, M.D.

Mark Neagle, M.D.

Masterson, Jean T., DPM 2000 16th Street, Ste. 3 Greeley, CO 80631................. 970-352-4815 Vaardahl, Michael D., DPM 1931 65th Avenue, Ste. A Greeley, CO 80634....... 970-351-0900 See ad on page 54 Webb, Emily H., DPM 1136 E. Stuart St., Bldg 3, Ste. 220 Fort Collins, CO 80525................... 416-9009

Mark Petrun, M.D.

Eric Stevens, M.D.

Kristin Wallick, M.D.

LOVELAND 1808 N. Boise Ave. Loveland, CO 80538 970.461.9124

psychiatry Collier, Carol D., MD 928 12th Street Greeley, CO 80631................. 970-352-1056 Sills, Theron G., MD 900 14th Street Greeley, CO 80631................. 970-352-4284

1/4/07 5:03:30 PM

46 01.2007 Loveland Greeley Master.46 46

1/5/07 2:21:55 PM

psychiatrychild/adolescent

Janata, Robert J., DO 1900 16th Street Greeley, CO 80631................. 970-350-2448

Lane, Nicholas C., MD 928 12th Street Greeley, CO 80631................. 970-352-1056

Kukafka, David, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528.......... 970-224-9102 See ad on page 46

pulmonology Breyer, Diana, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528.......... 970-224-9102 See ad on page 46

Milchak, Richard, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528.......... 970-224-9102 See ad on page 46

Neagle, Mark, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528.......... 970-224-9102 See ad on page 46

Gunstream, Stanley, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528.......... 970-224-9102 See ad on page 46

Petrun, Mark, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528.......... 970-224-9102 See ad on page 46

Hoyt, James, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528.......... 970-224-9102 See ad on page 46

Stevens, Eric, MD 1808 N. Boise Ave. Loveland, CO 80538............. 970-461-9124 See ad on page 46

Janata, Kelli R., DO 1900 16th Street Greeley, CO 80631................. 970-350-2448

Wallick, Kristin, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528.......... 970-224-9102 SSee ad on page 46

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.47 47

radiation oncology Casey, William B., MD 1801 16th Street Greeley, CO 80631................ 970-350-6680 See ad below Klish, Marie D., MD 2050 N. Boise Ave. Loveland, CO 80538............. 970-679-8900 1801 16th Street Greeley, CO 80631................ 970-350-6680 See ad below Lim, Meng Lai, MD 1801 16th Street Greeley, CO 80631................ 970-350-6680 Lisella, Gwen H., MD 1801 16th Street Greeley, CO 80631................ 970-350-6680 See ad below Mackey, Winona, MD 1801 16th Street Greeley, CO 80631................. 970-350-6680 Simpson, C. Kelley, MD 1801 16th Street Greeley, CO 80631....... 970-350-6680 See ad below

radiology Bauerle, Gary W., MD 1801 16th Street Greeley, CO 80631................. 970-350-6860 Berkowitz, Bruce, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-4757 Bodenhamer, John, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-4757 Craven, Winfield, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-4757 Dunphy, Thomas, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-4757 Fleener, Christopher, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-4757 Fuller, Samuel, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-4757 Geraghty, Michael, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-4757

47 1/3/07 10:13:36 AM

Harris, John P., MD 1801 16th Street Greeley, CO 80631......................... 350-6860

Pacini, Richard, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-5727

Hayes, Amy, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-4757

Peck, Steven, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-4757

Howshar, Mark, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-4757

Powell, David F., MD 1801 16th Street Greeley, CO 80631................. 970-350-6860

Jess, Sarah Jane, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-4757

Raque, James D., MD 1801 16th Street Greeley, CO 80631................. 970-350-6860

Koplyay, Peter, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-4757

Reese, Mark, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-4757

Kreider, Dan F., MD 1801 16th Street Greeley, CO 80631................. 970-350-6860

Singer, Charles, MD 2008 Caribou Dr. Fort Collins, CO 80525........... 970-484-4757

Lile, Robert L., MD 1801 16th Street Greeley, CO 80631................. 970-350-6260

Weissmann, Jeffrey, MD MMC Radiology Dept. Loveland, CO 80539............... 970-203-6502

Markel, Curtis, MD MMC Radiology Dept. Loveland, CO 80538............... 970-203-6502 Nelson, Todd P., MD 1801 16th Street Greeley, CO 80631................. 970-350-6860

rheumatology Levine, James W., DO 1900 16th Street Greeley, CO 80631................. 970-350-2433

Murray, Garvin C., MD 239 W. 67th Court Loveland, CO 80538............... 970-461-1880 1900 16th Street Greeley, CO 80631................. 970-350-2433 Thompson, J. Stephen, MD 239 W. 67th Court Loveland, CO 80538............... 970-461-1880 1900 16th Street Greeley, CO 80631................. 970-350-2433

surgerycardiothoracic Ammons, Mark A., MD 2005 Franklin St. Midtown 1, Ste. 700 Denver, CO 80205.................. 303-832-6165 Carson, Stanley D., MD 2005 Franklin St. Midtown 1, Ste. 700 Denver, CO 80205.................. 303-832-6165 Lamounier, Fernando N., MD 2121 E. Harmony Rd., Ste. 200 Fort Collins, CO 80528970-221-1000 Lyons, Maurice I., DO 2005 Franklin St. Midtown 1, Ste. 700 Denver, CO 80205.................. 303-832-6165

Miller, Kevin B., MD 2005 Franklin St. Midtown 1, Ste. 700 Denver, CO 80205.................. 303-832-6165 Richards Kenneth M., MD 1800 15th Street, Ste. 340 Greeley, CO 80631....... 970-378-4593 See ad on page 11 Stanton, Michael W., MD 2121 E. Harmony Rd., Ste. 100 Fort Collins, CO 80528........... 970-378-8719 Tullis, Gene E., MD 1800 15th Street, Ste. 340 Greeley, CO 80631................. 970-378-4593

surgerygeneral Burton, Lisa K., MD 1800 15th Street, Ste. 210 Greeley, CO 80631................. 970-352-8216 Blomquist, Thomas, MD 1900 N. Boise Ave., Ste. 420 Loveland, CO 80538............... 970-669-3212 Collins, Jerome, MD 1900 N. Boise Ave., Ste. 420 Loveland, CO 80538............... 970-669-3212

48 01.2007 Loveland Greeley Master.48 48

1/3/07 10:13:39 AM

surgerymaxillofacial Zulian, Michael, DDS 2800 Madison Square Dr. Loveland, CO 80538............... 970-669-6850

surgeryneuro Coester, Hans C., MD 1313 Riverside Ave. Ft Collins, CO 80524.......... 970-493-1292 2001 70th Ave., Ste. 300 Greeley, CO 80634............. 970-356-4488 See ad on page 48 Turner, Donn M., MD 1313 Riverside Ave. Ft Collins, CO 80524.... 970-493-1292 1630 17th Avenue Greeley, CO 80631....... 970-356-4488 See ad on page 48 Viola, John J., MD 2001 70th Avenue, Ste. 300 Greeley, CO 80634....... 970-356-4488 See ad on page 48

Cribari, Chris, MD 1148 E. Elizabeth St. Fort Collins, CO 80524........... 970-221-5878 Dubs, Steven M., MD 1900 16th Street Greeley, CO 80631................. 970-350-2426 Fraser, Lesley A., MD 1900 16th Street Greeley, CO 80631................. 970-350-2426 Johnell, Michael W., MD 1800 15th Street, Ste. 200 Greeley, CO 80631................. 970-378-4433 Keeler, Bradford, MD 1900 N. Boise Ave., Ste. 420 Loveland, CO 80538............... 970-669-3212

Greeley, CO 80631................. 970-350-2426 Schiefen, James C., MD 1900 16th Street Greeley, CO 80631................. 970-350-2426 Simchuk, Erik, MD 1900 N. Boise Ave., Ste. 420 Loveland, CO 80538............... 970-669-3212 Tyburczy, Joseph A., MD 1800 15th Street, Ste. 210 Greeley, CO 80631................. 970-352-8216

Wirt, Timothy, MD 1313 Riverside Ave. Ft Collins, CO 80524.......... 970-493-1292 1630 17th Avenue Greeley, CO 80631............. 970-356-4488 See ad on page 48

surgeryoculoplastic Willoughby, Brian J., MD 3250 E. 2nd Avenue, Ste. 100 Denver, CO 80206.................. 303-320-5700

Lee, James S., MD 1500 16th Avenue Ct. Greeley, CO 80631................. 970-350-0948

surgerygeneralburn

surgeryplastic surgery

Lee, Jeffrey S., MD 1500 16th Avenue Ct. Greeley, CO 80631................. 970-350-0948

Goodwin, Cleon W., MD 1801 16th Street Greeley, CO 80631................. 970-350-6301

Brewster, Amy E., MD 2121 E. Harmony Rd., Ste. 360 Fort Collins, CO 80528......... 970-266-0456

Ogren, Jason W., MD 1800 15th Street, Ste. 210 Greeley, CO 80631................. 970-352-8216 Peetz, Michael E., MD 1900 16th Street

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.49 49

See ad this page

Chapman, Jeffrey, MD 1217 E. Elizabeth St., Bldg. 7 Fortt Collins, CO 80524.......... 970-493-8800

Gonyon, Denis L., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2760

urology Bruns, Thomas C., MD 1907 Boise Ave. Loveland, CO 80538............... 970-669-2770 Brutscher, Stephen, DO 1500 S. Lemay Ave. Fort Collins, CO 80524 970-484-6700 See ad on page 61 Charepoo, Khashaiar, MD 1601 25th Avenue Greeley, CO 80634................. 970-353-4085 Eddy, Michael J., MD 1647 E. 18th Street Loveland, CO 80538..... 970-669-9100 See ad on page 61 Everett, Randy, MD 1500 S. Lemay Ave. Fort Collins, CO 80524 970-484-6700 See ad on page 61 Goodman, Gary R., MD 1900 16th Street Greeley, CO 80631................. 970-350-2491 Henderson, Stephen, MD 1925 W. Mountain View Ave. Longmont, CO 80501............. 720-494-3137 Nemeth, Clifford J., MD 1647 E. 18th Street Loveland, CO 80538..... 970-669-9100 See ad on page 61 Phillips, George H., MD 1647 E. 18th Street Loveland, CO 80538..... 970-669-9100 See ad on page 61 Soper, Timothy, MD 1500 S. Lemay Ave. Fort Collins, CO 80524 970-484-6700 See ad on page 61 Wolach, James W., MD 5890 W. 13th Street, Ste. 106 Greeley, CO 80631................. 970-378-1000

Advertise in our 2008

medical wellness Loveland /Greeley

magazine / director y

CALL US FOR DETAILS

970-226-6400 49 1/5/07 9:03:42 AM

Asthma

From Left to Right: Theresa Lindahl, RN of McKee Medical Center, Dr. William Culver of Big Thompson Medical Group and Aspen Medical Center, Dr. Eric Stevens of Northern Colorado Pulmonary Consultants, Pat Samples, RN of North Colorado Medical Center

Approximately 20

million people in the United States have

asthma; nine million

are children under 18.

More than four million children have had an

asthma attack within the past year. 12.8

million school days are

missed annually due to asthma.

understanding • treating • managing

asthma by Court Klinck

Do you have asthma? Know anyone who does? Perhaps you’ve taken one or more of your children to the emergency room in the middle of the night with asthma symptoms. You’re not alone. According to data from the American Academy of Allergy, Asthma and Immunology (AAAAI), asthma affects millions of people and represents a major health problem. And the problem is growing. A November 2006 article in the New England Journal of Medicine entitled The Asthma Epidemic notes the increase in the prevalence of asthma in recent decades. Annual U.S. health care costs for asthma are more than $11.5 billion, of which more than $5 billion is spent on prescription drugs. In addition to

the direct costs, another $4.6 billion is associated with lost productivity attributable to time away from work because of asthma illness. Asthma accounts for approximately 5,000 deaths annually. Understanding the Disease Asthma is a chronic, but usually reversible disease, involving inflammation of a person’s air passages and resulting in the common symptoms of coughing, wheezing, shortness of breath, chest tightness, and difficulty breathing. People are not born with asthma. Two primary factors - genetics and environment - play causative roles in the development of asthma. A person’s genetic makeup

50 01.2007 Loveland Greeley Master.50 50

1/3/07 10:13:48 AM

can create a predisposition for developing asthma. Those who have a parent or parents with asthma are significantly more likely to have asthma themselves. According to AAAAI data, approximately 40% of children with asthmatic parents will develop asthma. Asthma involves the over-sensitivity of a person’s air passages to various environmental stimuli called “asthma triggers.” Allergies (involving immune system over-reaction to pollen, dust, animal hair, etc.) can trigger the onset of asthma. The AAAAI data shows that approximately 50% of people with asthma also have allergies, however people can have very severe asthma with no allergies. Other asthma triggers are: irritants such as cigarette smoke – direct and second hand, hair spray, spray deodorants, and paint and gasoline fumes; cold and dry weather (e.g. Colorado in the winter); strenuous exercise; infections such as colds and flu; and changes in breathing patterns resulting from emotional stress. Different triggers apply to each individual. Asthma can also be aggravated by other factors that are unknown or unidentifiable. While there are a number of possible triggers and aggravating factors, The Asthma Epidemic article mentioned above states, “The most strongly supported preventive measure is the avoidance of passive and active exposure to smoke.” In cases where allergy plays a role in the development of asthma, sometime after birth - as early as infancy and as old as middle age – the body becomes “sensitized” to one or more substances (allergens) in the environment. How and why this happens is not known. Common allergens include pollen of trees, grass and weeds; animal dander of cats, dogs and other animals; and less often foods such as peanuts, shellfish and dairy products. When the body becomes sensitized, it produces an allergic antibody called IgE. If a person later comes in contact with allergens to which he or she has been sensitized, the IgE in the body causes allergic nasal and possibly chest symptoms. In the lung, tightening or constricting (Bronchoconstriction) of the smooth bronchial muscles occurs; the air passage linings become inflamed and swell creating excess mucus; airflow is impeded. This process creates the common asthma symptoms noted above. Two good descriptions of the asthmatic’s lung during this condition are “hyper-reactive” and “inflamed.” An ongoing condition of inflammation is set up as the result of allergy (or other factors such as infection) and renders the lung even more reactive to milder stimuli. The process can then perpetuate itself until some form of treatment intervention (e.g. administration of anti-inflammatory medicine) occurs. The greater the number of asthma provoking factors – allergy, infection, irritants, and inflammation – the longer and more severe the asthma process may become. National guidelines have been established that categorize asthma severity. The two major categories are “Intermittent” and “Persistent.” Intermittent asthma is defined as occurring on an infrequent basis with mild symptoms needing minimal attention. Persistent asthma is defined as occurring on a continual basis with symptoms being mild, moderate or severe. The distribution of asthma severity among patients follows a bell shaped curve, with the smallest number of people falling in the mild and severe categories and the bulk of the people in the moderate category. (Note: For a good discussion of guidelines see www.acaai.org/ public/patients/control.htm)

Both children and adults can develop asthma. Genetic and environmental factors affect each person differently. Children in certain categories have been found to have a higher probability than average for developing persistent asthma. Some of the most common of these categories include: children with a family history of asthma, those with a parent or parents who smoke, those with eczema, and those with severe early childhood asthma. Other categories that predict a higher probability for the development of asthma are children who have had the respiratory infection RSV, and girls who are overweight at puberty. Studies show that half of all children will wheeze by age 6 - 40% of those will not wheeze thereafter; 80% of children continuing to have asthma at age 7 will have symptoms persist into adulthood; two of three children who develop asthma during the school years will exhibit their first symptoms before age 3; and allergic asthma starting before age 3 is more severe than allergic asthma starting later in life. The primary asthma triggers for children are infection, cold air, exercise and allergies. Because of both short-term and long-term health implications, pediatric age asthma needs aggressive management and evaluation. Symptoms often diminish when an asthmatic person reaches adulthood. On the other hand, adults can develop asthma without ever having it previously as a child or young adult. Adults experiencing asthma for the first time often have a more serious and progressive form of the disease. Therefore, symptoms should not be ignored. Treating and Managing the Disease A number of physicians today have expertise in the treatment and management of asthma. Asthma and allergy specialist, William Culver – who kindly contributed much of the medical information in this article – practices at the Big Thompson Medical Group, Aspen Medical Center, in Loveland and Fort Collins. According to Dr. Culver, “Many people are totally unaware that feeling short of breath, coughing and wheezing are signs of asthma. Studies show that patients consistently underestimate the severity of their asthma symptoms. Pulmonary function testing may reveal significant abnormalities in those unaware that they may have asthma, or even in those who feel that they have good asthma control. When lung function is not normal, there is greater likelihood of an asthma flare and continued asthma and airway inflammation. That’s why national recommendations call for physicians treating asthma patients to test and measure pulmonary function.” For patients suspecting that they might have asthma, Culver first gathers health information about them, their family, and relevant environmental factors such as when and where the symptoms occur, whether there are pets in the home, etc. He then performs a physical examination, looking for signs of respiratory and associated allergic conditions. Once this information is obtained, Dr. Culver conducts a Pulmonary Function Test (PFT) to determine how the lungs are performing. If allergies are suspected as the trigger, a skin test or blood test is administered to determine the specific allergen triggers. Although asthma is never completely “cured,” significant advances have been made in treating and managing the disease. Once a patient’s condition is diagnosed as asthma, the

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.51 51

degree of severity has been established, and the patient’s life style activity expectations have been determined, Culver sets up a treatment program he calls an Action Plan individually tailored to the patient. This program may include any combination of elimination or avoidance of causative allergens, medication (pills and inhalers), and allergy injection therapy to reduce the effects of allergies. There have been impressive advances over the last several years in asthma medication. Several new medications, and consistent monitoring to optimize lung function, afford most people with asthma an improved quality of life. Medications can be classified as “rescue,” to be used at the time of symptoms, or “controller or preventive,” to be used daily. Often pre-treating before known triggers, such as exercise or exposure to the dog or cat, may reduce asthma symptoms. If rescue medication (Albuterol is, perhaps, the most common) is needed more than three times weekly, then “controller or preventive” medications are indicated. Signs of poor asthma control are overuse of rescue medications, and an inability to perform routine activities because of breathing difficulty – when awakening at night or at any other time. Inadequate asthma control continues the cascade of airway inflammation and symptoms, and disease progression. Therefore, the controller medications play an important part of asthma management. Culver indicates that regardless of the severity of asthma, once the disease is controlled – the inflammation calmed, the asthma medication may be reduced in accordance with the patient’s individualized Action Plan. To stay on top of the disease, Culver recommends that lung function be measured annually (or more often as symptoms dictate). Many asthma drugs are expensive but there are some generic versions available and some of the drug companies offer special programs for those in need of economic assistance. A very important part of the treatment and management of asthma involves the role of hospital care coordinators. These coordinators are nurses who work with asthma patients and health care providers to provide asthma awareness and education, and assist in the establishment of individualized asthma Action Plans for effective disease management. Pat Samples, RN, is the Manager of Care Coordination at Banner Health’s North Colorado Medical Center (NCMC) in Greeley. She founded the hospital’s Asthma Disease Management Program 10 years ago. Samples and NCMC’s Asthma Care Coordinator, Beryl Harman, RN, assist NCMC’s asthma patients in better understanding and managing their disease. They also work closely with individuals and groups in the community such as asthma specialists, school nurses, clinics and other hospitals to share the latest information on asthma research, new medications and treatment devices, and the latest in effective disease management techniques. The NCMC Asthma Team works with patients (and their families) while they are inpatients. Samples states, “We take a complete asthma history and work collaboratively with the health care team. We also provide education and support to the nursing staff regarding the proper care of asthma. An individualized Action Plan is created with the physician, patient and patient’s family and the patient leaves with the plan upon discharge from the hospital. The key to success is establishing a

51 1/3/07 10:13:49 AM

collaborative partnership with the patient, his or her family and the physician.” Samples describes the role of the Asthma Team as helping to build that relationship and empowering the patient and family to effectively manage their disease. Samples notes that asthma patients are now able to daily monitor their condition using a Peak Flow Meter, a simple, portable and inexpensive device that measures air flow, or peak expiratory flow rate (PEFR). (A Piko Meter is an advanced, lightweight, electronic version with digital readout, better accuracy, and the ability to store previous measurements.) Armed with an individualized Action Plan that they have created with their physician, they may adjust medication as necessary, based on the meter results. Samples advises, “If you’re an asthma patient, even though you still feel good, it’s important to monitor your disease and follow your Action Plan; you can learn to manage your disease and live a healthy, ‘normal’ life.” Theresa Lindahl, RN, has been the Care Coordinator at McKee Medical Center in Loveland for approximately four years. One of her primary responsibilities is coordinating the hospital’s asthma management program. While the McKee and NCMC programs are, in some respects, organized differently, they both have the same basic objectives: 1) provide patients with the knowledge, tools and resources to manage their disease and learn how to navigate the health care system, and 2) educate the community on the latest developments and approaches in asthma management. Both programs employ a multidisciplinary team approach, utilizing nurses, doctors and other health care professionals who have expertise in the diagnosis, treatment and management of asthma. Lindahl has a positive message for asthma suffers. “Asthma is a very manageable disease. We encourage patients to join us in a partnership – we provide the knowledge, tools and resources, they commit to monitoring their signs and symptoms, regularly checking their Peak Flow or Piko Meters, and adjusting their medications according to their asthma Action Plan developed by their health care provider.” The Action Plan used by Lindahl, as well as Samples, is based on the patient taking specific actions depending on his or her asthma symptoms and peak flow numbers in three condition zones: green (asthma under control, peak flow reading 80%-100% of personal best); yellow (caution, some symptoms are occurring, peak flow reading 50%-80% of personal best); and red (severe symptoms are occurring, peak flow reading less than 50% of personal best). The patient’s recommended actions (including what medications to take, whether to call the doctor or 911, etc.) are based on the particular zone and the patient’s specific treatment plan. Multi-disciplinary Asthma Task Forces NCMC has an Asthma Task Force meeting monthly with its physician “champions,” Dr. Scott Pace, Dr. John James, and Dr. Keith Rangel. The Asthma Task Force continually assesses and revises the program to meet the current needs of the hospital’s asthma patients, based on national standards and benchmarks. McKee also has an Asthma Task Force that meets periodically to review standards for asthma patient care. Members include Lindahl, respiratory therapists, Dr. Culver, and other leading area doctors including pediatrician Dr. Jason Wright and

pulmonary specialist, Dr. Eric Stevens with Northern Colorado Pulmonary Consultants. According to Stevens, “The goal for all those on the Asthma Task Force is to expand the knowledge of asthma, its treatment, and its effective management throughout the hospital and the community. We are promoting system-wide measures for asthma treatment and management, involving many different health care providers.” The multi-disciplinary makeup of McKee’s Asthma Task Force mirrors the collaboration found in the doctors’ regular practices. For the past five years, for example, Stevens indicates, “I’ve had a great working relationship with Dr. Culver. We both have the same approach to asthma management. As a pulmonary physician, I work collaboratively with doctors who specialize in allergies and asthma. Dr. Culver and I refer patients to one another, based on the patient’s specific medical problems and condition. For example, if I have a patient with no particularly serious pulmonary problem but strong symptoms of allergy and asthma, I might refer that patient to Dr. Culver. Conversely, Dr. Culver might refer one of his asthma patients to me if the patient evidences a pulmonary problem such as sleep apnea, chronic obstructive pulmonary disease (COPD), lung cancer, upper airways obstruction, etc.” Asthma Education McKee sponsors an annual Health Fair at the end of April (preceding World Asthma Day in May). Free spirometry testing (measuring the amount of air in and out of the lungs) is offered as well as a free asthma screening if asthma is suspected. McKee also offers quarterly asthma education classes (one and one-half hours/week for four weeks) held in January, April, July and October. A team, consisting of a pharmacist, respiratory therapist, behavioral therapist, and nurse, teaches the classes. A free asthma health history is available in the classes. A similar asthma education program is offered at NCMC, where free asthma classes are offered. Sources of Asthma Information American Academy of Allergy, Asthma and Immunology :: www.aaaai.org Allergy and Asthma Network Mothers of Asthmatics :: www.aanma.org American College of Allergy, Asthma and Immunology :: www.acaai.com Parents of Asthmatic and Allergic Children Fort Collins Chapter of Mothers of Asthmatics (970) 495-8153 Asthma Education Classes offered free at: McKee Medical Center: (970) 635-4015 Poudre Valley Hospital: (970) 495-8153 North Colorado Medical Center: (970) 350-6927

Court Klinck is a freelance writer living in Greeley.

52 01.2007 Loveland Greeley Master.52 52

1/5/07 9:04:28 AM

MMC: EMERGENCY services

Dr. Mark Dixon, Emergency Department Medical Director and Jayne Brundage, RN, Emergency Department Nurse Manager

emergency patient flow

door 2 doc Most of us have

experienced going to a

hospital emergency room. It’s not a lot of fun and is

usually accompanied by a

great deal of anxiety. Upon

arriving at the ER, the first thing we want to do – and quickly – is see a doctor.

In the past, ER facilities and processes, including those at Loveland’s McKee Medical Center, were typically not designed to move patients from the admitting area to a doctor in an expeditious manner. Staff and bed shortages (in either the ER, main hospital or both), reliance on timeconsuming triage evaluations for all patients at the ER entry point, front-end paperwork, and lack of smooth system tracking and communication throughout the entire ER process created bottlenecks, backups and delays – delays that increased patient anxiety and negatively impacted the overall level of service. Many of today’s ERs still have these problems. In 2005, Loveland’s McKee Medical Center, a part of the Banner Health System, addressed the delay issues by implementing a new ER, or as McKee calls it, Emergency Department (ED), patient flow process, informally called Door 2 Doc. Prior to Door 2 Doc, ED patients were first triaged to determine the severity of their illness or injury. This took up to 15 minutes for each patient. Patients with the most serious conditions were ideally seen first, with those having less serious problems often - depending on the number of more serious cases ahead of them - having a long wait before seeing a doctor. By streamlining the triage process and creating a more efficient ED system flow, the Door 2 Doc process has substantially reduced the time between when a person first enters the ED until he or she sees a doctor. In addition, the new process provides a more patient-friendly environment,

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.53 53

by Court Klinck

creating a better overall ED experience. The Door 2 Doc process has been a big success as evidenced by a number of performance measurements. McKee’s ED goal for patient wait time is less than 30 minutes, which is measured from when the patient is first entered into the ED computer system until he or she first sees the doctor. In November 2006, 83% of patients were seen in less than 30 minutes, with the average being 22 minutes. The national average is 45 minutes. 99% of the patients were seen in less than one hour. In Colorado, the average length of stay in an emergency facility is three hours and 20 minutes. In the McKee ED, it’s two and one-half hours, the best in Northern Colorado. Currently, 74% of the ED patients requiring transfer into the main hospital are moved in less than 90 minutes. ED patient satisfaction, rated as percentile of emergency facilities nationwide, has risen from the 17th percentile in 2005 to the 84th percentile today. As further evidence of just how successful the Door 2 Docs program has been, a group of six McKee staff members, including ED Medical Director, Dr. Mark Dixon, and McKee CEO, Rick Sutton, recently traveled to New York to accept one of only six National Patient Satisfaction Awards given by Press Ganey Associates, the leader in measuring patient satisfaction. Because of the resounding success of the Door 2 Doc program at McKee, Banner Health has made a commitment to implement the program in its 20 hospitals throughout the western United

53 1/3/07 10:13:56 AM

States. Banner’s North Colorado Medical Center in Greeley initiated the program a few months ago. McKee’s new and expanded ED facility, to be opened in late summer of 2007, will increase the number of ED beds from 19 to 25 and has been specifically designed to optimize the Door 2 Doc process. Dr. Dixon, and registered nurse (RN) Jayne Brundage, ED Nurse Manager, describe step by step how the new process works:

Step 1 The patient enters the ED and goes to the “Greet Desk.” The person at the Greet Desk asks the patient, “Are you here to see an Emergency Department physician?” (The Greet Desk handles out patients as well as emergency patients.) If the patient answers “yes,” the Greet Desk person requests the patient’s name and birth date, enters the patient information into the Emergency Department computer system and calls the designated registered nurse (RN) to come for the patient.

Step 2 The designated RN, also referred to as the “triage nurse,” meets the patient in the ED lobby and escorts him or her into an intake or triage area. If an ED “bed” is immediately available, the patient is taken directly through the triage area to the bed. If a bed is not immediately available but expected to be in 5-10 minutes, the triage nurse observes the patient’s condition, inquires about the specifics of the patient’s medical problem, takes the patient’s blood pressure, and assigns an Emergency Severity Index (ESI) level (degree

of problem seriousness) to the patient. The nurse then enters the patient information into the ED’s computer system for tracking purposes.

Step 3 Then the patient arrives at the ED bed where an RN or a doctor finishes triage. After the triage functions have been performed (in either Step 2 or Step 3), the primary care nurse and doctor continue their examination and treatment using, as a starting point, the triage information already obtained.

Step 4 Once the patient has been seen by the doctor and nurse and is determined to be stable, he or she is identified in the computer system as “ready for registration.” At this time, a registration representative visits the patient and obtains insurance and other information.

Step 5 Depending upon the type and severity of the injury or illness, patient examination and treatment continues either in the ED, the main McKee hospital, or, occasionally, at other hospitals that provide more specialized trauma care. Whatever the situation, the patient is sent to the location best suited to deal with the medical condition. In cases where treatment in the ED solves the problem or identifies it as being treatable at home, the patient is released. A good process, by itself, does not ensure a successful result. A good process, implemented by a great team, almost always does, as is the case

with McKee’s Door 2 Doc process and ED staff. Dr. Dixon is a graduate of Harvard Medical School, spent two years in surgical training at Baltimore’s John Hopkins University Hospital, and was trained for three years in emergency medicine at Thomas Jefferson University Hospital in Philadelphia. He has 14 total years of emergency treatment experience, including six years at McKee. Nurse Brundage received her BS in Nursing from California State University, San Bernardino and an MBA from

November 2006, 83% of patients were seen in less than 30 minutes, with the average being 22 minutes. the University of Redlands. She has 16 total years of emergency treatment experience, including two years at McKee. The total ED team consists of nine MDs, board certified in emergency medicine, 36 RNs, and a number of other health care professionals. It’s clear that the ED team members have a great deal of respect and admiration for their fellow team members. Nurse Brundage glows with pride when she talks about the nurses she manages. “Our nursing staff represents 600 total years of nursing experience; one nurse has 30 years of emergency treatment experience at McKee. Five nurses have master’s degrees, two are working on their masters, and four are working on four-year degrees, advancing from two-year degrees. Our shift charge nurses play a big role in making the Door 2 Doc process work smoothly – they’re our “operational experts.” Nurse Brundage also has many words of praise for Dr. Dixon. “Dr. Dixon’s training in emergency treatment is exceptional. He has the expertise to treat every ED patient – from a tiny baby to a 100-year-old person.” Dr. Dixon emphasizes the impressive contributions of the other team members. “Converting from the old emergency treatment approach to the Door 2 Doc process might appear to be an easy task. It wasn’t. It’s been a tremendous job to change the prevailing attitudes about how the ED should operate. Our team made it happen.” Perhaps the most admirable aspect of McKee’s new ED Door 2 Doc process is that it welcomes every patient seeking emergency treatment. A federal law, titled EMTLA, requires a hospital only to treat and stabilize emergency patients; then the patient (e.g. one with no means to pay, no insurance, etc.) can be released. According to Dr. Dixon, “Our ED treats all patients the same – we don’t turn anyone away.” Nurse Brundage adds, “Patients are receiving the care they need and they don’t have the added trauma of having to wait so long for that care.”

Court Klinck is a freelance writer living in Greeley.

54 01.2007 Loveland Greeley Master.54 54

1/3/07 10:14:03 AM

At McKee Medical Center, we work to get you the advanced emergency care you need in 30 minutes or less, so you can get on with your life. This timely care is possible because our ER is divided into different severity zones to help reduce waiting. Plus our highly skilled physicians and nurses work together during the initial consultation so patients don't have to restate their medical condition. It's this kind of teamwork, dedicated to healing the whole person, that's been our trademark for the past 30 years and for years to come. McKee Medical

Center. Remarkable health care inspired by you.

Banner Health

01.2007 Loveland Greeley Master.55 55

1/3/07 10:14:07 AM

In a crisis, you want to know that you and your family have quick access to emergency care. That's why people look to the power of the only Level II Trauma Center with an on-site flight program in northern Colorado- North Colorado Medical Center. We are uniquely positioned to deliver a higher level of emergency care, with board certified Emergency Physicians and Trauma Surgeons, a highly competent nursing staff and state-of-the-art burn treatment through our Western States Burn Center. And our Cardiac Alert program offers lifesaving treatment to our patients both prior to and immediately upon arrival. We are fully prepared to offer you the kind of highly specialized care you need.

North Colorado Medical Center. Your place for powerful medicine.

Banner Health

North Colorado Medical CenterÂˇ 1801 16th Street â&#x20AC;˘ Greeley (970) 352-4121 Physician information : www.BannerHealth .com or 800-505-6877 Job opportunities: www.BannerHealth .com or 866-377-5627

Banner Health is the leading provider of nonprofit health care in northern Colorado.

01.2007 Loveland Greeley Master.56 56

1/3/07 10:14:19 AM

NCMC: burn care

Joe Tyburczy, M.D., Rebecca Garber FNP, Cleon Goodwin, M.D., FACS, Lisa Burton, M.D.

The most gifted athletes and musicians are often

western states

burn center

born to their work,

winning gold medals or

mastering an instrument

by Beth A. Herman

and finding themselves

in the proverbial

spotlight for years. While continuous hard work

is imminent, no matter

what’s in the genes, the promise of universal

fame and fortune

are often great catalysts

in the ongoing pursuit of their professions.

For the staff of North Colorado Medical Center’s Western States Burn Center, many of whom believe from their earliest memories that their work “chose them” and they’d not be happy doing much else, the reward comes not from visions of seven-figure Wheaties endorsements or Carnegie Hall engagements. Rather it comes from knowing that someone in their care with a 90% burn injury lived through the night, and maybe the following week, with a significant chance of survival. It also comes from the knowledge that because they are part of a highly developed, constantly evolving, 18-member, multi-disciplinary burn unit team in a state-of-the-art facility, their patient has an opportunity to resume a productive life, something often impossible just a few years ago. For Burn Center Director, Dayle Hosek, steering a cadre of diverse professionals through each case and into the future of burn treatment is all in a day’s work. “One of the nice things about working with this particular burn team is that it is truly a team that works together for the patients,” says the critical care nursing veteran of 35 years with master’s degrees in business and education. “We have weekend rounds together; we talk about how the patient is progressing and what they’re going to need when they get home – how we’re going to bring the family in to help with them. These are long-standing injuries to people with long-term impact,” she says. In fact, according to medical director Dr. Cleon Goodwin, while the average length of stay is somewhat less, patients have been known to remain at the center for up to a year. He notes patients’ families are “relatively distant” at first, trying to come to terms with a complicated situation and learning what to expect, with guilt and grief not uncommon byproducts of burn injuries. “But once you get past a week or so, we get to know them--how many kids they have, if they’re having trouble at school, if a spouse cannot visit because one of the children at home has ADD,” Dr. Goodwin says, “and they might know the same about us.” He adds that unlike his years in New York City as director of the burn center at what is now New York Presbyterian Hospital, which saw 1500 burns admissions annually, staff here gets – and

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.57 57

57 1/5/07 8:54:49 AM

Back Row: Rebecca Garbar, FNPC & Angie Erdman, RN Front Row: Sherry Vanmaanen, NP & Connie Martin, CNA

pursues - the opportunity to become intimately involved with each patient and their family, promoting a singular healing environment. A passionate but circumspect former North Carolinian whose medical training includes 14 years at the nation’s pre-eminent military burn center in San Antonio, Texas, Dr. Goodwin says that unlike other injuries, the nature of burns is far more invasive. Not only is the skin surface affected, but what’s underneath such as muscle, fascia, nerves and joints are involved, with scarring an anticipated result. Patients are also highly susceptible to fatal infection which can occur virtually in a matter of hours during the long treatment process, depending on the severity of the injury. Without a dynamic and intimately involved team of health care professionals, the care would not be the same. Early Days and Modern Moves From its inception in 1981, under Dr. James R. Wheeler as a portion of another unit, the Western States Burn Center has grown into a separate, 10bed facility with four of those beds designated for intensive care. The other six, according to Hosek, are on the surgical unit. “Our plan for 2007 will be to move to the previous ICU (the current ICU is located in the hospital’s brand new tower, part of NCMC’s expanded campus 2nd Century Project). We’ll be remodeling that area into a 10-bed acuity-adaptable burn unit,” she says, where families can stay with patients who are often there for weeks or months at a time. Tantamount to that, patients get to stay with the same team, enabling safer care than in “hand-off” situations from intensive care to pre-release. Location, Location, Location With approximately 125 burn centers in the

Rebecca Garber FNP and Cleon Goodwin, M.D., FACS scrubbing thier hands before a procedure

United States, the Western States Burn Center is one of only two in the state of Colorado, the other located at Colorado University in Denver. Averaging about 100 patients a year from Colorado, Idaho, Kansas, Montana, western Nebraska, North and South Dakota and Wyoming, the center’s mission extends as much to regional outreach as it does to staff enhancement and ongoing facilities development and expansion. Because of the complex and extended nature of burn injury and recovery, along with the region’s tenuous geography, which includes rural areas with few or no rehabilitation facilities or even hospitals in some cases, it is incumbent upon the center to provide former patients with access to necessary follow-up therapy. According to Hosek, Banner Health, which operates NCMC and WSBC, recently received a million dollar grant which will benefit WSBC outreach. In addition, efforts to connect outlying hospitals, clinics and even primary care physicians in remote areas with the center in the event of a burn emergency are the responsibility of outreach coordinator Allison Bruce, who travels throughout the eight-state region. Included in her charge to the regional medical community is information about advances in telemedicine for the center, which, through the use of digital photography over secured lines, enables Dr. Goodwin to consult with other health care professionals, making the decision to admit a patient to the burn center or have them treated elsewhere. Contingent on distance, patients may be flown directly to the center by rotary helicopter, or else into Weld County Airport by fixed wing “air ambulance,” common in the event of oil field injuries. “A portion of our patients are occupational injuries, the oil field workers, the gas line workers,” Hosek says. “They’ve got systems within their organizations, so we hook them up in terms of trying to continue treatment…after they leave.

We get patients from car wrecks and motorcycle injuries with burns…. A lot of people are burned because of a flash fire – something coming back at them. And we don’t think about something like concrete being a chemical that can burn skin, but it is.” According to Dr. Goodwin, who attributes much of his expertise as a burn surgeon to training with burn victims of the Vietnam War, Colorado is the second most common area, behind Florida, for lightning strikes. With the temperature of a lightning bolt ranging from 55-60,000 degrees, burns from this phenomenon can involve up to 95% of the body. In 1972 as a newly-practicing burn surgeon, Dr. Goodwin recalls that patients with even half of their bodies burned had only a 50-50 chance of survival. “Today that survival rate (can accrue) to a 95% burn,” he says. But the increased incidence of survival, often in light of total disfigurement, has deposited the medical profession onto a slippery slope of social concerns. “People in our society don’t respond well to disfigurement,” Hosek says. “I’d like to think we do better, but people can be cruel.” Depression is among the most common by-products of burn injuries. She cites this among the reasons the center has its behavioral health professionals front and center to provide tools for patients - and their families – throughout treatment and in transition. While the American Burn Association estimates more than one million burns occur each year, the figure has declined significantly from previous years when burn rates soared as high as two million. ABA Director Kitty Vineyard attributes some of this to “more prevention efforts,” with prevention becoming the major focus of the organization according to Dr. Goodwin, who is past president. He adds that most major philanthropic organizations that fund national burn groups, such as the International Association of Firefight-

58 01.2007 Loveland Greeley Master.58 58

1/5/07 9:05:04 AM

•

•••

Stop Heart Attacks Before They Happen Complete, High-Resolution Cardiac Images in Under 10 Seconds. Ten seconds or less. That's how long it takes to take super-sharp cardiac images. Specialists can now view all of you -from the biggest bones to the tiniest vessels - with incredible speed, sharpness and clarity. See us when you need a CT scan. We'll see you better.

Open Evenings And Saturdays For Your Convenience. For more information about Cardiac Calcium Score Exams, or to schedule an appointment, please call (970) 282-2912. Coming Soon: The Imaging Center at Centerra. Opening in March 1007. Toshiba's Aquilion rM 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.

• rc The Imaging Center 2127 E. Harmony Rd., Ste. 130 Fort Collins www. ha rmonyi magi ng.com

•

FotoFacial RF Pro®Treatments - full face, neck, hands or body treatments using Intense Pulsed Light and Radio frequency energy combined 1n the same pulse • Volumaliff" - Using Restylane to restore youthful volume & proportion Dermafirm'" - BOTOX®-based skin care for dermal enhancement & skin tightening • Laser Hair Removal

{All hair colors including white, gray, red ond blonde)

• Vein Treatment

Mallory Osteopathic family practice

1952 Blue Mesa Court • Loveland, CO (970) 669-9245 • www.docmallory.com www.syneron.com www.fotofacialrf .com www.volumalift.com

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.59 59

59 1/3/07 10:14:31 AM

Half of all burns seen in burn centers occur in the home. The following are recommendations for preventing burn injuries: •

Set water heater to 108 degrees or below if very young children are present to prevent scalding. Always test bath water before allowing children to use it.

•

Use protective covers on all electrical sockets where babies and young children are present.

•

Use back burners of the stove when cooking so small children cannot grab handles of pots and pans.

•

Never use water on grease fires: splashing spreads flames. Cover the fire with a lid to smother it.

•

Unattended candles present fire risk and are also easy for children to pull down if placed on windowsills, tablecloths, etc.

•

Store matches and lighters out of children’s reach and/or in locked cabinets.

•

Store cleaning and other chemicals out of children’s reach and/or in locked cabinets.

Source: Matt Housley, Fire Inspection Coordinator, Poudre Fire Authority

ers, make prevention paramount to many of their other programs. Carrying that (carefully monitored) torch into the region, a WSBC nurse accompanies area firefighters on an almost weekly presentation of fire and burn prevention skits to local elementary schools. Another nurse has taken up the prevention agenda, carrying the message to college campuses. “In the past 12 months, there have been about a half dozen major fire catastrophes in dormitories throughout the country,” Dr. Goodwin says. “That’s an area that really hasn’t been examined at all.” “What truly makes the Western States Burn Center, and NCMC, able to do what they do is their people,” Hosek concludes. “If they didn’t provide the quality of care that they do for us, day in and day out, we wouldn’t be where we are. They are the real heroes.”

Beth A. Herman is a freelance writer.

0 01.2007 Loveland Greeley Master.60 60

1/3/07 10:14:35 AM

spotlight

Courtesy of The Neenan Company

local center of excellence for urology

Redstone Professional OfďŹ ce Building scheduled for completion October 2007 Urology is a medical specialty involving the medical and surgical treatment of disorders of the urinary tract in men, women, and children as well as disorders of the male reproductive system. The Urology Center in Fort Collins and Oakwood Urology in Loveland have both established a reputation for providing high quality care while utilizing the latest technical advances in the field of urology such as the Da Vinci Robot. Both practices also value the importance of a caring and compassionate approach towards patient care. It is to this end that these two practices will come together on January 1, 2007 to form the Urology Center of the Rockies. The driving force behind this merger is to enhance the delivery of urologic care by forming a unified group that is committed to being the center of excellence in Northern Colorado for the treatment of urologic disease. To meet the needs of the Urology Center of the Rockies and our patients, construction has already begun on a state-of-the-art office facility on the Harmony Campus in Fort Collins. There will continue to be a fully staffed office location in Loveland to provide convenient access for patients in both communities. The combined practice will include a staff of 45 nurses, receptionists and ancillary personnel as well as a new flexible scheduling system that will improve the availability of patient appointments. Despite these changes, the physicians of the Urology Center of the Rockies will maintain their long-standing relationships with their patients and with their medical communities by providing comprehensive coverage at Poudre Valley Hospital, McKee Medical Center, and the Medical Center of the Rockies. The current office locations are: 1500 S. Lemay Avenue, Fort Collins 1647 E. 18th Street, Loveland For more information please call 970.484.6700 or visit www.urologycenteronline.com.

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.61 61

1 1/3/07 10:14:44 AM

MMC: PATHOLOGY

Dr. Christopher Bee and Cathy Trout, Medical Technologist of McKee Medical Center

The McKee Medical

Center in Loveland has continued in its goal to enhance the quality of

health care available to

our community, with the successful introduction of the Vysis FISH

(Fluorescence in situ

hybridization) system.

FISH technology:

a tool in cancer diagnosis by John Penney

The FISH System is a technologically advanced, state-of-the-art analysis method used in the diagnosis of cancers. The FISH analysis system provides not only a speedy and reliable detection of abnormalities in tumors, but also allows for the medical pathologist to use that information to help determine the most effective treatment options for specific cancer types. Validated and approved for use this past February, the FISH system at McKee Medical Center is the only one of its kind available in our Northern Colorado region. Basically, the FISH system analysis incorpo-

rates a three step process. The first step involves chemically treating a section of biopsy tissue in order to prepare that sample for fluorescence microscope viewing. The second step, slicing and embedding the treated sample into a paraffin based medium, prepares the tissue for examination by fixing it onto a slide. The third, and final, step employs the use of fluorescent light technology, viewed under a specialized microscope and light filters, in which a physician can then analyze the processed slides in order to determine the precise genetic characteristics of the sample tissue.

62 01.2007 Loveland Greeley Master.62 62

1/3/07 10:14:49 AM

One of the valued benefits of the introduction of the FISH system to northern Colorado is that diagnostic testing can now be conducted on site at the hospital. According to Sue Harkness, Laboratory Director at McKee Medical Center since 1999, past analysis procedures required physicians in northern Colorado to ship biopsy samples to outside locations for FISH system analysis. Those locations included sites such as the Mayo Clinics in Arizona, Florida and Rochester, Minnesota. Due to the transporting of materials, the outsourcing process would generally take five to seven days to obtain an assessment. With McKee’s introduction of the FISH system, results are now normally gathered in two to three days. Harkness notes that this shortened assessment period is a tremendous patient benefit as it alleviates some of the anxiety associated with waiting for a result. The validation and approval process required for the incorporation of the FISH system into McKee Medical center entailed an extensive comparison and testing procedure. In this procedure, tissue samples were sent for analysis to Mayo Clinic facilities, while portions of the same samples were

complete diagnosis and prognosis for breast cancer tumors, in a local setting, using the most technologically advanced methods. What is remarkable and truly heartening about the introduction of the Vysis FISH system is that McKee Medical’s volunteers, who provide over 80,000 hours of service to the hospital, raised $120,000 toward the purchase of the FISH system. The McKee Medical Center has provided vital medical services and health care to Loveland and its surrounding areas for over thirty years, establishing a hometown relationship within our community by offering exceptional care and attention to each patient’s needs. The volunteer dedication is a genuine expression of McKee Medical’s unyielding commitment to quality health care for the northern Colorado community. Though the FISH system technology is primar-

ily used at the McKee Medical Center as a diagnostic tool for the analysis of breast cancer tumors, McKee plans to expand the FISH system’s future role to include the diagnosis of other types of tumors, such as those that occur in the urinary bladder. According to Bee, “the FISH technology system is a very important medical resource for our community because cancer touches so many of our lives.” It is through the availability of advanced medical and diagnostic tools that physicians are able to accurately determine a patient’s condition, and then quickly begin what will be a path to the most effective options of cancer therapy and recovery. John Penney is a freelance writer living in Fort Collins.

“FISH system results can then be used to determine which medication will best treat an individual patient’s cancer.” -Dr. Christopher Bee analyzed by McKee’s medical laboratory teams. The results of each were then studied and evaluated to ensure that the same levels of accuracy were met. This validation ensures that McKee can offer the same quality and excellence of diagnostic accuracy as that offered by the Mayo Clinic, thus providing our community with the finest patient care services available today. A second benefit of the FISH system is its capacity to reveal to the trained medical staff particular characteristics of a tumor. Dr. Christopher Bee, a doctor of pathology at McKee for the past three and one-half years, emphasizes the importance of this diagnostic capability because “FISH system results can then be used to determine which medication will best treat an individual patient’s cancer.” For example, when used in the examination of a breast tumor, the FISH technology analysis will allow a physician to recognize the presence or absence of specific abnormalities within that tumor, such as the Her-2/neu gene. The presence or absence of those abnormalities will then help to determine which medications will be most effective in the management and treatment of the breast cancer, such as Herceptin drug therapy. Additionally, the results of the FISH system assessment can be transferred directly to the patient’s oncologist, again quickening the period of time from diagnosis to prescribed treatment. The Vysis FISH system now allows McKee Medical Center to perform a

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.63 63

3 1/3/07 10:14:55 AM

oral & facial surgery

Dr. Ralph R. Reynolds, Oral & Facial Surgery of Loveland

Orthognathic facial

reconstructive surgery can make someone who is shy

and insecure bloom into a

beautiful vibrant outgoing person. It can enable

someone to come out of their shell, and reveal the person they truly

are. I have seen it many

times. Once the balance

is restored to the face by

remodeling the jaws, the

patient starts to stand up straight and hold their

head up high. It is truly an amazing transformation, not only physically but emotionally.

orthognathic facial

reconstructive surgery by Dr. Ralph R. Reynolds

64 01.2007 Loveland Greeley Master.64 64

1/3/07 10:15:01 AM

Improper jaw bone growth can cause many serious problems. The teeth may not meet correctly. Chewing can be difficult and jaw joint function can be painful. Aesthetically, the face is imbalanced. One corrective option for this problem is orthognathic surgery. Repositioning the jaws so that the teeth meet correctly improves jaw joint function and chewing ability. It also may improve speech, breathing, sleep apnea, periodontal health and facial aesthetics. Orthognathic Surgery or Corrective Jaw Surgery involves remodeling the bones of the upper or lower jaw or both. The jaws are lengthened or shortened, moved up or down, in or out, resulting in a proper bite and a more harmonious facial appearance. Orthognathic Surgery is complex and must be carefully planned because of the intricacies in the way the teeth bite and the combined effect on the facial appearance when moving the jaws. Because of its complexity, a team approach is used. The team consists of your orthodontist and oral surgeon and occasionally your general dentist and other dental specialists including periodontists and endodontists.

7a^hh Wa^h c# XdbeaZiZ ]Vee^cZhh

Who Needs Orthognathic Surgery? People who can benefit from orthognathic surgery include those with an improper bite or jaws that are positioned incorrectly, such as under bite, overbite or open bite. Jaw growth is a gradual process and in some instances, the upper and lower jaws may not match at the end of growth. Injury to the jaw during growth may be a cause for the incongruent growth of the jaws. The result can cause a host of problems that can affect chewing function, speech, long-term oral health and appearance. Snoring and obstructive sleep apnea may be indications of improper jaw growth. Moving the jaws forward and widening the upper jaw can correct obstructive sleep apnea in certain situations. Orthodontics alone can correct bite problems when only the teeth are involved. If the jaw bones (maxilla and mandible) are not aligned then Orthognathic (corrective jaw) surgery should be considered. Compensating for mismatched jaws by moving just the teeth can lead to periodontal problems, relapse of orthodontic movements, jaw joint problems, and poor or even disastrous facial aesthetics. Difficulty in the following areas should be evaluated for the possible need for corrective jaw surgery:

ďż˝

â&#x2013; overbite

ďż˝

â&#x2013; under bit

ďż˝

â&#x2013; open bite (teeth donâ&#x20AC;&#x2122;t touch together

ďż˝

â&#x2013; difficulty in chewing, biting or swallowing

ďż˝

â&#x2013; protruding jaw

ďż˝

â&#x2013; breathing problems

ďż˝

â&#x2013; small chin/retruded jaw

ďż˝

â&#x2013; obstructive sleep apnea

ďż˝

â&#x2013; snoring

ďż˝

â&#x2013; jaw, chin and nose misaligned

ďż˝

â&#x2013; speech problems

ďż˝

â&#x2013; chronic jaw or TMJ pain

AVhZg IgZVibZcih Lg^c` aZ GZYjXi ^dc H` ^c I^\]iZc ^c\ E]didYncVb ^X H` ^c GZ_jkZcVi ^dc B ^Xgd "AVhZg EZZah 77A " 7gdVYWVcY A^\]i >EA A V h Z g KZ ^ c I ] Z g V e n AVhZg =V^ g GZbdkVa Hjg\^XVa HZgk^XZh 7didmÂ&#x153; VcY 9ZgbVa ;^aaZgh 6XcZ IgZVibZcih A:9/ A^\]i :b^ii^c\ 9^dYZ B ^XgdYZgbVWgVh^dc H e g V n IV c c ^ c \ BVhhV\Z

GZcZl^c\ ndjg Zci]jh^Vhb [dg a^[Z

H]dee^c\$GZiV^ a DWV\^Â&#x153; H`^c BZY^XVÂ&#x153; 9Ă&#x2030;K^cZÂ&#x153;

;dg Smoother! ]ZVai]^Zg! bdgZ vibrant h`^c#### vibrant h`^c#### MicroLaserPeeLâ&#x201E;˘ I ] Z Ă&#x2020; l Z Z ` Z c Y Ă&#x2021; h ` ^ c e Z Z a i g Z V i h h ` ^ c XdcY^i^dch VhhdX^ViZY l^i] V\^c\ VcY V c V X i ^ k Z a ^ [ Z h i n a Z # Nd j X V c h Z Z g Z V a ^begdkZbZcih ^c _jhi V [Zl YVnh#

.,%"',-"%&&& *'*% =V]ch EZV` 9g^kZ! HiZ# &)% 8ZciZggV Vi AdkZaVcY! 8dadgVYd l l l# j a i gV W a ^ h h # X d b

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.65 65

7A>HH H:A:8I>DCH

65 1/3/07 10:41:21 AM

Before & After Surgery

Surgery structive Recons Facial R nathic F Orthog Surgery structive Recons Facial R nathic F Orthog Surgery structive Recons Facial R nathic F Orthog Surgery structive Recons 2 Facial R nathic F

Three-dimensional medical model courtesy of Oral & Facial Surgery of Loveland, LLC

Any of these symptoms can exist at birth, be acquired after birth as a result of hereditary or environmental influences or as a result of trauma to the face. What is involved?

Procedure: Upper jaw, lower jaw reconstructive surgery

Pre-Op Lateral Ceph

Pre-Op Panoramic

Orthodontics work done by Dr. Robert Lamb

01.2007 Loveland Greeley Master.66 66

Post-Op Lateral Ceph

Post-Op Panoramic

Before any treatment begins, a consultation visit will be held to perform a complete examination with x-rays, and models (mold of your teeth). Computer techniques and three-dimensional models are used to show you exactly how your surgery will be approached. Using comprehensive facial X-rays and computer imaging, your oral surgeon can show you how your bite will be improved and even give you an idea of how youâ&#x20AC;&#x2122;ll look after surgery. This helps you understand the surgical process and the extent of the treatment prescribed. Computerized Cephalometrics are used to plan the exact movement of the jaws and to do the surgery on the computer and models before taking the patient to surgery. A surgical guide is produced in the process to facilitate the final surgery. In some cases three dimensional medical models are used to help plan your surgery. Medical Modeling produces highly accurate physical models derived from medical imaging modalities such as CT and I-CAT. Sophisticated software is used to view and extract information to create a 3D model of a patientâ&#x20AC;&#x2122;s bone structure. Orthodontics is an essential part of the plan.

If you are a candidate for Orthognathic Surgery, working closely with your dentist and orthodontist during your treatment is importnat. The surgery can move your teeth and jaws into a new position that results in a more attractive, functional and healthy dental-facial relationship. The surgery requires pre-surgical orthodontics to align the teeth independently in each jaw. The surgery is done and the jaws are aligned, then post-surgical orthodontics finishes the alignment of the teeth into the optimal bite. In the past, the jaws were wired together. Now, small Titanium plates and screws hold the bones in place while they are healing so most patients wake up from the surgery being able to move their mouth normally. Dr. Ralph Reynolds, Oral & Facial Surgery 2992 Ginnala Drive, Loveland 970.663.6878

1/3/07 10:15:18 AM

urgery Orthognathic Facial Reconstructive Surgery Orthognathic Facial R uctive Surgery Orthognathic Facial Reconstructive Surgery Orthognathic F Reconstructive Surgery Orthognathic Facial Reconstructive Surgery Orthogn acial Reconstructive Surgery Orthognathic Facial Reconstructive Surgery O thic Facial Reconstructive Surgery Orthognathic Facial Reconstructive Sur rthognathic Facial Reconstructive Surgery Orthognathic Facial Reconstruct urgery Orthognathic Facial Reconstructive Surgery Orthognathic Facial R uctive Surgery Orthognathic Facial Reconstructive Surgery Orthognathic F Reconstructive Surgery Orthognathic Facial Reconstructive Surgery Orthogn Board Certified Oral and Maxillofacial Surgeon acial Reconstructive Surgery Orthognathic Facial Reconstructive Surgery O thic Facial Reconstructive Surgery Orthognathic Facial Reconstructive Sur Wisdom Teeth rthognathic Facial Reconstructive Surgery Orthognathic Facial Reconstruct Dental Implants urgery Orthognathic Facial Reconstructive Surgery Orthognathic Facial R Orthognathic Surgery uctive Surgery Orthognathic Facial Reconstructive Surgery Orthognathic F Facial Cosmetic/Plastic Surgery Reconstructive Surgery Orthognathic Facial Reconstructive Surgery Orthogn AFTER Surgery O BEFORE Surgery Orthognathic Facial Reconstructive acial Reconstructive thic Facial Reconstructive Surgery Orthognathic Facial Reconstructive Sur rthognathic Facial Reconstructive Surgery Orthognathic Facial Reconstruct urgery Orthognathic Facial Reconstructive Surgery Orthognathic Facial R uctive Surgery Orthognathic Facial Reconstructive Surgery Orthognathic F Reconstructive Surgery Orthognathic Facial Reconstructive Surgery Orthogn 2992 Ginnala Drive • Loveland, CO • 970.663.6878 • www.reynoldsoralfacial.com acial Reconstructive Surgery Orthognathic Facial Reconstructive Surgery O thic Facial Reconstructive Surgery Orthognathic Facial Reconstructive Sur 01.2007 Loveland Greeley Master.67 67

1/3/07 10:15:19 AM

urgent care • greeley quick care

Dr. Gregory Denzel of Greeley Quick Care

injury & recovery:

denzel style

by MaryJo Faith Morgan

What difference does

a man’s passion in life make to you? A lot if

that man is in charge of your recovery and you are his patient.

Dr. Gregory Denzel’s passion is his family. Relationship. It is key to his approach, to his wife and children, to his patients at Greeley Quick Care, and to the employers who contract their Workman’s Compensation with him. In his busy single physician practice, about 50% of patients come for Urgent Care, which is available on a walk-in basis 24 hours a day throughout the week and Saturday. The other half are there due to on-the-job injuries. Why do those workman’s compensation patients have such a high recovery rate at consistently reasonable costs? It goes back to the rapport Denzel builds with his patients. “I think the employees themselves are very happy with us.” Dr. Denzel explains, “They understand we are out for them, not only for the company, just to get the case closed. They know they are taken care of well.” Denzel says when patients realize they are

getting quality care and everything possible is being done to help improve their situation, they go along with treatment recommendations. Conversely, patients who are hurried back to work too soon or lack trust in their treatment tend to experience more pain and are more likely to suffer from depression. They also doubt whether they are actually better, and are more likely to suspect being taken advantage of and are apt to hire a lawyer to find out. It requires a balance Denzel makes sure he is available to employers any day of the week to discuss problems or define needs. “I am looking out after them as well; they know me on a first name basis.” Serious about his responsibility to his patients

68 01.2007 Loveland Greeley Master.68 68

1/3/07 10:15:24 AM

and the employers who contract their workman’s comp with him, Denzel and both his physician’s assistants pay attention to cost containment. “Large employers appreciate that we understand their needs, too. We are good at cost containment, which is beneficial to everybody. We do not use any therapy, surgery, or testing that is not necessary.” At the same time, Denzel looks out for his patients’ overall wellness, not just getting them back to work fast. He makes sure patients do not feel like just a number, and they can see he is not a company doc merely pushing them through the system. Patients know they are getting the straight story at Greeley Quick Care. Where there is no resentment, there are fewer attempts to take advantage of the system.

“We are good at cost containment, which is beneficial to everybody.” -Dr. Gregory Denzel

Most common on the job injuries Although Denzel treats a broad variety of ailments and injuries, the most prominent types of injuries at work fall into three main categories:

n Repetitive Motion n Lifting n Strains Carpal tunnel syndrome and tendonitis can be caused by repetitively pushing and reaching. The onset is not usually caused by one event, but rather a gradual build up of discomfort and increasing pain. The sooner this condition is diagnosed and treated, the better it responds to treatment. “Lifting and twisting is the worst thing you can do to your back.” Denzel is clear about the consequences, “You are causing the back to support all the weight you are carrying. With less and less support as you twist, it isolates the spinal vertebrae, and all the strain is taken up by one or two muscles and only one or two vertebra.” This may cause a slipped disc (herniated disc) and in some cases may require surgery. Denzel urges prevention. “Proper lifting techniques include bending at the knee, so the whole back lifts the weight.” Strains come from a myriad of sources, not only stepping on uneven ground. Ankles, wrists, or shoulders can be hit by a piece of machinery. Nursing home staff assisting residents might be pulled or grabbed for balance. Slip fall accidents contribute a fair number of strains. Report injuries immediately Immediate injury evaluation and treatment determination are beneficial not only in ensuring a

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.69 69

69 1/3/07 10:15:31 AM

•

•••

The only FDA-approved treatment for the temporary reduction of frown lines. A few tiny injections -and within days there's a noticeable improvement. And, there's no recovery or downtime.

Restylane<!) A safe and natural formulation that restores volume and fullness to the skin correcting moderate to severe facial wrinkles and folds. This conveniently simple procedure gives you a more youthful look for about six months.

FREE Consultation Formerly Clinical

Skin Care C9lltre

Laser Hair Removal • Microdermabrasion • Permanent Make Up· Chemical Peels· Scar Therapy

We see most medical needs No appointment necessary

970.351.8181

2928 W. 10th St. I GREELEY M-F 8am-6pm I SAT 9am - 3pm

WALK-IN CLINIC COLDS & FLU

DIABETES CARE

ALL PHYSICALS

HYPERTENSION

FORT COLLINS NEUROLOGYI P.C. DIPWMATES, AMERICAN BOARD OF PSYCHIATRY AND NEUROWGY

Now Doing Infusions in Office!

· Seizure

• Neuropathies

• Electromyography

• Parkinson's Disease

· Alzheimer's Disease

• Vagus Nerve Stimulators

2121

East Harmony, Suite 270

Fort Collins, CO 80528

(970)

70 01.2007 Loveland Greeley Master.70 70

221-1993

•

FAX:

(970)

221-9170

Timothy J. A llen , MD

Lydia's STYLE Magazine

1/3/07 10:15:40 AM

better recovery, but also in averting problems with workman’s comp coverage. Delaying the reporting of injuries complicates care, and can result in denied claims. Things get confusing after a matter of days, details of the accident fade, and exactly what is causing the pain can become more complicated. Although Colorado Labor Law requires on the job accidents to be reported within four days, (Section 8-43-102(1) and (1.5), Colorado Revised Statues), Denzel suggests reporting any injury immediately, “It makes more sense for everybody involved if everything is done quickly.” Pinnacle Assurance published, in their 2nd quarter newsletter this year that claims reported 7 days after the date of injury cost 28% more than claims reported within 24 hours. Moreover, they listed the following benefits to reporting injuries with the first 24 hours:

n Workers benefit through prompt medical attention

n Return employees to work sooner n Reduce the number of lost-time claims n

Reduce attorney involvement

n Lower overall costs n Ensure timely accident investigations so potential hazards could be corrected

A patient’s experience For Betty Rosalez, who works in quality assurance for food safety at Swift & Company in Greeley, it all happened quickly. Just as she began B shift, she fell and dislocated her shoulder. Her employer called ahead, and when she arrived at Greeley Quick Care she was on her way to x-ray in minutes. The prescribed physical therapy, available right there in the office, did not produce the expected results; a subsequent MRI determined surgery was necessary to repair her rotator cuff. “I only missed one full day of work. Surgery was scheduled for a Friday and I had the weekend to rest.” Rosalez remained on light duty for months until therapy enabled her to regain strength and full use of her arm. Now fully recovered, she is able to do everything she could prior to her fall. She knows it is important to follow your doctor’s instructions and restrictions and to practice physical therapy correctly. “If an exercise was awkward, they showed me diagrams so I could understand. They talked to me, really explained everything to me. The atmosphere there was great; they do their best to communicate with you.” When it comes to workman’s comp, injured employees and employers alike are the beneficiaries under Dr. Denzel’s care. Greeley Quick Care is located at 2928 W 10th Street in Greeley, CO 80634; call (970) 3518181. Office hours are Monday through Friday 8:00 am to 6:00 pm, Saturday 9:00 am to 3:00 pm; they are on call Sundays.

Maryjo Faith Morgan is a freelance writer happy to be living in Loveland.

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.71 71

71 1/3/07 10:15:46 AM

If you're seriously overweight and want to gain control of your obesity and the

debilitating medical problems it creates, look no further than North Colorado Medical Center. Specializing in minimally invasive Lap-Band® and gastric bypass procedures, we've been named a Bariatric Surgery Center of Excellence by the American Society for Bariatric Surgery. Led by Michael Johnell, MD, FACS, our highly specialized team is one of the best in the region and uses some of the most advanced technology in the world. Dr. Johnell is the Lap-Band® leader in Colorado, as well and the first surgeon in the state to utilize the state of the art precision of daVinci robotics in bariarric procedures. To attend an informational seminar in your area, call 866-569-5926 or visit www.BannerBariatric.com . North Colorado Medical Center. Your place for powerful medicine.

Banner Health

North Colorado Medical Center· 180 I 16th Street • Greeley (970} 352-4121 Physician information: www.BannerHealth.com or 800-505-6877 Job opportunities: www .BannerHealth.com or 866-377-5627 Banner Health is the leading provider of

72 01.2007 Loveland Greeley Master.72 72

nonprofit health care in northern Colorado.

1/3/07 10:16:01 AM -

------------e - - -

---------:路 wellness 2007

01.2007 Loveland Greeley Master.73 73 01.2007 Loveland Greeley Masllillr.73 73

1/3/07 AM 113107 10:16:06 10:16:06 AM

•

••• I~

At Northern Colorado Rehabilitation Hospital, we believe rehabilitation means more than iust physical. At our state of the art facility, we care for patients who have suffered functional deficits from traumatic events such as:

• stroke

• brain injury

• surgery

• spinal cord injury

Rest easier knowing that you and your loved one now have a choice for recovery in Northern Colorado. Our Location:

1-25 - Hwy. 34 --~~ $ =----

NOR-THER. N

COLOR.ADO

REHABILITATION HOSPITAL

•

4401 Union Street • Loveland, CO 80537 • Phone: 970.619.3400 • NCRH.ernesthealth.com

OOe ate

ENDODONTIC SPECIALISTS OF THE ROCKIES

Anthony F. Girardi, DDS David M. Jones, DDS Kelly B. Jones, DDS, MS Jason E. Maines, DDS, MS

...

Your comfortable resource for advanced root canol care

74 01.2007 Loveland Greeley Master.74 74

Loveland 2996 Ginnala Dr. Suite . 101 Loveland, CO 80538 970.461 .1 994

Fort Collins 1331 E. Prospect

Bldg . B-1 Fort Collins, CO 80525 970.482 .4916

Longmont 1055 17th Ave. Suite. 105 Longmont , CO 80501 303.65 1.0202

Lydia's STYLE Magazine

1/3/07 10:16:14 AM

mmc & ncmc: mammography

Over 211,000 women

will be diagnosed with

breast cancer this year.

For a moment stop and absorb that number.

Breast cancer is the most

diagnosed female cancer and one that affects

every single person

in some way, either

personally or through a

relative or friend.

don’t wait! by Corey Radman

Early detection is the best way to increase survival rates. Technology for catching breast cancer early is getting better and better and best of all, cutting edge diagnostic tools are readily available here in Northern Colorado. This region is emerging as a center for medical care that is unparalleled in the intermountain west. Banner Health’s McKee Medical Center and North Colorado Medical Center (NCMC), have invested both dollars and tremendous effort to bring optimal breast care to women, including cutting-edge digital mammogram machines. Digital Mammography In the past few years the resolution in digital imaging has gotten better and better. In the same way that snapshots printed from our digital cameras are becoming as clear and sharp as they used to come out on film, the resolution in digital mammography is now comparable to film-screen mammography, according to Dr. Curtis Markel, Radiologist at the McKee Breast Center. The biggest benefit with digital mammography is a radiologist’s ability to manipulate the images. This includes windowing (narrowing or broadening the color spectrum) and leveling (lightening and darkening) the scan to more thoroughly examine the tissue. In this way small calcifications stand out much more readily. For the patient, this

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.75 75

Kay Fiaavae, CNMT demonstrates a BSGI test on Cathy Ryan, RT (CT) at McKee Medical Center.

75 1/3/07 10:16:18 AM

With breast cancer, early detection is the key to a positive outcome. That's why the experienced staff at McKee Medical Center is highly trained in the latest in digital mammography. This new technology gives a clearer, more accurate picture with much quicker results. Should mammography or ultrasound find an abnormality in one of our patients, we have a new Breast-Specific Gamma Imaging Camera, one of only 40 across the country, that helps quickly differentiate between benign and malignant masses. If cancer is discovered, you can take comfort in knowing that our comprehensive care is recognized by the American College of Surgeons Commission on Cancer.

McKee Medical Center. Remarkable health care inspired by you.

Banner Health

McKee Medical Center 2000 N. Boise Ave. â&#x20AC;˘ Loveland (970) 669-4640 Physician information: www.BannerHealth.com or 800-505-6877 Job opportunities: www.BannerHealth.com or 866-377-5627

Banner Health is the leading provider of nonprofit health care in northern Colorado.

01.2007 Loveland Greeley Master.76 76

1/3/07 10:16:31 AM

means fewer views taken at the exam and fewer call backs for further tests, thus reducing anxiety. Since many cancers are found at skin level, the crisper digital images that extend out to the level of the skin have vastly changed radiologists’ ability to spot calcifications -- some of which would never have shown up on a film-screen mammogram. NCMC’s and McKee’s equipment differs slightly, though the images are the same in the long run. NCMC’s Breast Center has been using a Hologic digital mammogram machine for all of their mammograms since it came on-line in September of 2006. This brand new machine has cut in half the time that patient exams take, according to Mary Scheid, Breast Health Nurse, RN, MSN, OCN at NCMC. This speed is due to an entirely digital process where the images go directly to the center’s computer, which can be viewed immediately by the doctors and the patient as well. In the case of a diagnostic screen, Dr. David Powell, the Breast Center’s radiologist is watching the images come in and can immediately request additional views if needed. The changes have doubled NCMC’s patient throughput. McKee Medical Center in Loveland has had

Photos courtesey of the NCMC Breast Center.

Dr. David Powell, Radiologist at NCMC Breast Center and Mary Scheid, RN, MSN, OCN.

Screen-film mammogram of left breast

Digital mammogram of same breast

“Better resolution equals better detection in the long run.” -Dr. David Powell

their digital machine from Fuji on-line since November 1, 2006 and has also seen a huge difference in image quality and increased efficiencies. Says Cherlene Goodale, Director of Medical Imaging at the McKee Breast Center, “We were able to take our existing equipment and create digital images with this upgrade to CR (Computed Radiography).” In her assessment, the greatest benefit to patients is the greater ability to manipulate the images, thereby making cancer identification easier. With digital mammography the benefits are impressive. According to a study in the New England Journal of Medicine (October 2005, often called the DMIST study) patients are exposed to up to 25% less radiation than in film-screen mammography due to shorter scan times and fewer additional views. Although the study also notes that film-screen mammography radiation doses are quite low and pose no significant threat to patients. At both NCMC and McKee’s Breast Centers the “spa approach to mammography” makes a woman’s experience as warm and friendly as possible. Kind staff members, warmed fuzzy robes, soft pads laid on the screening machine, and flowers on the way out bring comfort to a sometimes anxiety ridden experience. The DMIST study also shows that digital mammography is especially effective in women who have dense breasts, or are pre- or peri-menopausal. Up to 28% more cancers are found with this modality. Dr. David Powell, Radiologist for the NCMC breast center states, “Even for women who don’t fall into that category, better resolution equals better detection in the long run.” Early detection is the best way to protect yourself from breast cancer. The American Cancer Society recommends an annual mammogram for every woman 40 and over. NCMC’s Scheid echoes this sentiment, “Yearly mammograms, clinical an-

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.77 77

nual breast exams by physicians, and monthly self exams: those three things save lives.” Wherever you have your exam done, all the professionals at Banner’s Breast Centers would advocate that you don’t put it off. What if there is an area of abnormality? Mammography remains a woman’s critical first screening measure, but it doesn’t always show everything. Traditional diagnostic screening methods are still actively used including ultrasound and MRI. Dr. Powell has many stories where palpable masses (lumps) didn’t appear even on digital mammograms. It was through his and his patients’ persistence that further ultrasound and/or MRI tests revealed the sources of the abnormality. “More than one modality is often needed,” says Powell. This was the case with a 45-year-old woman we’ll call Alice. She felt a lump in her right breast and came in for a diagnostic mammogram. Dr. Powell found through her screening that the lump was only asymmetric glandular tissue. Dr. Powell commented that it is very important to screen both breasts in a diagnostic test because it is common to find a calcification in the opposite breast. That was true for Alice. An ultrasound found a solid mass in her left breast. An MRI was recommended which did find a mass. Dr. Powell’s ultrasound guided biopsy revealed a cancerous tumor. Women may ask, “Which test should I use for my screening?” Dr. Powell says, “It isn’t a matter of which test to use for screening but where each modality falls in the process. All of these diagnostic tools available [and those to come] have a place in the screening process.” McKee Medical Center has also just added one more tool to their diagnostic chest. A new imaging technique, Breast-Specific Gamma Imaging

77 1/3/07 10:16:35 AM

McKee Breast Center Staff: Dr. Curtis Markel, Cherlene Goodale, RN, and Director of Medical Imaging, Sue Shirock, Lead Mamography Technologist, and Josi Brockman, Nuclear Medicine Technologist. (BSGI), can aid in diagnosis when a mammogram is inconclusive, revealing important information that can help your doctor determine if an area of concern is cancerous or not. According to Dilon Technologies, the BSGI manufacturer, “BSGI is a nuclear breast imaging technique that has proven to be an effective tool in the early detection of breast cancer and in the differentiation of malignant and benign tissue. BSGI is a molecular medicine procedure that images the metabolic activity of breast lesions through radiotracer uptake, using a high-resolution, anatomic specific gamma camera. In cases where post-mammogram evaluation is indicated to evaluate suspicious lesions, BSGI is a vital adjunct to the diagnostic protocol. In addition, BSGI has high sensitivity (96%) for identifying earlier stage cancers. Its ability to differentiate benign from malignant masses is strong.” McKee’s BSGI has been up and running since June of 2006, according to Cherlene Goodale. She elaborates that “Along with ultrasound, mammography, and MRI, BSGI has allowed us to provide true choice in breast care.” With all of the tools available, they can further explain areas of concern, which avoids a biopsy in some cases. McKee is incredibly unique in their use of this technology. There are just a handful of these imagers in the region; the next closest one is in Las Vegas, NV. McKee’s is the only one being used in Colorado. How Does a BSGI Test Work? Josi Brockman, Nuclear Medicine Technologist at McKee, explains that a screening is quick and simple. It takes an hour or less and is noninvasive. “You receive a simple injection of a radioactive tracer, which you don’t feel and you won’t have a reaction to.” The injection causes the patient’s body to emit low levels of gamma rays that the machine reads and displays as light on

the screen. Because cancers are denser and more metabolically active, they emit more of the gamma rays than the tissue around them, allowing the radiologist to more easily spot tumors. Brockman further explains the ease of the test. “The machine doesn’t compress your breast as mammography does, the platform just allows you to be still. We take a series of four images, which take seven minutes each to appear.” This test is also an excellent choice for those whose mammograms are often inconclusive. Whether the trouble is dense breasts, scarring from previous surgeries, or implants that block the view, the BSGI is a strong diagnostic tool. Dr. Curtis Markel, Radiologist at the McKee Breast Center notes another big advantage with BSGI, “With the additional diagnostic modalities now available, we can quickly give a patient a more definitive answer. If an initial mammogram shows a questionable area like an “asymmetric density or an architectural distortion, we can use the BSGI immediately to resolve the question.” McKee also has an amazing team of uniquely qualified doctors, nurses, and technologists, to interpret the test results and follow patients along the way. McKee’s Breast Center staff boasts two specialists with certifications in nuclear medicine and mammography – a rare but valuable combination. Additionally they have radiologists, specialists in mammography, and wellness. Having all of these parts of patient care merged together in the Breast Center makes care there uniquely holistic. Julie Johnson Haffner, Executive Director of McKee Foundation, headed the campaign that brought both digital mammography and the BSGI to McKee, which she says was both “interesting and exciting.” Over the year between October, 2005 and October, 2006, $880,000 was raised from the community. This campaign finished six months early and raised more money than expected. Says Judy Chapman, Director of Planned

& Major Gifts, “We had over 800 donors – it was amazing the way the community came together and embraced the cause. Since we have completed the equipment phase of the fundraiser, the community is still rallying to provide educational materials and continued enhancement of services.” Both Johnson Haffner and Chapman expressed sincere thanks to the volunteers on the campaign committee who did such a wonderful job, especially co-chairs, Mary McCambridge and Mary Gullikson. All of the medical professionals at Banner Health were consistent in their urge to women. Don’t put off your mammogram. Be conscientious about follow up on areas of concern. Take advantage of the improving technology which can catch cancers in early stages. Don’t wait.

Breast-Specific Gamma Imaging Machine

Corey Radman is Assistant Editor at Style Magazine.

78 01.2007 Loveland Greeley Master.78 78

1/5/07 9:05:34 AM

1-25 & Crossroads Boulevard • Loveland/Windsor, CO 182 total acres. Located in the heart of northern Colorado's fastest growing area. Flexible "I" and commercial zoning. Perfect for retail, office, restaurant, showrooms, hospitality and entertainment. Pad sites staring at $12-$20 sq/ft. For sale or lease. Adjacent to the future 300 room Embassey Suites Hotel and Convention Center. Property fronts on 1-25 and Crossroads Boulevard. Easy access to Fort Collins, Loveland, Windsor, Greeley and Longmont. Regional Loveland/Fort Collins Airport just minutes away.

~h- ~TER ~ T !A

•

vnLLEY

LAND [[]MPANY LLC

01.2007 Loveland Greeley Master.79 79

DEVELOPER 1625 Pelican Lakes Point Suite 201 Windsor, co 80550 tel: 970.686.5828 fax: 970.686.2768

SALES & LEASING 3030 South College Ave. Suite 200 Fort Collins, CO 80525 tel: 970.226.1500 fax: 970.223.4156

EVEIUTT

Commercial Partnersg

1/3/07 10:16:53 AM

the eNViroNMeNt & your health

Most of us are

concerned about

the pollution of our environment - the

presence of vehicle

emissions, smoke, dust,

chemical contamination,

Ken Sargent and Greg Jones of Porter Industries

living green

and other such agents

inside

that negatively impact

the quality of our lives.

by Court Klinck

Environmental pollution is usually thought of as being outside. However, health and environmental experts indicate that, most of the pollution we encounter is inside, within the walls of the places where we live and work. The EPA estimates that indoor air is two to five times more polluted than outdoor air at its worst. While the efforts to improve the environment outside are very important, each of us can significantly improve our health and safety, and the general environment, by “living green” - getting rid of toxins, harmful chemicals and allergens inside our own homes. Porter Industries is a leading regional commercial and residential cleaning service company headquartered in Loveland. Ken Sargent and Greg Jones, certified LEED APs (Leadership in Energy and Environmental Design – Accredited Professionals) indicate that there is a growing interest among homeowners to live green and clean wisely using household cleaning products that are made from natural ingredients and are less toxic than those containing petrochemicals. Ken provides a general distinction between green and non-green products: “Green products include biodegradable surfactants. They are normally neutral pH in nature and are often hydrogen peroxide-based. These products are eco-friendly (non-polluting downstream through the drainage/

sewer system) and have no strong fragrance or odor. A strong fragrance or odor indicates the presence of Volatile Organic Compounds - VOCs airborne particles less than 3/10 micron in size that, in large enough amounts, can negatively affect the central nervous system and cause endocrine system disruption. Cleaning products to be avoided are phenolic-based cleaners. These products are biopersistent (don’t readily bio-degrade) and give off large amounts of VOCs.” The following are green cleaning products that can be found locally:

n Seventh Generation, www.seventhgeneration.com, Whole Foods

n Earth Friendly Products, www.ecos.com, Whole Foods

n Method, www.method.com, Target In addition to plain old dirt and stains, dust, molds, pet hair and other allergens accumulate in carpets and rugs, requiring periodic carpet and rug vacuuming and cleaning. Ken and Greg suggest that, when vacuuming, you should use a vacuum cleaner approved by the Carpet and Rug Institute (CRI). (When installing new carpet, they advise that you make sure it meets the CRI Green Label criteria.) The Porter Industries consultants advise

homeowners to carefully review information contained on Web sites www.carpet-rug.com and www.carpet-health.org relating to vacuums, carpets, rugs and carpet/rug care. If you decide to clean the carpet or rug yourself, the Porter Industries consultants suggest the following checklist: 1.

Prior to cleaning, VACUUM, VACUUM, VACUUM. 2. Use a neutral, non-toxic pre-spray. 3. On trouble spots, use as little spot remover as possible. (Chemicals used in spot removers are often the most toxic.) 4. Use third-party, green-certified cleaning solutions with labels such as “Green Seal” (www.greenseal.org),“GREENGUARD” (www.greenguard.org),and “Environmentally Preferred Products” (www.epa.gov). 5. Make sure the carpet/rug cleaning equipment you’re using is working at its optimal level in order to extract most of the water. If you choose to have your carpet or rug cleaned professionally, look for a company that has the expertise to clean green. (Maid Clean, a residential cleaning service of Porter Industries, is one example.) Ask for an Institute of Inspection, Cleaning, Restoration and Certification (IICRC)

80 01.2007 Loveland Greeley Master.80 80

1/3/07 10:17:10 AM

certified technician to do the work. (Porter Industries has seven IICRC certified technicians.) Have the technician show you the cleaning solution he or she is using and make sure it has a third-party, green-certified label. In addition to carpet and rug cleaning, professional green cleaning services, such as Porter Industries, can clean your entire house using environmentally friendly products and equipment. Porter’s Greg Jones indicates, “We use special micro-fiber cloths, made of synthetic material, for cleaning and dusting. These cloths trap dirt and dust rather than spreading it, achieving 500% greater cleaning efficacy. Using these special cloths, it is sometimes possible to clean without using chemicals. We also use a special micro-fiber flat mop for floors.” More green information can be found on Porter Industries’ Web site, www. porterindustries.com. For people suffering from allergies or asthma, cleaning green is particularly important. Dr. Krishna Murthy, a board certified specialist in asthma and immunology at the Northern Colorado Allergy and Asthma Clinic in Fort Collins, states, “Roughly 20% of the general population in the U.S. have some type of allergy, and 5% have some form of asthma. A high percentage of asthma patients also have allergies and a significant percentage of allergy patients also have asthma. In general, allergies and asthma cannot be completely ‘cured’ but can be controlled. The best control is to keep things that bring on the allergic or asthmatic condition away from the person.” Dr. Murthy refers to these things as “triggers” and include: allergies themselves (a common trigger for asthma), chemical irritants (e.g. ammonia), pollen, dust, dust mite, mold (especially water damage in bathroom or basement), cigarette smoke, air pollution, gasoline fumes, aerosol spray, strong odors, infections (e.g. colds, flu, sinusitis), weather changes (e.g. cold air or wind), and byproducts of dogs, cats, birds and rodents (e.g. dander, saliva, feces, urine). The home-resident triggers noted above for allergies and asthma can be removed or greatly minimized by employing green cleaning products and techniques. Dr. Murthy makes the

Dr. Krishna Murthy of Northern Colorado Allergy & Asthma Clinic

Dan Albracht, Albracht’s One Hour Heating & Air Conditioning

following suggestions: 1. When buying a new home, make sure the heating/air conditioning ducts are clean. (Sometimes contractors leave materials in the ducts.) If necessary, have the ducts cleaned, and have them cleaned every five years or so thereafter. 2. Install a High-Efficiency Particulate Air (HEPA) filter on the furnace. 3. Keep the humidity in the house between 3540%. You can buy a humidifier – connected to the furnace or a standalone console type – and a gauge to measure humidity. You’ll need to know the square footage of your home to size the humidifier. (You won’t need to operate it from May through September.) 4. Install an air conditioner. It will get rid of pollens during the warmer months. (Make sure mold doesn’t build up in the air conditioner - or swamp cooler if you’re using one instead of an air conditioner.) 5. Avoid tobacco smoke. 6. Keep basement, bathrooms, carpets and rugs dry. If there is significant water damage to carpets and rugs, make sure they are thoroughly cleaned and dried and replace pads. (According to the Porter Industries consultants, carpets and rugs should also be replaced if they have been saturated with dirty water - Class 3 or “black water”.) 7. If there are many pet birds in the home, be careful. Droppings can cause a form of allergic pneumonia. There are a number of products available today that can significantly improve indoor air quality (IAQ). One Hour Heating & Air Conditioning, located in Loveland, provides products and services for existing commercial buildings and homes. One Hour exemplifies the type of company with the experience and expertise to assist homeowners in determining what products best suit their particular IAQ needs. (Each home has unique requirements based on the ages, health conditions and air quality expectations of the occupants.) The company installs and supports furnaces, air conditioners, air filters, humidifiers, (UV) light equipment (used to kill and control toxic compounds and infectious

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.81 81

agents), and related products. While One Hour is not involved, at present, in air duct cleaning, owner Dan Albracht has had considerable experience in this area. He provides the following recommendations: “When you have your ducts cleaned, make sure you use an experienced, professional duct cleaning company that will do a thorough job. Ask for ‘before’ and ‘after’ pictures to make sure that the work is done properly. If you use a good quality, high efficiency filter - one with a high MERV rating – it won’t be necessary to have your ducts cleaned as often.” By following the advice of green specialists such as Porter Industries’ Ken Sargent and Greg Jones, medical professionals such as Dr. Krishna Murthy at the Northern Colorado Allergy and Asthma Clinic, and heating and air conditioning experts such as Dan Albracht at Albracht’s One Hour Heating & Air Conditioning, you’ll make your home a safer and healthier place to live and you’ll be living green inside.

Examples of green cleaning products that are eco-friendly. Look for the Green Seal on the label.

Court Klinck is a freelance writer living in Greeley.

81 1/3/07 10:17:35 AM

ncmc: children’s health

Roger Pomeroy, MSPT, Director of Rehabilitation Services and Interim Director of Bariatric Services with Sarah Anderson, BA, Exercise Physiologist, Community Wellness Coordinator, Wellness Services

Concerned with

increasing numbers

of obese youth, North

Colorado Medical Center provides food for thought

in its Way to Go Kids

program. The program

is aimed at changing self-perception and

lifestyle choices for kids

with a tendency to being overweight and obese.

local program targets

obesity in youth by Kay Rios

The numbers are certainly startling. Since 1980, the national prevalence of obesity doubled among children 6 to 11 and tripled among teens from 12 to 19 according to the Center for Disease Control. In Weld County, currently the percentages show that just over 14% of those under 14 are overweight (2005 Child Health Survey). Those 15 to 18 year olds run about 9% overweight (2005 Youth Risk Behavior Survey). Concerns have mounted because health risks are also mounting, says Sarah Anderson, community wellness coordinator and exercise physiologist at NCMC. Hypertension (high blood pressure) is an issue and we are noticing a huge increase in diabetes type 2. Asthma also has a high prevalence in overweight kids, and there are orthopedic complications, walking problems, back problems and also the psychological effects. We’re seeing some with sleep disorders, with the biggest one being sleep apnea. Some of these things happen as we age but now we’re seeing those things in kids as young as 6 years old so they will really have a rough road ahead.” There are no simple reasons for that growth in overweight numbers among the young, says Denise Retzlaff, Registered Nurse and Steps Program supervisor for Weld County Department of Public Health

82 01.2007 Loveland Greeley Master.82 82

1/3/07 10:17:46 AM

and Environment. “The epidemic of obesity in this country is very complex but it centers on the fact that people eat more and move less. Besides genetics, culture and lifestyle, there is a whole host of individual and environmental factors that affect whether people eat nutritious food and whether they can be physically active. The types of foods that people habitually eat, the portion sizes, the availability and convenience of high fat and processed foods, access to fruits and vegetables, eating for reasons other than hunger, as well as the perception that nutritious foods are more expensive influence eating behavior. And, the epidemic of physical inactivity is fueled by our addiction to our cars,” she says. No one’s immune, Retzlaff adds. “Obesity and overweight cross over all socio-economic lines. And there are just so many variables.” Anderson agrees and says the Way to Go Kids program looks at all of the possibilities. But she also cautions against tagging kids as overweight or obese. Only a doctor should make that determination since weight, for kids, isn’t about just pounds. It also involves body type, age, and where they hit on the growth chart. For that reason, Way to Go Kids is not about pushing kids to lose weight. “We don’t want them to have weight issues as they age so it’s more about teaching them healthy lifestyles,” she says. Lifestyle issues for kids often center around food choices and “screen time,” she explains. “Recent studies show kids are consuming 165 extra calories each and some are consuming as much as 1100 additional calories each day. And the prevalence of TV and computer games compounds that because of decreased activity. A lot of parents work all day and kids sit in front of the TV for 3 and 4 hours before the parents get home.” Way to Go Kids, a six-week program, focuses on making those life style changes. The kids meet once a week for an hour with Anderson and a registered dietician who teach the classes. Half an hour is spent on physical activity and the other half is spent in instruction. “For example, we teach them how to read a food label, how to prepare a healthy meal, how to shop with their parents. We help them set goals and give them information that helps them plan for their life.” A parent is required to attend each class because the parents’ lifestyles also impact the kids. “Most often, the parents purchase and prepare the food so they need to know what the kids know. Each week the parents have a responsibility and so does each kid – how many vegetables did we eat this week, how much water did we drink every day. That way they can hold each other accountable.” Parental influence is a huge factor, Anderson says. “They need to be positive role models. One thing we found is that if the parents are constantly saying ‘oh, I’m fat,” then the kids start thinking they’re fat and that starts to determine a negative self-image.” That self-talk can be destructive and parents need to be aware of it. Not that adults don’t share weight issues with kids. In fact, the Colorado Department of Public Health and environment reports that, in 2005, almost 18% of Coloradoans were obese and 24% of Weld adult residents registered obese. The definition for obese is very different for kids than for adults. For an adult, the obese designation is based on the Body Mass Index and

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.83 83

83 1/3/07 10:17:52 AM

anything over 30 is obese. Weight is also certainly a factor, says Roger Pomeroy, interim director of Bariatric Services at NCMC. “Being 100 pounds over ideal body weight is deemed to be morbidly obese.” Many of Bariatric Services patients fall into that category and they are usually seeking help in the form of two types of procedures that Bariatric Services performs. One is the gastric bypass whereby the digestive tract is surgically altered. The second procedure uses a lap band placed around the top end of the stomach as a constrictive device so that the passage of food is limited. Neither procedure should be considered a quick fix, Pomeroy says. “There is a process we go through and the average is about two and a half or three months before surgery. We do a full work-up, patient and weight history and a psychological exam. Then we do nutrition courses with a dietician. We need to get to know the patient and he or she needs to get to know us and feel comfortable with us.” The process doesn’t end with the surgery. “It takes a lot of support on the tail end for them to be successful.” Success, he says, also requires “a shift in body image and a shift in how they view food.” Neither procedure is an option for youth, Pomeroy says. “For youth it’s considered to be experimental and is also very controversial. There are many other options that need to be explored first.” Those options often involve the whole family, Anderson says. She advises parents to accept their child at any weight. “Avoid telling them they are fat. Being criticized isn’t going to help them. Be supportive and listen to your child’s concerns about their weight. And involve the whole family in physical activities. Get the whole family out to walk together so it’s not something they are doing along.” Parents can also help their children make good decisions food-wise by buying more fruits and vegetables. “Keep them prepared in the refrigerator in baggies so they can grab that for snacks. Buy fewer soft drinks and don’t keep fatridden snacks around. Have them drink water or milk instead of fruit juice. One small juice a day is fine but we really would encourage fresh fruit or frozen fruit because of the sugar content in juice.” And have them eat breakfast. “Having the kids eat breakfast every single day is incredibly important. I’m amazed how many kids don’t eat breakfast and that also impacts their performance during the day. Even if they just have a granola bar and a piece of fruit, they’ll feel better.” Don’t use food as a reward, she says. “If they do well on the math test for example, instead of offering ice cream or candy, say, ‘we’ll go ice skating’ or give them something active to do with the family.” Family time plays a big role in lifestyle choices, Anderson says. “Often families don’t eat together. So try eating together at the table and not in front of the TV. And,w take time to listen to them. It really goes back to parents listening to their children and being in tune with what’s going on with them.” Kay Rios is a freelance writer based in Fort Collins. She is currently a doctoral candidate in Educational Leadership at Colorado State University.

84 01.2007 Loveland Greeley Master.84 84

1/3/07 10:18:00 AM

CENTER FOR

Women’s Health specialists in obstetrics & gynecology

• General Women’s Care • Family Planning • Family Centered Birth • Pre-Conception Counselling • Higher Risk Obstetics • Ultrasound • Menopausal Care • Pap Smears • Abnormal Pap Treatments • Incontinence & Bladder Problems • Robotic & Laparoscopic Hysterectomy • No Terminations • Accepting Most Insurance, Including Medicaid Kevin Hess, D.O. Stewart Abbot, M.D.

Krista O’Leary, C.N.M.

Marie Foose, C.N.M

We Deliver! the kind of birth you want attended by a professional Certified Nurse Midwife who cares about you. The midwives at Center for Women’s Health are the only CNMs delivering at North Colorado Medical Center in Greeley

1275 58th avenue • Greeley • 970.336.1500 • 877.409.5454 01.2007 Loveland Greeley Master.85 85

1/3/07 10:18:06 AM

mmc: health & FITNESS

resolve to be

fit & healthy by Lynn M. Dean

The festivities are over. The last vestiges of turkey leftovers, pumpkin pie and holiday cookies have been gobbled up. A wee bit of trepidation has begun to settle in as we remember that long list of New Year’s resolutions we made in the heat of the moment. Did you resolve to eat right? Lose weight? Exercise more? If so, it’s time to pay the piper and think about making a fresh start this year. If not, perhaps you should have. After all, the majority of us eat too much and exercise too little. And most of us gained at least one pound over the holidays.

Year after year those pounds add up. So, either way, resolution or not, isn’t it time we think about ways to stay fit and healthy? Okay. We know we should do it. But, unfortunately, our list of excuses of why we can’t do it outnumbers our list of resolutions. We’re too busy. We don’t have time. We’re too tired. We don’t know how. We need help! January Windell, an Employee Wellness Specialist at Banner Health, based at McKee Medical Center, has some tips to get us motivated: n Make time. “Give yourself time to get fit.

So many people say they don’t have time to exercise, but they just need to set some time aside,” recommends Windell. “Make exercise a lifestyle change and schedule it like you would any other appointment.” She adds that we all make time to improve our outward appearance– we style our hair, apply make up, choose stylish outfits– we need to remember to take care our inner bodies, too. “Exercise is not just about your external appearance,” says Windell. “You actually need to get some form of exercise to improve the inside, too. Your heart is a muscle. You need to get

86 01.2007 Loveland Greeley Master.86 86

1/3/07 10:18:09 AM

that exercise so that you have a healthy heart.” She adds that in addition to increases in muscle mass and bone density, exercise also increases our energy levels, concentration, and circulation, decreases stress levels and cholesterol and improves self esteem. n Start small. “We all need to be getting some form of exercise,” says Windell. “Everybody needs to do it no matter what their size, shape or age. Start with fifteen minutes a day. You can squeeze exercise in first thing in the morning, at lunch time, or after work.” She also warns against giving in to the ‘I’m too tired’ mentality. “If you exercise, your energy levels will increase, you’ll sleep better and feel more rested.” n Choose something that you enjoy. “There’s something out there for everybody,” she says. “Walk the dog, take a bike ride, go on a hike, do yoga– find what’s best for you.” n Sneak fitness into your daily routine. Windell suggests you think about ways to add exercise to your normal daily activities. “Take the stairs instead of the elevator. Do stretching exercises at your desk. Walk to a co-worker’s office to deliver a message instead of picking up the phone or sending an email. Park further away from the building. Take your shopping cart back into the store instead of stowing it in the cart corral. All these little things can make a big difference when you’re conscientious about it.” n Don’t forget to eat right. Along with exercise, healthy eating plays a big role in overall health. “That’s the other piece of the puzzle that you need to stay fit,” says Windell. “Read labels and pay attention to ingredients. Stay away from foods that contain trans fats and high fructose corn syrup. Try to fit in at least five fruits and vegetables each day. Watch your serving sizes and eat slowly– your body will begin to digest the food and you’ll feel full faster.” Windell also reminds us to drink lots of water. “Studies have shown that when we perceive hunger, eighty five percent of the time we’re really experiencing the effects of dehydration.” n Balance work and play. “Take time for yourself,” suggests Windell. “All work and no play can make you feel stressed. Plan some time for hobbies and recreation.” She explains that doing things that make you feel good will help you feel less stressed and add to your overall health and fitness. “Call a friend, take a bath, read a book– anything you enjoy. These activities relax your mind and are a good respite from life’s worries.” n See the lighter side of life. “Think positively,” says Windell. “Find something positive in every situation that you’re in. This will help you keep a positive frame of mind.” She also suggest we take time to laugh. “Laughter makes our muscles go limp and releases tension. It’s difficult to feel stress in the middle of a belly laugh.” Now, that doesn’t seem so hard, does it? By making little changes here and there we can be fit and healthy this year. Isn’t it time we took that first step? I’m in. Are you?

Lynn M. Dean is a freelance writer living in Fort Collins.

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.87 87

8 1/3/07 10:18:15 AM

NCMC: women’s wellnesss

women’s health issues

spirit of women by Kay Rios

Kris Howard, RN, BSN, Supervisor of Family Life Education and Spirit of Women with Judith Walker, RN, MS, CNAA, Director of Women’s and Children’s Services

A growing movement among hospitals promotes a new view of women’s health care through the Spirit of Women network. “It offers programs that help hospitals create a bridge to the community, and improve both consumer loyalty and community relations,” explains Judith Walker, director of Women and Children’s Services at the North Colorado Medical Center (NCMC) in Greeley. Spirit of Women, first, acknowledges the power of women to influence health care, not only for themselves but their families and their communities – women, in fact, make up to 85% of household health care decisions including choice of doctor and hospital loyalty. Second, through special events and educational initiatives, Spirit of Women encourages women to take action for their health. Walker says that currently there are member hospitals and health systems in more than 60 cities across the country that are designated as “Spirit Hospitals.” In Colorado, there are five: NCMC, Boulder Community Hospital, Memorial Health System in Colorado Springs, Exempla Saint Joseph Hospital in Denver, and Exempla Lutheran Medical Center in Wheat Ridge. Through the Spirit of Women program, NCMC promotes its mission to motivate women to make positive changes in their lives by emphasizing their total well-being, mind, body and spirit. The hospitals have formally joined together in the Spirit of Women network to advance the cause and business of women’s health. In joining, member hospitals agree to meet national standards for excellence in women’s health, outreach, and clinical practice as determined by the Spirit of Women organization. “The Spirit of Women programs are tailored to the specific community,” says Kris Howard, co-

ordinator for Spirit of Women at NCMC. “There are a lot of programs from which each hospital can choose. Each hospital has its own objectives so you choose the programs that support your objectives.” Since NCMC’s goal is to become the premier provider of women’s health care in Northern Colorado, established objectives include increasing women’s heart diagnostics, increasing obstetrics

“It’s looking at women’s health more comprehensively. It looks at the whole span of life – womb to tomb – and acknowledges all of the different responsibilities that women have.” -Judith Walker and neonatal intensive care unit volumes, and changing the perception of NCMC as both a com-

munity hospital and an advanced care, tertiary hospital. Howard uses the obstetrics objective as an example. “The Spirit organization provides curriculum for programs like New Mom Moments. In addition to the ideas provided by Spirit of Women, NCMC will include some if its existing programs under the Spirit umbrella. We have a We’re Having a Baby class for expectant parents who already have children, and we will use some of the Spirit materials to enhance the existing class. NCMC will have two new OB programs from Spirit of Women, New Mom Teas and Plan-it Baby!” “Spirit hospitals also create new programs like NCMC’s Girls Night Out,” Howard says. “The health education focus was breast, cervical cancer and osteoporosis prevention. There were belly dancers, a spa experience, jewelry and candles for sale and also physicians lecturing on the topics. So it had a health education component that was offered in a way that made it fun.” Walker adds, “It’s a combination of giving women a break and having fun and encouraging them to take responsibility for their health. ” Some events are national like the Day of Dance, Howard says. “All the Spirit of Women hospitals have Day of Dance on the same day. Dates for other events are individually chosen by each hospital, however there may be a designated month, such as October for Girls Night Out.” Walker says that the ability to customize programs and events was a very attractive part of the program for NCMC. One of NCMC’s objectives is to increase cardiac screening for women in the local community. Data from NCMC showed that the majority of cardiac screenings are being performed on men. “ Research shows that heart disease is one of the leading killers of women so we want to encourage women to be tested. Because we

88 01.2007 Loveland Greeley Master.88 88

1/5/07 8:54:28 AM

•

•••

ANNOUNCING•••

Mark Loury, M.D., F.A.C.S. Board Certified Former Faculty of John's Hopkins Hospital l isted in "Best Doctors in America" and "America's Best Doctors". Nationally Recognized Cxpert in Sinus & Nasal Disease.

Steve B. Schaffer, M.D. Board Certified Tulane University Focus on Disorders of the Throat and Voice.

a dm i s sio ns

2 7 8 •4 0 0 0

NORTH SHORE HEALTH & REHAB FACILITY LAKEVIEW COMMONS Assisted Living THE WEXFORD Independent Living

COLUMBINE POUDRE H OME CARE, LLC COLUMBINE THERAPY SERVICES

COLUMBINE HEALTH SYSTEMS Offering a full continuum of health services Serving Loveland for over 27 years

Loveland/Greeley Medical Magazine & Directory 2007

01.2007 Loveland Greeley Master.89 89

MARKET CENTRE MEDICAL EQUIPMENT & SUPPLIES MARKET CENTRE REHABILITATION SERVICES POUDRE INFUSION THERAPY, LLC

89 1/3/07 10:18:29 AM

EnergyLight Rejuvenation The holistic alternative to Botox & surgery

A Noninvasive Technique that Combines Microcurrent with Therapeutic Light & Color That Can: • Slow Down and Reverse the Visible Signs of Aging • Encourage Collagen Production • Firm Skin Tone • Improve Skin Texture • Diminish Blemishes and Breakouts • Minimize Puffiness • Smooth Fine Lines and Wrinkles

Bethesda Wellness Center, LLC Practicing Compassionate Medicine Melissa A. Osmun, MSOM, L.Ac. NCCAOM Dipl. Acupuncture & Chinese Herbs

8010 Larimer County Road 5 • Windsor I-25 and the Windsor Exit

970.556.3876

www.BethesdaWellnessCenters.com

can customize, we can match our programs to the specific needs for our area. It has provided a framework for Women’s Services that includes other departments like oncology, cardiovascular, and bariatric.” Hospitals also benefit in other ways. Spirit provides a program advisor/concierge to help member hospitals develop their own programs and learn what to expect from events. The hospitals also participate in networking and in conference calls with other Spirit hospitals. As hospitals benefit so do the consumers, Howard says. NCMC has developed a consumer membership program based on the Spirit of Women model. “For a fee of $10 per year, members receive the Spirit Magazine customized to our area, the health newsletter and invitations to members only events.” In addition, they also receive health updates from the hospital and special discounts from local businesses. Launched almost nine years ago as a best practice in building women’s volumes at LeHigh Valley Hospital in Allentown, Pennsylvania, the Spirit of Women came out of a community outreach in partnership with Prevention Magazine and Ortho-McNeil Pharmaceutical and Ortho Dermatological. It was syndicated to ten markets in the first two years and now includes 165 hospitals in over 60 U.S. cities. NCMC just celebrated its first year as a Spirit hospital. “Girls Night Out last October was our first event,” Walker says. “We have been building a foundation for the program and forming business partnerships in the community,” adds Howard. The first year was also spent in planning and, Walker says, “We now have all of our 2007 events scheduled and are excited about bringing them to the community.” Walker says the program promotes a more appropriate view of women’s health. “It’s looking at women’s health more comprehensively. It looks at the whole span of life – womb to tomb – and acknowledges all of the different responsibilities that women have.” Howard agrees and uses the example of a lecture series titled What Women Put Up With as evidence. “It’s a double education. One of the pieces is called When the Plumbing Leaks and looks at incontinence issues. The program also includes a presentation from a plumber that addresses actual home plumbing. Another one is Balance Your Tires, Balance Your Hormones.” The hormone discussion is complemented with a discussion by a mechanic on auto care. Local businesses not only support those events, they partner in other ways by taking part in events and offering discounts to Spirit consumer members. “They are listed in the newsletters and on our consumer web page,” Howard says. It is truly a community of health and Walker sees that as extremely positive from all angles. “We are very excited about the Spirit programs and feel it’s going to help us offer premier services. It’s helped us look at health care services from the woman’s perspective and it’s certainly brought our service lines together to recognize women.” It’s helped NCMC on a grander scale as well. “We’re getting the word out that you don’t have to leave Greeley to get great care or specialty care. It’s all right here.” Kay Rios is a freelance writer based in Fort Collins. She is currently a doctoral candidate in Educational Leadership at Colorado State University.

90 01.2007 Loveland Greeley Master.90 90

1/3/07 10:18:36 AM

• ~

Providing Contprehensive Medical Care for You and Your Fantily

~ ~

~ ('>

<f N

(./

I C.

•••

Health Carefor a Lifetime Primary Care Specialties: Family Practice Internal M edicine Pediatrics

Clinical Services: A llergy

Obstetrics & Gynecology

Bone Density Studies

Occupational Medicine

Cancer SUJgery

Occupational Therapy

Cardiology

Oncology

Coumadin Clinic

Oral Surgery

Cosmetic SUJgery

Orthopedic Surgery

CT Scan

Osteoporosis Sewices

D ermatology

OtolaJ'yngology (ENT)

Echocardiography

Pharmacy

Employment D rug Screen

Physical Therapy

Exercise Services

Plastic Surgery

Gastroenterology

Preventative Medicine

General Su1gery

Pulmonology

H earing Services

Rheumatology

(Audiology)

Sports Medicine

H ematology

Thomcic Surgery

Infertility

Ultrasound

Kidney D isease

Urgent Care

L aboratory

Urology

L ung D isease

Vascular Surgay

Mammography

Vein Clinic

MRI

Vestibular/Balance Clinic

Nephrology

X -Ray

GREELEY MEDICAL CLINIC www.greeleymedclinic.com MAIN CAMPUS

URGENT CARE WEST

ARTHRITIS CENTER OF THE ROCKIES

1900 16th St., Greeley (970) 353-1551

2001 70th Ave., Greeley (970) 378-4155

239 W . 67th Ct., Loveland (970) 461-1880

Mon-Fri 8am-5pm

Mon-Sat 7am-7pm

Mon-Fri 8am-5pm

URGENT CARE

PEAKVIEW MEDICAL CENTER

LOVELAND HEMATOLOGY/ONCOLOGY

1900 16th St., Greeley (970) 350-2425

5881 W . 16th St., Greeley (970) 313-2700

2050 N . Boise Ave., Loveland (970) 667-7870

Mon-Sat 7am-7pm, Sun 10am-5pm

Mon-Fri 8am-5pm

01.2007 Loveland Greeley Master.91 91

1/3/07 10:18:40 AM

211 West Myrtle fort collins, co 80521

PRST STD US POSTAGE PAID Permit 65 Greeley, CO

CHANGE SERVICE REQUESTED

01.2007 Loveland Master.92 92 1.2006_NCC BackGreeley Cover.indd 1

1/3/07 10:18:41 12/13/06 8:52:29 AM