2010-01 Northern Colorado Medical & Wellness Magazine and Banner Health Physician Directory by Style Media & Design, Inc.

medical wellness $7.00

2010

Loveland /Greeley

maga zine & director y

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

The earlier a health problem is detected, the

AMIC CAPABILITIES

better chance there is for a cure. Since 1976,

~ CT (computed tomography),

Advanced Medical Imaging Consultants (AMIC) has helped doctors and their patients pinpoint unknown health problems using the most advanced medical imaging exams available. Our team includes over 20 board-

including CTA (computed tomography angiography), CT cardiac calcium scoring, CT lung scan, and CT virtual colonoscopy ~ MRI (magnetic resonance

completed subspecialty fellowship training.

imaging), including MRA (magnetic resonance angiography) and cardiac MRI

This high level of expertise ensures that our

~ Nuclear medicine, including PET

certified radiologists, each of whom has

patients' diagnoses are thorough and accurate.

(positron emission tomography) ~ Neuroradiology ~ Ultrasound, including Doppler

Trusted radiology experts

radiology ~ lnterventional radiology,

including diagnostic angiography, carotid stenting, radiofrequency ablation (RFA), uterine fibroid embolization (UFE), and vertebroplasty ~ Bone densitometry

(DEXA scans) ~ Women's imaging, including digital mammography with computer-aided detection (CAD), breast MRI, and stereotactic breast biopsy ~ Traditional X-rays

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Indulge Treat yourself or your someone special to one of our customizable spa experiences. Relax with a revitalizing facial, massage, or natural nail services. Choose one, two or all three and give your body the nourishment that it needs. Schedule your appointment today: 970.495.8400

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TWENTY THREE TREES MEDICAL & WELLNESS SPA POUDRE VALLEY HEALTH SYSTEM

ADVANCED OTOLARYNGOLOGY, PC. Pediatrics & Adult Sinus & Nasal Disease Endoscopic Sinus Surgery Meniere’s Disease & Balance Disorders Hearing & Diseases of the Ears Head & Neck Surgery

Mark Loury, MD, F.A.C.S. Board Certified Former Faculty of John’s Hopkins Hospital

Listed in “Best Doctors in America” and “America’s Best Doctors”. Patients Choice Recipient 2008 Nationally Recognized Expert in Sinus & Nasal Disease.

Voice Disorders Snoring & Sleep Apnea Coblation Tonsillectomy Injection Snoreplasty

Brooke Benton, PA-C Child Health Association/Physician Assistant Program, University of Colorado Health Sciences Center of Denver

Focus on General Ear, Nose & Throat

EAR, NOSE &THROAT DISORDER SPECIALISTS

Loveland Greeley Medical Magazine & Directory 2010

2001 S. Shields, Building E, Suite 101 970.493.5334 Fort Collins, CO toll free: 1.866.493.5334

Even after he was diagnosed with nonHodgkin's lymphoma, Jerry found comfort in playing the piano. And thanks to McKee Medical Center's carefully coordinated cancer team, he soon found the strength to go on to a healthy life. The pathology and imaging departments quickly gave Jerry's doctors his test results , which helped get his treatment started right away. Yet, Jerry said his considerate doctors and nurses took the time to explain his condition and give him the best care possible. Because of this highly specialized, personal approach, Jerry's life is in tune. Now he not only plays for comfort, he gives back by using his piano to lift the spirits of those in cancer support groups . McKee Medical Center. Remarkable health care inspired by you.

Banner Health

McKee Medical Center www.BannerHealth.com, keyword: McKee Cancer 2000 N. Boise Ave. â&#x20AC;˘ Loveland â&#x20AC;˘ (970) 669-4640 Job opportunities: 866-377-5627 (EOE/AA) or www. BannerHealth .com Banner Health is the leading nonprofit health care provider in northern Colorado .

Paolo Romero, MD :: Matthew Sorensen, MD Regina Brown, MD Anne Kanard, MD : : Miho Toi Scott MA, MD

at the POUDRE VALLEY HOSPITAL HARMONY CAMPUS 2121 E. Harmony Rd. Suite 150, Fort Collins â&#x20AC;˘ www.cancercenteroftherockies.com

970.493.6337

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 Lydia Dody Editor Angeline Grenz creative director Scott Prosser Senior Designer Lisa Gould Advertising Sales EXECUTIVES Jon Ainslie (970) 219-9226 Abby Bloedorn (970) 222-8406 Karen Christensen (970) 679-7593 Lydia Dody (970) 227-6400 Saundra Skrove (970) 217-9932 Office Manager Ina Szwec Accounting Manager Karla Vigil Office Assistant Ronda Huser, Trish Milton Contributing Writers Connie Hein, Erica Pauly, Corey Radman, Kay Rios, Bob Willis Photographer Warren Diggles Affiliations Fort Collins Area Chamber of Commerce 2010 Style Magazines January-Loveland/Greeley Medical & Wellness Magazine and Directory February-Style March-Northern Colorado Medical & Wellness April-Style May-Northern Colorado Medical & Wellness June-Style July-Fort Collins Medical & Wellness Magazine and Directories August-Style September-Women’s Health & Breast Cancer October-Northern Colorado Medical & Wellness November/December-Holiday Style Style Media and Design, Inc. magazines are free monthly publications direct-mailed to homes and businesses in Northern Colorado. Elsewhere, a one year subscription is $35/year and a two year subscription is $50/year. Free magazines are available in stands at 100 locations throughout Northern Colorado. For ad rates, subscription information, change of address, or correspondence, contact: Style Media and Design Inc., 211 W. Myrtle St., Suite 200, Fort Collins, Colorado 80521. Phone (970) 226-6400. Fax (970) 226-6427 E-Mail: ronda@StyleMedia.com ©2010 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.

Lydia’s STYLE Magazine

table of contents

medical wellness 2010

Loveland /Greeley

magazine / director y

page 14 Publisher’s Letter

page 16

Introduction Letters: Marilyn Schock, CEO, McKee Medical Center Rick Sutton, CEO, North Colorado Medical Center

on the cover

McKee Medical Center’s da Vinci Si robot provides doctors with greater precision when performing gynecological and urologic procedures. Both McKee and North Colorado Medical Center utilize the robot.

NCMC: NCMC Expands Their Neurology Clinic

page 55

NCMC: At the Heart of the Matter

page 58

page 19

MCKEE/NCMC: Heart Failure Clinic

page 22

FOUNDATION ON AGING: Summit to Address Issues on Aging

MCKEE/NCMC: Serving Together in 2010 and Beyond

page 60

McKee/ NCMC: Renaissance in Surgery Technology

page 64

page 28

page 71 wellness section page 76

McKee/ NCMC: Improving Patient Outcomes with eICU

page 32

McKee/ NCMC: Advances in Healthcare

page 35 medical directory page 38

page 50

Introduction Letter: Brian Underwood, Vice President for Physician Resources, Banner Health’s Western Region

page 48

McKee/NCMC: Hospitalists Create Communities

MCKEE: Incontinence: The Hidden Misery

McKee/NCMC: Wellness Screenings Save Lives

page 78

McKee: Loveland Community Health Fair Turns 30

page 81

Orthopaedic and Spine Center of the Rockies Opens Loveland Office

page 82

SUMMIT ORAL AND ImPLANT SURGERY: Dental Implants Improve Your Smile

The enclosed articles in this issue of Loveland/Greeley Medical Wellness Magazine/ Directory are for your general knowledge and not to be used as a substitute for medical advice or treatment. If you have any questions or concerns about your health please contact your doctor or healthcare provider.

64 12

Lydia’s STYLE Magazine

What can the NCMC Neurology Clinic do for you? You can take comfort in knowing that the skilled physicians at the Neurology Clinic at NCMC are highly experienced in treating a wide scope of neurological disorders and diseases. Services at the clinic include but are not limited to: Stroke Care Epilepsy/Seizure Care Pediatric Neurology Electro Diagnostic Studies: EMG EEG Nerve Conduction Studies Headache Management Parkinson's Cerebral Palsy Neuropathy Multiple Sclerosis Memory Disorders Alzheimer's

Call 970-350-5612 for an appointment or more information.

Banner Health

1517 16th Ave Court (Rehab Bldg) Greeley, CO www.BannerHealth .com Keyword: NCMC Neuro Clinic

North Colorado Medical Center Neurology Clinic

The symptoms of heartburn are hard to ignore. We take heartburn seriously, and so should you . Heartburn is a common condition, experienced by most everyone at some point in their life. If left undiagnosed and/or untreated, heartburn can lead to more severe problems such as cancer. Chronic heartburn could be a symptom of a serious condition such as gastroesophageal reflux disease also known as GERD. The Heartburn Clinic physicians at North Colorado Medical Center specialize in gastroenterology and the treatment of severe and chronic heartburn .

Banner Health

North Colorado Gastroenterology 1800 15th St. , #300 Greeley www.BannerHealth.com Keyword: NCMC Gl

Call North Colorado Gastroenterology Heartburn Clinic at North Colorado Medical Center for your assessment today at 970-378-4475 or 1-800-557-0505

As in any emergency, if you think you may be having a heart attack, please dial 911. North Colorado Medical Center is a Spirit of Women hospital. Banner Health is the leading provider of nonprofit health care in northern Colorado.

publisher’sletter A New Collaborative Synergy

elcome to our 5th annual Loveland/ Greeley Medical and Wellness Magazine & Directory. We are honored to collaborate with the Banner Health organization and the outstanding senior management, administrators, physicians and staff of both McKee Medical Center and North Colorado Medical Center (NCMC) to bring you this important reference magazine. The 2010 issue features informative articles about healthcare services and advancements in care at both hospitals, along with a comprehensive, user-friendly medical directory of physicians in the Banner system. We hope you enjoy reading the interesting articles and find the directory easy and useful to reference year round. As Banner Health moves into 2010, they are implementing a new collaborative regional focus of care, encompassing not only Loveland and Greeley, but Banner facilities in Brush and Sterling, Colo. By working together they are able more effectively to serve the healthcare needs of our region. This new approach comes from the close partnership and like-mindedness of the new CEO of McKee Medical Center, Marilyn Schock, and NCMC CEO Rick Sutton. Schock and Sutton have worked as a team at both locations in the past. Their intent is to leverage strengths by sharing physicians, staff, technology and equipment as needed, thereby improving access to healthcare for patients while containing costs. One such successful collaboration is the expansion of the CardioVascular Institute (CVI), based at NCMC, which includes two permanent cardiologists at McKee and one at Sterling Regional MedCenter. This partnership has established standardized protocols to ensure patients experiencing a heart attack will get the best care possible. The collaboration provides care and service to the even outlying rural communities. Read “At the Heart of the Matter” to learn more about CVI. Another major technological advancement is the recent installation of a state-of-the-art da Vinci Si surgical robot at McKee Medical Center, as seen on the cover. This robot, shared with NCMC, allows surgeons to operate by making multiple small incisions with tiny instruments, improving accuracy and reducing recovery time for patients. Read “Renaissance in Surgery Technology” to get better acquainted with this new advancement in surgical procedure. We hope you will find this issue informative and interesting. We are proud to partner with the fine Banner Health organization to bring you this issue. Thank you to the many physicians and staff who helped inform and educate us; we appreciate your time and commitment to healthcare excellence. Wishing you good health in the New Year!

Lydia@stylemedia.com

Lydia’s STYLE Magazine

Dear NortherN ColoraDo reaDer, Dear orthern Colorado Reader , As I N approach my first anniversary as Chief Executive Officer at

Marilyn Schock, mba, otr

Rick Sutton, MS, FACHE

Chief Executive Officer McKee Medical Center Chief Executive Officer McKee Medical Center

McKee Medical Center, a Banner Health facility, I am honored to be As a 26-year Northern Colorado, I have seenand many in associated with resident such anofoutstanding medical team, to changes lead this our community,into particularly in healthcare. Now it appears more changes are on organization the future. the horizon as Congress continues to debate national healthcare reform. We all are very aware that the health care environment we live in Through these changes, however, one constant is the quality of care is about to change dramatically. assure you that the McKee team will McKee Medical Center provides toIits patients. meetDid that and continue toofdeliver high-quality, compassionate youchange, know McKee boasts one the highest patient satisfaction scores health care toOur the patient people surveys of Loveland andrank surrounding communities. in the nation? routinely McKee among the top 10 percent of hospitals in providing the countrythe when it comescommunity to the patient experience. McKee has been Loveland with health care Of course is about morewere thanborn surveys. It’s about theprobably friendly, for the past 30healthcare years. Many of you at McKee, and reassuring clerks at the registration desk, the soothing voice from your bedside more of you have received health care at McKee over the past three nurse and the skilled physician overseeing your return to health. These eledecades. We have alwaysthebeen thequality community for Loveland, ments combine to ensure highest of care.hospital Our philosophy is that and have is established vital relationships community. healthcare a calling and every employee inwith everythis department plays an imporYet,inwetherecognize that as the landscape changes, so must McKee. tant role healing process. help our employees provide you theand bestwe care in to 2009 we We To have a world class team at McKee, arepossible, prepared move made considerable investments in technology. McKee implemented theinmost forward. Be assured your hospital team provides excellent care all advanced electronic medical record system in Northern Colorado, allowing aspects of the health care continuum. We have made, and will continue physicians to have immediate access to your records from their office or their to make, strategic decisions that willda move into the future, put home. We purchased the most advanced Vinciussurgical robot on theand market, your hometown hospital a position continued strength. providing our patients withinless invasive of treatment options for prostate and We haveprocedures. compiled five priorities that everyone at McKee has gynecological McKee also acquired a new computed scanner used by committed to work toward, with the tomography outcome of(CT) increased quality physicians make diagnoses of people who are injured. care and atowonderful hospital experience atsick the orcore. TheThe fivescanner areas uses up to 40 percent less radiation than other models, an important benefit, are: Employee Engagement, Patient Satisfaction, Quality Outcomes, especially for children. Physician Friendly andwith Financial Strength. We worked closely our physician partners on these changes and we are committed ensuring thatwe allhave staffeverything at McKeethey are need highly will We continue to work withtothem to ensure to engaged, deliver thedetermined best care. and committed to give you the best care possible. we look to the future, many engaged of the strategies we put in in place will have We As believe that having highly staff results the ability to aprovide regionalhigher focus. In addition to McKee in Loveland and North Colorado Mediquality care, lower turnover, increased productivity and cal Center in Greeley, Banner Health has hospitals in Brush and Sterling. By a more effective organization overall. working together, we are able to more effectively serve the healthcare needs of We also are communities concentrating ourourpatient to make our urban and rural andon meet missionsatisfaction of making a difference your experience at McKee onepatient of thecare. best in the country. At McKee in people’s lives through excellent we are compared nationally hospitals in the country, and are Perhaps the best example to of other our regional philosophy is the successful CardioVascular Institute of North Colorado of (CVI) based at participating North Colorado consistently placing in the top one-third all hospitals in Medical Center. They have established protocols with the Brush and Sterling the patient satisfaction survey. hospitals, as well as other outlying rural facilities, to streamline and standardOf utmost importance is our ability to deliver quality health care, ize the care of patients experiencing a heart attack. These protocols, based on and practices, according to our metrics, you assuredwhether that quality best ensure patients get the bestcan carebepossible it occurshealth at the care facility is something thatisyou will receive ourare hospital. rural or the need more critical andatthey flown to NCMC for treatalso ensureCVI thatcardiologists our staff members aremost highly trained and that ment.We McKee-based can perform medical treatments at McKee, but instate-of-the-art rare instances where patients so needs care, such we provide technology youa higher receivelevel the of best health as open surgery, they be taken to NCMC have continuity care in heart the market. You can deserve that, and at where McKeethey Medical Center, of care with the same physician practice. that is what you will experience. Another example of our regional strategy is simulation training. McKeealso continue work hand-in-hand with physicians to basedWe staff members taketocomputerized mannequins thatour mimic symptoms ensure they are pleased with the carepatients their patients are receiving. are and physiological responses of human to other Banner facilitiesWe where makingstaff surecan that all necessary medical practice complexequipment procedures. and supplies are available to Weaswill take the training on the road in 2010 as them theycontinue providetohealth caresimulation to this community. needed, evencontinues as we opentothe phase ofstrong the Banner Center at McKee be first financially due toSimulation the support of the McKee, a permanent simulation training center inside the hospital where Bancommunity, physicians, and staff, and we’re well prepared to grow with ner Health nurses and doctors can practice their skills in a setting that mirrors this community in the future. This will be the only facility of its kind in their everyday work experience. It boils to this:ourYour community hospital a physician the region anddown demonstrates commitment to providing theismost advanced friendlypossible facility,toemploying training our staff. highly engaged staff members that provide am excited the opportunities in the year ahead. McKee the Ihighest levelabout of quality health careawaiting to you us and your family. will continue to investstrive in thetoresources necessary to provide best care posWe will always ensure that you will not havethea better health sible for our patients. That means hiring the best people, partnering with our care experience than the one you will have at McKee. Quality health physicians, acquiring the latest technology and working closely with our councare at your hometown hospital – that’s what we’recontinues all about. terparts in Northern Colorado to ensure Banner Health to be the top provider of healthcare in the communities we serve. It is an honor and privilege to assist you in your healthcare journey.

Sincerely,

Rick Sutton

ChiefSchock, Executive Officer Marilyn MBA, OTR McKee Medical Center Chief Executive Officer McKee Medical Center

16 1 zzz.indb 12

Lydia’s STYLE Magazine

1/26/06 5:52:43 pM

,reDaer oDaroloC NrehtroN raeD tD a ear recffiONeorthern vitucexE feihC C olorado sa yrasrevinnR a teader srfi ym h, caorppa I sA eb ot deronoh ma I ,ytilicaf htlaeH rennaB a ,retneC lacideM eeKcM the siht Indathe el omidst t dnaof,m aetmany lacidproposals em gnidnfor atschange tuo na inhchealthcare us htiw dthrough etaicossnaa tional healthcare reform discussions in 2009, .North erutufColorado eht otni Medical noitazinCenter agro (NCMC) has continued to focus on five basic priorities: Employee Engagement, ni evil ew tnemnorivne erac htlaeh eht taht erawa yrev era lla eW Patient Satisfaction, Quality Healthcare, Physician Friendly Service and Finanlliw Strength. maet eeKThis cMfocus eht tahas ht resulted uoy erusinsathe I .ycontinued llacitamagrowth rd egnaand hc oimprovement t tuoba si cial etahealthcare noissapmservices oc ,ytilauavailable q-hgih rtoevour iledpatients, ot euniour tnocommunity c dna ,egnaand hc tour ahtregion. teem of .seDuring itinumm oc gwe nidnagain uorruachieved s dna dnverification alevoL fo eas lpoaeLevel p eht II ot trauma erac htlcenter aeh 2009, by erathe c htCommittee laeh htiw yton inuTrauma mmoc of dnthe alevAmerican oL eht gnCollege idivorp of neeSurgeons. b sah eeKReceiving cM verification ylbaborp dnmeans a ,eeKNCMC cM ta nhas robvoluntarily erew uoymet fo ycriteria naM .sthat raeyassure 03 tsatrauma p eht rcare of capability and institutional performance. eerht tsap eht revo eeKcM ta erac htlaeh deviecer evah uoy fo erom The CardioVascular Institute of North Colorado at NCMC was recognized ,dnindependent alevoL rof lrating atipsoagencies h ytinum oc eht nein ebheart syawcare la evprocedures ah eW .seand daceoutd by formexcellence .ytinasum ocAmerican siht htiwHeart spihsAssociation. noitaler lativ dehsilbatse evah dna comes as well bymthe .eeKRenewal cM tsumdesignation os ,segnahasc eBariatric pacsdnaSurgery l eht sa Center taht ezof ingExcellence® ocer ew ,teYby the Surgery SureAmerican vom ot dSociety eraperpforerMetabolic a ew dna and ,eeKBariatric cM ta m aet ssal(ASMBS) c dlrow aand evathe h eW gical lla niReview erac tnCorporation ellecxe sedivwas orp received. maet latThe ipsohrenewal ruoy dcame erussafter a eB a.dthorough, rawrof detailed examination of the bariatric program components and outcomes, ineunitnoc lliw dna ,edam evah eW .muunitnoc erac htlaeh eht fo stcepsa cluding an on-site survey by medical professionals. Patients can be assured that twe uphave dna a,ewell-established rutuf eht otni sprogram u evom dedicated lliw taht stonoproviding isiced cigthe etarhighest ts ,ekam ot quality .htgn erts dskilled eunitnproviders, oc fo noitiappropriate sop a ni latequipment ipsoh nwofor temthis oh patient ruoy care, the most highly spopulation ah eeKcM enoyrof evsuccessful e taht seiweight tiroirploss evfioutcomes. delipmoc evah eW andtasupport ytilaYou uq dwill esaeread rcni infoanother emoctuarticle o ehtinhthis tiw publication ,drawot krthat ow several ot dettmilestone immoc projects saera evfiin efacility Th .erand oc etechnology ht ta ecnedevelopment irepxe latipswere oh lucompleted frednow aind2009. na eraWe c are extremely proud of the opening of a new and expanded Western States Burn ,semoctuO ytilauQ ,noitcafsitaS tneitaP ,tnemegagnE eeyolpmE :era Center, the only burn center in Northern Colorado; the completion of the En.htgnertS laicnprocedures aniF dna yfor ldnepatients; irF naicand isyhPthe doscopy Center which offers state-of-the-art yEndovascular lhgih era eeSurgery KcM tasuite ffatswhich lla tais htused gnirfor usnminimally e ot dettiinvasive mmoc eendovascular ra eW .procedures elbissop erand ac topen seb esurgeries ht uoy evand ig oprovides t dettimpatients moc dnwith a denthe imsafest retedpossible ,degagnape and oproach t ytilito bavascular eht ni ssurgery. tluser ffAll atsofdethese gagnservices e ylhgihprovide gnivahgreat tahttechnology eveileb eW quality d na ytipatient vitcudocare rp dinesshowcase aercni ,refacilities. vonrut rewol ,erac ytilauq rehgih edivorp It is, indeed, satisfying to receive recognition for quality and to provide the .llarevo noitazinagro evitceffe erom a latest technology. However, the services and quality we provide to you cannot be eachieved kam otwithout noitcafasihighly tas tnqualified eitap ruhealthcare o no gnitteam artneof cnphysicians oc era osand la estaff. W We eeKcM tto A be .yrcommitted tnuoc eht to niensuring tseb ehtthat fo you eno have eeKcthe M physicians ta ecneirepand xe healthruoy continue ecare ra dprofessionals na ,yrtnuoc available eht ni slto atimeet psohyour rehthealthcare o ot yllanneeds. oitan derapmoc era ew ni gnAitmajor apicitremphasis ap slatipsinoh2009 lla fowas drihour t-efocus no poon t ehrecruiting t ni gnicahighly lp yltnspecialized etsisnoc physicians who want to live in our community .yeand vrusprovide noitcafservices sitas tnetoitathe p eresiht dents in the community and all of the areas we serve throughout the region. ,erac htlaeh ytilauq reviled ot ytiliba ruo si ecnatropmi tsomtu fO With a number of physicians joining our medical staff, we have expanded h tlaNeurology eh ytilauqClinic taht dtoerinclude ussa ebthree nac neurologists uoy ,scirtemwho, ruoinotaddition gnidroctocageneral dna the .laspecialize tipsoh ruin o tmemory a eviecedisorders, r lliw uoymultiple taht gnsclerosis ihtemos and si erhead ac neurology expertise, tinjury. aht dnThe a dCardioVascular eniart ylhgih eInstitute ra srebmhas emexpanded ffats ruototaopen ht erclinics usne owith sla eW full-time cardiologists h tlaeh tseb at ehMcKee t evieceMedical r uoy oCenter s ygoloinnLoveland hcet tra-and eht-Sterling fo-etatsRegional edivorp Medew ,Center retneCinlaSterling. cideM eHighly eKcM qualified ta dna ,cardiologists, taht evresed orthopedic uoY .tekrasurgeons, m eht nigeneral erac surgeons, anesthesiologists, hospitalists, burn surgeons, family practice physi.ecneirepxe lliw uoy tahw si taht cians and radiologists have joined our medical team to enable you to receive the ohighest t snaiclevel isyhof p rhealthcare uo htiw available. dnah-ni-dnah krow ot eunitnoc osla eW era eIn Wthe .gncoming iviecer eyear, ra stnwe eitawill p ricontinue eht erac etohtrecruit htiw dadditional esaelp eraphysicians yeht erusnand e ohealthcare t elbaliavprofessionals a era seilpputo s dour na team. tnempWe iuqwill e yrfocus asseceon n llworking a taht ertousprovide gnikamregional services with .yMcKee Medical tinumm oc sihtCenter ot eracand htlthe aehother edivoBanner rp yehtHealth sa mehosht epitals ht fointrour oppregion. us eht ot eud gnorts yllaicnanfi eb ot seunitnoc eeKcM Patient satisfaction survey numbers tell us that we have made significant htiw worg ot deraperp llew er’ew dna ,ffats dna ,snaicisyhp ,ytinummoc improvement in patient satisfaction, but it is even more obvious when you walk erutuf ethemselves ht ni ytinuand mmhear oc sitheir ht around the hospital. When you speak to the .patients naicisyabout hp a how si lawe tiphave soh ytouched tinumm oc lives, ruoY we :sihcan t otell t nwe woare d smaking liob tI a difstories their eference divorpintapeople’s ht srebm em every ffats dday. egagne ylhgih gniyolpme ,ytilicaf yldneirf lives When.yyou limareceive f ruoy dcare na uatoyNCMC, ot eracyou htlawill eh yexperience tilauq fo lequality vel tsehealthcare. hgih eht Whether you can htlaeh retitteisb atechnology, evah ton llphysicians, iw uoy tahtemployees, erusne ot equality virts syor awservice, la lliw eW count on us to deliver your care with dignity, compassion and excellence. htlaeh ytilauQ .eeKcM ta evah lliw uoy eno eht naht ecneirepxe erac It is our goal to provide you with a healthcare experience that results in posi.tuosuch ba llthat a eryou ’ew would tahw scontinue ’taht – latotippersonally soh nwotchoose emoh or ruorecommend y ta erac tive outcomes

Rick Sutton,

MS, FACHE

Officer EHCAF ,SMNorth ,nColorado oChief ttuExecutive S k c iR Medical Center recfifO evitucexE feihC retneC lacideM eeKcM

us to others in need of healthcare services. May God bless you, the United States military and the United States of America. ,ylerecniS Sincerely, Rick Sutton, MS, FACHE Chief Executive Officer North Colorado Medical Center

nottuS kciR recffiO evitucexE feihC retneC lacideM eeKcM

Loveland Greeley Medical Magazine & Directory 2010

Mp 34:25:5 60/62/1

17 1 21 bdni.zzz

Prostate surgery technology this advanced means less recuperation time and more fishing time.

McKee Medical Center's da Vinci® robotic surgery is minimally invasive and offers men maximum benefits. For patients who qualify, this robotic surgery allows for smaller incisions, which can mean less pain , scarring, blood loss and risk of infection . You can have a quicker, easier recovery so you can get right back to doing more fishing or other things you love. This leading technology is just one example of the world-class advancements McKee Medical Center has invested in for the people of northern Colorado.

~ ~Banner Health

McKee Medical Center www.BannerHealth.com/McKee ·For more information please call (970) 203-2089 2000 N. Boise Ave. • Loveland • Job opportunities: 866-377-5627 (EOE/AA) or www.BannerHealth.com Banner Health is the leading nonprofit health care provider in northern Colorado.

medical

leadership

Amid tight economies and pending federal changes to healthcare systems nationwide, local hospitals are juggling conservative mandates with important advances in technology, market share, and employee and customer satisfaction. Banner Health’s two local hospitals, McKee Medical Center in Loveland and North Colorado Medical Center (NCMC) in Greeley, are no exception. But while flashy projects may be on the back burner, these two facilities are joining their forces to serve Northern Colorado with a new, regional focus that will open up healthcare in a way previously unseen in the region.

mckee medical center and north colorado medical center:

serving together in 2010 & beyond By Angeline Grenz

Loveland Greeley Medical Magazine & Directory 2010

Marilyn Schock, CEO, McKee Medical Center, and Rick Sutton, CEO, North Colorado Medical Center

“In 2010, you will see NCMC and McKee work together as a team more than ever before. Our efforts will have a regional strategy, offering our customers more services and technology at more efficient costs,” according to Rick Sutton chief executive officer at NCMC. “[With Schock’s appointment] NCMC and McKee will have two like-minded leaders,” he continues. Sutton is referring to the Dec. 7, 2009 announcement promoting Marilyn Schock as McKee’s new chief executive officer. Schock and Sutton have a long history together. Schock, a 23-year Banner Health veteran who began her career as an occupational therapist, most recently worked as Sutton’s associate administrator at NCMC. Prior to moving into their respective positions at NCMC, they worked together under the same titles at McKee. “The culture will be the same at McKee and NCMC. Marilyn and I have worked together to implement these strategies at both locations. The days of us competing are over. As a team, if one is successful, then both are successful and that is what is best for the patient and the community. This is huge; it has never been done here before,” says Sutton. “It’s exciting to be able to leverage our strengths to improve healthcare in our community,” says Schock, “It gives us more opportunities to build a strong workforce, partner with physicians and better coordinate patient care.” To achieve this agenda, the two hospitals will share physicians, staff, technology and equipment as needed. “This will prevent us from duplicating efforts,” explains Sutton, “We will pool our work together and send staff where needed. People want to stay in their community. It is easier to transfer staff back and forth than shipping patients back and forth.” Sutton cites the expansion of the CardioVascular Institute as one such successful collaboration. As the Institute (based at NCMC) expanded, it enabled two permanent cardiologist to be based at McKee and one at Sterling Regional MedCenter. “This allows our hospitals to work together, with smoother transitions and smoother hand-offs” of patients.

While collaboration is the key word for 2010, both facilities have made several advances both in technology and quality in 2009. Schock and Sutton recap the year and share with Northern Colorado their vision for 2010 and beyond. McKee Medical Center McKee uses five priorities to rate performance through 2009. Those five focus areas are: employees, patient satisfaction, quality and safety, physicians, and financials. Throughout last year, Schock says they were able to consistently hit high marks in each of these areas. “We are an employer of choice, rated worldclass,” says Schock. Their last rating put them in the 77th percentile for employee satisfaction, according to Gallup polls. The ratings are produced for Banner Health every two years. Patient satisfaction scores allow McKee to monitor how they rate with clients and to continue to build their customer base. In 2009, patients rated the hospital a 91 percent and 86 percent of patients said they would recommend McKee to others. Similar successes have been made in hitting all of their marks in quality and safety departments. McKee’s physician focus hit a new milestone in 2009 as they transferred their medical records to an electronic platform. Electronic medical records are a boon to doctors, says Schock, who enjoy the convenience and accuracy of having medical records at their fingertips. For the second consecutive year, McKee has received Banner Health’s Best of the Best Award. The award recognizes outstanding performance in the healthcare system. Other recognitions in 2009 include accreditation by The Joint Commission, with their Gold Seal of Approval, and the Community Hospital Comprehensive Cancer Program designation by the American College of Surgeons Commission on Cancer. Also on the technology front, McKee has made several exciting advances during 2009: • McKee acquired the newest da Vinci robot, the Si model, to provide patients a minimally invasive alternative to traditional urologic and gynecological surgery. McKee, who shares the robot with NCMC, is one of two hospitals in Colorado to have the da Vinci Si model and the only one on the Front Range. • McKee obtained a 64-slice computed tomography (CT) scanner in October 2009. The advanced diagnostic medical imaging system can reduce radiation dosage to patients by up to 40 percent. • McKee’s Simulation Center raised enough funds in 2009 to begin construction of Phase 1 which will include two simulation teaching rooms, two driver work stations where staff members control the mannequins, a temporary debriefing room and storage. • After more than $250,000 in contributions, McKee began the upgrade of their chapel in October 2009. The new chapel will accommodate 24 people.

• McKee brought the Electronic Intensive Care Unit online in November 2009. The eICU system allows physicians and staff to provide 24-hour monitoring of McKee’s ICU patients from Banner Desert Medical Center’s Mesa, Ariz. campus; an extra set of “eyes and ears” on McKee’s critical care patients. Moving into 2010, McKee will continue to refine new programs, such as the electronic medical records system, and look for opportunities to keep technology at the cutting edge. The Simulation Center will be one of the few new construction projects completed this year. However, a large portion of funds in 2010 will be spent on needed infrastructure improvements; less flashy, but vital to smooth operations at McKee. “Banner is great at keeping their facilities up-to-date,” says Schock. Refining their five priorities will be where the bulk of McKee’s energies go in 2010. “What makes McKee a great place are the people. When the employees are happy, patient care goes up, safety and quality increases,” says Schock. “And one of my primary focuses in 2010 will be to continue to grow our market share.” Maintaining and retaining their physician platform is a large part of that focus in 2010, as well. Financials will also be watched closely as changes come to the overall healthcare arena and McKee continues to work on efficiencies. “We may not be growing a lot, but we are definitely holding our own,” says Schock. Finally, enhancements are planned for many hospital departments including the Cancer Center, Emergency Care, Women’s Health Services and Orthopedics, which are expected to expand and grow in 2010 and beyond North Colorado Medical Center NCMC also focuses on the five priorities (employees, patient satisfaction, quality and safety, physicians and financials) when rating their overall performance in 2009. Sutton arrived at NCMC in mid-2008 as CEO and immediately began to implement these priorities. In the short year-plus he has been there, Sutton has already seen great improvements made in reaching their goals. Every year, they focus on Banner’s balanced scorecard approach. “Historically, NCMC has sought to improve on hitting the scorecard goals,” says Sutton. Under Sutton’s direction, 2009’s score is much improved. “In 2009, we hit 12 out of the 14. Hitting all 14 is our goal.” A 2009 Gallup poll showed significant improvement over previous years, says Sutton, with an 89 percent rate for employee engagement and satisfaction. To reach these levels, Sutton set several processes in place that dictate how the hospital runs in each department and as a whole. “We have hit and exceeded our 2009 goals. In 2010, our job will be to hardwire these processes into our system.” Along with employee satisfaction, physician recruiting has gone very well for NCMC in 2009. “Colorado is a very desirable place to live and we have been able to recruit some highly qualified physicians,” says Sutton. Patient satisfaction scores continue to be a bit

of an enigma at NCMC, ranging from very high to below average. “Some months we do spectacularly; other months are low.” With the continued implementation of system-wide policies, Sutton expects to see these extremes level out. In 2009, NCMC received a HealthGrades 5-star rating, recognizing quality results in several cardiovascular procedures. NCMC also received recognition for their heart and stroke care by The American Heart Association/American Stroke Association in July 2009. NCMC’s designation as a Bariatric Center of Excellence was renewed after a rigorous on-site survey. Other recognitions in 2009 include accreditation by The Joint Commission, with their Gold Seal of Approval, and the Community Hospital Comprehensive Cancer Program designation by the American College of Surgeons Commission on Cancer. As for finances, “NCMC has always been very profitable, even in a downturn,” says Sutton. “But we know finances will always be good if we are successful in our four other priorities.” NCMC has also made some significant enhancements to their services during 2009: • In 2009, NCMC expanded their Western States Burn Center from 2,500 to 12,000 square feet and grew from four to 10 private rooms. The Burn Center supports a vast area, from Colorado and Kansas to the Canadian border. • The Endoscopy Center was moved to a new and expanded area. The Center added eight more recovery rooms, for a grand total of 17 and brought in the latest endoscopy technology. • A new Endovascular Suite was made available in 2009. The suite enables doctors to perform minimally invasive endovascular procedures and open procedures. Like McKee, NCMC wrapped up most of their large projects in 2009. However, they will still be spending $12 to 16 million on infrastructure and some cosmetic improvements in 2010. Infrastructure improvements will provide important support for future expansion, says Sutton. That is not to say that NCMC won’t be financing additional technology in 2010. “This community, board and staff really believe in staying on the cutting edge.” In 2010, NCMC will take the time to do a strategic master facility plan that will shape the hospital in coming years. “We will be drawing out what we need for the next three, five and seven years. This will be our blueprint for how we will grow in the future,” says Sutton. NCMC and McKee plan to continue to grow the Banner medical group across the region, adds Sutton. “We will increase what we offer physicians and expect our recruiting to double or triple in the next three to five years. As a team, we will meet the demands of Northern Colorado via a regional strategy. With this team approach, we will be taking healthcare to the next level.”

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"The friends I made at North Colorado Medical Center helped give me the strength to fight throat cancer." But it was Greg's doctors and nurses who provided him with some of the most advanced cancer treatments available anywhere. In fact, North Colorado Medical Center is accredited by the American College of Surgeons Commission on Cancer as a Comprehensive Community Cancer Program and is affiliated with the Colorado Cancer Research Program that provides access to national research studies . Our impressive array of treatment options coupled with some of the most advanced technology allows us to provide world-class cancer care to patients right here in northern Colorado-and gives people like Greg a bright outcome.

~ ~Banner Health North Colorado Medical Center庐 www.BannerHealth.com, keyword: NCMC Cancer路 1801 16th Street路 Greeley (970) 352-4121 路Job opportunities: 866-377-5627 (EOE/AA) or www.BannerHealth.com Banner Health is the leading nonprofit health care provider in northern Colorado.

medical

robotic surgery

Joan Strauch, RN, CIC, Senior Infection Preventionist, McKee Medical Center, works with her staff to maintain minimum infection.

renaissance in

Close-up view of the da Vinci Si, the latest in surgical robots, acquired by McKee Medical Center in September 2009.

surgery technology robots and surgeons together improve patient outcomes By Corey Radman

Sixteenth century artist, scientist and inventor Leonardo da Vinci is legendary for his artistic masterpieces, but less well known as a medical researcher whose careful dissection diagrams both aided his perspective as a painter and advanced the body of knowledge for physicians. 22

The unparalleled anatomical accuracy and three-dimensional details of da Vinci’s drawings served as inspiration when Intuitive Surgical, Inc. named their newly developed surgical robot in 2000. The newest da Vinci® Surgical System, recently installed at McKee Medical Center in Loveland, provides physicians with enhanced visual detail that simulates an open surgical environment while allowing the operation to be conducted through multiple small incisions with tiny instruments.

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McKee Medical Center surgeons who currently use the da Vinci Si robot: Elizabeth Howell, M.D., John Crane, M.D., Michael Eddy, M.D., Benjamin Girdler, M.D., Michael Lee, DO, and Randy Everett, M.D.

McKee’s robot, the da Vinci® Si, allows physicians to operate while seated at a console viewing the patient through an enhanced, high-definition 3-D image of the surgical field. The surgeon’s fingers grasp the master controls below the display with hands and wrists naturally positioned. The system translates the surgeon’s hand and wrist movements precisely, in real time, moving the robotic surgical instruments inside the patient. “The range of motion, 3-D visualization and wristed instruments essentially allow the surgeon to operate as if his or her hands were in the abdominal or pelvic cavity,” says John Crane, M.D., FACOG of OB/GYN Associates in Loveland. “The technology is a huge improvement over traditional laparoscopy,” he says. The shortcomings of conventional laparoscopy ultimately led to the development of robotic assisted surgery,

which is a form of laparoscopy. With conventional laparoscopy, the surgeon operates while standing, using hand-held, long-shafted instruments, which have no wrists. The surgeon looks up and away from the instruments, to a nearby 2-D video monitor to see an image of the target anatomy. The surgeon must also rely on his/ her patient-side assistant to position the camera correctly. In contrast, the da Vinci System’s ergonomic design allows the surgeon to operate from a comfortable, seated position at the console, with eyes and hands positioned in line with the instruments. To move the instruments or to reposition the camera, the surgeon simply moves his/her hands. Dr. Crane uses the robotic system for hysterectomies and other gynecological surgeries. It is also FDA approved for thoracoscopic (chest) surgery and urologic procedures.

Loveland Greeley Medical Magazine & Directory 2010

Robotic Prostatectomy Benjamin Girdler, M.D., physician with Urology Center of the Rockies, regularly employs the robotic system at McKee for radical prostatectomies (removal of the prostate and surrounding tissue due to cancer). “It definitely makes a difference for patients,” says Dr. Girdler. “There is always much less blood loss. It is common in prostatectomies for patients to lose a tenth to a twentieth of the blood compared to an open procedure. Eighty percent of our patients go home the next day.” Speaking about the medical research on robotic procedures, Dr. Girdler says, “The vast majority of nonrandomized data I am aware of shows equal or superior outcomes with robotic prostatectomy compared to open surgery [through traditional larger incisions].” Those positive outcomes include long-term (more than one year post surgery) continence and erectile function. Robotics for urology is not limited to radical prostatectomy, but used for all major urological surgery including cancer operations of the kidney, bladder, ureter, and adrenal gland and reconstructive surgery of the kidney and ureter, as well as for pelvic prolapse. According to the da Vinci Website, “The da Vinci Prostatectomy procedure is currently the fastest-growing treatment for prostate cancer, which is the second leading cause of cancerrelated death in men.” Urologic colleague, Curtis Crylen, M.D., is a bit more measured in his praise of robotic radical prostatectomies (RP). “RPs are certainly the most common type of prostatectomy in our practice, though with regard to longterm potency and continence, the data – only measured since 2005 – is not yet robust,” he says. However, he agrees robotic surgery equals open RP when it comes to cancer control, and bests it for blood loss, recovery duration and return to work time. Both physicians encourage patients to discuss the best course of action with their doctor, because every case is a little different and requires an expert to determine treatment. Benefits & Shortcomings James Wolach, M.D., PC, Dr. Crylen’s partner at North Colorado Urology, also uses a da Vinci system at North

Colorado Medical Center in Greeley. He explains the differences between using the robot and the traditional open surgery that he learned 15 years ago when he was a resident. “There is a loss of tactile sensation when using the robotic controls. Having been trained to use touch, switching to the robot is tricky at first. It takes a while to get the mindset to feel tissues with the robot,” says Dr. Wolach. Gynecological surgeon Dr. John Crane agrees about the learning curve. “It’s like losing a tooth,” he explains. “You keep putting your tongue in the hole, but after a few days you don’t notice the difference anymore. You adapt. It’s no limitation to me,” he says. Intuitive Surgical, Inc. provides indepth training for all surgeons who will work with their systems at their Sunnyvale, Calif. headquarters. As

well, most large hospitals with residency training programs utilize a da Vinc® robotic system, as Drs. Girdler and Crylen did. Thus most new surgeons graduate with the knowledge. Dr. Wolach is quick to note that the compensations for surgeons using the robotic system are dramatic. “The visualization is phenomenal. We can see the tiniest vessels and nerves [through the high definition 3-D vision]. That is a huge plus. And with all the patient benefits, it is worth it,” he says. Intuitive Surgical’s Market Development Specialist, Nora Distefano, adds that the new da Vinci Si has dualconsole capability to support training and collaboration during minimally invasive surgery. Distefano says by email: “The da Vinci Si System retains and builds on the core technology at the heart of the existing da Vinci Systems through: •

Advanced 3-D HD visualization with up to 10x magnification and an immersive view of the operative field

•

EndoWrist® instrumentation with dexterity and range of motion far greater than even the human hand

•

Intuitive® motion technology, which replicates the experience of open surgery by preserving natural eye-hand-instrument alignment and intuitive instrument control

“Together, these technological advancements provide da Vinci surgeons with unparalleled precision, dexterity and control that enable a minimally invasive approach to many complex surgical procedures,” says Distefano. Asked if there is any reason to continue operating through open incisions, Dr. Crylen replies: “There are always going to be circumstances where open procedures are necessary, especially with certain cancers or for someone with lots of adhesions [scarring] from multiple surgeries.”

North Colorado Medical Center surgeons who currently use the da Vinci Si robot: Curtis Crylen, M.D., and Paul Hiratzka, M.D. Not pictured: James Wolach, M.D., and Michael Johnell, M.D.

Robotic Gynecology Gynecological studies with da Vinci show similar patient benefits compared to robotic urology procedures like prostatectomies. The journal Obstetrics and Gyne-

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cology reported in December 2008, â&#x20AC;&#x153;Although individual studies vary, robot-assisted gynecologic surgery is often associated with longer operating room time but generally similar clinical outcomes [like] decreased blood loss, and shorter hospital stay. Robot-assisted gynecologic surgery will likely continue to develop as more gynecologic surgeons are trained and more patients seek minimally invasive surgical options.â&#x20AC;? Since da Vinci came on-line at McKee in September 2009, Dr. Crane has performed at least 23 robotic surgeries. Many of those surgeries are hysterectomies, myomectomies or radical hysterectomies. He is one of very few OB/GYNs in the region performing robotic surgeries. Asked to recall a patient who has truly benefited from the new robot, he recounts the recent case of a 71-yearold woman on whom he operated. She presented with a pelvic mass (which is always, until proven otherwise, suspected as cancer). In previous years, Dr. Crane would have performed a full node biopsy, opening a 10-inch vertical incision the length of her belly. Her November operation took just five small (less than a dimeâ&#x20AC;&#x2122;s diameter) incisions, two-and-a-half hours and only 50 cc of blood were lost. Her cancer was benign, though Dr. Crane did find a potato sized mass in her pelvic cavity. He removed it by securing it in a bag, then robotically crushing and vacuuming it out through one of the incisions. The patient was eating and walking around within two days and went home on the third. Surgeons Crane, Girdler, Wolach and Crylen are at the forefront of minimally invasive surgery. Spurred on by superior patient benefits, they provide care that may eventually be the standard by which all are judged. In addition to the surgeons interviewed in the editorial, several others at both McKee and NCMC regularly use the da Vinci robot to perform minimally invasive surgeries. McKee surgeons include: Elizabeth Howell, Michael Eddy, Michael Lee and Randy Everett. NCMC surgeons include: Paul Hiratzka and Michael Johnell. Corey Radman is a writer and mother who lives in Fort Collins.

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medical

electronic intensive care unit

Former Banner Desert Medical Center employee Bill Rob sits in front of a typical eICU workstation. Banner Desert monitors 19 units in 10 of their facilities in Arizona and Colorado.

improving patient

outcomes with eICU By Kay Rios

Through the use of technology, intensive care units (ICU) at McKee Medical Center and North Colorado Medical Center (NCMC) enjoy an extra set of eyes and ears and an added level of professional care for patients.

Using eICU, an electronic monitoring system based in Mesa, Ariz. that watches over patients, doctors and nurses in the local ICUs have a direct link to board certified intensive care specialists and critical care nurses at any time of the day or night. “Our unit averages 22 years of critical care experience in our clinical operations room,” says Crystal Jenkins, Banner Health senior nurse manager at the Banner Desert Medical Center campus where the monitoring station is located. “Our RNs are required to have at least five years of critical care experience before they work in the eICU. Each nurse monitors around 35 patients through this system. We are in 19 different ICUs between Arizona and Colorado and we’re currently monitoring a total of 242 beds,” she says.

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The eICU set up is similar to an emergency dispatch center. The nurses sit at a workstation consisting of three computers and six computer screens. A total of eight of those workstations make up the Arizona system. From that vantage point, they can scan a patient’s room, read the vital signs at the bedside, and zoom in close enough to read information on IV bags and even on the patient’s ID bracelet. “We use VISICU software,” Jenkins says. “The software is a patient population management tool that allows us to monitor this many patients. We watch for trends, for changes in vital signs and the system alerts us to even subtle changes that might not be picked up at the bedside. We’ll get a subtle change in a heart rate – say it’s trending upward. We will go in and investigate why it’s going up. Is there a temperature? Bleeding? We have the time to investigate whereas, at the bedside, the nurse may not be alerted until the range is violated. We will see the trend prior to hitting the limit. We can look into it before it becomes a crisis.” Staff at the monitoring site includes four to five nurses, two secretaries, and two physicians. One of the physicians on duty from 7 p.m. to 7 a.m. is an intensivist trained specifically in intensive care. “Beginning in January, we will also have an intensivist on duty from 11 a.m. to 7 p.m. that will provide 20 hours of intensive coverage for remote sites,” Jenkins says. At the remote sites, a camera and an eLert button and phone make up the two-way contact. “It allows the nurses at the bedside to call us if they need help and we can remotely camera into the patient’s room,” Jenkins explains. “And, intermittently, we camera into a room to check patient status.” Jenkins says that four of the sites – Banner Estrella, Banner Thunderbird, Banner Gateway and McKee Medical Center – allow for two-way video. “We can transmit our image so the patient can see us as we see them.” At McKee, the eICU is available in six of the 12 ICU rooms, says Terri Tuttle, director of ICU, telemetry and cardiac cath lab. “We are so excited about it. We just went live Nov. 3, 2009.” The eICU rooms look like a regular patient room except for the red eICU button and the connecting phone. Tuttle demonstrates by calling the Center. The camera is activated and sweeps the room, stopping at a point that takes us in as a nurse from the Arizona location appears on the

Terri Tuttle, Director of ICU, Telemetry and Cardiac Cath Lab at McKee Medical Center

Maggi Basinger, Director of ICCU and the Western States Burn Center at North Colorado Medical Center

overhead screen. She tells us she can see the irises in our eyes. When the conversation is finished, her image disappears and the camera returns to its original position, pointing up into a corner. “The cameras are not recording-capable and are not on all the time,” Tuttle says. “And they are very concerned with patient privacy, so they always announce before they camera into a room.” Benefits to the system are many, Tuttle says. “We always have someone available on-site, but when you know that pushing a button or picking up a phone will get an intensivist immediately, that is very helpful. And if we’re really busy and need a patient watched, we can call and say, ‘Can you watch the one in room number such and such?’” Maggi Basinger, director of ICCU and the Western States Burn Center at NCMC, has been in intensive care since 1978 and can easily vouch for the benefits of the eICU system. “The day-to-day help is important. For example, whenever you hang a blood bag, you have to have two people to verify the information and the remote nurse can be that second set of eyes. They have access to the visual and to our electronic records and can double check what occurs. Each day they round on all the charts and they keep an eye on quality criteria.” The immediate access to an intensivist is extremely helpful, Basinger says. “In the early days, we wore out the physicians who worked in ICU. It became very difficult to recruit and retain them because of the long hours and the on-call demands. They were constantly being called in. The nice thing with this program is that we have our internists on for 12-hour shifts. Five work here on-site and they trade off on-call nights but they don’t get called in nearly as often. So they can get more sleep because we can access the eICU intensivist.” The ICU at NCMC launched its eICU involvement in 2005 with 16 beds and, in April 2009, added 10 beds in the Burn Center. Not every room is equipped with eICU but, Basinger says, “We have portable eICU units that we can move anywhere we need them.” The equipment is the same but rather than being static in a room, it’s on a cart that can be moved from room to room. Basinger says that another advantage to the new system is in the quality of care it can help bolster. “We provide a high quality of care but this adds a level above and beyond. One of our quality initiatives for 2010 is about sepsis. We’ve Continued on page 80

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Sarah Barksdale, MD

Christopher Bee, MD

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LOCALLY OWNED AND OPERATED, we serve the communities of Loveland, Greeley, and Ft. Collins and provide services to physicians and medical facilities in communities across Colorado and Wyoming.

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Loveland Greeley Medical Magazine & Directory 2010

We are medical directors & pathologists of the clinical laboratories at Poudre Valley Hospital, Medical Center of the Rockies, McKee Medical Center and North Colorado Medical Center.

technology

advances in

healthcare McKee Medical Center and North Colorado Medical Center pride themselves in staying on the cutting edge of new technology. Our cover article about the latest da Vinci robot is evidence of that claim. Throughout 2009, the two medical centers have made other advances and paved the way for specialized care in several hospital departments. Here is a sampling of some of the projects completed last year.

Endovascular Suite

Photo by Jaun Lea, NCMC Audiovisual Services

medical

64-Slice Scanner

NCMC

McKee Medical Center

NCMC’s new Endovascular Suite opened in 2009. The suite will be used for minimally invasive endovascular procedures and open surgeries. Combining the best features of two departments into one room ensures patients have the safest care and treatment possible. Minimally invasive procedures can often be done in a cath lab and require shorter hospital stays. However, there are instances, such as open heart surgery, that physicians must access larger vessels. The Endovascular Suite combines the needs of the two in one facility: a cath lab and a sterile operating room. “No other hospital has what we do in our Endovascular Suite,” according to Rick Sutton, chief executive officer at NCMC. Only two facilities in Colorado have a similar suite. NCMC, says Sutton, examined the two and “took the best of what the others had and brought it together here.” The Suite also gives NCMC the ability to tackle new surgical techniques as they receive FDA approval. One such technique is heart valve replacement surgery.

In October 2009, McKee acquired an advanced diagnostic imaging system that offers greater image quality and can reduce radiation to patients by up to 40 percent. The LightSpeed® VCT XTe from GE Healthcare is a 64-slice computed tomography (CT) scanner that provides a higher level of diagnostic certainty to McKee’s physicians. The advanced technology of the 64-slice scanner can be especially beneficial to children and young adults who are more sensitive to radiation exposure. The scanner is also helpful in producing more reliable indepth brain and cardiac scans.

New Endovascular Suite

New 64-Slice Scanner

Simulation Center The McKee Medical Center Foundation has raised $628,000 to date in support of the Banner Simulation Center at McKee. Construction began Dec. 14 on the first phase of the project which will include two simulation teaching rooms, two driver work stations where staff members control the mannequins, a temporary debriefing room and storage. Completion of this phase is expected by spring 2010. By first quarter 2011, McKee officials hope to complete Phase II, which will inContinued on page 68

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directory medical

Gynecological surgery technology this advanced means less recuperation time and more family time.

McKee Medical Center's da Vinci® robotic surgery is minimally invasive and offers women maximum benefits.

For patients who qualify, this robotic surgery allows for smaller incisions, which can mean less pain, scarring, blood loss and risk of infection . You can have a quicker, easier recovery so you can get right back to spending more time with your family or other things you love. This leading technology is just one example of the world-class advancements McKee Medical Center has invested in for the people of northern Colorado.

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Dear Northern CMcKee olorado RCenter, eadera,Banner Health facility, I am honored to be Medical associated with such an outstanding medical team, and to lead this

organization What is Banner Medical Group?into the future.

are very aware that the health care environment live in Banner Medical Group (BMG)We is aalldivision within Banner Health that is organized for the we purpose of is about to change dramatically. I assure youthe that the McKee employing physicians, physician assistants and nurse practitioners. Along northern Front team Rangewill of meet that change, and continue deliver high-quality, Colorado, BMG employs 60 primary care physicians (familytophysicians, pediatricians,compassionate internists and health including care to themany people of Loveland andcardiology, surrounding communities. OB/GYNs) and over 70 specialists surgical specialties: radiology, neurology, McKee has been Loveland community with health care gastroenterology, anesthesiology, endocrinology andproviding infectious the disease. for the past 30 years. Many of you were born at McKee, and probably

more ofGyou have received care at McKee over the past three How does Banner Medical roup benefit mehealth ?

Weand have always been thephysicians community hospital for Loveland, Banner Health’s objectivedecades. is to recruit retain high-quality to meet the needs of patients and have established vital primary relationships with this community. within the communities we serve. Having access to more care and specialty physicians in Northern Colorado helps ensure that our patient’s healthcare needs canasbethe metlandscape close to home. Yet, we recognize that changes, so must McKee. At the same time, we are rapidly working to implement an electronic health thatprepared enables physicians We have a world class team at McKee, andrecord we are to move to improve patient care through the sharing of real-time While this exchange of information forward. Be assured your information. hospital team provides excellent care in all will include connectivity withaspects independent groups outside of BMG as well, those the group of thephysician health care continuum. We have made, andwithin will continue will proactively work togethertotomake, developstrategic clinical protocols manage the efficient of high-quality decisionsthat that will move us intodelivery the future, and put patient care services from the your physicians office all the wayinthrough hospitalization. hometown hospital a position of continued strength. Finally, by employing physicians umbrella offive Banner Health,that we are better equipped to reduce Weunder havethecompiled priorities everyone at McKee has the growing cost of patient care services. While the toward, financial management of today’s is committed to work with the outcome ofhealthcare increasedsystem quality complex, the organization we have developed enables us to concentrate on efficiencies that are not always care and a wonderful hospital experience at the core. The five areas possible between separate business entities. Engagement, Patient Satisfaction, Quality Outcomes, are: Employee Physician Friendly and Financial Strength.

What is Banner’s relationship independent physicians ? at McKee are highly We are with committed to ensuring that all staff

Brian Underwood

Banner Medical Group physicians strongand referral relationships with practitioners. engaged,maintain determined committed to give youindependent the best care possible. Patients are referred between andthat independent physicians every staff day. results Independent BannerWeBMG believe having highly engaged in theandability to employed providers work alongside each other as active medical staff members at Banner hospitals. provide higher quality care, lower turnover, increased productivity And and BMG physicians will alwaysaretain ability to refer their patients to providers and facilities that they feel morethe effective organization overall. are the most appropriate for the care of their patients. We also are concentrating on our patient satisfaction to make However, the economics of running an independent practice past your experience at McKee one ofhave thechanged best in significantly the country.over At the McKee several years. Independent physician practices are continually working to manage rising business costs in a we are compared nationally to other hospitals in the country, and are medical economic market that is continually faced with downward pressure on reimbursement from insurers. consistently placing in the top one-third of all hospitals participating in All this makes it very difficult for independent physician groups to grow their practice and recruit additional the patient satisfaction survey. physicians even though our community is growing and more physicians are needed. Of utmost importance is our ability to deliver quality health care, In light of this, Banner, like many health systems throughout the country, is experiencing a growing and groups according to looking our metrics, cansystem. be assured that quality health number of independent physician that are to join you a health By partnering with Banner care isfrom something you willrisk receive at oura hospital. Health, our physicians are relieved much ofthat the business of running practice. The cost of growth also and ensure that our are highly trained and that and capitalization are transferred toWe Banner physicians arestaff freedmembers to concentrate on providing medical care we provide technology so you receive the best health to their patients. To date, the success of thisstate-of-the-art strategy is evidenced by our ability to retain physicians as well as in the market. You deserve that, and at McKee Medical Center, recruit additional doctors intocare the communities we serve.

Rick Sutton, MS, FACHE

Vice President for Physician Resources Banner Health’s Western Region Chief Executive Officer McKee Medical Center

that is what you will experience.

We also continue to work hand-in-hand with our physicians to What kind of healthcare changes can we expect in Northern Colorado this year? ensure they are pleased with the care their patients are receiving. We are

From a physician perspective, we are actively recruiting for 27 physicians in 12 different specialties for making sure thatare allactive necessary and supplies are available to our Loveland and Greeley markets alone. There plans equipment to expand primary care services in Loveland as they for provide health care to this community. at two new locations and wethem are planning the expansion of our Johnstown clinic within the next two McKeeofcontinues to Front be financially due to the support of the years. Based upon the continued growth the northern Range, westrong are always keeping an eye out for community, physicians, and staff, and we’re well prepared to grow with expansion opportunities. this community in the While the growth opportunities are the exciting partfuture. of any business, there are many challenges as well. boils down to this: Your community a physician On a national level we are closely It monitoring the national healthcare reform debate.hospital Without is a doubt, Banner engaged staffcare members thatalong provide Health will be challenged as afriendly national facility, leader inemploying the provisionhighly of excellent patient to continue this the highest level of qualityand health care to that youkeep and patient your family. path while simultaneously implementing the technology innovation safety and cost efficiency in the forefront. We will always strive to ensure that you will not have a better health Finally, there is the reality that nation is training far one feweryou physicians thanatwill be required to meet the careour experience than the will have McKee. Quality health growing needs of an aging population. Therefore, another objective for growing our Banner Medical Group care at your hometown hospital – that’s what we’re all about. today is to stay ahead of the projected shortage curve. By recruiting new physicians today and growing our Banner Medical Group, we are also ensuring that the needs of the communities served by Banner Health will be met well into the distant future.

Sincerely,

Rick Sutton Chief Executive Officer Brian Underwood, Vice President for Medical PhysicianCenter Resources McKee Banner Health’s Western Region

38 1 zzz.indb 12

Lydia’s STYLE Magazine

1/26/06 5:52:43 pM

mckee medical center north colorado medical center & banner health

medical directory 2010

The physician list provided by McKee Medical Center and North Colorado Medical Center represents Active, Active Provisional and Community-Based Physicians. This list is current as of 12/18/2009.

AllergyImmunology Kailasam, Velusamy, MD 1130 38th Avenue, Ste. 2 Greeley, CO 80634 �� 970-330-5391 See ad on page 14

AllergyImmunologyInternal Medicine Pace, R. Scott, MD 6801 W. 20th Street, Ste. 206 Greeley, CO 80634 ...........................970-353-0155

Anesthesiology Agnello, Joseph, MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538 �� 970-667-9794 Balestrieri, Frank, MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538 �� 970-667-9794 Balestrieri, Philip J., MD 1801 16th Street, Main OR Greeley, CO 80631 �� 970-378-4955 Birgenheier, James, MD 1801 16th Street, Main OR Greeley, CO 80631 �� 970-350-4800 Callahan, Vicki L., MD 1801 16th Street, Main OR Greeley, CO 80631 �� 970-350-4800 Dick, Milton L., MD 2125 15th Street Greeley, CO 80631 �� 970-381-4967 Foley, Kevin, MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538 �� 970-667-9794

Hart, R. Ted, MD 1023 39th Avenue, Ste. L Greeley, CO 80634 �� 970-352-7366 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 Morrow, Kenyon S., MD 1023 39th Avenue, Ste. L Greeley, CO 80634 �� 970-352-7366 Nelson, Joely G., MD 1801 16th Street Greeley, CO 80631 �� 970-350-4800 Song, Yo-Jun, MD 1801 16th Street, Main OR Greeley, CO 80631 ............................970-350-4800

CardiacElectrophysiology Pfahnl, Arnold E., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 �� 970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 �� 970-203-2400 See ad on page 90

Cardiology Beckmann, James H., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 �� 970-392-0900 See ad on page 90 Chapel, Harold L., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 �� 970-392-0900 See ad on page 90 Dong, Lin-Wang, MD 1800 15th Street, Ste. 310 Greeley, CO 80631 �� 970-392-0900 See ad on page 90

Loveland Greeley Medical Magazine & Directory 2010

Drury, John H., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 �� 970-392-0900 See ad on page 90 Gryboski, Cynthia L., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 �� 970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 �� 970-203-2400 See ad on page 90 Hirsch, Cecilia M., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 �� 970-392-0900 See ad on page 90 Hurst, Paul G., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 �� 970-392-0900 See ad on page 90 Lyle, Brian S., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 �� 970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 �� 970-203-2400 See ad on page 90 Marsh, Randall C., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 �� 970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 �� 970-203-2400 See ad on page 90 Pfahnl, Arnold, MD 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 �� 970-203-2400 See ad on page 90 Rath, Gary A., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 �� 970-392-0900 See ad on page 90 Shihabi, Ahmad H., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 �� 970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 �� 970-203-2400 See ad on page 90 Zumbrun, Stephen R., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 �� 970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 �� 970-203-2400 See ad on page 90

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

Ear, Nose & Throat (Otolaryngology) Chand, Maria, MD 4026 S. Timberline Rd., Ste. 120 Fort Collins, CO 80525 ��970-372-0307 Gill, Sarvjit, MD 3820 N. Grant Ave. Loveland, CO 80538 �� 970-593-1177 See ad on page 40 Gupta, Sanjay K., MD 6500 29th Street, Ste.106 Greeley, CO 80634 �� 970-330-5555 Peterson, Keith E., MD 2528 W. 16th Street Greeley, CO 80634 �� 970-356-4646 Peterson, Thomas T., MD 2528 W. 16th Street Greeley, CO 80634 �� 970-356-4646 Robertson, Matthew, MD 1120 E. Elizabeth St., Bldg. F-101 Fort Collins, CO 80524 �� 970-221-1177 See ad on page 40 Zacheis, David, MD 3820 N. Grant Ave. Loveland, CO 80538 �� 970-593-1177 See ad on page 40

Emergency Medicine Baker, Jeffrey T., MD 1801 16th Street, NCMC ED Greeley, CO 80631 �� 970-350-6244 Bogart, Trina, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539 �� 970-635-4071 Campain, James J., MD 1801 16th Street, NCMC ED Greeley, CO 80631 �� 970-350-6244

Cole, Charles A., MD 1801 16th Street, NCMC ED Greeley, CO 80631 �� 970-350-6244 Dixon, Mark, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539 �� 970-635-4071 Doyle, Robert F., MD 1801 16th Street, NCMC ED Greeley, CO 80631 �� 970-350-6244 Fuhrmann, Eric, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539 �� 970-635-4071 Garth, Alisha, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539 �� 970-635-4071 Genova, Ronald T., MD 1801 16th Street, NCMC ED Greeley, CO 80631 ............................970-350-6244 Huntington, Michael, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539 �� 970-635-4071 Hurst, John G., MD 1801 16th Street, NCMC ED Greeley, CO 80631 �� 970-350-6244

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

Rush, Adam, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539 �� 970-635-4071

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

Sato, Randall, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539 �� 970-635-4071

Jobin, Michael, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539 �� 970-635-4071

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

Kitagawa, Benji K., DO 1801 16th Street, NCMC ED Greeley, CO 80631 �� 970-350-6244 Link, David W., MD 1801 16th Street, NCMC ED Greeley, CO 80631 �� 970-350-6244 Maxwell, Peter W., MD 1801 16th Street Greeley, CO 80631 �� 970-350-6244 McLaughlin, Keith, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539 �� 970-635-4071 Purdie, Frank R., MD 1801 16th Street Greeley, CO 80631 �� 970-350-6244 Rein, Jody A., DO 1801 16th Street Greeley, CO 80631 �� 970-350-6244

Sell, Jason R., MD 1801 16th Street, NCMC ED Greeley, CO 80631 �� 970-350-6244 Sundheim, Scott, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539 �� 970-635-4071 Tham, Edward, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539 .........................970-635-4071 Waggener, William, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539 .........................970-635-4071

Endocrinology Kumar, Nirmala S., MD 1800 15th Street, Ste. 200 Greeley, CO 80631 �� 970-378-4676

Family Medicine Albritton, Eliz, MD 303 Colland Dr. Fort Collins, CO 80525 �� 970-461-8031 Allen, Thomas, MD 295 E. 29th Street Loveland, CO 80538 �� 970-669-6000 Anderson, Thomas, DO 2701 Madison Square Dr. Loveland, CO 80538 �� 970-663-0722 Armour, Ross, MD 401 10th Street Berthoud, CO 80513 �� 970-532-4910 Bakanauskas, Egle A., MD 1300 Main Street Windsor, CO 80550 �� 970-686-5646 Bearden, Jacqueline S., MD 5623 W. 19th Street Greeley, CO 80634 �� 970-353-9011 Bradley, Robert C., MD 1300 Main St. Windsor, CO 80550 �� 970-686-5646 Branum, Joanna H., MD 2520 W. 16th Street Greeley, CO 80631 �� 970-356-2520

Lydia’s STYLE Magazine

Brown, Cara E., MD 222 Johnstown Center Dr. Johnstown, CO 80534 �� 970-587-4974

Frickman, C. Elmo, MD 3320 W. Eisenhower Blvd. Loveland, CO 80537 �� 970-669-2849

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

Rule, Ingrid, MD 1323 Harlow Lane, Ste. 1 Loveland, CO 80537 �� 970-667-3030

Brown, J. Matthew, MD 222 Johnstown Center Dr. Johnstown, CO 80534 �� 970-587-4974

Garber, Stacey L., MD 2420 W. 16th Street Greeley, CO 80634 �� 970-353-7668

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

Schaffer, Scott, MD 303 Colland Dr. Fort Collins, CO 80525 �� 970-461-8031

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

Greene, Dana, MD 2420 W. 16th Street Greeley, CO 80634 �� 970-353-7668

Mills, Angela, MD 5623 W. 19th Street Greeley, CO 80634 �� 970-353-9011

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

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

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

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

Nwizu, Chima C., MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634 �� 970-378-8000

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

Nystrom Robert R., DO 1300 Main St. Windsor, CO 80550 �� 970-686-5646

Colgan, Ann T., MD 2520 W. 16th Street Greeley, CO 80634 �� 970-356-2520

Hoffmann, Julie, MD 3880 N. Grant Ave. Loveland, CO 80538 �� 970-203-0047

Ogden, Samuel C., MD 1600 23rd Avenue Greeley, CO 80634 �� 970-356-2424

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

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

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

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

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

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

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

Clang, Tamara S., DO 6801 W. 20th Street, Ste.101 Greeley, CO 80634 �� 970-378-8000

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

Oligmueller, William, MD 5881 W. 16th Street Greeley, CO 80634 �� 970-313-2700 Paczosa, Michelle K., DO 6801 W. 20th Street, Ste.101 Greeley, CO 80634 �� 970-378-8000

Schmalhorst, Brian K., MD 5881 W. 16th Street Greeley, CO 80634 �� 970-313-2700 Sheppard-Madden, Dena, MD 295 E. 29th Street Loveland, CO 80538 �� 970-669-6000 Smith, David B., MD 1600 23rd Avenue Greeley, CO 80634 �� 970-356-2424 Stoddard, Andrew P., MD 2520 W. 16th Street Greeley, CO 80634 �� 970-356-2520 Taylor, Grant, DO 608 E. Harmony Rd., Ste. 101 Fort Collins, CO 80528 �� 970-204-9069 Trevino, Julia B., MD 2930 11th Avenue Evans, CO 80620 �� 970-353-9403 Volk, John W., MD 2930 11th Avenue Evans, CO 80620 �� 970-353-9403 Waugh, Kyle B., MD 2520 W. 16th Street Greeley, CO 80634 �� 970-356-2520 Wiggins, Michael, MD 3880 N. Grant Ave., Ste.140 Loveland, CO 80538 �� 970-203-0047

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

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

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

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

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

Doft, Anthony, MD 8201 Spinnaker Bay Dr., Ste. D Windsor, CO 80528 �� 970-223-2272

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

Powell, Patricia K., MD 2930 11th Avenue Evans, CO 80620 �� 970-353-9403

Dubin, Jeremy, DO 3320 W. Eisenhower Blvd. Loveland, CO 80537 �� 970-669-2849

Kurth, Jay, DO 608 E. Harmony Rd., Ste. 101 Fort Collins, CO 80528 �� 970-204-9069

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

Fahrenholtz, Daniel H., MD 1600 23rd Avenue Greeley, CO 80634 �� 970-356-2424

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

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

Family MedicineHospitalist

Finnoff, Gregory J., DO 2930 11th Avenue Evans, CO 80620 �� 970-353-9403

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

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

Zhang, Shu, MD 1801 16th Street Greeley, CO 80631 �� 970-378-4529

Flake, Zachary (Zach), MD 2701 Madison Square Dr. Loveland, CO 80538 �� 970-663-0722

Maly, Timothy, MD 401 10th Street Berthoud, CO 80513 �� 970-532-4910

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

Flower, Thomas J., DO 2122 9th Street Greeley, CO 80631 �� 970-356-7555

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

Rommereim-Madden, Daphne, MD 1600 23rd Avenue Greeley, CO 80634 �� 970-356-2424

Loveland Greeley Medical Magazine & Directory 2010

Wilson, D. Craig, MD 2520 W. 16th Street Greeley, CO 80634 �� 970-356-2520 Young, Mark D., MD 2420 W. 16th Street Greeley, CO 80634 �� 970-353-7668 Zucker, Charles I., MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634 �� 970-378-8000

Gastroenterology Abu Qwaider, Yazan, MD 1800 15th Street, Ste. 300 Greeley, CO 80631 �� 970-378-4475

Dowgin, Thomas, MD 3702 Timberline Rd., Bldg. A Fort Collins, CO 80525 �� 970-207-9773 Dunphy, Rebecca, MD 3702 Timberline Rd., Bldg. A Fort Collins, CO 80525 �� 970-207-9773 Durkan, Mark, MD 3702 Timberline Rd., Bldg. A Fort Collins, CO 80525 �� 970-207-9773 Kading, Steven O., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2470 Langer, Daniel, MD 2555 E. 13th Street., Ste. 220 Loveland, CO 80537 �� 970-669-5432 3702 Timberline Rd., Bldg. A Fort Collins, CO 80525 �� 970-207-9773 See ad on page 80 North, Crystal M., DO 2555 E. 13th Street, Ste. 220 Loveland, CO 80537 �� 970-669-5432 See ad on page 80 Nosler, Michael, MD 3702 Timberline Rd., Bldg. A Fort Collins, CO 80525 �� 970-207-9773 Sears, Stephen, MD 2555 E. 13th Street, Ste. 220 Loveland, CO 80537 �� 970-669-5432 See ad on page 80

HematologyOncology Kemme, Douglas J., MD 1800 15th Street, Ste. A Greeley, CO 80631 �� 970-353-6722 See ad on page 89 Lininger, Thomas R., MD 1800 15th Street, Ste. C Greeley, CO 80631 �� 970-378-4170 2050 N. Boise Ave. Loveland, CO 80538 �� 970-667-7870 Shelanski, Samuel A., MD 2050 N. Boise Ave. Loveland, CO 80538 �� 970-667-7870 See ad on page 89 Stone, Michael D., MD 1800 15th Street, Ste. C Greeley, CO 80631 �� 970-378-4170 2050 N. Boise Ave. Loveland, CO 80538 �� 970-667-7870 Stroh, Ann L., DO 2500 Rocky Mtn. Ave., North MOB Loveland, CO 80538 �� 970-203-7080 See ad on page 89

Infectious Diseases Breen, John F., MD 1801 16th Street Greeley, CO 80631 �� 970-350-6360

Sherif, Ahmed M., MD 1800 15th Street, Ste. 300 Greeley, CO 80631 �� 970-378-4475

Liao Ong, Jacob, MD 2121 E. Harmony Rd., Ste. 380 Fort Collins, CO 80528 �� 970-224-0429

Strong, Lewis, MD 2555 E. 13th Street, Ste. 220 Loveland, CO 80537 �� 970-669-5432 See ad on page 80

Peskind, Robert, MD 2121 E. Harmony Rd., Ste. 380 Fort Collins, CO 80528 �� 970-224-0429

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 1900 N. Boise Ave., Ste. 410 Loveland, CO 80538 .........................970-667-2009

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

Internal Medicine Berntsen, Mark F., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2438 See ad on page 89 Bohm, Martin, DO 2802 Madison Square Dr., Ste. 120 Loveland, CO 80538 �� 970-776-1950 Cash, Robert L., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2438 Christiansen, Dana, MD 1900 16th Street Greeley, CO 80631 �� 970-350-2438 See ad on page 89 Ebens, John B., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2438 See ad on page 89

Keefe, Kevin, DO 1808 N. Boise Ave. Loveland, CO 80538 �� 970-278-1862

Tallman, Marsha, MD 1801 16th Street Greeley, CO 80631 �� 970-378-4529

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

Valin, James, MD 2000 N. Boise Ave. Loveland, CO 80538 �� 970-203-6770

Randle, Michael T., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2438 See ad on page 89 Smith, Peter, MD 1808 N. Boise Ave. Loveland, CO 80538 �� 970-278-1862 Tello, Robert, MD 1808 N. Boise Ave. Loveland, CO 80538 �� 970-278-1862 Thompson, Keith S., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2438 See ad on page 89 Tryggestad, David I., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2438 Webster, Douglas, MD 1808 N. Boise Ave. Loveland, CO 80538 �� 970-669-1862 Zenk, Daniel R., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2438 See ad on page 89

Internal MedicineHospitalist Chen, Edward, DO 2000 N. Boise Ave. Loveland, CO 80538 �� 970-203-6770

Nephrology Merritt, Jason, MD 1600 Specht Point Dr., Ste. 127 Fort Collins, CO 80525 �� 970-493-7733 Muelken, Kevin, MD 1600 Specht Point Dr., Ste. 127 Fort Collins, CO 80525 �� 970-493-7733 Rademacher, Donald R., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2438 Simmons, Richard E., MD 1600 Specht Point Dr., Ste. 127 Fort Collins, CO 80525 �� 970-493-7733 Singer, James R., MD 1600 Specht Point Dr., Ste. 127 Fort Collins, CO 80525 �� 970-493-7733 Teruel, Mark A., MD 1600 Specht Point Dr., Ste. 127 Fort Collins, CO 80525 �� 970-493-7733

NephrologyInternal Medicine Bruce, Julia L., MD 900 14th Street Greeley, CO 80631 �� 970-304-0010

Neurology

Demeke, Tesfaye, MD 1801 16th Street Greeley, CO 80631 �� 970-378-4529

Bandi, Srinivas, MD 1808 N. Boise Ave. Loveland, CO 80538 �� 970-278-1862

Hipp, Naomi, MD 2000 N. Boise Ave. Loveland, CO 80538 �� 970-203-6770

Ewing, David L., MD 7251 W. 20th Street, Bldg. C Greeley, CO 80634 �� 970-356-3876

Loecke, Steven W., MD 1801 16th Street Greeley, CO 80631 �� 970-378-4529

Hayes, Todd A., DO 1800 15th Street, Ste. 100B Greeley, CO 80631 �� 970-350-5612

Norman, Edward, MD 2000 N. Boise Ave. Loveland, CO 80538 �� 970-203-6770

Jacobs, Marianne B., DO 295 E. 29th Street, Ste. 240 Loveland, CO 80538 �� 970-669-2668

Pearson, Antony, MD 2000 N. Boise Ave. Loveland, CO 80538 �� 970-203-6770

Schmitt, Joseph, MD 295 E. 29th Street, Ste. 240 Loveland, CO 80538 �� 970-669-2668

Reinhardt, Marcus R., MD 1801 16th Street Greeley, CO 80631 �� 970-378-4529

Shaffer, William R., MD 1800 15th Street, Ste. 100B Greeley, CO 80631 �� 970-350-5612

Lydia’s STYLE Magazine

Siegel, Jeffrey, MD 1800 15th Street, Ste. 100B Greeley, CO 80631 �� 970-350-5612

Northern Colorado Pulmonary Consultants, P.C.

Obstetrics/Gynecology Abbott, Stewart M., MD 1715 61st Avenue Greeley, CO 80634 ��970-336-1500

Pulmonary Disease

Critical Care

Sleep Disorders

Allen, Neil H., MD 2410 W. 16th Street Greeley, CO 80634 �� 970-352-6353 Berdahl, Laurie D., MD 2410 W. 16th Street Greeley, CO 80634 �� 970-352-6353 Budd, L. Ginger, MD 1900 N. Boise Ave., Ste. 300 Loveland, CO 80538 �� 970-667-2009 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

Diana Breyer, M.D.

Kirk DePriest, D.O.

Stan Gunstream, M.D.

James Hoyt, M.D.

David Kukafka, M.D.

Rick Milchak, M.D.

Mark Neagle, M.D.

Brent Peters, M.D.

Mark Petrun, M.D.

Eric Stevens, M.D.

Carlos Vassaux, M.D.

Kristin Wallick, M.D.

Crane, John T., MD 1900 N. Boise Ave., Ste. 300 Loveland, CO 80538 �� 970-667-2009 Elkington, Kenneth W., MD 1600 23rd Avenue Greeley, CO 80634 �� 970-356-2424 Hiratzka, Paul S., MD 2410 W. 16th Street Greeley, CO 80634 ............................970-352-6353 Howell, Elizabeth, MD 1813 N. Cheyenne Ave. Loveland, CO 80538 �� 970-203-6801 Kiser, Rick E., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2403 Loken, Karla, DO 1813 N. Cheyenne Ave. Loveland, CO 80538 �� 970-203-6801 O’Neal, Jean-Pierre, MD 2410 W. 16th Street Greeley, CO 80634 �� 970-352-6353 Saenz, Suzanne, MD 1900 N. Boise Ave., Ste. 300 Loveland, CO 80538 �� 970-203-2150 Slack, Kenneth, MD 1813 N. Cheyenne Ave. Loveland, CO 80538 �� 970-203-6801 Sokolowski, Irene, MD 1900 N. Boise Ave., Ste. 300 Loveland, CO 80538 �� 970-203-2150 Stoltz, Michelle, MD 2410 W. 16th Street Greeley, CO 80634 ............................970-352-6353

Loveland Greeley Medical Magazine & Directory 2010

LOVELAND 2500 Rocky Mountain Ave., Ste 300 Loveland, CO 80538 970.619.6100

Ophthalmology Adams, John C., MD 3400 W. 16th Street, Ste. O Greeley, CO 80634 �� 970-351-6216 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 Cecil, Jennifer, MD 2902 Ginnala Dr., Ste. 1 Loveland, CO 80538 �� 970-669-8998 Crews, Michael J., MD 3400 W. 16th Street, Ste. O Greeley, CO 80634 �� 970-351-6216 Foe, Elaine V., MD 1931 65th Avenue, Ste. C Greeley, CO 80634 �� 970-352-1877 Kirk, John, MD 3650 E. 15th Street Loveland, CO 80538 �� 970-669-1107 Uyemura, Matthew J., MD 1616 15th Street Greeley, CO 80631 �� 970-352-6688

Weeks, Jeffrey 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

Orthopedics Baer, Robert, MD 3470 E. 15th Street Loveland, CO 80538 �� 970-663-3975 See ad on page 51 Beard, David, MD 3470 E. 15th Street Loveland, CO 80538 �� 970-663-3975 See ad on page 51

Biggs, William, MD 3470 E. 15th Street Loveland, CO 80538 �� 970-663-3975 See ad on page 51 Bussey, Randy M., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634 �� 970-348-0020 Chamberlain, Satoru, MD 3470 E. 15th Street Loveland, CO 80538 �� 970-663-3975 See ad on page 51 Clark, C. Dana, MD 3470 E. 15th Street Loveland, CO 80538 �� 970-663-3975 See ad on page 51 Dhupar, Scott K., MD 1624 17th Avenue Greeley, CO 80631 �� 970-353-5959

Beard, Douglas W., MD 1313 Riverside Ave. Fort Collins, CO 80524 �� 970-493-1292 See ad on page 37

Donner, Edward, MD 3810 N. Grant Ave. Loveland, CO 80538 �� 970-669-8881 See ad on page 62

Benz, Robert, MD 3470 E. 15th Street Loveland, CO 80538 �� 970-663-3975 See ad on page 51

Durbin, Mark, MD 3470 E. 15th Street Loveland, CO 80538 �� 970-663-3975 See ad on page 51

Grant, Michael, MD 3810 N. Grant Ave. Loveland, CO 80538 �� 970-669-8881 Grossnickle, Mark D., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2427 See ad on page 89 Hajek, Michael R., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634 �� 970-348-0020 Houghton, Michael, MD 3470 E. 15th Street Loveland, CO 80538 �� 970-663-3975 See ad on page 51 Hunter, Brett P., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2427 See ad on page 89 Jackson, Wesley, MD 3470 E. 15th Street Loveland, CO 80538 �� 970-663-3975 See ad on page 51 Mahon, John (Jack), MD 2121 E. Harmony Rd., Ste 260 Fort Collins, CO 80528 �� 970-221-2827

Caring for a Patient is Caring for a Person providing compassionate cancer care to our community since 1982

William B. Casey, MD

Gwen H. Lisella, MD

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Centennial Radiation Oncology, P.C.

The Mission of Centennial Radiation Oncology, P.C., is to provide safe, effective, and accurate radiation therapy to cancer patients in Northern Colorado, in order to cure, palliate, and/or provide extended quality of life.

Lydia’s STYLE Magazine

Martin, Dale, MD 3470 E. 15th Street Loveland, CO 80538 �� 970-663-3975 See ad on page 51 McFerran, Mark, MD 3470 E. 15th Street Loveland, CO 80538 �� 970-663-3975 See ad on page 51 Pazik, Thomas J., MD 6801 W. 20th Street, Ste. 201 Greeley, CO 80634 �� 970-330-1090 Pettine, Kenneth, MD 3810 N. Grant Ave. Loveland, CO 80538 �� 970-669-8881 See ad on page 62 Reckling, W., MD 800 E. 20th Street, Ste. 300 Cheyenne, WY 82001 �� 307-632-6637 See ad on page 62 Rusnak, Michael, MD 3470 E. 15th Street Loveland, CO 80538 �� 970-663-3975 See ad on page 51 Sachtleben, Thomas, MD 3470 E. 15th Street Loveland, CO 80538 �� 970-663-3975 See ad on page 51 Sanderford, Kelly R., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634 �� 970-348-0020 Seiler, Steven J., MD 3470 E. 15th Street Loveland, CO 80538 �� 970-663-3975 See ad on page 51 Sides, Steven D., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2427 See ad on page 89 Snyder, Joshua T., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2427 See ad on page 89 Tartaglia, Louis, MD 1708 N. Boise Ave. Loveland, CO 80538 �� 970-669-6880 Young, Eric, MD 2121 E. Harmony Rd., Ste. 260 Fort Collins, CO 80528 �� 970-221-2827

Pain Management Abston, Philip A, MD 1800 15th Street, Ste. G-10 Greeley, CO 80631 �� 970-396-6994 Nieves, Ricardo, MD 1301 Riverside Ave., Ste. 2 Fort Collins, CO 80524 .........970-692-5550 See ad on page 72

Sisson, Charles, MD 1136 E. Stuart St., Bldg. 4, Ste. 104 Fort Collins, CO 80525 ......................970-221-9451

Wilkerson, James, MD PO Box 419 Loveland, CO 80539 .........................970-635-4126

Pathology

Pediatrics

Allen, Patrick, MD PO Box 419 Loveland, CO 80539 �� 970-635-4126 Barksdale, Sarah K., MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 �� 970-461-6091 See ad on page 31 Bee, Christopher S., MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 �� 970-461-6091 See ad on page 31 Chaffin, D. Joe, MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 �� 970-461-6091 1801 16th Street Greeley, CO 80631 �� 970-350-5115 See ad on page 31 Christian, James D., IV, MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 �� 970-461-6041 1801 16th Street Greeley, CO 80631 �� 970-461-6041 See ad on page 31 Dunn, Cory D., MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 �� 970-461-6091 1801 16th Street Greeley, CO 80631 �� 970-350-6725 See ad on page 31 Halbert, Richard E., MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 �� 970-461-6091 PO Box 337418 Greeley, CO 80633 �� 970-461-6091 See ad on page 31 Hamner, H. Wentzell., MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 �� 970-461-6091 1801 16th Street Greeley, CO 80631 �� 970-350-6720 See ad on page 31 Libby, Arlene L., MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 �� 970-461-6091 See ad on page 31 Neuhauser, Thomas, MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 �� 970-461-6091 PO Box 419 Loveland, CO 80539 �� 970-635-4126 See ad on page 31 Walts, Michael J., MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 �� 970-461-6091 PO Box 419 Loveland, CO 80539 �� 970-461-6091 See ad on page 31

Loveland Greeley Medical Magazine & Directory 2010

Brown, Bridget, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537 �� 970-663-5437 Bruce, Robert, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537 �� 970-663-5437 Driscoll, Amy B., MD 5881 W. 16th Street Greeley, CO 80634 �� 970-313-2700 Dubynsky, Orest G., MD 1601 25th Avenue Greeley, CO 80631 �� 970-356-2600 Kolanz, Meshelle M., MD 5881 W. 16th Street Greeley, CO 80634 �� 970-313-2700 Konda-Sundheim, Rachel, MD 2021 N. Boise Ave. Loveland, CO 80538 �� 970-669-3298 Marler, McKay, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537 �� 970-663-5437 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 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 Pedersen, 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 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 Wright, Jason, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537 .........................970-663-5437

Physical Medicine & Rehabilitation Wilson, Daniel R., MD 1801 16th Street Greeley, CO 80631 ............................970-350-6525

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 59 Vaardahl, Michael D., DPM 1931 65th Avenue, Ste. A Greeley, CO 80634 �� 970-351-0900 See ad on page 59

Psychiatry Clark, Charles F., MD 928 12th Street Greeley, CO 80631 �� 970-352-1056 Ruegg, Robert G., MD 928 12th Street Greeley, CO 80631 �� 970-352-1056 Sills, Theron G., MD 900 14th Street Greeley, CO 80631 �� 970-352-4284 Venard, Neil A., MD 928 12th Street Greeley, CO 80631 ............................970-352-1056

Pulmonology Breyer, Diana, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 �� 970-224-9102 See ad on page 43 DePriest, Kirk, DO 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 �� 970-224-9102 See ad on page 43 Fitzgerald, David J., DO 1900 16th Street Greeley, CO 80631 �� 970-350-2448 Gunstream, Stanley, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 �� 970-224-9102 See ad on page 43

Hoyt, James, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 �� 970-224-9102 See ad on page 43 Janata, Kelli R., DO 1900 16th Street Greeley, CO 80631 �� 970-350-2448 Janata, Robert J., DO 1900 16th Street Greeley, CO 80631 �� 970-350-2448 Kukafka, David, MD 2500 Rocky Mtn.. Ave. Ste. 300 Loveland, CO 80538 �� 970-619-6100 See ad on page 43 & page 68 Milchak, Richard, MD 2500 Rocky Mtn.. Ave. Ste. 300 Loveland, CO 80538 �� 970-619-6100 See ad on page 43 Neagle, Mark, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 �� 970-224-9102 See ad on page 43 & page 68 Peters, Brent, MD 2500 Rocky Mtn.. Ave. Ste. 300 Loveland, CO 80538 �� 970-619-6100 See ad on page 43 Petrun, Mark, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 �� 970-224-9102 See ad on page 43 & page 68 Stevens, Eric, MD 2500 Rocky Mtn.. Ave. Ste. 300 Loveland, CO 80538 �� 970-619-6100 See ad on page 43 Wallick, Kristin, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 �� 970-224-9102 See ad on page 43

Radiation Oncology Casey, William B., MD 1801 16th Street Greeley, CO 80631 �� 970-350-6680 See ad on page 44 Lisella, Gwen H., MD 2121 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 �� 970-482-3328 See ad on page 44 Petit, Joshua H., MD 2050B N. Boise Ave. Loveland, CO 80538 �� 970-679-8900 2121 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 �� 970-482-3328 See ad on page 44

Simpson, C. Kelley, MD 2121 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 �� 970-482-3328 See ad on page 44

Radiology Bauerle, Gary W., MD 1801 16th Street Greeley, CO 80631 �� 970-350-6860 Bodenhamer, John, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757 Contreras, Jaime, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757 Cook, Philip S., MD 1801 16th Street Greeley, CO 80631 �� 970-350-6860 Cox, Patrick, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757 Esola, Christine, 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 Harris, John P., MD 1801 16th Street Greeley, CO 80631 �� 970-350-6860 Hayes, Amy, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757 Howshar, Mark, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757 Sarah Jane, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757 Koplyay, Peter, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757

Mills, Andrew, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757

SurgeryCardio-Thoracic

Nelson, Todd P., MD 1801 16th Street Greeley, CO 80631 �� 970-350-6860

Lyons, Maurice (Moe) I., DO 1800 15th Street, Ste. 340 Greeley, CO 80631 �� 970-378-4593 See ad on page 90

Pacini, Richard, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757

Richards, Kenneth M., MD 1800 15th Street, Ste. 340 Greeley, CO 80631 �� 970-378-4593 See ad on page 90

Paquelet, Jean MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757 Peck, Steven, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757 Peet, Gary, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757 Reese, Mark, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757 Singer, Charles, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757 Weissmann, Jeffrey, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757

Tullis, Gene E., MD 1800 15th Street, Ste. 340 Greeley, CO 80631 �� 970-378-4593 See ad on page 90

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

Wiedeman, Marj M., MD 1801 16th Street Greeley, CO 80631 ............................970-350-6860

Keeler, Bradford, MD 1900 N. Boise Ave., Ste. 420 Loveland, CO 80538 �� 970-669-3212

Rheumatology

Lee, James S., MD 6801 W. 20th Street, Ste. 202 Greeley, CO 80634 �� 970-350-0948

Murray, Garvin C., MD 2500 Rocky Mtn. Ave., North MOB Loveland, CO 80538 ............970-461-1880 See ad on page 89

SurgeryAssist Ross, Vincent (Skip), MD 2500 E. Prospect Rd. Fort Collins, CO 80525 �� 970-493-0112 See ad on page 51

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

SurgeryBariatric

Markel, Curtis, MD 2008 Caribou Dr. Fort Collins, CO 80525 �� 970-484-4757

Johnell, Michael W., MD 1800 15th Street, Ste. 200 Greeley, CO 80631 �� 970-378-4433

Ogren, Jason W., MD 1800 15th Street, Ste. 210 Greeley, CO 80631 �� 970-352-8216 Schmidova, Karin, MD 1900 N. Boise Ave., Ste. 420 Loveland, CO 80538 .........................970-669-3212 Vickerman, Robert P., MD 1800 15th Street, Ste. 210 Greeley, CO 80631 ............................970-352-8216

SurgeryGeneral-Burn Cockrell, Gail Y., MD 1801 16th Street Greeley, CO 80631 ............................970-350-5982 Goodwin, Cleon W., MD 1801 16th Street Greeley, CO 80631 ............................970-350-6301

Lydia’s STYLE Magazine

Chapman, Jeffrey, MD 2315 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 �� 970-493-8800 Gonyon, Denis L., MD 4450 Union St., Ste. 100 Johnstown, CO 80534 �� 970-624-7979

Urology Bruns, Thomas C., MD 1907 N. Boise Ave. Loveland, CO 80538 �� 970-669-2770 Brutscher, Stephen P., DO 2315 E. Harmony Rd., Ste. 140 Fort Collins, CO 80528 �� 970-484-6700

SurgeryNeuro

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

Coester, Hans C., MD 2001 70th Avenue, Ste. 300 Greeley, CO 80634 �� 970-356-4488 See ad on page 37

SurgeryOral

Turner, Donn M., MD 1313 Riverside Ave. Fort Collins, CO 80524 �� 970-493-1292 See ad on page 37

Mellin, Richard W., DDS, MD 3400 16th Street, Bldg. 1S, Ste. A Greeley, CO 80634 �� 970-353-5826 Nicholas, Kenton C., DDS 1900 16th Street Greeley, CO 80631 ............................970-350-2458

SurgeryOral/Maxillofacial Bley, Justin C., DMD 1707 61st Avenue, Ste. 102 Greeley, CO 80634 ...........................970-506-0350

2011

Crylen, Curtis E., MD 5890 W. 13th Street, Ste. 106 Greeley, CO 80634 �� 970-378-1000

Loveland /Greeley

Eddy, Michael J., MD 1647 E. 18th Street Loveland, CO 80538 �� 970-669-9100

medical wellness

Everett, Randy W., MD 2315 E. Harmony Rd., Ste. 140 Fort Collins, CO 80528 �� 970-484-6700

SurgeryMaxillofacial

be a part of the

Girdler, Benjamin, MD 2315 E. Harmony Rd., Ste. 140 Fort Collins, CO 80528 �� 970-484-6700 Goodman, Gary R., MD 1900 16th Street Greeley, CO 80631 �� 970-350-2491 Lee, Michael R., DO 2315 E. Harmony Rd., Ste. 140 Fort Collins, CO 80528 �� 970-484-6700

maga zine & director y for advertising information contact: Lydia Dody | 970.227.6400 Jon Ainslie | 970.219.9226 Abby Bloedorn | 970.222.8406

Nasseri, Kevin K., MD 2315 E. Harmony Rd., Ste. 140 Fort Collins, CO 80528 �� 970-484-6700

Karen Christensen | 970.679.7593

Wirt, Timothy C., MD 1313 Riverside Ave. Fort Collins, CO 80524 �� 970-493-1292 See ad on page 37

Phillips, George H., MD 1647 E. 18th Street Loveland, CO 80538 �� 970-669-9100

or call our office at 970.226.6400

SurgeryPlastic

Soper, Timothy, MD 2315 E. Harmony Rd., Ste. 140 Fort Collins, CO 80528 �� 970-484-6700

Boustred, Allister, MD 2315 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 �� 970-493-8800

Wolach, James W., MD 5890 W. 13th Street, Ste. 106 Greeley, CO 80634 �� 970-378-1000

Brewster, Amy E., MD 2121 E. Harmony Rd., Ste. 360 Fort Collins, CO 80528 �� 970-266-0456 See ad this page

The physician list provided by McKee Medical Center and North Colorado Medical Center represents Active, Active Provisional and Community-Based Physicians. This list is current as of 12/18/2009.

Loveland Greeley Medical Magazine & Directory 2010

Saundra Skrove | 970.217.9932

211 W. Myrtle St., Suite 200 Fort Collins, CO 80521 www.stylemagazinecolorado.com

medical

hospitalists

hospitalists create

communities

Steven Loecke, M.D., spearheaded the implementation of North Colorado Medical Center’s hospitalist program in April 2009.

By Erica Pauly

It doesn’t take more than a handshake and brief introduction to be able to tell that JP Valin, M.D., at McKee Medical Center, and Steven Loecke, M.D., of North Colorado Medical Center, are men who care about their community. Both are the directors of the hospitalist programs at McKee and NCMC, and both are doing everything possible to create a safe, comforting and trustworthy environment for patients in their hospitals. 48

Hospitalists are part of a relatively new program designed to fill a need outlined in recent years among hospitals nationwide. With more and more family physicians unable to spend large quantities of time at the hospital caring for their patients, specialized physicians called hospitalists are taking their place. Hospitalists take a broad view of the care of the patient at the hospital, including communication with the patient’s family and family doctor about the care they receive during their hospital stay. Progress at McKee Medical Center When Dr. Valin moved to Colorado in 2000 as a general internist, he didn’t realize he would be creating and running a new program at McKee within six years. In 2006, Dr. Valin joined a team of physicians to begin the hospitalist program, a fragile yet rewarding task for Dr. Valin. “Traditionally, you saw your patients in your office, and when they were admitted to the hospital you would see them in the hospital, but there’s been a division now that we’ve created the hospitalist program,” says Dr. Valin. Though the division may be hard for some patients in the beginning, the intense attention and care the patient receives is far more frequent and focused than it would be with their primary care physician. Not only has the 2006 transition been a help to the patients, but to the primary care physicians in the community as well. Dr. Valin says, “We are here 24/7, which has created a better schedule for primary physicians. Before, they would be on call all day and night for their patients at the hospital. Now that we’re here, we can be dedicated to Lydia’s STYLE Magazine

patient care at all times. If there is an emergency we are at their side within moments, rather than taking time for their physician to get a call and head to the hospital,” adds Dr. Valin. The 24/7 care of hospitalists ensures greater patient safety because a decision can be made within a few seconds, rather than a few hours. Not only is the schedule better for everyone, but the teamwork and unity within the hospital is in sync as well. “We are here all the time so we can keep consistency and look at new areas as a team of how to improve our service,” adds Dr. Valin. Paperless at McKee Better patient care and better safety aside, the new paperless system at McKee creates even more balance for primary care physicians and the hospitalists. “We are now linked electronically,” says Dr. Valin. “Every hospital note can be reviewed by a patient’s primary care doctor because they have access to our in-patient records and information; even the labs are transferred.” Before, all written notes had to be reviewed by one person at a time, or had to be faxed or sent to a primary care physician. With a paperless system now in place, everyone is on the same page. The only time it is necessary to contact a primary care physician directly for a patient is during a drastic circumstance. “When, or if, we begin to deal with life or death issues, we contact their doctor to make sure we have all the information needed to make that kind of decision,” says Dr. Valin. Once the hospitalist speaks with the patient’s primary doctor, the best informed decision can be made for the patient. The community a patient enters into when admitted to the hospital is exactly what the hospitalist program was designed to facilitate. From day one the hospitalists get information, establish trust and introduce the patient to their new community at McKee. But what happens when the patient leaves the hospital? “When a patient is discharged from our facility, they are right back in the hands of their primary care physician,” says Dr. Valin. When the hospitalist program at McKee began seeing such great results, Dr. Valin met with the staff at North Colorado Medical Center to launch a hospitalist program at their location. Enter Steven Loecke, M.D. Making a Difference at NCMC The need to get involved and serve patients who may not receive enough personalized care was the heart of the issue for Dr. Loecke and his staff at North Colorado Medical Center (NCMC). “Our desire to get involved was appreciated and heard by everyone in our community,” says Dr. Loecke. The journey began in April 2009 for NCMC and Dr. Loecke. Initially, there was only

one physician and three locums (temporary physicians) on staff. Now, with the joint effort of Greeley Medical Clinic Internal Medicine and Banner Health, NCMC has nine full time physicians in the program. The biggest surprise was the huge need for this program. “We are a bigger hospital than McKee. Beginning in April, we have worked to establish algorithms to make this program successful as it grows. We are looking to have 14 to 15 doctors in this program eventually,” says Dr. Loecke. Dr. Loecke and his staff stress that the type of care hospitalists do is not the same as a primary care physician. “This is different and we treat it as such. We want to provide the best in care to patients as hospitalists, but we understand that we are not their primary care physicians. We work to improve care through extra time with patients and efficient use of hospital systems,” he continues. Yet another community presence at NCMC is the Sunrise (Community Health) Program. The program gives quality care to patients who may have a low medical literacy and who typically have not been able to afford care from a primary family physician. “Before the hospitalist program, we were seeing many patients come to the emergency room for their primary care because they had no doctor anywhere else,” explains Dr. Loecke, “but our hospitalist program is able to coordinate care with Sunrise Clinic to ensure patients have the opportunity for primary care in the outpatient setting.” The Sunrise program is another venue for Dr. Loecke and his dedicated staff to effectively meet the needs of their community. The paperless medical records movement is part of future plans for NCMC. “We will focus on logistics this year. Now we are all going to be online, which makes the quality of care grow even more,” says Dr. Locke. In addition to the move toward a paperless environment, Dr. Locke and his staff will be adding a 10th physician in January 2010. “Our patients are our number one client,” says Dr. Locke. NCMC’s nursing staff and new nurse practitioner Tenley Roeder are also working to make a difference for patients. If the nurses, the nurse practitioner, physicians, and hospitalists are all able to work well together, a patient’s wellness and security is ensured, he concludes. Not only are the hospitalist programs at McKee and NCMC running efficiently, they are quickly growing into necessary programs to ensure patient satisfaction and safety. Both centers are doing everything they can to build a new community within their hospital walls.

Hospitalists are here 24/7, which has created a better schedule for primary physicians. Before, they would be on call all day and night for their patients at the hospital. Now that we’re here, we can be dedicated to patient care at all times.

JP Valin, M.D., hospitalist at McKee Medical Center

Erica Pauly is a freelance writer and Marketing and PR Coordinator for GrowSecure, Inc.

Loveland Greeley Medical Magazine & Directory 2010

medical

NEUROLOGY

NCMC Expands

their neurology clinic

Neurologists Todd Hayes, M.D., Jeffrey Siegel, M.D., and William Shaffer, M.D., of North Colorado Medical Center’s Neurology Clinic

By Connie Hein

Most people are familiar with the term “neurology,” but many are intimidated when they hear it applied to them. There is, after all, a degree of mystery surrounding this field of medicine. Three passionate neurologists at North Colorado Medical Center, however, hope to help change that. 50

Not long ago, Drs. Jeffrey Siegel, William Shaffer and Todd Hayes, neurologists at North Colorado Medical Center (NCMC), were on differing paths in life, living in various parts of the country. But they had one thing in common: passion for the field of neurology. Dr. Siegel, NCMC’s first neurologist, came on board in June 2008. He was joined in August 2009 by Dr. Shaffer and in September 2009 by Dr. Hayes. Dr. Shaffer says Dr. Siegel’s character and professional expertise were an important part of his decision to come to NCMC. “That was the dealmaker for me. I had decided that if we had similar beliefs and attitudes, I would move to Colorado. If we hadn’t, I wouldn’t have come.”

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He says the team is a great mix of skills and specialties, with similar attitudes about the role of compassion and understanding in working with patients. “I feel very lucky to be working with such a positive, enthusiastic team.” Not many years ago, Dr. Shaffer was a college dropout and rock band drummer. He left college in Illinois after two years to join a band that toured the New Jersey area, opening for groups such as the Stray Cats and Spin Doctors. But during his rock band years he met a New Jersey girl who was getting a medical degree. “I decided, hmm, sounds good, maybe I should do the same thing.” So he went to medical school and married the New Jersey girl. In 2002, during his second year of medical school, Dr. Shaffer was diagnosed with multiple sclerosis, which changed the direction of his medical career, causing him to focus on the field of neurology. He says the diagnosis was a blessing because it made him a better neurologist. “To my patients, I’m not just a doctor who has studied MS, but one who is living with the disease and has a personal understanding of its challenges.” He had assumed he would become a neurologist and live his life in New Jersey because “I had married a Jersey girl, and Jersey girls never leave Jersey.” But all that changed after a divorce and a trip back to his hometown for his 20th high school reunion. “In my first years of college in Illinois, I had dated a girl, however we broke up when I moved to New Jersey. But I never forgot Kristi.” When he returned to Illinois for the reunion, he decided to look her up again. By then Kristi was also divorced, so they planned to meet. “The minute I saw her again, I knew I wanted to marry her.” After marrying, they moved to Colorado because Kristi had family in Longmont and Parker and because MS is prevalent in this part of the country. “NCMC was looking for another neurologist, so it was a perfect place for us to start our new life,” he says. Dr. Shaffer believes the treatments he is undergoing to control his MS make him compassionate toward his patients. He says he knows what it is like to take shots three times a week and live with the oftenmisunderstood symptoms of MS. “What patients really need is a doctor who will take time to listen to how they are doing in every aspect of their lives. That’s how we help people to successfully live with diseases such as MS.” Dr. Shaffer, who also treats patients with other neurological problems, is passionate about his work and shares that with the

other members of the team. “All three of us are here to serve our community and make it a better place for our patients. We work together well and are able to cover the hospital’s patients with 24/7 care,” he says. Dr. Jeffrey Siegel says he considers himself a general neurologist and loves every aspect of his field. “Being the oldest, by a generation, of the three neurologists at NCMC, I am often the one that deals with the hard job of helping patients with terminal conditions. I feel that with age comes some wisdom and compassion, and I always strive to bring that to each patient I see.” Dr. Siegel says recruiting the two younger neurologists has been a great benefit for NCMC and the community as a whole. “Our values and beliefs are similar. We all believe we need to take time to get to know each patient as much as possible and be able to treat the patient as a person of value.” He says his college classes in philosophy helped him be a better neurologist because he better understands how the body, mind and soul work together. “My core belief is that we all create our own reality. I believe we can wake up every day and decide what kind of day it’s going to be. We can decide we’re going to have a great day and make decisions based on that assumption, or we can decide to dwell on the misery in our lives.” He encourages patients to get help through therapists or yoga and meditation, as well as medication or other treatments. “We are not just our bodies and should not be treated as such. We need to make choices in our lives that make us as healthy as possible in body, mind and soul.” He and the other neurologists can take more time with their patients than many physicians are allowed. “We are given the time to listen and get to know each patient.” Dr. Siegel was born and raised in New York City and went to school in the state. He did his residency in Denver then was part of the faculty of Duke University. He jokes that he moved to Greeley because he was having a mid-life crisis. “I decided instead of getting a Harley, we would just move to a place where I could hike and cave and just rest in the beautiful Rocky Mountains.” His wife and 12-year-old daughter are wrapping up affairs in New York and will join him in Greeley soon. He believes his family will love it here. “There are so many great people in this area. They are bright, intelligent and caring, and when treated with respect, they’re happy to take part in decisions about care for themselves and those they love. I love being part of this community.” Dr. Todd Hayes, who is the unmarried one of the group, fell in love with Colorado

and all the outdoor adventures he found in the area. He too believes the three of them coming together in Greeley was great for them and for the community. “It’s a joy working with these doctors in this community. We are all passionate about our field of medicine as well as our patients.” He devotes himself to practicing general neurology, but his passion is electro diagnostic medicine (electromyography/ nerve conduction studies and electroencephalography). In laymen’s terms, he is fascinated with how the human brain works. “I like being able to look at results of an electromyogram (EMG) or an electroencephalogram (EEG), make a diagnosis and, with the input of the patient, set up a plan of treatment.” He says EEG tests show brain activity in a way that helps detect seizures, either during or after an episode, as well as a patient’s risk of having a seizure. The tests can also show when a patient is prone to dementia or other consciousness-altering problems. An EMG can detect abnormal muscle electrical activity in conditions such as neuropathy, carpal tunnel syndrome and pinched nerves. “It’s very rewarding to read tests and be able to deliver the news that a patient doesn’t have a tumor or debilitating disease. No matter what the diagnosis, I believe it’s a privilege to work closely with each patient and come to know their needs and personality.” He says his other passion is educating patients and fellow physicians about the field of neurology and dispelling myths about neurologists in general. He believes people need to be better informed about when they might need a neurologist. “The field of neurology is widely misunderstood by patients as well as some physicians, and I want to help by taking away fears and building a good reputation in this community.” He says he is very excited about his new life in Colorado and working with the other neurologists. “It’s great to work in an atmosphere where we all get along and enjoy each other and have similar beliefs about the treatment and care of patients.” The doctors agree that the three of them coming together in the NCMC clinic was auspicious and they hope to play a vital role in the community by bringing understanding and quality of life to patients with neurological disorders.

Connie Hein is a passionate freelance writer from Windsor who was inspired by three passionate neurologists from Greeley. Lydia’s STYLE Magazine

Larry spent 32 years running a student recreation program, but after retirement, he ran into a heart problem. He experienced unusual chest pain on a mountain hike . Based on the results of a diagnostic procedure by his cardiac team, he was immediately scheduled for a triple bypass. As a member of North Colorado Medical Center's Board of Trustees, Larry knew that he could trust the hospital with his surgery. He was aware of their many innovative services, including 64-slice CT technology for the most accurate diagnosis and a cardiac alert program that offers a positive outlook for long-term survival of heart attack patients. Thanks to the great technology, doctors and extensive cardiac rehab program following his surgery, Larry is able to move on with a healthy life. CVI locations available at North Colorado Medical Center, McKee Medical Center, Sterling RegionaiMed Center and the Fort Morgan CVI Clinic.

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Lorraine said she would've done anything to take away the excruciating pain. Thankfully, her neurosurgeon at North Colorado Medical Center was there to suggest the best option, a revolutionary new surgery that replaced her damaged disks with ones made of stainless steel. This eliminated the need to have her vertebrae fused together so she could maintain full mobility in her neck. Because of the expertise of her doctor and the entire medical team, Lorraine was back to work only a day after her surgery and back to hiking and camping within a few short weeks. With the medical advancements that helped Lorraine, as well as other innovations like minimally invasive and robotic surgery, it's no wonder North Colorado Medical Center cares for so many surgical patients in northern Colorado.

~ ~Banner Health North Colorado Medical Center庐 www.BannerHealth.com, keyword: NCMC Surgery路 1801 16th Street路 Greeley (970) 352-4121 路Job opportunities: 866-377-5627 (EOE /AA) or www.BannerHealth.com Banner Health is the leading nonprofit health care provider in northern Colorado.

MEDICAL

CARDIOLOGY

Dawn Olson, Director of Cardiovascular Services at the CardioVascular Institute of North Colorado

at the

heart of the matter By Kay Rios

Heart disease remains the number one killer in the U.S., well above cancer, respiratory diseases and accidents, according to the Centers for Disease Control and Prevention. The American Heart Association estimates that 80,000,000 American adults (one in three) have one or more types of cardiovascular disease (CVD) and the 2009 Heart Disease and Stroke Statistics report says that 2,400 Americans die of CVD each day, one death every 37 seconds. Loveland Greeley Medical Magazine & Directory 2010

Grim statistics but, for Northern Coloradans, there’s hope and there’s help at the CardioVascular Institute (CVI) of North Colorado at North Colorado Medical Center (NCMC). CVI is poised at the forefront of the battle being waged against this major health threat and, in its 175,000 square foot facility, offers a variety of innovative ideas in cardiovascular care. In fact, CVI offers everything from advanced diagnostic imaging to leading edge interventional cardiology and open heart surgery to an accredited cardiac rehabilitation program. Dawn Olson, service line director in charge of cardiac operations, explains that CVI is a comprehensive, state-of-the-art heart hospital within NCMC. “We have some amazing doctors doing amazing procedures and a highly skilled nursing staff that adds to the quality of care we give our patients,” she says. “We also have the equipment that allows us to do the most up-to-date surgical procedures. We have 32 in-patient cardiac beds,” Olson says, adding, “and they are full almost all the time.” CVI opened in November of 2005 as part of the Second Century expansion of NCMC and brought many aspects of the cardiovascular services together in one area. “We already had three cardiac surgeons and, over a two year period, have grown

Jim Beckmann, M.D., Director of the CardioVascular Institute at North Colorado Medical Center

a total of 13 cardiologists,” Olson says. In addition, CVI also employs over 60 support staff personnel with cath lab nurses, echo sonographers, Cardiac Rehab and noninvasive staff. Everything is right in quick reach, Olson says. “When we built this area, we combined everything so we don’t have to run back and forth to other areas of the hospital. It’s all here.” That was the idea, says Jim Beckmann, M.D., and CVI’s medical director. “Consolidating the cardiovascular services into one area did two things. It increased the efficiency of delivery of care to patients so we can meet their needs more quickly. It also gave us the means to be more efficient with the patients’ time.” Expanded Options at the CVI Olson points to a long list of options housed within CVI. Diagnostic resources include non-invasive procedures such as a 64-slice computed tomography (CAT scan), 3-D echocardiography, electrocardiography (EKG), exercise tolerance testing, nuclear stress testing, and Holter and event monitoring. Invasive procedures include cardiac catheterization, coronary and peripheral angiograms, intravascular ultrasound and doppler, trans-esophageal echo (TEE), and electro-physiology studies that include mapping of the irregular heart beats. In addition, three state-of-the-art cath labs provide diagnostic cardiac caths, angioplasty, stents, pacemakers, peripheral artery disease intervention and ICD implants. “We also have a new gym for cardiac rehab. Patients exercise here after identification of atherosclerosis or heart attacks, and we offer them educational programs,” Olson says. “With cardiovascular disease, you have to learn to take care of yourself. Cardio rehab gives patients the tools

to stay out of the hospital.” The structure of CVI promotes collegiality among the doctors, Olson says. “Many procedures overlap and there is not a competitive factor. Everything is a team effort. We meet and discuss patient care and make the best decisions for the patient.” Those exchanges between doctors and other healthcare professionals are fostered through a cath conference held every Thursday in the CVI Conference Room. “All the cardiologists, the surgeons, cath lab techs, everyone attends,” Olson says. The conference can take form in several ways, she says. “Any of the CVI physicians can bring in new research or a different or interesting case. We can pull up images, view cath films and EKGs. It’s a good opportunity to work together and share information and ideas.” In some cases, doctors are teleconferenced in from other sites such as McKee and Sterling so they can participate. “Technology and medical procedures are constantly changing and we want to stay current so this is our avenue to do that,” adds Olson. Outreach to other areas goes beyond teleconferencing, Olson says. “We now have full time cardiologists and clinics in Loveland and Sterling as well. We also serve Fort Morgan, Brush, Wray, Yuma, Holyoke and we’re just getting ready to start a clinic in Haxton. Our goal is to serve people in other communities and provide as much service as possible to their hospitals and not make them drive two hours to see us. We go to them.” PADnet CVI has reached out to other communities through PADnet, a program to detect peripheral arterial disease (PAD). “Peripheral arterial disease is caused by plaque build up, mainly in the legs – in the periphery,” Dr. Beckmann explains. “People can be

asymptomatic or they can just think they’re getting older and it’s normal for their legs to hurt. This program uses a non-invasive test that looks at blood flow in a patient’s legs to help diagnose the presence of plaque in the arteries.” PAD is often under diagnosed, Olson says. “People sometimes won’t drive here to do a test so we’ve partnered with other facilities so they can perform the test there. Once that’s done, the results can be transmitted electronically to NCMC and we have a panel of doctors review them.” “We interpret the test and give physicians feedback indicating the presence or absence of PAD and we recommend follow-up when appropriate,” says Dr. Beckmann. CVI is the only regional provider for PADnet. “This program is not just in the Banner Health network; it’s regional and includes Julesburg, Holyoke, Yuma, Haxtun, Wray, Johnstown, Windsor and Benkelman, NE. We train them on the use of the equipment and then offer our interpretation services,” says Dr. Beckmann. Cardiac Alert Program and Code STEMI Partnering and teamwork underlie all of CVI’s efforts. Another indication of that is the partnership formed with the Weld County ambulance services to create a Cardiac Alert program. “Through this arrangement, the first in the region, we bring people straight into CVI where our whole cardiac team is activated. We completely bypass the Emergency Department. It’s based on the ‘time is muscle’ slogan of the American Heart Association. That basically means that the more time we save getting the patient into cardio and opening the blockage, the less damage to the heart muscle,” Olson says. Based on the success of that program, Dr. Beckmann created Code STEMI. Code STEMI Continued on page 86 Lydia’s STYLE Magazine

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heart failure

clinic

By Kay Rios

For those with advanced cardiac disease, knowledge is power. Knowing how to make and maintain good life choices is essential and that’s where CardioVascular Institute of North Colorado’s heart failure clinics enter the picture. “We offer a disease management program designed specifically for people with advanced cardiac disease,” says Missy Jensen, nurse practitioner and clinical supervisor of the Heart Failure Clinic at North Colorado Medical Center in Greeley and McKee Medical Center in Loveland. “We follow the concept of chronic disease management and want to prepare people to take care of themselves 24/7 and not just when they are with doctors.” That approach involves seeing the patients at the clinic rather frequently, Jensen says. “When we enroll them, we may see them every week or a couple times a week if they are very ill and then spread it out as they get more stable.”

Lydia’s STYLE Magazine

Patient Jamie Morrison is examined by Missy Jensen, nurse practitioner and clinical supervisor of the Heart Failure Clinic.

The clinics use a team approach that includes clinical pharmacists, registered dieticians, nurses, nurse practitioners and cardiologists, Jensen says. “We also have the help of the cardiac rehab team to assist with rehabilitation, as well as the chaplain department that can help with counseling issues.” An intensive first visit runs about an hour and a half, during which time they are visited by several of the clinic’s team members. “We look at the history and at the medications. We want to get them on the best medication in appropriate doses. The pharmacist spends a lot of time teaching them about the medications and how to take them and when. Then the dietitian teaches them about nutritional issues.” That visit helps the team put together a treatment plan and determine how often they’ll be seen. “The treatment plan is individualized and is very different from patient to patient,” Jensen says. The team sees patients in Greeley at NCMC every day and in Loveland at McKee every Tuesday. “We are seeing around 325 patients currently,” Jensen says. In addition to the individualized plans and treatment, the clinics offer an education series open to the public and held at both McKee and NCMC. Education is extremely important, Jensen says. “Research shows that heart failure patients involved in intensive disease management programs have fewer hospitalizations, improved quality of life and lower mortality rates than other heart failure patients.” And that’s what this effort is all about, Jensen says. “Our goal is to improve their quality of life and keep them out of the hospital.”

Loveland Greeley Medical Magazine & Directory 2010

WELLNESS

AWARENESS

An Elderhaus staff member (left), Mary Shultz, Foundation on Aging Treasurer, and Sister Mary Alice Murphy (far right) play a game of Yahtzee with an Elderhaus resident in August 2009.

summit to address

issues on aging By Erica Pauly

William James once said, “Act as if what you do makes a difference. It does.” This statement not only exemplifies the heart behind the Foundation on Aging for Larimer County, but it is also the theme for their upcoming Summit on Aging event in January 2010. 60

“We tend to look around our community and see seniors who look fine because they are out and about and active, but the reality is that those are the seniors who are doing well. The seniors who need our help are homebound because going out anymore has become a luxury they can’t afford,” says Bonnie Shetler, president of the Foundation on Aging for Larimer County. Sharyn Salmen, Communications and Development Chair, echoes Shetler’s sentiment and adds, “The Foundation on Aging and Larimer County’s Office on Aging have been working to help these seniors, but it’s time to collaborate with community leaders and service providers. We want to act as a catalyst for innovative solutions for aging issues in Larimer County. We desire to create community awareness of the unmet needs of the aging.” Lydia’s STYLE Magazine

The Foundation on Aging provides emergency grants for seniors who do not qualify for low income benefits, but who also don’t have the money to afford practical needs. “Foundation on Aging tackles tough issues like these six concerns: transportation, support services, housing, nutrition, economic security and healthcare for seniors,” says Salmen. “Sometimes it’s a new pair of glasses, or sometimes it’s a wheelchair if their old wheelchair is broken.” She continues, “But that’s just how this program started. Our event in January will allow all of Larimer County to come together and speak to this growing, yet silent, need.” Already, partnerships are being formed to take action. Margaret Long, program manager with Larimer County’s Office on Aging, is excited about partnering with Foundation on Aging, “We share a common goal of planning for the unmet needs of our rapidly growing senior population. This summit will inspire community leaders to join us in our endeavors.” The Summit on Aging meeting will take place on January 22, 2010, at 8 a.m. at Saint Elizabeth Ann Seton Church in Fort Collins. The goals of this meeting are to create awareness of unmet needs of seniors in Larimer County, vocalize growing needs and diminishing resources, and examine innovative solutions to reduce this need. Of the innovative solutions, a few have already been decided: to raise unrestricted funds, to get community leaders involved in this movement, and to plan ahead and create a platform and springboard to go out into the community with the proper tools to truly help. The essential hope is that the Summit on Aging will launch a new awareness in the community and help the Foundation partner with key players who can give time, resources and expertise to help find solutions to this growing issue. “Something organic happens when a community is made aware of hidden needs,” says Shetler. “We expect that Larimer County will do as it has done in the past: develop practical strategies for addressing those needs, strategies that incorporate the vast network of expertise and resources within our community,” she adds. Right now, there is little understanding about the impact aging will have in our community. “This event in January is only the kickoff of something even greater,” adds Shetler. She encourages the community to think of it as a brainstorming session of Larimer County’s leaders who are the key players when it comes to working with Loveland Greeley Medical Magazine & Directory 2010

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A local senior (center) is presented with a carbon monoxide detector from the Foundation of Aging (FOA) emergency grant program. The detector was presented by Mary Shultz, FOA Treasurer, and Bonnie Shetler, FOA President, in August 2009.

seniors. The goal is for the Foundation on Aging to collaborate with the Office on Aging members, the service provider network and community leaders. Why? “Because when we get all these people together we are able to hear the broad spectrum of the needs present in our community,” says Shetler. And if the majority of needs are made known then, hopefully, those needs can be met. Foundation on Aging began 23 years ago out of the compassion of one lady, Mildred Arnold, who began an endowment fund for seniors in Larimer County in dire need of practical help. It began as a notfor-profit program consisting of volunteers actively engaged in finding a solution to the growing issue of seniors in need. The program now consists of a board of 12 volunteers working hard to solve the issues at hand. The Summit event in January is invitation only, but there will be plenty of opportunities to get involved following the event. To find further information or to get involved, contact Bonnie Shetler at the Foundation on Aging at (970) 224-5476 or visit their Website at: www.foundationonagingforlarimer.org. Erica Pauly is a freelance writer and Marketing and PR Coordinator for GrowSecure, Inc.

Lydia’s STYLE Magazine

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Loveland Greeley Medical Magazine & Directory 2010

medical

women’s health “During the course of their general check-up I often ask women if they are experiencing any leakage. Surprisingly, many tell me that they have been suffering with the condition for years.” Elizabeth Howell, M.D., OB/GYN at McKee Center for Women’s Health

incontinence:

the hidden misery By Angeline Grenz

Thousands of women today are living with a hidden misery: incontinence that is not just uncomfortable

but robs many women of leading a full, enjoyable life. But the formerly taboo subject need not go untreated.

Physicians urge women to take control of their health and remedy this condition.

“Most women who come to me don’t come to be treated for incontinence,” according to Elizabeth Howell, M.D., OB/ GYN at McKee Center for Women’s Health in Loveland. In fact, were it not for Dr. Howell’s well-placed questions and routine concern, many women would not bring the subject up at all. “During the course of their general checkup I often ask women if they are experiencing any leakage. Surprisingly, many tell me that they have been suffering with the condition for years,” she adds. Today, approximately 30 to 50 percent of women and 17 percent of men over the age of 60 suffer from urinary incontinence. Furthermore, one-half of those suffering from the condition do not report the condition to their healthcare provider, according to statistics presented by Dr. Howell. Incontinence can range from a leak every so often to daily leakage requiring a pad. Types of Incontinence Three types of incontinence are most common: stress, urge and mixed. Stress incontinence is a condition where downward pressure from a physical stressor overcomes the muscles and causes the bladder to leak. Physical stressors can be a sneeze or cough. This type of incontinence often occurs during and after pregnancy, though the condition generally resolves itself within a year after childbirth. However, it can predispose women to stress incontinence later in life. Urge incontinence is involuntary leakage of urine caused by a spasm of the detrusor muscle of the bladder. This spasm is accompanied by a sensation of urgency. Mixed incontinence, the most common type, according to Dr. Howell, is a combination of the two, with one type being generally more dominant. Women who come to Dr. Howell specifically for incontinence issues are “generally at their wit’s end.” Coming to her often in tears, Dr. Howell says these women have lived for some time with the far-reaching Lydia’s STYLE Magazine

impacts of incontinence. Many women are forced to continually wear pads to protect against leakage. With daily incontinence comes a host of other side effects: rashes, recurring urinary tract infections, low selfesteem, depression. Women can even leak during intercourse, further impacting their physical and emotional state. Pamela Morrison, a patient of Dr. Howell, was treated for stress incontinence in 2008. “I had incontinence for years, but it gradually got worse.” A cough, even sudden physical movements could cause a bout of incontinence. Morrison had taken to wearing a pad everyday. “It had gotten to the point where I didn’t know when it would happen. I had to wear a pad day and night and it was inconvenient and embarrassing.” Part of Morrison’s reluctance in having the condition treated was a fear that it would be more painful to treat than it was to live with the inconvenience. But when her incontinence finally got in the way of her golf game, Morrison decided to take action. She went to Dr. Howell. Treatment Options Treating incontinence may be easier than you think, says Dr. Howell. Initially, there are several lifestyle changes that can be made. Quit smoking; the smoker’s cough can contribute to instances of leakage with urge incontinence. Give up coffee, tea, carbonated beverages, alcohol and chocolate as caffeine can stimulate the urge to urinate. Sometimes something as simple as changing a prescription may reduce or eliminate incontinence issues. Habit training (planning out the day to go to the bathroom at regular intervals, then extending the intervals to train the bladder) can also work to control incontinence. If those changes do not significantly reduce the problem, Dr. Howell recommends physical therapy. She has had very successful results from patients working with a qualified physical therapist. The therapist should be specifically trained to work with the pelvic muscles. Physical therapy can include Kegel exercises to strengthen pelvic muscles, retraining exercises (for women who have trained their bladder to like to be empty and have reduced the ability to resist bladder spasms), and even electronic stimulation to force muscles to contract. “Even practicing Kegel exercises by squeezing and relaxing the muscles slowly 10 times, three times a day, three times a week can make a huge difference,” she says, adding, “There is no surgery or medication involved and the therapy can help both kinds of incontinence. However, this involves a patient being willing to do the work and some women just choose not to follow through.”

Lydia’s STYLE Magazine

Those who have, says Dr. Howell, are amazed at the results. “I have patients who come back to me after therapy and tell me that their lives have been changed.” For some cases, more assistance is required. Those women with urge incontinence have a variety of anticholinergic medicines available. These help to decrease bladder spasms. They are not foolproof. Dr. Howell estimates they work approximately 20 to 40 percent of the time and side effects range from severe dry mouth to constipation to impairment in cognitive function. For stress incontinence, surgery is the recommendation. Several sling procedures exist to help women. Most procedures can cure the incontinence 80 to 90 percent of the time. The procedure can be done as outpatient surgery; however Dr. Howell prefers to keep her patients overnight to make sure there are no complications. The sling often used by Dr. Howell is called a tension-free vaginal tape (TVT). A TVT procedure involves a small piece of polypropylene monofilament mesh, approximately as wide as your finger, inserted into the bladder near the urethra. The mesh supplies extra support to the pelvic floor, with collagen forming around the mesh and providing further support in the form of scar tissue. The procedure involves a tiny incision in the vagina. After the procedure a catheter may be inserted until swelling subsides to ensure patients can urinate correctly. “There is minimal pain,” adds Dr. Howell, and the procedure is available to most women, though it is suggested that a sling not be inserted until after childbearing is done. Fifty percent of slings do not make it through the childbearing process. Morrison had the TVT procedure for her stress incontinence. “It was a very easy surgery with no pain. I was amazed. I thought, ‘why hadn’t I done this years earlier?’” She was so impressed that she brought up the subject with her sister who had the same type of incontinence. Her sister, located in Indiana, visited her own doctor and requested the same procedure. “She was just as amazed as I was at the outcome,” adds Morrison. In addition to treating her patients physically, Dr. Howell says that this is one health problem that calls on physicians to exercise an extra amount of empathy. “This condition really affects the lives of our patients in a private way. So many of my patients are just grateful to have someone who will listen to them and recognize that it is a problem.”

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Angeline Grenz is editor for Style Magazine. Loveland Greeley Medical Magazine & Directory 2010

Continued from page 32

Photo by Stenbakken Photography

clude two additional simulation teaching rooms, two driver work stations, a virtual reality room and additional storage. The Simulation Center will provide physicians and nurses invaluable training, especially for those high-risk, low-volume procedures that medical staff rarely has the opportunity to perform. Mannequins provide real-time responses to the procedures administered, with instantaneous feedback. After a training exercise, students can review the procedure and outcome and, if need be, repeat the process.

Western States Burn Center

NCMC

Western States Burn Center Expands In April 2009, NCMC opened the expanded Western States Burn Center. The center increased from 2,500 to 12,000 square feet and grew from four to 10 patient rooms. The new rooms are larger, provide a visiting room for family members and allow the patient to use the same room from the initial critical stage of care until they are ready to leave the hospital. Other improvements include positive pressure rooms to protect patients from outside infections and negative pressure rooms that protect the environment from patients with infectious diseases. The addition of state-of-the-art technology, from special monitoring equipment to lifts for moving patients, provides a higher level of care. A rehabilitation gym helps complete the full spectrum of care with physical and occupational therapy. The state-of-the-art burn center supports a vast area, from Colorado and Kansas to the Canadian border. They also provide outreach and education and have two nationally known burn surgeons on staff.

Lydiaâ&#x20AC;&#x2122;s STYLE Magazine

Photo by Stenbakken Photography

Endoscopy Center

NCMC

Endoscopy Center Expansion NCMC’s Endoscopy Center also received an upgrade in April 2009, taking it to the “Cadillac level,” according to Sutton. The center increased from nine to 17 recovery rooms. New design features include walls between rooms to improve patient privacy, rather than curtains, and increased space to handle new technology, such as the SpyGlass Direct Visualization System. An additional procedure room allows the center to also provide for interventional gastroenterology and pulmonology endoscopic procedures. The center also provides services for colonoscopies, endoscopic ultrasound and advanced pancreato-biliary services.

McKee Medical Center

Renovated Interfaith Chapel McKee Medical Center Foundation brought many individuals and businesses together to raise more than $250,000 towards renovation of McKee’s interfaith chapel. The eight-year process finally came to fruition on Oct. 7, when they began construction to expand the chapel to accommodate 24 people by expanding into vacant space on McKee’s first floor. Previously, the chapel could only hold eight individuals at one time. The new chapel has a nature theme, with stained glass and window panels created by local artists, designed to make the space appropriate for meditation, quiet and worship by persons of all faiths. Construction of the project was completed near the end of December, with the stained glass panels scheduled to be installed in mid-February. Loveland Greeley Medical Magazine & Directory 2010

Experienced Experienced cardiac cardiac care care that that keeps keeps you you healthy healthy so can your heart. so you you can follow follow your heart. Experienced cardiac care that keeps you healthy so you can follow your heart.

McKee Medical Center keeps your life in rhythm with state-of-the-art diagnostic and McKee Medical Center keeps your life in rhythm with state-of-the-art diagnostic and interventional heart procedures, as well as cardiac rehab services to get your heart back in interventional heart procedures, as well as cardiac rehab services to get your heart back in shape. When you need more advanced care, you can take comfort in knowing that McKee shape. When youCenter need more advanced care, can take in knowing that McKee McKee keeps your life in you rhythm withcomfort state-of-the-art diagnostic and Medical Medical Center is part of Banner Health, giving you access to an extraordinary network of Medical Centerheart is part of Banner as Health, giving you access to an extraordinary network of interventional procedures, well as cardiac rehab services to get your in cardiac physicians experienced in providing comprehensive care for even theheart most back serious cardiac physicians experienced in providing comprehensive care forineven the most serious shape. When you need more advanced care, you can take comfort knowing that McKee heart conditions. McKee Medical Center and Banner Health. Keeping you healthy so you heart conditions. McKee Center giving and Banner Health. you healthy so you Medical Center part of Medical Banner Health, you access to Keeping an extraordinary network of can follow your isheart. can follow your heart. cardiac physicians experienced in providing comprehensive care for even the most serious heart conditions. McKee Medical Center and Banner Health. Keeping you healthy so you can follow your heart. Banner Health facilities include: Banner Health facilities include: North Colorado Medical Center North Colorado Medical Center Banner McKee Medical CenterHealth facilities Sterlinginclude: Regional MedCenter McKee Medical Center Sterling Regional MedCenter East Morgan County Hospital North Colorado Medical Center East Morgan County Hospital McKee Medical Center Sterling Regional MedCenter

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Wellness

prevention

“We need to know numbers such as blood pressure, cholesterol levels, height and weight, and monitor these important levels throughout our lives.” Roxane Smith, Senior Occupational Health Worksite Wellness Manager, North Colorado Medical Center

wellness screenings

save lives By Connie Hein

January is typically a time to reflect on the past year and to prepare for changes we want to make in the next. New Year’s resolutions are often part of this process. But by springtime in the Rockies, most resolutions have flown out the nearest open window along with the stale winter air. 76

Roxane Smith, Senior Occupational Health Worksite Wellness Manager at North Colorado Medical Center (NCMC) in Greeley says one of the most important resolutions we should make and keep every year is to get recommended health screenings. She says there are several potentially lifesaving screenings that people avoid because they fear they will be time-consuming, costly or unpleasant. “When you consider the time and money, not to mention pain and suffering, patients could save in the long run; they would gladly keep this resolution and follow through on screenings.” She says early detection of any disease or illness is often the key to curing or controlling the problem. “We need to know numbers such as blood pressure, cholesterol levels, height and weight, and monitor these important levels throughout our lives,” says Smith. We need to start wellness screenings,

including dental and vision examinations, as young people, she adds, so our healthcare providers will have a baseline to know what is normal in our bodies. For women, the annual check-up should include a breast exam and Pap, and for men a prostrate examination. Sheryl Fahrenbruch, Senior Manager of Wellness Services at McKee Medical Center and Loveland Community Health Fair codirector for 11 years, agrees that consistent wellness and health screenings are an important part of maintaining a healthy lifestyle. She says if patients do not make wellness screenings part of their lives, things can sneak up and get the best of them “At McKee, we provide wellness services including monthly open-lab blood screenings,” says Fahrenbruch. One she recommends is the Chem 24 Panel that shows the overall health of the heart and other vital organs in the body. She believes annual skin cancer screenings are also very important in Colorado because residents are in the sun so much of the time. “Even in the winter we need to be sure to wear sunscreen to protect our skin, and watch for any suspicious moles or changes in the appearance of our skin.” Another important screening, especially for women, is a bone density test. “After about age 40 patients should be screened annually for osteopenia, which is a precursor to osteoporosis. If it is caught early there are many things that can be done with diet and exercise to delay or prevent osteoporosis.” For men, Fahrenbruch recommends the prostate specific antigen (PSA) screening to check for prostate cancer. “Health fairs are great places to get these comprehensive, inexpensive screenings,” says Fahrenbruch. “The Loveland Community Health Fair provides hundreds of people with blood test, screening and education in April every year.” Lydia’s STYLE Magazine

Smith says another great way to get necessary screenings and tests each year is the NCMC program called Body Check – What You Need to Know from Head to Toe. This includes a comprehensive set of tests that are done for a reasonable price. Smith and Fahrenbruch say our primary care physician is always the best source of information and is the place to start with recommended health examinations. “Your doctor knows you and knows your history, so it is best to start there, but health fairs and clinics are great resources for screenings and can sometimes be more inexpensive and convenient,” says Smith. They both say no matter where you get your screenings and wellness checks, it is important that you don’t avoid them. Smith says besides wellness screenings, another important aspect of having overall good health is educational programs. She recommends investing time and money in health education just as we invest time and money in our career education. “We have a program at NCMC called Eight Weeks to Wellness. This program teaches participants to make healthy choices in eating, exercise and other aspects of their lives.” She says they also offer healthy cooking classes that teach nutritious cooking with simple techniques and ingredients that can be easily incorporated into our lives. Smith says learning something as simple as substituting a high fat or sugar ingredient for one that is healthier can make a big difference in our daily calorie intake and therefore our health. “When we learn to eat even a little healthier we will have more energy and feel better. We are far more likely to stick to resolutions involving small changes than we are when trying to make big ones.” Her suggestion is to pick one small change to make this year, and as that change becomes a habit after about a month, pick another one and keep this pattern up throughout the year. “Maybe this year the first goal could be to drink eight 8-ounce glasses of water everyday since Colorado is so dry,” Smith recommends. “Start there and after a month, pick another simple habit, like taking a 20-minute walk everyday.” Both wellness experts agree that we should not just examine our habits at the end of a year, as toasts to good health and happiness are being made. We should make screenings and health education an ongoing part of our lives for overall health and wellbeing throughout the year.

Connie Hein is a freelance writer living in Windsor and expecting to live a long, healthy life by getting health screenings every year. Loveland Greeley Medical Magazine & Directory 2010

Wellness

HEALTH FAIR Volunteer Holly Kazmer performs a peripheral arterial disease screening on a health fair participant at last year’s Loveland Community Health Fair. This year the popular fair, which drew over 2,400 participants in 2009, turns 30.

loveland community

health fair turns 30 By Connie Hein

30th annual Loveland Community Health Fair Saturday, April 24 McKee Conference and Wellness Center 2000 N. Boise Avenue, Loveland, Colorado (970) 669-9355(WELL) 78

This year will be the 30th anniversary of the Annual Loveland Community Health Fair. Sheryl Fahrenbruch, Senior Manager of Wellness Services at McKee Medical Center in Loveland, and health fair director for the past 11 years, says it has been very rewarding helping the community get the care they need for so many years. “We are set up to offer many low or no-cost screenings and wellness checks for people who wouldn’t otherwise be able to afford them.” In 2009, she says nearly 1,600 people had blood draws and a total of about 2,400 people were seen at the fair. They are planning for an even bigger turn out this year. “Even though we are seeing hundreds of people, the fair is very organized and runs smoothly. Patients seem very happy with the care and attention they receive from our compassionate healthcare providers and grateful for the annual event.” She believes the fair has grown every year because they perform an important service for the community, and because they have quality healthcare workers who truly care about the people. “It is very rewarding to know that we could be saving a person’s life, or catch a disease or illness before it gets worse,” says Fahrenbruch. Many people have told her that because of the testing and education they have received at the fair, they have seen numbers in their blood tests go down and believe they stay healthier. “It is a great resource for medical screening as well as education and information,” says Fahrenbruch. She says the volunteers for the fair are healthcare providers and dental and vision experts from the area. They choose local healthcare providers so patients can make followup appointments with providers if necessary.

“We have healthcare volunteers from all over the Northern Colorado area who donate their time every year and are passionate about this event,” says Fahrenbruch. She says the health fair screenings include everything from general health, to vision and dental. Just some of the screenings offered are: blood pressure, skin cancer, foot and ankle, hearing, vision, glaucoma, spine and posture, oral cancer, Prostate Specific Antigen screening for men, complete blood count to check for leukemia, anemia or infection, High Sensitivity C Reactive protein screening that would indicate inflammation and heart disease, peripheral artery disease, body fat, asthma, breast exam, bone density testing, memory, vein, Chem 24 screening which measures cholesterol, triglycerides, thyroid, and several heart liver and kidney enzymes. Patients may also request a free physician consult. Fahrenbruch says the only screenings they charge for are blood tests; all other screenings are free to participants. She says most of the blood screenings require participants to have blood drawn in advance at McKee Medical Center, so that the results can be ready and discussed by a healthcare provider on the day of the fair. “Physicians can then explain findings to the participants and answer any questions they might have.” Many people who are currently unemployed or without health coverage use the fair to get their annual check ups and screenings. “The fair should not be a substitute for consistent care by a primary care provider, but should be just one piece of a participant’s healthcare regimen,” says Fahrenbruch. She says they are very excited about the anniversary of the health fair this year and want to celebrate with all their providers and participants as they work to serve the community for another year. The health fair is sponsored by McKee Medical Center, Loveland Chamber of Commerce, Loveland Reporter-Herald, Larimer County Medical Society, and the City of Loveland. It will be Saturday, April 24 at the McKee Conference and Wellness Center in Loveland at 2000 N. Boise Ave. For questions about the fair or screenings, readers may call (970) 6699355(WELL).

Lydia’s STYLE Magazine

Bone Health  Prior to age 65, discuss the need for a bone density screen. At age 65, get a bone mineral density test at least once. Ask your doctor about repeat screenings.

Breast Health  Begin having mammograms every 1-2 years at age 40 or as your doctor recommends. Note: information last updated March 1, 2009. Ask your doctor for any updated recommendations regarding mammograms.  Clinical breast exams should be done every three years starting in your 20s and yearly beginning at age 40.

Reproductive Health Patient Janice Leichliter receives a wellness screening from Sheryl Fahrenbruch, Senior Manager of Wellness Services at McKee Medical Center.

wellness screenings Screening Guidelines for Men

as recommended by the Department of Health & Human Services

General Health  Discuss regular full checkups with your doctor, including weight and height.  Get an HIV test at least once to find out your HIV status. Ask your doctor if and when you need the test again.

Heart Health  Have your blood pressure tested at least every two years, beginning at age 18.  Start cholesterol tests at age 20. Discuss with your doctor when to have cholesterol tested again.

Diabetes  Starting at age 45, have a blood sugar test done every three years.

Prostate Health  Beginning at age 40, ask your doctor if you need a digital rectal exam or a prostate-specific antigen test to monitor prostate health.

Reproductive Health  Discuss with your doctor at what age you should begin having testicular exams.  Both partners should get tested for sexually transmitted infection before initiating intercourse at any age.

Colorectal Health  Use one of these three methods starting at age 50: A fecal blood test yearly until age 75, then discuss need with doctor; flexible sigmoidoscopy (with fecal occult blood test) every five years until age 75, then discuss with your doctor; or a colonoscopy every 10 years until age 75, then discuss with your doctor.

 Have your first hearing test at age 18, then every 10 years until age 50. At age 50, have the test every 2-4 years or as your doctor advises, then every 1-2 years after age 65.

Skin Health  Perform monthly mole self-exams beginning at age 20; have doctor perform exams as part of your routine checkup.

Immunizations  Influenza vaccine: discuss with your doctor prior to age 50. Beginning at age 50, get your flu shot yearly.  Pneumococcal vaccine: vaccine needed one time only at age 65.  Tetanus-diphtheria: vaccine needed every 10 years beginning at age 18.  Meningococcal vaccine: discuss with your doctor if you are attending college or are a military recruit.  Herpes zoster vaccine (prevents shingles): starting at age 60, one time only, if recommended by doctor.

 A Pap test should be performed every 1-3 years if you have been sexually active or are older than age 21. At age 65, discuss frequency of Pap test with your doctor.  Pelvic exam should be performed yearly beginning at age 21. If you are younger than 21 and sexually active, discuss exam with your doctor.  Chlamydia tests should be performed yearly until age 25 if you are sexually active. If older than age 26, get this test if you have new or multiple partners.  Both partners should get tested for sexually transmitted infection before initiating intercourse at any age.

Eye and Ear Health  Have a complete eye exam at least once between ages 20-29 and at least twice between ages 30-39, or at any time you have difficulty with your eyes. Get an exam at age 40, then every 2-4 years or as your doctor advises. At age 65, have an eye exam every 1-2 years.  Have your first hearing test at age 18, then every 10 years until age 50. At age 50, have the test every 3 years or as your doctor advises.

Screening Guidelines for Women

Skin Health

General Health

Immunizations

as recommended by the Department of Health & Human Services

 Discuss regular full checkups with your doctor, including weight and height.  Get an HIV test at least once to find out your HIV status. Ask your doctor if and when you need the test again.  Thyroid test: discuss with your doctor.

Heart Health  Have your blood pressure tested at least every two years, beginning at age 18.  Start cholesterol tests at age 20. Discuss with your doctor when to have cholesterol tested again.

Diabetes  Starting at age 45, have a blood glucose test done every three years.

Loveland Greeley Medical Magazine & Directory 2010

 Perform monthly mole self-exams beginning at age 20; have doctor perform exams as part of your routine checkup.  Influenza vaccine: discuss with your doctor prior to age 50. Beginning at age 50, get your flu shot yearly.  Pneumococcal vaccine: vaccine needed one time only at age 65.  Tetanus-diphtheria: vaccine needed every 10 years beginning at age 18.  Human papillomavirus vaccine: up to age 26, if you have not already completed the vaccine series, discuss with your doctor.  Meningococcal vaccine: discuss with your doctor if you are attending college or are a military recruit.  Herpes zoster vaccine (prevents shingles): starting at age 60, one time only, if recommended by doctor.

eICU continued from page 30

Helping you climb the path to financial success • Business & Individual Tax Services & Planning • Business Start Up • Bookkeeping, Payroll & Quickbooks Consulting • Auditing & Financial Statement Preparation FORT COLLINS 301 East Olive Street Fort Collins, CO 80524 970.493.6869

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been collecting the data for some time and they’ll set up the criteria.” Sepsis is an overwhelming systemic response to an infection in the body. The remote site will automatically run a sepsis screen on every patient and notify the nurse if there is even a partially positive sign. For someone with sepsis, a resuscitation binder has to be done within six hours. “Right now, our mortality rate is the lowest of any Banner facility, but this can help us be better and why would you not want to be better?” she asks. Jenkins says, “I constantly get comments about how nice it is to push a button and get a physician who was already awake and had the medical records in front of him. In the middle of the night, the doctor can talk to you and then follow up.” The system was created because of the lack of intensivists. “We have some sites, like Sterling, that don’t have intensivists. The best plan is to have an intensivist in each ICU, but the country is short by 8,000 intensivists so this was created to use technology to leverage scarce or limited resources.” As to the need for technical support, Jenkins says, “This product is one of the most reliable. It’s only had a total of three scheduled down times in the four years it’s been up. And, remember, we are an added layer of support. The on-site staff is always there.” The proof is in the numbers, she says. “We are improving patient outcomes and decreasing the length of stay; we get quarterly reports showing that. There’s also a safety factor and we can’t put a price tag on every fall we’ve prevented or when we’ve kept patients from pulling out IV lines.” Tuttle says there was some skepticism in the beginning: “Are they watching me? Are they taking over?” But that was short-lived. “Everyone quickly realized that this adds a level of professionalism that helps us do our jobs better. And that’s what all of us want,” she concludes.

Kay Rios, Ph.D., is a freelance writer in Fort Collins. She writes for a variety of publications and is currently at work on a collection of creative non-fiction and a mystery novel.

Lydia’s STYLE Magazine

Photo by Tim Oâ&#x20AC;&#x2122;Hara

3470 East 15th Street, Loveland, CO 80538 (970) 663-3975 phone (970) 663-2235 fax www.orthohealth.com

Orthopaedic & Spine Center of the Rockies

opens loveland office

Loveland Greeley Medical Magazine & Directory 2010

In mid-December, Orthopaedic and Spine Center of the Rockies (OCR) announced the opening of their new office at 3470 East 15th Street, Loveland. The new space offers patients the ability to schedule more appointments with more available physicians, enhanced comfort during visits, state-of-theart equipment and facilities, and additional therapy and digital X-ray services. The 37,000-square-foot building is three times larger than OCRâ&#x20AC;&#x2122;s 29th Street and Ginnala Drive facility, which has been sold to Banner Health. Construction began January 2009 and wrapped up in December. The new office, with up to eight physicians available for patient appointments at one time, has specialists in orthopedics, podiatry, sports medicine, and physical-occupational therapy.

Wellness

DENTAL IMPLANTS

dental implants

Andrew Bock, DDS, and Zachary Owen, DDS, offer both prosthodontic and oral surgery in one convenient location.

improve your smile A great smile is more than just attractive; it is healthy and functional. Unfortunately, not all smiles are created equal and sometimes they may need a little “help” to reach their full potential. Dental implants offer the latest in prosthetic dentistry and not only improve the aesthetics of our smiles; implants can also make an important impact on our overall dental health. 82

By Bob Willis

While cosmetic dentistry and implants have grown in popularity over the past two or three decades, improved procedures make the process much more rapid and comfortable than it was even a few years ago. Today’s dentures, supported by dental implants, are less bulky, better fitting and more natural looking than conventional dentures. Dental implants are used to support dentures but can also be used in place of dentures, replacing one tooth or all of them, and functioning as closely to real teeth as possible. In the hands of a skilled dentist, dental implants can turn a problem smile into a work of art that encompasses necessary good function. That is the commitment of Zachary Owen, DDS, owner of Summit Oral and Implant Surgery. Dr. Owen states, “There’s no doubt that good oral health is critical to achieve optimum overall health and we feel we’re a vital link in reaching that objective.” Summit Oral and Implant Surgery delivers the highest in quality care and individualized patient treatment. They have the added benefit of having two dental specialists practicing at the same location. Dr. Owen specializes in oral surgery, including extractions/wisdom teeth, bone grafts, and placing dental implants. At his office, he works closely with Andrew Bock, DDS, a prosthodontist who specializes in aesthetics:

crowns or veneers, placing crowns on implants, dentures or partials, and reconstructing smiles. Their combined skills complement one another and allow patients the convenience of a single office to serve their cosmetic and healthrelated dental needs. They are the only office in the area with this surgeon/prosthodontist combination. Both doctors are happy to work with any patient’s general dentist and they regularly take referrals from restorative dentists and other surgical specialists. “Our practice is based on three fundamental objectives: health, function and aesthetics,” says Dr. Owen. Those three levels of care are the very heart of the Loveland practice. To achieve these three objectives, Drs. Owen and Bock begin with a thorough examination and consultation with the patient, outlining the treatment plan that will help restore their “best” smile. Included in the initial consultation is measuring the face, taking radiographs (X-rays), and making dental molds. On the following visits, the three objectives take shape. Restoring Health The next step is to restore dental (and overall) health by removing any non-restorable teeth and ensuring the patient is free from infections. To attain good dental health, severely decayed

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~~LONGMONT ~lft. UHNITED

Caring Experience...

OSPITAL

LAsER-AssiSTED TECHNIQUES FOR THE TREATMENT oF SPINAL CoNDITIONS

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Dr. Alan Villavicencio will be discussing laser-assisted techniques that are minimally-invasive spine procedures. Many are performed under a local anesthetic in conjunction with IV sedation. The patient is awake but comfortable during the procedure and may be able to walk out the same day. Please bring your questions.

Pinched Nerves Degenerative Disc Disease Spinal Stenosis Foramina! Stenosis Arthritis of the Spine Herniated Discs Bone Spurs If you are experiencing any of these spinal conditions, these lectures will help you understand what options you have, including the laserassisted technique.

LATEST ADvANCES IN THE TREATMENT OF DEGENERATIVE Disc DISEASE

Tuesday January 26

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MINIMALLY INVASIVE TREATMENT OF SPINAL STENOSIS & BoNE SPuRS

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Tuesday July 27

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HERNIATED Discs, SciATICA, PINCHED NERVES - THE LATEST & GREATEST TREATMENTS INCLUDING MICROENDOSCOPIC LASER

Wednesday October 27

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W here:

Longmont United Hospital, 1950 Mountain View Avenue, Longmont

Who:

Alan T. Villavicencio, MD,Neurological Surgery

Dr. Alan Villavicencio has extensive training in the treatment of spinal deformity, scoliosis, artificial disc replacement and minimally-invasive spine surgery including endoscopy. He serves as the Director of Neurosurgery at Longmont United Hospital and Minimally Invasive Spine Surgery Program at Boulder Neurosurgical Associates. H e is the Founder and Director ofTrigeminal Neuralgia Program and the Director of Surgery at the Minimally Invasive Spine Institute.

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Complimentary dental checks for babies 0-24 months!

Pediatric Dentistry is our Passion! We will treat your child like our own, that's guaranteed. Please visit our website for more information. www.BigGrinsWithDrGreg.com

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Help us celebrate February Dental Health Month and support: Project Smile at Irish and Putnum Elementary www.realitz.com/projectsmile Give Kids a Smile Day Feb.5,2010 www.cdao n li ne.o rg Tooth Fairy Fund for Adults www.hea lthdistrict.org/denta I

Dr. Greg Evans Board-certified in pediatric dentistry 322 1 Eastbroo k Drive Fort Co llin s

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(off Ti mberli ne north of Horsetooth)

Gum recontouring, dental implants and crowns restored this patient’s smile.

teeth and any periodontal disease must be removed. This generally consists of performing necessary extractions and putting the implants and temporary dentures in on the same day. “Our patients will always leave with at least temporary teeth. That prevents them from having any embarrassment until the final prosthesis is placed,” adds Dr. Owen. When doing any surgical procedures, patients receive IV anesthesia to put them at complete ease in a restful, attractive office and surroundings. In the instance of severe bone recession, Dr. Owen can place bone grafts with artificial materials or the patient’s own bone to build up the jaw. “We can usually do all of the surgery during a single visit, so the patient has little time inconvenience,” states Dr. Owen. Improving Function The second level of the procedure is designed to give the patient function, getting them to the point where they can comfortably chew and to be sure the occlusion, or bite, is correct. Essentially making certain that “everything works.” “When a person loses their teeth, their ability to chew food decreases dramatically with conventional dentures. Implants allow us to not only restore a person’s smile, but to provide them with a tooth replacement that is as close as possible to the real thing. People can generally eat with implants just like they do with their own teeth,” says Dr. Bock. Dr. Owen says this step is particularly important in maintaining the correct “shape” of the face, as often extractions coupled with conventional dentures have a tendency to shorten and distort the lower face and jawbone areas. “Regular dentures cause the jawbone to slowly dissolve over time, but implants preserve the remaining bone. This prevents over-closing of the bite, a protruding chin, and wrinkles around the mouth, which contribute to an aged appearance,” says Dr. Bock. Creating a Beautiful Smile The third level is simply aesthetic; making certain that everything looks natural and nice. One of the advantages of implant prosthesis is that they are not nearly as large and bulky as dentures. They are also permanent, well-fitting, more natural in appearance, and help retain the shape of the

Lydia’s STYLE Magazine

After removal of decay and gum disease, dental implants created a new smile.

jawbone. The facial height does not shrink as with dentures and implants give the face balance and symmetry, adds Dr. Owen. When a patient comes to Summit, part of the comprehensive planning process is correct tooth placement, according to Dr. Bock. Front teeth are positioned for the best look when smiling and to sound correct during speech. Back teeth are placed in the correct position to be able to chew properly and support the bite correctly. Teeth that are in the correct position for the best function are also the most attractive. Explaining the Process â&#x20AC;&#x153;Despite TV commercials to the contrary, the procedure is not completed in a single day. First, thereâ&#x20AC;&#x2122;s a consult visit with dental molds, measurements, and X-rays. Next, we can often do the surgery in one day with extractions, bone grafts and implants. Finally, after the implants have healed, the final prosthesis is placed and minor adjustments are made,â&#x20AC;? says Dr. Owen. He underscores the fact that Summit creates a completely individualized treatment plan with outcomes tailored to the individual. Such attention to detail cannot be accomplished in a single visit. Dr. Owen is well trained for his specialty; he attended dental school at the University of Nebraska Medical Center, with a one-year internship at the Medical College of Georgia, followed by four years of residency at Denver Health Medical Center. Finally, he returned to Loveland in July 2008. Dr. Bock, who attended high school in the area with Dr. Owen, graduated from college at the University of Colorado. He attended dental school at the University of Loma Linda Medical Center and completed his specialty in prosthodontics in three years at the University of Texas at San Antonio. He practices part-time at Summit and part-time at a Boulder practice. For more information on services offered at Summit, call (970) 669-4802 or visit their Website at www.SummitOralSurgery.com. Bob Willis is a freelance writer/photographer who calls Fort Collins home, along with his wife Gloria and two Blue Heelers who love to travel and camp.

Loveland Greeley Medical Magazine & Directory 2010

Continued from page 56 is a process that helps ensure that heart attack patients in rural communities receive timely care. Dr. Beckmann and his crew worked with 14 rural hospitals in northeastern Colorado and southwestern Nebraska, training medical professionals to follow specific protocols designed to cut down “door to reperfusion time,” whether it be a clot busting drug or transfer for balloon angioplasty. When a patient arrives in the emergency room of a rural hospital, healthcare professionals determine if there is a blockage in blood flow to the heart – a heart attack or STEMI – and, if so, physicians call North Colorado Med Evac for helicopter transport to CVI. As part of Code STEMI, flight nurses know standardized treatment plans, communication and transfer protocols that need to be transmitted to CVI so they prepare all of that en route. A call is also made to CVI to alert the cardiologist that the patient is being transferred. The transfer is automatic without paper hold-ups and the focus remains on the patient. “It’s a means to transfer the patient to us quickly,” Dr. Beckmann says. He developed Code STEMI after seeing how well an efficient process like Cardiac Alert served heart attack patients. “By working with emergency personnel in Weld County, we were able to streamline the care of the heart attack victims locally and get the patient the care they needed quickly. So Code STEMI has taken that out farther with a regional focus.” Dr. Beckmann says CVI provides many advantages to patients in the region. Another such advantage is the ability to host ongoing clinical trials, Dr. Beckmann says. “We have a wide number of different trials here and each one is trying to see if a medication or device will improve the care of the patient. For example, we have trials looking at anti-coagulation and thinning the blood, trials looking at medicines for interventions in the cath lab, a trial looking at better ways to lower cholesterol. We approach patients to see if they are interested in participating, with not only the possibility of improving their own care, but also helping others coming down that same road in the future. So we can offer new drugs and devices not yet available on the market. That’s an added benefit because they can be exposed to newer things sooner.” While Dr. Beckmann says that not all patients are good candidates for clinical trials, he adds, “Most people are excited to do this.” The bottom line, Olson says, is a high quality of patient care. “All of this gives us a chance to offer the best care possible and to look at how we can continue to improve.” Kay Rios, Ph.D., is a freelance writer in Fort Collins. She writes for a variety of publications and is currently at work on a collection of creative non-fiction and a mystery novel.

Lydia’s STYLE Magazine

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Family Practice: Pamela Levine, MD Gastroenterology: Peter Witt, MD General Surgery: Steven Dubs, MD; Lesley Fraser, MD; Michael Peetz, MD; Joseph Livengood, MD Internal Medicine: Grace Alessi, MD; Mark Berntsen, MD; Dana Christiansen, MD; John Ebens, MD; William Lopez, Jr., MD; Michael Randle, MD; Keith Thompson, MD; Daniel Zenk, MD

Open Monday - Friday 8:00 am to 5:00 pm 2500 Rocky Mountain Avenue North Medical Office Building Loveland, Colorado 80538 For appointments call

Oncology: Douglas Kemme, MD; Samuel Shelanski, MD; Anne Stroh, MD Orthopedics: Mark Grossnickle, MD; Brett Hunter, MD; Steven Sides, MD; Joshua Snyder, MD Rheumatology: James Levine, DO; Garvin Murray, MD; John Stephen Thompson, MD Additional Services: I Lab, Rehabilitation Services

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